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Reproductive Freedom News

January 2000
Volume IX
Number 1

Cover
Pregnant Women Claim Unlawful Search

Worldwide
U.N. Dues Cost Women Worldwide
Australia Abortion Conference Controversy

In Person
Cartoonists Bring Humor to Strife

In the Courts
Race to the Highest Court

On the Docket
Parental Notification Laws

"There's some short-term legislation that a president can do. A president can sign a partial-birth abortion ban. I would do so quickly if one got to my desk."
- Texas Governor George W. Bush during a Meet the Press interview Nov. 21, 1999

Women's right to choose through the eyes of political cartoonists and feminist artists.

Celebrate Choice: Reproductive Freedom Through Art, Politics and the Law

The Center for Reproductive Rights presents an exhibit exploring women's right to choose through the eyes of political cartoonists and feminist artists, and includes photographs that capture some of the most important turning points for women in this century.


At the Ceres gallery
212-226-4725,
584-88 Broadway, Suite 306, New York City,
Feb. 1-26, Tuesdays-Saturdays 12-6 p.m.
Admission Free.

Cover

Pregnant Women Claim Unlawful Search;
Appeal to Supreme Court

"Some of these women were never offered drug treatment. Instead they were shackled and hauled off to jail while still bleeding from childbirth."
-Priscilla Smith, Center for Reproductive Rights Deputy Director of Litigation

On December 1st, the Center for Reproductive Rights asked the U.S. Supreme Court to review a case brought by ten women whose urine was unconsensually and warrantlessly searched for evidence of cocaine while they received prenatal care at a public hospital in Charleston, South Carolina.

"The question before the Supreme Court is whether pregnant women have lesser constitutional rights than other Americans and, as a result, can be searched for evidence of a crime in their private doctor's offices," says Priscilla Smith, Deputy Director of Litigation at the Center for Reproductive Rights. Earlier this year, Smith argued before the U.S. Court of Appeals for the Fourth Circuit that the hospital's search policy violated the Fourth Amendment, which protects all Americans from unreasonable searches.

Under established law, the government must obtain a warrant based on probable cause before searching an individual for evidence to be used in an arrest and prosecution. A limited exception exists where there is a "special need" other than law enforcement for the search and the results are not used for criminal prosecutions. For example, where drug testing is done solely in the context of employment to ensure public safety or where the person searched has reduced constitutional protections than other Americans because of a prior criminal conviction. Although neither situation exists in this case, the Fourth Circuit applied the "special needs" exception here, becoming the first court in the nation to uphold such a policy of warrantless searches conducted to gather evidence of a crime.

In October 1989, the Medical University of South Carolina initiated a new policy of running non-consensual drug tests on a targeted group of women - pregnant women with "inadequate" prenatal care or a history of drug or alcohol abuse - who came to the hospital for obstetrical care. The program was developed and implemented jointly with the City of Charleston Police Department and the local prosecutor's office, and was applied only at the one hospital in Charleston where the patient population was predominately African-American and low-income. Positive test results for cocaine use were disclosed to the prosecutor's office and the police, and a copy of the patient's discharge summary containing such confidential information as incidence of sexually transmitted diseases, sterilization procedures and HIV status was disclosed to police officers.

Until at least January 1990, women who tested positive for cocaine at the time they gave birth were not given the opportunity to seek treatment but were simply arrested. Even after the policy was revised to give women the opportunity to get treatment, the drug treatment services available were inadequate. At least one woman was arrested for failing to enter a two-week residential drug treatment program that had no child care, despite having no one to care for her two young sons.

In its decision, the appellate court found that the "search policy" challenged in this case was constitutional because the government could articulate a public health and safety rationale for its actions. But, as the petitioners argue, nearly every application of the criminal law serves some health or safety purpose.

"The Fourth Circuit's radical extension of the 'special needs' exception threatens the vitality of the Fourth Amendment," says Smith, "It would relegate pregnant women in their doctors' offices to a status comparable to a convicted felon on probation."

