October 31, 2024 • 62 mins
Unearth the complexities of women's healthcare policies in the 2024 election with Dr. Bola Sogade. Discover the contrasting approaches of Kamala Harris and Donald Trump, where market-driven strategies clash with the expansion of federal measures. Learn about the implications of these policies on reproductive rights, healthcare affordability, and access, and how these stances could shape the future landscape of women's healthcare.
Explore the nuanced reasons behind women's choices regarding abortion and contraception through a compassionate lens. Delve into the candidates' differing policies, from Trump's allowance for employers to deny contraceptive coverage on religious grounds to Harris's push for broader contraception access. Examine how these stances affect real women, especially in terms of maternal health disparities and access to essential family planning resources.
Finally, assess the critical role of federal versus state control in healthcare and the impact on health disparities. Through Dr. Sugade's expert lens, understand the significance of federal oversight in ensuring equitable care, particularly in maternal and emergency healthcare scenarios. With the election on the horizon, arm yourself with the knowledge needed to evaluate which candidate's vision aligns with your values on women's health and autonomy.
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Dr Bola Sogade (00:53):
Thank you.
This podcast episode capturesthe essence of providing factual
(01:18):
, objective information onwomen's health policies in the
upcoming election, drawingattention to the impact of
voters' choices in 2024.
It is concise, it isinformative and it emphasizes
the connection between theelection and women's health care
(01:38):
issues.
Welcome, I'm Dr Bola Sgade, adedicated women's healthcare
specialist with a passion foreducating and empowering women
on all aspects of their health.
With years of experience as anobstetrician, gynecologist and a
family physician, I have seenfirsthand the complexities and
(02:04):
challenges women face innavigating their healthcare
journeys, whether it'saddressing maternal health,
reproductive rights,contraception or access to
quality care.
I believe every woman deservesto be informed, supported and
equipped with the tools to makethe best decisions for her
(02:27):
health.
My mission is simple to breakdown the barriers that stand
between women and their right toquality health care.
From rural communities tounderserved populations, I feel
deeply charged with the task ofensuring that every woman,
(02:47):
regardless of her background orresources, understands her
health options and can advocatefor herself.
Through education and awareness, I strive to make healthcare
more accessible andunderstandable more accessible
and understandable, offeringwomen the knowledge and power
(03:09):
they need to lead healthierlives.
I am excited to take the roleof educator and advocate, using
my platform to bridge the gapsin knowledge and healthcare
access.
I hope to inspire women tobecome informed, proactive and
confident in their healthcarechoices.
Let's embark on this journeytogether, where every question
(03:30):
matters and every woman is heardas a disclaimer.
As the host of this podcast anda women's healthcare specialist
, I aim to present the factsobjectively, without political
inclination or bias.
My goal is to provide theinformation you need to make an
informed decision about which2024 presidential candidate
(03:55):
aligns with your values onwomen's health care.
So today, on CocoaPods, we aredigressing from our usual
program to bring you thisspecial election issue.
We are diving into theintricate tapestry of women's
health, weaving together threadsof policy, personal choice and
(04:17):
historical context.
In today's episode, we aretaking a closer look at where
Kamala Harris and Donald Trumpstand on crucial women's health
issues that touch the lives ofourselves our mothers, daughters
, sisters, granddaughters anddaughters-in-law.
(04:39):
This discussion includesinsight from the American
College of Obstetricians andGynecologists, acog, scientific
references and the context ofour shared history.
Why does this matter?
These issues matter becausethey go beyond policy debates.
(05:02):
They shape the future ofhealthcare access, safety and
autonomy for generations ofwomen, from reproductive rights
to mental health support.
These choices affect everywoman, today and tomorrow.
So we start with number onehealthcare, affordability and
(05:22):
access.
Donald Trump emphasizes amarket-driven approach to
healthcare, focusing on pricetransparency and competition,
including a proposal to align USdrop prices with international
standards.
His stance prioritizes marketsolutions over direct federal
(05:45):
intervention, intending toreduce cost through free market
competition.
Affordable Care Act, aca, whichwould limit protections for
(06:09):
many, especially in essentialservices like maternity care.
His stance could leave boththose with resources and those
without struggling with accessto comprehensive coverage.
If federal involvement isscaled back, federal involvement
(06:30):
is scaled back.
Kamala Harris, by contrast,champions expanded federal
support through measures likethe Inflation Reduction Act,
which caps insulin costs,reduces out-of-pocket expenses
and enables Medicare tonegotiate drug prices.
Her approach also includesstrong support for the ACA,
which extends affordableinsurance to millions,
(06:54):
benefiting both those who haveresources and those who do not.
For higher-income individuals,the ACA protects against higher
premiums due to pre-existingconditions.
For lower-income women, theACA's Medicaid expansion
provides essential access tofree or low-cost insurance,
(07:20):
crucial for uninsuredpopulations, including many
Black and Hispanic women.
So, comparing both candidates,harris' approach aims to improve
access for all women, focusingon reducing financial barriers
and providing comprehensivecoverage, while Trump's
(07:42):
preference for reducing federaloversight could limit access to
key services, impacting womenwith both high and limited
financial means.
And why does this matter?
Affordable health care ensuresthat financial burdens don't
prevent women from accessingessential care, supporting the
(08:09):
well-being of women in everyrole.
Number two reproductive rightsand abortion access.
Donald Trump supports astate-led approach to abortion,
meaning that individual stateshave the power to regulate or
ban abortion as they see fit.
