A push to consolidate place, as well. The cultural capitals of the modern middle east fenton mon, in al jazeera, doha, ah, youre watching al jazeera the headlines this hour. Its the final day of nato meetings with defense ministers discussing how to deal with moscow and better arm ukraine. Germany sent the 1st of 4 promised air Defense Systems to keep on wednesday, and the u. S. Is among those pushing for more support. Want to applaud all of our allies and partners who stepped up to, to provide assistance to tell you brain, you know, russia is in this 8th want of its unprovoked and unjust invasion of ukraine. And since, since its done that allies have continued to step up to provide security assistance, and that just speaks to, to the quality of this alliance and, and the focus of the alliance members. And so i could not be more proud of the work thats, thats been done. And the Un General Assembly has voted overwhelmingly to condemn russias move to an exports of ukraine. 143 countries voted in favor of a resolution that reaffirms ukraine sovereignty and territorial integrity. How the bill honeyed has reaction from keith. When president lensky said it was a historical vote, but i mean when it comes to un resolutions had been already too un resolutions about the annexation of back one back in 2014, which will put a territory and integrity of your grade. One in 2020, which called really for the withdrawal of all russian to some your grade and nothing happened. I think if you speak to the wider ukrainian public, they are concerned about the war about how its going. A russian president vladimir putin, his arrived in catholic stand for a meeting with regional leaders. He is set to meet turkey is president m a me of guitar to discuss the war and ukraine. More than 500 people have died in nigeria is worst floods in a decade. And operation is under way to rescue thousands of stranded people out to flooding destroyed villages. 1. 4000000 nigerians have been displaced and those are the headlines on al jazeera. The news continues right here after the stream, stay with us are in good hands. Talk to al jazeera. We also do believe that women of afghanistan was somehow abandoned by the international community. We listen, we api shoot a price for the rule against terrorism, whats going on and so money we meet with global news makers and talk about the stories that matter. One al jazeera thing. I ever want josh rushing or youre in the stream. Today, were talking about how new abortion bands the United States are affecting women. Whats your take . Share your thoughts and experiences in our lives. Youtube chat. Ah, its been more than a 100 days since the Supreme Court overturned roe v wade and ended the constitutional right to abortion. The procedure is now banned or severely restricted in more than a dozen states. That means that one and 3 women now live in a state with no abortion access, putting them at risk for worse Health Outcomes. The bands are also having some unintended consequences. Some states are restricting medicine used to treat illnesses like cancer and lupus because they can also be used to into pregnancy. Physicians are hesitant to treat those with high risk pregnancies. Listen to this, doctors take we take this old to do no harm and i feel like the law is forcing me to not practice that oath. We had a patient recently whose fetus had a diagnosis of an in cecily. Meaning that sort of the top part of the fetuses and skull had not formed. This is a lethal diagnosis. This is not something where that baby can survive outside of the womb before the dobbs ruling. We would have been able to care for her at the same hospital where she delivered her last 2 children now because that she still had cardiac activity. We had to refer her out of state. And joining us to talk about the Health Care Landscape and how the healthcare landscape has changed since o row was overturned, is Elizabeth Nash in washington d. C. She is the principal policy associate at the gut mocker institute. And in cio that focuses on reproductive rights, russell joined by doctor jessica, robina of Family Medicine, physician from austin, texas. And michelle, good one professor of law at the university of california, an author of policing, the womb, invisible, women in the criminalization of motherhood. All right guys, thank you so much for being with us. Michelle. Id like to begin with you because i think this is kind of confusing, particularly for our international audience. That theres this kind of patchwork of laws where its different all across the us. Im going to bring up a map on my laptop while you talk about it. And can, you can explain to someone who maybe isnt familiar with the us legal system. Why this is so different, whats happening across the u us. And they would be right to be confused of those who are abroad and also in the United States. So after the Supreme Court ruling in Dobbs V Jackson womens health, the Supreme Court struck down roe v wade and planned parenthood b. Casey, leaving states to do whatever they want with regard to abortion. So that meant that the state of mississippi could say no abortions in our state with no exceptions for rape or incest. It meant that other states could say that we have a ban on abortion. After 8 weeks of pregnancy or 12 weeks of pregnancy, it meant that the texas law, sb 8, which bands pregnant rich bands, abortions after 6 weeks of pregnancy with no exceptions for rape or incest. And that also has a Bounty Hunter provision. I was lawful the Supreme Court. It already ruled that that law could go into effect essentially by failing to intervene. So across the country, we have states doing different things. But i will say this in states like new york, illinois, california, colorado. There are folks in kansas fighting back saying that there is a constitutional right in their states to be able to, to terminate a pregnancy. Or