Although the prosecutors claimed the challenged policy was designed to protect the life of fetuses, groups such as the American Medical Association, the American Academy of Pediatrics and the March of Dimes consistently oppose using such methods to address the problem of substance abuse during pregnancy. They assert that threatening women with arrest and jail time deters them from seeking critical prenatal and postnatal care and drug treatment and could thereby actually harm their health and the health of their children. Given how the women who were subjected to this policy were treated, it is easy to see how women could be deterred from seeking prenatal care:

After these cases were brought to light, the National Institute of Health placed the hospital on "probation," finding that it violated federal law on "experimentation" on human subjects. In 1994, the hospital dismantled its program as part of a settlement with the Civil Rights Division of the Department of Health and Human Services.

- Ann Farmer

Worldwide

U.N. Dues Paid at a Cost to Women Worldwide

Women around the world face increased risk to their health and lives because family planning organizations were the big losers in the recent budget battle between President Clinton and Congress. The Foreign Appropriations bill of the 106th congressional session allows the United States to pay nearly $1 billion in back dues to the United Nations. In turn it places restrictions on U.S. aid to foreign family planning programs.

Under the compromise agreement, the President accepted a legislative prohibition on the use of U.S. funds for any foreign non-governmental organization (NGO) that uses its own money to perform abortions or lobby their own governments to improve their countries' abortion laws. The President was given the power to partially waive the restriction in exchange for losing 3% of the $385 million international family planning budget.

On November 30, 1999, right after the President signed the bill, he invoked the waiver, triggering a $12.5 million dollar cut from family planning programs that was then automatically transferred to a children's health fund. Of the remaining $372.5 million, only $15 million can be given to foreign groups that perform legal abortions or participate in lobbying activities on abortion. To comply with Congress's $15 million cap, USAID will identify those foreign NGOs and multilateral agencies that engage in such abortion-related activities.

"It is time for anti-choice extremists to stop trying to stigmatize legal abortion activities that save women's health and lives in other countries and give them the kinds of choices over their bodies that women in our country take for granted," says Kathy Hall Martinez, Deputy Director of the Center for Reproductive Rights' International Program.

As it is, the United States has banned direct financing of abortions since 1973 (except in cases of rape or incest or where the life of the woman is endangered by the pregnancy) and grants for abortion lobbying since 1981. The "Mexico City Policy" announced by Reagan during a 1984 U.N. population conference held in Mexico City created a further prohibition, forbidding overseas NGOs from receiving U.S. funds if, with their own money, they performed abortions or actively "promoted abortion as a method of family planning."

President Clinton reversed that order in 1993, shortly after taking office. Ever since, the Republican-controlled Congress, led by Rep. Christopher Smith (R-NJ), has attempted the turn the clock back. Three years of congressional stalemates over repaying the U.N. dues were unsuccessfully tied to anti-abortion demands until this year, when Clinton surrendered to the compromise in order to retain the U.S. seat in the U.N. General Assembly, which the U.S. was close to losing for non-payment of U.N. dues.

Secretary of State Madeleine Albright has already announced that the President will request a substantial budget increase for international family planning in 2001, with the intent of raising funding levels to its FY1995 level of $541.6 million. Albright also promised to fight hard to see that the restrictions in this year's appropriations bill expire as scheduled next September.

The sad irony of this situation is that by cutting access to family planning services, the U.S. government is undermining the most effective means of reducing abortion. Instead, more women abroad, particularly poor women, will be forced to seek unsafe abortions at a high cost to their lives and health.

- Wayne Kawadler

The Global Gag Rule suppresses public debate and the exchange of information about unsafe abortion.
Regardless of whether abortion is legal or not, it is widely practiced around the world. Abortions performed under unsafe conditions remain a major public health problem; about 75,000 women die each year from septic and incomplete abortion, many of them leaving behind young children. Tens of thousands more suffer serious illness or injury. While the Mexico City Policy was in effect, there was no evidence of any reduction in the number of abortions, the stated purpose of the policy. However, some organizations discontinued research on abortion as a public health problem, including the collection of basic information on its incidence. In addition, several medical and demographic journals receiving U.S. funds excluded all discussion of abortion. * An estimated 585,000 women die in pregnancy or childbirth every year, accounting for one-quarter to one-half of deaths to women of childbearing age.

