Thursday, December 8, 2016

What Will Our Future Hold?

Many people have a lot to say in regards to the female body when it comes to reproduction. Many believe that abortions should be illegal and obsess over whether the mother is being “selfish” in her behaviors while carrying the child. These are often the same people who will do nothing to help insure the health of the baby after birth. Strangers in public have taken it upon themselves to tell pregnant women what they should and should not put into their bodies. Who are we to tell anyone what she should or should not do to her body? However, when it comes to a fetus, everyone feels that they should be able to express their opinions while the opinion of the mother often goes unheard or ignored.
When a woman gets pregnant, she is no longer seen as her own person. The pregnant woman is responsible for providing a safe environment for her fetus for nine months and then is expected to drop everything for the next 18 years to raise her child. Once a woman becomes pregnant, societal standards dictate that her life is no longer her own and to think of herself as independent would be selfish. By making sure the fetus is given the best chance at life despite what it may do to the mother provides the fetus with rights no other person has.
Access to reproductive rights has often been used as a weapon in order to threaten women into making choices that aren’t truly theirs. The case of Walker v. Pierce demonstrates how the doctor in question would not treat patients that were poor and pregnant with their third child unless they agreed to sterilization after giving birth. These women were likely desperate and needed medical attention and for the sake of their well-being and that of their child agreed to a procedure that they ordinarily would not have. Women, especially those with limited resources, are often coerced or forced into making certain decisions, regardless of how they feel. Depo-Provera was often used as a form of coercion and illustrates many issues regarding reproductive rights. Firstly, this drug was proven to be harmful to women and was not even approved to use on animals. Additionally, women were not educated on the side effects and access to any form of welfare was often threatened unless the woman agreed to receive the injection.
Given the most recent election and current political climate, reproductive rights are likely to be threatened and more precarious than they have been within the past few years. Many women fear how Donald Trump and Mike Pence will influence their future medical care and the options available in order to express reproductive freedom. In the final presidential debate, Donald Trump promised to abolish Roe v. Wade immediately, thus leaving the decision of whether abortion should be legal to individual states. Whether he is actually able to do this is another story, but it leaves many people panicking. If decisions regarding abortion were left up to the states, many women would be left without the option of abortion, resulting in women seeking unsafe options or traveling out of state, which is not feasible for everyone. With the abolishment of abortions, an influx of young, poor, pregnant women would likely ensue because this demographic would not have the resources available to take preventative actions or seek help after. These women would give birth to babies and likely not have the resources to care for the child, and the cycle continues.  
Donald Trump’s vice president Mike Pence is anti-abortion and has been a force behind the movement to defund Planned Parenthood. While abolishing Roe v. Wade could limit access to abortions, the defunding of Planned Parenthood would further reduce women’s access to important healthcare resources. Planned Parenthood provides women many services in addition to abortion to insure women receive the comprehensive reproductive care they are entitled to. Most of the care is preventative and educates those who come through the doors. It is estimated that Planned Parenthood manages to reach 1.5 million youth alone per year. Along with the centers spread across the country, the website can provide online users a lot of information in a private setting.
Under the Obama Administration, strides were made in order to insure that women have access to contraception regardless of whether their employer and the insurance company agrees and that Planned Parenthood receives reimbursements from Medicaid under the Affordable Care Act. These strides have declared that to do anything of this nature would be breaking federal law. While the Obama Administration has made leaps and bounds, these accomplishments will not necessarily be safe under the Trump Administration depending on who is appointed attorney general. On public forums, women have been advising other women to get the contraceptive IUD, which can be effective for up to 12 years. The IUD is a form of birth control that would not be influenced by policy if the patient chose to get the implant soon. However, this is yet another example of how women are strong-armed into making choices that are not entirely theirs. While personally an IUD sounds scary, if that is the best option in order for me to have access to effective and reliable contraceptives, I would probably make the choice to get an IUD. Women have also been recommended to stock up on Plan B and other emergency contraceptives incase Planned Parenthood and other purveyors of emergency contraceptives are defunded making these products hard to come by.
Ultimately, despite the opinions of politicians or of her next door neighbor, what a woman choses to do with her body should be a decision that is ultimately her choice. It is her body that will experience the aftermath of an abortion, it is her body that will carry a baby for 9 months and be encouraged to take vitamins and limit alcohol and caffeine, stop smoking and eat a well balanced diet. Her career will be affected at least by maternity leave or if she chooses to stay at home with her child could be challenging to continue years down the line. She will be taking care of the child for the next 18 years. And if her spouse chooses to stay home so she can work, that is their choice, but the mother will continue to be criticized for being selfish enough to choose her career over child rearing. Regardless of the decision made, it is likely not an easy one and not one that is made at the drop of a hat. Men often make the argument that they would love to carry a child, and while they say that, it is impossible. Until it is possible for men to carry their children, the woman should be the only one in charge of her body and in order to do so, we must have full access to our reproductive rights.






