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"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.
"Forcing a woman to carry an unwanted, not-yet-viable fetus to term violates her constitutional rights to liberty and privacy," Fulton County Judge Robert McBurney wrote in his decision.
Reproductive rights defenders cheered Monday's ruling by a Georgia judge striking down the state's six-week abortion ban as a violation of "a woman's right to control what happens to and within her body," a decision that means the medical procedure will be legal up to approximately 22 weeks of pregnancy.
Fulton County Judge Robert McBurney excoriated the LIFE Act, which was signed into law in 2019 by Republican Georgia Gov. Brian Kemp and prohibits abortion care after fetal cardiac activity can be detected. The so-called "fetal heartbeat" law—a medically misleading term—is applicable before many people even know they're pregnant.
Other states including Kentucky, Mississippi, and Ohio passed similar "heartbeat" laws in anticipation of the U.S. Supreme Court's reversal of Roe v. Wade, which occurred in 2022 when the tribunal's right-wing supermajority issued its Dobbs v. Jackson Women's Health Organization decision.
"Women are not some piece of collectively owned community property the disposition of which is decided by majority vote," McBurney wrote in his ruling. "Forcing a woman to carry an unwanted, not-yet-viable fetus to term violates her constitutional rights to liberty and privacy, even taking into consideration whatever bundle of rights the not-yet-viable fetus may have."
"It is not for a legislator, a judge, or a Commander from The Handmaid's Tale to tell these women what to do with their bodies during this period when the fetus cannot survive outside the womb any more so than society could—or should—force them to serve as a human tissue bank or to give up a kidney for the benefit of another," the judge said.
"It is generally men who promote and defend laws like the LIFE Act, the effect of which is to require only women—and, given the socio-economic and demographic evidence presented at trial, primarily poor women, which means in Georgia primarily Black and brown women—to engage in compulsory labor, i.e., the carrying of a pregnancy to term at the government's behest," McBurney added.
As Jessica Valenti noted on her Abortion, Every Day Substack, "the ruling comes just weeks after ProPublica's investigation into the deaths of two women killed by Georgia's abortion ban, Amber Nicole Thurman and Candi Miller.
As NBC Newsreported Monday:
The case stemmed from a lawsuit filed by SisterSong Women of Color Reproductive Justice Collective and other plaintiffs in 2019 soon after Kemp signed it into law. As it faced the legal challenge, in 2022, McBurney ruled that year that the law violated the U.S. Constitution in 2022 and struck it down. The Georgia Supreme Court, however, soon took up the case and allowed it to remain in effect. The case was sent back to McBurney, who found the law in violation of the state's constitution.
SisterSong Women of Color Reproductive Justice Collective executive director Monica Simpson said in a statement that Monday's ruling is "a significant step in the right direction towards achieving reproductive justice in Georgia."
"We are encouraged that a Georgia court has ruled for bodily autonomy," Simpson continued. "At the same time, we can't forget that every day the ban has been in place has been a day too long—and we have felt the dire consequences with the devastating and preventable deaths of Amber Nicole Thurman and Candi Miller."
"For years, Black women have sounded the alarm that abortion bans are deadly," she noted. "While true justice would mean Amber and Candi were still with us today, we will continue to demand accountability to ensure that their lives—and the lives of others who we have yet to learn of—were not lost in vain."
"We know that the fight continues as anti-abortion white supremacists will stop at nothing to control our bodies and attack our liberation," Simpson added. "We are ready for them and will never back down until we achieve reproductive justice: the human right to maintain personal bodily autonomy, the human right to have children, or not, and raise them in safe and sustainable communities."
Alice Wang, staff attorney at the Center for Reproductive Rights, said that McBurney "has rightfully struck down Georgia's six-week abortion ban as a flagrant violation of Georgia's longstanding and robust right to privacy, restoring access to abortion at a time when too many have been prevented from accessing this critical health care and from deciding what is best for their bodies, health, and family lives."
"For too long, the ban has caused a public health crisis, as evidenced by the testimony plaintiffs presented at trial and devastating stories recently reported about the preventable deaths of Candi Miller and Amber Nicole Thurman," she continued. "Today's ruling is a step toward ensuring that people can access and clinicians can provide critical healthcare without fear of criminalization or stigma."
"This victory demonstrates that when courts faithfully apply constitutional protections for bodily autonomy, laws that restrict access to abortion and force people to continue pregnancies against their will cannot stand," Wang added.
Since the Dobbs ruling, 13 states have passed abortion bans with limited exceptions and 28 states have prohibited the procedure based on gestational duration, according to the Guttmacher Institute.
However, there has been tremendous nationwide pushback against abortion bans, with voters opting to uphold reproductive rights every time the issue appears on state ballots—including in conservative Kansas, Kentucky, Montana, and Ohio.
As many as 10 states could have abortion rights measures on the ballot in this November's election, which at the top of the ticket pits reproductive freedom champion and Democratic Vice President Kamala Harris against former Republican President Donald Trump, who has boasted about appointing three right-wing Supreme Court justices who voted to overturn Roe and who critics fear would sign a national abortion ban if one were passed by Congress.
Trump also said he would allow states to monitor people's pregnancies and prosecute anyone who violates an abortion ban.
Kemp's office slammed McBurney's ruling.
"Once again, the will of Georgians and their representatives have been overruled by the personal beliefs of one judge," Garrison Douglas, a spokesperson for the governor, said in a statement. "Protecting the lives of the most vulnerable among us is one of our most sacred responsibilities, and Georgia will continue to be a place where we fight for the lives of the unborn."
Republican Georgia Attorney General Chris Carr is expected to appeal to the state Supreme Court to block Monday's ruling.
"We are prepared to continue fighting this case regardless," the Center for Reproductive Rights vowed on social media, "and we will NOT back down from this fight."