*Source: Population Action International

Major Abortion Conference Draws Controversy
A new Center for Reproductive Rights poster The World's Abortion Laws 1999 was unveiled during a major abortion conference held in Australia in November. The map shows that in Australia, most women have access to abortion on broad legal grounds that vary in each state. But events in Queensland, where the conference took place, made it apparent that women's right to choose in Australia is threatened.

Queensland anti-choice demonstrators picketed the Abortion in Focus conference and State Opposition health spokeswoman Fiona Simpson chose that moment to announce plans to introduce a private member's bill to the Queensland Parliament to limit late-term procedures unless "undertaken by specialists in a hospital."

Premier Peter Beattie criticized the proposed bill, telling politicians to "butt out" of the debate and saying that late-term abortions should remain a decision for women and their doctors to make. At the same time Beattie was quoted as saying he personally does not support late-term procedures.

Before the conference began, prominent U.S. abortion provider Dr. Warren Hern found himself detained for two hours upon arrival at the Sydney airport. At first he was given no explanation for the detention, but after an hour he was told he must sign a letter acknowledging that he would be subject to unknown penalties, including imprisonment and expulsion, if he broke unspecified "criminal laws relating to abortion" or "incited discord."

The unsigned and undated letter went on to state that: "In practice an abortion would very rarely, if ever, be carried out by a medical practitioner during the last trimester of pregnancy." Hern is one of the few providers in the U.S. who perform abortions for those women who need them later in pregnancy.

Hern refused to sign the paper but nonetheless was allowed to attend the conference where approximately 250 providers and advocates from around the world compared perspectives on abortion law, shared information on medical techniques and strategies for legislative reform. At one high point, a Nepalese participant announced that his country's abortion law - which is one of the most restrictive in the world - may soon be amended to allow for legal abortions in certain circumstances.

Despite the inauspicious beginnings, "the conference was a huge success," says staff attorney Laura Katzive, who presented the Center for Reproductive Rights' World's Abortion Laws 1999 map to the other participants. "It reinforced a global network of people working to promote reproductive rights in their countries and laid the groundwork for future collaboration."

World's Abortion Laws 1999 Poster Available
The full range of abortion laws in 191 nations are illustrated in the poster The World's Abortion Laws 1999. The map shows that 40.8% of the world's people live in countries where induced abortion is permitted without restriction as to reason, while 26% of all people reside in countries where abortion is generally prohibited. For more details and to obtain a copy of the map, email publications@reprorights.org.

Women's Reproductive Rights in Cameroon
The Center for Reproductive Rights and the Association of Women Jurists of Cameroon submitted a report on women's reproductive rights in Cameroon to the U.N. Committee on Economic, Social and Cultural Rights on November 15. The following principal points of concern were highlighted:

The full report is available in English and French from the Center for Reproductive Rights.

In Person

Humor in the Strife

Cartoonists are Highlighted in 'Celebrate Choice' Forum

About ten years ago, whenever editorial cartoonist Joel Pett created a pro-choice cartoon he would insert a coat hanger into the picture - as a stiff reminder of the dangers that lurk when abortion is illegal. One day he got a fax from the pastor of a local church threatening to boycott his newspaper, the Lexington Herald-Leader, if he continued to do it. Pett was not intimidated.

The next day, as he was lampooning a different subject, he subtly included a coat hanger. The following day he drew a man replacing his broken TV antenna with a hanger. A boycott ignited. Undeterred, Pett next drew President Bush breaking into a locked car using a coat hanger. At that point his editor told him "no more coat hangers." So instead, Pett drew a cartoon with a clothes closet, only the clothes were hanging mid-air - there were no visible coat hangers. He adds, "they wouldn't run it."

