1
00:00:02,000 --> 00:00:07,000
Downloaded from
YTS.MX

2
00:00:08,000 --> 00:00:13,000
Official YIFY movies site:
YTS.MX

3
00:00:14,180 --> 00:00:17,350
- [Sarah] Mr. Chief Justice,
and may it please, the court,

4
00:00:17,350 --> 00:00:19,619
we are not here to
advocate abortion.

5
00:00:19,619 --> 00:00:22,956
We do not ask this court to
rule that abortion is good

6
00:00:22,956 --> 00:00:25,959
or desirable in any
particular situation.

7
00:00:25,959 --> 00:00:28,661
We are here to advocate
that the decision

8
00:00:28,661 --> 00:00:31,097
as to whether or not
a particular woman

9
00:00:31,097 --> 00:00:34,334
will continue to carry or
will terminate a pregnancy

10
00:00:34,334 --> 00:00:37,737
is a decision that should
be made by that individual.

11
00:00:41,040 --> 00:00:42,042
- [Justice Burger]
But any doctor,

12
00:00:42,042 --> 00:00:44,711
I suppose, who may refuse her?

13
00:00:44,711 --> 00:00:46,212
- [Sarah] Certainly,
your honor, he may,

14
00:00:46,212 --> 00:00:49,215
he may refuse any kind of
medical procedure whatsoever.

15
00:00:49,215 --> 00:00:50,817
Here, it's the question
of whether or not

16
00:00:50,817 --> 00:00:54,721
the state by the statute will
force the woman to continue.

17
00:00:54,721 --> 00:00:56,222
The woman should be
given that freedom

18
00:00:56,222 --> 00:00:58,291
just as the doctor has
the freedom to decide

19
00:00:58,291 --> 00:01:00,693
what procedures
he will carry out

20
00:01:00,693 --> 00:01:03,229
and what he will
refuse to his patient.

21
00:01:03,229 --> 00:01:05,765
(tense music)

22
00:01:17,877 --> 00:01:20,513
- I'm sort of a typical doctor

23
00:01:20,513 --> 00:01:22,515
who's just kind of
out in the world.

24
00:01:23,917 --> 00:01:28,555
But then I also go and do
abortions in difficult places.

25
00:01:40,567 --> 00:01:42,569
I think most people
who go into healthcare

26
00:01:42,569 --> 00:01:44,270
have the same goals.

27
00:01:44,270 --> 00:01:46,306
Everyone wants to
take care of patients.

28
00:01:47,774 --> 00:01:48,541
Good morning!

29
00:01:50,009 --> 00:01:53,446
But there's a lot that
goes in between that goal

30
00:01:53,446 --> 00:01:56,416
and the reality of
what can be done.

31
00:01:57,717 --> 00:02:00,753
(music slowly fades)

32
00:02:09,395 --> 00:02:14,367
(distant traffic)
(birds singing)

33
00:02:20,073 --> 00:02:23,209
(traffic rushes past)

34
00:02:29,582 --> 00:02:32,051
(pump creaks)

35
00:02:48,835 --> 00:02:50,336
(phone rings)

36
00:02:50,336 --> 00:02:51,571
- Hello, South Wind
Women's Center.

37
00:02:51,571 --> 00:02:53,039
This is Katie. How
can I help you?

38
00:02:53,940 --> 00:02:56,142
Okay. I can help you do that.

39
00:02:56,142 --> 00:02:57,343
To start off with,

40
00:02:57,343 --> 00:02:58,545
can I get your name
first and last?

41
00:03:02,181 --> 00:03:04,450
Okay. Can I get
your date of birth?

42
00:03:04,450 --> 00:03:06,352
We are always working our best

43
00:03:06,352 --> 00:03:08,488
to be in compliance with
the law because that is how

44
00:03:08,488 --> 00:03:11,057
we remain open to
provide care to patients.

45
00:03:12,192 --> 00:03:13,593
Okay. So we've got
all that figured out.

46
00:03:13,593 --> 00:03:15,028
Now I'm gonna read
you some information.

47
00:03:15,028 --> 00:03:17,764
This is called 72 hour
consent statement.

48
00:03:17,764 --> 00:03:19,866
This has to be read to
you at least 72 hours

49
00:03:19,866 --> 00:03:22,535
before you wanna be seen
per Oklahoma state law.

50
00:03:22,535 --> 00:03:24,637
It's gonna take me a
couple minutes to read to,

51
00:03:24,637 --> 00:03:26,272
so just bear with me, okay?

52
00:03:26,272 --> 00:03:28,041
"The state of Oklahoma requires
we offer you a book called

53
00:03:28,041 --> 00:03:29,309
'A Woman's Right to Know'.

54
00:03:29,309 --> 00:03:30,210
You don't have to
read this book.

55
00:03:30,210 --> 00:03:31,511
We just have to offer it to you.

56
00:03:31,511 --> 00:03:33,546
A link to this book can
be found on our website.

57
00:03:33,546 --> 00:03:35,048
And we also have copies
available in our office.

58
00:03:35,048 --> 00:03:37,550
We can send you a copy of this
book by mail if you choose.

59
00:03:37,550 --> 00:03:39,118
The state of Oklahoma
requires we provide you

60
00:03:39,118 --> 00:03:40,653
with the following information.

61
00:03:40,653 --> 00:03:42,455
This is just extra things
that the state makes us do

62
00:03:42,455 --> 00:03:45,491
that adds five minutes
onto their appointment,

63
00:03:45,491 --> 00:03:46,960
and, you know,

64
00:03:46,960 --> 00:03:49,362
distracts them from listening
to the important things.

65
00:03:49,362 --> 00:03:50,530
I want them to know, you know,

66
00:03:50,530 --> 00:03:52,131
what to expect during
the appointment.

67
00:03:52,131 --> 00:03:55,301
And, you know, I want them
to have the presence of mind

68
00:03:55,301 --> 00:03:56,636
to be able to ask the questions

69
00:03:56,636 --> 00:03:58,371
that they are wondering about.

70
00:03:58,371 --> 00:04:00,406
And so, I don't want
their mind dulled

71
00:04:00,406 --> 00:04:03,710
by this political speech
that I have to give to them.

72
00:04:03,710 --> 00:04:05,245
At no cost, (indistinct) from me

73
00:04:05,245 --> 00:04:07,880
that medical systems benefits
(rapid speech) that may occur

74
00:04:07,880 --> 00:04:09,882
and that the man involved
in the pregnancy is liable,

75
00:04:09,882 --> 00:04:11,084
so assists in the
support of your child

76
00:04:11,084 --> 00:04:12,585
even has to pay
for your abortion.

77
00:04:12,585 --> 00:04:15,388
They cloak all of these laws
in language that implies

78
00:04:15,388 --> 00:04:16,589
that they're
medically necessary,

79
00:04:16,589 --> 00:04:18,091
that they're about
women's health,

80
00:04:18,091 --> 00:04:21,394
when actually they
interfere with our ability

81
00:04:21,394 --> 00:04:23,763
to provide safe
healthcare to people.

82
00:04:23,763 --> 00:04:25,398
I mean, we particularly
see that in this state

83
00:04:25,398 --> 00:04:27,867
in that we have a 72
hour waiting period.

84
00:04:27,867 --> 00:04:30,703
We cannot see anybody
sooner than 72 hours

85
00:04:30,703 --> 00:04:32,605
after that statement
has been read.

86
00:04:32,605 --> 00:04:35,842
And that means that since
we only have a doctor in

87
00:04:35,842 --> 00:04:39,879
a few days a week, that can
push people out another week,

88
00:04:39,879 --> 00:04:43,916
which if you're getting
close to a gestation change

89
00:04:43,916 --> 00:04:45,952
that can change the
procedure you have done,

90
00:04:45,952 --> 00:04:47,220
that can mean you have to go

91
00:04:47,220 --> 00:04:48,454
to a different state
to have it done right.

92
00:04:48,454 --> 00:04:49,756
To inform you that may
be an ultrasound images

93
00:04:49,756 --> 00:04:50,957
of the heart in your fetus.

94
00:04:50,957 --> 00:04:52,392
The booklet also needs
you to know the facility

95
00:04:52,392 --> 00:04:54,127
offers these
services at no cost.

96
00:04:54,127 --> 00:04:55,561
These materials from
provided by state board,

97
00:04:55,561 --> 00:04:56,796
medicalized insurance
supervision,

98
00:04:56,796 --> 00:04:58,264
and script details
about pregnancy

99
00:04:58,264 --> 00:05:00,633
and lists agencies that offer
alternatives to abortion.

100
00:05:00,633 --> 00:05:02,135
Okay. That part's done.

101
00:05:02,135 --> 00:05:03,102
So now we'll just go over
the rest of the details

102
00:05:03,102 --> 00:05:04,237
for your appointment, okay?

103
00:05:04,237 --> 00:05:05,872
(gentle music)

104
00:05:05,872 --> 00:05:08,841
(indistinct speech)

105
00:05:10,276 --> 00:05:11,144
Are you for an appointment?

106
00:05:11,144 --> 00:05:11,978
- Yes.
- Okay.

107
00:05:11,978 --> 00:05:12,979
Can I get a photo ID?

108
00:05:12,979 --> 00:05:14,147
- Sure.
(gentle music)

109
00:05:14,147 --> 00:05:17,483
- Dr. George Tiller,
who was my former boss,

110
00:05:17,483 --> 00:05:21,220
he became one of the
very few providers of

111
00:05:21,220 --> 00:05:23,389
late termination of pregnancy

112
00:05:23,389 --> 00:05:25,425
and the anti-choice
folks hounded him.

113
00:05:26,926 --> 00:05:28,961
After he was assassinated,

114
00:05:28,961 --> 00:05:33,566
it was either pack up and
find a different line of work

115
00:05:33,566 --> 00:05:38,538
or dig in and not
let these extremists,

116
00:05:39,739 --> 00:05:42,775
these terrorists,
tell us what to do.

117
00:05:42,775 --> 00:05:44,811
I did not want them
to have the last word.

118
00:05:45,845 --> 00:05:46,946
- You have a seat on the bed,

119
00:05:46,946 --> 00:05:49,582
doctor will be with you shortly.

120
00:05:50,917 --> 00:05:53,353
(door closes)

121
00:05:53,353 --> 00:05:57,290
- In two days we can see
sometimes 70 patients.

122
00:05:58,791 --> 00:06:00,927
Primarily they're from
the Oklahoma City area,

123
00:06:00,927 --> 00:06:03,930
the Metro, that's about 50%.

124
00:06:03,930 --> 00:06:07,300
Then from there, it's
all over Oklahoma.

125
00:06:07,300 --> 00:06:09,535
We do see patients from Texas.

126
00:06:09,535 --> 00:06:12,238
(gentle music)

127
00:06:15,375 --> 00:06:19,178
- Even though it's
challenging here politically,

128
00:06:19,178 --> 00:06:21,881
it doesn't mean we
can't do the work

129
00:06:21,881 --> 00:06:24,384
that we want to
do or need to do.

130
00:06:24,384 --> 00:06:27,420
It just might take a
little more creativity,

131
00:06:28,688 --> 00:06:31,190
a little more money,
because you know,

132
00:06:31,190 --> 00:06:33,493
like for example, having
to fly physicians in.

133
00:06:33,493 --> 00:06:34,894
(laughs)

134
00:06:34,894 --> 00:06:37,063
- I talked my way past 40
people at the TSA pre-check line

135
00:06:37,063 --> 00:06:38,898
so I could make it on my plane.

136
00:06:38,898 --> 00:06:40,833
- I believe in you doctor.
- Amazing.

137
00:06:42,468 --> 00:06:44,570
I go to Oklahoma City in Wichita

138
00:06:44,570 --> 00:06:48,641
because there aren't
doctors that perform,

139
00:06:48,641 --> 00:06:50,743
particularly second
trimester abortions,

140
00:06:50,743 --> 00:06:53,679
in those cities or states.

141
00:06:53,679 --> 00:06:56,749
Hi, I'm Dr. Chiavarini.
It's good to meet you.

142
00:06:56,749 --> 00:06:58,918
Have you you've paid cash
for the NuvaRing before?

143
00:06:58,918 --> 00:07:00,086
- Mm-hmm.
- Yeah,

144
00:07:00,086 --> 00:07:01,154
it's pretty expensive, huh?
- Yeah,

145
00:07:01,154 --> 00:07:03,089
it's really expensive.
- Yeah.

146
00:07:03,089 --> 00:07:05,658
So do you, what
county do you live in?

147
00:07:07,160 --> 00:07:08,361
- Oklahoma City county.

148
00:07:08,361 --> 00:07:09,562
- Oh, okay.

149
00:07:09,562 --> 00:07:12,598
Did you wanna see the
ultrasound or not?

150
00:07:12,598 --> 00:07:14,167
- It's.
- It's up to you.

151
00:07:14,167 --> 00:07:16,536
Some people do and some people
don't. So we just always ask.

152
00:07:16,536 --> 00:07:19,405
It's not something that,
you know, it's really your,

153
00:07:19,405 --> 00:07:21,440
some people are really curious
and some people are like,

154
00:07:21,440 --> 00:07:22,842
"I don't wanna
see anything," so.

155
00:07:22,842 --> 00:07:24,410
- Yeah.
- Okay.

156
00:07:24,410 --> 00:07:25,611
I grew up in the south,

157
00:07:25,611 --> 00:07:30,149
so saw a lot of the
way that women were not

158
00:07:31,350 --> 00:07:35,555
necessarily respected
that I think informed me

159
00:07:35,555 --> 00:07:39,592
to be invested in making sure
that women were taken care of.

160
00:07:42,461 --> 00:07:44,130
No surprises.
- Okay.

161
00:07:44,130 --> 00:07:46,265
The good news is you're
super, super early.

162
00:07:46,265 --> 00:07:51,037
So, that makes this procedure
very straightforward.

163
00:07:51,037 --> 00:07:52,572
It's very, very quick.

164
00:07:52,572 --> 00:07:55,308
And the recovery
should be really fast.

165
00:07:55,308 --> 00:07:58,244
Basically, tomorrow should feel
like you're on your period.

166
00:07:58,244 --> 00:07:59,478
- Okay.
- So,

167
00:07:59,478 --> 00:08:00,613
I don't know if you
have to work soon or?

168
00:08:00,613 --> 00:08:01,581
- I do tomorrow.

169
00:08:01,581 --> 00:08:02,482
- Okay.
(chuckles)

170
00:08:02,482 --> 00:08:03,749
Yeah, I mean,

171
00:08:03,749 --> 00:08:05,251
you should be able to
get up in the morning

172
00:08:05,251 --> 00:08:06,152
and take some ibuprofen
and it'll be like working

173
00:08:06,152 --> 00:08:06,786
when you're on your period.

174
00:08:06,786 --> 00:08:07,587
- Okay.

175
00:08:09,322 --> 00:08:10,556
- [Molly] We have a
doctor in two days a week.

176
00:08:10,556 --> 00:08:12,325
- Yeah.
- We have 60,

177
00:08:12,325 --> 00:08:15,728
70 patients on the books that
you have to see in two days.

178
00:08:15,728 --> 00:08:17,597
So we know it's
gonna be a long day.

179
00:08:17,597 --> 00:08:19,065
I mean, the thing
is just, you know,

180
00:08:19,065 --> 00:08:22,335
there's not a lot of clinics
in part of the country.

181
00:08:22,335 --> 00:08:25,238
- Looking adorable.
- Thank you.

182
00:08:25,238 --> 00:08:26,772
Any last minute questions?

183
00:08:26,772 --> 00:08:28,274
- Nn-nnh
- Okay.

184
00:08:28,274 --> 00:08:31,477
- All right.
(indistinct chatter)

185
00:08:34,146 --> 00:08:35,081
- Okay.

186
00:08:35,081 --> 00:08:36,282
The first thing I'm going to do

187
00:08:36,282 --> 00:08:38,017
is I'm just gonna feel
your cervix, okay?

188
00:08:38,017 --> 00:08:39,919
So you're just gonna feel
me touch on the outside.

189
00:08:39,919 --> 00:08:41,420
A little bit of cold goop here.

190
00:08:42,321 --> 00:08:44,090
So you'll feel some pressure.

191
00:08:44,090 --> 00:08:49,061
We talk to women a lot about
owning their own decisions

192
00:08:50,429 --> 00:08:53,199
and that they have
nothing to feel sorry for.

193
00:08:53,199 --> 00:08:56,135
And especially the women
who have a lot of guilt

194
00:08:56,135 --> 00:08:58,704
and they feel like
they don't have

195
00:08:58,704 --> 00:09:00,640
the support of their
families or they're being

196
00:09:00,640 --> 00:09:02,108
very judged by their families.

197
00:09:02,108 --> 00:09:03,943
It's okay.
- Are you nervous?

198
00:09:03,943 --> 00:09:05,978
Oh, that's normal!
- It's okay, sweetie.

199
00:09:05,978 --> 00:09:06,979
- You know, if you
weren't nervous,

200
00:09:06,979 --> 00:09:08,681
you'd be crazy and weird.

201
00:09:08,681 --> 00:09:10,049
- Right.
- Everybody's nervous

202
00:09:10,049 --> 00:09:10,850
before this.

203
00:09:12,051 --> 00:09:12,985
Okay, the next
thing I'm gonna do

204
00:09:12,985 --> 00:09:14,887
is I'm gonna put a speculum in

205
00:09:14,887 --> 00:09:17,857
just like when you
have a pap smear, okay?

206
00:09:18,991 --> 00:09:20,626
You're doing so great.

