Health Care

Little Magazine, Big Ideas: The American Prospect at 25

Reflecting on a quarter century of politics and change.

T he American Prospect began 25 years ago with a small circulation, a limited budget, and great ambitions. Our aim was to rethink ideas about public policy and politics and thereby to restore plausibility and persuasiveness to American liberalism. The first issue appeared in spring 1990, a moment when Democrats had lost three successive presidential elections, conservatives were pushing schemes for privatization, and liberals were in disarray. But in 1990, Congress was still in Democratic hands, the Cold War was coming to an end with the Soviet collapse, and the focus of politics was turning from foreign to domestic policy. Rising economic anxieties, it seemed, might spur political change just as a “peace dividend” could finance new initiatives. By historic good fortune, the Prospect had arrived at a time not only of global change but also of “liberal opportunity,” as Arthur Schlesinger, Jr., called it in the first issue, which carried a cover image of an old world cracking open to...

Mother's Day, For Real

In the real America, the lives of women—especially black and brown women—are no bed of roses.

In partnership with The OpEd Project, The American Prospect presents this series, curated by Deborah Douglas, examining aspects of life unique to women, on one of greeting card industry's biggest days. (Photo © Christopher Futcher: iStock) Why There Are No Children Here: A Mother's Day Lament DEBORAH DOUGLAS “What have you ever done right?” That was the question that dominated my mind one night two years ago as I lay in my bed, surrounded by fluffy pillows and a sleepy Yorkie at the foot. This wasn’t one of those self-denigrating moments I engage in when I internally chastise myself for not writing enough that day or holding my temper tighter, or not giving one of my journalism students much-needed grace under the pressure they face to prepare for an industry that asks them to do everything at once masterfully. No, this was a true thought experiment to force myself to fully identify the things I’ve gotten right in my life as a way of charting a course to build on something righteous...

If America Really Cared About Mothers, Reproductive Health Care Would Be Available to All

Rates of maternal death are greater in the U.S. than in 40 other countries. Yet we pin the perceived moral failings of Asian nations on pregnant immigrant women from India and China.

(AP Photo/South Bend Tribune, Robert Franklin)
(AP Photo/South Bend Tribune, Robert Franklin) Purvi Patel is taken into custody after being sentenced to 20 years in prison for feticide and neglect of a dependent on Monday, March 30, 2015, at the St. Joseph County Courthouse in South Bend, Indiana. Yet she may simply have had a miscarriage. This essay is published by The American Prospect i n partnership with The OpEd Project's Public Voices Fellowship. It is part of a package of commentary pieces centered on Mother's Day 2015. O n March 30 Purvi Patel, a 33-year old Indian immigrant from South Bend, Indiana, was charged with feticide and child neglect. While many of us wonder how she can be charged with feticide, which requires a dead fetus and the simultaneous neglect of a dependent child, which requires a live birth, state prosecutor Ken Cotter said Patel deliberately attempted to terminate her second-trimester pregnancy with illegal pharmaceutical abortifacients procured online. Instead, she delivered a living fetus, which was...

Ever the Protectors, Moms Seeking Asylum Need Protection, Too

Obama failed to specify that his enthusiasm for mothers is strictly limited to American moms.

(AP Photo/Juan Carlos Llorca)
(AP Photo/Juan Carlos Llorca) In this September 10, 2014, file photo, an unidentified immigrant from Guatemala who declined to give her name, is interviewed, while her son paints on a whiteboard at the Artesia Family Residential Center, a federal detention facility for undocumented immigrant mothers and children in Artesia, New Mexico. This essay is published by The American Prospect in partnership with The OpEd Project's Public Voices Fellowship. It is part of a package of commentary pieces centered on Mother's Day 2015. I n last year’s Mother’s Day Proclamation, President Obama recommended we put our moms first “because they so often put everything above themselves.” He said we should “extend our gratitude for our mothers' unconditional love and support” because “when women succeed, America succeeds.” Obama should have specified that his enthusiasm for moms is strictly limited to American moms. Last summer, his administration systematically locked up over a thousand mothers and...

