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center for reproductive rights
Experts Warn of 'Devastating Damage' From Trump Reinstating Global Gag Rule
"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."
Jan 27, 2025
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.
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Judge Strikes Down Georgia's Six-Week Abortion Ban in 'Absolutely Epic Ruling'
"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.
Sep 30, 2024
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."
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In 'Win for Reproductive Freedom,' North Dakota Judge Strikes Down Abortion Ban
"I look forward to a new future in North Dakota and hope our lawmakers will finally give up on their crusade to force pregnancy on people against their will," said one advocate.
Sep 12, 2024
Two days after Republican presidential candidate Donald Trump claimed that "every Democrat, every Republican, liberal, conservative" wanted the federal right to abortion care to be overturned by the U.S. Supreme Court, a North Dakota judge became the latest on Thursday to strike down a state-level abortion ban, saying it violated residents' constitutional rights.
"The North Dakota Constitution guarantees each individual, including women, the fundamental right to make medical judgments affecting his or her bodily integrity, health, and autonomy, in consultation with a chosen healthcare provider free from government interference," wrote Judge Bruce Romanick, a District Court judge. "This section necessarily and more specifically protects a woman's right to procreative autonomy—including to seek and obtain a previability abortion."
The near-total ban on abortion care will be officially blocked in the coming days, in a move that the Center for Reproductive Rights (CRR) said could ultimately help restore access for people across the Midwest, as abortion care is currently banned in South Dakota and heavily restricted in nearby states including Nebraska and Iowa.
Meetra Mehdizadeh, a staff attorney at CRR, which filed a lawsuit against North Dakota's ban in 2023, said the ruling "is a win for reproductive freedom, and means it is now much safer to be pregnant in North Dakota," but warned that Republican lawmakers who passed the law have already done damage to pregnant people in the state that will take time to reverse.
"The damage that North Dakota's extreme abortion bans have done cannot be repaired overnight," said Mehdizadeh. "There are no abortion clinics left in North Dakota. That means most people seeking an abortion still won't be able to get one, even though it is legal. Clinics are medical facilities that need to acquire doctors, staff, equipment—they can take years to open, like most healthcare centers. The destructive impacts of abortion bans are felt long after they are struck down."
CRR argued in the case that the ban was too vague for medical providers to determine when an exception would be allowed for a pregnant patient whose life or health was at risk.
"This left physicians who provided abortions with the threat of having to defend their decision in court if someone were to question the provider's judgment," said the group. "Violating the ban was considered a class C felony, punishable by a maximum of five years of imprisonment, a fine of $10,000, or both."
Among the plaintiffs represented by CRR was Red River Women's Clinic, which was North Dakota's sole abortion care provider until a prior ban forced it to relocate from Fargo to Moorhead, Minnesota, where abortion has remained legal following the U.S. Supreme Court's overturning of Roe v. Wade.
"Today's decision gives me hope. I feel like the court heard us when we raised our voices against a law that not only ran counter to our state constitution, but was too vague for physicians to interpret and which prevented them from providing the high quality care that our communities are entitled to," said Tammi Kromenaker, director of the clinic. "Abortion is lifesaving healthcare; it should not be a crime. I look forward to a new future in North Dakota and hope our lawmakers will finally give up on their crusade to force pregnancy on people against their will."
Since Roe was overturned in 2022, numerous women have shared stories of being denied abortion care after suffering complications—including some that were life-threatening.
Judges in states including Wyoming, Utah, and Montana have blocked abortion bans in recent years, and voters have rejected anti-abortion ballot measures and approved ones that support the right to abortion in states including Kentucky, Kansas, Ohio, and Michigan.
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