Reproductive Health

There’s a lot at stake for women’s health in the Republican plan to replace the Affordable Care Act, which eliminated out-of-pocket costs for birth control and has been highly successful in breaking down barriers to affordable family planning. The cost-sharing changes alone are saving individual women hundreds of dollars each year on their choice of contraception. So far, the Republican replacement proposal, known as the American Health Care Act, doesn’t impact the Obama-era contraception coverage provisions, nor does it touch other women’s health benefits, such as designating maternity care…
A few of the recent pieces I’ve liked: Eric Boodman at STAT: Night sweats, bloody cough — and a diagnosis that turned a doctor into an activist Laura Fink in The San Diego Union-Tribune: Debt of gratitude owed to Trump accusers Eliza Barclay at Vox: How to confront sexist “locker room talk,” according to science Jie Jenny Zou at Center for Public Integrity: State cutbacks, recalcitrance hinder Clean Air Act enforcement Joerg Drewke in Guttmacher Policy Review: “Fungibility”: The Argument at the Center of a 40-Year Campaign to Undermine Reproductive Health and Rights Lenny Bernstein and Scott…
In a new study — the first of its kind — researchers fed water laced with fracking chemicals to pregnant mice and then examined their female offspring for signs of impaired fertility. They found negative effects at both high and low chemical concentrations, which raises red flags for human health as well. “These are preliminary findings,” Susan Nagel, the study’s senior author and an associate professor in Obstetrics, Gynecology and Women’s Health at the University of Missouri School of Medicine, told me. “But I think they suggest that we should absolutely be looking more closely at the…
Lead isn’t the only toxin threatening the safety of community drinking water. A recent study on water located downstream from a West Virginia fracking disposal site uncovered levels of endocrine-disrupting chemicals high enough to adversely impact the aquatic animals living there. And that means human health could be at risk too. “We can’t make any direct (human health) assumptions about this particular water,” said study co-author Susan Nagel, an associate professor in the University of Missouri School of Medicine’s Division of Obstetrics, Gynecology and Women’s Health. “But we certainly…
Manufacturers who market their products as “BPA-free” aren’t just sending consumers a message about chemical composition. The underlying message is about safety — as in, this product is safe or least more safe than products that do contain BPA. However earlier this month, another study found that a common BPA alternative — BPS — may not be safer at all. “BPS works very similarly to BPA,” said Nancy Wayne, a reproductive endocrinologist and professor of physiology at the University of California-Los Angeles David Geffen School of Medicine. “We’re not the first to show this, but what’s captured…
Thanks to the Affordable Care Act, American women are saving hundreds of dollars on birth control, according to the first study to document the impact of health reform on prescription contraception spending. To conduct the study, which was published this month in Health Affairs, researchers analyzed claims data from a large national insurer between January 2008 and June 2013, eventually examining data linked to more than 790,800 women. They found that the average out-of-pocket expense decreased for nearly all prescription contraceptive methods on the market. In particular, the average out-of-…
A few of the recent pieces I've liked: Tara C. Smith at Slate: Measles is Horrible Jason Cherkis in the Huffington Post: Dying to Be Free ("There’s A Treatment For Heroin Addiction That Actually Works. Why Aren’t We Using It?") Sara Ainsworth at RH Reality Check: Lawyers for Fetuses? Yes, It’s Absurd, But It’s Worse Than You Realize Wil S. Hylton in the New Yorker: A Bug in the System: Why last night's chicken made you sick Sarah Goodyear at Citylab: More Women Ride Mass Transit Than Men. Shouldn't Transit Agencies Be Catering to Them?
