00:00:00.000Hey you! Joe here and you are listening to Under the Influence.
00:00:11.160Today's episode is about politics. I'm just going to say that right up front. Today we are talking
00:00:17.220about women's reproductive rights and the shitty way that this country is handling them. So if that0.99
00:00:22.180is something that you just don't feel like listening to right now, which is totally your
00:00:26.380prerogative. You should listen to something way more fun or you should go watch that Meghan Markle0.53
00:00:31.020show. I've got a whole episode on the Meghan Markle show coming up. She may or may not have
00:00:36.960inspired me to start making my own candles and I might have ordered a beehive. We've got other
00:00:43.100fun episodes. So if you're just protecting your brain and your heart and yourself right now,
00:00:49.800you do that. You do that. Do what is best for you. But if you want to talk about a subject
00:00:56.100that is near and dear to my heart, my ride-or-die issue, women's reproductive rights, and how this
00:01:02.060country has been failing them, but also why we should have some hope. There is hope at the end
00:01:06.620of this episode. Then stay tuned. Join us. Keep listening, and I'm so happy to have you here today
00:01:12.300to listen to my interview with Jenny Wetter. Jenny is the director of Repros Fight Back.
00:01:19.520It's a podcast dedicated to sexual and reproductive health, rights, and justice.
00:01:25.260This week, they did something pretty amazing.
00:01:27.740They released a report card on all 50 states, showing how each state ranks on reproductive health and rights.
00:01:35.000With everything that is happening in the world and everything that has happened in the last year with regards to women's reproductive rights,
00:01:42.240I know that it is completely overwhelming to keep up.
00:01:45.860But this report card really helps summarize where things are at right now in a way that is familiar and digestible.
00:02:50.640I think a lot of you're talking to me as I'm releasing this big report that we're going to talk about and lots of things with that, getting ready to go on vacation.
00:03:02.000So like trying to prep things for that.
00:03:06.020I am going on a cruise with my mom to like starting off in Sweden and then doing like the like outer Scottish Isles and then Ireland and England and a little bit back and forth and ending in London.
00:03:44.540So, you know, just like I'm ready to disconnect when that comes and like not think about work and not think about all of the other things going on.
00:03:52.480and just get a chance to take a deep breath, do some reading, and have some time to recenter a
00:04:00.740little bit. Because this first couple months of this year have just been, I mean, chaos.
00:04:07.020Yeah. Yeah. That's a nice way of putting it. It really, it is. It is indeed. And yeah,
00:04:13.420I mean, I feel you. I am all of the things, all of the time. I didn't really expect to be
00:04:20.140feeling this strange right now but yeah but I do and well I what I've been trying to do
00:04:26.240is tune in when when I need to and then also be really conscious about tuning out
00:04:32.500yeah I'm really taking I mean I'm on social media as I need to be for work and like to promote the
00:04:39.780podcast and stuff and to like kind of keep an eye on what's happening but I'm really engaging so
00:04:45.220much less to not get caught in the like minute to minute new terrible things that are happening
00:04:51.700but trying to keep the big picture like it is going to be a long uh it's going to be a long
00:05:00.340four years and as we talk about this stuff it is absolutely a marathon it's like an ultra marathon
00:05:07.160and this is an ultra marathon this is this is not a this is not a sprint triathlon here
00:05:11.700this is the iron man absolutely and you need to step back you need to know you can't do all the
00:05:17.760things like and it's okay to not do all the things like do the engage in the parts that work for you
00:05:24.720and like step back when you need to we are all in this together we have to work together and
00:05:30.760and don't take everything on your shoulders I'm a terrible I'm terrible at that I feel like I need
00:05:36.620to do all the things and engage in all the ways. And I'm really, really trying to not feel like I
00:05:44.200am a bad advocate or a bad activist because I can't do some of the things or they're not the
00:05:51.260right things for me. And so we need to find what works for you and engage in those ways.
00:05:58.520Well, also, you can't do everything. It's just such a good reminder. You have to pick your thing.
