Abortion access was already tough for those using IHS. The Supreme Court’s ruling may worsen the situation, leading to higher mortality rates for Native pregnancy-capable people in the U.S.
decision. However, it doesn’t mention the 1996 memo. Echo-Hawk said it was “lip service and tokenizing.” The 2022 memo no longer requires a police report, but the physician must certify the abuse in the medical record. It also states that IHS can provide “accommodations to providers who maintain a sincerely held religious objection to abortion.
The exact number of abortions IHS has provided or funded is unknown, as is a full list of locations that offer abortion. According to Echo-Hawk, “It’s sorta kept under wraps.” Abortion is often treated as a partisan issue, but the current Democratic administration is leaving NPCP behind.
Given the vast barriers for Native people to access reproductive health care, including abortion, it stands to reason that the legal right to abortion is even more important for NPCP so they have options outside of IHS. IWR formed its abortion fund in 2018. The fund is currently open to all Indigenous people in the U.S. and Canada. “There was no space for Indigenous people in the reproductive space” in both New Mexico and nationally, Lorenzo told. IWR had no more than 50 callers in its first year, but its clientele “skyrocketed” amid state abortion bans, rising costs, and a lack of clinics and providers., IWR helped fund abortion-related costs for 600 clients between September 2021 and April 2022.
But even if a NPCP receives IWR assistance, they may still encounter problems accessing care. IWR can only fund abortion where the clinics will accept their funds, and under IWR’s policies, the person must have an appointment scheduled before they can access the funds. According to Lorenzo, many clinics require the payment before the appointment can even be scheduled, and some clinics refuse to work with IWR.
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