Short, informative, and forceful. This is a necessary primer about the disinformation and complete apathy with which Republicans have stripped away people's* access to necessary healthcare under the guise of "protecting life." * I am so so glad that Valenti chose to mention that any person with a uterus, whether or not they identify as a woman, can get pregnant. It's incredibly important that we treat all people on the actual medical reality of their lives, instead of grouping them into binary categories that don't match their anatomy or the incredible variation that sex and gender can produce. But part and parcel of the Republican method of destroying access to care is their insistence on "simplifying" pregnancy, childbirth, and motherhood down to this false, granular level so they can pretend they are creating sound policies, instead of death, misery, and inequality.
Here are some of Valenti's primary points. I could go on and on, and it honestly seems like I did in hindsight, but this is so important to examine:
1) Ever since Roe was first put into effect, conservatives have been working to unravel it. Their campaign of disinformation has had fifty years to be put into effect, which led directly to Dobbs, and the immediate roll-out of bans throughout conservative states. They were ready. We weren't..
2) The United States is not "evenly split" on abortion. More people than ever are pro-choice, especially when they hear stories about how preventing people from accessing safe, local abortions has led to horrific consequences. However, conservatives consistently spin the lie that abortion is unpopular, that "people can agree that "late-term abortions" (more on this later) are controversial and undesirable," and that the nation needs to come to a federal "consensus" about when a person can access an abortion.
3) Republicans consistently define a "late-term abortion" as one that takes place after 12-15 weeks. Friends, that is the end of the first trimester. That is NOT LATE-TERM. This excludes so many people who, as Valenti notes, may not know they are pregnant, may not be able to access abortion care immediately after finding out they are pregnant (if they even know), or may struggle to leave a potentially dangerous situation to do so. There are SO MANY FACTORS that affect whether women are able to access an abortion that prevent them from seeking one immediately, including the fact that Republicans have placed so many restrictions and penalties on abortion providers that abortion clinics have been shuttering around the nation, meaning it is increasingly likely that a person in a red state may have to travel out of state (and secure the money and means to do so) in order to get an abortion. This is by design. Especially culpable here are politicians like Nikki Haley who shows absolutely no regard for the suffering of women in parroting lies like this.
4) Republicans claim they have created common-sense restrictions that will protect women, and claim also that most "bans" are not bans because they provide exceptions for incest, rape, and the health of the mother. This is bullshit. First, any restriction that prevents a large swathe of people from accessing a particular service is effectively a ban. You cannot say, "You cannot use the highway on weekdays, and can only use it during the hours of 9 AM and 12 PM on Saturday if you have a toll tag," and then say "You are not banned from using the highway." If I cannot use the highway in most circumstances, and I am actively hindered from using it, I am banned from using it except in the most paltry circumstances. Additionally, Republican states frequently require women who are seeking an abortion due to incest and rape to also report their rape to the police, or threaten that their abortion provider may have to do this as part of their abortion procedure. This is dangerous and cruel. Women already do not report their rapes or do not press charges because of a variety of factors including the fact that women very rarely are able to secure actual convictions, and that is following a difficult and awful trial. And in many cases, the people who rape them barely face consequences. We also know that women can easily face retaliation if their accusation goes public, which could be extremely dangerous for them. This is a terrible policy, BY DESIGN.
5) The latter part of this, the "exception for the life of the mother," is often interpreted as intervening only when the mother is near-death. If a mother reports symptoms of pre-eclampsia or other conditions early in her pregnancy, or other conditions that are hazardous to her life, doctors cannot intervene until she is near death, at which point it may be too late to save her life. Valenti recounts numerous cases of extreme blood loss, strokes, breathing difficulties, and other dangerous symptoms that were not granted exceptions because the mother was not "near death" enough for doctors to legally intervene. Now, remember, this and all other policies are created by primarily MALE politicians who know nothing about biology or human anatomy, and likely wouldn't change their policies even if they did, because the life of the woman does not matter to them more than their joy in denying women (and all people with uteri) life-saving care. Doctors who know that they are not able to provide people with a basic standard of care are leaving red states en masse, which will only worsen this the fate of women in the long run. I don't blame them. I can't imagine how hard it must be.