00:06:02.660think your thing and you be the person that that does that thing and I love what you just said
00:06:09.200about the big picture because the big picture is what we're talking about today uh you you you
00:06:16.980guys have created a report card now it's I love a report card by the way I really do I love I love
00:06:24.940being graded on things right yes I do but this report card pissed me off so tell everyone tell
00:06:31.060our audience what this is. Yeah. So starting in 2011, we saw this huge uptick in attacks on
00:06:40.240sexual and reproductive health at the state level. But when you talk to people, it became clear that
00:06:45.920they may know like particular things that were happening in a state where something particularly
00:06:50.620egregious was happening, like in, say, Texas. But when you had like a longer conversation with
00:06:55.880people, they may not understand what the laws were in their own state around sexual and
00:07:00.620reproductive health and rights. They didn't know that their state didn't mandate sex ed
00:07:04.900or any number of things. So we decided to step into that gap and create a report card looking
00:07:12.940at a broad range of sexual and reproductive health measures so you could see how your state
00:07:21.340was doing in comparison to other states. I think this is great. I think this is great.
00:07:26.880Well, for so many reasons. One, because so much of politics right now and what we can do right now is going to be local.
00:07:37.720Absolutely. And I do think that there is a massive gap in most of our knowledge. And I'm saying this even for me, someone who does live in the political ecosystem, who does so much writing in this space. I still have so many gaps in my knowledge about what's happening at the state level because there's no longer any media reporting on it.
00:09:06.860We also want to make sure that if a person, a sexual assault victim goes to the emergency room, they are informed about the option of emergency contraception and that the hospital gives that to them.
00:09:21.460This is one of those things that may seem so obvious, but it is shocking the number of states that don't mandate this and see previous lots of states have bad sex ed.
00:09:31.280People may not know that this is an option when they are in the emergency room.
00:09:35.860And so that puts a barrier to accessing the service if they are not told about it and if the hospital doesn't give it to them because then they need to go find it on their own.
00:09:44.480And while, you know, you just maybe need to go to a pharmacy, it's over the counter.
00:09:49.020But like those are barriers if you are unaware that this is an option and where you need to go to get it.
00:09:57.400Yes. And then the last thing we look at under prevention is making sure that minors have the ability to consent to birth control so that they can go and get out of birth control if that is what they want.0.62
00:10:07.760Right. Right. Without without their parents having to go with them. Right.0.60
00:10:12.300I think about that one all the time, because, you know, I had a mom who was really supportive about reproductive rights and my decision to go on birth control when I was 16 years old.
00:11:10.900I very much had, like, the mean girls version of, like, you're going to have sex and get this horrible disease and you're going to die.0.99
00:12:32.900But, like, psyched that my husband has a vasectomy and I'm not on it anymore, still think it's the best thing to do to prevent pregnancy.
00:12:39.720Yeah. So we have had Dr. Regan on, who is with Power to Decide, to talk about this and talk about all of the myths and disinformation around birth control and what they're doing to push back against it.
00:12:54.720it's really important to meet people where they are because young people are going out and trying
00:12:59.720to find information again see that like all of these issues are interrelated see bad sex ed if
00:13:06.140you're not getting the correct information in school you're going to go and try and find it
00:13:09.780online you're going to get served mis and disinformation that is going to be harmful
00:13:14.360as you're trying to navigate living a healthy life yeah yeah exactly
00:13:19.940we have so much to get into we're going to take a quick break and when we get back we're going
00:13:25.260to talk about some of these grades okay we are back let's do the biggest picture overall did
00:13:38.400you give a grade to the united states yes so for the sixth year in a row we had to give the u.s
00:13:45.040a failing grade. Big fat F. Big fat F. And honestly, this was getting an F clearly if it's
00:13:54.620been six years before Dobbs was overturned. So it's so bad out there, y'all. 16 states have
00:14:01.880completely banned or almost completely banned abortion. It makes it really hard for people to
00:14:07.500then access abortion services, which is just health care. It means they need to travel out
00:14:13.020of their state if they want care. And that means that your ability to exercise your human rights,
00:14:18.860your right to abortion, depends on where you live and the resources you have, right? Because not
00:14:25.280everybody is going to be able to take the time off of work, find child care, travel out of state.