207
00:09:20,626 --> 00:09:22,795
Think women come in feeling like

208
00:09:22,795 --> 00:09:26,332
that if they're grieving or
they're sad that that means

209
00:09:26,332 --> 00:09:29,035
that they're doing
something wrong.

210
00:09:29,035 --> 00:09:30,369
We talk about that a lot.

211
00:09:30,369 --> 00:09:31,571
I tell them,

212
00:09:31,571 --> 00:09:33,372
"Look just 'cause you're
sad about something

213
00:09:33,372 --> 00:09:35,474
doesn't mean it's the
wrong thing to do."

214
00:09:35,474 --> 00:09:37,476
- Okay.
- Okay sweetie.

215
00:09:37,476 --> 00:09:39,912
The next thing I'm gonna
do is stretch your cervix.

216
00:09:39,912 --> 00:09:41,514
So you may feel cramps.

217
00:09:41,514 --> 00:09:42,715
- Phase two.
- Okay?

218
00:09:42,715 --> 00:09:44,083
So the best thing that
you can do is take

219
00:09:44,083 --> 00:09:45,418
big old, deep breaths.
- Deep breaths.

220
00:09:45,418 --> 00:09:46,886
Okay?
- In through your nose.

221
00:09:46,886 --> 00:09:48,321
- [Dr. Chiavarini] You
can't get out of a pregnancy

222
00:09:48,321 --> 00:09:51,424
without pain and tears,
regardless of how it ends up.

223
00:09:51,424 --> 00:09:53,492
And sometimes it's
tears of relief.

224
00:09:54,427 --> 00:09:55,728
But more than often than not,

225
00:09:55,728 --> 00:09:57,997
it's tears of sadness and grief.

226
00:09:57,997 --> 00:09:59,932
- [Katie] Down like
it's supposed to do.

227
00:09:59,932 --> 00:10:01,934
So we're gonna breathe
through in through your nose.

228
00:10:01,934 --> 00:10:06,172
Out through your mouth.
- You are a rock rockstar.

229
00:10:06,172 --> 00:10:08,207
Good job.
- Keep breathing.

230
00:10:08,207 --> 00:10:09,408
- [Katie] You got this.

231
00:10:09,408 --> 00:10:10,943
Deep breath in
through your nose.

232
00:10:10,943 --> 00:10:12,411
- [Dr. Chiavarini] We take
a break for just a second,

233
00:10:12,411 --> 00:10:14,180
and then we got about five more
seconds and you'll be done.

234
00:10:14,180 --> 00:10:15,615
Okay?
- You doing okay?

235
00:10:15,615 --> 00:10:16,449
- You doing okay?
- But you're gonna be like,

236
00:10:16,449 --> 00:10:17,249
"Oh, that one, shit!"

237
00:10:18,451 --> 00:10:20,019
(laughing)

238
00:10:20,019 --> 00:10:21,187
- [Katie] What
would you be doing

239
00:10:21,187 --> 00:10:22,121
if you weren't
here with us today?

240
00:10:22,121 --> 00:10:23,522
- [Patient] Probably sleeping.

241
00:10:23,522 --> 00:10:25,057
- Asleep!
- Sleeping!

242
00:10:25,057 --> 00:10:27,026
Oh, that sounds awesome.
- Cool!

243
00:10:27,026 --> 00:10:28,294
- Okay. Five more seconds.

244
00:10:28,294 --> 00:10:29,295
- (indistinct) Asleep.

245
00:10:29,295 --> 00:10:30,563
- You got this girl? You got it?

246
00:10:30,563 --> 00:10:31,697
- Absolutely!
- Keep breathing.

247
00:10:31,697 --> 00:10:32,965
In through your nose.

248
00:10:32,965 --> 00:10:34,133
- [Katie] She's a rock
star. She's got this.

249
00:10:34,133 --> 00:10:35,568
- Big old breaths.

250
00:10:35,568 --> 00:10:36,902
- [Katie] Deep breath in
your through your nose.

251
00:10:36,902 --> 00:10:38,304
- Big old breaths.
- Out through your nose.

252
00:10:38,304 --> 00:10:39,972
You're doing excellent, babe.

253
00:10:39,972 --> 00:10:42,475
- Good job!
- Almost there.

254
00:10:42,475 --> 00:10:43,909
(instrument clacks)

255
00:10:43,909 --> 00:10:45,644
- All right, you are done!
- Congratulations.

256
00:10:45,644 --> 00:10:46,712
- [Patient] That's it?

257
00:10:49,982 --> 00:10:51,917
- That should feel much better.

258
00:10:53,486 --> 00:10:55,888
- [Nurse] Just I've
told everyone to
massage their uterus.

259
00:10:55,888 --> 00:10:57,657
- [Dr. Chiavarini]
Oh yeah. It helps.

260
00:10:57,657 --> 00:10:59,458
That's the worst it
was gonna feel it.

261
00:10:59,458 --> 00:11:00,893
It's gonna...

262
00:11:00,893 --> 00:11:02,595
- Yeah.
- You'll be fine from now on.

263
00:11:02,595 --> 00:11:04,163
You'll probably just feel
like you're on your period.

264
00:11:04,163 --> 00:11:05,398
- Okay.
- You just said

265
00:11:05,398 --> 00:11:06,832
you said you have to
work tomorrow, right?

266
00:11:06,832 --> 00:11:08,300
- Mm-hmm.
- Yeah.

267
00:11:08,300 --> 00:11:10,102
You won't feel, you'll feel
so much better tomorrow.

268
00:11:10,102 --> 00:11:12,672
- Okay.
- Just take some ibuprofen.

269
00:11:12,672 --> 00:11:14,006
- Okay.
- You doing all right?

270
00:11:14,006 --> 00:11:15,241
- [Patient] Yeah.
I'm good, thank you.

271
00:11:15,241 --> 00:11:17,009
- Okay, all right.

272
00:11:17,009 --> 00:11:19,912
I'm gonna get you
cleaned up. Okay?

273
00:11:21,347 --> 00:11:22,181
You okay?

274
00:11:22,181 --> 00:11:22,982
- Uh-huh.

275
00:11:25,317 --> 00:11:27,186
- Women and people come
from all walks of life.

276
00:11:27,186 --> 00:11:29,989
They all have their own
stories and their backgrounds

277
00:11:29,989 --> 00:11:31,490
when they walk in here.

278
00:11:31,490 --> 00:11:32,925
(door clicks shut)

279
00:11:32,925 --> 00:11:34,827
We do try to meet
them where they're at.

280
00:11:36,362 --> 00:11:41,200
So when someone is even
downright hateful, sometimes we,

281
00:11:41,200 --> 00:11:42,301
I don't take it personally.

282
00:11:42,301 --> 00:11:43,769
I know you don't because

283
00:11:43,769 --> 00:11:45,037
- Yeah.
- There's something else

284
00:11:45,037 --> 00:11:46,872
going on, I know
that it's not us.

285
00:11:46,872 --> 00:11:47,706
(gentle music)
- Thank you so much.

286
00:11:47,706 --> 00:11:48,707
You're so awesome.

287
00:11:48,707 --> 00:11:50,276
- You're welcome.

288
00:11:50,276 --> 00:11:52,678
So basically you're
just gonna have

289
00:11:52,678 --> 00:11:55,815
some cramping for
the next few days,

290
00:11:55,815 --> 00:11:57,716
but we're sending you
home with the ibuprofen

291
00:11:57,716 --> 00:12:00,619
and that will help
tremendously as well as that

292
00:12:00,619 --> 00:12:02,788
uterine massage that I
showed you in the OR.

293
00:12:04,824 --> 00:12:09,795
(gentle music)
(indistinct chatter)

294
00:12:18,504 --> 00:12:20,840
- The thing that is
unique about abortion care

295
00:12:20,840 --> 00:12:24,076
is that because it's
not an easy thing to do

296
00:12:24,076 --> 00:12:27,046
you have to be pretty
dedicated to the work.

297
00:12:30,349 --> 00:12:32,051
(distant chatter)

298
00:12:34,720 --> 00:12:37,089
The people that came
into abortion care

299
00:12:37,089 --> 00:12:40,893
a generation or so ago came
into it out of feminism

300
00:12:40,893 --> 00:12:45,531
and watching so many women
suffer under illegal abortion.

301
00:12:45,531 --> 00:12:49,902
And I know that there was a
fear among older providers

302
00:12:49,902 --> 00:12:53,172
that there wouldn't
be so much commitment

303
00:12:54,273 --> 00:12:56,675
to providing abortion
services because

304
00:12:56,675 --> 00:13:00,412
my generation is the
post Rowe generation

305
00:13:00,412 --> 00:13:02,948
and we didn't see these
kinds of things happening.

306
00:13:02,948 --> 00:13:06,385
(distant chatter)

307
00:13:06,385 --> 00:13:09,121
- This photograph is
actually my mugshot

308
00:13:09,121 --> 00:13:13,993
taken by the Chicago police
on, as you see, May 4th, 1972.

309
00:13:15,427 --> 00:13:18,397
(gentle guitar music)

310
00:13:18,397 --> 00:13:21,400
The bust was
actually on May 3rd.

311
00:13:21,400 --> 00:13:23,636
Seven Janes were taken.

312
00:13:23,636 --> 00:13:27,740
And abortion, when it is
illegal, is felony homicide.

313
00:13:27,740 --> 00:13:28,941
Those were the charges.

314
00:13:30,442 --> 00:13:34,947
We, the women who worked in
it, called it The Service.

315
00:13:34,947 --> 00:13:36,415
In my own case,

316
00:13:36,415 --> 00:13:39,585
I actually discovered The
Service in the summer of 1970

317
00:13:39,585 --> 00:13:43,722
through asking a medical
student, who was a pal of mine,

318
00:13:43,722 --> 00:13:46,492
"I may need. Do you know?"

319
00:13:46,492 --> 00:13:49,461
And he said, "Everybody
here," meaning

320
00:13:49,461 --> 00:13:53,399
the University of Illinois
Medical School at Chicago,

321
00:13:53,399 --> 00:13:55,334
"everybody here says,

322
00:13:55,334 --> 00:13:58,137
call this number
and ask for Jane."

323
00:13:58,137 --> 00:13:59,805
That was pretty striking to me.

324
00:13:59,805 --> 00:14:01,240
I thought, "Oh really?"

325
00:14:02,675 --> 00:14:05,344
The women who worked in it used
that as sort of a code name,

326
00:14:05,344 --> 00:14:09,181
"Call this number and ask
for Jane," that was the line.

327
00:14:09,181 --> 00:14:10,683
In the main,

328
00:14:10,683 --> 00:14:14,019
the medical industry was
not the least bit interested

329
00:14:14,019 --> 00:14:15,988
in assisting women
in those ways.

330
00:14:15,988 --> 00:14:19,024
And of course, as we know,

331
00:14:19,024 --> 00:14:21,093
the medical industry was
not particularly interested

332
00:14:21,093 --> 00:14:23,829
in assisting women in
many ways. (chuckles)

333
00:14:23,829 --> 00:14:27,499
(gentle piano music)

334
00:14:27,499 --> 00:14:30,870
And it was in those years that
we saw the rise of the book,

335
00:14:30,870 --> 00:14:32,538
"Our Bodies, Ourselves,"

336
00:14:32,538 --> 00:14:36,308
which began as a
newsprint pamphlet of,

337
00:14:36,308 --> 00:14:37,810
I don't know, maybe
a dozen pages.

338
00:14:37,810 --> 00:14:39,278
It was like contraband.

339
00:14:39,278 --> 00:14:41,880
Everybody, we thought,
"Oh my God, look at this!

340
00:14:41,880 --> 00:14:43,115
Look what they're doing."

341
00:14:43,115 --> 00:14:45,451
And that came out of those years

342
00:14:45,451 --> 00:14:47,119
because the medical industry

343
00:14:47,119 --> 00:14:49,955
was not serving
the needs of women.

344
00:14:50,823 --> 00:14:52,958
(gentle music)

345
00:14:52,958 --> 00:14:55,861
- The values of "Our
Bodies, Ourselves,"

346
00:14:55,861 --> 00:14:59,298
and empowering women with
information about their bodies.

347
00:14:59,298 --> 00:15:03,002
It changes the role of the
doctors away from paternalism

348
00:15:03,002 --> 00:15:06,805
to partnering with women to
achieve their health goals.

349
00:15:06,805 --> 00:15:09,241
Women, when they present
to the healthcare system,

350
00:15:09,241 --> 00:15:11,577
they're now armed
with more information.

351
00:15:11,577 --> 00:15:13,879
They're now aware of what
the possibilities are.

352
00:15:13,879 --> 00:15:17,249
And so the very
paternalistic approach to,

353
00:15:17,249 --> 00:15:19,418
"I'm the doctor and I
know what's best for you."

354
00:15:19,418 --> 00:15:21,253
That's shifted greatly.

355
00:15:21,253 --> 00:15:22,821
(gentle music)

356
00:15:22,821 --> 00:15:25,824
- I certainly believe that
it's good that Roe v Wade

357
00:15:25,824 --> 00:15:29,828
made abortion legal
in the United States.

358
00:15:29,828 --> 00:15:31,697
However, if you read the text,

359
00:15:31,697 --> 00:15:36,235
you see that it's the doctors
who have the power of choice,

360
00:15:36,235 --> 00:15:38,037
not the women.

361
00:15:38,037 --> 00:15:40,406
- [Sarah] If the right of
privacy is to mean anything,

362
00:15:40,406 --> 00:15:42,408
it is the right
of the individual,

363
00:15:42,408 --> 00:15:44,376
whether married or single,

364
00:15:44,376 --> 00:15:46,245
to make determinations
for themself.

365
00:15:46,245 --> 00:15:47,680
It seems to me that
you cannot say,

366
00:15:47,680 --> 00:15:49,948
this is a woman of
this particular doctor

367
00:15:49,948 --> 00:15:50,950
and this particular woman.

368
00:15:50,950 --> 00:15:52,184
It is-
- Well,

369
00:15:52,184 --> 00:15:53,719
doesn't it follow
from that then,

370
00:15:53,719 --> 00:15:54,887
that a woman can come into
a doctor's office and say,

371
00:15:54,887 --> 00:15:56,422
"I want an abortion."

372
00:15:56,422 --> 00:15:59,091
- [Sarah] And he can say, "I'm
sorry, I don't perform them."

373
00:15:59,091 --> 00:16:00,392
(gentle music)

374
00:16:00,392 --> 00:16:03,128
- I do feel like the
Roe decision was still

375
00:16:03,128 --> 00:16:04,964
too much associated with

376
00:16:04,964 --> 00:16:09,201
patriarchal and parochial
notions that pervade healthcare,

377
00:16:09,201 --> 00:16:13,472
placing a woman's reproductive
capabilities under, again,

378
00:16:13,472 --> 00:16:15,274
the receivership of men,

379
00:16:15,274 --> 00:16:17,576
just in the capacity of
being medical providers.

380
00:16:17,576 --> 00:16:20,913
There's not an innate
right to self-determination

381
00:16:20,913 --> 00:16:22,314
and bodily autonomy.

382
00:16:22,314 --> 00:16:25,884
It is a woman's entitled
to access abortion care

383
00:16:25,884 --> 00:16:29,088
if other people are
complicit with her decision.

384
00:16:30,222 --> 00:16:32,291
- Because we were illegal,

385
00:16:32,291 --> 00:16:35,461
it was extremely important
for every woman or girl

386
00:16:35,461 --> 00:16:40,332
who came to us to understand
when you make this decision,

387
00:16:40,332 --> 00:16:44,470
you are accepting responsibility
for breaking a law

388
00:16:44,470 --> 00:16:49,441
and literally taking your
life into your own hands.

389
00:16:50,342 --> 00:16:51,944
And that was what we wanted.

390
00:16:51,944 --> 00:16:55,681
We wanted ourselves and
other women and girls

391
00:16:55,681 --> 00:16:58,984
to take our lives
into our own hands

392
00:16:58,984 --> 00:17:02,354
and not give them over to
either the medical industry,

393
00:17:02,354 --> 00:17:06,291
or to the police or
to organized religion.

394
00:17:07,459 --> 00:17:10,329
But to be able to say,
"This is who I am.

395
00:17:10,329 --> 00:17:12,364
I have given this
serious thought,

396
00:17:12,364 --> 00:17:14,466
this is what I need to do.

397
00:17:14,466 --> 00:17:18,070
I can outline the reasons for
you, but I don't have to."

398
00:17:20,639 --> 00:17:22,975
At the same time
that we were doing

399
00:17:22,975 --> 00:17:24,877
abortion work underground,

400
00:17:24,877 --> 00:17:29,848
we were learning about many
medical/political practices

401
00:17:30,783 --> 00:17:32,651
that were unacceptable to us.

402
00:17:32,651 --> 00:17:34,787
And certainly I think
would be unacceptable

403
00:17:34,787 --> 00:17:36,855
to many, many people now.

404
00:17:36,855 --> 00:17:39,992
(gentle guitar music)

405
00:17:44,530 --> 00:17:46,665
- [Willie] Our healthcare
and medical system has been

406
00:17:46,665 --> 00:17:49,201
no better than the country
in which it resides.

407
00:17:51,336 --> 00:17:52,237
For example,

408
00:17:52,237 --> 00:17:54,039
there's no denying what happened

409
00:17:54,039 --> 00:17:56,575
with the Tuskegee
Syphilis Trial.

410
00:17:56,575 --> 00:17:59,344
- [Narrator] This is not the
story of syphilis, the disease.

411
00:17:59,344 --> 00:18:01,914
It is the story of public
health organization

412
00:18:01,914 --> 00:18:03,415
who stamp out syphilis.