This aligns with conservativeinitiatives like Project 2025
(08:34):
and the Comstock Act, whichrestrict access to medication
abortions and limit the mailingof abortion pills.
And limit the mailing ofabortion pills.
This approach creates apatchwork of access where a
woman's ability to obtainabortion care varies
significantly depending on statelaws.
(08:55):
Kamala Harris, on the otherhand, advocates for restoring
nationwide protections byco-defying war Wade into federal
law.
This would reverse the Dobbs vJackson decision, which allows
states to limit or ban abortion.
(09:17):
Harris's approach would enablewomen in all states to access
abortion services, regardless oflocal restrictions.
Her position aligns with theAmerican College of
Obstetricians and Gynecologists,which views abortion as an
essential aspect ofcomprehensive health care.
(09:39):
Comparing the two candidates,harris's policies support
nationwide access to abortion,benefiting both wealthy and
low-income women.
Trump's policies haverestricted access, making it
harder for low-income women toobtain necessary care.
(10:00):
And why does this matter?
Well, consistent abortionprotections ensure equal access
for all women.
For those with resources,federal protections reduce the
need to travel out of state toaccess abortion services, while
for women with limited means,they remove financial and
(10:24):
logistical barriers to essentialcare.
Harris's approach aims tocreate this consistency, while
Trump's state-based approachrisks reinforcing inequalities
in access across the country.
So let's understand Roe, wadeand Dobbs.
(10:47):
These are the key players inreproductive rights history.
So in 1973, roe versus Wadebecame a pivotal case in
American history, casting aprotective light over a woman's
right to make personal decisionsabout her own body.
(11:08):
Roe was a pseudonym for NormanMcCovey, a Texas woman who
wanted to end her pregnancy butcouldn't legally do so under
Texas' restrictive abortion laws.
She brought a lawsuit againstHenry Wade, the district
(11:29):
attorney of Dallas County,challenging these laws.
The case reached the SupremeCourt, which ruled in favor of
Roe, declaring that women had aconstitutional right to privacy
that extended to their decisionsabout abortion.
This ruling ensured womenacross the nation had safe,
(11:55):
legal access to abortion fornearly 50 years.
But in 2022, dobbs v JacksonWomen's Health Organization
would change that landscape.
Dobbs refers to Dr Thomas EDobbs, the Mississippi State
Health Officer who defended astate law banning most abortions
(12:19):
.
After 15 weeks, the JacksonWomen's Health Organization,
mississippi's last abortionclinic, challenged this law,
arguing it was unconstitutional.
When the Supreme Court ruled infavor of Dobbs, it overturned
Roe v Wade, returning the powerto regulate abortion to each
(12:42):
individual state.
To regulate abortion to eachindividual state.
This decision created apatchwork of abortion laws
across the country, leavingaccess to this critical health
care uneven and uncertain.
So let's look at a painfulchapter in the history of
(13:03):
abortion the reality of illegalabortions.
Before Roe, women in the UnitedStates faced grave risks when
seeking to end pregnanciesconceived by both a man and a
woman, leaving theresponsibility to just the woman
.
With legal options unavailable,many women resorted to unsafe,
(13:29):
illegal methods Some tried usingsharp objects, others ingested
toxic substances, and manyturned to untrained
practitioners operating inunsanitary back alley settings.
These methods led to severeinfections, hemorrhaging,
(13:52):
infertility and even death.
This harrowing history remindsus why access to safe, legal
abortion is a vital aspect ofwomen's health care.
Moreover, though pregnancyresults from both a man and a
woman, society has long placedthe burden of cleanup unfairly
(14:17):
on women, leaving them to facethe physical, emotional and
financial consequences alone.
This imbalance underscores whyreproductive choice and autonomy
are essential for women'swell-being.
But why would a woman needabortion services in the first
(14:39):
place?
There are many reasons a womanmight need an abortion and it's
important to view thesedecisions with compassion and
understanding.
Here are some common reasons,explained in a positive and
supportive way.
Number one health concerns.
Sometimes, continuing apregnancy can seriously endanger
(15:01):
the woman's health or even herlife.
In these cases, abortion may benecessary to protect the
well-being of the mother.
It's a way for women to makethe best decision for their own
health, especially if their lifeis at risk.
Number two fetal healthproblems.
(15:23):
Some pregnancies involveserious medical complications
where the fetus, the unbornchild, has conditions that would
prevent it from surviving afterbirth.
In such cases, women may chooseto have an abortion to prevent
further suffering for themselvesand the baby.
(15:46):
Number three personal orfinancial readiness.
Some women may feel that theyare not in a stable situation,
whether financially, emotionallyor personally, to raise a child
.
They may choose abortion as away to make a responsible
decision for their future andfor the well-being of any
(16:08):
existing or future children theymight have.
Number four pregnancy fromtrauma In the unfortunate cases
of rape and incest.
Some women may choose anabortion because the pregnancy
is a result of a traumatic event.
In these situations, allowingwomen to make their own choices
(16:34):
gives them control over theirbodies and their healing
processes.
And number five for familyplanning.
And number five for familyplanning abortion, rightly or
wrongly used, can be a part of awoman's plan to ensure she can
provide the best life possiblefor her family.
For some, this means waitinguntil they are more prepared to
(16:58):
have a child, either emotionally, financially or in terms of
their support system.
In all these situations, thedecision to have an abortion
should be made thoughtfully,with care for both the woman's
health and her future, and it'sabout giving women the ability
(17:19):
to make choices that are rightfor them, based on their unique
circumstances.
