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reproductive justice
Don’t Be Fooled: Trump’s Attacks on Medicaid Are an All-Out War on Reproductive Justice
Attacks on Medicaid are just the latest tactic used by anti-choice politicians to strip us of our bodily autonomy and further deny us access to lifesaving reproductive healthcare.
Apr 15, 2025
When U.S. Congress recently approved a budget proposing nearly $880 billion in spending cuts to execute President Donald Trump’s agenda, which will almost certainly mean funding tax cuts for the wealthy, it didn’t just target unnecessary spending—it targeted our healthcare.
Republicans claim this is about combating fraud, but we know the truth. Let’s be clear: Slashing Medicaid by billions of dollars is a direct attack on critically needed health services, as it covers essential healthcare like doctors visits, hospital care, cancer screenings, reproductive healthcare, and more. These cuts threaten not only our access to care, but our fundamental rights to live and thrive.
Attacks on Medicaid will impact millions of Americans, but will disproportionately harm marginalized groups, including people with disabilities; the elderly; low-income families; and most severely Black women, girls, and gender-expansive people. Given the wide-ranging impact these cuts will have on people’s ability to control their health, bodies, lives, and reproduction, this isn’t just a healthcare issue—it’s a matter of reproductive justice.
Expanding Medicaid in more states, increasing access to doula care, and committing to researching racial discrimination in the healthcare system are just a few of the steps we must take.
Medicaid is a lifeline in addressing the deep inequities in healthcare coverage, and any cuts to this vital program threaten to unravel the limited progress we’ve fought so hard to make. Currently, Medicaid funds almost two-thirds of Black births, provides coverage for almost a third of Black women, and insures over half of Black girls. The fact of the matter is that Black women, girls, and gender-expansive people have the most to lose, and it’s undeniable that Medicaid cuts will only exacerbate the Black maternal mortality crisis our communities are already struggling to survive.
It is true that providing lifesaving healthcare to millions of people comes at a cost. But when politicians start looking for ways to trim the federal budget, Medicaid is often first on the chopping block. And yet, slashing Medicaid has proven politically impossible—because the truth is, 8 in 10 Americans overwhelmingly support it. People like being able to see a doctor when they need to, and they recognize Medicaid is essential in making that possible.
Despite its popularity, cuts to Medicaid may soon become reality because of decades of relentless attacks on reproductive justice by our elected leaders. From forced sterilization, to shackling women during birth, from the Hyde Amendment and to overturning the federal right to an abortion, this country has an insidious history of reproductive abuse—particularly against Black women. Now, attacks on Medicaid are just the latest tactic used by anti-choice politicians to strip us of our bodily autonomy and further deny us access to lifesaving reproductive healthcare.
Access to healthcare should never be determined by income or zip code, but these cuts force states to make up this deficit by either raising taxes or slashing education budgets, further burdening our communities. Rural Americans, particularly, will suffer as rural hospitals often rely heavily on Medicaid funding to stay afloat. These cuts will worsen maternal healthcare deserts, which have 1 in 6 Black babies born in areas with limited or no access to essential maternal care.
What’s worse, adding “work requirements,” which were narrowly avoided under Trump’s first administration, will also be used as a tool to remove people from Medicaid. Not because they are not working, but because new bureaucratic reporting requirements will create confusion, and ultimately cause people, including people with disabilities and the elderly, to be disqualified from coverage.
In reality, 92% of Medicaid beneficiaries under 65 are employed, debunking the harmful stereotype that people on Medicaid are not working. There is a long history of scapegoating poor people for receiving social services and adding increased burdens to show they “deserve” help. This is the same racist welfare reform narrative we have heard for decades—the false “welfare queen” myth, used to police Black women, incarcerate Black mothers, and justify cuts to social services.
Make no mistake, Black women will bear the brunt of these Medicaid cuts. Yes, our healthcare system, including Medicaid, has flaws, but slashing coverage for the most vulnerable Americans is not the solution. During a time when access to reproductive healthcare is under attack like never before and Black maternal mortality rates are still continuing to rise, we need policy solutions rooted in reproductive justice.