Knocked Up and Knocked Down: Pregnancy and the Denial of Subjectivity

The female comedian, Ali Wong, perfectly
Ali Wong: Baby Cobra
captured the relationship between motherhood and subjectivity within her hour long Netflix special, Baby Cobra. She boldly criticized “how it takes so little to be considered a great dad and it also takes so little to be considered a shitty mom”. In a humorous example that earns her laughter from the audience, she explains that her husband is praised for accompanying her to pregnancy related doctor’s appointments. She goes on to say that he gets painted as a hero for playing Candy Crush on his phone while she gets her blood drawn. Wong makes it clear that this small effort exerted by her husband earns him praise, while everything she does as a pregnant woman is under close examination and judgement. Pregnant bodies are under constant surveillance, making it even more difficult for women to break free from the restrictive hold that society has attempted to place on them. Not only are all women subject to relentless judgment and critique by the public, but pregnancy becomes an opportunity for our patriarchal society to legitimate its desire to oppress the voices of anyone other than straight, white men.

When Susan Bordo asks, “are mothers persons”, she proposes the most simplistic, yet thought provoking question regarding the subjectivity of pregnant women. At the most basic level, of course mothers are people. However, as Bordo further explains, pregnant women, in fact, do not possess the freedom and autonomy that every individual is believed to be guaranteed. She showcases how, in the case of court-ordered obstetrical interventions, pregnant women become “regarded...as ‘mere body’”, while “her wishes, desires, dreams, religious scruples” are “easily ignored in (the doctor’s or judge’s estimation of) the interests of fetal well-being”. Not only is a woman’s autonomy quite literally denied in the example of court-ordered interventions, but all of her choices are restricted by her “duty of care” or her responsibility to protect her fetus. It has become apparent that pregnant women are actually not granted the right to the same subjectivity that their male counterparts enjoy.

Ellie Kemper, the star of the comedy series Unbreakable Kimmy Schmidt, reveals how odd and unsettling it is for strangers to feel entitled to invade a pregnant woman’s personal space. In an interview on TODAY Sunday, she explains that both friends and strangers will touch her pregnant stomach without asking, which she feels is an indication that her pregnant body has become considered public property. Her experience with what she calls a “personal space violation” is not uncommon for pregnant women. Tonilyn Hornung published a blog that labeled these invaders of personal space “Belly Touchers”. In an extension of Kemper’s comments, Hornung makes it clear that just because she is with child, it does not mean that everyone is permitted to touch her without her approval. While the invasion of Kemper’s and Hornung’s personal space extends to strangers touching their stomachs without consent, there have been other countless women who have been subject to more extreme circumstances. The women who have been forced against their will to submit to obstetrical interventions, ordered by the court, are prime examples of what happens when society believes it can claim control over a pregnant body.