So, going back to the candidates, we talk on the issue of
contraception access and familyplanning.
Donald Trump's administrationallowed employers to deny
(17:39):
insurance coverage forcontraception based on religious
or moral beliefs.
It was framed as a protectionof religious freedom, but this
policy prioritized theemployer's values over the
employee's healthcare choices,allowing organizations to
(18:00):
decline contraceptive coverageif it conflicted with their
beliefs.
Supporters saw this as a boostfor personal choice and
religious freedom in thehealthcare space, though critics
felt it limited individualhealthcare options.
Additionally, trump'sadministration cut federal
(18:23):
funding for Title X.
Title X is a program that fundsaffordable family planning and
preventive health services forlow-income communities, so by
cutting this funding, theyrestricted options for women
relying on Title X clinics forlow-cost birth control if they
(18:44):
lack employer-based insurance.
His administration's emphasison transparency in health care
costs was also intended to helpindividuals navigate pricing
across providers, potentiallybenefiting those who pay out-of
of pocket for contraception bymaking affordable options easier
(19:08):
to find.
Kamala Harris, in contrast,advocates for expanding access
to contraception for all women.
She supports over-the-counterthat is, otc birth control
options and pushes for insurancecoverage that removes
out-of-pocket costs, benefitingboth women who prefer the
(19:29):
convenience of over-the-counteraccess and those who rely on
Medicaid or other subsidizedinsurance for affordable birth
control.
Expanding over-the-counteroptions for birth control,
however, raise clinicalconsiderations.
Without a health careprovider's guidance, women may
(19:52):
choose contraceptives that don'talign with their health needs,
especially if they haveconditions like high blood
pressure or a history of bloodclots, like high blood pressure
or a history of blood clots.
Additionally, the lack ofmedical supervision could lead
to inconsistent or improper use,reducing the effectiveness of
(20:15):
over-the-counter birth controland skipping regular checkups
could result in missed screeningfor reproductive health.
To address these issues,harris's policies aim to balance
access with education andguidance to support safe,
informed contraceptive useacross all socioeconomic
(20:36):
backgrounds.
So, comparing both candidates.
Harris's policies seek toremove barriers to contraceptive
access for all women, promotingautonomy and affordability in
healthcare choices.
Trump's approach, while focusedon religious freedom and cost
(20:57):
transparency, has limited accessfor women relying on
employer-provided insurance orTitle X-funded services, placing
more emphasis on organizationalchoice over individual access
to family planning.
So why does this matter?
Well, accessible, affordablecontraception is essential for
(21:22):
women's autonomy, allowing themto make informed decisions about
family planning, health andtheir futures.
So, number four topic maternalhealth and addressing
disparities.
Donald Trump's administrationtook a significant step by
passing the Preventing MaternalDebts Act, which set up
(21:47):
committees across states tostudy and address maternal
mortality.
This initiative provided somegroundwork for understanding the
issues contributing to maternalmortality rates, but Trump's
platform has not emphasizedadditional maternal health
(22:07):
reform or specifically addressedthe racial and socioeconomic
disparities that continue toimpact many women.
Trump's broader health carepolicies, such as efforts to
repeal the Affordable Care Act,could have affected maternity
care access, especially forlow-income women who rely on
(22:31):
Medicaid for prenatal andpostnatal services.
Kamala Harris has placed afocused emphasis on maternal
health, particularly for Black,native American and rural women,
who experience maternalmortality at disproportionately
higher rates.
Her support extends toinitiatives like the Maternal
(22:56):
Care Act, which seeks to reduceracial biases in maternal health
care and improve health careoutcomes.
Additionally, harris advocatesfor extending Medicaid coverage
for up to 12 months postpartum,aligning with the American
College of Obstetricians andGynecologists' recommendation
(23:21):
for comprehensive care thataddresses both physical and
mental health needs during thecritical postpartum period.
Harris's policies aim toimprove health equity by
ensuring that all women,regardless of income or
background, have continuedaccess to maternal care that
(23:44):
promotes long-term health.
Comparing the two candidateswhile Trump's administration
laid a foundation for maternalmortality review with the
Preventing Maternal Deaths Act,his broader platform has not
focused on maternal healthreform or reducing disparities.
(24:06):
In contrast, harris's policiesprioritize both expanded
maternal health coverage andreducing racial biases in health
care, aiming for systemicimprovements in maternal health
for all women.
And why does this matter?
It matters because safe andequitable maternal health care
(24:29):
is essential for the health andfutures of mothers across the
country.
Harris's focus on addressingdisparities seeks to provide
this protection for all women,helping to ensure that maternal
health does not depend on raceor income or location.
(24:49):
Number five rural health careaccess.
Donald Trump's administrationtemporarily expanded telehealth
services during the COVID-19pandemic, which allowed rural
residents to connect with healthcare providers remotely,
reducing travel burdens andproviding critical access to
(25:12):
care during emergencyrestrictions.
However, this expansion was notdesigned to be permanent and
Trump's broader health carepolicies did not focus on
long-term solutions to supportrural health care infrastructure
.
Once the emergency measuresended, many rural communities
(25:33):
were left with limited access toconsistent health care, relying
heavily on distance andaffordability to determine care
options.
Distance and affordability todetermine care options.
Kamala Harris, in contrast,advocates for making telehealth
a permanent healthcare option inrural areas to address
long-standing access issues.