00:14:30.820If you're in Texas, that means you have to travel really far to get to another state where you might
00:14:36.460be able to access abortion. It is a huge barrier. Or people may decide that they want to access
00:14:44.800telehealth in their state and put themselves at legal jeopardy or self-manage their abortion.
00:14:51.000And that's the same, right? You put legal, worry about being prosecuted. And this is just so hard.
00:15:00.980People are being forced to carry pregnancies they may have wanted an abortion for.
00:15:07.300And we know, according to the Turnaway Study, there are long-term consequences to those decisions.
00:15:15.240It means people are more likely to have economic instability and insecurity for a long time.
00:15:21.680They are more likely to stay in contact with a violent partner if they are unable to get a wanted abortion
00:15:27.160or have serious health complications, including death,
00:15:31.560that wouldn't have occurred if they had access to abortion.
00:15:36.040So, like, let's just sit with that for a minute.
00:15:38.220And as we are talking about a country that is in the middle of a maternal mortality crisis,
00:15:50.540yeah i mean as you see states trying to find ways to make it harder for people to access care
00:15:59.720trying to intimidate providers out of state by suing them for ones who are doing the mailing of
00:16:06.720abortion pills you are seeing all these ways that people are trying to make it harder for people to
00:16:13.260access care and and i think another thing that is really important to note is so when the dobbs
00:16:19.400decision happened that was, that'll be three years ago this summer, you saw this huge outpouring of
00:16:26.760donations to abortion funds and things like that, and a lot of rage donating. And you've seen that
00:16:33.120trickle off. And so you are seeing people who need more resources because they have to travel.
00:16:40.660So abortions are more expensive because you are having to save money to travel out of state.
00:16:45.660abortion funds are needing to give more to support those patients with less resources. So
00:16:51.440it's really bleak out there right now. Yeah, yeah. I hear and I see that a lot. I have a friend
00:16:59.380who works with an incredible organization that helps women travel from states where they do not
00:17:08.260have access to abortion to states where they do have access to abortion and helps house them. So
00:17:14.700volunteers like my friend um let them stay at their houses or their apartments and then they
00:17:20.040take them to their appointments the travel can often be quite expensive and donations are down
00:17:27.140and like this is just my shout out if you can donate to an abortion fund they are doing such
00:17:33.220good work or other groups that are doing the practical support like you mentioned sometimes
00:17:37.800abortion funds do both. And if you are able, this is my like little gem that I always like to
00:17:45.560talk about. If you can donate $5 a month, even like being a monthly donor means that abortion
00:17:54.660fund knows they're getting $5 every month and they can count on it and they can plan and budget
00:18:01.260better. So I am a monthly donor to a couple of abortion funds. I still do do like one-offs,
00:18:09.960but I try to do monthly when I can because that helps them plan for their year better.
00:18:16.680Such a good tip. You know, that, the monthly NPR. Yeah. Just the gamut of things that we want to
00:18:24.440continue to survive in this country, honestly. So talk to me on a state level. Can we start with
00:18:30.560my state can we start with pennsylvania sure let's see here um so at this state level there's a
00:18:39.340wide variety we know right now i have 25 states that got a failing grade um which is 25 25 so
00:18:48.900half the country half the states in this country got a big fat f yes so that's not good y'all
00:18:56.480not great not great okay so pennsylvania got a
00:19:00.560D. Okay. Interesting. And I find this so interesting. I say this all the time. Pennsylvania, to me, feels like a microcosm of the country, given that we do have, you know, these urban areas. We have many elite colleges. And then we have very, very rural areas as well.
00:19:24.100We are, you know, clearly a purple moving towards red state like much of the country.
00:19:30.600And yet we have a very progressive governor in Josh Shapiro.
00:19:36.540We remain a state that's never elected a female senator or a female governor.
00:19:47.900Big stuff happening in Wisconsin in the next couple of weeks.
00:19:50.920Yes, there is a Supreme Court election.
