Speaker Alejandra Pablos shares her story #KeepAleFree and encourages others to do so too through @AbortionStories. She says her story of fighting deportation, being detained and says that fighting for abortion rights are an intuitive extension of her goals and values.
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Dr. Perritt @Reprorightsdoc encourages the audience to center on their own positionality. We focus on disclosures in medicine, but positionality - where we grew up, who we are, how the world sees us - are probably more important in framing our actions.
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Dr. Perritt was inspire to write and first reached out to people who inspired her in order to build upon their work. She was struck by the idea that physicians are facilitators of policing peoples bodies. She asked, how can we disrupt rather than be instrumentalized?
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How can the state criminalize something as complex as family?
It was quickly evidence that the family court system is a tool of oppression and white supremacy.
Information, rather than these laws, can protect people and families.
#SFP2022
It was quickly evidence that the family court system is a tool of oppression and white supremacy.
Information, rather than these laws, can protect people and families.
#SFP2022
Self managed abortion is outside of the formal medical system. Physicians are gatekeepers of abortion within the medical field. Self managed abortion is bigger than pills, people can use many strategies and none should be privileged over the other.
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We are not up here because we are concerned about what people are taking (self managed abortion is largely safe), but rather what legal risk people are incurring when they take their autonomy into their own hands.
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Abortion Showers: community centering around people to shower them with support around the time of their abortion care. Abortion showers can be incorporated into different locations, cultures and types of abortion care
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What brings someone to self manage an abortion? Access, privacy, resources, preferences. To feel connected to their body during the abortion experience if someone desires that. SMA should not be viewed as an act of desperation.
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Why do we need abortion both within and outside of the medical establishment?
SMA is not a solution for the growing problem with access. Diversity of options for abortion care is necessary to meet the diversity of reasons and healthcare preferences that exist.
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SMA is not a solution for the growing problem with access. Diversity of options for abortion care is necessary to meet the diversity of reasons and healthcare preferences that exist.
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Criminalization of self managed abortion is a coordinated form of State violence.
There is no single solution to this violence.
Until we can find a solution to NOT turning our patients into the police, we need to be mindful of how we talk about self managed abortion.
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There is no single solution to this violence.
Until we can find a solution to NOT turning our patients into the police, we need to be mindful of how we talk about self managed abortion.
#SFP2022
Indigenous healing practices and the dissolution of Black midwives in the South are the roots of criminalizing self managed abortion. We must reconcile that we are sitting here today because of the mass genocide of those before us. We formed and maintain this hierarchy.
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Self managed abortion is a crime in Nevada and South Carolina.
NOTE: Criminalization is NOT limited to the legal/justice system. Criminalization happens through immigration, curriculum censorship, coercive healthcare
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NOTE: Criminalization is NOT limited to the legal/justice system. Criminalization happens through immigration, curriculum censorship, coercive healthcare
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Many people using self managed abortion are criminalized BY their healthcare providers.
Healthcare providers might be putting their patients at criminal risks due to ignorance, which deputizes them as weapons of the State.
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Healthcare providers might be putting their patients at criminal risks due to ignorance, which deputizes them as weapons of the State.
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Physicians are told "you are supposed to be a mandatory reporter."
But no one teaches physicians what happens after they report. You can destroy a family for generations by policing them for the state. Physicians never think about this. We are taught this is innocuous.
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But no one teaches physicians what happens after they report. You can destroy a family for generations by policing them for the state. Physicians never think about this. We are taught this is innocuous.
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Even if "nothing happens" after the investigation following a mandatory reporting event - that investigation enough is a punishment. Investigations are traumatic, humiliating and fear based State policing.
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Audience encouraged to imagine the State calling your employers, your neighbors and asking them about what kind of parent YOU are and then deciding whether your family has the right to exist. This undermines the trust of communities, the village we need to be parents.
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There are NO resources in the system. State surveillance does not connect families to the support they need. The only purpose of those investigations is to police and weaken families.
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Who is policing people using self managed abortion?
- 45% of the cases are reported to law enforcement by their healthcare providers or social workers
- 25% were reported by acquaintances
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- 45% of the cases are reported to law enforcement by their healthcare providers or social workers
- 25% were reported by acquaintances
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People go to their healthcare providers for care (abdominal pain, bleeding).
Their physicians then call the police.
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Their physicians then call the police.
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In house police forces within hospitals are a growing trend, fraught with the same biases and racism as other systems of oppression. Their presence has detrimental effects for patients' legal safety when seeking care - abortion related or otherwise.
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Physicians pull back from standing up for immigration, abortion rights saying "I didn't go to medical school in order to go to jail."
Self preservation is NOT an excuse to using healthcare to police for the state. It is not an excuse for violence.
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Self preservation is NOT an excuse to using healthcare to police for the state. It is not an excuse for violence.
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Power and privilege have keep white supremacy entrenched in medicine.
How can providers change it?
- The simple ask: don't be complicit
- The real ask: disrupt the system
#SFP2022
How can providers change it?
- The simple ask: don't be complicit
- The real ask: disrupt the system
#SFP2022
It is not as simple as "don't call the police."
Instead, kill the cop inside you.
Every time you are suspicious, every time you don't believe the patient - recognize that you are filled with control and distrust.
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Instead, kill the cop inside you.
Every time you are suspicious, every time you don't believe the patient - recognize that you are filled with control and distrust.
#SFP2022
"Innocuous" examples of patient distrust:
- Ultrasounding to "confirm" a sure LMP
- Repeating Rh testing after someone reports their blood type
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- Ultrasounding to "confirm" a sure LMP
- Repeating Rh testing after someone reports their blood type
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How can we change this culture of distrust? Coalition building.
A clinic space can be powerful. Open your clinic to movie screenings, social gatherings, safe spaces to see each other as human beings.
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A clinic space can be powerful. Open your clinic to movie screenings, social gatherings, safe spaces to see each other as human beings.
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Help fund an Abortion Showers resources! The GoFundMe will not only make Spanish language resources, host Spanish language events, but invest in community relationships.
bit.ly/3VtLzEU
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bit.ly/3VtLzEU
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Is there ANYWHERE in the US where healthcare workers are mandated to report people who used self managed abortion?
NO
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NO
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Abortion exceptionalism is actually myopic here. We need to be enraged about more than the policing of abortion. We cannot let them distract us by focusing on the criminalization of abortion and lose sight of the criminalization of families, poverty, migration...
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Beyond DO NOT HARM @interruptcrim has resources that can help healthcare providers take steps to deconstructing violent systems of power #DefundThePolice
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HIPAA is not a safe guard.
What you write and prescribe could be used to criminalize the patient you care for.
The #EHR transcends state lines and might be used against them elsewhere.
#SFP2022
What you write and prescribe could be used to criminalize the patient you care for.
The #EHR transcends state lines and might be used against them elsewhere.
#SFP2022
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