413
00:18:03,415 --> 00:18:05,484
- A group of people in
the public health service

414
00:18:05,484 --> 00:18:06,985
decided that they
want to figure out

415
00:18:06,985 --> 00:18:10,589
what was the natural medical
course of untreated syphilis.

416
00:18:10,589 --> 00:18:14,059
So there were black veterans
who contracted syphilis

417
00:18:14,059 --> 00:18:15,928
and rather than being treated,

418
00:18:15,928 --> 00:18:19,231
they were allowed to
be studied which was

419
00:18:19,231 --> 00:18:22,201
unethical and tragic
given that penicillin

420
00:18:22,201 --> 00:18:24,103
had already been identified

421
00:18:24,103 --> 00:18:26,105
as an effective
cure for syphilis.

422
00:18:26,105 --> 00:18:28,674
(somber music)

423
00:18:30,676 --> 00:18:33,312
It's that history that's
undeniable that's there.

424
00:18:34,446 --> 00:18:37,349
So people in the
anti-abortion movement

425
00:18:37,349 --> 00:18:42,087
have exploited the
doubt and the suspicion

426
00:18:42,087 --> 00:18:46,425
that communities of color
have about the medical system.

427
00:18:46,425 --> 00:18:49,394
♪ We shall overcome

428
00:18:51,263 --> 00:18:52,197
(somber music)
- The conspiracy theory

429
00:18:52,197 --> 00:18:54,133
of black genocide, for example,

430
00:18:54,133 --> 00:18:58,303
the latest iteration was
around 2006 with billboards

431
00:18:58,303 --> 00:19:01,140
in Atlanta and other
major urban areas

432
00:19:01,140 --> 00:19:03,942
that framed abortion
as black genocide

433
00:19:03,942 --> 00:19:07,813
exploiting the epidemiology
that notes that

434
00:19:07,813 --> 00:19:09,982
the highest rates of abortion

435
00:19:09,982 --> 00:19:12,551
occur for African
American women.

436
00:19:15,220 --> 00:19:17,823
The majority of the healthcare
providers in this country

437
00:19:17,823 --> 00:19:19,591
are white people.

438
00:19:19,591 --> 00:19:23,929
So to allege racism and
genocide has a chilling effect,

439
00:19:23,929 --> 00:19:27,199
even on people who are
committed to providing the care.

440
00:19:28,100 --> 00:19:30,802
(haunting tones)

441
00:19:36,441 --> 00:19:39,478
(car whooshes along)

442
00:19:42,915 --> 00:19:47,886
- Most physicians, you're
honored, you are respected.

443
00:19:48,787 --> 00:19:50,022
There's a lot of authority.

444
00:19:50,022 --> 00:19:52,491
That is not afforded
to abortion providers.

445
00:19:53,792 --> 00:19:56,194
You don't talk about, I
am an abortion doctor.

446
00:19:56,194 --> 00:19:57,563
You're an abortionist.

447
00:19:58,997 --> 00:20:01,700
You don't, there are words that
are meant to be disparaging

448
00:20:01,700 --> 00:20:04,002
used to describe people
who do abortions.

449
00:20:06,138 --> 00:20:10,309
So yeah, this is our
friendly protestor, Sarah.

450
00:20:11,977 --> 00:20:16,181
She's here every day
and, actually Mona
the clinic manager,

451
00:20:18,684 --> 00:20:21,553
just a couple weeks ago went
down and was talking to her

452
00:20:21,553 --> 00:20:22,955
and was like,
(reverse alarm beeps)

453
00:20:22,955 --> 00:20:25,157
"Do you even know what
happens in an abortion clinic?

454
00:20:25,157 --> 00:20:27,059
Like have you any idea?"

455
00:20:27,059 --> 00:20:29,194
And was like, "Why
don't you just come in?

456
00:20:29,194 --> 00:20:31,396
And like, if a patient agrees,

457
00:20:31,396 --> 00:20:33,332
you can even listen to
a counseling session.

458
00:20:33,332 --> 00:20:34,700
We are not evil."

459
00:20:37,736 --> 00:20:39,571
[Interviewer] Was she
not interested in?

460
00:20:39,571 --> 00:20:41,940
- [Sarah] No, not interested.

461
00:20:47,646 --> 00:20:48,480
- [Receptionist] Go
ahead and come through

462
00:20:48,480 --> 00:20:50,215
the door on the right.

463
00:20:55,754 --> 00:20:56,922
(chattering)

464
00:20:56,922 --> 00:20:58,323
- [Woman] It's a
two year fellowship

465
00:20:58,323 --> 00:21:00,158
that is both researching.

466
00:21:01,660 --> 00:21:02,461
- Thanks.

467
00:21:05,197 --> 00:21:08,700
I'd grown up with parents
who were very pro-choice and,

468
00:21:08,700 --> 00:21:11,937
you know, had talked about
planned parenthood and abortion,

469
00:21:11,937 --> 00:21:13,505
and that was fine and you know,

470
00:21:13,505 --> 00:21:16,008
wasn't something restricted
in my family at all.

471
00:21:16,008 --> 00:21:19,678
So that felt like a very
natural thing for me to do.

472
00:21:19,678 --> 00:21:20,912
Tomorrow, but I don't think
that's gonna be able to happen.

473
00:21:20,912 --> 00:21:24,716
And so I signed up to
volunteer one day a week

474
00:21:24,716 --> 00:21:27,252
at Planned Parenthood and
then ended up getting hired

475
00:21:27,252 --> 00:21:31,690
to be a medical assistant
and that was when I met Deb.

476
00:21:31,690 --> 00:21:32,824
- Right.
- Sounds good.

477
00:21:36,595 --> 00:21:37,362
- She's in two.

478
00:21:39,298 --> 00:21:41,466
I'm Deb, hi, the doctor.

479
00:21:41,466 --> 00:21:43,769
We are here to end your
pregnancy today, correct?

480
00:21:43,769 --> 00:21:44,770
- Yes.
- Do you have any

481
00:21:44,770 --> 00:21:45,971
questions about that?

482
00:21:45,971 --> 00:21:47,472
- No.
- Okay.

483
00:21:47,472 --> 00:21:49,207
I'm gonna start by listening
to your heart and lungs.

484
00:21:49,207 --> 00:21:52,878
- I just loved how
she interacted with
me and with patients

485
00:21:52,878 --> 00:21:55,580
and just had this
really great presence.

486
00:21:57,649 --> 00:22:02,454
That, coupled with the whole
message and the culture

487
00:22:02,454 --> 00:22:05,924
and everything about family
planning just clicked.

488
00:22:05,924 --> 00:22:09,661
It was really like, I
found what I wanted to do.

489
00:22:09,661 --> 00:22:11,096
- So you're gonna
feel me touch you here

490
00:22:11,096 --> 00:22:15,400
and then a cold speculum,
a lot of pressure.

491
00:22:15,400 --> 00:22:18,036
(monitor beeps)

492
00:22:19,971 --> 00:22:21,840
So you may feel
a little tugging.

493
00:22:21,840 --> 00:22:24,276
If it's too much,
you let me know.

494
00:22:24,276 --> 00:22:25,644
- [Patient] Okay.

495
00:22:37,255 --> 00:22:40,192
- So that cramping will ease
up in the next few minutes.

496
00:22:40,192 --> 00:22:42,994
Okay and little pressure
as the speculum comes out.

497
00:22:47,165 --> 00:22:48,800
And any cramping you're having

498
00:22:48,800 --> 00:22:51,636
will ease up in the
next five to 10 minutes.

499
00:22:53,638 --> 00:22:57,042
So I am gonna go to the lab
and make sure we're done. Okay?

500
00:22:57,042 --> 00:22:59,678
And I'll be right back.
- Okay.

501
00:22:59,678 --> 00:23:01,880
- What we look for
are different things

502
00:23:01,880 --> 00:23:04,449
at different gestational ages.

503
00:23:04,449 --> 00:23:08,520
So at seven weeks, we're
looking for the pregnancy sac.

504
00:23:08,520 --> 00:23:10,856
So everyone talks about
their amniotic fluid,

505
00:23:10,856 --> 00:23:12,391
but there's actually
an amniotic sac

506
00:23:12,391 --> 00:23:13,725
within the chorionic sac,

507
00:23:13,725 --> 00:23:16,228
and the chorionic sac is
the true pregnancy sac.

508
00:23:16,228 --> 00:23:18,530
Everything else we
see is uterine lining,

509
00:23:18,530 --> 00:23:22,200
also called decidua, and we're
also looking for the decidua,

510
00:23:22,200 --> 00:23:25,237
the uterine lining that sits
right over the pregnancy sac.

511
00:23:25,237 --> 00:23:28,640
And so that also helps us
know we have what we need,

512
00:23:28,640 --> 00:23:31,076
but I know from ultrasound
she's seven weeks pregnant.

513
00:23:31,076 --> 00:23:33,712
My pregnancy sac is seven
to seven and a half weeks,

514
00:23:33,712 --> 00:23:35,881
which is exactly what
her ultrasound showed.

515
00:23:36,815 --> 00:23:38,483
(knocks on door)

516
00:23:38,483 --> 00:23:40,252
How's the cramping?

517
00:23:40,252 --> 00:23:43,588
- [Patient] It hurts.
It's not like it'll go.

518
00:23:43,588 --> 00:23:45,157
- Would you like an Naproxen?

519
00:23:45,157 --> 00:23:46,091
- Yeah.
- Okay.

520
00:23:46,091 --> 00:23:47,492
I'll get you one of those.

521
00:23:47,492 --> 00:23:49,428
So one of my favorite
facts is the uterus

522
00:23:49,428 --> 00:23:51,930
is the strongest involuntary
muscle in your body.

523
00:23:51,930 --> 00:23:53,064
- Yeah.
- And you are feeling

524
00:23:53,064 --> 00:23:53,999
it's full effects.
- Yeah.

525
00:23:53,999 --> 00:23:55,267
- So while it's not comfortable,

526
00:23:55,267 --> 00:23:56,668
it actually means
your uterus is doing

527
00:23:56,668 --> 00:23:57,769
exactly what we
want it to be doing,

528
00:23:57,769 --> 00:23:59,271
okay.
- Okay.

529
00:23:59,271 --> 00:24:01,273
- So the way a uterus stops
bleeding is by contracting.

530
00:24:01,273 --> 00:24:02,174
- Okay.
- And that's what

531
00:24:02,174 --> 00:24:02,941
uterus is doing.
- Okay.

532
00:24:02,941 --> 00:24:03,942
- So that's great.

533
00:24:03,942 --> 00:24:05,110
Everything looks great.
- Okay.

534
00:24:05,110 --> 00:24:08,847
- Okay. Do you
have any questions?

535
00:24:08,847 --> 00:24:10,015
- No.
- Okay.

536
00:24:10,015 --> 00:24:11,583
So we are at the
other end of the phone

537
00:24:11,583 --> 00:24:12,417
if you think of any.

538
00:24:12,417 --> 00:24:13,952
Okay?
- Okay.

539
00:24:13,952 --> 00:24:16,588
- And you're gonna see your
doctor and get that implant.

540
00:24:16,588 --> 00:24:18,089
- Yes.
- Okay.

541
00:24:18,089 --> 00:24:20,225
So between now and then no
sex or condom each time.

542
00:24:20,225 --> 00:24:21,560
Okay?
- Okay.

543
00:24:21,560 --> 00:24:22,594
I don't even plan on it.

544
00:24:22,594 --> 00:24:24,930
It's led me to this.

545
00:24:24,930 --> 00:24:28,300
- Yes. But often we don't
plan and there it goes.

546
00:24:28,300 --> 00:24:29,801
- I know, all right.
- Okay.

547
00:24:29,801 --> 00:24:31,036
All right.

548
00:24:31,036 --> 00:24:34,406
(indistinct speech)
(gentle guitar music)

549
00:24:34,406 --> 00:24:37,642
As an abortion provider,
one can get very isolated.

550
00:24:37,642 --> 00:24:40,312
And so one of my favorite
things about coming here

551
00:24:40,312 --> 00:24:41,813
is having colleagues.

552
00:24:41,813 --> 00:24:43,882
- [Sarah] I'm gonna go
in and see this one, and-

553
00:24:43,882 --> 00:24:45,417
- She's the one
you're also hoping to-

554
00:24:45,417 --> 00:24:46,618
- Yeah, I only have six
dilators in there, so.

555
00:24:46,618 --> 00:24:48,286
- Yeah.
- I'm thinking that's

556
00:24:48,286 --> 00:24:49,788
not probably gonna happen.

557
00:24:49,788 --> 00:24:53,158
- Sarah is truly, one of my
favorite people in the world.

558
00:24:53,158 --> 00:24:54,392
Friday, so.

559
00:24:54,392 --> 00:24:55,894
Last week when she
had a complication,

560
00:24:55,894 --> 00:24:58,330
the first thing she did on
the way home is call me.

561
00:24:58,330 --> 00:25:00,332
I had a difficult
patient on Tuesday,

562
00:25:00,332 --> 00:25:02,500
the first thing
I do is call her.

563
00:25:02,500 --> 00:25:03,935
- Well, I mean, one thing about

564
00:25:03,935 --> 00:25:05,136
the family planning
community is that I think

565
00:25:05,136 --> 00:25:07,005
it is really tight
knit and we do

566
00:25:07,005 --> 00:25:09,774
really rely on each
other for support because

567
00:25:09,774 --> 00:25:13,178
we can be isolated from the
rest of, not just medicine,

568
00:25:13,178 --> 00:25:15,413
but even obstetrics and
gynecology sometimes,

569
00:25:15,413 --> 00:25:17,349
we're considered other.

570
00:25:17,349 --> 00:25:20,252
And so, yeah, we have a really
strong sense of community

571
00:25:20,252 --> 00:25:23,021
and we're incredibly
supportive of one another.

572
00:25:23,021 --> 00:25:24,522
And so, you know,

573
00:25:24,522 --> 00:25:27,325
that's a benefit of being
in a marginalized group.

574
00:25:27,325 --> 00:25:29,828
(gentle music)

575
00:25:35,033 --> 00:25:37,836
(distant chatter)

576
00:25:39,704 --> 00:25:42,040
- So my name is Rachel Hoffman.

577
00:25:42,040 --> 00:25:44,843
I'm a medical student
and I am co-chair of

578
00:25:44,843 --> 00:25:46,878
Medical Students
For Choice at UDub.

579
00:25:46,878 --> 00:25:49,981
We wanna welcome you all again,
to introduce the panelists.

580
00:25:49,981 --> 00:25:53,351
We have Dr. Sarah
Prager, who is an OB-GYN

581
00:25:53,351 --> 00:25:57,389
and Dr. Deb Oyer, who
is in family medicine.

582
00:25:57,389 --> 00:26:00,892
- Medical Students For Choice
really does what it does

583
00:26:00,892 --> 00:26:04,563
by establishing a strong
community within which

584
00:26:04,563 --> 00:26:07,165
we can all feel safe.

585
00:26:07,165 --> 00:26:12,137
And that is so important for
all of us to gain the courage

586
00:26:13,305 --> 00:26:15,974
to overcome the stigma
that we will face

587
00:26:15,974 --> 00:26:19,477
on an almost daily basis
in the medical community

588
00:26:19,477 --> 00:26:21,413
and the community at large.

589
00:26:21,413 --> 00:26:23,848
- There is a pretty big
spectrum in terms of

590
00:26:23,848 --> 00:26:25,216
how much, if at all,

591
00:26:25,216 --> 00:26:27,886
medical schools have
abortion on their curriculum.

592
00:26:27,886 --> 00:26:31,089
I know there are many
residents who start

593
00:26:31,089 --> 00:26:32,724
OB-GYN residency programs

594
00:26:32,724 --> 00:26:34,993
without having any
exposure to abortion.

595
00:26:34,993 --> 00:26:36,428
I will admit,

596
00:26:36,428 --> 00:26:39,397
I don't know the particulars
of each and every site

597
00:26:39,397 --> 00:26:42,367
where you all can be
sent to do your clerkship

598
00:26:42,367 --> 00:26:44,936
and whether or not abortion
care is a part of that.

599
00:26:44,936 --> 00:26:49,174
I would say the minority
of rotations in OB-GYN

600
00:26:49,174 --> 00:26:53,578
are going to specifically offer
exposure to abortion care.

601
00:26:53,578 --> 00:26:57,015
- What you really wanna learn
from your core clerkship

602
00:26:57,015 --> 00:27:00,285
is how to talk to a woman
about an unplanned pregnancy.

603
00:27:00,285 --> 00:27:03,888
And then you will also see
miscarriage management,

604
00:27:03,888 --> 00:27:05,390
which quite frankly, surgically,

605
00:27:05,390 --> 00:27:08,126
is really not considerably
different than an abortion.

606
00:27:08,126 --> 00:27:10,795
It's the emotion in the
conversation beforehand.

607
00:27:10,795 --> 00:27:13,565
You know, if every time
someone comes in pregnant,

608
00:27:13,565 --> 00:27:15,400
the office says to them,

609
00:27:15,400 --> 00:27:20,372
"Oh, congratulations, isn't
this great," that's not okay.

610
00:27:21,773 --> 00:27:23,575
- How many of you are
planning after your training

611
00:27:23,575 --> 00:27:25,844
to be practicing
in a rural area?

612
00:27:27,212 --> 00:27:30,448
- I think if I were practicing
in a more rural place,

613
00:27:30,448 --> 00:27:31,950
seeing more news stories,

614
00:27:31,950 --> 00:27:36,321
I don't know if I'd feel
safe providing abortions.

615
00:27:36,321 --> 00:27:40,425
- So I spent five years as a,

616
00:27:40,425 --> 00:27:44,329
the leader of an
abortion providing clinic

617
00:27:44,329 --> 00:27:47,332
in rural central Pennsylvania.

