{"id":44824,"date":"2019-06-14T15:48:44","date_gmt":"2019-06-14T14:48:44","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=44824"},"modified":"2019-06-21T14:33:08","modified_gmt":"2019-06-21T13:33:08","slug":"in-light-of-the-wider-attacks-on-reproductive-rights-worldwide-hunts-views-cannot-be-ignored","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2019\/06\/14\/in-light-of-the-wider-attacks-on-reproductive-rights-worldwide-hunts-views-cannot-be-ignored\/","title":{"rendered":"In light of the wider attacks on reproductive rights worldwide, Hunt\u2019s views cannot be ignored"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-38653 alignleft\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/03\/sonia-adesara-249x300.png\" alt=\"\" width=\"166\" height=\"200\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/03\/sonia-adesara-249x300.png 249w, https:\/\/blogs.bmj.com\/bmj\/files\/2017\/03\/sonia-adesara-300x361.png 300w, https:\/\/blogs.bmj.com\/bmj\/files\/2017\/03\/sonia-adesara.png 335w\" sizes=\"auto, (max-width: 166px) 100vw, 166px\" \/><span style=\"font-weight: 400\">Abortion care is healthcare. It is central to women\u2019s health and bodily autonomy and restricting access to it harms women. This shouldn\u2019t need stating. We thought that progress had been made, especially when Ireland voted to legalise abortion last summer. But recent events in America have shown how quickly these hard fought changes can be lost. Last weekend, Jeremy Hunt, who is one of the candidates to be our next prime minister, publicly stated that he is in favour of restricting women\u2019s access to abortion. Within the wider attack on reproductive rights across the world, this is concerning and cannot be ignored.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Hunt stated that he believes that the time limits on abortion should be reduced from 24 weeks to 12 weeks. He said this is a matter of \u201cpersonal conscience\u201d and that he wouldn\u2019t seek to make any changes if he became prime minister. The comments have been widely criticised, coming as they do at a time when the government is under pressure to give women in Northern Ireland access to abortion. <\/span><\/p>\n<p><span style=\"font-weight: 400\">There will always be situations where women find themselves needing abortion care after 12 weeks of pregnancy. Diagnoses of fetal abnormality are often not made until the 20 week scan, and <\/span><span style=\"font-weight: 400\">maternal health problems can make a pregnancy dangerous and even life-threatening. <\/span><span style=\"font-weight: 400\">Women with addictions or mental health problems or learning disabilities may not realise they are pregnant until later in their pregnancy. Teenagers and women in abusive relationships may feel the need to conceal their pregnancy or struggle to access care. <\/span><span style=\"font-weight: 400\">Complex personal and social factors can result in late recognition of pregnancy or a delay in accessing services, while g<\/span><span style=\"font-weight: 400\">aps in service provision as a result of a shortage of skilled providers can also delay women\u2019s access to services.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Reducing abortion time limits would harm vulnerable women who should be supported to access care, not criminalised. Hunt, who was the secretary of state for health for eight years, should be aware of these issues. <\/span><\/p>\n<p><span style=\"font-weight: 400\">The focus of the current narrative is concerning. Instead of fighting to maintain women\u2019s existing reproductive healthcare rights we should be <a href=\"https:\/\/blogs.bmj.com\/bmj\/2018\/10\/30\/hayley-webb-uk-abortion-law-is-outdated-not-evidence-based-and-prevents-best-practice\/\">highlighting how the law as it stands<\/a> (which criminalises women and clinicians) is archaic, paternalistic, and not-fit-for-purpose. We should be <\/span><span style=\"font-weight: 400\">insisting that potential leaders address the question of whether they will pursue evidence-based policy and take abortion out of criminal law as advocated by <\/span><a href=\"https:\/\/www.doctorsforchoiceuk.com\/\"><span style=\"font-weight: 400\">Doctors for Choice UK,<\/span><\/a><span style=\"font-weight: 400\"> and many other medical organisations. Decriminalisation would not only improve services in Great Britain, but would also end the unacceptable infringement of women&#8217;s rights in Northern Ireland. <\/span><\/p>\n<p><span style=\"font-weight: 400\">Hunt made clear that his views on restricting access to abortion were personal