00:19:52.780There is. There is indeed a Supreme Court election that, by the way, Elon Musk is trying to buy a seat. And so that's going to be fun.
00:20:01.960Yeah, I have to say my thank you to that side is my mom still lives in Wisconsin and she thought the election was on April 8th for some reason.
00:20:13.280It's not. It's on the 1st. It's on the 1st.
00:20:14.780But she got a door knocker for Elon Musk's person, which she lives in a rural area.
00:20:43.280And we have a big piece coming out this week about that that Supreme Court fight that is definitely worth reading, because, again, you know, like we said before, I don't think we're talking nearly enough about what's happening on the state level.
00:20:57.380And it matters, you know, as much and sometimes even more than what's happening on the federal level.
00:21:07.300So Pennsylvania is doing really well when it comes to the affordability measures we have, which is looking at Medicaid. So they have expanded their Medicaid program under the Affordable Care Act. They have expanded family planning beyond what Medicaid requires up to 220 percent of the federal poverty line, which is great.
00:21:27.140And what is healthy does that mean in normal lay human people terms? Because I think people get really confused when they hear some of these things.
00:21:34.460Yeah. So this means if you make up to 220 percent of the federal poverty line, sorry, I would have to look that up because I can't remember what it is off the top of my head. It is shockingly low, though. I do know that. It means that you qualify for Medicaid family planning coverage and that it will cover your sexual and reproductive health services, which is amazing.
00:21:58.160So that means more people are able to get affordable birth control that they want.
00:22:04.220And it includes men and people under 19, which is beyond what Medicaid has in its base.
00:25:10.260And, you know, they have so many restrictions. I think the one place a lot of those states get points is they have, I have to say, you know, as one thing I was really nervous about when we added this to our report card last year was Medicaid allowed states to expand their maternal health coverage for one year postpartum.
00:25:33.080Remember, I mentioned earlier there's a maternal mortality crisis.
00:25:36.020This is something the Biden administration did to ensure that people were getting care for longer to help fight this maternal mortality rate, especially for black women.
00:25:47.320And so I was really nervous when I started doing this, like that we were going to see the same thing we saw with the Affordable Care Act, where so many states were going to refuse to do that.
00:25:59.280All but two states have made that expansion.
00:26:02.480And that is Wisconsin. Come on, Wisconsin. And Arkansas. And I just find that shocking that so many states did that immediately, which was so wonderful to see.
00:26:13.060This is very disheartening. There's no other way to put it. I want to take one more quick break. And when we get back, I want to talk about concrete actions that people can take, how they can keep educating themselves about these things, because there's so much nuance, what they can do in their own communities, and if there's any signs of hope out there.
00:26:43.060okay we are back all of this information like all of the information these days is a lot
00:26:55.220to absorb and i think we can often feel very helpless in the face of it because it seems so
00:27:04.920big, right? As this report is circulating, as people are reading it, what can they do
00:27:13.040to take actions that are both big and small and manageable for them?
00:27:20.280Yeah, I am a big believer in having conversations. And that doesn't mean going up to everybody and
00:27:29.960having conversations that you may be uncomfortable with.
00:27:48.900So this year, the report card has a really fun new resource.
00:27:51.820We have a micro site where you can go and play around with the report card.
00:27:57.140So not just seeing how your state rates overall, but now you can go and look by category.
00:28:03.020And so that is a real fun way where people can learn more.
00:28:06.580And so if you're in a conversation and somebody is talking about what's happening around abortion or sex ed or something in a different state or it's in the news, you can push people to the report card so they can learn more about what's happening in their state.
00:28:24.720I'm a big believer in having those conversations and making sure that people are aware of what's happening.
00:28:31.680I always say you don't need to know all the things.
00:28:34.560You don't need to know all the things.
00:28:36.160But if you know where you can direct people, where they can get reliable information, which is harder and harder these days.
00:28:42.440Again, like the reason we talk about so many of these issues on this podcast, which is ostensibly about social media, is that so much of this mis- and disinformation is coming from social media.
00:28:56.180So you can't talk about one without at least trying to correct the record here.
