\n\u201cTo change peoples opinions, you have to make visible the legal realities\u201d \u2014 Rebecca Gomperts, Dutch doctor and activist <\/em><\/p>\n<\/blockquote>\n
\u201cWe can either close our eyes to this, as usual,\u201d she continued, \u201cor actually deal with the dangers of unsupervised access to abortion pills. I choose the latter.\u201d<\/p>\n
Gomperts Amsterdam-based abortion pill service, Women on Web, last year received nearly 5,000 emails from women asking for help in the Republic of Ireland and nearly 3,500 from Northern Ireland. The U.K.s reformed abortion laws from 1967 did not reach Northern Ireland, where abortion remains illegal except in extreme circumstances. An estimated 1,100 have received the pills each year since the organization began in 2006.<\/p>\n
Previously \u2014 and infamously \u2014 the main option for Irish women was to travel to Britain for a legal but expensive abortion. But in the past 10 years, the number of abortion tourists has steadily dropped. In 2006, 5,000 traveled from the Republic, with another nearly 1,300 coming from Northern Ireland, according to the U.K. government<\/a>. Ten years later<\/a>, that number had dwindled to slightly less than 4,000 in total. And for women who couldnt afford the trip, there were always unsafe, \u201cback-alley\u201d abortions.<\/p>\n
Medical mission<\/h3>\n
Gomperts first saw the reality of illegal abortion when she was a 25-year-old medical student working in Africa. She explained that women would come in bleeding \u201calmost to death\u201d after attempting to induce their own abortions.<\/p>\n
\u201cAt that time, I thought it was because there was no health care in the villages,\u201d she said in an interview in her small office down a side street in Amsterdams Oost neighborhood, a residential area with un-chained bikes and curtain-less windows. \u201cI didnt realize it was because of the law.\u201d<\/p>\n
<\/p>\n
Dr. Rebecca Gomperts Amsterdam-based abortion pill service, Women on Web, last year received nearly 5,000 emails from women asking for help in the Republic of Ireland | Paolo Verzone\/Agence VU<\/p>\n
Now Gomperts helps provide abortions \u2014 whether it be by boat<\/a>, by drone<\/a> or by web<\/a> \u2014 to women who cannot get them by law. Her first organization, Women on Waves, became notorious for taking women into international waters, first on a large converted fishing trawler and then on a small sailing ship, and giving them the pills. That campaign started in 2001 and prompted the New York Times to label her \u201cthe abortion rights movements first extremist<\/a>\u201d and others deem her actions a publicity sham and \u201chysterical gesture.\u201d<\/a><\/p>\n
Wherever she went, governments tried to thwart her, with the Portuguese government sending two warships to stop her boat in 2004, and the Dutch government attempting to revoke her license at every turn.<\/p>\n
The women who aborted their pregnancies onboard Gomperts ship were few, but her actions helped change the conversation. Two and a half years after Women on Waves arrived in Portugal, the country legalized abortion. Spain followed suit, loosening its laws to make abortion widely available in 2010, two years after Gomperts ship arrived.<\/p>\n
\u201cTo change peoples opinions, you have to make visible the legal realities,\u201d Gomperts said.<\/p>\n
Ireland could well be next, but this time because of Gomperts mail-order abortion service.<\/p>\n
\u201cWe know that women obtain abortion pills through the post to end their pregnancies without any medical support or counselling or supervision,\u201d Irish Taoiseach Leo Varadkar said<\/a> in a January speech after hearing stories of women whod taken the abortion pills from the service. \u201cIn my opinion we cannot continue to export our problems and import our solutions.\u201d<\/p>\n
Not everyone is on board, and polls suggest that there is still considerable unease about legalizing abortion in the country.<\/p>\n
Bobby Aylward, a Fianna F\u00e1il parliamentarian and a cattle farmer from a small village in Kilkenny, said the word abortion still \u201csends shivers\u201d up his spine.<\/p>\n
\n\u201cYou feel like a criminal, hoping they give you the parcel and not ask any questions\u201d \u2014 Emily<\/em><\/p>\n<\/blockquote>\n
\u201cI would say, yes, there could still be a loosening of the rules and regulations such as [allowing abortions] for fetal abnormalities, such as rape, such as incest \u2014 I think there could be something to cover those, but I think 12 weeks is a step too far,\u201d Aylward said. \u201cWe shouldnt have a free-for-all.\u201d<\/p>\n
But even he acknowledged: \u201cWe cant stop them.\u201d<\/p>\n
The road north<\/h3>\n
Emily and her boyfriend drove to Belfast on a Saturday afternoon, and stood in line at the post office, waiting for her package.<\/p>\n
\u201cYou feel like a criminal, hoping they give you the parcel and not ask any questions,\u201d she said. If the authorities knew what was inside, she could be arrested, but her bigger fear was that if they refused to give her the package, she wouldnt be able to make another attempt, skipping work to try to get to Belfast again.<\/p>\n
Women on Web used to ship directly to women in the Republic until seizures by the Irish government made Gomperts redirect her efforts through Northern Ireland.<\/p>\n
The Northern Irish authorities also confiscate packages, but they would not give details of their seizures.<\/p>\n
