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Report from our event OUR BODIES NOT YOURS.
A panel of Massachusetts reproductive health experts provided powerful data and stories about national and local abortion access as well as how maternal health is being impacted by restrictive laws across the country. The sold out event held at Stillpoint in West Tisbury on July 27 th was moderated by documentarian, Dawn Porter, documentarian Trilogy films who opened with a moment of silence to ground participants and recognize the importance of the following discussion. Dr. Maureen Paul, Medical Director of the MAP (Massachusetts Medication Abortion Access Program) began with an overview of where we are today. Dr. Paul reminded us that abortion access was eroded prior to the Dobbs decision with the Hyde Amendment and 1300 abortion restrictions also called trap laws. in states across the country. “However, the Dobbs decision profoundly exacerbated already existing inequities by revoking the constitutional protection of access to abortion to everyone, allowing states to completely ban abortions some of whom implemented criminal laws against providers,” explained Dr. Paul.
Prior to Dobbs, about half of abortions in the U.S. were medication abortions. Now it’s about two thirds. Ultimately, the number of abortions in the U.S. increased due to the heroic efforts of patient navigators, abortion funds, the people helping people travel, and the clinics that stepped up to the plate – some staying open until midnight to accommodate the influx.” Dr. Paul explained medication abortion is a safe and effective way to end pregnancy. At the MAP, people are asked to pay on a sliding scale starting at a minimum of $5, which can be waived upon request, although the cost of sending the pills is $150. The conversation continued with information about efforts that begin in 2020 to codify abortion protections in Massachusetts prior to the Dobbs decision. “A legal right is not the same as an accessible one,” said Clair Teylouni, Policy Director, Reproductive Equity Now (REN). “Legislative efforts focused on how to improve access, protect providers, and gender affirming care. In 2022, REN worked closely with a receptive legislature to pass a powerful shield law that says the federal government or other states cannot reach in and impact what the state has deemed legally protected. Nyssa Duarte, RN, clinic nurse and wellness program coordinator, Wampanoag Tribe of Gay Head (Aquinnah) and founder of Noepe Wellness, shared the importance of accessing aspiration abortions (suction abortion which is easily done during the first trimester) on the island. “Communal care is essential to Wompanoag people and having to go off island to get aspiration abortions adds hardship to everyone, but especially the Wampanoag tribal community,” noted Ms. Duarte. “We’re working on expanding access through our clinic to medication abortion.”
Dawn Porter highlighted how Black and Brown people are disproportionally impacted by these regulations. She turned to Ndidiamaka Amutah Onukagha, PhD, MPH, Founding Director, Center for Black Maternal Health and Reproductive Justice, to speak to this issue and share more about her work.“My research looks at the intersection of race, gender, and inequities, with the understanding that accessing healthcare for Black and Brown people can be dangerous,” said Ms. Amutah Onukagha. “We’re an academic based center, but all of our work is community facing.” She highlighted how the recent “Momnibus” bill allowed Massachusetts to be a leader in the maternal health space.After about an hour of discussion, attendees asked questions about safety, abortion access on the island, and what the future holds. Representatives from the MV Hospital were invited to the event, but none attended. Attendees were told aspiration abortions are now provided up to 10 weeks at the hospital. Everyone was asked to support the organizations represented at the event by donating to MV Sexual Wellness (formerly MV Friends of Family Planning) which will distribute the proceeds.