This means centering Black women, girls, and gender-expansive people who are disproportionately impacted by Medicaid cuts and the policies driving these changes. Expanding Medicaid in more states, increasing access to doula care, and committing to researching racial discrimination in the healthcare system are just a few of the steps we must take. Our lives—and our future—depend on it.
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The Fight for Abortion Care Is a Fight for Equality
Women’s History Month exists because, for centuries, women’s contributions were erased, dismissed, or outright stolen. Today, we see that same erasure in real-time when lawmakers craft policies that disregard the needs and realities of half the population.
Mar 29, 2025
Every March, we celebrate Women’s History Month—a time to honor the trailblazers who fought for our rights and recognize how far we have come. But it is also a time to take stock of the battles we’re still fighting, and one of the most urgent is the fight for abortion care.
Abortion access isn’t just about healthcare; it’s about power, equality, and dignity. It’s about recognizing that pregnant people should have the same autonomy, agency, and opportunities as anyone else. Yet, time and time again, legislation is used as a weapon to strip us of our rights, rendering us invisible in the eyes of those who hold power.
When abortion rights are restricted, the effects ripple far beyond the individual. The economic consequences are devastating. Studies have shown that being denied an abortion drastically increases the likelihood of a person living in poverty. The landmark Turnaway Study found that people who were unable to access an abortion were four times more likely to experience financial insecurity, struggle with housing instability, and be trapped in cycles of domestic violence.
In a system where half the population can be denied life-saving medical care, how can we claim to value equality?
This is not just a coincidence—it’s by design. Anti-abortion legislation is not about “life”; it’s about control. It’s about keeping people, especially women and those who can become pregnant, economically vulnerable and dependent. It’s about ensuring that the structures of power remain unchallenged, forcing people to carry pregnancies they cannot afford while denying them the resources to escape poverty.
The hypocrisy is staggering. Many of the same politicians who push for abortion bans are the ones gutting social safety nets—cutting funding for childcare, slashing paid family leave, refusing to raise the minimum wage, and the list goes on. They claim to care about “life” while making it impossible for parents to provide for their children. This is not pro-life; it is anti-equality.
The United States already has the highest maternal mortality rate among developed nations, and the numbers are even more alarming for Black and Indigenous people, who die at three to four times the rate of their white counterparts during childbirth. When states restrict abortion access, they force more people into dangerous pregnancies, increasing these mortality rates even further.
The recent surge of abortion bans and restrictions has created a healthcare crisis. Patients experiencing pregnancy complications—such as miscarriages or ectopic pregnancies—are being turned away from hospitals or left to suffer until their lives are at imminent risk. Doctors fear prosecution for providing necessary care, and pregnant people are treated as legal liabilities rather than human beings.
In a system where half the population can be denied life-saving medical care, how can we claim to value equality?
Women’s History Month exists because, for centuries, women’s contributions were erased, dismissed, or outright stolen. Today, we see that same erasure in real-time when lawmakers craft policies that disregard the needs and realities of half the population.
Look at how abortion laws are written—by men who will never face the consequences of an unwanted pregnancy, let alone a dangerous one. Look at how reproductive healthcare is treated as an afterthought, even though it is central to economic stability, personal freedom, and public health.
Every time a law is passed that strips away abortion access, it is another message that we do not matter. That our health, our futures, our choices are secondary. That we are expected to sacrifice our bodies and our well-being to maintain a system that was never built for us in the first place.
This isn’t just an attack on reproductive rights; it’s an attack on gender equality itself.
Abortion access is not a fringe issue—it is fundamental to equality. If we want a world where women and pregnant people are not just tolerated but truly valued, we must fight for policies that recognize our full humanity.
That means protecting abortion access at every level—through legislation, through the courts, through elections, and through supporting each other. It means funding organizations that help people get the care they need, regardless of where they live—organizations like WRRAP. It means holding politicians accountable and refusing to let them silence us.
Women’s History Month is a reminder that progress is not given—it is won. The right to vote, the right to work, the right to own property, the right to make decisions about our own bodies—none of these rights were freely handed to us. They were fought for, tooth and nail, by those who refused to be invisible.
Now, it is our turn. The battle for abortion justice is the battle for equality itself, and we cannot afford to lose.
This op-ed was distributed by American Forum.