By Sara Satinsky Should pregnant women who use drugs be charged as criminals or given help? From a public health perspective the choice is clear: provide treatment to help women quit drugs before their use harms their child. Less than a year ago, Tennessee adopted a progressive policy to provide such treatment, but now is on the brink of taking a big step back. It could become the first state to criminalize pregnant women whose drug use harms a fetus or newborn baby. The state legislature has passed a bill that, if signed by Gov. Bill Haslam, would authorize the filing of criminal assault…
Higher insurance rates don’t mean people stop seeking care at publically funded health centers, found a recent study of family planning clinics in Massachusetts. The findings speak to serious concerns within public health circles that policy-makers may point to higher insurance rates as a justification to cut critical public health funding. Published in the Jan. 24 issue of Morbidity and Mortality Weekly Report, the study examines trends among uninsured patients seeking care at Massachusetts health centers that receive Title X Family Planning Program funds. (The federal Title X program…
Earlier this week, Michigan Governor Rick Snyder signed legislation that accepts the Affordable Care Act’s Medicaid expansion for his state, and Pennsylvania Governor Tom Corbett has signaled his intention to do so if the federal government approves his proposed program changes. Wonkblog’s Sarah Kliff notes that if Pennsylvania does expand its Medicaid program, that will mean the majority of the states have adopted one of the main aspects of the Affordable Care Act. This is good news for the millions of low-income uninsured US residents who will gain health coverage from Medicaid. Another…
Forty years ago, the US Supreme Court decided in Roe v. Wade that states could not ban first-trimester abortions. Wonkblog's Sarah Kliff takes a look at what's been happening since; her charts document the decline in the number of US abortion providers from the mid-1970s to early 2000s (holding steady since then); an increase in state abortion restrictions, with 92 enacted in 2011 alone; and an increase in the proportion of abortion patients who are low-income and minority. Perhaps most surprising to those of us already aware of these trends is the result of a recent survey: only 44% of…
by Kim Krisberg In the west Texas city of San Angelo, Planned Parenthood has been serving local women since 1938. It was one of the very first places in Texas to have a family planning clinic. "We have grandmas bringing their granddaughters in," Carla Holeva, interim CEO of Planned Parenthood of West Texas, told me. "We're very much part of the community." Today, the San Angelo clinic is preparing for some big, and unfortunate, changes. Last year, Texas lawmakers voted to exclude Planned Parenthood and other organizations affiliated with abortion providers from the state's Women's Health…
by Kim Krisberg Legislative attacks on women's health care are so commonplace these days that they make proposals that don't include a state-mandated vaginal probe seem moderate. In fact, so many legislators are introducing proposals under the guise of protecting women's health (2011 marked a record number of reproductive health restrictions), that it was pretty refreshing to read how the Affordable Care Act will actually protect women's health. Like, for real. Last week, the Commonwealth Fund released a report finding that the health reform law is already making a difference in the lives of…
One of the provisions of the Affordable Care Act is a requirement that new health plans cover preventive services for women without deductibles or co-payments. The Department of Health and Human Services asked the Institute of Medicine to review what preventive services are important to women's health and well-being and make recommendations about which of these should be required to be covered without cost-sharing. The IOM issued its report, Clinical Preventive Services for Women: Closing the Gaps, yesterday, and it focuses on the preventive services not already spelled out for coverage in…
NPR's Melissa Block traveled to Mozambique, where poverty and a shortage of both healthcare providers and facilities contribute to a high maternal mortality rate, for the first segment of the "Beginnings" series that will air throughout the summer on All Things Considered. She starts off with some grim statistics: In Mozambique in southeastern Africa, the rates of maternal and infant mortality are among the highest in the world. In her lifetime, a Mozambican woman has a 1 in 37 chance of dying during pregnancy or within a short time after a pregnancy has ended. One in 10 children won't live…
For today's celebration of International Women's Day, UN Secretary-General Ban Ki-moon remarks: One hundred years ago, when the world first commemorated International Women's Day, gender equality and women's empowerment were largely radical ideas. On this centenary, we celebrate the significant progress that has been achieved through determined advocacy, practical action and enlightened policy making. Yet, in too many countries and societies, women remain second-class citizens. He goes on to describe violence against women (including sexual aggression in conflict), women and children's…
A few years ago, I read Mary Roach's first book, Stiff: The Curious Lives of Human Cadavers and absolutely loved it! One of the best popular science books I have read in a long time - informative, eye-opening, thought-provoking and funny. Somehow I missed finding time to read her second (Spook: Science Tackles the Afterlife - I guess just not a topic I care much about), but when her third book came out, with such a provocative title as Bonk: The Curious Coupling of Science and Sex, I could not resist. And I was not disappointed. It is informative, eye-opening, thought-provoking and funny.…
From SCONC: Science Cafe July 14, 2009 | 7:00 P.M. Uncovering the Mysteries of Human Fertility: On Sex, Fertile Days, and Why the Rabbit Dies Speaker: Allen Wilcox, National Institute of Environmental Health Sciences Everyone knows where babies come from, but few people appreciate the extraordinary and in some cases completely weird processes that have to work right in order for a new life to form. Dr. Wilcox will discuss the key steps of human conception and early pregnancy including the window of days in which a woman can conceive, some of the factors that affect a couple's chances of…
Since my post about it is not on the front page any more, I just want to remind you of the groundswell of support for the Silence Is The Enemy initiative. Join the Facebook group, donate to Doctors Without Borders and write a letter to your representatives. Join the blogger coalition by blogging about this and spreading the word. Small help is better than no help. And in many cases, growing coverage of an issue in the blogosphere forces the corporate media to break the silence as well, start paying attention and start covering it. Then, once it is in MSM, the elected officials start noticing…
About a week ago, Nicholas Kristof wrote an eye-opening op-ed in NYTimes - After Wars, Mass Rapes Persist. In Liberia, and probably in some other places, the end of war does not automatically mean the end of rape: Of course, children are raped everywhere, but what is happening in Liberia is different. The war seems to have shattered norms and trained some men to think that when they want sex, they need simply to overpower a girl. Or at school, girls sometimes find that to get good grades, they must have sex with their teachers. The war, and the use of rape as a weapon of war, changes the…