By Jennifer Weiss-Wolf for Ms. Magazine.
Broadcast version by Eric Galatas for Colorado News Connection reporting for the Ms. Magazine-Public News Service Collaboration

The United States was designated a backsliding democracy in late 2021, when it appeared on a prominent European think tank’s annual global ranking. Today, half of the world’s democratic governments are on the decline, according to The Global State of Democracy, a report released by the International Institute for Democracy and Electoral Assistance (IDEA) this past November.

Six months before the Supreme Court decision in Dobbs v. Jackson Women’s Health Organization, with Texas SB 8 already in effect—the U.S. made its disconcerting debut on the list. Advocates raised real-time questions about the correlation between regression on abortion rights and degraded democracies. A New York Times article asserted that such a descent is precisely when “curbs on women’s rights tend to accelerate.”

We think that’s a proposition worth flipping on its head. What if, instead, we looked at the United States’ persistent abysmal track record on gender equity as the potential smoking gun for its downward spiral? While the timing of the United States’ inaugural inclusion on the IDEA list made it easy to point to the grift of Trump and the rise of Trump-ism as the culprit, the hard truth is that our democracy has been flailing—by failing women, particularly women of color—as it has designed to, since the nation’s founding.

Equal Rights Amendment

Let’s start with the century-long fight to enshrine equality in the U.S. Constitution.

Eighty-five percent of United Nations member states currently have explicit constitutional provisions that prohibit discrimination on the basis of sex and/or gender. The United States is an outlier. Even as the federal Equal Rights Amendment navigates the path to ratification—and some 30 states have ERAs or comparable language in their own constitutions and/or active mobilization efforts—women in this country have no guarantee of equality.

Women’s Political Representation

The United States also lags in meaningful political representation.

We’re currently experiencing an uptick in women’s leadership on Capitol Hill, with an all-time high in the 118th Congress, where just over 28 percent (149 members) are women. In the House, women broke records in the 2022 midterms, with 124 now serving, 27 of whom are Black and 18 are Latina. On the Supreme Court, women account for four out of nine justices, two of whom are women of color. Vice President Kamala Harris is the first woman (and person of color) to serve in the role. 

At the state level, more than 30 percent of elected executives are women, including 12 serving as governor—a new record. Nevada is the first state to have a majority women legislature, followed by Colorado just this year; Michigan has a trifecta of women at the helm in the roles of governor, attorney general and secretary of state. Last year also marked the first time in U.S. history where at least one LGBTQ+ candidate ran for office in every state. In California, 10 percent of the state legislature is LGBTQ; across the country nine trans lawmakers now serve in state legislatures.

But these raw numbers are a far cry from robust or even remotely relative representation. There remain zero Black women in the U.S. Senate beyond Kamala Harris, who leads the body in her role as vice president; a Black woman has never served as a state governor. And the U.S. totals pale in comparison to women’s leadership and authority in much of the world, especially among our peer democracies.

Reproductive Freedom

The United States performs dreadfully on myriad ingredients needed to ensure equitable participation in the body politic.

While maternal mortality rates have decreased globally, they remain on the rise in the United States, which by the most recent count is ranked 46th in the world—a crisis that is exponentially acute for Black women, who are three times more likely to die during pregnancy and childbirth in the United States than white women.

Globally, paid maternity leave averages 29 weeks; the United States is one of only six countries, and the only wealthy nation, without national paid leave.

Across federal and state agencies, abusive institutional practices are all too common, from compulsory sterilization and forced induction of labor, to the denial or withholding of menstrual products and even the practice of shackling women during childbirth.

U.S. Abortion Rights Backslide

And then, of course, there is our current standing on abortion. For the past two decades, as much of the world has expanded access, the United States is one of just four countries—joining El Salvador, Nicaragua and Poland—actively rolling back rights. Though most Americans support legal abortion, and even well before the Supreme Court wielded its sledgehammer in its majority ruling in Dobbs, we’d witnessed then-unconstitutional laws glide through state legislatures only to be met with staggering indifference in the courts.

Now that the protections afforded by Roe have been eviscerated, we exist in an ever more dangerous and cruel orbit—one where the threat of criminalization for pregnancy outcomes, including stillbirths and miscarriages, looms large; where a 10-year-old is transported across state lines to obtain an abortion amid a media maelstrom (while her status as a rape victim is called into question—as if a pregnant child could be anything but); where people experiencing ectopic and unviable pregnancies are left to bleed, suffer and deteriorate before doctors can provide life-saving care.

As we approach the 50th anniversary of the Roe decision and continue to grapple with the new status quo, this much is clear: The tenets of reproductive health, rights and justice—and those of a healthy democracy—are not only inextricably interconnected, but essential to our nation’s promise. The country’s status as a backsliding democracy says as much about the symptom as it does the disease. And our simultaneous failure to curb democratic dysfunctions, like partisan gerrymandering and voter suppression, inevitably go hand in hand with our failure to ensure women and girls have an equal chance to engage in and contribute to civic life—or to live freely at all.

Bringing us back to the original proposition: Are we merely witnessing the byproducts of a democracy on the decline, or are each of the examples above the drivers of our current status? The 2020 United Nations report suggests that the trajectory of “de-democratization” is rarely analyzed initially through the distinctive lens of gender equity and there are insufficient efforts to systematically examine the current implications.

