A new study finds that people of color often experience different treatment during and after their pregnancy than do their white counterparts in encounters with a health-care provider.

Almost one-third of Black or Hispanic patients reported incidents such as receiving no response to requests for help, being shouted at or scolded, or not having their physical privacy protected. Some reported being threatened with withholding treatment or made to accept unwanted treatment.

Unfortunately, said Lauren Lancaster, maternal child health manager at the Indiana Minority Health Coalition, these reports are nothing new.

"It has been happening for years - for generations, honestly," she said. "I would say that because of the increased awareness that is going on, there is more of a presence of reporting these issues and getting them out into the limelight."

Lancaster said the coalition has a "three-doula" program in northern Indiana. The doulas work primarily with minority patients, through birth as well as postpartum, as a source of emotional and educational support. The Centers for Disease Control and Prevention suggested that health-care systems make it a priority to support care that's respectful and considerate of the patient's values, needs and desires.

Mistreatment is part of a pattern of inequality in medical care that can have a troubling outcome on pregnancies. In the most recent report for Indiana, in 2020, the maternal mortality ratio for Black women was 208 per 100,000 live births, compared with 108 for white women and 71 for Latina women.

Lancaster noted that there is something a patient can do if she believes she isn't receiving proper assistance and guidance during pregnancy.

"At the end of the day, you are the patient," she said. "So, if you feel that you are not being heard, or you're being mistreated, please report that. You have the ability or capability. Please, find a provider that best suits you - that listens to you - so you can get the help that you need."

The IU Public Policy Institute report included data from Indiana's Maternal Mortality Review Committee, which found that discrimination contributes to 8% of pregnancy-related deaths in the state.


get more stories like this via email

Vice President Kamala Harris focused on reproductive rights at a campaign event in Michigan Wednesday.

Her remarks come as President Joe Biden has fallen behind former President Donald Trump in the state, according to the latest polls. In front of a crowd of hundreds, Harris stressed abortion rights are at risk if Republicans win in November. She said Biden has vowed to veto any attempts to ban abortion nationwide.

"We believe in freedom. Freedom from the government telling us what to do about matters of heart and home," Harris explained. "We believe in the right of people to make basic decisions, like when and if they will start a family and how."

Meanwhile, Trump's pick for vice president, Sen. JD Vance, R-Ohio, has supported national abortion bans and opposed exceptions for rape and incest. Democrats are hoping the distinction will lead them to a victory this year in the key battleground state of Michigan. It was a critical issue for voters in 2022, when Gov. Gretchen Whitmer won her reelection race easily and both chambers of the state legislature flipped to Democrats for the first time in decades.

In her speech, Harris condemned political violence following the recent attempted shooting of Donald Trump at a Pennsylvania political rally. She also praised the gun safety measures Michigan lawmakers passed in recent years, including universal background checks and safe storage requirements. She added politicians in Washington, D.C., should favor similar laws.

"The solutions don't really require that much creativity," Harris asserted. "What they do require is people in the United States Congress to have courage to act and do what we know is the right thing to do and not cower, based on special interests and powerful lobbyists."

One Michigan Democrat in Congress, Rep. Hillary Scholten, D-Grand Rapids, has called on Biden to drop out of the presidential race over concerns about his age and cognitive ability. Harris would likely be a top replacement choice in the race against Trump.


get more stories like this via email

Abortion bans and restrictions limit women's participation in the workforce, according to a new analysis that quantifies the negative impacts on state economies.

South Dakota saw an average loss in GDP of nearly 1% per year between 2021 and 2023, due to a drop in labor force participation by people who became pregnant and didn't have access to abortion care, according to data from the Institute for Women's Policy Research. That adds up to nearly $641 million in economic losses to the state.

Jamila Taylor, president and CEO of the Institute for Women's Policy Research, said the 16 states with abortion bans or extreme restrictions, including South Dakota, are costing the national economy $68 billion annually.

"Not only do these restrictions and bans have a clear impact on the health and well being of people with the ability to get pregnant, they also have an impact on their productivity and their economic position in life," Taylor said.

Taylor added abortion access not only helps family finances, but also allows women ages 15 to 44 to engage more broadly in society -- in local communities or politics, for example.

Despite restrictions, abortion numbers are rising. The first full calendar year after the Dobbs decision overturned Roe v. Wade saw an 11% increase in abortions since 2020 - or over one million abortions in the formal health care system in 2023, according to The Guttmacher Institute.

If voters pass South Dakota's constitutional Amendment G in November, it will enshrine protections to abortion.

Hannah Haksgaard, University of South Dakota law professor, said even if it passes, people seeking an in-state abortion would likely see a lag time before services become available.

"There would still likely be state legislation that would try to restrict abortion in certain ways, and then the question would become whether those restrictions violated the new constitutional amendment," she said.

Haksgaard added that could make providers move slowly on offering abortion services in the state, until the legal issues are settled.


get more stories like this via email

A ruling from the U.S. Supreme Court Thursday will allow for abortions in emergency situations in Idaho - for now.

The justices said they were dismissing an appeal, reestablishing a lower court decision allowing hospitals to perform abortions in emergency cases, despite the state's restrictive abortion laws.

Molly Meegan, chief legal officer for the American College of Obstetricians and Gynecologists, said the organization is glad to see temporary relief in this case but added it is far from a complete solution.

"The way these laws are set up in Idaho and elsewhere are that there are limits on what care can be provided," Meegan explained. "Those limits are not clearly defined, and they're not committed to the discretion, the judgment, the expertise and the training of the physician that's facing a particular patient."

The protection for emergency abortions stems from a federal law known as the Emergency Medical Treatment and Labor Act. The law requires Medicare-funded hospitals to perform abortions in emergency situations. The three dissenting justices in Thursday's case called the Act's ability to preempt Idaho's restrictive abortion laws "plainly unsound."

Dr. Stella Dentas, president of the American College of Obstetricians and Gynecologists, said there is still a lack of clarity around the law in Idaho and OB/GYNs are leaving the state as a result. She noted when doctors face the prospect of jail over restrictive laws like Idaho's, it makes their job more difficult in emergency situations.

"It's already hard enough to make these critical decisions in the moment," Dentas emphasized. "If you're stuck on, 'OK, I can go down path A, but I'm not allowed to go down path B,' that is very confusing for both clinicians and the patients and the shared decision-making that we do."

Meegan added legislators should not be determining what care is available to patients.

"These questions need to be decided by science, by evidence, by the individual case in front of you," Meegan contended. "The idea that you can have black and white worlds being created by people without the expertise, training or experiencing the emergencies is really fundamentally dangerous."


get more stories like this via email