(25:55):
Telehealth allows women in ruralcommunities to connect with
healthcare providers, includingspecialists, without the need
for extensive travel.
In areas like Forsyth, georgia,transportation barriers present
a significant challenge forwomen needing prenatal and
(26:15):
women's health services, withlimited public options and high
costs for private transport.
For these communities, harris'policies on telehealth could
mean a lasting, accessiblehealthcare connection.
One example of expanded accessis our own very OB-GYN birth
(26:39):
center in Forsyth, georgia,which made history by delivering
the first baby in the area in45 years.
This birth center continues toserve women facing access issues
, offering them quality prenataland delivery services close to
home in a region where access tosuch care has long been limited
(27:03):
.
Region where access to suchcare has long been limited.
This local presence isespecially crucial in an
underserved community whereaccess and distance are frequent
barriers.
So this approach benefits womenwith resources in rural areas,
who gain more convenient accessto specialists through
telehealth, and also benefitslow-income and minority women
(27:28):
who face additionaltransportation barriers and are
now able to access care moreeasily from home.
So, comparing the twocandidates, harris' policies
support a permanent expansion oftelehealth as a sustainable
healthcare solution for ruralareas, aligning with the
(27:49):
American College ofObstetricians and Gynecologists,
which endorses telehealth as away to close healthcare access
gaps for women in underservedregions.
Trump's temporary expansionprovided relief during the
pandemic, but did not establishtelehealth as a lasting,
(28:11):
accessible option for ruralhealthcare needs.
So why does this matter?
Well, rural healthcare accessaffects all women, those with
and those without resources,impacting healthcare outcomes
across these communities.
Long-term telehealth is a vitalbridge enabling women in rural
(28:34):
areas to access timely care thatmight otherwise be out of reach
due to distance, finances ortransportation limitations.
So, going to the sixth item,mental health, integration in
(28:56):
maternal and reproductive care.
Donald Trump's platform doesnot prioritize mental health
integration in maternal andreproductive health care.
So, while the Trumpadministration made strides in
other areas of health care, itlacked a specific focus on
ensuring that mental healthservices are incorporated within
maternal care.
(29:16):
This gap can leave many womenwithout the necessary mental
health support during criticalperiods such as pregnancy and
postpartum, where depression andanxiety are prevalent.
Mental health remains anessential but often
under-emphasized component inmaternal health care policy
(29:38):
under Trump's approach.
Kamala Harris, by contrast,places a strong emphasis on
integrating mental healthservices within maternal health
care, including dedicatedscreening for postpartum
depression.
Her approach aligns closelywith the American College of
Obstetricians and Gynecologists,which underscores the
(30:00):
importance of addressing mentalhealth as part of comprehensive
women's health care.
The American College of OBGYNsadvocates for mental health
screening and ongoing support tobe integrated throughout the
maternal care continuum,emphasizes that untreated mental
(30:21):
health conditions could haveprofound effects on mothers and
their families.
Harris's platform aims to makemental health care accessible
and integrated, particularlyduring the prenatal and
postpartum periods, to ensurethat women receive the
(30:41):
comprehensive care they need.
So, comparing both candidates,Trump's platform does not
emphasize mental healthintegration within maternal and
reproductive care, focusing morebroadly on health care
initiatives without a targetedapproach on maternal mental
health.
Harris, on the other hand,strongly supports mental health
(31:05):
integration, aligning withACOG's recommendation for mental
health screenings and servicesto be standard components of
maternal care.
Why does this matter?
Mental health is integral tooverall health and accessible
support ensures that women,whether mothers, daughters or
(31:26):
granddaughters, can live full,healthy lives.
By incorporating mental healthservices into maternal care
policies can create a supportivesystem that protects not only
women's physical health but alsotheir emotional well-being
during life's most significantstages.
(31:48):
Number seven the use oftechnology to advance care.
So, and we've talked a littlebit about this, but Donald
Trump's administration didsupport the expansion of
telehealth services duringCOVID-19 pandemic, allowing more
people to access healthcareremotely when in-person visits
were challenging.
(32:09):
However, this support waslargely limited to emergency
measures and Trump's broaderhealthcare policies did not
prioritize telehealth as along-term solution.
His administration's focus onreducing federal involvement in
healthcare also limited thepotential for permanently
(32:31):
integrating telehealthtechnology to expand access,
especially for underservedpopulations in rural or
low-income areas.
This approach emphasizedtemporary relief rather than
sustained improvements inhealthcare access through
technology.
(32:51):
Kamala Harris, on the otherhand, advocates for making
telehealth a permanent featureof the healthcare system,
recognizing its value beyond thepandemic.
Harris sees telehealth as a wayto expand access, especially
for women who face barriers liketransportation costs and lack
(33:11):
of nearby healthcare providers.
This approach benefits a rangeof women those with resources
who appreciate the convenienceand time savings of telehealth,
as well as low-income women andalso minority women who can
avoid travel expenses byaccessing care from the comfort
(33:32):
of their home.
Harris's vision for telehealthaligns with the American College
of OBGYN, which supports theuse of telehealth to improve
accessibility to health care,particularly for prenatal and
reproductive services.
Acog highlights telehealth asan effective means to address
(33:53):
health care disparities andincrease timely access to care
for women in rural andunderserved communities.
So comparing both candidatesand underserved communities.
So comparing both candidates.
Trump's support for telehealthfocused on short-term
pandemic-related needs.
Harris' policies promotetelehealth as a sustainable
(34:14):
solution to bridge healthcaregaps.