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Project 2025 Would Clamp Down on Global Abortion Rights, Too
What happens here matters to the planet. And while the world doesn’t vote in U.S. elections, there is, and will be, a rippling international impact.
Aug 29, 2024
It has been two years since the U.S. Supreme Court blew up federal protection for abortion, handing states the power to enact abortion bans and realizing the decades-long fever-dream of anti-rights actors.
Though a minority in the U.S., these extremists are loud and determined and won’t stop at our borders. Their plans for the future are outlined in Project 2025, which is already being implemented in the U.S. and abroad through anti-abortion and anti-LGBTIQ+ initiatives and would be fully executed if radical conservative forces reclaim the White House.
While political ads have featured Project 2025, no one is talking about the profound global impact of this manifesto. It would revive anti-gender U.S. human rights policy frameworks like the Commission on Unalienable Human Rights and the Geneva Consensus Declaration, favoring anti-rights alliances and networks with other authoritarian regimes. Essentially, this amounts to a gutting of the Universal Declaration of Human Rights, the cornerstone of multilateral engagement for the past 76 years.
Imagine the impact globally if foetuses are given the same rights as women.
Project 2025 would also reinstate and expand the anti-abortion foreign policy known as the Global Gag Rule (GGR) to all U.S. foreign assistance. The rule, which was repealed in 2021, bans foreign non-governmental organisations (NGOs) that receive U.S. global health assistance from providing legal abortion services or referrals and advocating for abortion law reform.
This implicates upwards of $51 billion, assuming U.S. foreign assistance holds somewhat stable, which is not guaranteed. The architects of this agenda would take a transactional and punitive approach to multilateralism, putting at risk the U.S.’ entire $18.1 billion contribution to the United Nations. Particularly vulnerable are the U.S.’ $122 million contribution to the World Health Organization and $32.5 million to the United Nations Population Fund—which aims to improve reproductive and maternal health worldwide—as well as other U.N. agencies that were targeted by the 2017-2021 administration.
“Protecting life,” according to Project 2025, “should be among the core objectives of the United States foreign assistance.” It goes on to urge the United States Agency for International Development to stop “supporting the global abortion industry.”
Project 2025 seeks not only to reinstate the GGR—which is also known as the Mexico City Policy—but to expand it so that it also applies to multilateral organisations, foreign governments, and U.S.-based NGOs. This would be the most significant expansion of the GGR since it was enacted 40 years ago during the Reagan administration.
This would all be on top of the existing Helms Amendment, which is particularly egregious and has been in place since 1973. Though the Helms Amendment prohibits only the use of U.S. foreign aid for abortion as a “method of family planning,” the policy has in many countries been used to implement a total ban on abortion services, including in instances of rape, incest, and life endangerment even in humanitarian settings.
Helms has contributed to maternal deaths that disproportionately impact women of colour, and to the stagnation of maternal mortality rates globally. According to a Guttmacher Institute analysis, there could be approximately 19 million fewer unsafe abortions and 17,000 fewer maternal deaths each year if Helms were repealed.
The thing is, Project 2025 isn’t something that will happen in the future. As Robin Marty, who runs a clinic that had been the main abortion provider in Alabama, told The New York Times: “...That is what is happening here. We are Project 2025.” And no matter who wins the election, Christian nationalism is growing within the United States, and this has global repercussions. We ignore it at our peril.
The fall of Roe v. Wade was an extreme example of what a very loud minority has been working toward for decades—limiting access to abortion, taking away bodily autonomy, and undermining human rights.
This same extremism is exported around the world and just like in the U.S., it is forcing people to endure even greater hardships just to access essential healthcare. It is costing lives, risking health, and compromising people’s futures. Imagine the impact globally if foetuses are given the same rights as women.
As former U.S. President Barack Obama said at the Democratic National Convention in Chicago last week about the U.S. Presidential election: “The world is watching.”
Reproductive justice is a global, human rights issue, and the U.S. shares space with nearly 200 other nations. What happens here matters to the planet. And while the world doesn’t vote in U.S. elections, there is, and will be, a rippling international impact.
As we fight for reproductive freedom for all in the U.S., so must we fight for reproductive freedom for all around the world.
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