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Dr. Daniel Grossman @DrDGrossman
, 3 tweets, 1 min read Read on Twitter
I am deeply disappointed to hear that the Supreme Court has declined to hear a challenge to Arkansas' restrictive medication abortion law. Medication abortion is very safe; the requirements are medically unnecessary and designed to effectively ban it. nbcnews.com/politics/supre…
Medication abortion is extremely safe, and patients can safely administer it with instructions. (journals.plos.org/plosone/articl…)

Medication abortion via telemedicine is as safe as in-clinic provision. (journals.lww.com/greenjournal/F…)
The goal of the Arkansas law is to effectively ban medication abortion by requiring doctors to contract with other doctors who have admitting privileges at hospitals, but of course, they can’t find other doctors who are willing. This is medically unnecessary and a de facto ban.
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During the #KavanaughHearings, Kavanaugh referenced his dissent in a case on the contraception coverage requirement by employers for employees' healthcare. In his testimony, he referred to contraception as "abortion-inducing drugs". This is not medically accurate and is a tactic.
Medically and scientifically, pregnancy begins at implantation. Most contraception works by blocking an egg release or blocking or disabling sperm; sometimes they work to block implantation of a fertilized egg. No contraception works after implantation or causes an abortion.
Medication abortions, or surgical abortions, remove an existing pregnancy. Contraception works before a patient is pregnant. Contraception, Plan B, and IUDs do not cause abortions. There is a huge misinformation campaign to conflate how these things work to undermine access.
Read 13 tweets
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This is a moving story about unsafe abortion in 1968. The public health threat of overturning Roe v. Wade is great, but women will not suffer the physical harms to the same degree they did in the 1960s thanks to medical advancements. Unfortunately, criminalization is.
Self-managed abortion is rarely coat hangers and back alley abortions these days. In my research in Texas, patients are more likely to give themselves an abortion through medication abortion or herbs: liberalarts.utexas.edu/txpep/_files/p…
My research has found medication abortion is safe for patients to use on their own (journals.plos.org/plosone/articl…) or via telemedicine (reuters.com/article/us-hea…), however taking medication abortion on your own is criminalized in many states. This is dangerous for patients.
Read 6 tweets
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Hey @CDCgov, can we work on the framing here? Women, and all who can become pregnant, are not perpetually 'pre-pregnant’. Caring for their health is about more than their ability to become pregnant.
@CDCgov Yes, folate is important for a healthy pregnancy, but it may be irrelevant to those using effective contraception and/or would have an abortion if they became pregnant. There are many who “can” get pregnant, but don’t have sex with cisgender men and aren’t planning pregnancy.
@CDCgov Let’s move away from a strictly heteronormative, cisgender-focused framing of pregnancy, @CDCgov, and recognize that continuing a pregnancy is not always a desired outcome for everyone. We have to listen to our patients and their healthcare needs.
Read 4 tweets

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The Suffocation of Democracy

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Here's a letter to General Winfield Scott from Abraham Lincoln:
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THREAD: Body Language Analysis No. 4314: Donald Trump, The Supreme Court, Abortion, and Punishment - #Nonverbal & #EmotionalIntelligence • • #BodyLanguage #BodyLanguageExpert #AbortionRights #Abortion #Punishment #SupremeCourt #RoevWade
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What if, when a woman died during an unsafe #abortion, the man who got her pregnant died too?
2/8 No warning, just suddenly died? Had sex, got a woman pregnant, she died because of a coathanger abortion, and dropped dead immediately?
3/8 I bet we would have a lot more men screaming in the streets to keep abortion safe, legal, and accessible.
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Last night I promised a thread about #abortion before Roe v Wade legalized it nationally. Until the mid-1800s, common law allowed abortion until "quickening", when fetal movement can be felt. Toxic abortion remedies & doctors competing w midwives led to… 1/
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1/ Today the Supreme Court issued an extraordinarily important decision that will have major implications for law enforcement. In Carpenter, a 5-4 majority concluded that law enforcement needed a warrant to obtain 127 days of historical cell cite records: supremecourt.gov/opinions/17pdf…
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