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roe v wade
An Adjudicated Rapist in the White House
Not only are women and girls getting the message, but so are the men and boys.
Nov 17, 2024
As a trauma-informed psychotherapist, for decades I’ve had the privilege of working with countless sexual assault survivors while consulting at a rape crisis center and more recently in my private practice. During Trump’s defamation and sexual assault trial (E. Jean Carroll v. Donald J. Trump), I was contacted by former and current patient-survivors who were understandably shaken by how Carroll was treated. She was disbelieved, her motives were questioned, and she was mocked or ignored.* This is precisely why many survivors never come forward. Such ill-treatment precisely when someone needs support the most compounds the trauma.
In the days since the election, I’ve had a similar spate of texts/calls/sessions with women who are devastated, disoriented, and scared. (All genders can be sexual assault victims. I just happen to have been in touch with women.)
“It’s mindboggling to me that the fact that [Trump] is an adjudicated rapist, all by itself isn’t enough to make voting for him out of the question,” one woman sobbed, as she buried her face in her hands.
“Why in the hell does the media treat a rapist like a “normal” candidate?” asked another.
Still another texted, “I thought this was the #MeToo era. How can this be?”
Deep-rooted sexism is how. Ask E. Jean Carroll. Ask Christine Blasey Ford. Ask Kamala Harris. Ask millions of women. If you’re someone who voted for Trump, regardless of your reason, there’s no escaping the fact that you participated in that sexism. And before you say it: yes, the 53% of white women who voted for Trump are accountable, as well. Sexism isn’t bound by gender. It can be internalized and championed by anyone. (Same with racism, ableism, ageism, homophobia, etc.) It’s not all that uncommon. To be clear, my goal isn’t to shame. But rather, I hope to invite an honest reckoning, just as I do with my patients as I support them on their journeys, and just as I do with myself. And in that reckoning, perhaps, there can come some awareness and a future dialogue.
Make no mistake, this is going to have a chilling effect on survivors to come forward to report sexual assault.
If you don’t see yourself as someone who could be sexist, remember that sexism isn’t always the “grab ‘em by the pussy” variety. Those who voted for Trump told their daughters and sisters and mothers and women friends tacitly, but unmistakably, that they don’t care enough that the president of the United States is an adjudicated rapist not to vote for him. What reason could make it okay to vote for an adjudicated rapist? It seems that would be a deal breaker for folks who respect and want to protect women. Perhaps it never occurred to some that many women will no longer feel psychologically and physically safe knowing a man with so much power over them has paternalistically and threateningly said he’d “protect [us], whether [we] like it or not.” If a patient reported a partner/spouse had a pattern of saying things like that to her, we’d be discussing safety plans and where she was going to stash her “go bag” in case she needed to quickly flee.
Not only are women and girls getting the message, but so are the men and boys. A Trump vote signaled to men and boys that sexual assault isn’t that big of a deal. In just a few short days since Trump was elected, we’ve already seen how emboldened and entitled men and boys have become. The sickening Nick Fuentes post, “Your body, my choice” has gone viral. Men and boys of all ages are repeating it, some as young as grammar school. Those words are the promise of a predator. The philosophy of a rapist.
A vote for Trump has also given the message to sexual assault survivors, specifically, and women who go through life hoping like hell not to become a sexual assault survivor, that being held legally accountable for rape/sexual assault doesn’t really mean all that much, particularly if you’re a rich, white guy. Despite a jury’s findings of liability, you can be unrepentant and take zero responsibility for your actions, mock your victim on an international platform, and then be voted in by millions of people to hold the most powerful position on Earth.
“All hail, the Rapist-in-Chief,” one of my patients said, saluting and trying to joke through her tears.
Make no mistake, this is going to have a chilling effect on survivors to come forward to report sexual assault. It’s going to discourage them from getting the care and support they need. And just as with the undoing of Roe v. Wade, which robs women of bodily autonomy and the right to fully decide their own futures, it demeans and demoralizes all women.
If you’re a sexual assault survivor and a person of color, and/or also in the LGBTQ+ community, or disabled, low income, or unhoused, I don’t have to tell you about the added challenges those intersections bring. And sexual assault survivor or not, all of these communities, and more, will surely be deeply threatened under a second Trump term. As a psychotherapist, I’ve had the privilege of holding space for innumerable women who’ve told stories of violence and deep pain. I know what horrors we can inflict on each other and I’m not naïve about the uncertainty ahead. But I’ve also heard myriad stories of breathtaking resilience and kick-ass strength and triumph. If during these fraught times each of us commits, however we’re able, to meaningfully stand not only with survivors, but all women and girls, as well as marginalized communities, those are the empowering stories we’ll be sharing one day because it will have been the truth we lived.
*During the trial, I wrote about some of the misperceptions people have about how one “should” respond after being sexual assaulted here.
If you’re a survivor and need support and/or resources, call the National Sexual Assault Hotline at 1.800.656.HOPE (4673); or go to www.rainn.org.
