Can it be that we're really down to just a few days until the end of the Bush presidency? I can hardly believe it. The past eight years have been so hard for advocates of women's health, for those who work against poverty or for access to quality health care? Do I dare let myself get a little excited? The past few years have been bad news followed by worse. I'm wondering when we'll actually start to see some positive changes in the lives of the women we serve. I'm thinking of one mother I talked to today, in particular.
DaShay called up and asked for Plan B for her daughter Alia. I told her that it was actually available over the counter at any drugstore, usually for about $30-50. She said that she didn't have the money to get it and thought that her insurance would pay for it if I sent in a prescription. She was pretty angry, cursing her daughter up and down for having sex. She asked me how Plan B worked. "When did your daughter have intercourse?" I asked. "Oh, she's about three weeks," DaShay said.
"Three weeks since the sex or do you mean that she's three weeks pregnant?"
"She's only three weeks pregnant." I explained to her that Plan B can prevent pregnancy if used within 5 days of unprotected sex by preventing ovulation, but that it would not have any effect if her daughter was already pregnant.
I told her that if her daughter did not want be pregnant, then she could end the pregnancy by having a surgical or a medically-induced abortion (by using the abortion pill--not plan B.) I asked her to put Alia on the phone and we realized that she was actually nearly 9 weeks pregnant and would be too far to do a medication abortion by the time she came in. Alia answered my questions slowly, but kept confirming that she did not want to be pregnant. Even though she was 17, she sounded younger. Mom was in the background shouting lots of questions, so I asked to speak to DaShay again.
"Look--my daughter has one baby and I got her baby. I adopted him because she can't care for him. She's got a disability, she can't care for herself, she can't learn, she was in special classes but went and dropped out. I been laid off. We only get a little bit of money for her disability. She can't have another baby! We are on welfare--do you hear me? WEL...FARE. WELFARE! Understand? We got nothing. Now what's this gonna cost? Thirty? Fifty dollars for the pills?"
Because of where she lived, DaShay's welfare would not cover the cost of an abortion. "Actually, it's going to be closer to $350," I explained again why it was different than needing Plan B. She started screaming at her daughter, "$350? What am I supposed to do! Where we gonna get money? Where'd that little boy go who said he's gonna help you?"
When DaShay calmed down again, we went over her finances. She was right--they were just barely surviving. I don't know how she was making it work. We went through the steps to get her some emergency help from the National Abortion Foundation, but still weren't able to get the whole cost covered. We made a plan where she would try to come up with a portion and I would start calling around to some other emergency abortion funds to find part of it. We scheduled Alia's appointment for two weeks in the future, to give each of us a chance to try to come up with some more money. I'm still waiting for phone calls back from the emergency funds and I don't know what's going to happen.
All I know is I can't wait for a day when our national health care policy and our leadership can find a solution so that no woman's unplanned pregnancy creates this kind of crisis. After eight years of the Bush Presidency can you even imagine a world where women and mothers get their basic medical needs met? One week to go until a leadership change. Godspeed, President Obama!
-Nell
1/13/08--I am going to add a postscript to this entry, because several readers have been distressed at the possibility that Alia may have been sexually abused or that she did not have the intellectual capacity to understand what was happening for her. I'm glad that our readers are concerned for her welfare. No woman should be forced or coerced into having an abortion, continuing a pregnancy or giving a child up for adoption. It is very important that women with special needs get extra time and care to ensure that they make decisions that they are comfortable with. For an example of how a counselor can work with a minor to ensure that she is not being abused, that she understands the medical care she will recieve and that her medical team and family come together to help support her, please see this entry that Lou wrote a few weeks ago.
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