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"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.
"This bill is the very definition of pernicious: It attacks women's healthcare using false narratives and outright fearmongering," said Senate Minority Leader Chuck Schumer.
U.S. Senate Democrats on Wednesday blocked from a final vote a Republican bill that, according to Minority Leader Chuck Schumer, made clear that under newly sworn-in President Donald Trump, "it will be a golden age, but for the extreme, anti-choice movement."
"This bill is the very definition of pernicious: It attacks women's healthcare using false narratives and outright fearmongering, and adds more legal risk for doctors on something that is already illegal," Schumer (D-N.Y.) said on the chamber's floor before senators voted 52-47 along party lines, short of the 60 votes needed to advance the so-called Born-Alive Abortion Survivors Protection Act (S. 6) to a final vote.
Introduced by Sen. James Lankford (R-Okla.), S. 6 would "prohibit a healthcare practitioner from failing to exercise the proper degree of care in the case of a child who survives an abortion or attempted abortion," under the threat of fines and up to five years in prison. Healthcare professionals and rights advocates have condemned the legislation as deeply misleading.
"So much of the hard-right's anti-choice agenda is pushed, frankly, by people who have little to no understanding of what women go through when they are pregnant," said Schumer. "The scenario targeted by this bill is one of the most heartbreaking moments that a woman could ever encounter, the agonizing choice of having to end care when serious and rare complications arise in pregnancy. And at that moment of agony, this bill cruelly substitutes the judgment of qualified medical professionals, and the wishes of millions of families, and allows ultraright ideology to dictate what they do."
After honoring Cecile Richards, a longtime Planned Parenthood leader who died earlier this week, Sen. Patty Murray (D-Wash.) said Wednesday that "of all the bills that we could be voting on—lowering the cost of healthcare, expanding childcare, helping our families—it's an absolute disgrace that Republicans are spending their first week in power attacking women, criminalizing doctors, and lying about abortion."
"This isn't how abortion works; Republicans know it," stressed Murray, a senior member and former chair of the Senate Health, Education, Labor, and Pensions Committee. "All babies are already protected under the law, regardless of the circumstance of their birth. Doctors already have a legal obligation to provide appropriate medical care. And we already know this sham bill from Republicans is not going anywhere."
"Last time we voted down this bill, I actually spoke about something Republicans refuse to acknowledge in this debate: the struggles, the struggles of a pregnant woman, who has received tragic news that her baby had a fatal medical condition and would not be able to survive, and who were able to make the choice that was right for their family," she noted. "But now, here we are, already hearing stories of women who were denied that choice by extreme Republican abortion bans."
Wednesday's vote fell on the 52nd anniversary of Roe v. Wade, a U.S. Supreme Court ruling that affirmed abortion rights nationwide—until it was reversed by right-wing justices in 2022, with the Dobbs v. Jackson Women's Health Organizationdecision, which provoked a fresh wave of state-level restrictions on reproductive freedom.
"It's no accident that congressional Republicans used the anniversary of Roe v. Wade, a watershed case for liberty, equality, and bodily autonomy, to vote on a bill that perpetuates myths about abortion care, shames the people who seek that care, and vilifies those who provide it," said Fatima Goss Graves, president and CEO of the National Women's Law Center, in a statement.
"A majority of the electorate continues to support abortion rights and access," she noted. "Americans have seen the results of the Supreme Court's unjust and callous decision to overturn Roe v. Wade—from abortion bans forcing people to travel across state lines to access the care they need to pregnant people being denied care and even dying to an exodus of doctors that is exacerbating the existing maternal health crisis we face—and they reject restrictive abortion policies. That's why anti-abortion advocates must rely on disinformation like this bill to further their extreme agenda."
Alexis McGill Johnson, president and CEO of Planned Parenthood Federation of America, also highlighted the country's sweeping healthcare crisis in her Wednesday statement about Republicans' failed bill.
