2024 Kentucky Reproductive Freedom Fund: Report to Funders
Post election, as we consider the impact the new administration will have on reproductive rights, the critical work at the local and state level continues to be vitally important. Change to the legal landscape of abortion access will come from state courts.
For over two years, Kentucky has one of the most extreme abortion bans in the country, with no exceptions for rape, incest, fetal abnormalities, cancer - an unthinkable extreme. Doctors are unable to treat common pregnancy complications like miscarriage without fearing criminal charges. Delayed care until a life-threatening situation arises has worsened health outcomes, increased financial and emotional burdens on patients, and driven medical students to seek residencies in other states. Kentuckians are unable to receive care that they deserve in their own communities and state.
Unsupported by science or leading U.S. health organizations, Kentucky's abortion laws endanger health and limit doctors' ability to provide essential and the highest standard of care. This is unacceptable.
The founders of the Kentucky Reproductive Freedom Fund (KYRFF) have fought for reproductive health and freedom for over four decades. Despite facing harassment from governors, attorneys general, state legislators, and anti-abortion protesters, they have remained steadfast on the frontlines where abortion care is under threat. As owners of EMW Women’s Surgical Center they provided care, trained residents, and acted as plaintiffs in a multitude of Kentucky legal cases challenging restrictive legislation, including the post-Roe case at the Kentucky Supreme Court and a 2022 case before the U.S. Supreme Court.
The all-volunteer, non-profit KYRFF is an integral part of the work focusing on education, advocacy, policy reform, providing a platform for physicians and health care providers to raise their voices and keep this critical topic in the media.
In the fiscal year 2024, the Kentucky Reproductive Freedom Fund was proud to fund:
A “Day at the Capitol” event with Kentucky Physicians and Allied Health Professionals who raised concerns about Kentucky’s restrictive abortion bans through meetings with legislators, as well as a press event
KYFFF drafted a letter for physicians and healthcare providers, calling for the repeal of the abortion bans, which has currently garnered over 400 signatures and was unveiled at a 2024 press conference at the capital.
Lexington, KY, a press event and statewide campaign that raised awareness about the dire consequences of Kentucky’s abortion ban, featuring two mobile billboard trucks in Frankfort, Lexington, and Bowling Green, five rural billboards, and digital ads. The campaign emphasized the harmful effects on both the medical community and the broader population, urging Kentuckians to sign a pledge calling for the repeal of restrictive abortion laws. The digital ads reached 1.8 million impressions across multiple platforms reiterating our message the bans are driving away doctors and putting women in danger. https://www.kyrff.com/blog-home/statewide-campaign-shines-light-on-consequences-of-kentuckys-abortion-ban
A Press event in Bowling Green that drew attention to the ongoing implications of Kentucky's severe abortion ban where advocates and medical professionals brought a mobile billboard truck to mark the two years since the ban's enactment in Kentucky
An op-ed by Dr. Alecia Fields and Medical Student Shriya Dodwani that detailed how Kentucky’s abortion ban is driving away doctors and hurting women.
An op ed by the KYRFF founder and the ACLU-KY highlighting the economic consequences states experience when they choose not to embrace equality and freedom.
One graphic from our 2024 media campaign.
The 2024 media campaign garnered: 34 statewide media clips (press and television) view a few below:
Kentucky Doctors Unite Against State Abortion Bans
Campaign launched against Kentucky’s abortion restrictions
Abortion access advocacy group gathers in Bowling Green on Kentucky tour
Kentuckians Sound the Alarm: Abortion Bans Are Driving Doctors Out of State
While we don’t know each person’s story, we understand the harm, because we have spent decades caring for people from every walk of life. Post Roe, we’ve remained steadfast in our commitment to ensuring that everyone can make the pregnancy decision that is right for them, free of judgment, barriers, and government interference.
After all the setbacks, we still firmly believe that we will prevail and are on the right side of equality and human freedom.
Thank you for being there with us as we continue to fight and navigate an uncertain future.
Ona Marshall and Dr. Ernest Marshall
Founders, The Kentucky Reproductive Freedom Fund
Sundance Film Festival rejects Louisville in a refusal to be complicit in kentucky’s human rights violations.
The recent decision by Sundance to eliminate Louisville from consideration as a potential festival location is not surprising, and a good call. It was astounding that Louisville even made the short list of potential host cities given Kentucky’s numerous human rights violations, which contradict the ethos and equity values Sundance says it holds.
Article originally posted on Kentucky Lantern & Courier Journal.
By Angela Cooper and Ona Marshall, KYRFF Co-founder
Kentucky leaders partnered to attract the Sundance Film Festival to Louisville, they should partner to restore Kentuckians human rights.
Restricting human rights and freedom negatively impacts a state's economic development and tourism.
The recent decision by Sundance to eliminate Louisville from consideration as a potential festival location is not surprising, and a good call. It was astounding that Louisville even made the short list of potential host cities given Kentucky’s numerous human rights violations, which contradict the ethos and equity values Sundance says it holds.
Sundance’s decision to exclude Louisville from consideration as a future festival location was a necessary choice, and an unfortunate foreshadowing of Kentucky tourism.
At the heart of Sundance’s ethos is a community agreement rooted in respect, equity, and inclusion. Their mission celebrates diversity, creativity, and freedom of expression — qualities that cannot thrive in a state that has enacted draconian laws and perpetuated systemic discrimination. The reality is clear: Out of touch lawmakers have eroded the rights of Kentucky’s most vulnerable citizens. Our commonwealth is now a place where women’s reproductive autonomy has been stripped away, LGBTQ+ rights are under siege, and systemic racism runs rampant within law enforcement and other institutions.
Kentucky’s abortion ban is a particularly glaring example of the state’s assault on fundamental freedoms. The state has enacted some of the most restrictive anti-abortion laws in the country, effectively criminalizing health care providers and making women second-class citizens. Women no longer have the right to make decisions about their own bodies, forced instead into life-altering situations dictated by political ideology. By banning abortion, Kentucky has signaled that it values control over compassion, and oppression over freedom. Sundance, with its progressive vision of inclusion, could not stand in partnership with a state that denies women the basic right to control their reproductive futures.
Additionally, the Louisville Metro Police Department (LMPD) has been the subject of federal investigations, revealing a disturbing pattern of excessive force and discrimination. LMPD’s practices have eroded trust and perpetuated a cycle of injustice. Breonna Taylor’s tragic murder highlighted these problems on a national scale, but the underlying systemic problems persist. How could an institution like Sundance, which celebrates stories of resistance and change, host an event in a state that has refused to address these very issues?
And this is just the beginning. Kentucky has criminalized homelessness rather than addressing the root causes of poverty. The general assembly’s attacks on LGBTQ+ rights, from trans health care bans to discriminatory legislation, are on the rise.
These new laws are not solving any of the problems we face; they are part of a broad, coordinated agenda to marginalize and silence anyone who does not fit a narrow definition of “acceptable” in Kentucky.
A vibrant and diverse organization like the Sundance Institute could not, in good conscience, select Louisville as a site for the festival. Members of the Institute, filmmakers, and festival attendees could not be guaranteed safety here. Louisville cannot even offer best practices in medical care for the 140,000 people who would visit for the festival, much less the highest standard of medical care.
Sundance’s choice to exclude Louisville is a refusal to be complicit in the oppression Kentuckians face each day. If Kentucky’s leaders truly want to attract vibrant, creative industries like the film world, they need to first fix the deep-rooted problems that make this state an unwelcoming and hostile place for far too many people.
To others on the national scene scouting Kentucky: You have a message to send with your choice. World-renowned or nationally lauded institutions and programs will not choose to spend their money in states that do not embrace freedom and equality. Aim higher and select a state where leaders respect human rights. Until women are equal citizens, until Black lives matter, until LGBTQ+ individuals are free to live without fear and are treated with dignity and compassion, there is no room for a festival like Sundance in Kentucky.
SONIA AND DR. RONALD LEVINE JEWISH VOICE FOR CHOICE AWARD Winner
Dr. Ernest Marshall, co-founder of the Kentucky Reproductive Freedom Fund, awarded SONIA AND DR. RONALD LEVINE JEWISH VOICE FOR CHOICE AWARD by the Louisville section of the National Council of Jewish Women.
Dr. Marshall was presented the award in recognition of courage of action and significant contribution in the efforts of reproductive rights and healthcare justice in the commonwealth of Kentucky.
The National Council of Jewish Women (NCJW) is the oldest Jewish feminist civil rights organization working for equity and justice for women, children, and families in the United States and Israel.