Pett's staunchly pro-choice cartoons have been a humorous and biting addition to at least a dozen issues of Reproductive Freedom News (RFN). Some of them can be seen in an upcoming public education forum presented by the Center for Reproductive Rights. Celebrate Choice: Reproductive Freedom through Art, Politics and the Law will run February 1-26 at the Ceres Gallery in New York City. The exhibit will feature feminist artists' paintings, a time-line of the century's turning points for women, and a visual history of the strides and setbacks following Roe v. Wade as illustrated by the work of 17 editorial cartoonists featured in past RFNs, including Pulitzer Prize winners Tony Auth and Signe Wilkinson.

While Wilkinson has been known to bridle when singled out as a "female" cartoonist, she does believe that some editorial ideas come more naturally to women. "I'm perfectly willing to say I've never had to have an abortion," says Wilkinson, "but there were times when I thought I might be pregnant when I didn't want to be." The angst Wilkinson experienced at those times is incisively portrayed in her cartoon of a woman suffering through three days and nights of sleepless contemplation before choosing to have an abortion. The character is then further burdened by a male judge who tells her to "come back in 24 hours after you've thought it over." "It really frosts me when it's the men making the [abortion] decisions," says Wilkinson.

Cartoonist Tony Auth also finds his pro-choice views fueled by personal experience. He came of age during the era of the Vietnam War and women's rights, and says he knew many women who "had to go through that agonizing period" before deciding to have an abortion. "It seemed to me there was no need for government to put obstacles in their path." While raised a Catholic, his outrage at the anti-choice tactics of the Church has left him wading through occasional spates of hate mail - especially the time he depicted a bishop brandishing an "abortion dogma" hatchet. But ruffling feathers is all part of the business, as Wilkinson can attest. She recalls that one day after taking a swipe at the religious right, "a guy came in and prayed for me."

- Ann Farmer

In the Courts

Race to the Highest Court

Supreme Court Justices to Receive a Flurry of Petitions on "Partial-Birth Abortion" Bans

"Quite simply, the State's arguments for reviewing the Nebraska 'partial-birth abortion' ban statute are meritless, and the State can find no refuge in the facts of this case."
-Simon Heller, Center for Reproductive Rights Director of Litigation

Parties on both sides of the "partial-birth abortion" issue are busy filing petitions to the U.S. Supreme Court, asking the Court either to affirm a woman's right to choose or to erode that constitutional right. Because when the U.S. Court of Appeals for the Seventh and Eighth Circuits recently issued contradictory opinions on the constitutionality of five virtually identical "partial-birth abortion" bans, they established salient grounds for a U.S. Supreme Court review.

The Center for Reproductive Rights, Planned Parenthood Federation of America and the American Civil Liberties Union have all announced they will ask the Court to consider the Seventh Circuit decision, which found the abortion bans in Illinois and Wisconsin constitutional. The first clear sign of the Court's willingness to consider such a case appeared on November 30, when Supreme Court Justice John Paul Stevens issued a written order preventing the Seventh Circuit decision from taking effect pending review by the High Court. If the Court declines to hear that case, the stay would expire and the Illinois and Wisconsin bans would take effect.

Meanwhile Nebraska lost no time in asking the Court to review the unanimous Eighth Circuit decision from September that found a Nebraska PBA ban unconstitutional. In separate decisions, the Eighth Circuit found similar bans in Arkansas and Iowa unconstitutional. However, neither Arkansas nor Iowa has yet indicated whether it will petition the Court.

In its November 12 Supreme Court petition, Nebraska seeks, in effect, to overturn Roe v. Wade. Throughout its petition Nebraska fails to summarize the factual findings of this case. Nowhere does it contest that the phrase "partial-birth abortion" is not a medical term. Instead it consistently ignores the lower courts' finding that this term covers more than just a specific procedure, including one of the safest pre-viability abortion methods available in Nebraska.

In an attempt to sway the Court's emotions, the State asks rhetorically whether a "living human being delivered from its mother's body up to its head" is a person under the Constitution. As the Center for Reproductive Rights points out, the law in question cannot - by any stretch of the imagination - be narrowed to this situation. Indeed, the Eighth Circuit had found the law was so vague it could apply to virtually all abortions.

The State then equates the "partially born" with former African American slaves and Native Americans, and asks that the "partially born" be given the full protection of the Constitution without offering any legal precedent for such a monumental decision.

