Existe una creciente preocupación por la incidencia del Nacionalismo Cristiano, una ideología que busca establecer una teocracia basada en principios cristianos. Las investigaciones indican que aproximadamente uno de cada tres habitantes de Pensilvania apoya estas opiniones nacionalistas que, según los opositores, desafían el ideal estadounidense de separación Iglesia y estado.

Rachel Tabachnick, investigadora independiente, dice que el auge del nacionalismo cristiano, que se vió en las elecciones de 2024, amenaza el acceso a la atención médica reproductiva.

"Se supone que es una teocracia ascendente basada en la ley bíblica que se aplica a nivel de familia, iglesia y gobierno civil local," dice Tabachnick. "Por lo tanto, para que esto funcione, las mujeres deben permanecer en sus roles dados por Dios, que es tener hijos y criar a su familia."

En un reciente episodio del podcast "(In)Accessible", Tabachnick habló sobre la historia del nacionalismo cristiano y cómo el libertarismo teocrático aboga por leyes basadas en principios bíblicos. Tabachnick dice que el movimiento busca un gobierno federal al mínimo y un gobierno basado en las leyes bíblicas, con el objetivo de desmantelar instituciones como el IRS y el Departamento de Educación.

Rebecca Susman, directora de comunicación y desarrollo de Keystone Progress Education Fund, añade que el Proyecto 2025, una guía de 900 páginas del Heritage Foundation, tiene como objetivo servir de modelo para la nueva administración de Trump. La guía abarca numerosos temas que, según Susman, plantean amenazas a los derechos y libertades básicos, en particular los derechos reproductivos. Añade que algunos aspectos del plan se propusieron el año pasado.

"Los conservadores ya han comenzado a implementarlo," asegura Susman, "y un ejemplo de ello es la incorporación de una cláusula de atención médica anti-trans en una ley de gasto militar que está directamente sacada del manual del Proyecto 2025 y que ya fue aprobada por el comité,".

Tabachnick señala que, en los años 1970 y 1980, los fundadores del Reconstruccionismo Cristiano escribieron miles de páginas detallando cómo remodelar la sociedad y el gobierno bajo la ley del Antiguo Testamento. Décadas después, estos planes siguen siendo relevantes, ya que fueron diseñados para una transformación a largo plazo. Al igual que el Proyecto 2025, la mayoría de los estadounidenses rechazan estas ideas, pero siguen necesitando mayor exposición y escrutinio.

Illinois serves as a crucial access point for abortion services and sees the most out-of-state patients in the country.

Since Roe v. Wade was overturned in June 2022, Planned Parenthood of Illinois has seen the largest increase in abortion services than any other state. About 25% of its patients are from out-of-state.

Julie Uhal, program manager of strategic initiatives and impact measurement for Planned Parenthood of Illinois, said they planned for an initial surge but sustained high patient volume has strained their resources. She explained they saw up to a dozen out-of-state patients per month before Roe was overturned.

"We're seeing 800, 900, 1,000 out-of-state patients every single month," Uhal reported. "That hasn't changed. That's remained constant for three years now because abortion bans don't stop the need for abortion care. They just make it more difficult for people to access."

Uhal pointed out many out-of-state patients are uninsured or have insurance in other states which cannot be used in Illinois. Combined with rising health care costs, lower reimbursement rates and threats to Medicaid, she said Planned Parenthood faces financial difficulties, which have already forced them to close four clinics this year.

Planned Parenthood is the largest provider of sexual and reproductive health care in the state. More than 40% of local patients use Medicaid to cover the cost of services, which in addition to abortion care includes birth control, cancer screenings, STI treatment and prenatal and gender-affirming care. Without Medicaid funding, Planned Parenthood of Illinois said it would need about $16 million a year to continue providing services at its current rate.

"A lot of people don't realize that many Planned Parenthood clinics are in areas that are otherwise health care provider deserts for access," Uhal emphasized. "For a lot of people, going in for a birth control appointment might be the only time they see a doctor that year."

