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"Republicans are strategically targeting people they think the public won't rally behind," said rights advocate Jessica Valenti. "Let's make sure to prove them wrong."
A midwife in the Houston area on Monday became the first person to be criminally charged under Texas' abortion ban, with Republican state Attorney General Ken Paxton accusing Maria Margarita Rojas of providing illegal abortion care and practicing medicine without a license.
If convicted, Rojas faces up to 20 years in prison under the state's near-total ban on abortion.
Writer and abortion rights advocate Jessica Valenti said Rojas is likely being "targeted" by Paxton, noting that the midwife provides "healthcare to a primarily Spanish-speaking, low-income community."
"Paxton, a political operator who picks cases strategically, likely chose Rojas because he believes Americans won't find her sympathetic—whether due to racism, classism, or the stories his office plans to spin," wrote Valenti. "In other words: Republicans are strategically targeting people they think the public won't rally behind. Let's make sure to prove them wrong."
Rojas owns and operates Clínicas Latinoamericanas, which includes four health clinics in the Houston suburbs of Spring, Waller, and Cypress. She has reportedly been a certified midwife in Texas since 2018 and was an obstetrician in Peru before immigrating to the United States.
According to The Washington Post, Rojas was first arrested on March 6 on charges of practicing medicine without a license, and was held on $10,000 bond. The new charges were added Monday, and Rojas and another employee of the clinic, Jose Ley, were being held in a jail in Waller County, with their bond set at a combined $1.4 million.
The New York Times noted that Waller County, where the charges were brought, is more conservative than Harris County, the largest county in Texas and the one where a majority of Rojas' clinics are located.
Court documents show that Paxton's office has accused Rojas of having "attempted an abortion on" a woman identified as E.G. in March.
"Paxton and Texas Republicans will be working overtime to paint Rojas as a villain, regardless of the truth. They know that abortion bans are incredibly unpopular, as is arresting healthcare providers."
Rojas was "known by law enforcement to have performed an abortion" on another occasion earlier this year, according to the attorney general, who has filed for a temporary restraining order against Clínicas Latinoamericanas "to prevent further illegal activity."
When she was first arrested, Rojas was "pulled over by the police at gunpoint and handcuffed" while she was on her way to the clinic and was taken to Austin and held overnight before being released, her friend and fellow midwife Holly Shearman told the Post.
Shearman said she did not believe Rojas is guilty of the charges against her.
Valenti emphasized that most details of Rojas' case at this point are being shared by Paxton's office, and warned that the vehemently anti-abortion attorney general will likely attempt to portray the midwife in a negative light to garner support—considering that a majority of Americans don't support criminal charges for health professionals who provide abortion care.
A survey last March by the KFF found that 8 in 10 Democrats, two-thirds of Independents, and about 50% of Republicans did not believe doctors who provide abortion care should face fines or prison time.
"You cannot trust any information coming from Paxton's office or Texas law enforcement," said Valenti. "Paxton and Texas Republicans will be working overtime to paint Rojas as a villain, regardless of the truth. They know that abortion bans are incredibly unpopular, as is arresting healthcare providers. They're not just fighting a legal battle here, but a PR one."
Valenti noted that when Paxton filed a civil lawsuit against Dr. Maggie Carpenter, a physician in New York who he accused of prescribing and sending pills for a medication abortion to a patient in Texas, he claimed the Texas resident "suffered 'serious complications' despite providing no evidence." Carpenter was fined more than $100,000 last month.
"There's every reason to believe Paxton's team will pull similar tactics here, coming out with all sorts of claims about this midwife and her practice," wrote Valenti.
Marc Hearron, interim associate director of ligation at the Center for Reproductive Rights, told the Post that "Texas officials have been trying every which way to terrify healthcare practitioners from providing care and to trap Texans."
Hearron toldThe Cut that "doctors all across the state are saying that they are afraid that their judgment is going to be second-guessed, and all of these actions show that Paxton is chomping at the bit to go after anybody who provides an abortion."