Which is precisely why we plan to pursue this conversation, starting with a symposium at NYU School of Law this spring. We will bring together academics, advocates, policymakers and pundits to explore what it means to measure the ebb and flow of inclusive democracy, in the United States and globally, with principles of gender equity at the center. Ms. magazine and Rewire News Group will co-host, and we look forward to sharing a steady stream of content as we tackle these questions in the weeks and months to come.

Jennifer Weiss-Wolf wrote this article for Ms. Magazine.



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Results of a new study show more American women are falling behind on getting critical breast cancer scans.

Nowhere is this perhaps more important than in Iowa, a state that is among the nation's leaders in lethal breast cancer cases.

Breast cancer is the second leading cause of cancer death among women in the United States. It claims about 40,000 women every year.

Researchers have historically broken down mammography use by state and demographics, but the University of Iowa's Iowa Cancer Registry Research Director - Sarah Nash - said that for the first time, this study took critical social factors into account when studying mammography use.

"And so they looked at several different things," said Nash, "and the strongest predictors among these social drivers of health were life dissatisfaction, feeling socially isolated, experiencing lost or reduced employment, receiving food stamps, lacking reliable transportation, and reporting cost as a barrier to care."

Nash said the results of this study point to the need to address social drivers and not just health care access when figuring out who needs help and how they can get it.

The Centers for Disease Control and Prevention estimates that only 65% of women ages 50 to 74, with three or more health-related social needs, are up to date with their mammograms.

Despite acknowledging the social determinants that can stand between a woman and her mammogram, Nash and other researchers have said the number one factor is cost.

"So, to address costs, we can think about making sure preventive care remains at no co-pay," said Nash. "We have a program in Iowa called the 'Iowa Care for Yourself' program, which helps provide low- or no-cost screening for Iowans who are under insured."

Scientists estimate early detection and treatment can reduce breast cancer deaths by almost a quarter.




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In the final days of the legislative session, Kentucky Senate lawmakers could consider the "Momnibus" bill, which would increase access to critical prenatal and post-birth care for new moms and babies.

House Bill 10 would extend the state's voluntary home-visitation program for expectant parents to when a child reachs age three, and would include lactation assistance and telehealth.

Bonnie Logsdon, a board-certified lactation consultant and birth doula, said many women have to return to work a few weeks after giving birth and often lack the tools or knowledge to have a positive lactation experience.

"They need access to those quality supplies," she stressed, "and they need someone who can teach them how to use the pump, which is again where that lactation support would come into play."

The Momnibus bill would add pregnancy to the list of qualifying life events, so pregnant people could get health-insurance coverage and begin prenatal care visits.

Kentucky has the second-highest maternal mortality rate in the nation, according to the Centers for Disease Control and Prevention.

The bill would also expand mental-health counseling through the Lifeline for Moms Psychiatry Access Program.

In Letcher County, Courtney Rhoades said she's had a complex pregnancy, and has struggled to cope with stress and maintaining her physical health. She noted it's critical that first-time moms like herself have a place to turn for support, where they don't feel judged.

"Then to be finding out we're having twins," Rhoades said, "I am really excited to know that there's these programs available that otherwise I didn't know about."

Renee Basham, executive director of Hope's Embrace, said communities increasingly are aware of the role doulas can play in pre- and post-natal care. She added many of her clients need assistance.

"A lot of the clients that we work with, some of them have support, a lot of them don't," said Basham. "Doulas are extra important in that role, because if we weren't there, they wouldn't have anybody with them as they gave birth."

House Bill 10 would open the door to more research on the role of doulas in the birth experience, and how their expertise is being used for care and to reduce disparities in the Commonwealth.


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Advocates for women veterans, who've experienced sexual trauma while serving in the military, are asking state lawmakers for much-needed funding.

Previous legislation backed the creation of two sexual trauma liaisons at community-based organizations in the state, but funding never came to fruition.

Executive Director of the Augusta-based Sisters-in-Arms Center, Rebecca Cornell du Houx, said lawmakers have a chance to help veteran survivors rebuild their lives.

"To have a consistent clinician there to provide that trauma treatment to the woman veteran in a place that they're safe," said Cornell du Houx, "I think, can really, really support their recovery."

Cornell du Houx said one in three women soldiers experience some form of sexual trauma while in the military but many incidents go unreported.

There are more than 10,000 women veterans currently living in Maine.

Women veterans are one of the fastest-growing sectors of the homeless population, and are four times more likely to become homeless than their male peers.

Researchers also now identify military sexual trauma as the biggest factor driving a more than 60% increase in suicide rates among women veterans since 2001.

Cornell du Houx said while group therapy is available to these veterans, state funding would provide for more formalized treatment - especially for those coming off active-duty.

"I think if people knew the stories of what had happened to these women while they were in the service, just really disheartening stories of assault," said Cornell du Houx, "I think that they wouldn't hesitate to fund a position so that they could get help."

Cornell du Houx said sexual trauma is most prevalent among lower-ranking seventeen and eighteen-year-olds, who are influenced to think that reporting an incident is a betrayal of a fellow soldier.

She said it's important to support those who have come forward, to advocate for themselves and others, and who took an oath to serve their country.





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