Uhal stressed the burden of accessing common health care continues to be placed on the patient since states banned abortion services. The recent Supreme Court ruling which set a precedent to allow states to exclude Planned Parenthood from Medicaid will only worsen the burden. She added helping patients to navigate emotional and logistic barriers to care has been just as important as providing them with care.

"One in four people that can get pregnant will have an abortion at some point in their lifetime," Uhal explained. "So it's really important for people to know that they're not alone. There shouldn't be as much shame and stigma surrounding this as there is."

Planned Parenthood of Illinois opened the Carbondale Health Center in 2023 to help meet the increased demand for services, particularly for patients traveling from the South. About 90% of patients there come from out-of-state.


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Abortion rights advocates in Kentucky are concerned as the Department of Health and Human Services has revoked a policy requiring hospitals to provide abortion care in emergency situations.

Known as the Emergency Medical Treatment and Labor Act, the rule offered federal protection for the procedure, particularly in Kentucky and other red states with near total abortion bans.

Tamarra Wieder, Kentucky state director for Planned Parenthood Alliance Advocates, said stripping away protection will be catastrophic for women in rural counties who already face barriers to care.

"We know in a state like Kentucky that people have already turned up at emergency rooms because of our abortion restrictions," Wieder pointed out. "Doctors have been forced to wait until patients were at life-threatening situations, sepsis, hemorrhage, before they are able to provide care."

According to the National Institutes of Health, pregnancy complications are the fifth-most common reason women of reproductive age visit the emergency room.

Weider added rural communities across the Commonwealth suffer the nation's worst family planning and sexual health outcomes and continue to struggle with access to safe and convenient obstetric and reproductive health care.

"I think it's really important to note that 57% of Kentucky's rural hospitals no longer offer obstetric services, 57%," Weider emphasized.

Kentucky's Human Life Protection Act, passed by lawmakers in 2019, banned all abortions except to save the life of the mother and it went into effect immediately after the Supreme Court overturned Roe v. Wade in 2022. The same year, voters in the Commonwealth rejected a ballot measure which would have amended the state constitution to explicitly deny the right to an abortion.

Arizona doctors have filed a lawsuit to overturn a set of restrictions which they argue interfere with access to abortion care. Arizona voters last year passed Proposition 139 which enshrined the fundamental right to an abortion, up until fetal viability, in the state's constitution.

Gail Deady, senior attorney, Center for Reproductive Rights, which is representing some of the plaintiffs in the case, explained that the abortion rights that were secured because of the measure do not go into effect automatically, and existing laws that limit access must be challenged before they can be struck down under Prop 139.

"This lawsuit is intended to honor the will of the voters and it looks to strike down the most onerous abortion restrictions that are currently on the books in Arizona," she said. "The theory behind this case is that these restrictions do not have any medical basis, they do not make abortions safer."

Deady explained that some of the restrictions include forcing doctors to turn away patients if they suspect a fetal genetic diagnosis is the reason for a patient seeking care, requiring patients to wait at least 24 hours before obtaining abortion care, and banning the use of telehealth for abortion. Mailing abortion pills - like mifepristone - is also prohibited. Conservative, anti-abortion advocates have expressed support for the restrictions, its's unclear if they'll oppose the lawsuit.

Deady argues many Arizonans are facing negative consequences as a result of the laws. She adds that it also means a delay in receiving the care most Arizonans supported last year, and added that Arizona has what she calls a "two-trip" law which requires patients make two separate visits to a clinic.

"Just to hear mandatory, state-scripted information about abortion that often is not medically correct, it spreads misinformation and is designed to make people feel ashamed of the decision that they've made which has now been recognized as a constitutional right in Arizona," she explained.

Deady said her organization is currently advocating for the restrictions to be blocked during litigation. The state attorney generals' office is currently examining the complaint.