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'MAGA Abortion Bans Kill Women': Pregnant Texas Teen Dead After Care Denied
"Make no mistake Donald Trump's abortion ban did this," said one reproductive rights leader. "We must stop him."
Nov 01, 2024
Nevaeh Crain would have turned 20 on Friday. Instead, she is yet another American woman killed by a Republican abortion ban.
After reporting on Amber Nicole Thurman and Candi Miller, who died because of a Georgia ban enacted in the wake of the U.S. Supreme Court reversingRoe v. Wade in 2022, ProPublica turned to Texas, sharing the stories of Josseli Barnica and Crain, who died at 18 years old last year, having endured a sepsis complication, the miscarriage of a daughter she planned to name Lillian, and delayed medical care.
"On the morning of their baby shower, October 28, 2023, Crain woke with a headache," ProPublica reported Friday. Soon vomiting with a fever, she sought care at two Texas hospitals a total of three times over 20 hours. As the outlet detailed: "On her third trip, a doctor insisted on two ultrasounds to 'confirm fetal demise' before moving her to intensive care. Hours later, Crain died."
As journalists Lizzie Presser and Kavitha Surana explained:
ProPublica condensed more than 800 pages of Crain's medical records into a four-page timeline in consultation with two maternal-fetal medicine specialists; reporters reviewed it with nine doctors, including researchers at prestigious universities, OB-GYNs who regularly handle miscarriages, and experts in emergency medicine and maternal health.
Some said the first ER missed warning signs of infection that deserved attention. All said that the doctor at the second hospital should never have sent Crain home when her signs of sepsis hadn't improved. And when she returned for the third time, all said there was no medical reason to make her wait for two ultrasounds before taking aggressive action to save her.
"This is how these restrictions kill women," said Dr. Dara Kass, a former regional director at the Department of Health and Human Services and an emergency room physician in New York. "It is never just one decision, it's never just one doctor, it's never just one nurse."
Crain and her mother, Candace Fails, "believed abortion was morally wrong," according to ProPublica. "The teen could only support it in the context of rape or life-threatening illness, she used to tell her mother. They didn't care whether the government banned it, just how their Christian faith guided their own actions."
Fails told the reporters that she still thought the doctors were obligated to do everything they could to save Crain, even if it meant losing the pregnancy, but they seemed more concerned with the fetal heartbeat. "I know it sounds selfish, and God knows I would rather have both of them, but if I had to choose," she said, "I would have chosen my daughter."
Although a federal law, the Emergency Medical Treatment and Labor Act (EMTALA), requires emergency departments that accept Medicare to provide patients with "necessary stabilizing treatment," which the Biden-Harris administration argues includes abortions, The Associated Pressrevealed in August that over 100 patients nationwide have been "turned away or negligently treated since 2022."
Republican officials in multiple states, including Texas Attorney General Ken Paxton, have fought against the Biden-Harris administration's interpretation of EMLATA, and last month the U.S. Supreme Court declined to review a lower court decision barring emergency abortions that violate Texas law.
ProPublica's reporting on Crain's death comes as early voting is underway for the November 5 elections. American voters are set to choose the next president—former Republican President Donald Trump or Democratic Vice President Kamala Harris—and which party controls each chamber of Congress.
Democrats have heavily campaigned on reproductive freedom, highlighting that Trump appointed three of the justices behind the 2022 Dobbs v. Jackson Women's Health Organization decision that ended nationwide abortion rights and he plans to vote against a Florida ballot measure that would outlaw pre-viability abortion bans in the state, where a six-week restriction is now in effect. In September, Harris, a former U.S. senator, endorsed eliminating the filibuster to codify Roe.
The GOP controls the U.S. House of Representatives but Senate Majority Leader Chuck Schumer (D-N.Y.) has held recent votes forcing Republicans to go on record against federal bills that would protect abortion care, birth control, and fertility treatments. Texas Congressman Colin Allred, the Democrat challenging U.S. Sen. Ted Cruz (R-Texas), took note of Crain's story on Friday.
"This is tragic. My heart goes out to Nevaeh's family," Allred said on social media. "Texas doctors can't do their jobs because of Ted Cruz's cruel abortion ban. Cruz even lobbied SCOTUS to allow states to ban life-saving emergency abortions. We can't afford six more years of Ted Cruz."
Others also responded to the new reporting by directing ire at anti-choice Republican officials working to restrict reproductive care.
"This latest story from ProPublica about Nevaeh Crain is gutting," said Cecile Richards, co-founder of Abortion in America and former president of Planned Parenthood. "She was a teenager who should be alive today, and isn't, because of Texas' abortion bans and refusal to provide lifesaving care even in a dire emergency."
Congresswoman Gwen Moore (D-Wis.)—who has publicly shared her own pre-Roe abortion story—declared that "MAGA abortion bans KILL WOMEN."
Center for American Progress' Alex Wall similarly said: "This is sickening. Nevaeh Crain should be alive today. Donald Trump's MAGA abortion bans are killing women."