NCJW combines education, direct service, and advocacy to affect lasting social change at the local, state, and national levels.
SONIA AND DR. RONALD LEVINE JEWISH VOICE FOR CHOICE AWARD
The commonwealth of Kentucky currently restricts ALL access to abortion.
Dr. Ernest Marshall has been at the forefront of spreading awareness on the devastating impact on Kentuckian’s limited rights to reproductive healthcare.
For decades, he has been active in legal and advocacy efforts, challenging restrictive legislation and defending women's reproductive rights as a plaintiff in the courtroom and in the media, advocate, physician, and non-profit founder.
The award is named in honor of Sonia and Dr. Ronald Levine, long-standing members of NCJW, Louisville Section for their lifelong efforts to support women’s reproductive healthcare. Sonia has been an active member of NCJW for many years, where she has chaired the Legislative Committee and Women’s Issues Committee of NCJW and was appointed by the National Organization of NCJW as the Kentucky State Public Affairs Chair for over six years. Sonia and Ronald were both founding committee members of the Religious Coalition for Abortion Rights.
Dr. Levine served as an Obstetrician and Gynecologist for over thirty years in many different patient care, teaching, and leadership roles. Of note, he served as a Medical Director of the Louisville affiliate and then as Chair of the Medical Committee of the Southeast Region of the U.S. and as a member of the National
Medical Committee of Planned Parenthood.
Powerful Call for Reproductive Freedom Echoes in Bowling Green
The Kentucky Reproductive Freedom Fund (KYRFF) held a press conference outside the Warren County Courthouse in Bowling Green, marking two years since the enactment of Kentucky's abortion ban. This event was part of a larger statewide campaign aimed at raising awareness about the severe consequences of the abortion ban and rallying support for the restoration of reproductive rights in Kentucky.
On August 1, 2024, the Kentucky Reproductive Freedom Fund (KYRFF) held a press conference outside the Warren County Courthouse in Bowling Green, marking two years since the enactment of Kentucky's abortion ban. This event was part of a larger statewide campaign aimed at raising awareness about the severe consequences of the abortion ban and rallying support for the restoration of reproductive rights in Kentucky.
A Somber Anniversary
The event coincided with the two-year anniversary of a pivotal and devastating moment for reproductive rights in Kentucky. On August 1st in 2022, a single Kentucky Court of Appeals judge reversed a lower court's temporary injunction, allowing one of the nation's most restrictive abortion bans to take effect. The Kentucky Supreme Court did not reinstate Kentuckians freedom,evading the merits of the case and issuing a technical decision. Kentucky’s total abortion ban has had a profound impact on the healthcare system and the lives of countless Kentuckians. The ban provides no exceptions in cases of rape, incest, nonviable pregnancies or cancer patients - an unthinkable extreme.
Read more about the Supreme Court Case here.
Voices of Advocacy and Professional Expertise
Lt to Rt - Dr. Janet Wygal, Ona Marshall, Kennedy Doss, Rev. Diane Snowa, Lilly Deljoo, Dr. Ernest Marshall
The press conference brought together a diverse group of advocates and medical professionals, each highlighting the critical need for restoring reproductive freedom in Kentucky. Ona Marshall, founder of the Kentucky Reproductive Freedom Fund, led the charge, emphasizing the ongoing battle against governmental overreach into personal medical decisions.
Additionally, Ona Marshall emphasized Kentucky’s lack of avenues for citizens to put abortion access on the ballot. “We could follow the lead of other states that are moving to protect reproductive rights,” she said. “These are states that have citizen-led ballot initiatives to protect abortion access in their state constitutions. But that choice isn’t possible in Kentucky.” Kentucky’s lawmakers limit citizen power and ignore medical experts.
Dr. Janet Wygal, a board-certified OBGYN and lifelong Kentucky resident, shared her firsthand experiences with the detrimental impact of the abortion ban on the state’s healthcare system. As a medical professional, Dr. Wygal highlighted the struggles doctors face when trying to provide comprehensive care. “ I want to make clear; abortion is essential health care. From years of practicing medicine, I know that restricting abortion access is directly tied to increased pregnancy complications and tragically increased maternal mortality.”
Lilly Deljoo, a medical student at the University of Louisville and president of Medical Students for Choice, provided a stark reminder of the challenges faced by the next generation of healthcare providers. Her perspective underscored the long-term consequences of the ban, particularly in terms of recruiting and retaining medical talent in Kentucky. “Since the Dobbs ruling, I have lived in two states within one country that offer significantly different freedoms for their residents. I have witnessed how such a ruling can affect patients’ lives, even those not currently seeking an abortion. As a future provider, I fear lacking the capabilities and proper training to save my patient’s life.”
Local advocate and high school junior, Kennedy Doss, offered a poignant view from the younger generation, articulating the fear and uncertainty that looms over young women in the state. Her passionate plea for reproductive justice resonated, underscoring the importance of ensuring that future generations have the freedom to make their own healthcare decisions. “ Access to sexual and reproductive health information is critical, especially in Kentucky, which ranks fourth highest in teen pregnancy rates.”
Rev. Diane Snowa, a retired pastor ordained in the United Church of Christ in Louisville, added a moral dimension to the discussion, urging lawmakers to reconsider policies that endanger lives and infringe upon personal liberties.” Religion is meant to instill hope, to encourage love and compassion. I urge all people of faith and conscience to call upon our lawmakers at the local and state levels to stop using religions to take away Kentuckians’ rights, freedom and ability to make decisions about their futures. This use of religion is wrong..”
Read more on Religion & Abortion here.
Statewide Campaign Highlights
Since its launch in June, the Kentucky Reproductive Freedom Fund’s statewide campaign has made significant strides in raising awareness about the consequences of Kentucky’s abortion ban. The campaign, which includes billboards in rural areas and mobile billboard trucks in major metropolitan regions, and a variety of digital and social media ads has already garnered 1.8 million impressions across the state. One of these mobile billboard trucks made a powerful visual statement at the Bowling Green event, symbolizing the relentless efforts of advocates to keep the issue at the forefront of public discourse.
Media clips from the press event:
KY abortion rights advocates mark milestone, lament state’s barrier to ballot initiatives
Abortion access advocacy group gathers in Bowling Green on Kentucky tour
Abortion access campaign reaches Bowling Green
Kentuckians Sound the Alarm: Abortion Bans Are Driving Doctors Out of State
The Ongoing Fight
The press conference in Bowling Green was not just a reflection on the past two years, but a call to action for the future. As the event concluded, speakers emphasized the urgent need for continued advocacy and education to combat the devastating effects of Kentucky’s abortion ban. The KYRFF remains committed to this fight, providing a platform for advocates and healthcare providers to push for policy reforms that protect the reproductive rights of all Kentuckians.
As the campaign continues its journey across Kentucky, the message remains clear: Kentuckians will not stand by as their reproductive freedoms are stripped away.
For more information on the campaign and upcoming events, follow the Kentucky Reproductive Freedom Fund on Facebook or visit the website.
The Kentucky Reproductive Freedom Fund launches new Statewide Campaign - Shines Light on Consequences of Kentucky’s Abortion Ban
On the second anniversary of the fall of Dobbs, advocates and medical professionals in Kentucky gathered in Lexington to launch a new statewide campaign aimed at raising awareness about the dire consequences of Kentucky’s restrictive abortion ban.
Advocates share new data showing medical students likely to leave the state due to restrictive laws
LEXINGTON, June 24,2024 — Recently, on the second anniversary of the fall of Dobbs, advocates and medical professionals in Kentucky gathered in Lexington to launch a new statewide campaign aimed at raising awareness about the dire consequences of Kentucky’s restrictive abortion ban.
The campaign, which includes two mobile billboard trucks that will be visible in Frankfort, Lexington, and Bowling Green over the next several weeks, marks the second anniversary of the U.S. Supreme Court's decision to overturn Roe v. Wade—a decision that has had profound implications for reproductive rights in Kentucky.
The mobile billboard trucks, five rural billboards, and a variety of digital ads will feature messages that call attention to the harmful effects these bans have on the medical community and the broader population as well as urging Kentuckians to sign a pledge calling for an end to the state’s restrictive abortion laws.
A photo of the mobile billboard truck parked outside of the press event on 6/24.
“Kentucky’s cruel abortion ban isn’t just forcing countless women to flee the state to get legal and safe abortion care. It's also driving away the next generation of doctors, nurses, and medical students who are unwilling to live and work in a state that puts them and their patients at risk,” said Ona Marshall, founder the Kentucky Reproductive Freedom Fund (KYRFF), the organization leading the campaign launch. “This campaign sends a clear message to our elected officials: Kentuckians are tired of lawmakers interfering in our private medical decisions.”