618
00:27:47,332 --> 00:27:49,501
We had some pickets
at the clinic,

619
00:27:49,501 --> 00:27:52,070
but they were
generally respectful.

620
00:27:52,070 --> 00:27:53,405
And remember,

621
00:27:53,405 --> 00:27:57,008
picketing is a constitutionally
protected activity,

622
00:27:57,008 --> 00:28:00,445
not in and of itself scary.

623
00:28:00,445 --> 00:28:03,314
And then I went to
Portland, Oregon.

624
00:28:03,314 --> 00:28:05,116
(chuckling)
Oh my God.

625
00:28:06,017 --> 00:28:07,685
I was threatened.

626
00:28:07,685 --> 00:28:11,156
My house was picketed
by those people

627
00:28:11,156 --> 00:28:14,692
who said abortion providers
should be murdered.

628
00:28:14,692 --> 00:28:19,197
It is a more confusing picture
than you might believe.

629
00:28:19,197 --> 00:28:23,334
- Since you helped train
students to provide abortions.

630
00:28:23,334 --> 00:28:25,603
Have you found
that some students

631
00:28:25,603 --> 00:28:27,038
are really passionate about it,

632
00:28:27,038 --> 00:28:31,109
but are too scared to
actually do it afterwards?

633
00:28:31,109 --> 00:28:34,446
'Cause we've all heard, you
know, the horrific news stories.

634
00:28:34,446 --> 00:28:37,182
- I in no way would
ever negate the fact

635
00:28:37,182 --> 00:28:39,050
that there has been violence

636
00:28:39,050 --> 00:28:41,119
and probably will
be violence again

637
00:28:41,119 --> 00:28:43,855
in abortion clinics and
towards abortion providers.

638
00:28:43,855 --> 00:28:47,392
But I also want to put into
perspective a little bit,

639
00:28:47,392 --> 00:28:51,896
the safety issue when we
talk about abortion care.

640
00:28:51,896 --> 00:28:56,868
And who knows which what
type or types of physicians

641
00:28:57,802 --> 00:29:01,072
are at most risk from homicide?

642
00:29:01,072 --> 00:29:03,808
It's actually emergency
medicine physicians

643
00:29:03,808 --> 00:29:05,577
and psychiatrists.

644
00:29:05,577 --> 00:29:07,579
To put it in perspective.

645
00:29:07,579 --> 00:29:11,316
There are a lot less safe things
you could do as a physician

646
00:29:11,316 --> 00:29:12,917
than be an abortion provider.

647
00:29:12,917 --> 00:29:14,719
- Like cross the street.

648
00:29:14,719 --> 00:29:16,955
(laughing)

649
00:29:18,156 --> 00:29:20,959
(distant traffic)

650
00:29:23,094 --> 00:29:26,064
(traffic hums past)

651
00:29:30,702 --> 00:29:33,404
(cycle clatters)

652
00:29:36,074 --> 00:29:39,277
(phone rings)

653
00:29:39,277 --> 00:29:41,579
- Good afternoon, Downtown
Women's Center. This is Tristan.

654
00:29:41,579 --> 00:29:44,082
We've been here over 30 years.

655
00:29:44,082 --> 00:29:46,785
We're a small clinic
like you would go

656
00:29:46,785 --> 00:29:49,954
to see just your regular
doctor if you had a cough.

657
00:29:49,954 --> 00:29:52,590
(gentle music)

658
00:29:52,590 --> 00:29:56,094
We work very closely with Oregon
Health Sciences University

659
00:29:56,094 --> 00:29:58,530
and their fellows and residents.

660
00:29:58,530 --> 00:29:59,731
- Here at OHSU,

661
00:29:59,731 --> 00:30:01,966
We've developed a
very close connection

662
00:30:01,966 --> 00:30:04,903
with the clinics in town.

663
00:30:04,903 --> 00:30:06,404
- So I'm the physician that's

664
00:30:06,404 --> 00:30:09,140
gonna be doing your
procedure today.

665
00:30:09,140 --> 00:30:10,775
Do you like me to
kind of tell you

666
00:30:10,775 --> 00:30:14,078
what I'm doing with each step
or do you prefer me not to?

667
00:30:15,480 --> 00:30:17,916
- I think if you're talking,
that's probably good.

668
00:30:17,916 --> 00:30:19,150
- Okay.

669
00:30:19,150 --> 00:30:21,085
- We have our medical
students and residents,

670
00:30:21,085 --> 00:30:24,455
and fellows and faculty
working in those settings.

671
00:30:24,455 --> 00:30:25,990
- I'm gonna have you
lay all the way back.

672
00:30:25,990 --> 00:30:29,160
It's super important to all
of us and all of our doctors

673
00:30:29,160 --> 00:30:32,096
that we train the next doctors.

674
00:30:34,465 --> 00:30:38,269
(door squeaks, closes)

675
00:30:38,269 --> 00:30:40,071
- I come here periodically

676
00:30:40,071 --> 00:30:43,741
to train family
practice residents.

677
00:30:43,741 --> 00:30:46,244
We think it's really important
to prepare our residents,

678
00:30:46,244 --> 00:30:50,248
to be able to take care of
women who need abortion care,

679
00:30:50,248 --> 00:30:52,817
who need help with
miscarriage management#

680
00:30:52,817 --> 00:30:55,420
when they have early
pregnancy losses,

681
00:30:55,420 --> 00:30:57,956
and who can help women get

682
00:30:57,956 --> 00:31:00,692
whatever kind of contraceptive
choice they want.

683
00:31:00,692 --> 00:31:02,026
Oh, let's go just
through the instruments.

684
00:31:02,026 --> 00:31:03,595
We talked a little bit about,

685
00:31:03,595 --> 00:31:07,198
these are called manual vacuum
aspirators or MBAs for short.

686
00:31:07,198 --> 00:31:09,367
There's this really
fun model where we use

687
00:31:09,367 --> 00:31:12,036
a papaya as a pretend uterus.

688
00:31:12,036 --> 00:31:15,139
And so you're gonna feel
firm, firm, firm, firm, firm,

689
00:31:15,139 --> 00:31:20,011
and then a give because then
the relatively larger space,

690
00:31:20,011 --> 00:31:21,846
potential space of
inside the uterus.

691
00:31:23,214 --> 00:31:25,049
And that has a really
characteristic feel as well.

692
00:31:25,049 --> 00:31:27,051
Not very many of
my residents go out

693
00:31:27,051 --> 00:31:29,387
and actually become abortion
providers, but many,

694
00:31:29,387 --> 00:31:33,458
if not most of them are able
to manage early pregnancy loss.

695
00:31:33,458 --> 00:31:38,363
And then you take your aspirator
and you get this ready.

696
00:31:40,231 --> 00:31:41,733
Whoa.

697
00:31:41,733 --> 00:31:45,870
I'm gonna insert the
flexible cannula in there.

698
00:31:47,405 --> 00:31:49,040
You get the seeds
coming through.

699
00:31:50,408 --> 00:31:51,910
I love bringing residents here

700
00:31:51,910 --> 00:31:55,380
so they get to see what a
feminist clinic is like.

701
00:31:55,380 --> 00:31:58,249
And it's a very
patient centered place.

702
00:31:58,249 --> 00:31:59,050
- Uh-huh.

703
00:32:00,518 --> 00:32:03,087
Yeah, so there would be a
couple of different options.

704
00:32:03,087 --> 00:32:04,889
You could either do
an in clinic procedure

705
00:32:04,889 --> 00:32:07,191
here with a doctor where
you come in for about

706
00:32:07,191 --> 00:32:09,260
two and a half to three
hours and just everything

707
00:32:09,260 --> 00:32:11,095
would happen for
you at that visit.

708
00:32:11,095 --> 00:32:15,033
Not everybody's terrified or
ashamed to have an abortion,

709
00:32:15,033 --> 00:32:16,734
but everybody goes
through something.

710
00:32:16,734 --> 00:32:18,202
Okay, so you can come back,
talk to somebody and kind of.

711
00:32:18,202 --> 00:32:20,538
Some women just wanna come
in and be like, "Are we done?

712
00:32:20,538 --> 00:32:21,906
How long do I have to be here?"

713
00:32:21,906 --> 00:32:24,242
Other women stay much longer

714
00:32:24,242 --> 00:32:27,412
and really need our
help a little bit more.

715
00:32:27,412 --> 00:32:28,913
- So once you're in position,

716
00:32:28,913 --> 00:32:30,949
the actual procedure takes
about six to seven minutes.

717
00:32:30,949 --> 00:32:32,450
- Okay.

718
00:32:32,450 --> 00:32:33,885
- The doctor will start
with a quick pelvic exam.

719
00:32:33,885 --> 00:32:37,922
So just locating how your
uterus is oriented in your body

720
00:32:37,922 --> 00:32:39,357
and where your cervix is.

721
00:32:39,357 --> 00:32:41,559
And then he'll
place the speculum,

722
00:32:41,559 --> 00:32:43,127
which you've
probably seen before.

723
00:32:43,127 --> 00:32:45,129
- It was a pelvic exam, right.

724
00:32:45,129 --> 00:32:46,631
- So, yeah,
- (indistinct) thing.

725
00:32:46,631 --> 00:32:48,099
- After the pelvic exam,

726
00:32:48,099 --> 00:32:50,568
then in order to see
the cervix, you know,

727
00:32:50,568 --> 00:32:51,970
you have to kind
of open the walls

728
00:32:51,970 --> 00:32:53,971
of the vagina a
little bit, so, this.

729
00:32:53,971 --> 00:32:56,374
- I have had the experience
of people coming in here

730
00:32:56,374 --> 00:33:01,346
really conflicted about
caring versus terminating

731
00:33:03,147 --> 00:33:06,084
and like really on
the fence truly.

732
00:33:06,084 --> 00:33:11,055
And I try and do the
pro-con thing of each side.

733
00:33:12,290 --> 00:33:13,591
Sometimes I've even
told them, you know,

734
00:33:13,591 --> 00:33:16,361
take 24 hours with
each decision.

735
00:33:17,495 --> 00:33:19,163
- All right. I
think I'm gonna go.

736
00:33:19,163 --> 00:33:20,164
Everything okay here?

737
00:33:20,164 --> 00:33:21,332
- Yes.

738
00:33:21,332 --> 00:33:23,935
The patients have left.
Everybody did well.

739
00:33:23,935 --> 00:33:26,170
- Great.
- And we'll see you soon?

740
00:33:26,170 --> 00:33:27,538
- [Amanda] Yeah. Next week.

741
00:33:29,340 --> 00:33:31,075
- [Pamela] Thank you.

742
00:33:34,445 --> 00:33:37,682
- Around the time when Roe
versus Wade was decided,

743
00:33:37,682 --> 00:33:39,684
abortion care was
provided primarily

744
00:33:39,684 --> 00:33:42,120
in big medical
centers and hospitals,

745
00:33:42,120 --> 00:33:45,523
they were simple
and straightforward
and the hospitals

746
00:33:45,523 --> 00:33:49,027
were prepared to
provide that care.

747
00:33:49,027 --> 00:33:53,898
But, a number of
political factors led to

748
00:33:55,366 --> 00:33:59,003
a shift out of hospitals,
into freestanding clinics.

749
00:34:00,204 --> 00:34:02,840
- In the absence of the
access to healthcare,

750
00:34:02,840 --> 00:34:04,342
the freestanding
clinic movement,

751
00:34:04,342 --> 00:34:06,544
it was what put abortion
within the reach of women

752
00:34:06,544 --> 00:34:07,678
when they needed it.

753
00:34:07,678 --> 00:34:10,181
(gentle music)

754
00:34:13,718 --> 00:34:16,387
- Is this the one who
had the miscarriage?

755
00:34:16,387 --> 00:34:17,955
- Yeah.

756
00:34:17,955 --> 00:34:20,224
- Health centers based
on a feminist model

757
00:34:20,224 --> 00:34:23,895
expressing the values
of empowering women,

758
00:34:23,895 --> 00:34:27,465
it changes the very
paternalistic approach to

759
00:34:27,465 --> 00:34:29,967
"I'm the doctor and I
know what's best for you."

760
00:34:29,967 --> 00:34:32,370
- My first time at a feminist
women's health center,

761
00:34:32,370 --> 00:34:34,072
when they were interviewing me,

762
00:34:34,072 --> 00:34:38,142
they told me the feminist
healthcare model at that point

763
00:34:38,142 --> 00:34:39,911
was the doc was
just a technician.

764
00:34:39,911 --> 00:34:42,079
So the women came in-

765
00:34:42,079 --> 00:34:44,248
- Hired hands.
- Hired hands, exactly!

766
00:34:44,248 --> 00:34:49,220
We were literally come in,
wield the cannula and leave.

767
00:34:50,655 --> 00:34:54,525
I can see why doctors
were seen as not an ally.

768
00:34:55,259 --> 00:34:58,062
(car horn sounds)

769
00:34:59,664 --> 00:35:03,401
(distant siren wails)

770
00:35:03,401 --> 00:35:06,404
- When the women's health
movement was getting started

771
00:35:06,404 --> 00:35:09,540
there was a lot of
anger at physicians,

772
00:35:09,540 --> 00:35:12,343
all of whom pretty
much were men.

773
00:35:12,343 --> 00:35:14,445
The husbands and the doctors

774
00:35:14,445 --> 00:35:16,948
seemed to own our
reproductive organs.

775
00:35:16,948 --> 00:35:18,349
(gentle music)

776
00:35:18,349 --> 00:35:20,418
So we were really pushing
back against that.

777
00:35:22,119 --> 00:35:25,089
We wanted to take control
of that part of our lives.

778
00:35:26,290 --> 00:35:27,859
(slide carriage clicks)

779
00:35:27,859 --> 00:35:31,562
What we came up with was taking
control of our own bodies

780
00:35:31,562 --> 00:35:34,799
through cervical
self-examination.

781
00:35:34,799 --> 00:35:36,267
(slide carriage clicks)

782
00:35:36,267 --> 00:35:39,303
And you need very little
to do a cervical self-exam.

783
00:35:39,303 --> 00:35:42,607
You just need one speculum,
a flashlight, and a mirror.

784
00:35:42,607 --> 00:35:44,308
(slide carriage clicks)

785
00:35:44,308 --> 00:35:45,610
Always we'd do this in a group

786
00:35:45,610 --> 00:35:47,111
so we could support each other.

787
00:35:47,111 --> 00:35:48,646
(slide carriage clicks)

788
00:35:48,646 --> 00:35:50,648
And one of the rules in
the group was always that

789
00:35:50,648 --> 00:35:53,651
the woman looks at
her own cervix first,

790
00:35:53,651 --> 00:35:56,153
and that's a profound change

791
00:35:56,153 --> 00:35:58,656
from what happens
in an exam room.

792
00:35:58,656 --> 00:36:00,424
(slide carriage clicks)

793
00:36:00,424 --> 00:36:02,994
Can you see the baby
being delivered?

794
00:36:02,994 --> 00:36:04,829
But there's one person missing.

795
00:36:04,829 --> 00:36:06,097
You can't see the mother.

796
00:36:06,097 --> 00:36:10,735
And so there was a lot
of advocacy for women to

797
00:36:10,735 --> 00:36:14,639
be allowed to be more active
and present during childbirth.

798
00:36:14,639 --> 00:36:16,474
(slide carriage clicks)

799
00:36:16,474 --> 00:36:20,077
So the self-help ideas to
find out from each other

800
00:36:20,077 --> 00:36:22,847
what's right and what's not
right about the medical care

801
00:36:22,847 --> 00:36:24,048
that we're being given.

802
00:36:25,349 --> 00:36:28,085
(paper crackles)

803
00:36:31,289 --> 00:36:35,193
- The transition to freestanding
clinics was, in many ways,

804
00:36:35,193 --> 00:36:39,063
a big step forward in the way
abortion care was provided.

805
00:36:40,598 --> 00:36:41,999
The advantage is

806
00:36:41,999 --> 00:36:43,768
they're completely
dedicated to abortion care

807
00:36:43,768 --> 00:36:47,905
and they're able to provide
care much more cost effectively.

808
00:36:49,273 --> 00:36:52,843
So simple first trimester
surgical abortions

809
00:36:52,843 --> 00:36:55,680
can be done very
safely in clinics

810
00:36:55,680 --> 00:36:57,882
and been where the majority
of abortions have been

811
00:36:57,882 --> 00:37:00,351
provided in this
country for a long time.

812
00:37:00,351 --> 00:37:03,788
However, it also had some
downstream consequences.

813
00:37:03,788 --> 00:37:06,390
Abortion providers
began to be viewed

814
00:37:06,390 --> 00:37:09,660
as outside the
mainstream of medicine.

815
00:37:09,660 --> 00:37:12,630
They're kind of viewed
as rogue physicians.

816
00:37:13,731 --> 00:37:15,166
In addition,

817
00:37:15,166 --> 00:37:18,069
those clinics were just
obvious targets for terrorism.

818
00:37:18,069 --> 00:37:19,904
(somber music)

819
00:37:19,904 --> 00:37:23,574
- In the early '90s, there
was so much violence going on.

820
00:37:23,574 --> 00:37:28,045
We were literally terrified
to come to work some days.

821
00:37:29,747 --> 00:37:33,417
- These activists, I prefer
to refer them as terrorists,

822
00:37:33,417 --> 00:37:35,519
but they had put my
name on a hit list,

823
00:37:35,519 --> 00:37:37,255
a deadly dozen list
they called it.

824
00:37:37,255 --> 00:37:38,756
This deadly dozen
list was issued

825
00:37:38,756 --> 00:37:41,325
on the heels of two
assassinations of physicians.