Her approach aligns with ACOG'sstance on the importance of
technology in enhancinghealthcare access, particularly
for women who face geographic orsocioeconomic barriers.
By aiming for long-termtelehealth integration, harris's
(34:35):
policies seek to providelasting benefits across diverse
communities.
And why does this matter?
Technology like telehealth hasthe potential to transform
healthcare access, makingessential services available to
all women, regardless oflocation or financial status.
Ensuring permanent access totelehealth.
(34:58):
Supports the health andautonomy of women in both rural
and urban settings, creating amore inclusive healthcare system
that adapts to the needs ofmodern communities.
And number eight, support forsurvivors of domestic and sexual
violence.
(35:18):
Donald Trump's administrationfaced criticism for rolling back
protections for sexual assaultsurvivors, particularly in
educational settings.
These challenges reducedcertain protections for students
reporting harassment or assault, raising concerns that they
(35:41):
roll back limited resources andjustice avenues for those
affected.
This approach was seen by manyas a step backwards in
supporting vulnerableindividuals in school and
workplace environments,potentially discouraging
survivors from coming forward.
(36:01):
Kamala Harris, in contrast, hasa long-standing history of
advocating for survivors ofdomestic and sexual violence.
As a prosecutor and later as asenator, harris has supported
stronger protections forsurvivors, working on
legislation aimed at preventingviolence and ensuring that
(36:24):
survivors have access to justiceand support systems.
Her policies seek to expandprotections across all settings,
focusing on enhancing resourcesfor survivors and implementing
comprehensive support services.
So the American College ofOBGYN also advocates for strong
(36:47):
protections and healthcareservices for survivors of
violence, emphasizing theimportance of trauma-informed
care.
Acog supports policies thatfoster safe, accessible
resources for survivors,including holistic care that
prioritizes safety, dignity andwell-being.
(37:10):
This aligns closely withHarris's approach, which
emphasizes comprehensive,survivor-focused support within
both healthcare and legalframeworks, so comparing both
candidates.
While Trump's policies allowedfor reduced protections in
educational settings, limitingsupport and resources for
(37:34):
survivors, harris's policiesadvocate expanding survivor
protections across all areas,aligning with ACOG's commitment
to providing trauma-informedcare and robust support services
for those affected by domesticand sexual violence.
(37:55):
Why does this matter?
Well, ensuring robustprotections and support systems
for survivors of violenceprovides essential pathways for
healing and empowerment,ensuring that survivors can
(38:30):
access the resources that theyneed.
Number nine addressing racialand socioeconomic health
disparities.
Donald Trump's platform doesnot specifically address health
care disparities related to raceor socioeconomic status.
While his administrationfocused on broad health care
(38:52):
reforms, there was no targetedapproach to mitigate the
significant maternal andreproductive health risks faced
by marginalized communities,particularly black, Native
American and low-income women.
This gap in the platform meantthat the unique challenges faced
(39:15):
by these communities, such ashigher maternal mortality rates
and limited access to prenataland reproductive health services
, were not directly addressed.
We're broadcasting from Forsyth, georgia, that stands at number
49 of 50 in ranking formaternal mortality in the United
(39:38):
States.
Kamala Harris, in contrast, hasplaced a high priority on
tackling racial andsocioeconomic health disparities
, especially in maternal andreproductive health.
Her policies, including theMaternal Care Act, aim to reduce
(39:58):
racial biases in health careand improve access to essential
services for underservedcommunities.
Harris advocates for expandingMedicaid postpartum coverage for
up to 12 months, aligning withrecommendations from ACOG.
(40:18):
American College of OBGYNsstresses the importance of
extended postpartum care toimprove health outcomes for all
mothers and supports policiesthat close gaps in healthcare
access, particularly formarginalized groups who face
higher risks and fewer resources.
(40:40):
So American College of OBGYNstands has consistently
advocated for equitablehealthcare access, emphasizing
the importance of addressingracial and socioeconomic
disparities in maternal andreproductive health.
They highlight thatmarginalized communities face
(41:04):
significant risks, includinghigher maternal mortality rates,
due to structural inequities inhealth care.
Acog calls for policies thateliminate these barriers,
promote unbiased care and expandaccess to preventive services,
(41:25):
which align closely withHarris's focus on ensuring
equitable health care for allwomen.
So comparing the two candidates.
While Trump's healthcareapproach did not specifically
address the disparities thataffect marginalized communities,
harris's policies focus onreducing these gaps, especially
(41:49):
in maternal care, aligning withthe American College of Ob-Gyn's
call for equitable care accessand unbiased treatment for all
women.
Why does this matter?
Equitable health care ensuresthat all women, regardless of
race or income have access toquality care and support.
(42:11):
Addressing disparities lays afoundation for a healthier, more
inclusive future, providingnecessary resources for all
women, including those inmarginalized communities, to
thrive and receive the care theyneed.
Number 10, balancing federalversus state control of health
(42:34):
care.
Donald Trump has emphasized astate-led approach to health
care, preferring to letindividual states set their own
standards on issues likeabortion and health care funding
.
This approach allows states tomake decisions that align with
local values and priorities, butit also results in inconsistent
(42:57):
healthcare access andprotections across the country.
While these policies supportstate autonomy, it can mean that
access to healthcare services,including abortion, varies
significantly depending on wherea woman lives.
One potential benefit of thisapproach is that it provides
(43:18):
states with the flexibility toinnovate in healthcare delivery,
though this flexibility oftencomes at the cost of uniform
access.