The campaign launch coincides with the release of a recent survey of medical students at the three medical schools in Kentucky, conducted by medical students at the University of Louisville, which has found the majority of medical students are unlikely to train or practice in Kentucky due to the state’s anti-abortion policies. The survey found:
85.6% of respondents do not agree with the state's anti-abortion policies.
87.5% believe these policies negatively impact public health.
85.6% feel that the policies do not reflect their personal values.
86.7% are concerned about the potential impact of abortion bans on patient confidentiality and doctor-patient trust.
73.3% would consider seeking medical training in a different state due to Kentucky's policies.
“When doctors, residents, and medical students avoid practicing in Kentucky, it widens the healthcare gap between urban and rural areas. Rural communities, already struggling with limited health care services, are hit the hardest,” said Dr. Janet Wygal, board certified OBGYN, lifelong Kentucky resident, and alumni of University of Louisville. “In a state that I love, have raised my family, and dedicated my medical career to, I am so deeply distressed that children and women must flee the state for essential health care.”
“The restrictions on evidence-based medicine and basic freedoms in Kentucky are not just policies; they are barriers that prevent us from becoming the doctors our communities need,” said Shriya Dodwani, a medical student at University of Louisville. “We should not have to choose between receiving adequate training and staying in our home state.”
Photo of Shriya Dodwani, a medical student at the University of Louisville
This new Kentucky data aligned with similar trends across the country, as a survey by the American College of Obstetricians and Gynecologists found nearly 60 percent of applicants stated they would not pursue residency in states with abortion bans.
More than half of Kentucky’s 120 counties already had no dedicated OBGYN in 2021 and 2022. Further, Kentucky has been ranked 36 out of 50 for infant mortality, has the sixth highest rate of maternal mortality in the nation, and reported as having the fourth highest teen pregnancy rates in the country.
“As a doctor, I have been faced with decisions that I never thought possible. Decisions that are not based on good medicine, but are driven by state law,” said Dr. Alecia Fields, OBGYN practicing in Kentucky, board certified in Complex Family Planning, and fellow with Physicians for Reproductive Health. “I chose to stay in Kentucky despite the abortion ban because I believe that Kentuckians deserve access to exceptional care without limitations. I believe that Kentuckians deserve doctors willing to fight for their ability to access care.”
Earlier this year, the KYRFF gathered over 300 healthcare professionals to publicly oppose Kentucky’s abortion ban, emphasizing how these laws severely impact their ability to provide essential medical care.
A majority of Kentuckians support access to safe and legal abortion, including people of faith. Research from Catholics for Choice says 60% of Catholics in the U.S. believe abortion should be legal in most cases.
“Religion is all too often used to justify bans on abortion and on access to other reproductive health care, including contraception, and sex education,” said Rev. Diane Snowa, retired pastor ordained in the United Church of Christ in Louisville. “As a Christian theologian
Faithful to the Abrahamic traditions of Judaism, Christianity, and Islam, it is my religious view that we must center justice, radical inclusion, moral autonomy, dignity, and care for the vulnerable in our work.”
“These issues do not just affect women; they affect all of us. When reproductive rights are restricted, it impacts families, communities, and our society as a whole,” said Billy Hoge, retired family lawyer and former prosecutor. “Men can no longer stand silent while women’s health is relentlessly under attack and they lose their basic human rights. It’s our responsibility to stand up and speak out for the women in our lives and communities.”
Media clips:
The Alarming Impact of Kentucky's Anti-Abortion Policies on Medical Students and Healthcare
A recent survey of medical students at the three medical schools in Kentucky, conducted by University of Louisville medical students, highlights significant disapproval of Kentucky's anti-abortion policies, emphasizing their potential long-term consequences on the state's healthcare system.
A recent survey of medical students at the three medical schools in Kentucky, conducted by University of Louisville medical students, highlights significant disapproval of Kentucky's anti-abortion policies, emphasizing their potential long-term consequences on the state's healthcare system. The survey results are telling:
85.6% of respondents do not agree with the state's anti-abortion policies.
87.5% believe these policies negatively impact public health.
85.6% feel that the policies do not reflect their personal values.
86.7% are concerned about the potential impact of abortion bans on patient confidentiality and doctor-patient trust.
73.3% would consider seeking medical training in a different state due to Kentucky's policies.
These statistics raise a crucial question: Is Kentucky willing to risk losing more future doctors when the state already faces a healthcare provider deficit?
The Exodus of Future Doctors
The restrictive abortion policies are driving young medical professionals away. Medical students and young doctors should not have to train or work in an environment where evidence-based medicine and basic freedoms are curtailed. Those who leave Kentucky for training are unlikely to return, exacerbating the already critical shortage of OB-GYNs and primary care physicians.
Without proper abortion training, doctors may struggle to handle complications like miscarriages, ectopic pregnancies, or issues arising from pregnancy loss, such as infections or hemorrhages. Many medical students are in their 20s and starting families, but they cannot safely do so in Kentucky.
Endangering Patient Safety
Abortion bans pose significant risks to patient safety. Medical students take the Hippocratic Oath to do no harm, and the patient-provider relationship is sacred and built on trust. These bans prevent physicians from fulfilling their fundamental promise to provide care, undermining their ability to offer necessary medical interventions.
A Dire Healthcare Shortage
In a state already grappling with a shortage of healthcare workers, abortion restrictions worsen the situation for all Kentuckians seeking quality healthcare. In 2021, more than half of Kentucky's counties had no dedicated OB-GYN, and the primary care shortfall affected 94% of counties.
No health professional should have to choose between providing the standard of care and risking their medical license, fines, or jail time. Despite opposition from medical experts like the American Medical Association and the American Congress of Obstetricians and Gynecologists, Kentucky lawmakers continue to ignore professional advice, preventing Kentuckians from accessing timely, high-quality healthcare.
The Broader Implications
The negative repercussions of these policies are profound. According to Spectrum News1, the abortion ban in Kentucky is among the most restrictive in the nation, leaving many women without essential healthcare services. Additionally, the Courier-Journal highlights the broader healthcare challenges, noting that the shortage of primary care doctors is already hurting the state's healthcare system.
Conclusion
Kentucky's anti-abortion policies are not just a political issue; they have far-reaching implications for public health, medical training, and the overall healthcare system. If the state continues on this path, it risks driving away the very professionals it desperately needs. The exodus of young doctors could lead to a greater shortage of essential healthcare providers, further endangering patient safety and undermining the quality of care available to Kentuckians. It's time for lawmakers to listen to medical professionals and reconsider these harmful policies before the state's healthcare system faces irreversible damage.
Kentucky Physicians for Reproductive Freedom, a project of KYRFF: A Day at the Capitol February 28, 2024
The Kentucky Physicians for Reproductive Freedom, a group convened by the Kentucky Reproductive Freedom Fund, had a successful day at the Capitol at the end of February. 2024. Physicians and allied health professionals held a press conference calling on lawmakers to repeal the abortion bans in Kentucky, and they revealed an open letter signed by physicians and healthcare professionals from across the state.
Dr. Virginia Stokes speaks to the press during a February 28th Press Conference with the Kentucky Physicians for Reproductive Freedom.
The Kentucky Physicians for Reproductive Freedom, a group convened by the Kentucky Reproductive Freedom Fund, had a successful day at the Capitol at the end of February. 2024. Physicians and allied health professionals held a press conference calling on lawmakers to repeal the abortion bans in Kentucky, and they revealed an open letter signed by physicians and healthcare professionals from across the state.
The Kentucky Reproductive Freedom Fund and Kentucky Physicians for Reproductive Freedom are continuing to collect signatures for this letter. If you are a physician or healthcare professional and want to sign the open letter, please do so here. If you’ve already signed it but would like to circulate this to others, please feel free to do so.
Here are a few local press clips from the Day at the Capitol:
Citing Devastating Impacts on Patients, Kentucky Doctors Unite Against State Abortion Bans via Ms. Magazine
Physicians bring message to Frankfort: Abortion bans forcing us to violate our oath to do no harm via The Kentucky Lantern
Kentucky doctors' group launches public letter urging GOP-run Legislature to end abortion bans via Louisville Public Media
Viral Tweet Thread from Herald Leader reporter, Alex Acquisto
Urooj Nasim, a medical student from the University of Louisville, spoke to press at the Kentucky State Capitol on February 28th.
