I AM A LOOKING TO GO

AMSA Reproductive Health Project eNews #48 – June 21, 2025

What We Must Face, and How We will Bear it, Together

Written by Jeff Koetje, MD, AMSA Reproductive Health Programming Strategist

“Not everything that is faced can be changed.
But nothing can be changed until it is faced.”

-James Baldwin, As Much Truth As One Can Bear,” New York Times, January 14, 1962

In deeply troubled and troubling times, such as the present moment, my troubled spirit seeks the council and wisdom of those who’ve come before me, who also lived in deeply troubled and troubling times. 

These past several days, my troubled spirit has been turning over and over in horror at the latest instance of ideologically-motivated assassination and attempted assassination of democratically elected officials here in the US, in this case, two progressive MN State Legislators.

And – in the same week – the horrifying conclusion to the situation in Georgia involving Adriana Smith, a 31 year old Black woman who was forced without prior consent, and against the desires of her family, to remain on life support, even though she was declared brain dead following a medical emergency in February, because at the time she was around 8 weeks pregnant and Georgia’s anti-abortion law prevented her medical team from removing life support. Why? You might ask: because fetal heart tones were detectable at the time she was declared brain dead. This week, her family announced that the fetus was removed from Adriana’s corpse via emergency c-section at around 21 weeks of gestation. The baby, less than two pounds, is under the care of NICU specialists, and according to the family, Adrianna would soon be removed from life support. 

These – among many others – are the horrors of this moment; these – among many others – are the grotesqueries of a society warped by the sociopathology of authoritarianism. But not just any authoritarianism; the authoritarianism that has always resided at the core of this nation and its society is the authoritarianism of white supremacist, Christian heteropatriarchy.

In fact, it is this particular strain of authoritarianism that connects these two horrors. Among those in the movements for reproductive health, rights, and justice, we are well aware that the overlap between anti-abortion extremists and authoritarian white supremacist Christian Nationalists is effectively 100% – we even will say, with little exaggeration intended, that the Venn diagram of anti-abortion extremists and white Christian Nationalists is a circle. 

The man accused of attempting to assassinate progressive MN State Senator John Hoffman and actually assassinating progressive MN State Representative Melissa Hortman, who was a member of the national Reproductive Freedom Leadership Council, is a right-wing Evangelical Christian white man, who attended an extremist “Bible college” which advocates for Christians to claim total control of the US government and every segment and sector of society. The list of his targets, which was recovered by police, included abortion providers and abortion advocates, as well as other progressive legislators in other states. 

Down in Georgia, the right-wing authoritarian state government which instituted the state’s six-week abortion ban, sees no problem with abusing the corpse of a Black woman for the sake of advancing a perversion of justice – under the guise of “pro-life” policy, the State has committed an atrocity against a deceased Black woman – whose own humanity was utterly disregarded – and treated her as nothing more than an incubator for a fetus, with complicity from the healthcare professionals and healthcare system which failed to muster the moral courage to refuse their state-conscripted role in this abomination. We do not have to refer to the Handmaid’s Tale to recognize the social evil in this situation: Black women’s bodies have been treated as subhuman incubators from the very beginning of this era of Black enslavement in white supremacist societies. 

The horrors of these two seemingly disconnected and yet utterly connected atrocities may elicit the impulse in our bodies to turn away, to look away, to avoid seeing the horrors of a white supremacist heteropatriarchal society, culture, and politics laid bare, revealing a network of power which has inflicted and continues to inflict systemic violence on so many and to such a degree that it almost breaks the limits of the human capacity for words. 

“But, nothing can be changed until it is faced.” 

And so when we feel the pull to look away, and we feel our capacity for the words necessary for this moment failing us, we turn to those who’ve come before us; who, like James Baldwin, have also witnessed, and experienced, such horrors in their own time and place. And who, like James Baldwin, refused to look away from the horrors, exposing the false innocence of white supremacist heteropatriarchal culture, propped up by delusion.

Baldwin wrote, 

We are the generation that must throw everything into the endeavor to remake America into what we say we want it to be. Without this endeavor, we will perish.

Even though 62 years have passed since James Baldwin wrote these words, his words are no less relevant now than then. When he said, “we are the generation” he was of course speaking to his contemporaries, but he also was speaking to a future “we”. 

“…as much truth as one can bear, and then, and then a little more.”