826
00:37:41,325 --> 00:37:44,762
And both of those people had
had a very similar in format

827
00:37:44,762 --> 00:37:46,697
wanted poster put out on them.

828
00:37:46,697 --> 00:37:47,932
In the middle of all this,

829
00:37:47,932 --> 00:37:50,434
a bunch of protesters
came out to my home,

830
00:37:50,434 --> 00:37:52,203
which frightened me.

831
00:37:52,203 --> 00:37:55,840
And so I was worried for
the welfare of my children.

832
00:37:55,840 --> 00:37:58,342
We had to go through what to
do in case of hostile fire.

833
00:37:58,342 --> 00:38:00,311
What do they do?
Where do you go?

834
00:38:02,079 --> 00:38:05,383
Something you don't really
wanna talk to your kids about.

835
00:38:05,383 --> 00:38:08,019
We sued these people, and
the jury in their wisdom,

836
00:38:08,019 --> 00:38:10,721
decided that indeed, this
constituted a true threat

837
00:38:10,721 --> 00:38:12,223
and we were awarded at the time,

838
00:38:12,223 --> 00:38:15,626
the largest civil judgment
ever in the history of Oregon.

839
00:38:15,626 --> 00:38:20,598
(solemn music)
(crowd singing, talking)

840
00:38:21,365 --> 00:38:24,602
(indistinct chatter)

841
00:38:24,602 --> 00:38:29,573
This anti-abortion activism
comes out from a weird coalition

842
00:38:30,975 --> 00:38:34,145
of the Roman Catholic Church
and the evangelical Christians,

843
00:38:34,145 --> 00:38:37,148
which before historically, had
been at each other's throats.

844
00:38:37,148 --> 00:38:39,050
And now in this issue,
they can get together.

845
00:38:39,050 --> 00:38:40,651
And the Catholic
Church has the money

846
00:38:40,651 --> 00:38:45,623
and the evangelicals
have the foot soldiers.

847
00:38:47,258 --> 00:38:48,826
- That's shifted
a little bit now.

848
00:38:48,826 --> 00:38:51,495
So now we're still
incredibly vigilant.

849
00:38:51,495 --> 00:38:53,097
We have security,

850
00:38:53,097 --> 00:38:55,633
patients have to push a doorbell
and announce who they are

851
00:38:55,633 --> 00:38:57,568
to get into the clinic.

852
00:38:57,568 --> 00:38:59,670
We just need to be
proactive to make sure that

853
00:38:59,670 --> 00:39:03,674
people feel safe, but not so
safe that they're wondering

854
00:39:03,674 --> 00:39:06,210
why is all of this stuff
here in the first place?

855
00:39:08,446 --> 00:39:09,847
(solemn music)
- None of us who work at

856
00:39:09,847 --> 00:39:12,683
Downtown Women's are at Lovejoy
Park in the parking lot.

857
00:39:12,683 --> 00:39:14,852
(people chatting)

858
00:39:14,852 --> 00:39:16,353
We don't want anything
to happen to our car.

859
00:39:16,353 --> 00:39:19,256
We don't want people to know
what our license plate is.

860
00:39:19,256 --> 00:39:22,860
You know, it's probably
fine. It's probably safe.

861
00:39:22,860 --> 00:39:25,029
But we take those small
precautions because

862
00:39:25,029 --> 00:39:27,298
we just don't wanna risk it.

863
00:39:27,298 --> 00:39:28,365
Are you all ready?

864
00:39:28,365 --> 00:39:30,367
- Yep.
- All right.

865
00:39:30,367 --> 00:39:31,836
I'm just gonna check
and make sure we have

866
00:39:31,836 --> 00:39:34,371
everything all set
before we get started.

867
00:39:34,371 --> 00:39:37,508
It was never a question of
is the work worth doing?

868
00:39:37,508 --> 00:39:39,977
It was more of an how
is this going to impact

869
00:39:39,977 --> 00:39:41,979
maybe my career
choices in the future?

870
00:39:41,979 --> 00:39:44,882
And also how is it
gonna impact my family?

871
00:39:44,882 --> 00:39:48,719
One there. And one here.

872
00:39:48,719 --> 00:39:51,155
Are there gonna be
protestors on my lawn?

873
00:39:51,155 --> 00:39:53,357
Are people not going
to want to come see me

874
00:39:53,357 --> 00:39:57,161
for other OB-GYN issues because
I'm an abortion provider?

875
00:39:57,161 --> 00:39:59,463
Does that feel
okay on your hips?

876
00:39:59,463 --> 00:40:00,731
- Mm-hmm.
- Okay.

877
00:40:00,731 --> 00:40:02,566
- My medical school
class was the first

878
00:40:02,566 --> 00:40:04,568
to have more women than men.

879
00:40:04,568 --> 00:40:07,538
That shift was happening,
not just within OB-GYN,

880
00:40:07,538 --> 00:40:09,407
but within medicine in general,

881
00:40:09,407 --> 00:40:12,409
the older guys were men and
the younger docs were women.

882
00:40:12,409 --> 00:40:14,812
And most of us applying
into OB-GYN were women.

883
00:40:14,812 --> 00:40:17,181
And so it just seemed like

884
00:40:17,181 --> 00:40:18,816
that was the direction
things were headed.

885
00:40:18,816 --> 00:40:20,918
- Okay, so a little bit
of gel on the outside,

886
00:40:20,918 --> 00:40:22,686
and you're gonna feel my touch.

887
00:40:22,686 --> 00:40:25,923
Lots of pressure. And then a
hand on your stomach as well.

888
00:40:25,923 --> 00:40:28,659
- I think that having
women providers

889
00:40:28,659 --> 00:40:32,429
speaking out on behalf
of their women patients,

890
00:40:32,429 --> 00:40:34,765
potentially there's
more weight to our words

891
00:40:34,765 --> 00:40:37,001
and to our actions
when it comes to

892
00:40:37,001 --> 00:40:40,070
advocating for women's
reproductive justice.

893
00:40:43,707 --> 00:40:46,944
(indistinct chatter)
- Can I have another waffle?

894
00:40:46,944 --> 00:40:48,579
- You want another waffle?

895
00:40:48,579 --> 00:40:51,515
(indistinct chatter)

896
00:41:07,198 --> 00:41:08,632
- What time's your flight?

897
00:41:08,632 --> 00:41:13,604
- 10:40.

898
00:41:15,406 --> 00:41:18,042
(zipper sounds)

899
00:41:19,276 --> 00:41:22,079
It used to be that if you were

900
00:41:22,079 --> 00:41:23,614
training in residency in OB-GYN,

901
00:41:23,614 --> 00:41:26,283
it was not a requirement that
you had abortion training.

902
00:41:27,918 --> 00:41:29,787
It's better now as a whole.

903
00:41:30,721 --> 00:41:31,956
CREOG, which is the

904
00:41:31,956 --> 00:41:35,960
Council for Residency
Education and OB-GYN

905
00:41:35,960 --> 00:41:40,598
has very clear guidelines
for abortion training.

906
00:41:40,598 --> 00:41:44,301
Now your program has to offer it

907
00:41:44,301 --> 00:41:46,904
and you can opt out if
you choose not to do it,

908
00:41:46,904 --> 00:41:49,540
but it's supposed to be part
of your regular schedule.

909
00:41:51,342 --> 00:41:53,277
(door closes)

910
00:41:53,277 --> 00:41:55,179
Medical Students for
Choice played a role.

911
00:41:55,179 --> 00:41:58,582
They were increasingly in
positions of leadership

912
00:41:58,582 --> 00:42:02,853
and had clout and increasing
the numbers of women

913
00:42:02,853 --> 00:42:05,256
who were in leadership roles.

914
00:42:05,256 --> 00:42:06,690
(car door clunks)

915
00:42:06,690 --> 00:42:08,492
But I think it just
depends on where you are,

916
00:42:08,492 --> 00:42:12,096
whether or not that's a
reality, geographically.

917
00:42:12,096 --> 00:42:17,067
(gentle music)
(distant traffic sounds)

918
00:42:23,507 --> 00:42:26,377
(indistinct chatter)

919
00:42:26,377 --> 00:42:28,145
(phone rings)

920
00:42:28,145 --> 00:42:29,380
- Hello, South Wind
Woman's Center.

921
00:42:29,380 --> 00:42:30,848
This is Katie. How
can I help you?

922
00:42:33,717 --> 00:42:35,719
(door clicks shut)

923
00:42:35,719 --> 00:42:37,121
- Hey
- Hi.

924
00:42:37,121 --> 00:42:38,389
You wanna have a seat up here?

925
00:42:38,389 --> 00:42:40,224
Great. I'm Dr. Chiavarini.

926
00:42:40,224 --> 00:42:41,892
It's nice to meet you.
- You too.

927
00:42:41,892 --> 00:42:46,297
- It's required that
OB-GYN residents

928
00:42:46,297 --> 00:42:48,966
train in abortion care.

929
00:42:48,966 --> 00:42:52,703
That requirement really
comes into conflict

930
00:42:52,703 --> 00:42:55,639
with what we find in state law.

931
00:42:55,639 --> 00:42:59,376
The anti-choice folks in
this part of the country,

932
00:42:59,376 --> 00:43:02,046
they've been able to push
through the legislatures

933
00:43:02,046 --> 00:43:05,549
these laws that ban
medical professionals

934
00:43:05,549 --> 00:43:09,653
from gaining that
adequate training at home.

935
00:43:09,653 --> 00:43:12,423
For example, if you're part
of a public institution,

936
00:43:12,423 --> 00:43:15,092
and that's where our
teaching hospitals are,

937
00:43:15,092 --> 00:43:17,861
then you cannot be associated
with abortion care.

938
00:43:17,861 --> 00:43:21,599
And so it's a matter of
sending residents out of state,

939
00:43:21,599 --> 00:43:24,835
and that's a hardship
to be expected to go to

940
00:43:24,835 --> 00:43:27,605
another state, another
city to do a training

941
00:43:27,605 --> 00:43:30,808
is I think asking
a lot of people.

942
00:43:32,276 --> 00:43:34,445
- At the medical school
in Oklahoma City,

943
00:43:34,445 --> 00:43:37,448
when they have patients
who have severe anomalies

944
00:43:37,448 --> 00:43:40,784
and they request termination
of the pregnancy,

945
00:43:40,784 --> 00:43:42,853
increasingly they
send them to us.

946
00:43:42,853 --> 00:43:44,221
You know, it's not like round.

947
00:43:44,221 --> 00:43:45,456
- Yeah.

948
00:43:45,456 --> 00:43:49,126
- They want to always
keep us at arms length.

949
00:43:49,126 --> 00:43:52,529
It's like, you don't really
want us until you need us.

950
00:43:52,529 --> 00:43:54,798
- We're lucky, especially
here in Portland,

951
00:43:54,798 --> 00:43:58,302
because the community is
fairly small and we know

952
00:43:58,302 --> 00:44:01,905
most of the docs who work
at the other hospitals.

953
00:44:01,905 --> 00:44:04,274
And so you know that if
you have an emergency

954
00:44:04,274 --> 00:44:06,744
and need to send a patient
to their emergency room,

955
00:44:06,744 --> 00:44:08,612
that they're gonna
be getting good care,

956
00:44:08,612 --> 00:44:09,880
but it's not always like that

957
00:44:09,880 --> 00:44:11,482
everywhere else in the country.

958
00:44:11,482 --> 00:44:13,317
- [Katie] It will be soon.

959
00:44:13,317 --> 00:44:15,586
I can go check for you
in just a minute. Okay?

960
00:44:17,087 --> 00:44:19,790
- We had a patient that was
from about three hours away,

961
00:44:19,790 --> 00:44:22,893
she had a failed
medication abortion,

962
00:44:22,893 --> 00:44:24,161
meaning that not everything

963
00:44:24,161 --> 00:44:26,130
completely passed
through her uterus

964
00:44:26,130 --> 00:44:29,900
and she did not want to stay
here for any intervention.

965
00:44:29,900 --> 00:44:32,936
- I think she was maybe
just worried and overwhelmed

966
00:44:32,936 --> 00:44:36,673
or who knows what was going
on, but she just suddenly,

967
00:44:36,673 --> 00:44:38,675
when we were in the middle
of our treatment plan,

968
00:44:38,675 --> 00:44:40,144
decided that she
just wanted to leave

969
00:44:40,144 --> 00:44:41,512
and go to the emergency room.

970
00:44:41,512 --> 00:44:42,780
- [Receptionist] It's up to her.

971
00:44:42,780 --> 00:44:44,448
- But I want to write
up something that

972
00:44:44,448 --> 00:44:46,517
the interventions
that we made today.

973
00:44:46,517 --> 00:44:49,153
And then I'll get Andrea
to sign it if that's okay?

974
00:44:50,487 --> 00:44:51,989
- There's a lot
of concern about,

975
00:44:51,989 --> 00:44:54,358
if you have to send your
patient to another doctor

976
00:44:54,358 --> 00:44:57,861
who isn't supportive
of that woman's choice,

977
00:44:57,861 --> 00:44:59,496
then what kind of
care is she gonna get

978
00:44:59,496 --> 00:45:01,865
when she goes to the
emergency room and you know,

979
00:45:01,865 --> 00:45:04,768
how are they going to
judge you as the provider?

980
00:45:04,768 --> 00:45:05,969
- She's gonna show up at this ER

981
00:45:05,969 --> 00:45:07,204
and they're gonna be like,

982
00:45:07,204 --> 00:45:08,672
"Oh, of course she
has no records.

983
00:45:08,672 --> 00:45:10,974
Like they probably just
like sent her out the door."

984
00:45:10,974 --> 00:45:13,277
You have to be perfect because
if you have a complication,

985
00:45:13,277 --> 00:45:14,545
then suddenly you're horrible

986
00:45:14,545 --> 00:45:16,180
even though everyone
has complications.

987
00:45:16,180 --> 00:45:19,550
And she would've literally
been fine and been able to

988
00:45:19,550 --> 00:45:22,853
walk out probably half
an hour to an hour later.

989
00:45:22,853 --> 00:45:25,389
- Yeah.
- And with some prescriptions

990
00:45:25,389 --> 00:45:27,191
and would've been fine.

991
00:45:27,191 --> 00:45:30,060
But she decided that she
would be in better hands

992
00:45:30,060 --> 00:45:31,228
going to the emergency room.

993
00:45:31,228 --> 00:45:32,730
And we were trying to write up

994
00:45:32,730 --> 00:45:34,164
a summary of what happened today

995
00:45:34,164 --> 00:45:36,567
so that she would get
better care in the ER,

996
00:45:36,567 --> 00:45:38,068
and be able to give
them that information.

997
00:45:38,068 --> 00:45:40,070
But she wasn't willing to
wait for that information.

998
00:45:40,070 --> 00:45:43,140
So she just left
without any information

999
00:45:43,140 --> 00:45:45,042
about what had been
done for her today.

1000
00:45:47,578 --> 00:45:49,213
- Okay. Yeah.

1001
00:45:50,748 --> 00:45:52,249
Let me go get Aria. Okay?

1002
00:45:52,249 --> 00:45:56,320
- I mean, I don't know
how she's gonna present.

1003
00:45:56,320 --> 00:45:59,156
I don't know. She's
not from Oklahoma City.

1004
00:45:59,156 --> 00:46:00,591
We have a hospital

1005
00:46:00,591 --> 00:46:02,693
right down the street
here that's Baptist.

1006
00:46:03,894 --> 00:46:06,063
We have a couple of
Catholic hospitals

1007
00:46:06,063 --> 00:46:09,266
and then we have the state
University of Oklahoma Hospital

1008
00:46:09,266 --> 00:46:11,668
that's not religiously
affiliated yet,

1009
00:46:11,668 --> 00:46:14,872
but they just got merged
with a Catholic University

1010
00:46:14,872 --> 00:46:17,107
so are a Catholic
organization, so,

1011
00:46:17,107 --> 00:46:19,376
we'll see what
happens with that, so.

1012
00:46:19,376 --> 00:46:21,912
(gentle music)

1013
00:46:37,127 --> 00:46:38,362
- [Andrea] Yeah?

1014
00:46:38,362 --> 00:46:41,365
- I was just curious
about sort of residency,

1015
00:46:41,365 --> 00:46:43,634
but kind of going back to the
whole Catholic hospital thing.

1016
00:46:43,634 --> 00:46:46,737
Like, should you just
completely avoid any program

1017
00:46:46,737 --> 00:46:50,040
that's based in a religious
organization entirely?

1018
00:46:50,040 --> 00:46:51,308
- Yes.
- 0h, wow!

1019
00:46:51,308 --> 00:46:52,876
(laughing)

1020
00:46:52,876 --> 00:46:55,879
- Okay, there is
this growing issue of

1021
00:46:55,879 --> 00:46:58,582
Catholic hospital
systems merging with

1022
00:46:58,582 --> 00:47:02,553
secular hospital systems
and then taking over

1023
00:47:02,553 --> 00:47:05,455
some of the directives in terms
of what can and can't happen

1024
00:47:05,455 --> 00:47:07,824
in those previously
secular hospitals.

1025
00:47:07,824 --> 00:47:09,560
And usually those
mergers are happening,

1026
00:47:09,560 --> 00:47:13,330
not for philosophical reasons,
but for financial reasons,

1027
00:47:13,330 --> 00:47:16,400
but there are huge changes
that can actually happen

1028
00:47:16,400 --> 00:47:19,803
in terms of the care that
women are able to receive.