at least if its not written into their constitutions, its something that theyre legislatures have made clear that folks in those states are safe to have abortions. What jessica, what does that mean . Youre in texas and im so look at this map on my laptop and texas is listed as one of the most restrictive states in the union. What. What does that mean for you as a doctor . And what does that mean for some of your patience . Yeah, thanks so much for having me. So i am a Family Medicine physician and i specialize in abortion care. And the reality is, is actually as a texas provider, i have always over the last 4 to 5 years, ive always worked under restrictions in texas. So we always had rules about who could do the ultrasound. We had rules about who like the information i had to give my patients and what i was allowed to say. So i always had that then about a year ago, s b 8 started. That was the 6 week ban. That was almost a complete shut down of things. And then now of course, since ro, its been several months. And basically its a day to day struggle. Every patient visit is much more difficult than it was because obviously im not doing abortions, im not able to do any. And thats regardless of the health of the person in front of me why they need that abortion. I mean theres no, theres just no exception. So its just a flat, its a flat band at this point. Well, we might also add to that point that in texas, as you were just mentioning, that these restrictions have been going on for some time. Then that is also lead in some ways to texas, being one of the most dangerous places to be pregnant, even before dogs with very high rates of Maternal Mortality, which some attribute to the fact that clinics had to close just in the wake of all of that anti abortion legislating that was taking place in texas only years. Im sure you mentioned dot hobbs is the case the Supreme Court case that overturned roe v. Wade. Sorry. Go ahead. Jessica. Yeah, i had a patient who was severely ill. And so regardless of what we think, oh, there might be an exception for Something Like that. So its very dangerous in texas to be pregnant. She was someone who is in kidney failure. I mean a pregnancy for her is, i mean thats a death sentence for her. And so we had to tell someone who was pregnant and kidney failure, that they needed to leave the state to get an abortion. But even just telling someone, even, just not doing their abortion in that moment, and instead sending someone whos very sick, also whos pregnant across state lines, all that traveling. I mean, on the way there she could have died of a blood clot. Its not, its not a safe situation that its shocking. Oh, well, hold on. I want to bring in a someone from our community. This is amanda meto. Shes the senior director of planned parenthood, but a ration of america. And then were going to come to you elizabeth next. So sam, by just 2nd, 3 months since the fall of fro, the nation is in a Public Health crisis. Nearly one 3rd of us states have abortion bands and a fact. One and 3rd, american women have lost the right to control their bodies. And in states where abortion is still protected, planned Parenthood Health centers are seeing a huge increase in patients. Theres a Health Center on the border of illinois and missouri that has already seen a 30 percent increase. Wait times have gone from 4 days to 2 and a half weeks. Banning abortion does not stop people from needing abortion. It puts peoples lives at danger. And elizabeth, i know you keep a close eye on this across the country, what, what is happening with clinics as we speak . So you know, what weve seen in the states that have band abortion was, there were 66. 00 clinics total that, that almost a 3rd of them have had to entirely close. And then the remaining 2 thirds have been able to stay open. But providing other Reproductive Health care. And i think this is actually a critical point. What jessica was talking about, the conversations youre having with patients in many states, a pregnant person who is having a severe physical health condition, or there is a condition with the pregnancy. Sometimes the providers, particularly like the fetal medicine providers, are having trouble even having these conversations. Because the providers are scared that they will be violating the abortion pan by simply providing information. So patients are very confused when theyre having these coded conversations with Health Care Providers who are actually trying to transmit information in a way that doesnt put them in risk of legal jeopardy. Theres that. And then when we think about all of these states with abortion bands, youre thinking about 19200000 women of reproductive age living in the states. And theyre said and these states are right. Its primarily the south, like we saw on the map, right . The south in the mid west. So its not simply the issue of crossing one state water or causing walton state borders right. Was that job . Well, yes its part of the problem is that its not just women and adults with the capacity for pregnancy, but were also talking about children, right . Were talking about a girl 10 years old who was raped when she was 9, having to flee the state of ohio to get to indiana in order to be able to terminate that pregnancy. And then the attorney general in that state, and its a Political Office where he then goes on National News saying that he wanted to investigate the doctor that per forms that abortion, or were talking about a woman in louisiana who was diagnosed with having a fetus with no scowl development, but in that state being denied an abortion even though that is a fatal condition for the fetus or were talking about florida. Were a 16 Year Old Girl who is without parents has no parents and sought to have an abortion. A judicial bypass where a judge ruled that shes too immature to have an abortion, but seemingly mature enough to become