Essential Watching: The Fight
If you are interested in our cause and the constant legal battle to protect Americans’ rights, we recommend watching "THE FIGHT" 2020, U.S., 96 minutes. Rated PG.
At this moment in our nation's history, this 2020 documentary is essential to view. It's a reminder of the myriad of important issues that are at stake in every election.
In 2023, our undemocratic democracy has markedly regressed in protecting our freedoms. We find ourselves marching for the same causes that our parents did when they were our age.
The Fight celebrates the unsung heroes who fiercely work to protect our freedoms including Brigitte Amiri, ACLU’s Deputy Director of the Reproductive Freedom Project, who has been working closely with the ACLU-KY.
The Kentucky Reproductive Freedom Fund supported The Speed Cinema’s screening of this important film from July 31 – October 4, 2020.
You can also view The Speed Art Museum’s CINEMA+ conversation with Heather Gatnarek, ACLU-KY's Staff Attorney and Brigitte Amiri, Deputy Director of the ACLU Reproductive Freedom Project on the documentary film, "The Fight," which follows a team of dedicated American Civil Liberties Union (ACLU) lawyers who are representing lawsuits challenging recent policies on reproductive rights, immigration, and LGBT rights.
Ona Marshall & Dr. Ernest Marshall, Founders of the Kentucky Reproductive Freedom Fund receive Global Women's Rights Award
On June 27, in Los Angeles, CA, at the Feminist Majority Foundations' 15th Annual Global Women's Rights Awards the Marshall's were honored for their persistence, determination and work to defend women's rights in Kentucky and nationally.
" We've never been able to do this work alone, It takes the collective support of many other people and organizations. We accept this award in honor of all the steadfast, essential people and organizations that have helped us: the escorts, car watchers, shuttle drivers, legal observers, abortion funds, Berlin Rosen, Vision1st., the National and Kentucky ACLU, our loyal staff, the Feminist Majority Foundation's - National Clinic Access Project, private donors, Abortion Care Network, private attorneys, our friends and many more."
- Statement from the Marshall's.
Speaker Emerita Nancy Pelosi, for her tireless advocacy for women's equality and the rights and freedoms of women worldwide.
John Hall, James Garland & Jula Post, of Covington & Burling LLP, whose brilliant pro bono work has kept vital clinics open across the U.S.
Dr. Sima Samar, former head of the Independent Commision for Human Rights in Afghanistan.
Amed Khan, who evacuated more than 1,500 refugees from Afghanistan after the Taliban retook control of the country.
Nazanin Boniadi, Iranian born actor and activist, a leading voice against the oppression of Iranian women in almost every aspect of their lives.
Thank you to all our supporters that share our vision for a world in which all people are equal.
Kentucky Reproductive Freedom Fund Fellowship Program: Madeline Dyer & The Feminist Majority Foundation.
Following the United States Supreme Court's decision to ignore a 50-year precedent and overturn Roe v Wade, which stripped women of the fundamental right to abortion, Roe is no longer a safety net. Without federal protections, access to comprehensive reproductive rights is now completely in the hands of the states. The United States Supreme Court and many state courts are extremely hostile to abortion, contraceptives, civil rights and personal liberties.
We're in the midst of one of the greatest health and legal crises of our time. We shouldn't have gotten to this point, but here we are. During a crisis, the door to change opens just a crack. The days ahead will not be easy and meeting the moment will require long-term sustained effort.
Future generations must be prepared to continue the critical work of protecting our rights to abortion and contraceptives. The Kentucky Reproductive Freedom Fund identifies, empowers, and nurtures the future generation of reproductive rights advocates and leaders. It's imperative to ensure there are strong, confident young people to carry on the critical work for our freedoms and equality.
Listen to one of our fellows that completed a 24-week fellowship at the Feminist Majority Foundation, National Clinic Access Project, above.
This is the moment to fight with everything we've got. You don't get what you don't fight for.
Please join us in this work, which is essential for us all.
Kentucky Reproductive Freedom Fund partners with Rose Community Foundation
Kentucky Reproductive Freedom Fund partners with Rose Community Foundation.
While Colorado continues to guarantee access to reproductive care amidst a growing national trend of bans and restrictions, our state’s abortion care landscape has experienced significant changes. In 2022, Colorado saw a 33% increase in abortions with demand being driven by out-of-state patients.
Ona Marshall and her husband, Dr. Ernest Marshall—an obstetrician-gynecologist in Louisville, Kentucky—founded the Kentucky Reproductive Freedom Fund in response to escalating attacks on Kentucky women’s reproductive rights in 2018. The Kentucky Reproductive Freedom Fund is dedicated to ensuring access to safe, dignified, medically accurate reproductive care, including contraception and abortion care. They educate the public, work with media, act as the plaintiffs in all Kentucky litigation, and advocate for protection of reproductive healthcare in Kentucky and nationally.
In addition to being the focus of their philanthropy, the Marshalls have dedicated their lives to advancing reproductive justice. They are the founders of EMW Women’s Surgical Center which has provided comprehensive reproductive care for over 40 years.
“We’ve been the plaintiffs in cases for reproductive rights since the 1980’s,” says Ona. “Our work is amplified now, and has been for the last 10 years, because there has been an onslaught of cases that we have had to fight in the Kentucky State Legislature.”
In May 2022, Rose Community Foundation published a guide on “How to support abortion rights and access” in anticipation of the Supreme Court overturning Roe v. Wade, ending the constitutional right to an abortion. The guide caught the attention of the Marshalls who were considering moving the Kentucky Reproductive Freedom Fund from Kentucky to Colorado. Hoping to distance themselves from the regressive and repressive environment in Kentucky, Ona looked to partner with an organization that was actively engaged in protecting and advancing reproductive rights.
“There are many silent supporters that don’t speak out—in a quiet room or in a meeting they’ll say they are a supporter, but we wanted an organization that is not only vocal, but is also taking concrete action,” says Ona. “We were drawn to Rose Community Foundation because the staff and the board were willing to take a stand on this issue. I appreciated how the Foundation had taken action by compiling a list of local and national organizations working to protect reproductive rights.” Ona and Dr. Marshall now house the Kentucky Reproductive Freedom Fund at Rose Community Foundation while continuing to advance reproductive rights in Kentucky and the United States.
Abortion is currently illegal in Kentucky, with no exceptions for rape, incest, fetal anomalies, lethal fetal anomalies or threats to a person’s health or well-being. This has resulted in a variety of challenges for a state already suffering from high infant and maternal mortality rates. “We know the harm that abortion bans have on people because we’ve been providing care for years— the bans impact people’s health, safety, education, and lives in so many ways,” says Ona.
Ona attributes her dedication to reproductive rights in part to her experiences growing up as an African American woman. “I was born in the 1950s and grew up with many of my family members being part of the NAACP,” says Ona. “We were always dealing with issues of discrimination and justice. Like our belief in racial equity, Ernest and I deeply believe in women’s equality and that they should be able to make their own choices and direct their own lives.”
As for the future of the Kentucky Reproductive Freedom Fund’s work in a post-Roe nation and with a new home at Rose Community Foundation, Ona and Dr. Ernest remain more committed than ever to fighting for reproductive rights. “We are in a changing landscape, but this is a major shift in the loss of federal protections and we must continue to work to restore the right to comprehensive care,” says Ona. “Our goal always is to maintain and expand access to care in every state, across the United States.”
Kentucky Supreme Court Coverage-Attorney General Daniel Cameron v. EMW Women’s Surgical Center
Update: February 23.2023, Kentucky Supreme Court Coverage-Attorney General Daniel Cameron v. EMW Women’s Surgical Center
FRANKFORT, KY — February 16, 2023, the Kentucky Supreme Court once again denied a request from the ACLU National Reproductive Freedom Project, NY, and the ACLU of Kentucky, on behalf of EMW Women’s Surgical Center to reinstate a temporary injunction issued by the circuit court on July 22, 2022, to block enforcement of two abortion bans.As a result of the state Supreme Court’s decision, abortion remains banned in the state, with no exceptions for rape, incest, fetal anomalies, lethal fetal anomalies, and only narrow exceptions for the life of the woman. An unthinkable extreme. The abortion bans took effect in the wake of the Supreme Court’s overturn of Roe v. Wade last year.
Update: February 23.2023, Kentucky Supreme Court Coverage-Attorney General Daniel Cameron v. EMW Women’s Surgical Center
FRANKFORT, KY — February 16, 2023, the Kentucky Supreme Court once again denied a request from the ACLU National Reproductive Freedom Project, NY, and the ACLU of Kentucky, on behalf of EMW Women’s Surgical Center to reinstate a temporary injunction issued by the circuit court on July 22, 2022, to block enforcement of two abortion bans.