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Explore Past Issues

 

Research, Recordings, Opportunities


  • State Policy Trends Midyear Analysis: Abortion ban exceptions, criminalization, maternal mortality, and attacks on youth access, State Innovation Exchange & Guttmacher Institute – Link
    • Deeper Dive: Abortion in the United States – New Way to Explore Resources from the Guttmacher Institute – Link
  • Obstetrician and Gynecologist Physicians’ Practice Locations Before and After the Dobbs Decision, JAMA Network Open Original Investigation  – Link
    • Deeper Dives: Relocation Post-Dobbs Among Clinicians Providing Abortions, JAMA NetworkOpen – Link
  • Impact of Dobbs v. Jackson Women’s Health Organization on Obstetrics and Gynecology Training 1 Year Later: Qualitative Analysis of Physician Perspectives, Women’s Health Issues – Link
  • Public Opinion on Abortion 1995-2024, Pew Research Center – Link

 

  • How Does Dobbs Affect Women’s Healthcare? – Gender Equality Network – Link
  • Katie Watson, The Ethics of Access: Abortion Care and Reproductive Justice in Tumultuous Times, Tulane Medicine – Link
  • U.S. Senator Patty Murray Slams Republican Attempt to Ban Abortion Nationwide, Defund Basic Health Care in Big Ugly Betrayal Bill – Video Link
    • Deeper Dive: Read Senator Murray’s Remarks – Link
  • June 24 Online @ 10:30-11:30amE – The Big “Beautiful” Bill Attacks Medicare Recipients and People with Disabilities by Driving Up Costs and Cutting Benefits, Center for American Progress – Link
  • Every Friday New Episodes of Feminist Buzzkills with the Abortion Access FrontLink
  • Dec 6-7 in Portland, OR – Empowering Choice and Centering Equity in Sexual and Reproductive Health – Medical Students for Choice 2025 Conference on Family Planning – Link

Abortion in the News


  • This Student-Led Initiative Sends Letters of Support to Abortion Patients and Providers. Ms. Magazine – Link
  • Adriana Smith’s Family Was Denied the Right to Make Medical Decisions for Months, After She Was Declared Brain Dead, Due to Georgia Abortion Ban: Adriana’s Son Chance was Delivered via Postmortem Emergency C-Section and Adriana Will be Taken Off Life Support, Statement from Congresswoman Ayanna Pressley – Link
    • Deeper Dive: Pressley Joins Williams, Jacobs in Introducing Resolution Condemning Anti-Abortion Laws that Denied Smith’s Dignity and Human RightsResolution Link
  • Some states on track to restore abortion access, while others push for fetal rights in 2025: Heading into third year since Roe v. Wade was overturned, states will consider legislation to expand or restrict access to reproductive health care, abortion, Idaho Capital Sun – Link
  • ‘Behind Every Ban Is a Body’: Idaho Activists Bring Abortion Truths to NYC Theater: A new one-woman play, One Body: Dispatches from Idaho, brings the harrowing impact of abortion bans to life—amplifying rural voices and reclaiming the narrative through art. Ms. Magazine – Link
  • Illuminating Gaps in Perinatal Palliative Care Evidence Amidst Abortion Restrictions, University of Pennsylvania School of Nursing – Link
  • US abortion clinics are closing even in states where abortion is legal. More cuts could be coming, ABC News – Link
  • Current State of Reproductive Health Access—Time to Correct Course, Not Clarify, JAMA Viewpoint – Link
  • Democratic Doctors Caucus Reaffirms EMTALA Amid Trump’s CMS Policy Reversal on Abortion Care, AJMC – Link
    • Deeper Dives: White House revokes guidance requiring hospitals to provide emergency abortions, PBS News  – Link
  • ‘This will delay care’: NC doctor warns of harm after Trump’s rollback on emergency abortion rule, Cardinal & Pine – Link
  • Despite Trump directive, emergency abortion care is still a legal right, Detroit Free Press – Link
  • Sherrill, Sykes Reintroduce Resolution to Protect Emergency Abortion Access, Office of U.S. Representatives Mikie Sherrill – Link
  • The Supreme Court That Ended the Fundamental Right to an Abortion Won’t Protect Trans Youth From Discrimination, Vanity Fair – Link
  • US supreme court to hear case involving anti-abortion crisis pregnancy center: First Choice is fighting New Jersey subpoena as part of an investigation into potentially unlawful practices, The Guardian – Link
  • Supreme Court orders reconsideration of religious objection to N.Y. abortion care requirement, NBC News – Link
  • Idaho Supreme Court orders officials to revise abortion ballot initiative language, impact statement, News From The States – Link
  • Michigan Got Rid of Most Abortion Restrictions. Now AG Dana Nessel is Challenging the Final One. Ms. Magazine – Link
  • [MO] Abortion ban ballot initiative could permanently bar care for transgender minors, STL NPR – Link
  • Ohio lawmakers to introduce bill banning abortion, criminalizing the procedure: The bill would overturn a constitutional amendment protecting abortion rights. ABC News – Link
  • Doctors say strict abortion laws in Texas put pregnant women and their physicians at serious risk, CBS News – Link
  • [VA] Abortion access in Virginia depends on the coming months, Virginian-Pilot – Link
  • Wisconsin ensures emergency abortion care under federal law, DHS confirms, WKOW – Link