I AM A LOOKING TO GO

What You Bring to the Table

AMSA Reproductive Health Project eNews #59 – November 22, 2025

Greetings from the AMSA Reproductive Health Project! 

We’re nearly at the arrival of the final month of the year, and that means the year-end season of holidays observed and celebrated by cultures throughout the world is upon us. As you gather with family, friends, comrades, and colleagues to celebrate, perhaps you’ll be invited to bring a dish to pass, potluck style. Perhaps you’ll sit around an elegantly appointed table – or even a card table draped with a plastic-coated paper table cloth – elbow to elbow with your favorite aunt, your best friend, your favorite colleague…or that most classic of all holiday table figures: that one uncle with the conspiratorial mind and non-functioning verbal filter. The one who rants about – what? – well, whatever narrative filled with misinformation or disinformation, completely unmoored from actual truth and reality, has recently caught his attention.

In situations like this, when you perhaps find yourself sitting next to that one uncle, or the dinner conversation suddenly turns to this or that recent headline, or this or that socio-political hot potato (abortion! CRT! Wokeness!), there are more options than uncomfortable silence on the one end, and hot-headed yelling on the other. There is a middle way: actual dialogue – honest conversation that is guided by curiosity, enabled through deep listening, and facilitated by those (with cooler heads) who have cultivated perspectives grounded in deep understanding of history. 

As delicious as the food may be, there may be nothing sweeter than
being the one who brings the gift of facilitated dialogue to the table.

What might you bring to the table – besides all those delicious homemade goodies – this holiday season when the topic turns to abortion, or insurance premiums, or “government-run healthcare”? 

You – you, future physician! – can be prepared to bring something unexpected to the table:
a calm, informed, and grounded perspective. In doing so, you’ll be serving up the most delectable dish of all: wisdom.

In this week’s newsletter, as many of us head to Thanksgiving tables, we’ve included mindful eating and self-care tips, along with resources that can help you, your family, and friends who may have recently received notice that their 2026 health insurance premiums are skyrocketing. And, rather than current news headlines we encourage you to read and share this article from National Geographic about the history of abortion in the US – and discover what’s changed since the early colonial era to today. It’s a fascinating and important aspect of our history that is so relevant to where we are today:

How U.S. abortion laws went from nonexistent to acrimonious:
Most scholars say that at the nation’s founding ending a pregnancy wasn’t illegal—or even controversial. 

Happy Thanksgiving & Smooth Travels,
Aliye, Becky & Jeff

SPOTLIGHT ON HEALTH CARE JUSTICE

Skyrocketing Health Insurance Premiums Threaten Health & Reproductive Care for Millions of Families


Are Health Insurance Costs about to Double for You? Your Family? Your Friends?

Click Image to Learn More & See National & State-by State Premium Increases if ACA Tax Credits are Allowed to Expire

Source: Health Insurance Premium Spikes Imminent as Tax Credit Enhancements Set to Expire,
Center on Budget & Policy Priorities (CBPP)

Premium Increases Without Tax Credit Extension by Congressional District

Click Map to Premium Increases by Congressional District

Source: Marketplace Enrollees In Every Congressional District Face Steep Premium Increases Unless Tax Credit Enhancements Are Extended, CBPP

Info to Know & Share

ACA Marketplace Open Enrollment for 2026 Health Plans 

  • Starts Nov. 1, 2025 – Closes Jan. 15, 2026

People can enroll online, by phone or with help of a free assister

  • Online: Visit healthcare.gov OR Para Español: cuidadodesalud.gov
  • By Phone: Call the Marketplace Call Center at 1-800-318-2596  (TTY: 1-855-889-4325) The call center is open 24 hours a day, 7 days a week (except on holidays).
  • Get Free Help:  To schedule a free in-person or virtual meeting with a trained assister visit healthcare.gov/find-local-help then search your city, state, or ZIP code for a list of local people and organizations that can help you apply for coverage

