Trigger warning: In this episode we talk about sexual assault and descriptions of unsafe abortions. Please engage with challenging content with caution.

45% of the 73 million abortions a year are unsafe. One of the reasons they are unsafe is due to U.S. policies that place restrictions on how family planning-related foreign assistance is used. Jodi Enda, Washington Bureau Chief and Senior Correspondent for The Fuller Project, sits down to talk with us about the multiple tools used by the U.S.-- including the Helms amendment and the Global Gag Rule-- and how far their harmful reach truly extends.

These unsafe abortions result in approximately 39,000 preventable maternal deaths and millions of complications each year. The U.S. is the biggest healthcare funder in the world, as well as the biggest funder of family planning assistance. Still, The Helms amendment and the Global Gag Rule both impact U.S. funding and U.S. global health assistance as it relates to abortion care, albeit in different ways. These foreign policies disproportionately impact access to abortion care for those who have experienced sexual violence, those who are in conflict and humanitarian settings, and those of low-incomes.

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The Emergency Medical Treatment and Labor Act, or EMTALA, is a statute passed by Congress in 1986 to ensure that nobody who is experiencing a medical emergency is turned away from receiving health care. But this week, the Supreme Court will hear arguments challenging EMTALA as it relates to emergency abortion care. Katie O’Connor, Director of Federal Abortion Policy at the National Women’s Law Center sits down to talk with us about the potential impacts of this ruling.

Under EMTALA, an emergency medical condition is defined “as a condition in which, without immediate medical attention, a patient's health or life is in serious jeopardy.” The statute does not make exceptions for state law, the personal beliefs of providers, or hospitals of religious affiliation. For pregnant people, abortion care can be a very necessary, time-sensitive, and sometimes life-saving health service. State-level abortion bans are already forcing patients to travel hours and long distances to receive care, and providers to leave the hostile states they are practicing in. EMTALA’s ruling may narrow, even more, the already constricted landscape that patients and providers find themselves navigating in the United States—especially for those who are experiencing an emergency.

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Florida—a state with the third largest population in the U.S. and the second largest abortion provider in the U.S.—has recently allowed a state Supreme Court decision that will ban abortion after six weeks gestation. Lauren Brenzel, Campaign Director with Floridians Protecting Freedom sits down to talk with us about the inner workings of this case and how it will further impact abortion access for those in the state and across the country.

After this policy goes into effect on May 1st, 2024, patients in Florida (who can) will likely have to travel as far as New York and Illinois to receive abortion care. Florida’s Supreme Court decision follows up years of challenging legislative sessions that have dismantled public education, banned sex education, and prevented the expansion of Medicaid. A ballot initiative has been introduced that may remove the Supreme Court ruling in November. If you’d like to learn more about reproductive justice and voting rights, check out our past podcast episode here.

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