Kamala Harris, by contrast,advocates for federal
protections in health care toensure consistent access and
(43:38):
quality of care across statelines.
She believes that a woman'sright to health care,
particularly reproductive healthcare, should not depend on her
geographic location.
Of mention is the control atthe state level of freestanding
birthing centers, allowingstates to regulate free birthing
(43:59):
centers without adhering tofederal emergency medical
treatment and labor act.
Emtala laws can lead to seriousdisparities and risks in patient
care.
Emtala mandates that anyonecoming to an emergency
department must be stabilizedand treated, regardless of their
insurance status or ability topay.
(44:22):
This federal regulation existsto ensure equitable and
immediate access to criticalemergency services, particularly
in labor and delivery scenarioswhere timely care is essential
for the health and safety ofboth mother and baby.
When states regulatefreestanding birthing centers
(44:44):
independently, ignoring EMTALAprotections, there is a risk
that certain centers may notprovide the same level of
emergency support or seamlessaccess to hospital services in
critical situations.
This creates gaps in care,especially in rural or
underserved areas, wherefreestanding birthing centers
(45:08):
may serve as the primary pointof care for pregnant individuals
.
Without adherence to EMTALAstandards, states could
potentially impose transferagreements or regulations that
limit the ability of birthcenters may also result in
varied standards across states,leading to inconsistent access
(45:43):
to emergency care.
Women in one state might haveaccess to federally supported
emergency protocols at freestanding birthing centers, while
women in another might not,depending on state policies.
Federal EMTALA standardsprovide a crucial safety net,
ensuring a minimum standard ofcare that can protect mothers
(46:08):
and infants from preventableharm due to delayed or denied
emergency services, like in thestate of Georgia.
When strong hospital lobbyinggroups use their influence to
block freestanding birthingcenters from securing transfer
agreements, the issue oftenstems from economic motivations.
(46:31):
Hospitals viewing freestandingbirthing centers as competition
for maternity and birth-relatedservices may leverage their
influence to protect marketshare and revenue by denying
essential transfer agreements.
This practice not only hampersthe operation of free-standing
(46:51):
birthing centers, but also putspatient safety at risk by
creating delays in emergencysituations when swift transfers
are critical.
State regulations may allowthis kind of economic
suppression, enabling hospitalsto excise control over smaller
(47:12):
health care providers, likefreestanding birthing centers,
as is being done in the state ofGeorgia.
Like freestanding birthingcenters, as is being done in the
state of Georgia, however, afederal mandate, such as those
provided under EMTALA, couldprevent this by ensuring that
all patients, regardless oftheir location or the facility
they initially visit, haveguaranteed access to emergency
(47:36):
services.
Federal intervention coulddisallow economically motivated
restrictions, focusing insteadon patient welfare, by mandating
that freestanding birthingcenters have fair access to
hospital support when needed forurgent care.
This dynamic highlights theimportance of federal oversight
(48:40):
to prevent monopolisticpractices in health care
landscape for expectant mothersand families, especially in
rural and underserved areas, aswe are in Forsyth Georgia, so
comparing the two candidates.
Trump's state-centered modelallows states to customize
health care policy, but it oftenleads to a fragmented system
with varying levels of access,as we see in Forsyth Georgia.
Harris's approach, on the otherhand, seeks to establish
(49:01):
federal standards that provideconsistent health care
protections for all women,reflecting ACOG's stance on the
importance of nationwide accessto reproductive health care.
Why does this matter?
A woman's right to health careshould not be determined by her
zip code.
Federal protections ensure thathealth care access and quality
(49:25):
are consistent across thecountry, supporting the dignity,
health and autonomy of allwomen, regardless of location.
List of location.
And then number 11, the lastbut not the least, the long-term
impact on generations of women.
So Donald Trump's approach tohealthcare emphasizes state
(49:47):
control and free marketprinciples, prioritizing
individual choice andmarket-driven solutions over
federal intervention.
This model promotes personalresponsibility and local
governance, but can limit accessto affordable health care
options for vulnerablepopulations, including women who
(50:09):
rely on comprehensivereproductive and mental health
services.
Supporters argue that thisapproach can reduce government
intervention and allowinnovation in the private sector
, but it risks leaving somewomen with fewer protections and
fewer options for essentialservices.
Kamala Harris, in contrast,advocates for federal
(50:33):
protections and expanded accessto health care, particularly in
reproductive and mental health.
Her platform seeks to ensurethat essential health care
services are accessible andaffordable for all women,
including those in marginalizedcommunities.
Harris's focus on comprehensivecare, especially in areas like
(50:56):
maternal and mental health,aligns with the American College
of OBGYN's recommendations toaddress longstanding gaps in
women's health.
This approach aims to shape ahealthcare system that provides
security and support forgenerations of women, ensuring
that future mothers, sisters anddaughters can access the care
(51:20):
they need.
So, comparing the twocandidates, trump's policies
prioritize limited governmentinvolvement, emphasizing free
market choices and local control, while Harris' approach centers
on federal protections,affordability and expanded
access.
Trump's model may offerflexibility, but Harris's
(51:43):
approach is aimed at creating aconsistent, equitable healthcare
framework that serves all women, especially those facing
economic and geographic barriers.
And why does this matter?
The health care policies chosentoday will shape the future for
generations of women.
This election is pivotal indefining a legacy of health care
(52:09):
that provides support, choiceand security for mothers,
daughters, granddaughters andfuture women, who deserve a
strong foundation of health andwell-being.