As a result of the state Supreme Court’s decision, abortion remains banned in the state, with no exceptions for rape, incest, fetal anomalies, lethal fetal anomalies, and only narrow exceptions for the life of the woman. An unthinkable extreme.
The abortion bans took effect in the wake of the Supreme Court’s overturn of Roe v. Wade last year.
July 22.2022 the Jefferson Circuit Court agreed the Kentucky Constitution protected the right to privacy, bodily autonomy, and self-determination. In his order granting the temporary injunction, the judge also examined other parts of the Kentucky Constitution and found the abortion bans violate even more provisions of the constitution.
The court stated these bans violate Kentuckians, right to freedom of and from religions and right to equal protection under the law. In the order, the judge wrote that abortion bans are ”distinct” to some faiths, adding that the General Assembly “is not permitted to single out and endorse the doctrine of a favored faith for preferred treatment.” Calling lawmakers’ actions “theocratic policymaking.” Additionally, the judge stated, "abortion bans violate Kentuckians’ right to equal protection by providing no legitimate reason why the woman must bear all the burdens of these laws while the man carries none.”
Just days later, on August 1, 2022, the temporary injunction was reversed by ONE judge who defied Kentuckians’ constitutional rights, and since then the Supreme Court has rejected appeals to reinstate it.
This is the second time the Supreme Court of Kentucky refused to reinstate the temporary injunction. The Court's decision was not made on the MERITS of the case and the court hid behind TECHNICAL ARGUMENTS.
This ruling is in spite of the fact that three months earlier Kentucky voters overwhelmingly rejected a ballot initiative to explicitly ban abortion in the state constitution.
Yet again, the people most impacted by abortion bans are missing in the Kentucky Supreme Court’s decision, creating an atmosphere of chaos and confusion. Abortion bans cause harm by design: mandatory waiting periods, time off from work, finding childcare to travel to another state, lost wages, travel expenses, increased gestation due to delay, stress, subject to laws not based on medical science or supported by the reputable leading healthcare organizations, increased health risk, loss of equality, dignity, personal autonomy, and freedom.
Every day that the abortion bans remain in effect means more harm for Kentuckians seeking abortion care.
The case will continue and eventually force the Kentucky Supreme Court to confront the merits. Meanwhile, their decision continues to put women’s health, lives, and futures at risk.
Ona Marshall & Dr. Ernest Marshall, EMW Women’s Surgical Center, Founders, Kentucky Reproductive Freedom Fund
Abortion bans affect us all: Doctors not Doctrine
Review the conflicting legal opinions.
Jefferson Circuit Court decision citing Kentuckians right to privacy, bodily autonomy, self-determination, equal protection and right to freedom of and from religion. VIEW THE RULING.
Kentucky Supreme Court decision: evaded the merits of the case and hid behind a technical argument. VIEW THE RULING.
Kentucky Reproductive Freedom Fund's 2022 Report to Funders
Abortion is currently illegal in Kentucky, with no exceptions for rape, incest, fetal anomalies, lethal fetal anomalies or threats to a person’s health or well-being—an unthinkable extreme.
The Kentucky Reproductive Freedom Fund Founders are also the founders of EMW Women’s Surgical Center dedicated to reproductive health, (abortion, contraceptives, family planning and training the next generation of health care physicians),which has been in continuous operation for 41 years despite Governors, state legislators, extremists attempting to shutter our doors and daily unlawful harassment from anti-abortion protesters. Under these circumstances, we’ve held steady and continue to stand for women’s equality and their right to make complex, personal health care decisions.
For years, EMW has done the heavy yet crucial work of serving as plaintiffs in many cases challenging abortion restrictions in Kentucky.
While we await a decision from the Kentucky Supreme Court on the trigger ban and a new 6 ban, women who need abortion care must travel out of state to exercise control over their own bodies. These restrictive laws are interfering beyond abortion, already limiting women’s access to IUD’s and raising legitimate concerns about the ability to get adequate prenatal, maternal, and birthing care.
The current bans are a violation of our rights to privacy, equal protections, self-determination and religious liberty.
We’ve had to turn away hundreds of patients and while we don’t know each person’s story, we know who’s impacted, because we have spent decades caring for people from all walks of life.
The Kentucky Reproductive Freedom Fund is a totally volunteer organization that has been working steadily to protect Reproductive Rights nationwide and are on the frontlines of where access is under threat.
In fiscal year 2022, the Kentucky Reproductive Freedom Fund was proud to fund:
A statewide campus campaign to defeat amendment 2 on the November ballot, which would amend the Kentucky Constitution to ban abortion. We won, which allowed us to proceed to the Kentucky Supreme Court to continue fighting for the restoration of Kentuckians’ rights, freedom and equality. Stationed on 8 campuses, students voting no on Amendment 2 amassed a critical following in the state and educated young voters to become civically engaged. When young people are engaged earlier in life, they are more likely to remain engaged in the future. We need everyone to vote and galvanize public attention to pressure elected officials to restore abortion rights .
Statewide newspaper placement of an open letter signed by 300 physicians calling on all Kentuckians' to defeat amendment 2.
A 24-week fellowship at the Feminist Majority Foundation, National Clinic Access Project, powering and nurturing the future generations of reproductive rights advocates and leaders. The National Clinic Access Project leads efforts nationwide to reduce anti-abortion violence, to keep abortion care personnel and patients safe, to keep clinics open, and to bring violent anti-abortion extremists to justice. At the end of the fellowship, the fellow accepted a position with the organization.
Nationwide organizations that are seeing record numbers of people traveling from out of state to access the reproductive health care that they need.
Reversing the current setbacks will require sustained efforts. No matter what the courts decide, we will need to continue the work to protect and advance gender justice more broadly.
Some of our greatest challenges yet lie before us.
Thank you for being there with us as we continue to navigate an uncertain future.
Ona Marshall and Dr. Ernest Marshall
Founders, The Kentucky Reproductive Freedom Fund
Kentucky Supreme Court Coverage--Attorney General Daniel Cameron v. EMW Women's Surgical Center
Kentucky Supreme Court Coverage--Attorney General Daniel Cameron v. EMW Women's Surgical Center
https://www.ket.org/program/kentucky-supreme-court-coverage/attorney-general-daniel-cameron-v-emw-womens-surgical-center-p-s-c/
The government should never have the authority to force a person to remain pregnant against their will. Abortion is currently illegal in Kentucky at all stages of pregnancy with no exceptions for rape, incest, fetal anomalies, lethal fetal anomalies or threats to a woman's health. While we await a decision from the Kentucky Supreme Court that could restore the right to abortion, women who need abortion care must travel out of state.
Following the U.S. Supreme Court's decision to overturn Roe v. Wade and in the absence of federal abortion protections, the fight to protect access moved to the states. Immediately following the Dobbs decision, our health care center, EMW Women's Surgical Center (EMW), sued in state court, arguing the Kentucky Constitution guarantees the rights to privacy, bodily autonomy, and self-determination.
As soon as the courts released the Dobbs decision EMW, stopped providing abortion services out of an abundance of caution, knowing Attorney General Daniel Cameron and other anti-abortion activists and politicians would claim the Kentucky's "trigger law" went into effect, banning abortion care at all stages of pregnancy.
EMW immediately sued in Jefferson Circuit Court, arguing the Kentucky Constitution's right to privacy, bodily autonomy and self-determination protect the right to abortion. We also argued the trigger laws violate provisions of the constitution that require the General Assembly to put laws into effect themselves. By relying on the U. S. Supreme Court to overturn Roe v. Wade, Kentucky lawmakers effectively shifted that authority to the federal judiciary.
On June 30, 2022, the circuit court agreed with our arguments that these bans violated Kentuckians' rights. A judge granted a restraining order that temporarily blocked the AG and other state actors from enforcing the bans and EMW resumed abortion services.
The AG attempted to undo this victory twice, and lost both times. The circuit court then heard arguments from both sides about the constitutional claims in our lawsuit. Following a full day of arguments and written briefs, the court granted a temporary injunction on July 22, 2022 blocking enforcement of the abortion bans as our lawsuit moved forward.
In his order granting the temporary injunction, the judge also examined other parts of the Kentucky Constitution and found these bans violate even more provisions of the constitution. The court stated these bans violate Kentuckians; right to freedom of and from religions and right to equal protection under the law. In the order, the judge wrote that abortion bans are "distinct" to some faiths, adding that the General Assembly " is not permitted to single out and endorse the doctrine of a favored faith for preferred treatment," calling lawmakers' actions "theocratic policymaking." Additionally, the judge stated abortion bans violate Kentuckians' right to equal protection by providing "no legitimate reason why the woman must bear all the burdens of these laws while the man carries none."
