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March 27, 2015

Arizona Wants Doctors to Tell Patients that Abortions Can Be “Reversed”

Doctors in Arizona might soon be required to tell women that abortions can be "reversed." As the Washington Post reports, the Arizona legislature just passed a bill that is the latest in state-based attempts to ban women from using their own health insurance to pay for abortion. What makes this bill especially Orwellian is this attempt to force doctors to put the stamp of medical authority on the fantastical belief that women en masse are regretting their abortions hours after getting them and are miraculously getting them reversed through heroic interventions by Christian doctors.   
We reported on this fantasy back in December, but to recap: Anti-choicers, backed by one particularly vocal doctor named George Delgado, are claiming that you can "reverse" medication abortions. A woman having a medication abortion takes two pill doses, one of mifepristone and then another of misoprostol. Proponents of "abortion reversal" would like you to believe it's common for women to take the first dose and become wracked with guilt, desperate to save her pregnancy. To help these women, Delgado gives the woman progesterone shots, supposedly in an effort to reverse the effects of the mifepristone. 
The problem is it's almost certainly quackery. Mifepristone is not enough on its own to terminate a pregnancy some of the time, so you're not "reversing" the abortion so much as interrupting the process before it's complete. The progesterone shots reverse nothing—they are medically unnecessary theater, designed to portray anti-choicers as conquering heroes rescuing pregnant maidens from the clutches of abortionists. There's no evidence of much demand from women to interrupt their abortions, and in the rare circumstances that someone is seized by regret, all she needs to do is contact her regular doctor about stopping the pills. 
Forcing doctors to "inform" patients about an intervention that isn't medically useful and isn't really in demand serves no other purpose but to inject anti-choice histrionics into what is already a stressful situation for many patients. You should be able to get through an abortion without having to indulge a right-wing delusion.

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