Add news
March 2010
April 2010
May 2010June 2010July 2010
August 2010
September 2010October 2010
November 2010
December 2010
January 2011
February 2011March 2011April 2011May 2011June 2011July 2011August 2011September 2011October 2011November 2011December 2011January 2012February 2012March 2012April 2012May 2012June 2012July 2012August 2012September 2012October 2012November 2012December 2012January 2013February 2013March 2013April 2013May 2013June 2013July 2013August 2013September 2013October 2013November 2013December 2013January 2014February 2014March 2014April 2014May 2014June 2014July 2014August 2014September 2014October 2014November 2014December 2014January 2015February 2015March 2015April 2015May 2015June 2015July 2015August 2015September 2015October 2015November 2015December 2015January 2016February 2016March 2016April 2016May 2016June 2016July 2016August 2016September 2016October 2016November 2016December 2016January 2017February 2017March 2017April 2017May 2017June 2017July 2017August 2017September 2017October 2017November 2017December 2017January 2018February 2018March 2018April 2018May 2018June 2018July 2018August 2018September 2018October 2018November 2018December 2018January 2019February 2019March 2019April 2019May 2019June 2019July 2019August 2019September 2019October 2019November 2019December 2019January 2020February 2020March 2020April 2020May 2020June 2020July 2020August 2020September 2020October 2020November 2020December 2020January 2021February 2021March 2021April 2021May 2021June 2021July 2021August 2021September 2021October 2021November 2021December 2021January 2022February 2022March 2022April 2022May 2022June 2022July 2022August 2022September 2022October 2022
123
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
News Every Day |

Galvanized by Dobbs, more doctors are distributing abortion pills by mail


Doctors at online and brick and mortar primary care companies are slowly starting to prescribe medication abortion pills via telemedicine in states where it’s still legal following the Supreme Court’s Dobbs decision ending the constitutional right to the procedure.

The FDA has yet to update its rules to make way for large retail pharmacies to dispense medication abortion, limiting how patients can get pills. In the meantime, these companies are leaning on two mail-order pharmacies to fill their prescriptions.

“I don't know, what's taking them so long to come up with this plan,” said Ushma Upadhyay, director of research of the University of California Global Health Institute’s Center of Expertise in Women’s Health, Gender, and Empowerment.

Last year, the FDA made the companies’ plans possible when the agency permitted doctors to prescribe mifepristone — the first of two pills patients take in the medication abortion regimen — via telemedicine and to ship it in the mail. But the FDA could reverse course if an anti-abortion president were to win election.

“Post-Roe America demands that we reimagine where and how abortion care is delivered,” said Carolyn Witte, the co-founder and CEO of Tia, which provides telehealth appointments and abortion pills in California and New York. “We must shift from a siloed approach where abortion is treated as a separate issue to a whole women's health care model.”

Though primary care doctors could provide medication abortion, many are reluctant to do so. That’s because of the FDA’s certification rules for mifepristone distributors, the need to store the pills, the controversy surrounding abortion, and the possibility of being targeted by anti-abortion activists.


Most U.S. abortions are induced with drugs, and the online firms offer advantages for patients as well as doctors: There is no location to picket and companies can obscure which physicians are prescribing to protect them from anti-abortion activists.

Already, several online abortion clinics — including Choix, Hey Jane, and Aid Access — have physicians on staff certified to prescribe mifepristone. They rely on mail-order pharmacies like Honeybee Health to ship the pills.

The FDA last year said it would use its enforcement discretion to permit online pharmacies to send mifepristone through the mail so long as they worked with doctors certified to dispense the drug.

Now primary care organizations as well as maternity care companies like Millie Clinic in California and Viva Eve in New York, both of which offer in-person and virtual appointments, are providing medication abortion to patients.

Telehealth company Wisp offers medication abortion to patients in California, New York, Illinois, Colorado, Maryland, Maine and Washington. Carbon Health, which provides primary care in person in 17 states and telehealth in 23 states, is now providing medication abortion throughout California and plans to expand to every state where abortion is legal.

Roadblocks for doctors

Three percent of recently graduated family doctors provide some form of abortion care, per a 2018 study. And the vast majority of obstetricians, who specialize in reproductive health care, don’t provide abortions.

FDA restrictions on the distribution of mifepristone, which are designed to alleviate safety concerns, are an impediment, doctors say. Distributors must be certified by the manufacturers of the drug, a process overseen by the FDA.

Doctors who want to distribute the pills must demonstrate they understand mifepristone is used to induce abortions, that it does so by blocking hormones necessary to maintain a fetus in the uterus and that they understand how to counsel patients on its use. They also must have patients sign a disclosure form acknowledging they know they are taking mifepristone to end a pregnancy.

In addition to FDA regulations, some states require abortion patients to have ultrasounds, make multiple trips to a clinic before undergoing the procedure or ban abortion via telemedicine altogether.

The Hyde Amendment prevents “federally qualified health centers” — community clinics that receive federal funding and serve 30 million Americans — from using federal dollars for abortion. Doctors who want to provide medication abortion put themselves and their clinics at risk of harassment and more expensive liabilty insurance. (New York state recently passed a law to stop malpractice insurers from charging higher rates to abortion providers.)

In a small survey of 48 physicians on hurdles to prescribing medication abortion, published this year by the Journal of the American Board of Family Medicine, one doctor said, “I would be doing it in a heartbeat if I could prescribe mifepristone, and my patient could pick it up at a commercial pharmacy, but she cannot because of the way it is regulated by the FDA.”

