After the Supreme Court ended federal abortion rights in 2022, there was a robust debate between pro- and anti-choice activists over whether or not banning abortion would kill women. Pro-choicers pointed to evidence, from both history and other countries, showing that abortion bans kill women. Anti-choice activists dismissed the record and pointed to toothless "exceptions" in abortion ban laws as "proof" that women could get abortions to save their lives.
The latter argument was frustrating not just because it was wrong but was generally offered in bad faith. Anti-abortion leaders know that abortion bans kill women. They don't care. Or worse, many view dying from pregnancy as a good thing. In some cases, it's viewed as just punishment for "sinful" behavior. Other times, it's romanticized as a noble sacrifice on the altar of maternal duty. But conservatives are aware that this death fetish cuts against their "pro-life" brand. So there was a lot of empty denials and hand-waving about the inevitable — and expected — outcome of women dying.
We now have another proof point that abortion bans are about misogyny, not "life," as the first deaths from red state abortion bans are being reported. Instead of admitting they were wrong and changing course, Republicans are behaving like guilty liars do everywhere, and destroying the evidence. In the process, they are also erasing data needed to save the lives of pregnant women across the board, whether they give birth or not.
ProPublica has published a series of articles detailing the deaths of women in Georgia and Texas under the two states' draconian abortion bans. They most recently reported the death of Porsha Ngumezi, a 35-year-old mother of two from Texas. Ngumezi suffered a miscarriage at 11 weeks but was left to bleed to death at the hospital, instead of having the failing pregnancy surgically removed. Multiple doctors in Texas confirmed that hospital staff are often afraid to perform this surgery, however, because it's the same one used in elective abortions. Rather than risk criminal charges, doctors frequently stand by and let women suffer — or die.
Ngumezi's youngest son doesn't fully understand that his mother is dead. ProPublica reported that he chases down women he sees in public who have similar hairstyles, calling for his mother.
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A day after this story was published, the Washington Post reported that the Texas maternal mortality board would skip reviewing the deaths of pregnant women in 2022 and 2023 — conveniently, the first two years after the abortion ban went into place. The leadership claims it's about speeding up the review process, but of course, many members pointed out the main effect is that "they would not be reviewing deaths that may have resulted from delays in care caused by Texas’s abortion bans."
This is especially noteworthy because it's become standard after one of these reports for anti-abortion activists to blame the victims and/or the doctors, and not the bans. Christian right activist Ingrid Skop, for instance, responded to Nguzemi's death by insisting "physicians can intervene to save women’s lives in pregnancy emergencies" under the Texas law. If she really believed that, however, she would desperately want the state maternal mortality board to review this, and other cases like it, so they could come up with recommendations for hospital staff to treat women without running afoul of the law. Skop, however, is on the Texas maternal mortality board. She was likely part of the decision to refuse to look into whether women like Nguzemi might be saved.
This censorship effort doesn't just impact the data about abortion ban-related deaths, either.
So the likeliest explanation is the simple, if brutal one: Anti-abortion activists do not want doctors to save women's lives. The current situation, where doctors are afraid to treat women and have no guidance on how to do so safely, is a status quo they are fighting to preserve. We also know this because, as Jessica Valenti reported at Abortion Every Day last week, these same activists are lobbying to rewrite current abortion bans to remove the paltry "exceptions" that do exist. Instead of allowing doctors to abort pregnancies that are failing, they want to force them to induce labor instead. That is not just cruel but will kill women. We know this because that's exactly how Nguzemi died; her doctor gave her a drug in hopes it would push the pregnancy out, rather than surgically remove it, as is the standard of care.
The Texas decision comes on the heels of a similar move in Georgia, which dismissed the maternal mortality board members to punish them for giving journalists the facts about the deaths of two other women killed by that state's abortion ban. Georgia's only slightly better than Texas, in that they aren't even bothering to pretend this isn't a cover-up. The head of the health department explicitly cited the sharing of information "with outside individuals" as the reason for the board being disbanded.
This censorship effort doesn't just impact the data about abortion ban-related deaths, either. Before 2022, both Texas and Georgia had some of the highest maternal mortality rates in the country. There's been an eye-popping 56% rise in pregnancy-related deaths in Texas over the past few years. Anyone who actually cared about women or "life" would want to get to the bottom of that. But people like Skop already know what the likely answer will be: Many of these women are dying because they can't get timely abortion care. Some are dying from unsafe abortions. Some are being murdered by partners who are trying to trap them with pregnancy. There's evidence that the overall quality of ob-gyn care in abortion ban states has declined, as doctors flee to legally safer environments. Some will have died, like Nguzemi, after being denied standard miscarriage management care.
But despite claims to be "pro-life," anti-abortion activists do not care. Instead, they are on Twitter griping about how comprehensive reproductive health care access "promotes sexual promiscuity."
No, seriously, this is their priority while women are dying.
Skop also argued last year that abortion bans are justified because "promiscuous behavior declines." It's tempting to point out that all five women whose deaths have been reported by ProPublica were in long-term relationships or marriages. Three of the five planned to bring their pregnancies to term and died because they were denied miscarriage care. But that's the problem with vague terms like "promiscuous." They draw us into debates about how much women are allowed to enjoy sex before their lives are forfeited. Or how many "good girls" should die to punish the "promiscuous" ones.
That is the trap of misogyny. It allows women like Lila Rose or Ingrid Skop to pretend that, if you submit to the sexist order and obey all their arbitrary rules, you'll be saved. But these laws punish all women and girls: mothers and non-mothers, wives and single women, women who've had 100 partners and those who were virgins when raped. Abortion bans make crystal clear that, to the Christian right, no woman's life is worth saving. Anyone can be sacrificed, to protect their cruel patriarchal order.
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