The Kentucky AG appealed the temporary injunction and a single appeals court judge reinstated both abortion bans, forcing EMW to stop providing care on August 1, 2022. We immediately fought back, appealing to the Kentucky Supreme Court. On August, 18, 2022 the Supreme Court denied our emergency request and scheduled oral arguments for November 15, 2022.
These recent orders from the Court of Appeals and the Kentucky Supreme Court are only emergency motions. The courts have yet to rule on the merits of our challenge to the abortion bans and our lawsuit will continue.
ABORTION IS POPULAR.
For the first time since guaranteed abortion access was declared no longer a constitutional right in the US we’ve had a major, multi-state election with abortion on the ballot in multiple states.
These results do not immediately change the status of abortion access in any state. But, they signal important and widespread support for abortion access. Despite abortion access being a popular issue, abortion access should never have to be on the ballot. Abortion should be accessible, and all abortion care should be an independent choice that a pregnant person makes with the support they need. Voters continue to affirm abortion access in their states, and politicians should defer to healthcare providers to give their communities what they need, rather than politicize abortion care.
Originally published by Abortion Care Network.
Abortion access should never be politicized — our communities agree abortion should be accessible.
For the first time since guaranteed abortion access was declared no longer a constitutional right in the US we’ve had a major, multi-state election with abortion on the ballot in multiple states.
These results do not immediately change the status of abortion access in any state. But, they signal important and widespread support for abortion access. Despite abortion access being a popular issue, abortion access should never have to be on the ballot. Abortion should be accessible, and all abortion care should be an independent choice that a pregnant person makes with the support they need. Voters continue to affirm abortion access in their states, and politicians should defer to healthcare providers to give their communities what they need, rather than politicize abortion care.
Abortion access should never be decided by the few for the many — abortion access should be a fundamental human right that is accessible to all people, regardless of zip code. Abortion Care Network is committed to supporting abortion providers to ensure that abortion is available in all 50 states and US territories, to all who need it, on the timeline that works best for them with no barriers to care.
Ballot measures protecting abortion access won in California, Michigan, Vermont, Montana, and Kentucky. ACN members provide essential access to abortion care in each of these states. ACN members are on the frontlines of states where abortion access is under threat of being criminalized and ensuring that abortion access remains available in states where abortion is protected.
“It has been a year of unrelenting challenges. Still, no matter the obstacles independent providers face, they will not back down from working to create a world where everyone can make decisions about their lives and their bodies and has the care of a great provider in their community. From ballot measures to courtrooms, independent abortion care providers are leading efforts to protect abortion care in every state and these election results prove again that the voters are with us,” said Nikki Madsen, Executive Director of the Abortion Care Network.
“Despite abortion access being a winning issue, access to abortion care should not be politicized. All people, pregnant or not, should be trusted to have bodily autonomy — to make decisions about their futures and their lives without political interference. Abortion access is a human right. We need a future where the United States is in alignment with human rights and healthcare access is a guaranteed right for all, with access to abortion that is not dependent on zip code, income, race, or ability. Abortion care should be available to all who need it, from trusted, community-based providers, on the timeline that is right for them. ACN supports all our member clinics who have been on the front lines of providing abortion care, in courtrooms, and statehouses, working to ensure that abortion care is available for not just their communities, but all that need it.” said Erin Grant, Deputy Director of the Abortion Care Network.
“Yesterday, Kentucky voters rejected amendment 2, which would have paved the way for a permanent ban on abortion in our state. Guided by their individual beliefs, values and circumstances, people in Kentucky seek abortions for a variety of medically complex and deeply personal reasons. With this vote, the people of Kentucky showed great care and respect for each other and sent a clear message to lawmakers: that they trust each person to decide what’s best for themselves and their families.
Today, because of two separate laws, abortion remains banned in Kentucky; anyone who needs abortion care must travel out of state. EMW Women’s Surgical Center is actively challenging both of these bans in court, and the defeat of amendment 2 means that we can go on to fight for the rights, freedom, and equality of everyone in the state.
Our health and how we create our families are private decisions — decisions that we as people of faith and abortion care providers trust each person to make for themselves. We are grateful today that the people of Kentucky protected the right to make critical decisions about their health, bodies, lives and futures,” said Dr. Ernest Marshall & Ona Marshall of EMW Women’s Surgical Center and Kentucky Reproductive Freedom Fund.
“Yesterday, voters showed up in force to protect reproductive freedom in Michigan by passing proposal 3. This is a victory for everyone in our state, and with the whole country watching. The message is clear: the people of Michigan trust each other to make the decisions that are best for themselves and their families, and we believe everyone deserves access to the reproductive health care they need.
I want to thank all of our coalition partners and everyone who worked on this campaign. Michiganders showed up, signed petitions in record numbers, and voted to protect abortion and reproductive rights in the state constitution. We are extremely proud to have been a part of this effort for the last two years.
Despite the numerous lies and misinformation spread by opponents of proposal 3, reproductive freedom prevailed on election day. At Northland Family Planning, we are committed to making those rights a reality, and we will continue to provide abortion services, just as we have since we opened in 1976,” said Renee Chelian, Founder of Northland Family Planning.
“We are grateful the voters of Montana rejected this heartless initiative. The people of Montana have spoken, and we refuse to let politicians interfere with the deeply personal decisions made within families and the private relationships between healthcare providers and their patients. Had LR 131 passed, it would have mandated aggressive medical treatment for newborns born before viability or with medical conditions incompatible with life — regardless of the wishes of the family and despite the fact that no amount of medical intervention could have saved their lives. Government mandated medical intervention would only prolong suffering and severely disrupt a family’s grieving process. From the start, LR 131 was a harmful political maneuver designed to confuse and agitate voters. Montanans saw through that ruse and voted for compassion and for keeping politicians out of deeply personal medical decision making,” said Helen Weems, FNP, APRN, Owner and Director of All Families Healthcare.
“Today we celebrate a milestone victory for Reproductive Rights in Michigan. The passing of Proposal 3 announces to the nation that in Michigan, important reproductive decisions will be made by the people who know best — the women and families of our great state. Despite campaigns of lies and misinformation by opponents of Proposal 3, Michiganders turned out to make this common sense decision.
We at Scotsdale Women’s Center applaud our citizens for making their voices heard, and we thank the many advocates who made this victory possible. We will continue in our commitment to providing safe reproductive care, just as we have since 1976,” said Sam Mills, Executive Director, Scotsdale Women’s Center
“By defeating LR 131, Montanans showed that we will not allow an extremist political agenda to dictate personal healthcare decisions. Blue Mountain Clinic is proud of the statewide collaboration which centered the stories of Montana families who had faced tragic situations of infant loss. We worked closely with healthcare providers to inform the public of the harmful effects of this proposed law. As we continue the work of advocating for our patients’ constitutional right to make private medical decisions, we turn our attention to protecting access to abortion care in our state. Montanans will not be manipulated by extremist politicians that seek to stigmatize and restrict access to essential, life-saving, and life-affirming healthcare,” said Nicole K. Smith, PhD, MPH, Executive Director, Blue Mountain Clinic.
Amendment 2 defeated
Yesterday, Kentucky voters rejected amendment 2, which would have paved the way for a permanent ban on abortion in our state. Guided by their individual beliefs, values and circumstances, people in Kentucky seek abortions for a variety of medically complex and deeply personal reasons. With this vote, the people of Kentucky showed great care and respect for each other and sent a clear message to lawmakers: that they trust each person to decide what’s best for themselves and their families.
Our health and how we create our families are private decisions — decisions that we as people of faith and abortion care providers trust each person to make for themselves. We are grateful today that the people of Kentucky protected the right to make critical decisions about their health, bodies, lives and futures.
WIN (amendment 2 defeated) - quote from Ona Marshall & Dr. Ernest Marshall, EMW Women's Surgical Center & the Kentucky Reproductive Freedom Fund
Yesterday, Kentucky voters rejected amendment 2, which would have paved the way for a permanent ban on abortion in our state. Guided by their individual beliefs, values and circumstances, people in Kentucky seek abortions for a variety of medically complex and deeply personal reasons. With this vote, the people of Kentucky showed great care and respect for each other and sent a clear message to lawmakers: that they trust each person to decide what’s best for themselves and their families.
