“Until we look at structural issues like racism, we’re never going to solve this problem of maternal mortality.” Create-Perry said.
Later, while answering a reporter’s question, she explained that she is from the Deep South and for the South to rise again, white women in the South will have to do something about the political decisions of their husbands and other men. in their lives, for example, not expanding Medicaid and not offering paid leave. It’s killing them, Create-Perry said.
He later added that hospitals also need to be more responsive to patients’ needs. They cannot continue to approach health care from the mentality of medical equipment needs to solve this problem of maternal mortality. Patients who have doulas and midwives have better outcomes, Crear-Perry said. So she started advocating for them.
“we do not need stuff,” the doctor said. “We need empathy. We need love. We need attention.”
Dr. Jack Resneck, president of the American Medical Association, said there are big drivers of health care that hospitals have traditionally ignored, like hfood insecurity, food insecurity and armed violence. The American Medical Association he is advising doctors to go out into their communities and do something about those problems as an approach to improving health care.
On the politics side of the conversation, there are huge gaps in insurance coverage and health care services for poor communities. Senator Patty Murray, chair of the Senate Health, Education, Labor and Pensions Committee, issued a report on the state of abortion policy after Roe v. Wade.
In the report, the committee wrote, citing additional research:
“Prior to 1973, abortion access was challenging or nearly impossible in most of the United States. Because providers in most states could not openly perform abortions without the threat of legal action, many pregnant women resorted to attempting abortions themselves or turning to unlicensed providers who operated in secret, often insufficiently trained. to deal with possible complications and did not have access to the necessary facilities or equipment to keep their patients healthy. (…) These abortions were extremely risky, causing alarming rates of maternal injuries and deaths. (…) The lack of access to safe abortions was particularly deadly for women of color, who accounted for seventy percent of women who died from abortions performed without medical supervision.”
Maternal mortality fell 45% between 1972 and 1974, a year after the Supreme Court legalized abortion at the federal level, the Senate committee reported.
“The research makes clear that women living in states with these restrictive bans are likely to face significant health consequences,” the committee said in its report. “Self-managed abortions, health professionals hesitating to treat pregnancy complications, lack of access to other reproductive health services, and delays in care for cancer and other serious illnesses are likely to contribute to rising death rates. maternal and serious illness.
“These health impacts will ripple out to women across the country if Republican lawmakers succeed in enacting a national abortion ban and as more states seek to ban or severely restrict access to abortion.”
Resneck said Medicaid and the Children’s Health Insurance Program no longer cover people long enough after giving birth. Both major cities and rural areas are reporting the closure of birthing centers, and doctors are operating with biases both unconscious and conscious.
Dr. Diana Contreras, director of health care for Planned Parenthood, said the most difficult aspect of post-Roe health care right now is confusion. People do not know their rights, where they can go for reproductive health care or when they can have an abortion. They wonder if they can have an abortion, if they should get an intrauterine device (IUD), a form of birth control, now— because they may not be able to do so in three years, when their rights may be further infringed.
“The fall of Roe it has caused chaos in the medical community,” said Contreras. “Lawmakers are interfering with health care, and this is very dangerous.”
He referenced the 10-year-old rape victim who had to travel from Ohio to Indiana for an abortion.
Not only was she brutalized, but “the doctor who treated her was brutalized,” Contreras said. He also mentioned to one of her patients that she came in with vaginal bleeding and ended up with cervical cancer. That patient also learned that she was 14 weeks pregnant and was able to make the decision about her medical care, Contreras said.
Others may not.
“It’s unbelievable where we’re going, and it’s imperative that we don’t let this continue,” Contreras said, calling the current state of health “inconceivable.”
Contreras He said Planned Parenthood is trying to work with the administration, reproductive health groups, anyone willing to partner to help connect patients to resources and make reproductive health care easier to access. Journalists’ ability to educate the public is vital to that job, she added.
Dr. Elena Ríos, president and CEO of the National Hispanic Medical Association, said that while we also need to educate ourselves and our families, we need journalists to help combat mistrust of the medical community. That mistrust formed as a result of decades of racist medical practices like forced sterilization in Los Angeles in the 1960s and 1970s.
She recommended Hispanic Health, a health portal the National Hispanic Medical Association partnered with other health advocacy organizations to form a resource for people of color. Rios also applauded President Joe Biden’s decision to sign an executive order protecting abortion travel and called on communities of color to show up in their local elections and vote.
“We have been involved in voting all our lives, but not for a cause. This is a cause,” Ríos said about access to reproductive care.
After the Dobbs v Jackson Women’s Health Organization decision that effectively overturned the sentence of Roe vs. Wade, there was not only an active spread of misinformation, but also disinformation. Meanwhile, many doctors are faced with having to decide between what is best for their patients and obeying state law.
Resneck said that on the one hand, doctors have an ethical duty to do what is best for patients, and on the other hand, state attorneys general and other government officials interfere in those decisions. It is “incredibly dangerous” for patients, the doctor said.