SPOTLIGHT ON ABORTION CARE & REPRODUCTIVE JUSTICE听
Mifepristone in the Court: What Future Physicians Need to Know
Written by Anna Hindman, 欧美A片 Reproductive Health Project Fellow and 4th year medical student at Touro University California College of Osteopathic Medicine
This week, the US Supreme Court heard oral arguments regarding a challenge to severely restrict , a progesterone blocker that is one of two medications that has been used safely and effectively in the US and around the world for medication abortions for over 20 years.听 While the news has been relatively and hopeful that the Justices will not further restrict access YET, the fight is unfortunately far from over.听
For years, the FDA’s stringent restrictions on mifepristone, driven by politics and not evidence based medicine, have posed significant barriers to access for individuals seeking abortion care, particularly those in underserved communities. 听required Mifepristone to only be dispensed in-person at a clinic, hospital, or medical office by a certified clinician, preventing mifepristone from being dispensed at pharmacies and via telehealth. The FDA expanded access to mifepristone in two key cases: one in 2016 that increased its usage from 7 weeks gestation to 10 weeks gestation and the second in 2021, fueled by the devastating COVID-19 pandemic and long standing evidence showing mifepristone鈥檚 safety, removed the in-person dispensing requirement and added a requirement that pharmacies can become certified to dispense the drug.听
These two changes by the FDA are what is being challenged during this week’s oral arguments. The Court’s final decision is expected at the end of听 June 2024.听
An important warning from legal experts involves the crazy and truly antiquated , an act that was made law in 1873 that 鈥渕ade it illegal to send obscene, lewd or lascivious, “immoral,鈥� or 鈥渋ndecent鈥� publications through the mail. The law also made it a misdemeanor for anyone to sell, give away, or possess an obscene book, pamphlet, picture, drawing, or advertisement.鈥� This included birth control, abortion pills, and abortion instruments. While this seems like something that should be illegal, this Act was in this week’s Mifepristone hearing, including as a 鈥淧rominent Provision鈥� by Justices Samuel Alito and Clarence Thomas.
The Podcast Constitutional Law Professors 鈥� Leah Litman, Kate Shaw and Melissa Murray 鈥撎� have an important message for voters in this very important presidential election this year:听 鈥渋t seems like the Justices are deferring a lot of their fire power for after the [2024 Presidential] election and Republican Candidates and supporters are down for it because I think they would actually like to keep this whole curious issue under wraps so that most of us in the electorate won鈥檛 understand that one of the biggest issues in the upcoming election isn鈥檛 whether or not there is going to be a republican congress that can pass a nationwide ban [on abortion] but rather whether they can sneak in a republican president with a new attorney general who is ready and prepared to revive this zombie law from 1873 [] and begin enforcing it against individuals providing abortion or distributing medication or even implements used for abortion and again they can do all of this without ever getting congress.鈥澨�
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