At #Roe's 50th anniversary, the nation is seeking new legal frontiers to safeguard reproductive freedoms. As the battle over abortion continues to evolve, I join Rebecca Reingold of @oneillinstitute in @JAMA_current to talk through key legal strategies:…
To mark the anniversary, President Biden signed a memorandum to ensure access to medication abortion. Now, new FDA rules allow clinicians to prescribe mifepristone in pharmacies or dispense by mail. DOJ also clarified the lawfulness of sending abortion medications through USPS.
DOJ has suggested it might challenge state bans on abortion medications based on FDA’s power to set national uniform standards. Whether or not DOJ succeeds, states should not be able to pick & choose which FDA-approved medications to allow. That would cause grivious harm
In Dec., HHS proposed a new rule for health workers who refuse to provide abortion or other services for religious or moral reasons. While religious freedom is important, health workers should not be able to deny patients services based on their status, such as LGTBQ+ people
We must ensure that pregnant persons can obtain needed assistance in obtaining abortions outside their home state.

Since the 2022 midterm elections, many states have also established a right to abortion in their own constitutions—another means of legal protection.
HHS has hinted that declaring a ph emergency for abortion is still on the table. Abortion access is certainly a health crisis. But I worry it won't achieve meaningful change on the ground. It could also set a dangerous precedent and be overturned by the courts.
As the landscape continues to change, innovative legal strategies to safeguard reproductive freedoms are crucial. After #Dobbs, abortion is more socially and politically contentious than ever. We must do all that we can to advance pregnant people's autonomy, dignity, and health

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More from @LawrenceGostin

Feb 2
My take on the Pandemic Treaty (CA+) Zero Draft

Let's start w/ credit due to @WHO & INB

It's stunning, w/ equity & hrs front & center

The North/South sticking point is that the rich want scientific sharing & LMICs want leverage of sharing pathogens

CA+ treads the needle

1X Image
CA+ has creative equity mechanisms:

* Global Pandemic Supply Chain & Logistics Network
* Pathogen Access & Benefit-Sharing System
* Facilitate tech transfer & IP Waivers (enhanced PIP Framework model) Image
Equity & scientific sharing aren't transactional

CA+ creates a strong norm of scientific sharing, specifying GSD as well as pathogens

That is vital for global health security & scientific innovation
Read 9 tweets
Dec 28, 2022
The CDC was entirely warranted in requiring a negative test for all international travelers before departure from China, Hong Kong, or Macau. China has experienced explosive spread since abandoning its #ZeroCOVIDpolicy. This fully justifies the US response.
China can hardly complain because the government has conducted far harsher travel restrictions into China for nearly three years, including intrusive quarantines.
Read 7 tweets
Jul 21, 2022
I'm not surprised Biden has COVID-19. The White House has loosened masking and distancing protocols & he's interacting with foreign leaders. Biden is elderly & vulnerable. He has all the advantages of being up to date on his vaccinations & on Paxlovid, we shouldn't be complacent
People of Biden's age can be seriously ill, or even die, despite being vaccinated. This is a sure sign the pandemic is far from over. The complacency among the American public simply isn't justified. Many Americans have not been fully vaccinated
The belief that Omicron sub-variants are relatively mild is wishful thinking. We need to take COVID-19 more seriously. This also highlights Congress' failure to fund the next generation of vaccines this Fall. Vaccines may be in short supply
Read 4 tweets
May 7, 2022
White House predicts 1 mil cases in fall/winter, but has no clear plan to guide the nation on updating vaccines. By now we should have bivalent or multivalent vaccines targeting the original strain & omicron (which subvariant?) Companies are acting alone w/o FDA/CDC guidance 1/X
It's taking more time to develop COVID vaccines from scratch than targeted vaccines to fight omicron, the dominant strain. The promise of mRNA vaccines was their ability to nimbly change formula, but it isn't happening
We can't keep boosting every 4 months
We need better vaccines
It’s not acceptable the White House hasn’t been more aggressive in working with companies to update the vaccine to Omicron. Current vaccines aren't sufficiently effective against new sub-variants like BA.4/BA.5. We need spur development of better vaccines
Read 4 tweets
Sep 8, 2021
Biden's 6 point vaccine plan will be mostly domestic. What should he do? What is lawful?

1) Order CDC to offer technical guidance & funding for vaccine credentialing systems. That'd boost mandates among businesses, colleges, cities & state. Give the tool & others will mandate
2) Mandate vaccines for interstate & int'l travel. He has clear power to do it. Our allies are doing it. And he already requires masks (& testing for int'l arrivals).
3) Use federal funding to incentivize companies to mandate vaccines. This can be done with federal contractors as well as any business that gets federal funding

4) Also leverage federal funding to incentivize mandates by states & cities, especially among public service workers
Read 6 tweets
Sep 8, 2021
Biden will announce a 6-point plan for vaccinations. It'll mostly be domestic but may include a global vaccine summit at UNGA. Here, I'll say what his global plan should be at UNGA. Next tweet, I'll focus the domestic vaccine coverage

US global plan must be big & bold
The US knows how to rise to the occasion. Biden's plan must be as audacious as polio & smallpox eradication or PEPFAR. If we don't stop unchecked #SARSCoV2 circulation, we'll face dangerous new variants. Here's a plan that's realistic & would save millions of preventable deaths
1) Pledge 10 bil doses w/ our allies. That will protect the world's health workers & vulnerable people
2) Ramp up domestic production to meet that goal
3) Transfer tech & know-how for mRNA vaccines to regional hubs, esp in Africa, L. Amer & Asia
4) Build vaccine infrastructure
Read 7 tweets

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