Emilys package was not seized, and she took the pills on returning home to Dublin.<\/p>\n
As a Dutch news headline once summarized it, though, the pill is \u201cnot just bite, swallow, gone<\/a>.\u201d Its much more painful.<\/p>\n
\u201cI didnt even know I could bleed so much,\u201d she said.<\/p>\n
She was only two-and-a-half weeks pregnant, but she stayed in bed for 24 hours with bleeding and severe cramps. When she called her gynecologist for help and admitted shed had an abortion, she was refused help.<\/p>\n
<\/p>\n
Mifegyne, the abortion pills Gomperts service sends women in Ireland | Jillian Deutsch\/POLITICO<\/p>\n
The idea of women taking these pills alone has many worried, but Women on Web spends a great deal of time assuring women and their critics that their work is safe. The pills they send are the same pills women receive in a clinic. They carry the same risks as a miscarriage. And the organization is quick to point out that the pills, misoprostol and mifepristone, have been on the World Health Organizations List of Essential Medicines<\/a> since 2005, albeit with the caveat \u201cwhere permitted under national law and where culturally acceptable\u201d and under the understanding that they require \u201cclose medical supervision.\u201d<\/p>\n
Some have raised concerns. Although Emily had an ultrasound, members of the Dutch Society of Abortion Physicians (NGvA) like Jorien Nijland worry about women taking the medication without anyone to tell them if they have an ectopic pregnancy. There is also a major concern over whether women can accurately determine how many weeks they are into their pregnancy. Many get this wrong.<\/p>\n
\n\u201cIt seems like a joke when you see it from outside. When you live it, its like the Stone Age\u201d \u2014 Emily<\/em><\/p>\n<\/blockquote>\n
The day that Nijland spoke about the issue, she had seen a woman who thought she was six weeks pregnant, but was actually 27. Still, Nijland acknowledged, the abortion pill is the only safe option for some women. The alternatives are much more risky.<\/p>\n
Abigail Aiken, an assistant public policy professor at the University of Texas, Austin who studied Women on Webs post-abortion self-evaluations, said: \u201cIn the old days when there were no abortion pills, there were backstreet services, and people would do desperate things, resort to sharp objects, taking a caustic substance.\u201d<\/p>\n
\u201cPeople think that doesnt happen anymore because how could it in 2017? But I have talked to people in Ireland who have strongly considered something desperate \u2014 throwing themselves in front of cars, considered unwinding a coat hanger and doing their own abortion \u2026 things nobody should have to do in this day and age.\u201d<\/p>\n
What still makes Emily angry now is that medical professionals knew \u201cperfectly well\u201d what her options were \u2014 but all she was offered was counseling.<\/p>\n
\u201cIt seems like a joke when you see it from outside,\u201d Emily said. \u201cWhen you live it, its like the Stone Age.\u201d<\/p>\n
An unfinished struggle<\/h3>\n
Ireland will in all probability repeal the Eighth Amendment<\/a>, the part of the constitution that gives a woman and her fetus an \u201cequal right to life,\u201d with support as high as 63 percent in mid-February polls<\/a>.<\/p>\n
Repealing the amendment would clear the way for Ireland to then institute an abortion law, which could include numerous restrictions like gestational limits and wait periods. The shape that conversation is taking might not please abortion-rights activists. Only 48 percent of people polled supported abortion on demand up to 12 weeks, while another 33 said it went \u201ctoo far.\u201d<\/p>\n
<\/p>\n
Irish Health Minister Simon Harris | Olivier Hoslet\/EPA<\/p>\n
A policy proposal by Irish Health Minister Simon Harris released<\/a> on March 9 features 21 clauses, including a requirement that two doctors sign off on an abortion and allowing doctors to conscientiously object. Already two-thirds of general practitioners have said<\/a> they would not provide abortion pills. Abortion advocates are worried.<\/p>\n
\u201cIf you actually want to provide a medical service to people and make something so its not just legal in name \u2014 so its actually accessible and acceptable to people \u2014 a lot of thought has to be put into how you design that service,\u201d Aiken said. \u201cThats something that Ireland has a chance to do right now.\u201d<\/p>\n
Gomperts says her work is not done. Shes optimistic about the developments in Ireland, which she said feel like \u201can evolution and a revolution since we started,\u201d but she also fears for abortion rights in increasingly conservative countries like Hungary and Poland. And thats just in Europe.<\/p>\n
She hinted that shes in the middle of planning a new campaign \u2014 no boat, drone or mail involved \u2014 in South America this summer, the details of which the world will \u2014 with good reason \u2014 hear plenty about.<\/p>\n
And, Women on Web is still receiving emails from Irish women in need of their services.<\/p>\n
\u201cFor me, its too late,\u201d Emily said. But she added: \u201cThere is hope for Ireland.\u201d<\/p>\n
Original Article<\/a><\/p>\n
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<\/a><\/h5>\n","protected":false},"excerpt":{"rendered":"
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