All this leads to what Nebraska really desires: as stated in the petition, Nebraska wants the Court to turn over the issue of abortion to the whims of the legislative majority, free from the Constitutional oversight of the courts.

The Center for Reproductive Rights filed its response to Nebraska's petition on December 16. It urged the Court to reject the questions presented by Nebraska, arguing that none of the state's grounds for review have merit. However, acknowledging the split between the Eighth and Seventh Circuit decisions, it asked that the High Court deal with the truly important questions raised by these laws.

First, the Center for Reproductive Rights stated, the Court must reaffirm the continuing vitality of Roe by upholding the Eighth Circuit's finding that the bans on "partial-birth abortion" are unconstitutional. Second, it must reaffirm settled law that courts cannot simply rewrite unconstitutional statutes in an effort to save them, as happened when a deeply divided Seventh Circuit zealously rewrote the Wisconsin abortion statute in a failed attempt to make it constitutionally viable. It is the duty of the legislatures to write constitutional laws. When they fail to do so, courts must strike them down.

- Ann Farmer

On the Docket

Parental Notification Laws

Alaska
Current Status: On December 6, 1999, pro-choice advocates argued against Alaska's parental consent law before the Alaska State Supreme Court. Attorneys for reproductive health care providers challenging the law argued that the current parental consent law cannot stand in the face of the state's constitutional guarantee of equal protection. In addition, they argued that the law violates the right to privacy.

Background: The law in question, which has been blocked by the state court since 1997, requires pregnant minors under 17 who desire an abortion to first obtain the consent of a parent or guardian. The law contains a judicial bypass, which allows minors the alternative of seeking a court order authorizing the procedure.

Alaska's law requiring parental consent for abortion was enacted following an override of Governor Knowles' veto in May 1997. On August 4, 1997, the trial court issued a temporary restraining order, blocking enforcement of the law. On February 25, 1998, the trial court ruled that the law denies minors seeking an abortion equal protection under the Alaska Constitution. In his decision, Judge Tan reiterated that women's reproductive rights are fundamental and, under the Alaska Constitution, are independent of and broader than those protected under the federal constitution. The state appealed the decision.

Janet Crepps of the Center for Reproductive Rights and Jim Kentch of the Alaska Civil Liberties Union Foundation represent the plaintiffs in State of Alaska v. Planned Parenthood of Alaska et al. No. 3AN-97-6014-CI, slip op. (Alaska Sup Ct. Feb 25, 1998). Plaintiffs include Planned Parenthood of Alaska, Jan Whitefield, M.D., and Robert Klem, M.D.

Florida
Current Status: On December 6, 1999, arguments began in a week-long Florida parental notification law trial. Under the Florida law, physicians are required to notify one of the parents of any young woman seeking an abortion at least 48 hours prior to the procedure or face disciplinary procedures, including losing their license to practice medicine. The law contains a judicial bypass, which allows minors the alternative of seeking a court order authorizing the procedure. During the trial, several experts testified about the ineffectiveness of parental notification laws, including the primary judge for minors seeking a judicial bypass in a Minnesota county.

Background: Governor Jeb Bush signed the parental notification measure into law on June 11, 1999. On July 26, 1999, State Court Judge Terry P. Lewis temporarily enjoined the state from enforcing the law, writing in his opinion that "declaring that certain objectives are compelling state interests is not enough. The state must demonstrate, through consistent statutory treatment that they are. Here, as in [the challenge to the earlier parental consent law] this has not been done."

Plaintiffs in North Florida Women's Health & Counseling Services, Inc v. State of Florida, (No. 99-3202 (Fla.Cir Ct.1999 ) are being represented by Bebe Anderson of the Center for Reproductive Rights, local cooperating attorney Charlene Carres of Tallahassee, and Dara Klassel of the Planned Parenthood Federation of America.

- Wayne Kawadler

correction
Nevada joins five other states that passed laws in 1999 making female genital mutilation a crime (see story in November 1999 RFN). This makes a total of 15 states to outlaw FGM in the U.S.A., not 14 as previously stated. | |