By Jennifer Weiss-Wolf for Ms. Magazine.
Broadcast version by Eric Galatas for Colorado News Connection reporting for the Ms. Magazine-Public News Service Collaboration

The United States was designated a backsliding democracy in late 2021, when it appeared on a prominent European think tank’s annual global ranking. Today, half of the world’s democratic governments are on the decline, according to The Global State of Democracy, a report released by the International Institute for Democracy and Electoral Assistance (IDEA) this past November.

Six months before the Supreme Court decision in Dobbs v. Jackson Women’s Health Organization, with Texas SB 8 already in effect—the U.S. made its disconcerting debut on the list. Advocates raised real-time questions about the correlation between regression on abortion rights and degraded democracies. A New York Times article asserted that such a descent is precisely when “curbs on women’s rights tend to accelerate.”

We think that’s a proposition worth flipping on its head. What if, instead, we looked at the United States’ persistent abysmal track record on gender equity as the potential smoking gun for its downward spiral? While the timing of the United States’ inaugural inclusion on the IDEA list made it easy to point to the grift of Trump and the rise of Trump-ism as the culprit, the hard truth is that our democracy has been flailing—by failing women, particularly women of color—as it has designed to, since the nation’s founding.

Equal Rights Amendment

Let’s start with the century-long fight to enshrine equality in the U.S. Constitution.

Eighty-five percent of United Nations member states currently have explicit constitutional provisions that prohibit discrimination on the basis of sex and/or gender. The United States is an outlier. Even as the federal Equal Rights Amendment navigates the path to ratification—and some 30 states have ERAs or comparable language in their own constitutions and/or active mobilization efforts—women in this country have no guarantee of equality.

Women’s Political Representation

The United States also lags in meaningful political representation.

We’re currently experiencing an uptick in women’s leadership on Capitol Hill, with an all-time high in the 118th Congress, where just over 28 percent (149 members) are women. In the House, women broke records in the 2022 midterms, with 124 now serving, 27 of whom are Black and 18 are Latina. On the Supreme Court, women account for four out of nine justices, two of whom are women of color. Vice President Kamala Harris is the first woman (and person of color) to serve in the role. 

At the state level, more than 30 percent of elected executives are women, including 12 serving as governor—a new record. Nevada is the first state to have a majority women legislature, followed by Colorado just this year; Michigan has a trifecta of women at the helm in the roles of governor, attorney general and secretary of state. Last year also marked the first time in U.S. history where at least one LGBTQ+ candidate ran for office in every state. In California, 10 percent of the state legislature is LGBTQ; across the country nine trans lawmakers now serve in state legislatures.

But these raw numbers are a far cry from robust or even remotely relative representation. There remain zero Black women in the U.S. Senate beyond Kamala Harris, who leads the body in her role as vice president; a Black woman has never served as a state governor. And the U.S. totals pale in comparison to women’s leadership and authority in much of the world, especially among our peer democracies.

Reproductive Freedom

The United States performs dreadfully on myriad ingredients needed to ensure equitable participation in the body politic.

While maternal mortality rates have decreased globally, they remain on the rise in the United States, which by the most recent count is ranked 46th in the world—a crisis that is exponentially acute for Black women, who are three times more likely to die during pregnancy and childbirth in the United States than white women.

Globally, paid maternity leave averages 29 weeks; the United States is one of only six countries, and the only wealthy nation, without national paid leave.

Across federal and state agencies, abusive institutional practices are all too common, from compulsory sterilization and forced induction of labor, to the denial or withholding of menstrual products and even the practice of shackling women during childbirth.

U.S. Abortion Rights Backslide

And then, of course, there is our current standing on abortion. For the past two decades, as much of the world has expanded access, the United States is one of just four countries—joining El Salvador, Nicaragua and Poland—actively rolling back rights. Though most Americans support legal abortion, and even well before the Supreme Court wielded its sledgehammer in its majority ruling in Dobbs, we’d witnessed then-unconstitutional laws glide through state legislatures only to be met with staggering indifference in the courts.

Now that the protections afforded by Roe have been eviscerated, we exist in an ever more dangerous and cruel orbit—one where the threat of criminalization for pregnancy outcomes, including stillbirths and miscarriages, looms large; where a 10-year-old is transported across state lines to obtain an abortion amid a media maelstrom (while her status as a rape victim is called into question—as if a pregnant child could be anything but); where people experiencing ectopic and unviable pregnancies are left to bleed, suffer and deteriorate before doctors can provide life-saving care.

As we approach the 50th anniversary of the Roe decision and continue to grapple with the new status quo, this much is clear: The tenets of reproductive health, rights and justice—and those of a healthy democracy—are not only inextricably interconnected, but essential to our nation’s promise. The country’s status as a backsliding democracy says as much about the symptom as it does the disease. And our simultaneous failure to curb democratic dysfunctions, like partisan gerrymandering and voter suppression, inevitably go hand in hand with our failure to ensure women and girls have an equal chance to engage in and contribute to civic life—or to live freely at all.

Bringing us back to the original proposition: Are we merely witnessing the byproducts of a democracy on the decline, or are each of the examples above the drivers of our current status? The 2020 United Nations report suggests that the trajectory of “de-democratization” is rarely analyzed initially through the distinctive lens of gender equity and there are insufficient efforts to systematically examine the current implications.

