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Dr. Daniel Grossman @DrDGrossman
, 5 tweets, 3 min read Read on Twitter
ICYMI: @latimes Editorial Board gets it right: medication abortion should be considered part of basic student healthcare, as California’s #SB320 seeks to do.

Why, you ask? I’ll explain! latimes.com/opinion/editor…
First, abortion is common—especially among the age group of most students. One in four women will have an abortion in her lifetime, and the highest abortion rate is among those 20-24 years old. cdc.gov/mmwr/volumes/6… #SB320
Second, abortion is a timely procedure. Abortion is safe, and safest and easiest when done early in pregnancy.

Why increase the risks by unnecessarily delaying the procedure by referring patients to other providers? ncbi.nlm.nih.gov/pubmed/26241413 #SB320
Third, medication abortion is simple to provide. Family medicine doctors, nurse practitioners, midwives, physicians assistants—basically any clinician who’s been trained can offer medication abortion. nap.edu/resource/24950… #SB320
With some funding (which has already been raised) UC and CSU student health centers could safely provide medication on campus and better meet the needs of the ~500 students who currently seek the procedure off campus each month. contraceptionjournal.org/article/S0010-… #SB320
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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

Related threads

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🌊🌊🌊#California #Midterms #Election : A #votersguide🌊🌊🌊

(A) Please share/repost/comment to increase visibility and help someone vote. Please make one of these for your state. I'll try to keep these fairly succinct and cite sources where I can. This is how I'm voting:
(B) Governor: @GavinNewsom

Whether you're a Newsom loyalist or a contrarian who likes to impress their friends by not being for anything popular, here's your alternative: "President Trump Endorses Republican John Cox for..." Yeah, nope.

latimes.com/politics/la-po…
(C) Lt. Governor: Eleni Koulanakis @eleniforca

The Sac Bee/EMILY's List/Nancy Pelosi and Kamala Harris all endorse her. She seems highly qualified to tackle California's affordable housing and homelessness problems and out of the two candidates she's the only one who mentioned
Read 28 tweets
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I think I found where you can read that great #healthcare article but the ads are SO intrusive. amrank.info/2018/07/11/why… @ImageAltText I’m paraphrasing, but seriously this is what some people believe. Step one, free market, step two (blank), step three Profit!Turns out it’s actually cheaper for healthy people to subsidize the sick. It’s a common refrain of people who have a lot to say but almost no knowledge of healthcare markets that the main problem with health spending is that there isn’t enough choice. “Make the market more free” they say, “and cheap healthcare will magically pop out.”“When healthy people pay some of the health costs of sick people everyone ends up paying less.”
What I like about the article is how it points out in simple terms why the free market idea doesn’t apply to healthcare.
Also on Medium (for members) if you didn’t see my other tweet. medium.com/s/story/why-he…
Read 3 tweets
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I think the real question is "how do we create the means and foundation for the agenda," not the money to pay for it.

We always get money by taxing working class and middle class people.
That's how we pay for the two wars we've been in for over 15yrs.
The #healthcare industry employs millions of Americans.
In the only vision Bernie Sanders has ever presented, that somehow disappears and is replaced by something completely different....by magic. He has never had a plan for it or "breaking up the banks."
nydailynews.com/opinion/transc…
The most workable--and quick--plan we could get (if people vote in November and the Democrats regain the House)--is the #MedicareExtraForAll plan.

Getting people to give up their employer-paid insurance will be hard, but this could convince everyone.
latimes.com/business/hiltz…
Read 9 tweets
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Let's have a conversation about #healthcare that's larger than who pays for it shall we? For this thread I'm going to assume we can pass #MedicareForAll and insurance is no longer an issue. Now let's talk about what problems would still exist for women's healthcare /1
In this scenario #Medicare4All has been passed with the repeal of #Hyde so we don't have a problem funding abortions for anyone! But wait...does that overturn #TRAP laws? Waiting periods? Personhood bills? Heartbeat bills? 20 week bans? Specifically fund Planned Parenthood /2
Unfortunately #MedicareForAll wouldn't overturn all those pesky anti abortion laws meaning abortion would be insured if (and that's a big if) you have access to it. The reason you need Planned Parenthood still is because not all doctors choose to perform abortion /3
Read 7 tweets
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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/
laws outlawing abortion except where pregnancy was likely to be fatal spreading across the country. Bottled abortion remedies could be and were fatal, and doctors, almost all white and male, didn't want midwives competing with them for pregnancy care. 2/
"In the late 1920s some 15,000 women a year died from [illegal] abortions…In 1971, the year after decriminalization, the maternal-mortality rate in New York State dropped 45%." 3/
theatlantic.com/magazine/archi…
Read 84 tweets
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It's #SinglePayerSunday!
#MedicareForAll #SinglePayer
#MedicareForAllVoter ☑️
RTs Appreciated!
Where candidates for California governor stand on #SinglePayer health care
#SB562
#MedicareForAll
#MedicareForAllVoter ☑️
#SinglePayerSunday
sacbee.com/latest-news/ar…
Democratic candidate Kucinich releases #SinglePayer healthcare proposal!

#MedicareForAllVoter ☑️
#SinglePayerSunday
m.wtol.com/toledonewsnow/…
Read 119 tweets

Trending hashtags

#NicholasRasmuusen #trade #Hyde #RedwoodCity #handicapped #JohnConyers #Trumpism #postmedia #discrimination #MSNBC #HealthCare #Vatican #isolationism #Midterms2018 #gagrule #OHLtGov #HealthInsurance #Medicaid #EdBuck #Virginia #NicholasRasmussen #Gerrymandering #TaxCuts #umbrellaofauthority #OHGov

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