Today, because of two existing laws, abortion remains banned in Kentucky; anyone who needs abortion care must travel out of state. EMW Women’s Surgical Center is actively challenging both of these bans in court, and the defeat of amendment 2 means that we can go on to fight for the rights, freedom, and equality of everyone in the state.
Our health and how we create our families are private decisions — decisions that we as people of faith and abortion care providers trust each person to make for themselves. We are grateful today that the people of Kentucky protected the right to make critical decisions about their health, bodies, lives and futures.
Protect The Rights And Health Of Ky Women And Their Families. Vote No On Amendment 2.
At this moment, protecting access to abortion is now completely in the hands of Kentuckians - because reproductive health, rights, and justice are on the ballot this November.
On Nov. 8, you have the power to protect the rights and health of women and families in Kentucky by voting NO on Amendment 2.
By Ona Marshall. Originally published in the Lexington Herald Leader.
On June 24, the US Supreme Court overturned Roe v Wade, opening the doors for states to ban abortion. As a direct result, abortion is now illegal in Kentucky — with no exceptions for rape, incest, fetal anomalies, or threats to a person’s health. While we await a decision from the Kentucky Supreme Court that could restore the right to abortion, women who need abortion care must travel out of state.
For decades EMW Women’s Surgical Center (EMW) provided safe, compassionate abortion care to people working to make ends meet, patients who had driven hours, women trying to escape abuse, and so much more. Now, we’ve had to turn away hundreds of patients. While we don’t know each person’s story, we understand the harm, because we have spent decades caring for people from every walk of life. Kentucky’s abortion bans not only contradict the recommendation of all major health expert associations, they require physicians to provide patients with inaccurate information with no basis in science.
In health care settings, these laws are creating health risks, concern, and confusion as physicians are forced to consider legal risk before intervening in dire circumstances. And these laws are interfering beyond abortion, limiting access to birth control and raising legitimate concerns about the ability to get adequate prenatal, maternal, and birthing care in Kentucky. It’s not just political ideology that must stay out of medicine — it’s also crucial that religion not be used as a substitute for science and the moral and ethical responsibility to provide patients with evidence-based care and information must not be compromised.
Despite what some religious extremists want us all to believe, people of faith support access to abortion and have abortions. The majority of Americans — including the majority of religious Americans — support access to abortion and contraceptives. I am a supporter of comprehensive reproductive health care because of my faith. Our allies include the Kentucky Religious Coalition for Reproductive Choice, Catholics for Choice, and the National Council of Jewish Women. Women of all religions use contraceptive and access abortion and are unified by the shared understanding that reproductive health care is critical to building healthy, thriving communities.
What rights will Kentucky politicians interfere in next? So far, they have shown no regard for science, faith, or the will of the people. At this moment, protecting access to abortion is now completely in the hands of Kentuckians - because reproductive health, rights, and justice are on the ballot this November.
On Nov. 8, you have the power to protect the rights and health of women and families in Kentucky by voting NO on Amendment 2.
Amendment 2, if passed, would pave the way for a permanent ban on abortion with no exceptions, threatening the lives, health, and futures of pregnant women. The language is also purposely confusing, implying that taxpayers would be funding abortion: this is false and intentionally misleading.
EMW has been serving Kentucky and surrounding states for over four decades. Every day, we are faced with anti-abortion protesters who threaten, harass, block, and assault patients, companions, volunteers, and staff. We’ve held steady and continue to stand for reproductive health and women’s rights.
The anti-abortion extremists outside our clinic and in positions of power don’t know what it’s like to walk in another’s shoes: none of us can. What we can do is show compassion and act on the side of justice: on Nov. 8, vote NO on Amendment 2 to protect our right to abortion, privacy, health, personal autonomy, religious freedom, and equality.
Our health and how we create our families are private decisions — decisions that we at EMW trust each person to make for themselves. On election day, you can send a message to both lawmakers and your fellow Kentuckians: that you believe in the rights, freedom, and equality of everyone in the state, and that you trust your neighbors to decide what’s best for themselves and their families. Ona Marshall is co-owner of EMW Women’s Surgical Center (EMW) and founder of the Kentucky Reproductive Freedom Fund.
Ona Marshall is co-owner of EMW Women’s Surgical Center (EMW) and founder of the Kentucky Reproductive Freedom Fund.
Read more at: https://www.kentucky.com/opinion/op-ed/article267253547.html#storylink=cpy
Women Deserve To Access Health Care Without Interference
By Ona Marshall. Originally published in the Courier Journal.
Extremist politicians are trying to close our clinic, but we won’t stop fighting for our patients.
Right now, anti-abortion politicians in Kentucky are pushing hard to enact a law with a sweeping set of abortion restrictions and medically-unnecessary red tape. Yes, abortion is still legal in Kentucky, but our rights are on the line. These measures contradict the recommendations of all major health expert associations and raise serious concerns about patient privacy as well as the importance of providing medically accurate health information to the public. It’s clear that extremists intend to push abortion care out of reach entirely and shut down our health clinic.
As one of only two clinics remaining in the state, and the one that provides the majority of abortions, we know how devastating this would be for Kentuckians.
Fortunately, a federal judge just ruled that the law can’t be enforced for the next two weeks while they consider next steps. That means, yes, abortion is still legal and available in Kentucky. However, the court didn’t strike down the law entirely, and we must brace ourselves for another fight as anti-abortion extremists double down on their attempts to ban care.
Lawmakers have recently been emboldened by the possible weakening or overturning of Roe v. Wade—the landmark Supreme Court ruling that protects the legal right to abortion–but this law isn’t entirely new. It’s part of a long history of attacks on Kentuckians’ freedom and safety. For instance, when surveyed, two out of three patients report anti-abortion harassment at our clinic, and our abortion providers have experienced threats of violence. These threats extend beyond the clinic property–to our homes, other offices, friends and family members.
Incidents of violence, including hate emails, death threats, loud noise, obstruction, trespassing, and assault have and will continue to rise. This harassment prevents patients at our clinic from receiving the best possible care, and our friends, family, and Louisville community members will continue to be harmed until we address anti-abortion stigma at the root.
All people, in Kentucky and beyond, deserve the right to access quality health care without fear or political interference. We’ll continue to fight hard to protect all Kentuckians’ access to abortion care. For instance, we work with the Louisville Police Department and the County Attorney’s office to enforce the buffer zone to ensure patients have safe, assault-free, unobstructed access to and from our health care facility. But we still need more support from our leaders and our neighbors.
We need all Kentuckians to join us and help counter extremism and misinformation that allow anti-abortion laws to flourish. Extremists don't represent the views of most of us in Kentucky, and our voices can drown out theirs. Most of us–including the many people of faith in our state–support the right to abortion. We’re proud to consider the Kentucky Religious Coalition for Reproductive Choice as one of our strongest allies. Our movement represents people from all backgrounds and all walks of life, unified by the shared understanding that access to reproductive health care is critical to building healthy, thriving communities.
While our independent clinic continues to provide care to our patients, we urge you to join us in this moment of crisis.
We must work together to fend off politicized attacks on our health care and support the abortion funds and independent clinics that play a critical role in our communities. We must call upon our representatives to protect and expand access to abortion care with legislation based on research and medical best practice, instead of misinformation.
Most importantly, we must speak out in our communities to reject stigma and affirm that everyone deserves to be able to make decisions about if, when, and how to start a family–without political interference.
How To Properly Counsel Patients Post-roe
Madeline Dyer, MSSW has been a fervent supporter of abortion access in Kentucky and the nation. She is a former counselor and Safety Zone Enforcement Coordinator for EMW Women's Surgical Center in Louisville, Kentucky, and a fellow with the Feminist Majority Foundation, National Clinic Access Project.
She has worked closely with the Kentucky Reproductive Freedom Fund since it’s founding. Recently, she penned an op-ed, “How to Properly Counsel Patients Post-Roe — Lessons from the social work field enable us to be part of the solution” for MedPage Today highlighting her experiences providing counsel at the clinic and the impact the loss of access to abortion has on patients. Click here to read the full article on MedPage Today or scroll down to read her thoughts.
“For 2 years I counseled patients seeking abortion care at a local independent clinic in Kentucky. It was an honor to help connect patients with the care they needed to achieve their goals for if, when, or how to grow their family. For some of our patients, they only ever told those of us who worked at the clinic about their abortion, so the counseling experience created a unique space to share their stories. For many, this was incredibly soothing.
It was gratifying to see the spark of recognition in patients' eyes when they realized I would care for them and support them, unlike the anti-abortion protestors they often had to pass by to enter our clinic, or the potentially unsupportive family or friends they may have encountered before. Patients' body language relaxed as they realized the stigma and harassment they faced outside the clinic was over, and that I was there to help them, without judgment.