Mini Timmaraju, president and CEO of Reproductive Freedom for All, which has endorsed Harris, stressed that "these Republican monsters in Texas fought the Biden-Harris administration efforts to protect women like Nevaeh and Josseli."
"There is a special place in hell for Ken Paxton," she continued, calling out the Texas attorney general. "Make no mistake Donald Trump's abortion ban did this. We must stop him."
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Post-Dobbs Infant Mortality Spike Shows 'We Must Restore Abortion Rights'
Rep. Pramila Jayapal called the findings "a direct result of Trump's right-wing Supreme Court and extreme MAGA abortion bans."
Oct 22, 2024
In yet another example of what's at stake in the November 5 elections, now just two weeks away, researchers revealed Monday that since the U.S. Supreme Court reversedRoe v. Wade in June 2022, babies have died at a higher rate across the country.
Responding to the findings on Tuesday, Congresswoman Pramila Jayapal (D-Wash.)—who has publicly shared her own abortion care story—took aim at Republican nominee Donald Trump, who as president appointed three of the justices behind the Dobbs v. Jackson Women's Health Organization ruling that unleashed a GOP attack on reproductive freedom nationwide.
"The U.S. has a higher infant mortality rate than before the Dobbs decision—a direct result of Trump’s right-wing Supreme Court and extreme MAGA abortion bans," Jayapal said on social media. "Another proof point that this was never about protecting life. We must restore abortion rights."
Research published in JAMA Pediatrics in June showed "increased infant mortality in Texas following passage of Senate Bill 8, banning abortion in early pregnancy," notes the new paper, published in the same journal. "The increase appeared pronounced among infants with congenital anomalies, potentially owing to frail fetuses more often being carried to term following the implementation of abortion restrictions."
"In the seven to 14 months after Roe v. Wade was overturned, we saw a 7% increase in infant mortality, and a 10% increase in those babies born with congenital anomalies."
Parvati Singh and Maria Gallo of Ohio State University decided to examine "whether national monthly trends in infant mortality exhibit similar patterns" following Dobbs. They found that "infant mortality was higher than expected, overall and among those with congenital anomalies, for several months after the Dobbs decision in the U.S."
Specifically, "in the seven to 14 months after Roe v. Wade was overturned, we saw a 7% increase in infant mortality, and a 10% increase in those babies born with congenital anomalies," said Singh, an assistant professor of epidemiology, in a statement.
More than 20 states currently have total abortion bans or limit care at various points during the first 18 weeks of pregnancy. Over the past two years, stories of pregnant people who have been denied emergency care or even died due to state restrictions have mounted.
Though some experts warned of such consequences back in 2022, Gallo said that "I'm not sure that people expected infant mortality rates to increase following Dobbs. It's not necessarily what people were thinking about. But when you restrict access to healthcare it can cause a broader impact on public health than can be foreseen."
"Will this continue past this time period? That's an open question," the epidemiology professor added. "It could be that, yes, it will because access is shut down in some states. But it also could be that eventually more state policymakers are seeing that this isn't what people in the state want and more will pass constitutional amendments to protect access."
Both the researchers behind this paper and the lead author of the Texas study, Johns Hopkins Bloomberg School of Public Health demographer and perinatal epidemiologist Alison Gemmill, pointed out that the infant mortality rates might have been even higher if the latest analysis focused on states where policies changed versus national trends.
"Prior to these abortion bans, people had the option to terminate if the fetus was found to have a severe congenital anomaly—we're talking about organs being outside of the body and other things that are very severe and not compatible with life," Gemmill told the Los Angeles Times. If patients in these positions are forced continue their pregnancies, she added, "those babies would die shortly after birth."
The Democratic nominee, Vice President Kamala Harris, and her allies warn that a Trump victory in November could result in a federal ban on abortion as well as restrictions on birth control and fertility treatments.
Although the Republican has tried to deflect criticism by claiming he supports leaving such decisions to states, that approach threatens the lives and rights of people living in GOP-controlled states. Given that Trump is also a well-documented liar, critics say his public promises to leave it up to the states doesn't mean he wouldn't sign a federal abortion ban if a Republican-held Congress put one on his desk.
Trump recently said he will vote against a Florida ballot measure that would strike down the state's six-week ban and prevent similar pre-viability prohibitions.
"Because of Donald Trump, millions of women across our nation are living under Trump abortion bans and lack access to critical reproductive healthcare," Harris said last week.
"Because of Donald Trump, doctors, and nurses face potential jail time for taking care of their patients," she continued. "And because of Donald Trump, women are facing horrific consequences to their health and lives—even death. Donald Trump is the architect of this healthcare crisis. He is 'proud' of overturning Roe v. Wade and if given the chance, he will make the crisis even worse in all 50 states. We will not let that happen."
In addition to choosing the next president, U.S. voters—some of whom are already casting ballots—will pick which party controls each chamber of Congress. Last month, Harris, a former senator, endorsed eliminating the Senate filibuster to codify Roe.
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