and that he would not pursue this as government policy were he to become prime minister. However, his anti-choice sentiments are greatly at odds with the British public as the latest British Social Attitudes survey shows that 70% of the population are pro choice. These views are reflected by MPs. In the most recent attempt by Diana Johnson to decriminalise abortion (along with a cross-party coalition of MPs from five UK political parties), the House of Commons voted 208-123 in favour. <\/span><\/p>\n<p><span style=\"font-weight: 400\">We cannot afford to be complacent about politician&#8217;s anti-abortion views, particularly in the current global political climate. In 2016, I argued that <a href=\"https:\/\/blogs.bmj.com\/bmj\/2017\/03\/08\/womens-reproductive-rights-must-be-protected-against-the-tide-of-political-change\/\">Trump\u2019s rise to power posed a serious threat to reproductive rights globally<\/a>. T<\/span><span style=\"font-weight: 400\">he worst of our fears are coming to play. <a href=\"https:\/\/blogs.bmj.com\/bmj\/2019\/05\/15\/alabama-abortion-ban-part-of-new-efforts-to-restrict-abortion-in-the-united-states\/\">In the US, the speed and ease with which hard-won reproductive rights are being rolled-back is terrifying<\/a><\/span><span style=\"font-weight: 400\">. The impact of Trump\u2019s policies are not limited to the US. In his first 100 days, he signed the <\/span><a href=\"https:\/\/blogs.bmj.com\/bmj\/2017\/01\/30\/the-global-gag-rule-and-what-to-do-about-it\/\"><span style=\"font-weight: 400\">Mexico City policy, the so-called<\/span><\/a> <a href=\"https:\/\/blogs.bmj.com\/bmj\/2017\/01\/30\/the-global-gag-rule-and-what-to-do-about-it\/\"><span style=\"font-weight: 400\">&#8220;global-gag&#8221; order<\/span><\/a><span style=\"font-weight: 400\">, which denies US funds to any overseas organization that provides or counsels on abortion. Every time the global-gag is imposed rates of unsafe and backstreet abortions rise alongside unwanted pregnancies and maternal deaths. <\/span><\/p>\n<p><span style=\"font-weight: 400\">Furthermore, across the world we are seeing the rise of far-right politics with entrenched misogyny, anti-science, and anti-choice policies. The Vox party in Spain has stated \u201cgender ideology\u201d is a threat to white family values and has called for abortion laws to be abolished. The AFD in Germany wants to abolish abortion and promote \u201ctraditional roles for women\u201d. Victor Orban in Hungary promotes debt-free education only for women who have at least three children.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Playing political football with women\u2019s rights is nothing new, but given the global attacks on reproductive rights, it is deeply concerning. As clinicians, we have a duty to speak out when politicians advocate policies that are detrimental to women\u2019s rights, health, and wellbeing.<\/span><\/p>\n<div><em><strong>Sonia Adesara<\/strong> is Communications officer for Doctors for Choice UK. She is a GP trainee, current National Medical Director&#8217;s Clinical Fellow.\u00a0<\/em><\/div>\n<div><\/div>\n<div><em><strong>Competing interests<\/strong>: None declared.\u00a0<\/em><\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Abortion care is healthcare. It is central to women\u2019s health and bodily autonomy and restricting access to it harms women. This shouldn\u2019t need stating. We thought that progress had been [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2019\/06\/14\/in-light-of-the-wider-attacks-on-reproductive-rights-worldwide-hunts-views-cannot-be-ignored\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":40916,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[223],"tags":[],"class_list":["post-44824","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guest-bloggers"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>In light of the wider attacks on reproductive rights worldwide, Hunt\u2019s views cannot be ignored - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2019\/06\/14\/in-light-of-the-wider-attacks-on-reproductive-rights-worldwide-hunts-views-cannot-be-ignored\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"In light of the wider attacks on reproductive rights worldwide, Hunt\u2019s views cannot be ignored - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Abortion care is healthcare. 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It is central to women\u2019s health and bodily autonomy and restricting access to it harms women. This shouldn\u2019t need stating. 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