So the key takeaway for voterson women's health in the 2024
election number one onreproductive rights, kamala
(52:31):
Harris supports nationalabortion protections, advocating
for federal consistency thatensures all women have access to
abortion services, regardlessof location or income.
Hastan's aims to protect womenacross socioeconomic background,
providing both affluent andlow-income women with more
(52:55):
consistent access to care.
Donald Trump prefers astate-regulated approach,
aligning with restrictivemeasures like Project 2025 and
the Comstock Act, which makeabortion access more difficult,
particularly impacting womenwith fewer financial resources
(53:15):
who cannot afford to travel forservices.
So comparing both of themHarris's policies provide
nationwide protections, whileTrump's approach results in
varied access depending on statelaws.
And this matters becauseconsistent access to
reproductive rights ensures thatall women have autonomy over
(53:38):
their health care, regardless ofgeographic or economic barriers
.
On health care access, kamalaHarris works to expand the
Affordable Care Act and Medicaid, aiming to make health care
affordable and accessible for awider range of women.
Her support for federalinvolvement ensures that women,
(53:58):
especially in lower incomebrackets, receive essential care
.
Donald Trump has focused onmarket-driven health care
solutions, reducing federalcontrol and emphasizing price
transparency and competition.
However, his efforts to repealthe Affordable Care Act would
(54:19):
reduce access to key health careservices for low-income women
who rely on Affordable Care Actprotections.
So, comparing the twocandidates Harris's approach
broadens access to affordablecare, while Trump's reduces
federal oversight, potentiallylimiting essential coverage.
(54:40):
And this matters becauseaccessible health care enables
women to make informed decisionsfor themselves and their
families without financialstrain.
On maternal health, kamalaHarris prioritizes addressing
racial and socioeconomicdisparities in maternal health,
(55:00):
particularly benefitinglow-income and minority women.
Her support for the MaternalCare Act aims to improve
maternal outcomes acrosscommunities.
Donald Trump's policies havenot emphasized maternal health
reform.
Policies have not emphasizedmaternal health reform, although
(55:23):
his administration did pass thePreventing Maternal Deaths Act
to create review committees onmaternal mortality.
So, while Trump'sadministration established a
framework for studying maternalhealth, harris's policies aim
for comprehensive reform,particularly targeting
vulnerable communities.
And this matters becauseequitable maternal health
(55:43):
ensures that all women have safe, quality care throughout
pregnancy and postpartum,reducing racial and
socioeconomic health disparities.
On contraception access, kamalaHarris advocates for accessible
and affordable contraception,including over-the-counter birth
(56:03):
control and federal policiesthat remove out-of-pocket costs,
making contraception morewidely available, though
over-the-counter birth controlcan be clinically problematic.
Control can be clinicallyproblematic.
Donald Trump permittedemployers to deny contraception
coverage based on religious ormoral grounds, reducing access
(56:25):
for some women, especially thosedependent on employer-based
insurance.
So, comparing the twocandidates, harris supports
broad contraceptive access,while Trump's policies place
more control in employers' hands, potentially limiting coverage.
And this matters becauseaffordable access to
(56:46):
contraception allows womenautonomy over family planning
and personal health, regardlessof employment status.
On rural health care access,kamala Harris supports permanent
telehealth expansion toincrease rural healthcare access
, helping address logistical andfinancial barriers.
(57:09):
Her policies ensure that womenin remote areas can access
specialists without needing totravel.
Donald Trump's administrationexpanded telehealth temporarily
during COVID-19 pandemic, butdid not prioritize permanent
support for telehealthpost-pandemic.
And, comparing the twocandidates, harris advocates for
(57:31):
lasting solutions in ruralhealthcare, while Trump's
approach was more temporary.
And why does this matter?
While Trump's approach was moretemporary, and why does this
matter?
Reliable telehealth access inrural areas and even in urban
areas can transform healthcarefor women who may otherwise lack
access to timely medicalattention.
And then on the issue oftechnology in healthcare, kamala
(57:53):
Harris promotes telehealth as alasting feature in healthcare,
improving access to care forwomen across various locations.
Donald Trump supportedtelehealth expansion during the
pandemic, though his approachwas limited to short-term
emergency responses.
And, comparing the twocandidates, harris views
(58:16):
telehealth as a permanentsolution, aligning with ACOG's
endorsement of telehealth toreduce healthcare disparities.
And why does this matter?
Technology like telehealthsupports women's access to care
by overcoming geographic andfinancial barriers, particularly
for those in underservedregions.
(58:39):
The references that we usednumber one the American College
of Obstetricians and Gynecology,acog.
Number two KFF Women VotersRevisited Abortion, inflation
and Healthcare in 2024,available at wwwkfforg.
Available at wwwkfforg.
(59:05):
Number three the CommonwealthFund Healthcare on the Ballot in
2024, available atwwwcommonwealthfund.
Brookings Institution AbortionRights in the 2024 Election
available at wwwace-usaorg.
(59:27):
Healthy Women, where KamalaHarris and Donald Trump Stand on
Women's Health Issues,available at wwwhealthywomenorg.
(59:53):
And my final thoughts as weapproach the 2024 election, it
is evident that Kamala Harrisand Donald Trump offer distinct
visions for women's health care,their policies on reproductive
health, reproductive rights,health care access, maternal
(01:00:14):
health and more present voterswith contrasting choices that
will shape the future healthcare landscape.
Maternal health and morepresent voters with contrasting
choices that will shape thefuture health care landscape for
generations.