1029
00:47:19,803 --> 00:47:24,441
(bells chime)
(choral music)

1030
00:47:24,441 --> 00:47:27,678
- People do not
realize how integrated

1031
00:47:27,678 --> 00:47:31,181
the Catholic healthcare system
is becoming through mergers.

1032
00:47:31,181 --> 00:47:33,784
Oftentimes they're
walking into a hospital

1033
00:47:33,784 --> 00:47:36,353
that may have a name that
doesn't sound Catholic at all

1034
00:47:36,353 --> 00:47:38,956
and yet the doctors
are not allowed

1035
00:47:38,956 --> 00:47:41,491
to offer a full
range of options.

1036
00:47:41,491 --> 00:47:43,760
- If you come into the
hospital, for example,

1037
00:47:43,760 --> 00:47:45,696
with a miscarriage,

1038
00:47:45,696 --> 00:47:48,198
the pregnancy is separating
from the uterine wall,

1039
00:47:48,198 --> 00:47:50,767
but there is still a heartbeat,

1040
00:47:50,767 --> 00:47:54,838
in a Catholic hospital that
pregnancy cannot be ended

1041
00:47:54,838 --> 00:47:56,506
until the heartbeat is gone.

1042
00:47:56,506 --> 00:48:00,444
In spite of the fact that that
pregnancy is going to end,

1043
00:48:00,444 --> 00:48:03,380
it is no longer really
a viable pregnancy

1044
00:48:03,380 --> 00:48:05,616
and the woman's
life is in danger.

1045
00:48:05,616 --> 00:48:09,386
- Nobody even thinks if they
are having a miscarriage,

1046
00:48:09,386 --> 00:48:13,824
"If I go to Saint
whatever's Catholic hospital

1047
00:48:13,824 --> 00:48:16,159
and I'm having a miscarriage,

1048
00:48:16,159 --> 00:48:20,397
I'm bleeding to a
dangerous amount,

1049
00:48:20,397 --> 00:48:22,699
but I still have an
embryo with a heartbeat,

1050
00:48:22,699 --> 00:48:24,234
are they not gonna
actually treat me

1051
00:48:24,234 --> 00:48:26,336
because that would
be an abortion?"

1052
00:48:26,336 --> 00:48:29,406
Nobody is gonna be thinking
about that in that moment.

1053
00:48:29,406 --> 00:48:31,475
The Catholic Church's
point of view is,

1054
00:48:31,475 --> 00:48:34,244
well, if patients, they
know what we are all about,

1055
00:48:34,244 --> 00:48:36,380
and if they wanted
access to these services

1056
00:48:36,380 --> 00:48:39,082
like contraception,
or postpartum tubals,
or abortion care,

1057
00:48:39,082 --> 00:48:41,385
or end of life
care or LGBTQ care,

1058
00:48:41,385 --> 00:48:43,086
they just go someplace else.

1059
00:48:43,086 --> 00:48:46,857
But that's not
actually logistically
possible in many places

1060
00:48:46,857 --> 00:48:50,160
unless a patient wanted to
drive, sometimes out of state.

1061
00:48:50,160 --> 00:48:51,595
(soft music)

1062
00:48:51,595 --> 00:48:54,231
- I actually did my residency
at a Catholic hospital.

1063
00:48:55,899 --> 00:48:58,602
I chose it because their mission

1064
00:48:58,602 --> 00:49:00,337
was to take care of the
poor and the elderly

1065
00:49:00,337 --> 00:49:02,506
and that was very
important to me.

1066
00:49:02,506 --> 00:49:05,042
There were crosses
on every wall.

1067
00:49:05,042 --> 00:49:08,512
At eight o'clock, if you
were in the hospital on call,

1068
00:49:08,512 --> 00:49:11,114
prayers came over the PA system,

1069
00:49:11,114 --> 00:49:13,417
but there were no
rules about abortion

1070
00:49:13,417 --> 00:49:15,285
other than it could not
happen in the hospital.

1071
00:49:15,285 --> 00:49:17,454
So we could go to
another clinic to train

1072
00:49:17,454 --> 00:49:19,790
to become an abortion provider.

1073
00:49:19,790 --> 00:49:23,126
At the end of my first
year our contract changed

1074
00:49:23,126 --> 00:49:26,463
and said we could not
do abortions anywhere.

1075
00:49:26,463 --> 00:49:28,565
You know, I was a year
into my residency.

1076
00:49:28,565 --> 00:49:33,403
I had two more years.
Was I gonna fight this?

1077
00:49:33,403 --> 00:49:35,072
I also, at that point,

1078
00:49:35,072 --> 00:49:36,907
determined I was
pregnant and thought,

1079
00:49:36,907 --> 00:49:39,276
what I'm gonna fight for
is my maternity leave.

1080
00:49:40,477 --> 00:49:43,046
Since I left working for
the Catholic hospital

1081
00:49:43,046 --> 00:49:46,550
and over the 25 ensuing years,

1082
00:49:46,550 --> 00:49:50,787
the ethical directives
have really taken over.

1083
00:49:50,787 --> 00:49:54,458
- So this is a list
of rules, basically,

1084
00:49:54,458 --> 00:49:58,328
that you're supposed to apply
when taking care of patients

1085
00:49:58,328 --> 00:50:00,630
in a Catholic healthcare system

1086
00:50:00,630 --> 00:50:04,334
and the Bishop of whatever
area can determine the degree

1087
00:50:04,334 --> 00:50:08,238
to which the ERDs
should be enforced.

1088
00:50:08,238 --> 00:50:10,607
And then individual
hospitals sometimes even vary

1089
00:50:10,607 --> 00:50:14,244
how they interpret the
Bishop's interpretation.

1090
00:50:14,244 --> 00:50:15,679
The language is a
little bit tricky

1091
00:50:15,679 --> 00:50:17,914
around ectopic pregnancy.

1092
00:50:17,914 --> 00:50:20,183
An ectopic pregnancy is a
pregnancy that is located

1093
00:50:20,183 --> 00:50:21,518
outside of the uterus.

1094
00:50:21,518 --> 00:50:23,954
They are not viable
and this can be

1095
00:50:23,954 --> 00:50:25,655
catastrophically dangerous.

1096
00:50:25,655 --> 00:50:29,025
But to the letter of the
law within Catholic ERDs,

1097
00:50:29,025 --> 00:50:31,528
you are ending a fetal
life, which is not allowed,

1098
00:50:31,528 --> 00:50:33,797
and that is held to the
same value or higher value

1099
00:50:33,797 --> 00:50:35,032
than a woman's life.

1100
00:50:35,032 --> 00:50:38,168
(engine ticks over)

1101
00:50:38,168 --> 00:50:40,203
- [Deb] When I first
came to Seattle,

1102
00:50:40,203 --> 00:50:42,272
there was Swedish and
there was Providence

1103
00:50:42,272 --> 00:50:44,341
and they were totally separate.

1104
00:50:44,341 --> 00:50:45,642
- For financial reasons,

1105
00:50:45,642 --> 00:50:48,111
Swedish needed to merge
with another hospital

1106
00:50:48,111 --> 00:50:51,014
and Providence was
the hospital system

1107
00:50:51,014 --> 00:50:52,282
with which they merged.

1108
00:50:52,282 --> 00:50:55,118
There was a lot of
outcry and concern

1109
00:50:55,118 --> 00:50:56,953
that these ethical and
religious directives

1110
00:50:56,953 --> 00:50:58,889
would hold sway over
all of the physicians

1111
00:50:58,889 --> 00:51:00,357
that work at
Providence hospital.

1112
00:51:00,357 --> 00:51:02,692
And my understanding is that

1113
00:51:02,692 --> 00:51:04,728
there was a lot of
language that, you know,

1114
00:51:04,728 --> 00:51:05,962
don't worry about it.

1115
00:51:05,962 --> 00:51:07,998
There isn't going to be
any influence on that.

1116
00:51:07,998 --> 00:51:09,366
But there clearly is

1117
00:51:09,366 --> 00:51:11,635
because inpatient
abortions with live fetuses

1118
00:51:11,635 --> 00:51:13,070
could no longer happen.

1119
00:51:13,070 --> 00:51:15,839
So the operating room at
Swedish was no longer a place

1120
00:51:15,839 --> 00:51:17,707
where abortions for a live fetus

1121
00:51:17,707 --> 00:51:19,409
could happen at any
gestational age.

1122
00:51:19,409 --> 00:51:20,911
- Now, most women do not need

1123
00:51:20,911 --> 00:51:23,180
their abortions in the hospital,

1124
00:51:23,180 --> 00:51:25,182
but when a woman needs an
abortion in the hospital,

1125
00:51:25,182 --> 00:51:26,716
she needs one in the hospital.

1126
00:51:26,716 --> 00:51:29,519
We can have someone who has
say severe heart disease

1127
00:51:29,519 --> 00:51:32,823
or severe asthma who just
needs more monitoring

1128
00:51:32,823 --> 00:51:35,692
than we are capable of doing
in an outpatient setting.

1129
00:51:35,692 --> 00:51:40,630
So when Swedish got rid of
doing any inpatient procedures,

1130
00:51:41,765 --> 00:51:44,067
we lost that ability
for patients.

1131
00:51:44,067 --> 00:51:46,937
- If there is no longer an
ability to do those procedures

1132
00:51:46,937 --> 00:51:50,507
in a safe place, we are
really actually harming women.

1133
00:51:50,507 --> 00:51:54,377
(traffic rushes past)

1134
00:51:54,377 --> 00:51:56,446
- Physicians who really
wanted to provide

1135
00:51:56,446 --> 00:51:58,782
they get out into the
real world and realize,

1136
00:51:58,782 --> 00:52:02,219
oh, they have a contract
that happens to be signed

1137
00:52:02,219 --> 00:52:06,623
through an entity that
abides by the Catholic rules.

1138
00:52:06,623 --> 00:52:08,758
And all of a sudden they
have to sign a clause

1139
00:52:08,758 --> 00:52:10,861
that says they won't
provide abortion care.

1140
00:52:12,262 --> 00:52:14,631
- Even doctors who have
authority need to have a job.

1141
00:52:14,631 --> 00:52:16,900
And Washington's a great example

1142
00:52:16,900 --> 00:52:18,768
when 49% of the hospital beds
(gentle music)

1143
00:52:18,768 --> 00:52:22,072
are affiliated with the Catholic
church, it's kind of hard,

1144
00:52:22,072 --> 00:52:25,475
actually, it's impossible
in fact, in many counties,

1145
00:52:25,475 --> 00:52:28,311
to have a job at a hospital

1146
00:52:28,311 --> 00:52:30,714
that is not affiliated
with the Catholic church.

1147
00:52:34,651 --> 00:52:37,687
(indistinct chatter)

1148
00:52:42,492 --> 00:52:43,793
(machine beeps)
- Everything, all right.

1149
00:52:46,163 --> 00:52:48,665
- Do you have any last minute
questions for me at all?

1150
00:52:48,665 --> 00:52:49,933
- I don't think so.
- No, okay.

1151
00:52:49,933 --> 00:52:52,269
- So this is the mask.
It goes over your nose.

1152
00:52:52,269 --> 00:52:53,436
- Okay.
- Okay?

1153
00:52:54,671 --> 00:52:56,172
- You're gonna hear
the machine turn on

1154
00:52:56,172 --> 00:53:00,777
and it's gonna be about 30
seconds of suctioning, okay?

1155
00:53:00,777 --> 00:53:02,979
So just some cramping
during this, all right?

1156
00:53:04,848 --> 00:53:09,286
- Let the nitrous help you and
then blow it out. Good job.

1157
00:53:09,286 --> 00:53:11,855
- As much as abortion
is a procedure

1158
00:53:11,855 --> 00:53:14,090
that should be considered
normal and is safe

1159
00:53:14,090 --> 00:53:15,592
and shouldn't be stigmatized,

1160
00:53:15,592 --> 00:53:19,529
it is a procedure that
occurs when something

1161
00:53:19,529 --> 00:53:22,465
undesired has happened
and you're, you know,

1162
00:53:22,465 --> 00:53:23,967
and you're trying
to reconcile it.

1163
00:53:23,967 --> 00:53:27,204
It's not like getting
plastic surgery, it's,

1164
00:53:27,204 --> 00:53:30,507
this is an unwanted event
that you're dealing with.

1165
00:53:32,275 --> 00:53:35,445
- Hang in there, sweetie,
it's almost over.

1166
00:53:35,445 --> 00:53:36,947
You're doing great.

1167
00:53:36,947 --> 00:53:41,351
- I think you wanna
acknowledge that, but,

1168
00:53:41,351 --> 00:53:45,388
at the same time, if you
linger too much on that,

1169
00:53:45,388 --> 00:53:49,759
people will use that as a reason
why abortion shouldn't be,

1170
00:53:51,228 --> 00:53:52,729
why abortion's a
negative, you know?

1171
00:53:52,729 --> 00:53:54,864
It's because, just 'cause the
circumstances are negatives

1172
00:53:54,864 --> 00:53:56,166
it doesn't mean the
procedure itself is.

1173
00:53:56,166 --> 00:53:57,567
- Easing up for you now.
- I'm gonna take

1174
00:53:57,567 --> 00:54:01,504
that speculum out, just
relieve some of that pressure.

1175
00:54:01,504 --> 00:54:02,405
All right. And we're all done.

1176
00:54:02,405 --> 00:54:03,673
Everything went really well.

1177
00:54:04,975 --> 00:54:05,875
- Good job.

1178
00:54:07,077 --> 00:54:08,912
- Okay. How are you
feeling right now?

1179
00:54:08,912 --> 00:54:10,413
A lot of cramps. Yeah.

1180
00:54:10,413 --> 00:54:12,315
This is kind of the worst
of it right now. Yeah.

1181
00:54:12,315 --> 00:54:14,584
It'll get a lot better even
in the next few minutes here.

1182
00:54:14,584 --> 00:54:16,086
Okay.

1183
00:54:16,086 --> 00:54:17,654
We'll just kinda have you hang
out here for a little bit.

1184
00:54:17,654 --> 00:54:18,755
All right.

1185
00:54:18,755 --> 00:54:20,190
A lot of times
people say, you know,

1186
00:54:20,190 --> 00:54:21,424
"Why do women get
abortions or do you ever,

1187
00:54:21,424 --> 00:54:23,059
when you ask women why
they get abortions,

1188
00:54:23,059 --> 00:54:24,361
like what do they say?"

1189
00:54:24,361 --> 00:54:26,663
And I say, you know, "Honestly,

1190
00:54:26,663 --> 00:54:28,932
for the majority
procedures I do,

1191
00:54:28,932 --> 00:54:30,934
I have no idea why
they get an abortion.

1192
00:54:30,934 --> 00:54:32,202
'Cause I don't ask."

1193
00:54:32,202 --> 00:54:35,071
- Feel like going next
door. You can walk?

1194
00:54:35,071 --> 00:54:36,940
(indistinct)
Not very far.

1195
00:54:36,940 --> 00:54:39,009
A more comfortable bed
with a heating pad.

1196
00:54:39,009 --> 00:54:42,078
- That's right, if someone
sees me and they're uncertain,

1197
00:54:42,078 --> 00:54:45,548
then obviously I wanna
talk to them about it.

1198
00:54:45,548 --> 00:54:48,618
But as a provider, you know,

1199
00:54:48,618 --> 00:54:51,788
you have to ask
yourself who in the room

1200
00:54:51,788 --> 00:54:56,126
knows what's best for
that woman's situation?

1201
00:54:56,126 --> 00:54:59,095
You know, is it
me? Or is it her?

1202
00:55:01,431 --> 00:55:04,701
Some people will appeal
to the pro of abortion

1203
00:55:04,701 --> 00:55:06,970
by saying that these are women

1204
00:55:06,970 --> 00:55:09,072
who are in these
horrible circumstances

1205
00:55:09,072 --> 00:55:12,075
or these are pregnancies are
in these terrible circumstances

1206
00:55:12,075 --> 00:55:16,579
and you can make an argument
that that's a really,

1207
00:55:16,579 --> 00:55:20,317
that that argument is ultimately

1208
00:55:20,317 --> 00:55:22,085
working against
where you wanna go.

1209
00:55:22,085 --> 00:55:24,054
'Cause then you're making
distinctions between

1210
00:55:24,054 --> 00:55:26,356
what's a meaningful
abortion and what's not.

1211
00:55:29,893 --> 00:55:31,327
- There absolutely is this idea

1212
00:55:31,327 --> 00:55:33,663
that there's a good
abortion or bad abortion.

1213
00:55:33,663 --> 00:55:36,499
Just like there's
an idea that there's

1214
00:55:36,499 --> 00:55:39,469
a good patient or a bad patient
in many other situations.

1215
00:55:39,469 --> 00:55:41,838
You know, this diabetic
patient takes her insulin.

1216
00:55:41,838 --> 00:55:43,406
She's a good diabetic.

1217
00:55:43,406 --> 00:55:45,775
This diabetic patient
doesn't take her insulin.

1218
00:55:45,775 --> 00:55:47,210
She's a bad diabetic.

1219
00:55:49,779 --> 00:55:51,781
But what are we
actually talking about

1220
00:55:51,781 --> 00:55:53,016
when we're talking about that?

1221
00:55:53,016 --> 00:55:54,951
We're making it about ourselves.

1222
00:55:54,951 --> 00:55:57,787
If I'm talking about this
patient is good or bad,

1223
00:55:57,787 --> 00:55:59,089
that's my judgment.

1224
00:55:59,089 --> 00:56:04,060
It's my job to come in
and educate a patient

1225
00:56:05,195 --> 00:56:06,863
on risks and benefits
and to facilitate

1226
00:56:06,863 --> 00:56:08,465
the healthcare that she needs.

1227
00:56:09,365 --> 00:56:11,601
- So what are your thoughts?