Healthcare.gov Enrollment Information

  • November 1: Open Enrollment starts — first day you can enroll in, renew, or change health plans through the Marketplace for the coming year. Coverage can start as soon as January 1.
  • December 15: Last day to enroll in or change plans for coverage to start January 1.
  • January 1: Coverage starts for those who enroll in or change plans by December 15 and pay their first premium.
  • January 15: Open Enrollment ends — last day to enroll in or change Marketplace health plans for the year. After this date, you can enroll in or change plans only if you qualify for a Special Enrollment Period.
  • February 1: Coverage starts for those who enroll in or change plans December 16 through January 15 and pay their first premium.
Get coverage between January 16 and October 31 if you qualify for a Special Enrollment Period due to a life event. You can apply for free or low-cost coverage through Medicaid or the Children’s Health Insurance Program (CHIP)
 at any time.

Note: Enrollment deadlines are extended to January 31, 2026 in
California, Idaho, Massachusetts, New Jersey, New York, Rhode Island, and Washington DC,
in Virginia it’s January 30, 2026

  • Read all notices from the marketplace and your insurer and respond to requests in a timely manner.
  • Do not rely on auto-enrollment. If you automatically re-enroll, you may not realize your 2026 premiums have gone up until your first bill arrives in January–at which time you will only have a couple weeks to select a new plan.
  • Actively update your information and compare available plans.
  • Estimate your income as accurately as possible for the year ahead.
  • If your income changes during the year, update your marketplace account as soon as you can—get help from an assister to adjust your premium tax credit amount.
  • Stay up to date with premium payments or get help if payments become unaffordable.
  • Reconcile your premium tax credits during tax season in 2026.
  • Use the Find Local Help tool to locate enrollment assisters near you – visit www.healthcare.gov/find-local-help
    Assisters can provide you with free and unbiased help with signing up for marketplace health plans.

We thank Community Catalyst for producing and sharing this resource list

Additional Resources:

  • The Importance of Premium Tax Credits: Affording Health Insurance Coast to Coast – National and State Fact Sheets, Families USA – Link 
  • 4 Tips for Navigating Higher ACA Health Care Premiums, PBS News Hour – Link
  • ACA Premium Tax Credit Calculator, KFF – Link

Action Tools & Resources


AMSA
Repro Justice Summer Institutes 

4 Opportunities
Full Scholarships

Apply Today!

AMSA HEART-IM & Repro Justice Retreat

Santa Cruz Mountains
March 29 – April 25, 2026

Apply by Dec 15

Clinical Skills Workshops

Virtual & In-person

Advocacy Training 

Virtual & In-person

AMSA Repro eNewsletter

Special Delivery
Right to
Your In-box

Sign-up Today!

Explore Past Issues

 

Research, Recordings, Opportunities


  • Provision of Abortion Medications Using Online Asynchronous Telemedicine Under Shield Laws in the US, JAMA – Link
  • Act on the Evidence: Policy Solutions to Protect and Advance Abortion and Contraception Access in the United States, Guttmacher Institute – Link
  • Obstetric Care Access Declined In Rural And Urban Hospitals Across US States, 2010–22, Health Affairs – Link
    • Deeper Dive: ‘Expensive and complicated’: Most rural hospitals no longer deliver babies: More than 100 hospitals across 26 states have closed their labor and delivery units since 2020. Stateline – Link
  • Modern Hysteria Podcast: S2E8 Dismissing Your Pain Violates Your Civil Rights x IUD Pain x Reproductive Justice with Madeline Morcelle, National Health Law Program – Link
  • Abortion Redefined – Badly, Up North News Civic Media – Link
  • Rebecca Kelliher on Her New Book: Just Pills: The Extraordinary Story of a Revolution in Abortion Care, RePros Fightback – Link
  • Dec 1 Online @ 1:00 to 2:00pmE – HIV/AIDS Health Care and Education in Academic Medicine, AAMC – Link
  • 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
  • March 30-31, 2026 in Los Angeles, CA – For Us All: Transforming the Health Workforce – Social Mission Alliance 2026 Conference – Link

FOOD FOR THOUGHT

Spotlights from AMSA Summer Abortion Care & Reproductive Justice Institutes