Why There Are No Children Here: A Mother's Day Lament

I let my well-founded fears of medical abandonment and loss of free agency keep me from being a mother. After all, I'm a black woman. That's too often how it goes for us.

(Photo © Christopher Futcher: iStock)
This essay is published by The American Prospect in partnership with The OpEd Project's Public Voices Fellowship. It is part of a package of commentary pieces centered on Mother's Day 2015. “ What have you ever done right?” That was the question that dominated my mind one night two years ago as I lay in my bed, surrounded by fluffy pillows and a sleepy Yorkie at the foot. This wasn’t one of those self-denigrating moments I engage in when I internally chastise myself for not writing enough that day or holding my temper tighter, or not giving one of my journalism students much-needed grace under the pressure they face to prepare for an industry that asks them to do everything at once masterfully. No, this was a true thought experiment to force myself to fully identify the things I’ve gotten right in my life as a way of charting a course to build on something righteous and real, instead of wallowing in the wreckage of failed relationships, bridges burnt, tasks incomplete, dreams left to...

First in the Nation: New Abortion Restrictions in Kansas

The ban of a common medical procedure is giving the state a dubious distinction.

(Photo: AP/John Hanna)
Protesters rally against abortion at the Kansas Statehouse in Topeka in January. Kansas and Oklahoma both recently banned a medically safe and common abortion procedure, called dilation and evacuation but referred to by opponents as "dismemberment abortions." T ypically, “first in the nation” is a title that a state would feel proud to receive. However, in the case of Kansas’s first-in-the-nation law that criminalizes doctors who perform a certain type of abortion procedure, our policymakers should be ashamed. In a state that is already hostile toward women, this new law prevents doctors from providing the best care to their patients and limits women’s ability to decide what is best for themselves and their families. Even worse, Kansas has already been joined by Oklahoma, with Governor Mary Fallin’s signature on nearly identical legislation. These bills are sprouting up throughout the country as part of an extreme, anti-women agenda that intends to ban abortion care across the U.S...

The Latest Target of 'Religious Freedom' Advocates: Reproductive Rights in the Nation's Capital

A House committee has voted to overturn a local D.C. law that prevents discrimination based on employees' reproductive choices.

(Photo from House Oversight and Government Reform Committee)
Representative Jason Chaffetz of Utah is the chair of the House Oversight and Government Reform Committee, which voted late Tuesday night to disapprove the District's Reproductive Health Non-Discrimination Act. H ere’s a riddle for all you students of the American political system: You are an elected representative, and you would like to curry favor in your home district among right-wing conservatives. One way to do this is to pass a local law sanctioning discrimination against LGBT citizens and women who choose to use birth control, under the guise of “religious freedom.” But you’ve recently discovered that such a law can backfire pretty spectacularly. Just look at poor Mike Pence, Republican governor of Indiana, regarded as presidential material not long ago. What other tactic, besides sanctioning religion-based discrimination, could you use? Well, if you’re a member of Congress, you’ve got the people of the District of Columbia to whom you can teach a thing or two; they’re not...

Playing Offense on Reproductive Rights

With a resurgent right threatening reproductive rights nationwide, abortion activists are getting pro-active.

(AP Photo/Jonathan Bachman)
(AP Photo/Jonathan Bachman) Women with the National Latina Institute for Reproductive Health demonstrate outside of 5th U.S. Circuit Court of Appeals Wednesday, Jan. 7, 2015, in New Orleans. E ver since the Roe v. Wade decision in 1973, abortion foes and anti-choice activists have been working to roll back progress made in the fight for reproductive justice. Both the 2010 and 2014 midterm elections were decidedly Republican victories, and with those electoral wins came an onslaught of legislation designed to strip women of their constitutionally protected right to an abortion. Missouri , Kansas and Texas , among others, have passed laws that curtail abortion access. But, while it may seem as if pro-choice activists must constantly play defense, several cities and states, including Washington and Oregon , as Nina-Liss Schultz details at RH Reality Check , have begun playing offense on reproductive rights . The National Institute for Reproductive Health works in partnership with...