"It's just a litany of situations where it shows the state of Texas does not care about women's lives," said Hearron. "What it cares about is stopping women from getting the care that they need, no matter what."
"Workers are not willing to trade their health and autonomy for a paycheck," said one advocate.
Republican lawmakers across the United States are determined to force people who become pregnant to carry their pregnancies to term by passing abortion bans and "fetal personhood" laws, but a new report shows that in many states, they are choosing choosing restrictions on reproductive rights over their states' workforce.
"Workers are not willing to trade their health and autonomy for a paycheck," said Dr. Jamila K. Taylor, president and CEO of the Institute for Women's Policy Research (IWPR) as the group released a report Monday on "brain drain" in states with abortion bans.
The group analyzed a survey of 10,000 adults by Morning Consult and found that 1 in 5 respondents who are planning to have children in the next decade has moved to a new state due to abortion restrictions, or knows someone who has.
Among people with advanced degrees, 14% have moved out-of-state because of anti-abortion laws or know someone who has.
Nancy Northrup, president of the Center for Reproductive Rights (CRR), which advised on the study, said the report showed that "reproductive healthcare is a personal issue and workplace imperative."
"For business leaders and policymakers, protecting reproductive rights isn't just the right thing to do—it's essential for talent and long-term economic stability," said Northrup.
The two groups said the study showed employees' demands for policymakers and workplaces in states that are hostile to abortion rights.
"Access to reproductive healthcare is a fundamental component of workplace equity, and businesses can no longer afford to ignore the impact of abortion restrictions on their workforce."
Fifty-seven percent of workers who plan to have children prioritize employers who offer reproductive healthcare benefits and 56% person think companies should actively engage with lawmakers to protect abortion rights.
In states with restrictive abortion laws, people broadly support family-friendly workplace policies, according to the report, including 83% of Mississippi residents who back paid sick leave; 56% of people in West Virginia who think employers should offer paid time off for fertility treatments; and 70% of people in Alabama who support paid leave for pregnancy-related healthcare.
"Access to reproductive healthcare is a fundamental component of workplace equity, and businesses can no longer afford to ignore the impact of abortion restrictions on their workforce," said Taylor. "Our report makes it clear that companies who fail to address these needs risk losing their competitive edge. To build a resilient workforce and thriving economy, it's up to corporate leaders and lawmakers to take decisive action and make reproductive health care a top priority."
Workers expect their employers to not only provide reproductive healthcare and family-friendly benefits, but also to "stand up for these rights at a policy level," the report reads.
"Companies can play a critical role in helping to shape more accessible state policies and creating an environment that respects and safeguards access to comprehensive reproductive healthcare," it continues.
The report suggests that with workers thinking of moving to new states to get away from anti-abortion laws, employers will likely be incentivized to help ensure their states safeguard "access to comprehensive reproductive healthcare."
"Most employees are deeply concerned about their ability to access healthcare services while building their families, and they expect their employers to take an active role in protecting them," reads the report. "Accepting that reality and then making decisions from there will enable companies to attract and retain talent and, by advocating to improve the reproductive landscape across the U.S., drive economic progress."
"People worldwide will have fewer points of service," said Doctors Without Borders. "It means fewer safe places to talk about their health options, and fewer providers to go to for help during medical emergencies."
Reproductive rights and medical experts on Monday continued to warn that U.S. President Donald Trump's highly anticipated reinstatement of the Mexico City Policy, which bans nongovernmental organizations that perform or promote abortion from receiving federal funding, will cause "devastating damage" for people around the world.
The global gag rule (GGR), as it is called by critics, has been imposed by every Republican president for decades, including Trump during his first term. After returning to office a week ago, Trump on Friday signed an executive order "to end the use of federal taxpayer dollars to fund or promote elective abortion" and revived the controversial rule with a presidential memorandum.
"As the single largest funder of international aid, the U.S. plays a powerful role in shaping the global health landscape—and women's and girls' lives are being used as pawns in this political game," Dr. Carole Sekimpi wrote Monday for the British journal The BMJ. "My work overseeing reproductive health programs in Africa for MSI Reproductive Choices gives me an understanding of the profound consequences that this will have on communities that Trump will never set foot in."