00:31:01.880You know, we talk about like doing the thing that is right for you and finding the way you could get involved.
00:31:08.620And I think about that a lot, because if I was a provider on the ground or somebody working at a clinic and had to turn people away every day for a wanted abortion because they are past our state's gestational ban or whatever, like, I think that would break me.
00:31:28.400Like, I do not think I could do that. The emotional labor that is being required of that. So that is part of why I do the like big picture advocacy work. But I just think of all of those people who are having to do that hard emotional work every day. And it's a lot.
00:31:48.620Yeah. And the little things, the sending a thank you note, sending a care package, I think those things do add up when you're a provider who is carrying this burden every single day.
00:32:03.740Yes. And by the like sending a care package, like make sure you are doing it in consultation with the clinics. They know it's coming. Like don't just send a package to a clinic.
00:32:41.660first let's think back to last year abortion was on the ballot in what was it 10 states
00:32:49.680in 10 states in seven seven states it won that is amazing and when you say and when you say one
00:33:00.340tell me because yes because the language of you know what does winning mean in this case correct
00:33:05.740So it overturned some abortion restrictions or expanded access to abortion. It varies state by state. Again, 10 ballot measures, 10 different things. Right. But it made a huge difference. So thinking of Missouri and Arizona were two of the states at one where it struck down some restrictions on abortion.
00:33:28.400And while those states still have some restrictions, we're talking about moving from like a six-week ban or almost complete ban to having like a viability ban.
00:33:37.460That is a huge difference in people accessing care.
00:33:40.980And so even when I say seven of 10 states won, that's only even on a technicality because Florida had, I think it was 53% voted to pass their measure that would extend to access.
00:33:56.280But Florida required is required the number to be 60 percent. So like still the majority of people in Florida said we need to increase access to abortion. And that is amazing, y'all. Like all of those measures winning is signs of hope that people see that abortion is is important health care that people have access to.
00:34:19.600Now, not all states can do ballot measures and it's never, you know, that simple.
00:34:24.180They're still fighting over enacting all of the parts of the law of the ballot initiatives, having to fight through the courts to make sure things happen, like striking down old laws.
00:34:34.680But it is expanding access and it gives me hope.
00:34:39.700And then the other thing that gives me hope is seeing all of the amazing work that is being done on the ground.
00:34:46.700You know, I talked about that I wouldn't be able to work in a clinic because it would it would break me. But the amazing work that they are doing day in and day out or that abortion funds are doing to ensure as many people as possible are able to access the health care they want and need is it gives me so much hope that this can happen and that things can change.
00:35:10.140And, you know, I often have people ask, like, am I hopeful? Do I think that we are going to win? And the answer is obviously yes. Like, I couldn't do this work if I did not believe we would get to that better future where people are able to exercise their right to bodily autonomy easily and have access that they can afford, which is so important.
00:35:36.900And it may not be tomorrow. It may not be next year, but we will win and we will get to the point where people are able to access the care they need in an affordable manner.
00:35:48.840Mic drop. I mean, I think we end it there, right? Like, let's just I want to end on some hope.
00:35:53.860Okay. I just, I want to end on hope and joy. So thank you for doing all of this work that you're
00:36:01.140doing and, you know, for sharing it with our audience in a way that I think is digestible
00:36:06.940and, and also for, for giving us, giving us a little ray of hope at the end right there.
00:36:12.600Jo, thank you so much for having me. It was so much fun to talk to you.
00:36:15.620That is all we have for today. I have hope. I do. A lot of the time I feel weird right now.
00:36:20.660I wasn't screwing around about the beekeeping. I think I'm getting some bees. But mostly because
00:36:26.380Nick Astor won't let me have backyard chickens. If you love this podcast, give it a review.
00:36:32.060Share it with a friend. Make sure to order your copy of Everyone is Lying to You. Do it right now.
00:36:37.560Get it right now. You're going to love this book, I promise. Now, go take a nap. That's what I'm
00:36:42.340going to do. I'm going to eat some cheese and I'm going to take a nap because after this conversation,