6) Republican disinformation is rooted in language. At many points in this book, I saw echoes of George Orwell's Politics and the English Language, because of how euphemized so many "new" terms have entered the Republican abortion lexicon. First, "abortion" is defined as any procedure or intervention that prevents the implantation of the fetus, up to and including birth control, which is another area Republicans are attempting to attack across the United States (specifically IUDs and pills, which Republicans say "cause abortions." They don't.). This is because so many Republicans have now moved the goalposts of personhood back to the blastocyst instead of the fetus, meaning that in many states, women who have suffered miscarriages have been accused and arrested for "murdering their fetuses," despite Republicans promising that they would never hold women criminally liable for anything that resulted in the death of their fetus. Bullshit. Valenti tells us of a woman who was SHOT IN THE STOMACH and then was charged with the death of her fetus, as if she wanted to have that happen. This is the inanity and cruelty and horror of Republican logic.
7) Let's talk about "partial-birth abortion." It's not a thing. But this term has entered the lexicon and it's so very hard to eradicate it. Valenti underscores the importance of medical providers and politicians working to clarify the insanity of this language frequently and furiously because until this myth is shut down, abortion will continue to be demonized. The same is true of "abortion at birth." WHAT IN THE ACTUAL HELL. A baby that is not born alive is still-born, not aborted.
8) Abortion is safer than childbirth. It's no wonder that as abortion bans have also produced increases in infant and maternal mortality deaths. This is the "pro-life" campaign at work. This is by design. Republicans would rather a woman undergo a C-section, at great risk to her life and livelihood, to deliver an unviable pregnancy purely so the woman "has a chance to see her baby" than allow her to seek an abortion early in her pregnancy due to a potential genetic abnormality. Republicans also spread lies about birth control, suggesting that taking or using it reduces a woman's chance of fertility and puts her at greater risk of health consequences. You know what is also extremely dangerous and resulted in the deaths of millions of women throughout human history? PREGNANCY AND CHILDBIRTH. Part of what has made it safer, along with sanitation, has been a woman's ability to decide for herself with sound medical advice whether she can undergo a pregnancy. Valenti recounts at least one story of a woman who was diagnosed with cancer during her pregnancy, and was forced to
delay chemotherapy
until her baby was born because the fetus was more important to Republicans than the woman was to her family and to her existing children.
9) One of the primary weapons in the Republican arsenal, in addition to language, has been guilt. In the wake of the closure of abortion clinics, anti-choice (ain't nothing pro-life about them) organizations have set up numerous "crisis pregnancy centers" and "maternity homes" to cater to women who want pregnancy counseling. Staffed by seemingly trained professional in lab coats, these organizations deter women from taking birth control, persuade them to carry their babies to term, even in cases of severe birth defects like ancephaly (in which women were told to give birth and bond with their baby for as little time as they had left—leaving out the horror of having to do this to a baby with NO DEVELOPED HEAD, and then, of course, provide NOTHING in the way of future support for mother and baby besides "well-wishes" and "prayers." Because why would Republicans invest any money in social services to actually back up their claims of being "pro-life" when they care about neither the mother nor the baby in the long-run?
10) I could go on and on, because I am clearly furious, but the left has to start working NOW. They have to strengthen grassroots organizations, correct misinformation IMMEDIATELY AND PASSIONATELY, and not shy away from discussing abortion fully and openly. The number of anti-choice groups that hold sway and market themselves anywhere from on the public state to high school and college campuses is staggering. Again, they have had fifty years to do this. But we have to fight back. Abortion is necessary. Abortion changes lives for the better. Abortion allows women to be more than vessels. Abortion lets women choose their existing children, their existing health, their careers, their visions, their dreams, for themselves. Banning abortion kills women and people with uteri, full stop. There is no such thing as a "pro-life" organization. There are only organizations for whom the potential death of the mother is seen as a blessing, and that truth needs to be told.