Miscarriage of Justice: Asian-American Women Targeted -- and All Women Threatened -- by Feticide Laws Like Indiana's

Purvi Patel's pregnancy ended with a medical emergency—and a 20-year prison sentence. 

(AP Photo/South Bend Tribune, Robert Franklin)
(AP Photo/South Bend Tribune, Robert Franklin) Purvi Patel is taken into custody after being sentenced to 20 years in prison for feticide and neglect of a dependent on Monday, March 30, 2015, at the St. Joseph County Courthouse in South Bend, Indiana. Yet she may simply have had a miscarriage. L ike many women, Purvi Patel, a 33-year-old woman living in South Bend, Indiana, had an unplanned pregnancy. But unlike most women’s experiences, her unplanned pregnancy and subsequent stillbirth led to a criminal conviction. Today, she was sentenced to 30 years in prison. Patel, an unmarried Indian-American woman living with her parents in South Bend Indiana, kept her pregnancy a secret for months, while working a low-wage job to support her parents and grandparents, who suffer from costly health conditions. Last summer, Patel believed she had suffered a miscarriage. She went to an emergency room seeking assistance for heavy vaginal bleeding. Just a few hours after she underwent medical...

With New Protections Tied Up in the Courts, Home Health-Care Workers Aren't Waiting Around

From New York to California, domestic workers are fighting to make new rights a reality. 

(AP Photo/Richard Drew)
(AP Photo/Richard Drew) Ai-Jen Poo, center, Executive Director of the National Domestic Workers Alliance, reads her statement at a Women for Paid Sick Days rally on the steps of New York's City Hall, Wednesday, July 18, 2012. A lmost two years after the Obama administration extended historic labor protections to the nation’s 1.79 million home health-care workers, those new rights remain in limbo. In September 2013, the Department of Labor (DOL) announced plans to amend a longstanding regulation that has excluded them from earning the federal minimum wage, overtime pay, and compensation for travel on the job. For home healthcare workers in the United States—a group that is nearly 90 percent female —this move marked a significant step towards setting a floor of decent labor standards. But the rule-change, which was set to go into effect on January 1, now faces a challenge in federal court, and critics say state legislators are using the ongoing litigation as an excuse to avoid...

Legions of Women Workers in U.S. Still Lack Minimum Wage and Labor Protections

The legacy of slavery and prescribed gender roles continues to rob millions of their fair share.

(AP Photo/Bebeto Matthews)
AP Photo/Houston Chronicle, Billy Smith II In this Dec. 2014 photo, Eileen Merize, left, helps 93-year-old U.S. Air Force veteran Harold Utsler look through some of his paper work at her home in Katy, Texas near Houston. The Houston Chronicle reports Utsler is one of three veterans who live in Merize's home through the Medical Foster Program, which helps disabled elderly veterans live with "foster families" rather than in large nursing homes. I t’s Women’s History Month—what a nice idea to recognize that women actually make history and aren’t just along to make dinner for the history-makers! In 1980, President Jimmy Carter declared seven days in March to be National Women's History Week, and President Ronald Reagan followed suit. In 1987, Congress expanded the commemoration on the calendar, giving women a whole month. We have come so far. Putting sarcasm aside, it is true that the 20th century included concrete advances for women in America. Starting with the New Deal, women workers...

Saving Obama from a Bad Trade Deal

Republican intransigence may have saved the president's legacy—from himself.