"It's prudent to first understand that the U.S. government never funds abortions," Sekimpi stressed, noting the rule punishes groups that participate in anything abortion-related with separate funding. "Last time Trump was in power, MSI was among those that refused to accept the terms of this policy. The U.S. funding we lost would have allowed us to serve 8 million women, preventing 6 million unintended pregnancies, 1.8 million unsafe abortions, and 20,000 maternal deaths. And that was just one organization."
Ibis Reproductive Health president Kelly Blanchard and Evelyne Opondo, an Ibis board member and the International Center for Research on Women's Africa director, also emphasized in a Monday Medium post that the rule's impact "is felt keenly by organizations that provide comprehensive sexual and reproductive healthcare—including contraception and abortion care—around the world," such as MSI and International Planned Parenthood Federation, "who refuse to abide by the terms because they support the human rights of all people and will not withhold information or critical reproductive healthcare from individuals who need it."
"The GGR flies in the face of both human rights and evidence-based public health," the pair asserted. "The GGR does not prevent abortion from happening but rather increases barriers to abortion access, reduces access to contraception increasing risk of unintended pregnancy, and could actually increase unsafe abortion, a key driver of maternal deaths around the world."
Melanie Nezer, vice president for advocacy and external relations at the Women's Refugee Commission, similarly declared in a Monday statement denouncing the GGR, "Let us be clear: this policy will not protect lives—it will endanger them."
"The goal of the global gag rule is to curtail access to safe sexual and reproductive healthcare, including access to safe abortion," she said. "The result is more suffering from the consequences of conflict-related sexual violence, more unintended pregnancies, more unsafe abortions, and more maternal death that would otherwise be entirely preventable."
Reproductive rights groups worldwide were similarly critical of the decision on Friday and throughout the weekend, with Planned Parenthood Federation of America president and CEO Alexis McGill Johnson calling it "dangerous" and arguing that "elected officials should not be interfering in personal medical decisions, in this country or anywhere in the world."
Like the critics on Monday, Rachana Desai Martin, chief government and external relations officer at the Center for Reproductive Rights, pointed to the fallout from GGR during the Republican's first term and said that "the reinstatement and expansion of President Trump's global gag rule is a direct assault on the health and human rights of millions of people around the world."
Also recalling the first Trump administration, Guttmacher Institute acting co-CEO Destiny Lopez highlighted how her group's "research has documented its severe ripple effects, including stalling and even reversing progress in expanding access to modern contraception in countries like Ethiopia and Uganda."
"Now history will sadly and shamefully repeat itself, and people in many countries will find it harder to access safe abortion, contraception, and other critical health services," she said, vowing to track the impacts and work to repeal the harmful policy.
Reproductive Freedom for All president and CEO Mini Timmaraju also pledged to battle the GGR and other Republican attacks on choice, saying that "these policies inflict harm on those who need access to reproductive healthcare, including abortion, in our country, and around the world—and we will fight back."
Previewing the fight ahead, National Abortion Federation president and CEO Brittany Fonteno warned that the GGR "will not be the last" attack on reproductive healthcare, adding that "for nearly a decade now, Donald Trump has shown us just how dangerous he is for abortion access, and it is clear that over the next four years, the anti-abortion movement will take every opportunity to strip away our fundamental right to reproductive freedom—both here and abroad."
RealClearPolitics, the first to report the rule's revival, noted that "the president timed the release of his executive actions to coincide with the annual March for Life on Friday when some of his most ardent supporters rallied on the National Mall. Vice President JD Vance addressed the march in person, while Trump recorded a video message Thursday to be played at the Friday rally."
Although Trump said on the campaign trail that he thinks abortion policies should be decided at the state level, rights advocates have cited his extensive record of dishonesty and bragging about the role he played in overturningRoe v. Wade, and expressed fear that the Republican-controlled Congress will send a national abortion ban to his desk.