Dr. Runyan: Well, itâs actually the day after my birthday! So in a way, it feels like a little birthday present.
In all seriousness, one of my friends and I were just talking about this at a recent conferenceâhow this day is both meaningful and, in some ways, a reminder of an unfortunate reality. Itâs wonderful to be recognized, but the fact that abortion providers need a day of appreciation speaks to the amount of stigma, harassment, and attacks we face just for doing our jobs.
I am incredibly proud of the work I do, and Iâm proud of my colleagues. But at the end of the day, this is simply medical care. It shouldnât require a special day to acknowledge that. I wish everyday was a day of appreciation for abortion providers, just like every day should be a day of appreciation for healthcare workers in general. The medical profession has been under enormous strain, especially since the pandemic, and providersâespecially those in abortion care and gender-affirming careâface some of the harshest attacks. Those who need healthcare the most are often the ones being targeted by these extreme bans and restrictions. We have to look out for each other.
Dr. Runyan: I remind myself that this is a marathon, not a sprint. I know thatâs a bit of a clichĂ©, but itâs true.
Iâm naturally impatientâI want to see progress, and sometimes it feels exhausting when I think about the relatively short time Iâve been doing this compared to people who have been in the fight for multiple decades. And when I look at what has happened since 2016, or even since the Dobbs decision, itâs overwhelming. Attacks on abortion care and on science itself have escalated in ways that I donât think any of us could have fully prepared for.
But thatâs exactly why itâs important to pace yourself. Burnout is real, and I remind myself that if I want to be in this work for the long haul, I have to protect my energy. The misinformation, the political attacks, the systemic barriersâitâs a lot. But at the end of the day, abortion care is healthcare, and we have to keep saying that out loud.
Dr. Runyan: One of the best examples Iâve seen is what a mutual aid group in Northern New Jersey has done for our clinic.
We have protesters outside every Saturday. Itâs awful. One of the most aggressive ones is a man with a megaphone who yells in front of the buildingâ we can hear him even while inside, working, providing care. On those days, a lot of our patients are in tears. No one should have to experience harassment while trying to access healthcare.
A volunteer in the community, who I believe had a background in womenâs health, helped organize a local group to provide support. They secured grant funding and created a clinic escort program. Every Saturday, these volunteers are outside, helping patients get into the clinic safely. Theyâve even stepped in to shield me from protesters a couple of times.
But they do more than just escorting. They also help coordinate patient transportationâgetting people to and from the airport, making sure they have a way to get to their appointments. Theyâre incredible. These are the kinds of community efforts that make a real difference – having people show up in such tangible, compassionate ways means so much.
Araam: If you could leave one message for future abortion providers, what would it be?
Dr. Runyan: If youâre drawn to this field, even if you donât think of yourself as an activist, thereâs probably a piece of that drive inside you. And thatâs a good thing.
This work isnât just about todayâitâs about the long game. Itâs not a sprint, and itâs not even just a marathonâitâs a relay race. You have to pass the work off sometimes. You have to rest. You have to take care of yourself so that you can keep going.
The reality is, we might not see the wins we want within a few years. Maybe not even within our lifetimes. But the work continues, and every bit of resistance matters. Thatâs why protecting yourselfâemotionally, mentally, physicallyâis just as important as fighting for this care.
It can be hard, depending on your personal situation. Some people have family members who donât support their work. Others have to navigate professional environments that are hostile to abortion care. But setting boundaries and knowing when to step back is crucial.
I remind myself of these things every day because, honestly, itâs overwhelming. I get frustrated. I feel like we arenât seeing enough progress. But the truth is, if we stop fighting, thereâs no one left to push back. And thatâs just not an option.
Thank you to Dr. Runyan for sharing her time and insights. These conversations remind us how vital it is to keep advocating for abortion care, supporting providers, and breaking down stigma. Hear Dr. Runyan herself @AMSAnational Instagram
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