Pills by mail

For years, certified physicians were only able to give patients mifepristone in person. That changed during the pandemic when a Maryland federal district court judge, Theodore Chuang, approved an injunction sought by physician groups allowing abortion medication to be prescribed via telehealth and shipped through the mail for the duration of the federal public health emergency.

The Supreme Court reinstated the in-person prescribing requirement in January 2021 at the request of the FDA while Donald Trump was still president. However, after Joe Biden was elected, the agency reversed course and permitted prescriptions by telemedicine, allowing the pills to be sent through the mail or dispensed from local pharmacies. A new president could reverse that again.

And the FDA is reviewing applications from mifepristone’s manufacturers to determine how corner pharmacists can dispense it safely at their brick-and-mortar stores. GenBioPro and Danco Laboratories submitted proposals in June. The FDA has six months to take action on the submission.


For abortion-rights advocates, the new interest from primary care organizations in prescribing medication abortion is one bright spot to emerge following the Supreme Court’s decision.

“The more we can normalize abortion care and spread it across more providers, we are spreading the risk around and normalizing this health service,” said Upadhyay.

Online access to pills isn’t a panacea for abortion patients in states where the procedure is banned. They must travel to states where it’s legal to meet with a doctor, whether in-person or online. And they may not be able to receive pills at their home address.

Upadhyay said she’s eager for the FDA to update its certification rules so pharmacies can apply to distribute mifepristone. The University of California has expressed its interest in dispensing medication abortion at its campus pharmacies.

Of course, health care providers that prescribe medication abortion — online or off— still face risks. Alpha Medical, an online primary care provider, plans to provide medication abortion later this year, but is still working through the legalities. Alpha Medical Chief Medical Officer Mary Jacobson said she is concerned that if she prescribes medication abortion in states where it’s legal, she might have her medical license revoked in states where it is banned.

She said Alpha Medical faces similar legal risks when it connects patients to abortion resources: “If someone from Texas contacts us for navigation, are we considered aiding and abetting if we give advice?”









Read also

Photos: Modern Angelenos had fun doing chores from yesteryear at Pioneer Day in Chatsworth

The Famous Wine Advent Calendars Are Back at Costco & Feature 24 Half Bottles From Around the World

K-Nation (10/02/22)


News, articles, comments, with a minute-by-minute update, now on Today24.pro

News Every Day

Ancient Ruins of Tyre, Lebanon [Amazing Places 4K]

Today24.pro — latest news 24/7. You can add your news instantly now — here


News Every Day

Tracking a Coyote after Chicken Coop Attack!



Sports today


Новости тенниса
Майк Дэвис

Борщев не справился с Дэвисом на турнире UFC



Спорт в России и мире
Москва

Промес признан лучшим игроком матча «Пари НН» — «Спартак»


Загрузка...

All sports news today




Загрузка...

Sports in Russia today

Москва

Промес признан лучшим игроком матча «Пари НН» — «Спартак»


Новости России

Game News

Hyenas could have real potential if it wasn't knee-deep in metacringe


Russian.city


Москва

Угрожавший "устроить резню" в вузе первокурсник задержан в Москве


Губернаторы России
Борис Моисеев

В Москве выбрано место для захоронения Бориса Моисеева


Полиция требует возбудить дело в отношении Собчак за фейк о госвласти

Самарский выпускник стал лицом профориентационного проекта «Билет в будущее»

Гидрометцентр предупредил о сильных осадках в российских регионах

Татьяна Шеулина: «Традиционная одежда подчеркивает красоту женщины»


Джиган поделился яркими кадрами с фотосессии с женой и детьми

Рэпер ST рассказал, что добивался своей жены

Садальский посчитал позорной работу Цискаридзе в качестве ведущего Первого канала

Покинувший РФ Семён Слепаков обратился к россиянам из Израиля


Медведев, Рублёв, Хачанов, Шевченко и Донской сфотографировались в центре Астаны

Дмитриева: смешно рассуждать о шансах Сафиуллина с Джоковичем

Вячеслав Борщев в рамках UFC Fight Night по очкам проиграл американцу Майку Дэвису

Победит ли Вячеслав Борщев Майка Дэвиса на UFC Vegas 61?



Корпоратив Мезонпроект прошел на выезде в городе Нижний Новгород.

«Спартак» одержал волевую победу над «Нижним Новгородом» в матче РПЛ

Филипп Киркоров покаялся на похоронах Бориса Моисеева

Угрожавший "устроить резню" в вузе первокурсник задержан в Москве


Эксперты Сбера стали спикерами чемпионата по финансовой грамотности для пенсионеров

География возможного: якуты в Москве, иконы в Кремле, Дягилев в Третьяковке

"Футбольная страна" объединит около 30 городов по всей России

Садальский скептически отнесся к новому спектаклю Богомолова


Правительство России нашло новый способ борьбы с допингом среди спортсменов

Полиция обратилась в СК с просьбой возбудить против Собчак уголовное дело

На досрочных выборах в Болгарии победила партия бывшего премьер-министра

Рынок жилья испытывает снижение спроса в связи с частичной мобилизацией



Путин в России и мире







Персональные новости
Russian.city

Вадим Самойлов

Лидер группы «Агата Кристи» Вадим Самойлов дал концерт для мобилизованных жителей Тюмени



News Every Day

BMW M4 CSL v Porsche 911 GT3: DRAG RACE




Friends of Today24


Загрузка...
Музыкальные новости

Персональные новости
Moscow.media