Chrissy Teigen's Instagram Post
The denigration of a woman’s personhood is made even more obvious on social media platforms, where many mothers and mothers-to-be document their unique experiences navigating the world of pregnancy and motherhood. Celebrities, such as Chrissy Teigen, have been subjected to wrath of Internet shamers who critique other women’s approaches to motherhood. Teigen, who has been open about her and her husband’s choice to use in vitro fertilization, posted a photo on Instagram that displayed her baby bump. The post received numerous comments that scrutinized the size of her body and made claims regarding the probability of her having twins. A fed up Teigen responded in a Twitter post where she exclaimed that these commentators needed to “get out of [her] uterus”. Even after she gave birth, she was criticized for being seen going out for dinner a week after her daughter was born.

While women are constantly under surveillance, the prying eyes of the public reach an extreme level when she becomes pregnant. Patriarchal society's inclination is to deny female subjectivity under any circumstances, but it becomes especially heightened when a woman is carrying a fetus.
As Wong points out, there is rarely a ‘right’ choice for a mother-to-be and she is constantly being shamed for every move she makes. The tendency of strangers to pass judgement on and critique a pregnant woman's actions is reflected within legislative discourse and process. When authoritative figures, irregardless of gender and personal experience, make restrictive and punitive decisions that affect women's lives, they fail to recognize female subjectivity. More than just a temporary condition, pregnancy somehow empowers strangers with license to pass judgment on women in particular. Fathers, when they are present, are rarely, if ever, held under the same spotlight of social glare. Women are, once again, subjected to the dominion of patriarchy.


How Free is Free Choice?

                                                         Source: LiveNews

Every day we are constantly surrounded by choices. Living in America, we are free to decide where to live, what type of job we want, and the type of activities we would like to participate in daily. But are these decisions really a choice for everyone? Andrea Smith discusses this dilemma in her book Conquest: Sexual Violence and American Indian Genocide. In chapter four, she argues that the choice paradigm does not take into consideration the social, economic, and political conditions that influence a woman’s decision (Smith, 2005). Because of this, choice has developed to symbolize a white-middle class woman. In minority groups, free choice often seems meaningless since these groups are constrained by poverty and limited access to health care and other services (Smith, 2005).

Last summer, I experienced firsthand the implications structural inequalities have on a woman’s reproductive health decisions. For nine weeks, I interned for a nonprofit health organization in the small rural community of La Danta, Nicaragua. This community did not have running water or electricity, and was located three hours from the nearest hospital. My internship focused on determining why pregnant mothers were not attending the four recommended prenatal care visits during their pregnancy. With high infant and maternal mortality rates in Nicaragua, attending prenatal visits will help decrease risk of mortality through education and monitoring. For white middle class individuals living in America, it seems easy to get in the car and drive to the hospital without worrying about the cost because of health insurance. This is not the case in Nicaragua. The typical mode of transportation for the women was on horseback. There was a bus that traveled from La Danta to the hospital, but cost was too high for most of the families. Additionally, the mothers could not spend all day traveling to and from the hospital because they have other children to take care of as well as household obligations. Finally, majority of the mothers were unaware of the consequences associated with not attending prenatal visits since they did not have access to quality education. Because of the social and economic constraints faced by the pregnant mothers, they had limited choice in their ability to have a healthy pregnancy.

But we do not need to look abroad to understand how social, economic, and political conditions impact a woman’s choice in reproductive health. In Zoe Dutton’s article, Abortion’s Racial Gap, she discusses the different factors influencing abortion decisions. According to the Centers for Disease Control and Prevention, African-American women are five times more likely to have an abortion when compared to white women. But have you ever wondered why? At first glance, it is easy to judge minority groups for getting pregnant and stereotype black and Latina women as wild and licentious without taking into consideration other circumstances. Christine Dehlendorf, a professor at the University of California who specializes in reproductive health research states inequalities such as structural determinants, economic reasons, racial discrimination, opportunity differences and social differences are related to the discrepancy seen among unintended pregnancy and abortion (Dutton, 2014).

When compared to white women, minority women are less likely to have health care coverage, proper reproductive health education and a personal doctor, making it difficult to access birth control (Dutton, 2014). Without access to birth control, the risk of unintended pregnancy and abortion increases. According to Guttmacher Institute, unintended pregnancy rates are highest among low-income women and minority women. For instance, the rate of unintended pregnancy for black women in 2011 was 79 pregnancies per 1,000 women whereas the rate for higher income white women was 18 unintended pregnancies per 1,000 women. Therefore, it is not a surprise that 75% of the abortions in 2014 were completed by low income or below the poverty line women, since lower income women are impacted more by economic and social constraints (Guttmacher Institute, 2016).

