Family planning services thin under Iowa GOP program

Family planning services thin under Iowa GOP program

Gazette Column
Despite Republican promises to the contrary, changes to family planning services has resulted in less access that will cost Iowans more. Last spring, Iowa Republicans crafted a new family planning program funded only with state dollars. They did so for the sole purpose of excluding providers that perform abortions or are part of a health network that does. Although abortion providers could accept public money under the previous program that was primarily funded at the federal level, none of the funds could be used for abortion services. The state’s new rules not only resulted in the expected exclusion of Planned Parenthood, but of other significant health care providers like the University of Iowa Hospitals and Clinics and the statewide UnityPoint network. Promises of expanded access haven’t materialized, according to a…
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Iowa Republicans are devaluing women – again

Iowa Republicans are devaluing women – again

Gazette Column
Iowa Republicans are once again making clear that they value the potential of pregnancy more than they value women. Their latest missive is Senate Study Bill 3143: “An act relating to the prerequisites for and prohibition against an abortion related to the testing for, and following the detection of, a fetal heartbeat, providing for a repeal, and providing penalties.” A nearly identical bill, HF2163, was introduced in the Iowa House: “An act recognizing the rights and protections accorded each life from the moment of fetal heartbeat detection, prohibiting the performance of an abortion if a fetal heartbeat is detected, providing for licensee discipline, and providing a repeal.” Both bills basically state that, once a fetal heartbeat is detected by ultrasound, a pregnant woman cannot legally obtain an abortion. Doctors who defy the…
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Iowa Republicans blinded by abortion

Iowa Republicans blinded by abortion

Gazette Column
However shortsighted, expensive and harmful the resulting policies may be, Iowa Republicans remain obsessed with abortion. Last legislative session, they chose to scrap the Iowa Family Planning Network waiver, primarily funded by the federal government, and replace it with a new program funded solely by the state. That initiative, now known as the Family Planning Program, took effect July 1. Both programs provide men and women of childbearing age who do not qualify for Medicaid a cost-effective way of accessing reproductive health services including contraception, exams, screenings and testing. The Iowa switch wasn’t proposed because the original program was riddled with fraud or otherwise ineffective. In May 2016, the University of Iowa Public Policy Center concluded that more than 80,000 women had used the Iowa Family Planning Network waiver since…
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Alabama redefined pro-life

Alabama redefined pro-life

Gazette Column
Alabama election results made clear that anti-abortion no longer is the equivalent of pro-life. The professional number-crunchers will have their say in the days to come, tweezing out drilled down demographics. But the campaign strategy embraced by Roy Moore and his allies reveals new insights into an ongoing cultural shift, one expedited by religious conservatives’ embrace of President Donald Trump. In a nutshell, dire warnings about candidates’ stances on abortion don’t hold the weight they once did. Millions of dollars — $1.1 million from one pro-Trump super PAC alone — were pumped into the Alabama special election to remind voters that Democratic candidate Doug Jones favors abortion rights. The warnings were issued within ads on social media, television, newspapers and direct mail. “Jones is so liberal he supports abortion even…
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Salmon is OK with doctors lying

Salmon is OK with doctors lying

Gazette Column
Janesville Republican Sandy Salmon wants to reverse a court ruling that requires doctors and other medical professionals to tell pregnant parents the truth. As a guest columnist on the Caffeinated Thoughts blog, state Rep. Salmon said she plans to introduce a bill that will prohibit “wrongful birth” lawsuits in the Hawkeye State, effectively clearing the way for health care professionals to withhold vital fetal health information from pregnant women and their partners. “Wrongful birth” cases, as I’ve written before, involve pregnancies in which physicians or other medical professionals have access to test results, not disclosed to parents, indicating the child will face severe disabilities. In the case decided by the Iowa Supreme Court, for instance, abnormalities discovered during an ultrasound were not discussed. The parents were instead led to believe “everything was fine”…
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Iowa misses opportunity to curb teenage risky behavior

Iowa misses opportunity to curb teenage risky behavior

Gazette Column
DES MOINES — Sex educators who gathered here last week for an annual conference have reason to be concerned. Iowa’s family planning landscape has changed, making it more difficult for teens to get needed information and services. The Legislature’s decision last spring to forgo federal family planning money in favor of a state-run program that excludes health care organizations that offer abortion services provided a small window for officials to write rules and implement the system. Even now, three months after the system was supposed to be in place, questions remain. The new process is time-consuming, requiring those hoping to access services to first apply at the nearest Department of Human Services or Title X office and wait for approval. A significant portion of providers listed on the department’s website…
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Wrongful birth suits get Iowa court nod

Wrongful birth suits get Iowa court nod

Gazette Column
Physicians who don’t inform pregnant women and their partners of fetal anomalies can be sued, the Iowa Supreme Court decided this month. These “wrongful birth” cases involve pregnancies in which physicians or other medical professionals have access to test results, not disclosed to parents, indicating the child will face severe disabilities. For instance, in the case before the Iowa Court, parents Pamela and Jeremy Plowman say their prenatal doctors failed to inform them of abnormalities discovered during an ultrasound. Instead they were led to believe “everything was fine” with the pregnancy, and recommended follow-up testing was never completed. Severe cognitive defects were diagnosed after their son was born. His medical condition requires lifelong oversight and intervention. Now six years old, their son does not speak or walk, and he is…
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Iowa winnowing of health care begins

Iowa winnowing of health care begins

Gazette Column
News that health care advocates had been dreading came Thursday: Planned Parenthood of the Heartland will shutter a third of it’s Iowa clinics. Locations in Bettendorf, Sioux City, Burlington and Keokuk will close at the end of June. Only one of those locations offered abortion services, and it will continue to provide those procedures until the building is sold. Soon to be lost is what more than 70 percent of Iowans supported — access to family planning services like contraceptives, prenatal vitamins and cancer or other disease screenings. More than 14,000 Iowans utilized the clinics now slated for closure. Planned Parenthood clinics statewide serve nearly half of residents who use publicly-funded family planning services. Looking only at the four counties impacted by the closures, Planned Parenthood clinics served, at a…
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State won’t force my daughters

State won’t force my daughters

Featured, Gazette Column
For the past several years I’ve searched for a way to get my oldest daughter to move back to Iowa, and ways to keep my younger daughter in state. Thanks to the Iowa Legislature, I’m putting those plans on hold. There’s been plenty of “progress” this session that’s contributed to my decision. A full-throated denial of local control stands out, as do limitations on workers’ rights. But the final straw came this week when lawmakers decided that if my daughters become pregnant the state can force them to continue the pregnancy and give birth. It’s a decision that sickens me to my very core, and not just theoretically. I was one of those women who learned that a very much wanted child would not survive. I had to make the…
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Lawmakers need a reality check

Lawmakers need a reality check

Gazette Column
Before lawmakers set blazes with their torches or run women out of the state with their pitchforks, they need to consider why late-term abortion exists. I had a late-term abortion. A routine ultrasound midway through the pregnancy showed significant and multiple neural tube defects. The worst was anencephaly, which is an absence of brain, skull and scalp. It happens in about 1,300 pregnancies each year in the U.S., and is always a death sentence. I won’t rehash my personal story here, since I’ve written and spoken extensively about it in the past. What I most want to convey, what I want readers and lawmakers to truly understand, is that because late-term abortion was an option, our family was given an opportunity to have other, healthy children. A piece of legislation…
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