a parent at the age of 16. And this is not episodic, i mean were talking about systemic failures across the country. And if we just look at mississippi, the state that brought the challenge to the Supreme Court, thats a state where if you are a black woman, you are 118 times more likely to die by carrying a pregnancy to term than by having an abortion we havent even touched on Maternal Mortality and the backdrop of the us. Yeah, i mean, after you show the audience something on my laptop right now with Maternal Mortality in the u. S. Where it shows it as far as trips out of other industrialized nations. Its a 23 point, a mess with them, like a 100000 labors. Whereas with france, its like a 3rd of that. The next one, just as a doctor, like whats going on there . Why are well, is this really points out something that i think a lot of people wouldnt necessarily think this whole cause it just doesnt affect just people who say, i want an abortion. It affects all the health care surrounding that. Because having an abortion Reproductive Healthcare is part of our whole person. So i have people now i had someone just in the other day who is going through a normal process of a miscarriage, but a desired pregnancy. It was a very traumatic process for her because she wanted that pregnancy she had so much blot blood loss during it that she lost consciousness 2 times and still didnt go to the hospital because she was afraid that they, she was like, i dont know, will they put me in jail, will they think i tried to do the abortion on my own. She was like, i swear to you. I didnt so its even visits. I have now every single visit in my office even for i u. D. s. The question always comes back to yeah, but what am i going to do . What happens if this doesnt work . Because most forms of Birth Control that all that i can think of have some failure rate. So this inevitably spans out and affects all of the health care force. It puts all of us in more danger. Does it make you feel criminalized as a doctor . Did you ever imagine feeling this way when you went through most golden . But what youre going to be doing with the career now, but once i got here to texas and started doing abortions, i realized that that was the landscape here. And it was only going to get worse. So then i kind of expected it, but i mean, i didnt know it would be to the point where i worry about what i put in a patient chart. Are patient charts, were supposed to be able to write the most detailed, accurate information. So the next clinician can look at that patient pick up the care, know whats going on. Thats part of good medical care. And in the meantime, im worried as someone can a subpoena, someone else for these records and pull these records and is the patient going to get in trouble at . Its affected everything about what we do. I want to bring in some comments from our you tube audience. This is from someone named the shawl, says Health Wellbeing should be the 1st priority. And this is from div boudreau who says, im an american, i think this is terrible forcing women to give birth. This is massage, honest, and pro poverty. So you want to kind of of reform pro poverty, anglo mas michelin, well, i, well, i would say, you know, its, its, it is pro pop poverty. But i would also say that its involuntary reproductive servitude. It is forcing girls women people with the capacity for pregnancy to endure pregnancies which are already highly risky in the United States. United the u. S. Supreme court in 2016 reported that. And this was based on other empirical studies that a woman is 14 times more likely to die by carrying a pregnancy to term that by having an abortion in the United States. So even with that information that the Supreme Court had you put that in the backdrop of what were talking about today. And it is a deadly proposition. But the 13th amendment of the United States constitution prohibits slavery an involuntary servitude. And this is another form of it, and we need to recognize it as such. And elizabeth does this reflect the majority of americans opinion on us . Well, know that part of the issue is that the vast majority of the American Public supports abortion rights. Its just that the politicians dont have the same values and theres a long history of how the elections have changed and you know, where states have republican control and what that means. And frankly, what that means is a lot of what michelle and jessica are talking about around limited access to pregnancy care. You know, they arent putting in place the programs and the policies they need to protect maternal health. And so then you add an abortion ban on top of it and you really see the harm that is being done. And it, you have to have vast inequities by race and thats by design. And so were really seeing the impact of these conservative legislatures in a way that doesnt reflect their constituencies. For example, in indiana, there was a special session on abortion. Now an abortion band was passed, but frankly, there was a line 10 hours long of people coming out to say that they support abortion rights. And the legislature pretty much ignored them. So theres a long way to go to have the publics be represented by their legislatures. And then we have to remember to that because of our systemic racism because of the way our society is built that are pregnancy, even a healthy otherwise healthy pregnancy does not affect everyone the same way. For some people it means its a happy experience is that supported experience in a supported community for some people its a stressful experience that they do not have the money for. And then so for some people needing to get an abortion like even now needing to get an abortion, if youre a privilege person in texas, you could take a vacation to colorado for the weekend. But for someone else that 100 percent means they cannot get out of the state and they will have to c