1228
00:56:11,601 --> 00:56:13,036
- I mean, I think it's probably

1229
00:56:13,036 --> 00:56:15,371
just her first period
after her miscarriage.

1230
00:56:15,371 --> 00:56:16,806
(indistinct speech)
- Okay.

1231
00:56:16,806 --> 00:56:19,843
For me, what's hard is
when younger girls come in,

1232
00:56:19,843 --> 00:56:21,711
and their mothers bring them in

1233
00:56:21,711 --> 00:56:25,715
and either they agree
or they don't agree

1234
00:56:25,715 --> 00:56:28,051
with what their parents think
their decision should be.

1235
00:56:28,051 --> 00:56:30,286
And so that's always hard.

1236
00:56:30,286 --> 00:56:32,889
I've been a teenage
mother and I'm a parent.

1237
00:56:32,889 --> 00:56:35,358
And so I can
understand both aspects

1238
00:56:35,358 --> 00:56:40,330
of how the teenager may feel
and how the parent may feel.

1239
00:56:41,464 --> 00:56:42,332
Either way, I
still believe like,

1240
00:56:43,500 --> 00:56:45,068
that girl should be able
to make the decision

1241
00:56:45,068 --> 00:56:49,072
that she wants to
make even if inside

1242
00:56:49,072 --> 00:56:50,740
my gut feeling feels like

1243
00:56:50,740 --> 00:56:52,742
they should listen
to their parent.

1244
00:56:52,742 --> 00:56:55,712
(traffic hums past)

1245
00:57:02,418 --> 00:57:05,488
- When I started here,
staff were very cultured to,

1246
00:57:05,488 --> 00:57:07,557
we rip out pictures of babies

1247
00:57:07,557 --> 00:57:09,325
out of the magazines
in the lobby.

1248
00:57:09,325 --> 00:57:10,660
We don't show baby wipes.

1249
00:57:10,660 --> 00:57:12,362
We tear those off.

1250
00:57:12,362 --> 00:57:14,764
And I watched this thinking,

1251
00:57:14,764 --> 00:57:17,767
"That's odd. The women that
come in here are mothers.

1252
00:57:17,767 --> 00:57:20,036
Like what are we hiding from?"

1253
00:57:20,036 --> 00:57:22,005
So is it possible, like
we get you a hotel,

1254
00:57:22,005 --> 00:57:23,239
we could put you there.

1255
00:57:23,239 --> 00:57:24,707
Sister could go
home, get her baby.

1256
00:57:24,707 --> 00:57:27,210
And then come back to the hotel
and stay with you tonight?

1257
00:57:27,210 --> 00:57:31,247
Being a woman who worked here
through her two pregnancies,

1258
00:57:31,247 --> 00:57:35,618
nine months pregnant doing
ultrasounds, having patients go,

1259
00:57:35,618 --> 00:57:37,287
"They let you work here?"

1260
00:57:37,287 --> 00:57:40,356
I'm like, "Yeah, they
let me work here. Yes!"

1261
00:57:40,356 --> 00:57:42,492
And I'm getting you at
about like 19 weeks.

1262
00:57:43,560 --> 00:57:44,661
- 19 weeks.
- Yep.

1263
00:57:45,862 --> 00:57:46,796
That's pretty much
right, you know,

1264
00:57:46,796 --> 00:57:48,798
from like your last ultrasound.

1265
00:57:48,798 --> 00:57:51,534
In the past 18 years
that I've come here,

1266
00:57:51,534 --> 00:57:56,072
one of the things that
I've watched change

1267
00:57:56,072 --> 00:58:00,643
for actually the better is
that we're not shameful.

1268
00:58:00,643 --> 00:58:03,313
And so I am just about
done with the ultrasound.

1269
00:58:03,313 --> 00:58:05,281
Did you want to be
able to visualize it?

1270
00:58:05,281 --> 00:58:06,816
You absolutely
don't have to look.

1271
00:58:06,816 --> 00:58:08,485
- I will.
- You wanna look, okay.

1272
00:58:08,485 --> 00:58:10,253
This is your
pregnancy right here.

1273
00:58:10,253 --> 00:58:11,888
And it kind of goes
through right here.

1274
00:58:11,888 --> 00:58:12,989
- I see it.
- Do you see it?

1275
00:58:12,989 --> 00:58:13,823
- Yeah.
- Okay.

1276
00:58:13,823 --> 00:58:14,991
Do you have questions?

1277
00:58:14,991 --> 00:58:15,959
- Yeah.
- Okay.

1278
00:58:15,959 --> 00:58:17,460
So I'm gonna take it off.

1279
00:58:17,460 --> 00:58:18,394
Last year's the first year
we sent out Christmas cards,

1280
00:58:18,394 --> 00:58:19,662
we put our faces out there.

1281
00:58:19,662 --> 00:58:21,965
It was like, this is what we do!

1282
00:58:21,965 --> 00:58:23,166
Oh yeah, she could do that too.

1283
00:58:23,166 --> 00:58:24,400
It's just the idea
that she needs

1284
00:58:24,400 --> 00:58:26,002
somebody tonight with
her in that room.

1285
00:58:26,002 --> 00:58:27,937
So that's kind of
where she's at.

1286
00:58:27,937 --> 00:58:29,439
- Okay.

1287
00:58:29,439 --> 00:58:30,907
So the reason that it needs
to be a two day procedure

1288
00:58:30,907 --> 00:58:32,509
is because we need to
be able to have time

1289
00:58:32,509 --> 00:58:34,477
to dilate your cervix
in order to make this

1290
00:58:34,477 --> 00:58:36,079
procedure safe for you.

1291
00:58:36,079 --> 00:58:38,681
So what they'll do today
is insert a few dilators.

1292
00:58:38,681 --> 00:58:40,149
You'll go back to your hotel,

1293
00:58:40,149 --> 00:58:42,485
which I'll take care of as
soon as we're done in this room

1294
00:58:42,485 --> 00:58:44,020
and get you that information.

1295
00:58:44,020 --> 00:58:45,521
- [Patient] Okay.

1296
00:58:45,521 --> 00:58:48,091
- And then you'll come back
tomorrow to our Renton office

1297
00:58:48,091 --> 00:58:49,993
and then that's when they'll
remove those dilators

1298
00:58:49,993 --> 00:58:52,195
and then they'll remove your
pregnancy at the same time.

1299
00:58:52,195 --> 00:58:53,696
Did you have any
questions about that?

1300
00:58:53,696 --> 00:58:55,031
- [Patient] So that's not
gonna be removed today?

1301
00:58:55,031 --> 00:58:56,332
- Not today. No.

1302
00:58:56,332 --> 00:58:57,467
We just need to be
able to have time

1303
00:58:57,467 --> 00:58:58,835
to dilate your
cervix so that we can

1304
00:58:58,835 --> 00:59:00,770
remove the pregnancy tomorrow.
- Okay.

1305
00:59:02,539 --> 00:59:04,307
- And then you hit, Okay.

1306
00:59:04,307 --> 00:59:05,775
And now you hit Document.

1307
00:59:05,775 --> 00:59:09,445
There can be a lot of judgment
that surrounds LGBTQ care.

1308
00:59:09,445 --> 00:59:12,649
So we do hormone therapy,
transgender care.

1309
00:59:12,649 --> 00:59:17,120
We provide just a safe place
for the entire community

1310
00:59:17,120 --> 00:59:21,224
to be able to come and have a
free conversation regarding,

1311
00:59:21,224 --> 00:59:23,026
you know, any aspect of sex,

1312
00:59:23,026 --> 00:59:25,695
whether it's vaginal sex,
whether it's anal sex.

1313
00:59:25,695 --> 00:59:27,897
We want all of our
clients, patients,

1314
00:59:27,897 --> 00:59:30,066
to come through this
door and be able to say,

1315
00:59:30,066 --> 00:59:32,535
"Hey, this is what's
going on with me.

1316
00:59:32,535 --> 00:59:34,237
I've had this type of partner."

1317
00:59:34,237 --> 00:59:36,839
(crowd shouts)

1318
00:59:37,974 --> 00:59:39,809
(gentle music)
- There's a strong bond

1319
00:59:39,809 --> 00:59:44,781
and relationship between
LGBTQ people and women who are

1320
00:59:45,982 --> 00:59:48,351
seeking control of their
fertility by abortion.

1321
00:59:49,852 --> 00:59:54,724
The more visceral aspects
of anti-abortion sentiment

1322
00:59:55,992 --> 00:59:58,161
is related to the
insistence on the

1323
00:59:58,161 --> 01:00:00,697
primary roles for men and women

1324
01:00:00,697 --> 01:00:05,268
and LGBT expressions of
human sexuality challenge

1325
01:00:05,268 --> 01:00:07,770
patriarchal notions of what

1326
01:00:07,770 --> 01:00:10,239
the appropriate
roles are in society.

1327
01:00:10,239 --> 01:00:12,942
And similarly women,

1328
01:00:12,942 --> 01:00:16,412
as they explore
their fuller humanity

1329
01:00:16,412 --> 01:00:18,281
by actualizing all
of their potential

1330
01:00:18,281 --> 01:00:20,216
and take control
of their sexuality,

1331
01:00:20,216 --> 01:00:23,086
means it is now uncoupled
from an aspect of sexuality

1332
01:00:23,086 --> 01:00:26,956
that has to relate to
men or a particular man.

1333
01:00:26,956 --> 01:00:29,292
(gentle music)

1334
01:00:29,292 --> 01:00:31,461
Right around the time
that I had my call

1335
01:00:31,461 --> 01:00:33,763
to add abortion care to my,

1336
01:00:33,763 --> 01:00:36,299
the scope of practice
that I pursued.

1337
01:00:36,299 --> 01:00:41,070
It was also when I began to
do a deeper dive in feminism.

1338
01:00:42,605 --> 01:00:47,110
I'm not just being a good guy
when I pursue feminist goals.

1339
01:00:48,378 --> 01:00:50,646
I'm in pursuit of
a fuller humanity,

1340
01:00:50,646 --> 01:00:52,982
because if I have
to subordinate women

1341
01:00:52,982 --> 01:00:55,251
to have to feel like a man

1342
01:00:55,251 --> 01:00:57,854
then I'm losing an
aspect of my humanity.

1343
01:00:59,322 --> 01:01:00,623
(gentle music)
My consciousness raising

1344
01:01:00,623 --> 01:01:02,992
occurred with me
affiliating with

1345
01:01:02,992 --> 01:01:04,661
the organization of Sister Song.

1346
01:01:04,661 --> 01:01:06,829
And as I was transitioning

1347
01:01:06,829 --> 01:01:09,832
more fully into my
identity as a feminist,

1348
01:01:09,832 --> 01:01:13,002
I was introduced to the concept
of reproductive justice.

1349
01:01:13,002 --> 01:01:15,838
(gentle music)

1350
01:01:15,838 --> 01:01:18,074
- Well, the beauty of the
reproductive justice framework

1351
01:01:18,074 --> 01:01:20,843
is that it is the
isolation of abortion

1352
01:01:20,843 --> 01:01:22,979
from other social
justice issues.

1353
01:01:24,447 --> 01:01:29,218
And so it allows us to have the
conversation about abortion,

1354
01:01:30,620 --> 01:01:32,688
at the same time, we're
talking about white supremacy,

1355
01:01:32,688 --> 01:01:35,992
or economic injustice
or welfare rights,

1356
01:01:35,992 --> 01:01:40,096
or HIV aids or housing
or police brutality,

1357
01:01:40,096 --> 01:01:43,766
all the other things that
go on in our community.

1358
01:01:43,766 --> 01:01:45,835
- Reproductive justice
allows for a framework

1359
01:01:45,835 --> 01:01:48,771
that is inclusive of
issues that would be

1360
01:01:48,771 --> 01:01:50,840
seemingly remote
from one another.

1361
01:01:50,840 --> 01:01:53,109
It's not about are
you for adoption?

1362
01:01:53,109 --> 01:01:55,711
Are you for abortion? Are
you for birth justice?

1363
01:01:55,711 --> 01:01:57,947
Are you for LGBTQ rights?

1364
01:01:59,148 --> 01:02:00,483
A reproductive justice framework

1365
01:02:00,483 --> 01:02:04,520
allows for the intersectionality
of these issues.

1366
01:02:04,520 --> 01:02:09,225
- And so I think that is
our best ally right now

1367
01:02:09,225 --> 01:02:13,029
that we have an intersectional
inclusive framework

1368
01:02:13,029 --> 01:02:16,065
that allows us to have
conversations with people

1369
01:02:16,065 --> 01:02:17,467
who are uncomfortable, maybe,

1370
01:02:17,467 --> 01:02:19,735
only focusing on
abortion 'cause you know,

1371
01:02:19,735 --> 01:02:22,004
reproductive justice is
the right to have a child

1372
01:02:22,004 --> 01:02:25,074
and not have a child
and to parent our kids.

1373
01:02:25,074 --> 01:02:30,046
(gentle music)
(distant traffic sounds)

1374
01:02:32,748 --> 01:02:35,852
(indistinct chatter)

1375
01:02:37,053 --> 01:02:39,422
- I really wanna talk a
little bit today about

1376
01:02:39,422 --> 01:02:42,358
what an abortion looks
like and you know,

1377
01:02:42,358 --> 01:02:46,062
what it looks like in reality
and how it's portrayed,

1378
01:02:46,062 --> 01:02:50,600
and how it ultimately
sort of affects

1379
01:02:50,600 --> 01:02:52,735
being an abortion provider.

1380
01:02:52,735 --> 01:02:54,403
Have you guys both
seen abortions?

1381
01:02:54,403 --> 01:02:55,605
- Yeah.
- Okay.

1382
01:02:55,605 --> 01:02:58,241
And how far along did
you, how far along,

1383
01:02:58,241 --> 01:03:01,577
what's the latest gestational
age you saw a procedure till?

1384
01:03:01,577 --> 01:03:04,580
- Saw it around first
to second trimester.

1385
01:03:04,580 --> 01:03:05,782
- First.
- 14.

1386
01:03:05,782 --> 01:03:07,617
- It's 15 weeks.
- 15 weeks, okay.

1387
01:03:07,617 --> 01:03:10,653
What you think of the 15 week
procedure when you saw it?

1388
01:03:12,121 --> 01:03:15,091
- It was at the time I was
supporting the procedure

1389
01:03:15,091 --> 01:03:17,126
and we were using
ultrasound to assist.

1390
01:03:17,126 --> 01:03:19,562
So I think it was
a little bit more

1391
01:03:19,562 --> 01:03:21,597
eye opening for me at the time.

1392
01:03:23,199 --> 01:03:25,134
I did feel some
sadness for sure.

1393
01:03:25,134 --> 01:03:27,270
- Yeah.
- And to experience that

1394
01:03:27,270 --> 01:03:30,773
for the first time was,

1395
01:03:32,208 --> 01:03:34,777
was an interesting growth
moment I think for me.

1396
01:03:36,245 --> 01:03:39,649
- I actually remember
the first time I did a,

1397
01:03:39,649 --> 01:03:42,952
like a pretty late, you know,
a 20 week plus abortion.

1398
01:03:42,952 --> 01:03:45,721
I remember that
in that procedure,

1399
01:03:45,721 --> 01:03:49,659
all of a sudden the head comes
out and I remember, you know,

1400
01:03:49,659 --> 01:03:53,796
physically jumping back
like "Ugh!" you know,

1401
01:03:55,998 --> 01:03:58,434
because it was a really
disturbing thing to look at.

1402
01:03:58,434 --> 01:04:01,737
And since then I've done
enough that I try to sort of

1403
01:04:04,273 --> 01:04:07,944
block that reaction, but I, I,

1404
01:04:07,944 --> 01:04:09,679
it's a reaction that if
you've talked to people

1405
01:04:09,679 --> 01:04:11,514
that do abortion,
almost everyone had

1406
01:04:11,514 --> 01:04:14,083
the first time they
had that moment.

1407
01:04:14,083 --> 01:04:16,452
And yet that's a reality
of the procedure. Right?

1408
01:04:16,452 --> 01:04:17,687
And we don't talk about it

1409
01:04:17,687 --> 01:04:18,955
and it's because we
don't talk about it

1410
01:04:18,955 --> 01:04:21,757
here's this void of
information, you know?

1411
01:04:21,757 --> 01:04:24,927
And, when that void exists,

1412
01:04:24,927 --> 01:04:27,430
people can fill it with
whatever they want.

1413
01:04:27,430 --> 01:04:29,498
- A group called the Center
for Medical Progress,

1414
01:04:29,498 --> 01:04:31,934
a pro-life concern,
has been investigating

1415
01:04:31,934 --> 01:04:34,203
Planned Parenthood
for three years.

1416
01:04:34,203 --> 01:04:35,338
- Do you guys remember the

1417
01:04:35,338 --> 01:04:37,306
fetal tissue
controversy last year?

1418
01:04:37,306 --> 01:04:41,544
- Selling the body
parts of aborted babies.

1419
01:04:41,544 --> 01:04:43,312
- Some of it was obviously fake.

1420
01:04:43,312 --> 01:04:45,448
When they cut the
video, they made it,

1421
01:04:45,448 --> 01:04:47,116
they tried to make it
seem like people were

1422
01:04:47,116 --> 01:04:48,551
selling tissue when really

1423
01:04:48,551 --> 01:04:50,720
they were just talking
about the transport costs.

1424
01:04:50,720 --> 01:04:51,887
But some of it was actually

1425
01:04:51,887 --> 01:04:55,358
just putting out
facts about abortion,

1426
01:04:55,358 --> 01:04:57,560
but because no one had
heard about it before,

1427
01:04:57,560 --> 01:04:59,896
it was all of a
sudden, "Oh my God!