Often, my work as a counselor started with unpacking the traumatizing experiences my patients faced when they sought abortion care. Anti-abortion protestors would frequently station themselves outside the clinic to try to intimidate and coerce visitors into continuing a pregnancy they didn't want or that wasn't healthy for them. Many of these protesters aren't peaceful demonstrators -- they scream at patients, insult them, follow them closely and aggressively, and invade their personal space, all while claiming to want to "counsel" patients and provide advice about pregnancy options. This couldn't be further from the truth.
These extreme protestors are co-opting the language of counseling to try to legitimize their efforts to politicize basic healthcare and impose their personal religious beliefs on all of us. Now, protestors are even more emboldened to harass clinic staff and patients after the Supreme Court overturned Roe v. Wade this summer. As state politicians and special interest groups seize the chance to push new abortion bans based on politics, instead of medical expertise and science, anti-abortion harassment in the form of so-called "sidewalk counseling" will continue to intensify and inflict serious harm on patients across the country.
We're facing a health crisis, and it's time that we, as social work professionals, set an example for what real counseling looks like: compassionate care, without judgment, that provides accurate information and helps all people thrive and empowers them to make decisions about their futures.
As counselors, we have a duty to our patients to affirm and validate their decisions about whether they carry or end a pregnancy, regardless of what we personally would decide in the same situation. Protecting our patients' right to privacy, self-determination, religious freedom, and their ability to make decisions in the best interest of their mental and physical health and well-being should be an ethical priority for every counselor. You don't need to be an advocate or an expert, but you can't be afraid or ashamed to discuss abortion and build trust with clients who make the decision to end a pregnancy.
For some people, abortion can be a challenging decision, but for many it's a simple one. In fact, research shows that the most common emotion associated with abortion is relief. Many patients are confident about their decision, and are only looking for compassion and validation. So, if your patient isn't struggling with their decision, there's no need to pathologize what is not there.
Let's not forget that when people are denied a wanted abortion, they experience increased stress, lower levels of life satisfaction, decreased work productivity, and decreased mental well-being. They are subjected to the potential dangers and costs of pregnancy and childbirth, and exposed to the threat of workplace discrimination and harassment. To combat this, we can talk to our clients (or patients for doctors, nurses, etc.) openly and compassionately about all of their pregnancy options, so they can arm themselves against misinformation. We can also help our clients or patients navigate the hostile political landscape by taking time to educate ourselves about the basic laws in our state and helping them understand this information. In states with steep barriers and near-total bans, we can stay informed and seek opportunities to resist political interference in the confidentiality of our counseling. When we stay true to our profession and serve as a resource for patients, rather than another obstacle, we can help shift the needle in people's ability to fully participate in their relationships, friendships, workplace, and life.
The ability to talk about their abortion, to normalize this healthcare for people who are unfamiliar or have only heard misinformation, is one of my favorite parts of counseling. I hope you'll join me and the growing movement of mental health care professionals working to build a world where all of our patients have the freedom to build the families they choose.”
NPR Interviews Kentucky doctors consider patient care following the Supreme Court's abortion ruling
NPR INTERVIEWS KENTUCKY DOCTORS CONSIDER PATIENT CARE FOLLOWING THE SUPREME COURT'S ABORTION RULING
NPR journalist, Leila Fadel, conducted an interview to discuss threats Kentucky doctors are forced to consider regarding patient care following the Supreme Court's abortion ruling overturning Roe v. Wade.
You can listen to or read the full conversation here. Below you will find a portion of the transcript detailing the portion of Fadel’s interview with Ona Marshall, co-founder of the Kentucky Reproductive Freedom Fund & co-owner of EMW Surgical Center, and Dr. Majorie Fitzgerald, EMW Surgical Center Physician.
FADEL: Good morning.
MARJORIE FITZGERALD: Hi. Come on in.
FADEL: Thank you.
FITZGERALD: Good morning.
FADEL: Good morning. I'm Leila.
FITZGERALD: Marj (ph).
FADEL: The next morning, we meet Ona Marshall, the co-owner of the clinic, and Dr. Marjorie Fitzgerald (ph). She goes by Marj. She's an anesthesiologist at EMW. They show us around the now closed clinic.
FITZGERALD: So we're going to go on in here.
FADEL: OK.
FITZGERALD: So this has been set up to be so comfortable, this donated by a former patient.
FADEL: That's Dr. Fitzgerald showing us a room of recliners where patients wait. On average, they performed 20 to 25 procedures a day. People would come from across Kentucky and the country. But today, she says, the clinic feels hollow. And Marshall says, there have been brief interruptions in care before, when the Kentucky legislature enacted laws restricting abortions or forcing doctors who perform them to jump through new hoops.
ONA MARSHALL: But usually, we had an injunction in less than 24 hours.
FADEL: This time, it's unclear if the clinic will ever resume care. That depends partially on what Gatnarek does in court this week. Marshall and Dr. Fitzgerald say it's always been hard for patients to get in the door because of anti-abortion rights protesters outside. It was so difficult for the patients that when Dr. Fitzgerald would check their vitals...
FITZGERALD: I would invariably see patients' heart rates when they've just come in - like, they would lose their shoe because someone stepped on their shoe, knocking it off. I mean, they were physically assaulted sometimes. And their heart rate would be 120, you know? They'd be hypertensive. They were - I mean, it was like a stress response.
FADEL: Ona Marshall jumps in here.
MARSHALL: Last Saturday before Father's Day, we had 160 protesters.
FADEL: One hundred and sixty. So if you're coming in for care, you have to get through 160 people?
MARSHALL: Yes.
FITZGERALD: They have bullhorns.
MARSHALL: So they're blocking the sidewalk.
FADEL: Bullhorns?
FITZGERALD: Oh, yeah.
MARSHALL: Yeah. Loudspeakers, sometimes loudspeakers in the front and the back.
FADEL: Saying?
MARSHALL: Oh, saying...
FITZGERALD: It's murder, just insulting them.
MARSHALL: Yeah, insulting them about the clothes they wear. If they have shorts on, that's why they got pregnant.
FADEL: The protesters aren't outside on the day we visit. The few signs of the patients that typically come through here are the pile of thank you cards on a bird feeder in the corner and the six empty stretchers prepared for patients who would be waiting for procedures. Dr. Fitzgerald doesn't know if she'll ever help prepare another patient here for surgery.
What happens now for you?
FITZGERALD: I will do what I can to help women get service elsewhere.
FADEL: She's 74, a self-described morning person. Her white hair is partially pulled back. A red pen graces her white blouse. Keep our clinics, it reads, a little heart next to the words. Dr. Fitzgerald says she was drawn to this work because she started in health care before Roe v. Wade was law in the United States.
FITZGERALD: I went to medical school to be an obstetrician and then decided to be an anesthesiologist. But I was a nurse before I went to medical school. I worked at what was the city hospital here called Louisville General Hospital. And I saw patients who had sepsis from having had illegal abortions. I think having seen those women that did not have the option for safe care has never gone away. I still remember those women. Now we go back to the days of illegal abortions, and women's lives will be lost because of this.
FADEL: She recounts some of the stories of her patients at this clinic.
FITZGERALD: I've taken care of patients who had gone through IVF only to find out that they have a congenital anomaly that is not compatible with life. They are grieving. I've taken care of, a couple of weeks ago, a 13-year-old and a 14-year-old next to a patient who's 44 years old. It's the gamut of women that are desperate. And it's the hardest day in their life to a person. As they're going to sleep, they look up and thank me and thank the staff for being here and providing care for them.
FADEL: As we prepare to leave, Dr. Fitzgerald shares another reason she does this work, why she says she knows what a country without Roe v. Wade means.
FITZGERALD: My story is not unique. Many grandmothers, faced with a birth control failure in their young adult years pre-Roe v. Wade, had to resort to an illegal abortion.
FADEL: Wow.
FITZGERALD: And that was my story. And that's been my - one of my motivating factors in providing care for other women.
FADEL: Wow. What was that like? Can you describe it?
FITZGERALD: It was through the assistance of women who got me to a facility in Chicago. And I had what was an illegal abortion.
FADEL: And the facility you went to - we're sitting in a facility that is bright. I mean, we were describing the colors downstairs, purple and pink and green. And there are recliners. Was the facility like that?
FITZGERALD: No, it was dangerous.
FADEL: What did it look like?
FITZGERALD: It was dangerous. And it was none of this.
FADEL: She said nothing more about that day.