Political institutions also limit a women’s ability to decide to have abortion.  After the Roe v. Wade case in 1973, women were given the constitutional right to make their own personal medical decisions, which includes abortion, without interference from politicians. Yet, in 2016, 30 laws have been passed in 14 states to regulate abortion by antiabortion advocates (Phillips, 2016). These regulations include waiting periods, health insurance restrictions, bans after 20 weeks of pregnancy, requirements for abortion clinics to meet standards similar to ambulatory surgical centers, and requirements for abortion doctors to have admitting privileges to local hospitals (Lu & Somashekhar, 2016). Just this afternoon, Ohio senators passed a bill that restricts abortions once a heartbeat is identified. A baby’s heartbeat can be detected as early as six weeks, which is often before the mother becomes aware she is pregnant, essentially banning abortion and making Ohio one of the strictest in the nation  (ABC 6 News, 2016). If this bill is passed by Governor Kasich and the Supreme Court, women will essentially be losing their reproductive rights.

In 2013, the New York Magazine published a feature article of 26 abortion stories from women of all ages and races. These stories expressed the emotional toll experienced by mothers because of political regulations, economic constraints, and racial discrimination.  Yolanda, aged 29, attempted to have an abortion after getting pregnant after not having birth control. But the clinic required someone else to drive home after the procedure. Because of this, she was forced to tell her friend, hoping she would drive to the clinic.  When she refused, Yolanda was not able to go back for the abortion.  She shared, “When the baby was little, our lights got turned off. I got depressed, kind of suicidal. Sometimes I’d think, I didn’t need to have this kid, and now he’s suffering with me.” (Winter, 2013). Yolanda knew she could not afford to raise the baby on her, yet, because of regulations she did not have a choice in the matter. So how is pregnancy and abortion a free choice for women?

                                                      Source: The Atlantic

References
ABC 6 News (2016, December 6). Ohio senate passes bill to ban abortion when heartbeat can be detected. Retrieved from http://abc6onyourside.com/news/local/ohio-senate-passes-bill-to-ban-abortion-when-heartbeat-can-be-detected

Centers for Disease Control and Prevention. (2006). Abortion surveillance. Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5808a1.htm?s_cid=ss5808a1_e

Dutton, Z. (2014, September). Abortion's racial gap. Retrieved from http://www.theatlantic.com/health/archive/2014/09/abortions-racial-gap/380251/

Guttmacher Institue. (2016, May 10). Abortion patients more likely to be poor in 2014 than in 2008. Retrieved from https://www.guttmacher.org/news-release/2016/abortion-patients-more-likely-be-poor-2014-2008

Lu, D. & Somashekhar S. (2016). How restrictive are abortion regulations in your state? Retrieved from ttps://www.washingtonpost.com/graphics/national/abortion-regulations/

Phillips, A. (2016). 14 states have passed law this year making it harder to get an abortion. Retreieved from https://www.washingtonpost.com/news/the-fix/wp/2016/06/01/14-states-have-passed-laws-making-it-harder-to-get-an-abortion-already-this-year/?utm_term=.9e38df3ee75b

Smith, A. (2005). Conquest: Sexual violence and american Indian genocide. Cambridge, MA: South End Press.

Winter, M. (2013, November 10). My abortion. Retreived from nymag.com/news/features/abortion-stories-2013-11/



Toxic Capitalism

In order to delivery a happy and healthy baby, pregnant women are told they must follow a strict set of guidelines. The mother usually receives the blame if her child is born with any defects or if the pregnancy results in miscarriage, as if she is a machine in a factory that is to blame for molding a deformed doll. She smoked, she drank alcohol, she worked long and strenuous hours, she didn’t eat healthy enough, or she didn’t take her prenatal supplements. We are quick to point fingers at the process by which an abnormal child is brought into the world, and the responsibility of a birth defect weighs heavy on the mother when it may not be her fault at all. 