"This bill is deliberately misleading and offensive to pregnant people, and the doctors and nurses who provide their care," she said. "At a time when we are facing a national abortion access crisis, lawmakers should be focused on how to bring more care to the communities they serve, not spending their time spreading misinformation, criminalizing doctors, and inserting themselves further into medical decisions made by healthcare professionals."
"This bill is not based in any reality of how medical care works," she added, "and it's wrong, irresponsible, and dangerous to suggest otherwise."
As the GOP works to restrict reproductive rights, advocacy groups are determined to fight back. All* Above All marked the Roe anniversary by releasing an Abortion Justice Playbook that the organization's president, Nourbese Flint, said "is our blueprint for a future where abortion access is equitable, universal, and free from discrimination."
"To honor her legacy and life, let's do everything we can in this moment to create the just world that everyone deserves," said former Texas lawmaker Wendy Davis.
Cecile Richards, the former president of Planned Parenthood and longtime champion of women's rights and other progressive causes, died on Monday at the age of 67. The cause was an aggressive brain cancer that had been diagnosed in 2023.
Richards' husband and three children confirmed her death in a statement posted on social media.
Richards, the daughter of forner Democratic Texas Gov. Ann Richards, had an early introduction to progressive politics. At 16 she worked on a campaign to elect Sarah Waddington, the lawyer who argued in favor of abortion rights before the U.S. Supreme Court in Roe v. Wade, and in college she helped push Brown University to divest from companies that supported apartheid in South Africa.
After years of labor organizing work, Richards became the president of Planned Parenthood Federation of America. She sat at the helm of the organization for 12 years, leading it as it became more vocal in electoral politics and fought state-level battles against abortion restrictions.
She was the national face of the organization and spoke frequently on its behalf at political events and galas, but also stood shoulder-to-shoulder with abortion rights supporters at pivotal moments in the fight against right-wing efforts to attack reproductive justice.
In 2013, after then-Texas state Sen. Wendy Davis (D-10) made national headlines by spending 13 hours filibustering an omnibus bill that contained a host of anti-abortion measures, Richards rallied supporters in the state Capitol to yell loud enough to halt the Senate debate over the legislation—a move that Republican lawmakers later blamed for the bill's failure.
"That was vital," Dave Cortez of Occupy Austin toldThe Texas Tribune. "Her support really helped put it all together."
Davis called Richards "a light, a champion, a force for good" on Monday.
Calling her death "a heartbreaking loss," Rep. Pramila Jayapal (D-Wash.) said the former Planned Parenthood leader "spent her life on the front lines, fighting for women's rights throughout this country."
After leaving Planned Parenthood in 2018, Richards co-founded the progressive political mobilization group Supermajority and toured the nation speaking out against President Donald Trump's nomination of U.S. Supreme Court Justice Brett Kavanaugh.
She also cofounded the chatbot Charley, which connects people seeking abortion care with reproductive health organizations, and Abortion in America, a project that publishes the personal stories of people who have obtained abortions since the Supreme Court overturned Roe in 2022.
"The only thing people respond to and remember are stories," Richards told The New York Times last October. "We have to figure out: How do you catch the attention of people that, even if they could find the article, don't have 20 minutes to read it?"
Richards' death was announced just hours before Trump, who has bragged about his role in overturning Roe and mocked the family of one woman who died after being unable to receive standard care under Georgia's abortion ban, was to be sworn in for his second term in office.
"As if today wasn't bad enough, the passing of Cecile Richards, former Planned Parenthood leader, is beyond tragic for all women in U.S," said former Rep. Jackie Speier (D-Calif.). "Her powerful voice for women's freedom has been silenced. Rest in power, dear friend."
Sen. Richard Blumenthal (D-Conn.) said Richards "modeled guts and grit in public service, showing courage and fortitude beyond words as a champion of women's reproductive freedom."
In their statement, Richards' family asked that supporters who wish to honor her listen to "some New Orleans jazz, gather with friends and family over a good meal, and remember something she said a lot over the last year: It's not hard to imagine future generations one day asking, 'When there was so much at stake for our country, what did you do?'"
"The only acceptable answer is: Everything we could."