1428
01:04:59,896 --> 01:05:04,533
Like you remove the. This
is how you do an abortion?

1429
01:05:04,533 --> 01:05:07,236
And it, that's what
it looks like?"

1430
01:05:07,236 --> 01:05:10,973
A year ago I had a patient,
it was a late abortion,

1431
01:05:10,973 --> 01:05:13,809
and she understood
how it was being done,

1432
01:05:13,809 --> 01:05:16,245
but she wanted to see
the fetus at the end.

1433
01:05:16,245 --> 01:05:18,247
You know, I was kind of like,

1434
01:05:18,247 --> 01:05:20,149
"I don't know if
you wanna see this."

1435
01:05:20,149 --> 01:05:23,853
And I was honestly,
I didn't feel like,

1436
01:05:23,853 --> 01:05:26,255
I didn't want her to see
it personally, you know?

1437
01:05:26,255 --> 01:05:29,225
But I also recognize
that that was her choice,

1438
01:05:29,225 --> 01:05:33,195
and this was something
that came from her body

1439
01:05:33,195 --> 01:05:38,167
and there's a process to
her abortion, you know,

1440
01:05:39,402 --> 01:05:40,603
not the procedure,
but her abortion,

1441
01:05:40,603 --> 01:05:42,238
her, the experience
that she's undergoing

1442
01:05:42,238 --> 01:05:45,074
that she wants to
find a closure in

1443
01:05:45,074 --> 01:05:49,412
and it might involve
seeing the removed fetus.

1444
01:05:50,880 --> 01:05:53,716
- If we don't talk about
it, the stigma continues.

1445
01:05:53,716 --> 01:05:55,184
- Right.
- And I have felt

1446
01:05:55,184 --> 01:05:57,553
for a very long time when
I lecture on abortion

1447
01:05:57,553 --> 01:06:00,456
or even talk about it to
a non-medical audience,

1448
01:06:00,456 --> 01:06:03,025
I feel like I need to talk
about what really happens,

1449
01:06:03,025 --> 01:06:05,461
because, if you're
gonna be pro-choice,

1450
01:06:05,461 --> 01:06:07,463
you need to know what
actually happens.

1451
01:06:07,463 --> 01:06:09,365
And I don't feel like
everyone needs to know about

1452
01:06:09,365 --> 01:06:10,766
every medical procedure,

1453
01:06:10,766 --> 01:06:12,635
but there's so much
negative about what happens.

1454
01:06:12,635 --> 01:06:14,603
- Hi.
- Hi, I'm Deb Oyer,

1455
01:06:14,603 --> 01:06:16,272
the doctor, this is Seb Patel,

1456
01:06:16,272 --> 01:06:17,540
the other doctor.
- Hi.

1457
01:06:17,540 --> 01:06:18,307
- Nice to meet you.
- Nice to meet you.

1458
01:06:18,307 --> 01:06:19,108
- How was your night?

1459
01:06:20,476 --> 01:06:21,577
- Last night?
- Mm-hmm.

1460
01:06:21,577 --> 01:06:23,412
- It was okay.
- Okay.

1461
01:06:23,412 --> 01:06:25,247
- Yeah, I just threw up a lot

1462
01:06:25,247 --> 01:06:27,316
and then I had a lot of cramps.

1463
01:06:27,316 --> 01:06:30,987
- Okay. The medicine sometimes
can make that happen.

1464
01:06:30,987 --> 01:06:33,789
All right, let's get this
show on the road then.

1465
01:06:44,467 --> 01:06:46,001
- Okay, just a light press here

1466
01:06:46,001 --> 01:06:49,572
and we'll put the speculum
in here, lots of pressure.

1467
01:06:49,572 --> 01:06:52,007
- Surgery can be
disturbing. It can be messy.

1468
01:06:52,007 --> 01:06:53,542
It can be hard to watch.

1469
01:06:57,279 --> 01:07:00,516
Abortion becomes more
psychologically messy

1470
01:07:00,516 --> 01:07:02,585
because of this other
potential being.

1471
01:07:12,995 --> 01:07:16,265
Eight weeks and below we see
just the gestational sac,

1472
01:07:16,265 --> 01:07:18,968
and that's easy for most people.

1473
01:07:18,968 --> 01:07:22,271
Beyond that, we do start seeing
recognizable fetal parts,

1474
01:07:22,271 --> 01:07:23,773
and there are people who are

1475
01:07:23,773 --> 01:07:25,274
comfortable with
that theoretically,

1476
01:07:25,274 --> 01:07:30,045
but still have some sort of
aversion, a gut reaction,

1477
01:07:30,045 --> 01:07:32,615
to seeing a more
developed fetus.

1478
01:07:32,615 --> 01:07:33,883
For other people it's just like,

1479
01:07:33,883 --> 01:07:36,519
"Oh my God, that is so cool."

1480
01:07:36,519 --> 01:07:38,654
For those of us who've
studied embryology

1481
01:07:38,654 --> 01:07:41,657
to actually see it
in different stages.

1482
01:07:41,657 --> 01:07:42,458
Perfect.

1483
01:07:45,294 --> 01:07:46,662
We'll take some pap.

1484
01:07:46,662 --> 01:07:48,664
We all have our
different issues we bring

1485
01:07:48,664 --> 01:07:50,132
to everything in life.

1486
01:07:50,132 --> 01:07:53,702
And if somebody struggles
with ending a potential life,

1487
01:07:53,702 --> 01:07:55,538
I'm gonna sit down
and hear them out.

1488
01:07:56,806 --> 01:07:59,408
But you are ethically
required to be able to

1489
01:07:59,408 --> 01:08:01,043
talk to your patient
about abortion,

1490
01:08:01,043 --> 01:08:03,345
to be truthful about
abortion with them

1491
01:08:03,345 --> 01:08:05,081
and use scientific facts,

1492
01:08:05,081 --> 01:08:08,017
not those that the
other side would give.

1493
01:08:08,017 --> 01:08:10,419
And to also, if you're not
going to do their abortion,

1494
01:08:10,419 --> 01:08:14,023
to refer in such a way that
you're not putting them down.

1495
01:08:14,023 --> 01:08:15,524
So not, you know,

1496
01:08:15,524 --> 01:08:17,593
"I'm gonna send you
to see Dr. Prager

1497
01:08:17,593 --> 01:08:19,095
because I don't
believe in this."

1498
01:08:19,095 --> 01:08:20,996
- Right-
- But I'm gonna send you

1499
01:08:20,996 --> 01:08:24,266
to see Dr. Prager, because
this is her specialty,

1500
01:08:24,266 --> 01:08:26,669
just as I'm gonna send
you to see Dr. So-and-so,

1501
01:08:26,669 --> 01:08:28,938
who's the cardiologist 'cause
that's their specialty.

1502
01:08:28,938 --> 01:08:30,840
- All right,
speculum's coming out.

1503
01:08:30,840 --> 01:08:33,609
There you go. You're all done.

1504
01:08:33,609 --> 01:08:36,645
(indistinct chatter)

1505
01:08:38,614 --> 01:08:42,918
- Everything went really well.
And your IUD is in as well.

1506
01:08:42,918 --> 01:08:44,119
Okay?
(indistinct)

1507
01:08:44,119 --> 01:08:46,088
So as soon as Seb
gets you cleaned up,

1508
01:08:46,088 --> 01:08:48,791
we'll push you back up the table
and let you rest for while.

1509
01:08:48,791 --> 01:08:50,459
- All right.
- Okay?

1510
01:08:50,459 --> 01:08:52,928
- Thank you so much.
- You are very, very welcome.

1511
01:08:54,797 --> 01:08:56,932
We go up to 26 weeks,

1512
01:08:56,932 --> 01:08:59,768
through 21 weeks as
a two day procedure.

1513
01:08:59,768 --> 01:09:04,473
And then from 22 weeks to
26 as a three day procedure.

1514
01:09:04,473 --> 01:09:08,110
People end up being that
far along for a few reasons,

1515
01:09:08,110 --> 01:09:10,579
figuring out you're pregnant,
getting it together.

1516
01:09:10,579 --> 01:09:11,981
And often they'll
spend some time

1517
01:09:11,981 --> 01:09:13,249
trying to get money together

1518
01:09:13,249 --> 01:09:15,784
before they even go
in to see anybody.

1519
01:09:15,784 --> 01:09:18,420
(gentle music)

1520
01:09:21,624 --> 01:09:23,158
- Unfortunately,

1521
01:09:23,158 --> 01:09:26,328
oftentimes the women
who are the most needy,

1522
01:09:26,328 --> 01:09:29,598
those that have the most
profound social issues

1523
01:09:29,598 --> 01:09:32,268
or financial challenges
are the least able

1524
01:09:32,268 --> 01:09:34,136
to get abortion services

1525
01:09:34,136 --> 01:09:36,338
because of the distance
they have to travel

1526
01:09:36,338 --> 01:09:37,740
or the time they have to take,

1527
01:09:37,740 --> 01:09:39,975
or the health insurance loops

1528
01:09:39,975 --> 01:09:41,911
that they have to jump through.

1529
01:09:41,911 --> 01:09:43,679
And as a consequence,

1530
01:09:43,679 --> 01:09:47,917
they end up in the second
trimester or even later,

1531
01:09:47,917 --> 01:09:50,452
and they have to
then have an abortion

1532
01:09:50,452 --> 01:09:54,123
that's much more complicated
and carries greater risk.

1533
01:09:54,123 --> 01:09:56,792
(gentle music)

1534
01:09:56,792 --> 01:10:01,463
I think it's ironic that
the anti-choice movement

1535
01:10:01,463 --> 01:10:06,435
has in fact effectively
pushed abortions into

1536
01:10:07,203 --> 01:10:08,003
later in pregnancy.

1537
01:10:13,108 --> 01:10:15,711
(indistinct chatter)

1538
01:10:15,711 --> 01:10:18,213
When I look at the
patients that come to me

1539
01:10:18,213 --> 01:10:20,649
for pregnancy care and you know,

1540
01:10:20,649 --> 01:10:22,785
maybe I'm lucky enough
to deliver their babies,

1541
01:10:22,785 --> 01:10:25,988
they're very thankful
and appreciative.

1542
01:10:27,122 --> 01:10:29,158
- Yeah!
- Good job!

1543
01:10:29,158 --> 01:10:31,226
- Welcome baby.
- Congratulations.

1544
01:10:31,226 --> 01:10:33,062
- Congratulations.
- Thank you.

1545
01:10:33,062 --> 01:10:36,065
(baby cries)

1546
01:10:36,065 --> 01:10:38,567
- Later, take a deep breath.

1547
01:10:38,567 --> 01:10:40,502
There you go.
You're doing great.

1548
01:10:40,502 --> 01:10:42,471
But honestly I
think the gratitude

1549
01:10:42,471 --> 01:10:47,409
of patients in abortion
care is even more profound.

1550
01:10:47,409 --> 01:10:48,410
- I'm Dr. Sarah Prager.

1551
01:10:48,410 --> 01:10:49,378
How are you?
- Good.

1552
01:10:49,378 --> 01:10:50,846
- Good. This is Dr. Seb Patel,

1553
01:10:50,846 --> 01:10:52,081
- Hi!
- Hello.

1554
01:10:52,081 --> 01:10:53,582
- We're gonna be working
together today, okay?

1555
01:10:53,582 --> 01:10:57,219
I can't fix all of the other
stuff that potentially led to

1556
01:10:58,721 --> 01:11:01,890
that being a situation that
she is having to now manage.

1557
01:11:03,659 --> 01:11:06,762
I can't fix the
fact that, you know,

1558
01:11:06,762 --> 01:11:09,732
she no longer has her
same insurance and so

1559
01:11:09,732 --> 01:11:12,234
she wasn't able to pick up her
pack of birth control pills

1560
01:11:12,234 --> 01:11:14,603
and that's why she got pregnant.

1561
01:11:14,603 --> 01:11:18,774
or she's now in the second
trimester because it took her

1562
01:11:18,774 --> 01:11:21,443
10 weeks to raise the money
to be able to get here.

1563
01:11:21,443 --> 01:11:22,945
You know, any number of things.

1564
01:11:22,945 --> 01:11:26,348
So I can't fix that, but I
can fix her immediate problem.

1565
01:11:26,348 --> 01:11:28,083
All right. So we're all done.

1566
01:11:29,184 --> 01:11:29,985
That's it.

1567
01:11:31,453 --> 01:11:34,123
I've heard many times from
colleagues or other people,

1568
01:11:34,123 --> 01:11:35,924
"You know, nobody
likes to do abortions,

1569
01:11:35,924 --> 01:11:37,359
but somebody's gotta do them.

1570
01:11:37,359 --> 01:11:39,194
It's a necessary evil."

1571
01:11:39,194 --> 01:11:41,964
And I actually completely
disagree with that.

1572
01:11:41,964 --> 01:11:45,734
I enjoy incorporating
abortion care into my life.

1573
01:11:45,734 --> 01:11:47,870
I think we make
assumptions also about

1574
01:11:47,870 --> 01:11:49,972
how this has to be a
really private thing.

1575
01:11:49,972 --> 01:11:51,974
And I'm gonna tell
it a brief story

1576
01:11:51,974 --> 01:11:54,443
just to show that not
everybody feels that way.

1577
01:11:54,443 --> 01:11:59,415
I was at SeaTac airport
getting a muffin

1578
01:11:59,415 --> 01:12:00,816
(laughing)

1579
01:12:00,816 --> 01:12:02,885
and the woman behind the
counter looks at me, she said,

1580
01:12:02,885 --> 01:12:07,856
"I know you!" in this volume
voice, "You did my abortion!"

1581
01:12:08,657 --> 01:12:10,159
Lots of people in line,

1582
01:12:10,159 --> 01:12:12,594
other people she works
with standing right there.

1583
01:12:12,594 --> 01:12:15,998
And I'm like, "Yes, I did."
(laughing)

1584
01:12:15,998 --> 01:12:17,399
- More than anything else,

1585
01:12:17,399 --> 01:12:20,502
I hope that you walk
out of here today,

1586
01:12:20,502 --> 01:12:25,007
knowing what a huge
difference all of you make

1587
01:12:25,007 --> 01:12:28,410
in giving your patients access

1588
01:12:28,410 --> 01:12:30,946
to the family planning
care they need,

1589
01:12:30,946 --> 01:12:34,650
no matter what
specialty you choose.

1590
01:12:34,650 --> 01:12:35,851
(gentle music)
- Most of those people

1591
01:12:35,851 --> 01:12:38,520
will not end up being
abortion providers,

1592
01:12:38,520 --> 01:12:40,656
but they will be
people who have learned

1593
01:12:40,656 --> 01:12:42,658
how to talk to patients
about abortion,

1594
01:12:42,658 --> 01:12:44,693
and we need those people,

1595
01:12:44,693 --> 01:12:46,862
at least as much as we
need abortion providers.

1596
01:12:46,862 --> 01:12:50,132
Because when there's a hospital
that's becoming Catholic,

1597
01:12:50,132 --> 01:12:53,502
you need the cardiologist,
you need the anesthesiologist.

1598
01:12:53,502 --> 01:12:56,872
You need everybody
to stand up and say,

1599
01:12:56,872 --> 01:13:00,542
our ethical directives are
to take care of our patients.

1600
01:13:00,542 --> 01:13:02,711
- You're just gonna
feel some cold goop.

1601
01:13:02,711 --> 01:13:04,012
Sorry about that.

1602
01:13:05,514 --> 01:13:09,718
- My grandmother is an 86
year old Catholic woman

1603
01:13:09,718 --> 01:13:11,854
who goes to mass every day.

1604
01:13:11,854 --> 01:13:13,655
She doesn't know
that I work here.

1605
01:13:16,024 --> 01:13:19,027
I don't think that she
would be exactly pleased,

1606
01:13:19,027 --> 01:13:20,529
but at the same time,

1607
01:13:20,529 --> 01:13:23,332
I don't think that she would
be entirely disappointed either

1608
01:13:23,332 --> 01:13:26,201
because I'm doing
something that I think is

1609
01:13:26,201 --> 01:13:28,637
just so incredibly important.

1610
01:13:29,905 --> 01:13:32,541
- [Sarah] How you
doing? You feeling okay?

1611
01:13:33,742 --> 01:13:35,644
Right now about one
in every three women

1612
01:13:35,644 --> 01:13:38,180
has an abortion at some
point in the United States.

1613
01:13:39,915 --> 01:13:41,216
As long as women are
getting pregnant,

1614
01:13:41,216 --> 01:13:43,585
abortion is gonna
need to be around.

1615
01:13:43,585 --> 01:13:44,820
(gentle music)

1616
01:13:44,820 --> 01:13:46,421
- Now we're at a juncture where

1617
01:13:46,421 --> 01:13:49,658
we have a government that's
trying to outlaw abortion,

1618
01:13:49,658 --> 01:13:51,927
stigmatize it, defund it,

1619
01:13:51,927 --> 01:13:54,029
and to do so is not gonna mean

1620
01:13:54,029 --> 01:13:56,598
that abortion need
is gonna go away.

1621
01:13:56,598 --> 01:13:59,134
(gentle music)

1622
01:14:00,435 --> 01:14:03,472
(indistinct chatter)

1623
01:14:13,282 --> 01:14:18,253
We should be maladjusted to
the norms that undermine women.

1624
01:14:22,691 --> 01:14:27,296
And we should be nonconformist
with laws and policies

1625
01:14:27,296 --> 01:14:28,997
that are not rooted in justice.

1626
01:14:30,566 --> 01:14:32,935
(music ends)