(AP Photo/Evan Vucci, File)
(AP Photo/Evan Vucci, File) In this June 11, 2013, photo, President Barack Obama speaks in the East Room of the White House in Washington, prior to a trip to Europe for a Group of Eight summit of major Western democracies, where the proposed Transatlantic Trade and Investment Partnership with Europe was be a top item. The deal is touted as a means of boosting growth and jobs by eliminating tariffs and other barriers, but those expectations are unlikely to be fulfilled in the deal, which would benefit corporations far more than governments or citizens, which would likely be hurt. P lans to rush fast-track authority for two trade deals for a quick House and Senate vote abruptly broke down on Tuesday. The White House was hoping to put the vote to Congress as early as this week. But Republicans wanted to see more details of one of the deals, which addresses trade with Pacific nations—before agreeing to a fast-track vote. Democrats who favored the deal were seeking some concessions to...

CPAC Labor Panel Does GOP No Favors in Outreach to Latinos, Women

Organizing among fast-food workers and home health-care aides has clearly gotten under the skin of anti-labor leaders—even as they boast of another anti-union triumph in Wisconsin.

(Photo: Ron Sachs / CNP via AP Images)
(Photo: Ron Sachs / CNP via AP Images) Governor Scott Walker, Republican of Wisconsin, speaks at the Conservative Political Action Conference (CPAC) at the Gaylord National at National Harbor, Maryland on Thursday, February 26, 2015. He's expected to sign new anti-union legislation, passed by the Wisconsin Senate on the day before, into law if, as is likely, the bill passes the state assembly. O n February 26, day one of the Conservative Political Action Conference (CPAC) in National Harbor, Maryland, a panel convened on the state of the labor movement. To describe the tone of presenters as triumphant would be an understatement. At the Thursday afternoon breakout session titled “There’s No ‘I’ in Teamsters: Obama’s Bow to Big Labor Bosses,” panelists discussed a long list of topics, ranging from the salaries of top union leadership to “pernicious” attacks on franchisers of fast-food restaurants, whose workers have taken to the streets to demand predictable schedules and livable wages...

Christie Blusters His Way Through CPAC Appearance

Christie’s bluster has some appeal, but there’s only so long that he can use it to avoid owning up to some of his massive leadership failures.

(Photo: C-SPAN)
(Photo: C-SPAN) N ew Jersey Governor Chris Christie wasn’t going to let something like record-low approval ratings get him down as he took the stage Thursday afternoon at CPAC’s annual gathering in National Harbor, Maryland. Exuding that Sopranos-style confidence that’s earned him notoriety, Christie, sitting on the CPAC stage for an interview with conservative radio talk-show host Laura Ingraham, dismissed the idea that, compared to other potential presidential candidates in the crowded Republican field, he’s not well-positioned to run for president. (A January survey conducted by Bloomberg Politics and the Des Moines Register showed Christie was the first choice candidate among just 4 percent of Iowa Republican caucus-goers .) Asked by Ingraham if such numbers disturb him, Christie retorted, “Uh, is the election next week?” He continued: “I’m not worried about what polls say 21 months before [the election],” going on to point out that he won gubernatorial races twice in a blue state...

Anti-Choice Activists Dishonor Black History, Co-Opting Language of #BlackLivesMatter

But do they join the protests around the country calling for an end to police brutality? Not so much.

(AP Photo/The Register-Guard, Chris Pietsch)
(AP Photo/The Register-Guard, Chris Pietsch) Alveda King (center), niece of the late Rev. Martin Luther King, Jr., joined about 75 others in an anti-abortion prayer vigil at the Planned Parenthood office in Glenwood, Oregon, Monday, February 4, 2013. King has traded on the name of her famous uncle to become a leader in the right-wing anti-abortion movement. F or decades, a great debate has raged in this country between those who believe in the human right to a safe and legal abortion and those who call themselves “pro-life” and consider abortion to be morally wrong. The anti-choice community has always used shaming tactics. Whether touting faulty and confusing statistics or showing, to women entering reproductive health clinics around the country, gruesome Photoshopped images of what they say are aborted fetuses, anti-choice activists have relied on strategies designed to inspire fear and shame in the women they target—essentially, anyone considering getting an abortion. In recent...

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