While we continue to place the blame on a mother’s actions, research has shown possible links of harmful pesticides and chemicals leaked into our environment to an increase in miscarriage and birth defects in certain populations. In her book Toxic Bodies: Hormone Disruptors and the Legacy of DES, Nancy Langston cites multiple instances of miscarriages and birth defects increasing, sometimes doubling, in areas where pregnant women are exposed to trace amounts of harmful manmade pesticides and chemicals. Unlike other substances, these chemicals can accumulate in a woman’s body over time and disrupt hormonal signaling that develops and directs cells during the growth of the zygote, blastocyst, embryo, and eventual fetus. Exposure to minute amounts have also shown aversive effects in studies, which should make these chemicals scary to everyone regardless of race, class status, or proximity to areas that use them.    


Despite this data, we continue a public surveillance on pregnant women and their actions that may affect their pregnancy. Native American women in Washington recently faced a rise in miscarriage, which was blamed on their perceived destructive, drug-involved lives rather than considering pesticides spread over nearby areas that easily permeate through soil and water sources. The prevalence of miscarriages among these tribes may not be exclusive from miscarriages and birth defects occurring in modern, middle class Americans; however, the proximity of the tribes to the areas sprayed with pesticides likely expedited the reproductive consequences we are seeing, and the effects aren’t being researched in non-Native American miscarriages and birth defects. The possible cause for these birth defects being harmful manmade chemicals is being erased because a marginalized group like Native Americans is easy to scapegoat, placing the blame on their perceived individual actions rather than something that, if accepted, would erase all women’s autonomy over their pregnancy as well as have dangerous political and economic consequences.



Ms. Langston uses a similar framework in Toxic Bodies to expose institutional motives as to why they are targeting marginalized groups, resulting in hidden eugenics and attempted genocide. One example she uses is Planned Parenthood’s history of population control over minority groups using harmful contraceptives and immoral medical procedures and how easy it was to do this to groups who have no voice and little political and economic power. We can compare this to pesticides and Native Americans to expose the same framework that allowed for Planned Parenthood to create a rhetoric that blames the individual and her actions if an error occurs in pregnancy. Both instances are clearly blamed on the mother when a miscarriage happens or birth defects plague a child according to information spewed out by the government and medical data. However, the government and medical community have a strong capitalistic motive that can be traced to the continued and wide use of pesticides and manmade chemicals, which is tied into the intention of population control to construct the neoliberalism we are experiencing today.

            Our question now is – why doesn’t the government or chemical industry further investigate the effects of pesticides on human development? The resistance of the government and chemical companies to ban many of these toxic manmade chemicals lies in a perceived absence of data surrounding the effects of the pesticides on pregnancies, but one thing is clear to most researchers: an absence of data does not prove safety, it proves ignorance. It makes perfect sense as to why they refuse to investigate these effects if you consider capitalism and our economy. Let’s say the government funded research that linked millions of birth defects and miscarriages to a list of chemicals used as pesticides around the world. Litigation would likely dismantle major chemical companies in the industry, resulting in an exposed system that has the potential to sink the world economy all while blaming the US government for lighting the fire. It is in their best interest to blame individuals for their actions rather than unearthing the systematic injustices that result from a flawed capitalist government tied to industry.




Individuals born as intersex would be grouped with those having birth defects, and exposing the system that has capitalistic ties will have specific implications for intersex people. If we successfully prove that these toxic pesticides can result in birth defects, it will undercut an intersex person’s rights and citizenship by pinpointing the unnatural origin of their being. Furthermore, it has the power to strengthen the gender binary by linking genders other than male or female to being inhuman. We can see from history that when intersex people are dehumanized and even demonized, the responsibility of the situation always falls on the mother. This is consistent throughout time, and individualized rhetoric surrounding pregnancy, miscarriages, and birth defects has proven to be dangerous for us and profitable for institutions.