Which is precisely why we plan to pursue this conversation, starting with a symposium at NYU School of Law this spring. We will bring together academics, advocates, policymakers and pundits to explore what it means to measure the ebb and flow of inclusive democracy, in the United States and globally, with principles of gender equity at the center. Ms. magazine and Rewire News Group will co-host, and we look forward to sharing a steady stream of content as we tackle these questions in the weeks and months to come.

Jennifer Weiss-Wolf wrote this article for Ms. Magazine.



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Breast cancer is the leading cause of cancer death in Utah women.

According to the Utah Women and Leadership Project at Utah State University, Utah is among the three lowest-ranked states in the country for mammography screening rates in women aged 40 or older. According to the group, The Utah Department of Health and Human Services was unable to meet its goal of 76% of Utah women, aged 40 years and older, to be screened for breast cancer in 2020.

Chloe Bhowmick, clinical psychologist and research fellow for the Utah Women and Leadership Project, said a lot of the challenges inhibiting mammography rates are "financial and systemic."

"Having lack of insurance, not having insurance coverage through their job, not being able to get time off," Bhowmick outlined. "Those are all, I think, pretty important factors that we found or at least we surmised in being pretty significant."

Bhowmick noted other factors which have negatively affected screening rates include lack of affordable child care, discrepancies between mammography guidelines as well as varying levels of health literacy. Only 62.7% of Utah women aged 40 years and older reported having a mammogram in the last two years. The national average for U.S. women in the same group was 69%.

Bhowmick emphasized it is also important to not forget because of the COVID-19 pandemic, medical centers are still catching up on the backlog of mammography appointments, which can further delay preventive services.

Bhowmick added while the Beehive State is currently sitting 6.3% below the national average, local and state systems can take steps to increase screening rates, including having insurance systems building patient advisories into electronic record systems, tracking how often providers remind individuals of preventive care and employers implementing initiatives such as wellness programs and policies.

"I think having systems that support women, women will be able to both realize that this should be a priority with certain age groups, but also they have the freedom to go," Bhowmick explained.

The Utah Department of Health and Human Services has a goal of 81% of age-eligible Utah women receiving a mammogram by 2030. Bhowmick stressed education and advocacy from community groups can help the state reach its goal.


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To wrap up Women's Health Week, doctors are urging women to take stock of their mental health.

Dr. Sharon Eloranta, medical director at the Washington Health Alliance, said COVID-19 was hard for everyone and led to a drop in health screenings.

She said with the worst of the pandemic over, some women may need to consider how to prioritize their health.

"Women experienced more anxiety and stress during the time of the pandemic," said Eloranta, "and I think that may have been reflective of the fact that they worry not only about their own health, but about health of the people in their families and others. And that can be a hill to climb if you're trying to get back into taking good care of yourself."

For Women's Health Week - which runs through Saturday - the Centers for Disease Control and Prevention is asking women to schedule regular checkups, exercise and eat a healthy and balanced diet.

CDC data show a disturbing trend in mental health, with the rate of young girls saying they attempted suicide twice that of young boys.

Dr. Donna O'Shea, an OB/GYN and chief medical officer of Population Health at UnitedHealthcare, said parents need to be on the lookout for symptoms of depression and anxiety in adolescent girls.

"Especially after COVID," said O'Shea. "We found that 57% of high school girls have experienced persistent feelings of sadness in the last year. Ten years ago, that number was only 36%."

Eloranta said it's important for people to pay attention when they aren't feeling normal.

"'I'm just down, and nothing that usually makes me happy tends to change it.' Then that's time to reach out and try and find some support," said Eloranta. "And again, it can be through your employer, it can be through your primary care. You can always call a friend and see if they have any referrals for you to go and get some assistance."

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Two groups are working to create equal opportunities for Black and Latina women in the trucking industry.

The Truist Foundation has pledged $1.5 million to the Accion Opportunity Fund to support the Down Payment Assistance Program, which aims to empower minority women by helping them become first-time truck owners and entrepreneurs.

Luz Urrutia, CEO of the Accion Opportunity Fund, said the step is crucial in bridging the equity gap for underrepresented groups.

"America is in the midst of an entrepreneur boom with record numbers of small businesses, and they're led by women and people of color," Urrutia pointed out. "At the same time, there is a $130 million financing gap for small businesses who need less than $100,000 in this country."

Urrutia noted since 2010, Accion Opportunity Fund has invested $360 million in the trucking industry, providing crucial support to more than 6,000 first-time truck buyers through loans.

Nicole Ward, president of the African American Women Trucking Association and a trucking entrepreneur from Georgia, has firsthand experience with the challenges faced by women of color breaking into the trucking industry.

Despite encountering setbacks when trying to purchase her first truck, Ward persevered and now advocates for others in her community to do the same.

"I thought it would be as easy as purchasing a car, but I didn't realize that entering the industry you are looked at as a weaker link because it's a male-dominated industry," Ward explained. "Instead of jumping into the transportation industry I had to crawl in because I didn't have a certain financial support that was needed."

Ward hopes the Accion Opportunity Fund Program sets a precedent for other financial institutions in ensuring equitable access to funding for entrepreneurs of color.


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