Abortion Providers and the New Regulatory Regime: The Impact of Extreme Reproductive Governance on Abortion Care in the United States

This article discusses the impact of the recent wave of abortion restrictions on abortion provision in the United States, a phenomenon that has led to the closing of numerous clinics. The article offers some context of the political forces that led to this expansion of restrictions, and describes tw...

সম্পূর্ণ বিবরণ

সংরক্ষণ করুন:
গ্রন্থ-পঞ্জীর বিবরন
প্রকাশিত:URI:https://journals.openedition.org/rrca,
প্রধান লেখক: Joffe, Carole
বিন্যাস: Article ou chapitre numérique
প্রকাশিত: Revue de recherche en civilisation américaine 2018
বিষয়গুলি:
অনলাইন ব্যবহার করুন:Accès Université d'Orléans et IFPM
বিবরন
সংক্ষিপ্ত:This article discusses the impact of the recent wave of abortion restrictions on abortion provision in the United States, a phenomenon that has led to the closing of numerous clinics. The article offers some context of the political forces that led to this expansion of restrictions, and describes two of the most consequential ones: Ambulatory Surgi-Center (ASC) requirements, which dictate that clinics conform to the physical specifications of small hospitals; and hospital-admitting privileges ones, which mandate that doctors providing abortions obtain privileges at local hospitals. I draw on research I have conducted with abortion providers in nine “red” or conservative states that have imposed new restrictions or intensified the monitoring of existing ones. I show how responding to this new regulatory environment, which includes a greatly intensified schedule of surprise inspections, has consequences for the daily operations of the clinic, for the morale of both staff and patients, and for senior staff’s ability to sustain and transmit to junior staff their original vision of woman-centered care. I conclude by suggesting that the current regulatory regime governing abortion care in many states represents an extreme example of “reproductive governance,” a recent concept in the social science literature on reproduction.