At 6:58 a.m. Thursday, Dr. Angela Adams Powell addressed the nurses at the south Alabama hospital where she had delivered babies for more than 25 years.

“I was afraid I might not be able to speak,” she said, her voice breaking, “and I might not.”

In two minutes, the labor and delivery department at Monroe County Hospital would shutter, leaving the community without a birthing hospital. In two minutes, pregnant women in a county where 22% of residents live below the poverty line would be forced to travel 35 to 103 miles for the next nearest option.

Liz Kirby, Monroe County Hospital’s CEO, said a physician shortage was behind the closing. After the Supreme Court decision overturning Roe v. Wade, some hospitals in states with strict abortion bans have warned that it could become harder to recruit OB-GYNs, though Kirby said she wasn’t aware of that as a factor in this case. Residency applications for the specialty have also dropped more in states with abortion bans than nationally.

Alabama is in the throes of a maternal and infant health crisis, with some of the highest rates of infant and maternal mortality in the country. Physicians say those losses should be answered with more access to care — not less.

  • Flying Squid@lemmy.world
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    1 year ago

    In two minutes, pregnant women in a county where 22% of residents live below the poverty line would be forced to travel 35 to 103 miles for the next nearest option.

    No they won’t. They’ll give birth at home without any medical assistance, in severe pain, risking the life of themselves and their babies, because they don’t have the transportation or health insurance and their minimum wage job won’t give them time off anyway.

    • AkaBobHoward@lemmy.world
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      I worked in or around public health for a long time. You just broke off a piece of my heart, and fired my rage center. That is all too true, and all too ignored. The truth is never told and if it is it is not believed.

      Thank you for saying this, I only hope it makes others just as sad and as enraged as it does me.

        • AkaBobHoward@lemmy.world
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          I know it isn’t much of a response, I know we do what we can. If I could I would hug you, we could sob together, but Keep up the fight, Vote if you can, make your voice heard, don’t stop being that thorn in the side that keep attention where it is needed instead of on that shiny thing over there. And I promise to do the same!

          • Flying Squid@lemmy.world
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            Thank you and I will keep fighting. I think the people who need that hug are the women who will not get the help they need and the obstetrics workers who can’t do anything to help them. One side will be dying and the other side will be aware of the deaths and know they would be able to help if they were given the opportunity.

      • jasondj@ttrpg.network
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        1 year ago

        My MIL works in public health as well. The stories I’ve heard man. She’s also been the only one to try to talk my and my wife out of fostering (we have two kids of our own, have room in our house and hearts for another but don’t really want to do the whole pregnancy and newborn thing again. We’re still on the fence). Her reasoning is that we won’t be able to handle the heartbreak and having to be part of a lot of these stories.

        • AkaBobHoward@lemmy.world
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          I am not one to ask for trust from strangers on the Internet so take this as you will. I have seen true triumphs in the adoption/foster system, but much more often it goes very badly. I have seen good families destroyed, and individuals broken, I don’t mean to poison that well, I want that system to work, but right now they are so underfunded and understaffed that there is no way for them to be effective, and the religious route is laughable at best, those organizations are charitably described as preditory, I have other words but they don’t belong in polite conversation.

        • DontMakeMoreBabies@kbin.social
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          Well, and if your foster system is anything like the one in my state, the system will lie to you about what the kid needs and your biological children could suddenly be at risk of being sexually abused by the foster.

          Super neat.

          Fuck that, I’d never risk my kids in that way.

          • jasondj@ttrpg.network
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            Yep. That was one of her concerns as well. Granted we live in different (though adjacent) states, we’ve known some other foster parents in our state and that particular concern never came up.

    • Mouselemming@sh.itjust.works
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      Or they will show up in crisis at the emergency room. More of them will die and more of their babies will die, because help came too late or not at all.

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    This was the goal the whole time. Probirth people don’t give two shits about babies and children. Expect sexual violence against children and women in that town to sky rocket. Expect the poverty rate to increase as well. Except infant and pregnancy deaths to go up as well.

    • SoupBrick@yiffit.net
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      I would imagine their goal was to enforce their moral code on everyone, regardless of the reality of life. This is the result. I do agree that Republicans don’t give two shits about children or women who they don’t have emotional investment in. This is a “major issue” they can say they made progress on, since they can’t claim they did anything else.

      • NatakuNox@lemmy.world
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        That’s a part of it. But ensuring a poor, unhealthy, uneducated, and subservient population is the main goal. Moral codes are just a shield to hide behind as those making these rules are the most corrupt and immoral people in the world. They know emancipation of the working people is the end of suffering and the end of their (white wealthy men) control.

        • captainlezbian@lemmy.world
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          Yeah abortion was considered a weird Catholic issue in Christianity until the religious right was looking for a new bogeyman after their opposition to desegregating private schools became a losing issue.

        • SoupBrick@yiffit.net
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          I have doubts the actual seated Republicans have the brains to have that as a goal. I can believe those politicians have fanatic beliefs and the ends justify the means ideology. I am of the opinion that the think tanks, who they get their talking points and directions from, are pursuing the goals you stated in order to keep power.

          • NatakuNox@lemmy.world
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            Oh you think Republicans created this plan. Nope their wealthy donors are the ones coming up with all this.

    • artisanrox@kbin.social
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      They’re not pro-birth. Pro-birth is living wages and access to health care.

      They’re anti-women, forced birthers, and stochastic/social murderers.

  • brothershamus@kbin.social
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    Senator Tuberville, currently stiffarming the army’s leadership to create a queue for fascist drones to serve dictator trump in the Army on the premise that he’s agains the Army’s allowing abortions, is the senator from this state.

    Doing great work there coach. No wonder you were elected.

    • BorgDrone@lemmy.one
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      The people making these decisions are geriatric, they won’t be having any babies themselves. These are people who should be in retirement homes playing bingo instead of ruling the country.

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        I think that’s a little simplistic. Conservatives trend older for sure but the hate they carry isn’t going to die with them. It gets passed on, and like sexual abuse it seems some victims will break the cycle while others will continue to perpetuate it. I wish we could just wait them out, it would be easier.

      • queermunist she/her@lemmy.ml
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        While true, young Republicans believe the same exact shit and vote the same way (some even more extreme). They just want people to suffer.

        • captainlezbian@lemmy.world
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          Yeah they don’t see it as unnecessary suffering but as suffering due to choices made. They see all abortion as preventable, and so if you do something that may result in pregnancy they think you deserve the kid you’re stuck with.

          There’s also the ones who just believe abortion is always wrong and any suffering to stop it is worth it

  • Maeve@kbin.social
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    It’s okay; those that survive will be excellently demoralized and disposable wage slaves. Sigh.

  • ArbitraryValue@sh.itjust.works
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    How much of this is simply due to professionals, including doctors, leaving poorer, more rural areas (rather than to abortion bans)? A poor county in south Alabama isn’t where I would choose to live if I had a choice (which doctors do), and whatever bonds motivated people who did live there to return after getting their medical training are apparently fraying…

    • Burn_The_Right@lemmy.world
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      The notion of not wanting to live in the south as a doctor would apply to doctors 30 years ago as well, yet this sudden loss of OB/GYN’s has spiked immediately following the Roe reversal. It seems reasonable that the SCOTUS decision has influenced this loss.

    • frogfruit@sh.itjust.works
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      I live in a city, and several gynecology offices have closed down in the past year, including several doctors listed in the r/childfree directory.