Each voter must reflect ontheir values to determine which
candidate aligns best with theirviews on women's health care.
It is my hope that the nextadministration will do
(01:00:36):
everything they promised theywould do and will work actively
to improve health care access,equity and quality for all women
across the country.
So to our listeners out there,thank you for listening to
CocoaPods podcast.
Stay informed, ask questionsand hold leaders accountable.
My name is Dr Bola Sogade.
Thank you, thank you.
Thank you.
This podcast episode capturesthe essence of providing factual
(01:18):
, objective information onwomen's health policies in the
upcoming election, drawingattention to the impact of
voters' choices in 2024.
It is concise, it isinformative and it emphasizes
the connection between theelection and women's health care
(01:38):
issues.
Welcome, I'm Dr Bola Sgade, adedicated women's healthcare
specialist with a passion foreducating and empowering women
on all aspects of their health.
With years of experience as anobstetrician, gynecologist and a
family physician, I have seenfirsthand the complexities and
(02:04):
challenges women face innavigating their healthcare
journeys, whether it'saddressing maternal health,
reproductive rights,contraception or access to
quality care.
I believe every woman deservesto be informed, supported and
equipped with the tools to makethe best decisions for her
(02:27):
health.
My mission is simple to breakdown the barriers that stand
between women and their right toquality health care.
From rural communities tounderserved populations, I feel
deeply charged with the task ofensuring that every woman,
(02:47):
regardless of her background orresources, understands her
health options and can advocatefor herself.
Through education and awareness, I strive to make healthcare
more accessible andunderstandable more accessible
and understandable, offeringwomen the knowledge and power
(03:09):
they need to lead healthierlives.
I am excited to take the roleof educator and advocate, using
my platform to bridge the gapsin knowledge and healthcare
access.
I hope to inspire women tobecome informed, proactive and
confident in their healthcarechoices.
Let's embark on this journeytogether, where every question
(03:30):
matters and every woman is heardas a disclaimer.
As the host of this podcast anda women's healthcare specialist
, I aim to present the factsobjectively, without political
inclination or bias.
My goal is to provide theinformation you need to make an
informed decision about which2024 presidential candidate
(03:55):
aligns with your values onwomen's health care.
So today, on CocoaPods, we aredigressing from our usual
program to bring you thisspecial election issue.
We are diving into theintricate tapestry of women's
health, weaving together threadsof policy, personal choice and
(04:17):
historical context.
In today's episode, we aretaking a closer look at where
Kamala Harris and Donald Trumpstand on crucial women's health
issues that touch the lives ofourselves our mothers, daughters
, sisters, granddaughters anddaughters-in-law.
(04:39):
This discussion includesinsight from the American
College of Obstetricians andGynecologists, acog, scientific
references and the context ofour shared history.
Why does this matter?
These issues matter becausethey go beyond policy debates.
(05:02):
They shape the future ofhealthcare access, safety and
autonomy for generations ofwomen, from reproductive rights
to mental health support.
These choices affect everywoman, today and tomorrow.
So we start with number onehealthcare, affordability and
(05:22):
access.
Donald Trump emphasizes amarket-driven approach to
healthcare, focusing on pricetransparency and competition,
including a proposal to align USdrop prices with international
standards.
His stance prioritizes marketsolutions over direct federal
(05:45):
intervention, intending toreduce cost through free market
competition.
Affordable Care Act, aca, whichwould limit protections for
(06:09):
many, especially in essentialservices like maternity care.
His stance could leave boththose with resources and those
without struggling with accessto comprehensive coverage.
If federal involvement isscaled back, federal involvement
(06:30):
is scaled back.
Kamala Harris, by contrast,champions expanded federal
support through measures likethe Inflation Reduction Act,
which caps insulin costs,reduces out-of-pocket expenses
and enables Medicare tonegotiate drug prices.
Her approach also includesstrong support for the ACA,
which extends affordableinsurance to millions,
(06:54):
benefiting both those who haveresources and those who do not.
For higher-income individuals,the ACA protects against higher
premiums due to pre-existingconditions.
For lower-income women, theACA's Medicaid expansion
provides essential access tofree or low-cost insurance,
(07:20):
crucial for uninsuredpopulations, including many
Black and Hispanic women.
So, comparing both candidates,harris' approach aims to improve
access for all women, focusingon reducing financial barriers
and providing comprehensivecoverage, while Trump's
(07:42):
preference for reducing federaloversight could limit access to
key services, impacting womenwith both high and limited
financial means.
And why does this matter?
Affordable health care ensuresthat financial burdens don't
prevent women from accessingessential care, supporting the
(08:09):
well-being of women in everyrole.
Number two reproductive rightsand abortion access.
Donald Trump supports astate-led approach to abortion,
meaning that individual stateshave the power to regulate or
ban abortion as they see fit.
This aligns with conservativeinitiatives like Project 2025
(08:34):
and the Comstock Act, whichrestrict access to medication
abortions and limit the mailingof abortion pills.
And limit the mailing ofabortion pills.
This approach creates apatchwork of access where a
woman's ability to obtainabortion care varies
significantly depending on statelaws.
(08:55):
Kamala Harris, on the otherhand, advocates for restoring
nationwide protections byco-defying war Wade into federal
law.
This would reverse the Dobbs vJackson decision, which allows
states to limit or ban abortion.
(09:17):
Harris's approach would enablewomen in all states to access
abortion services, regardless oflocal restrictions.
Her position aligns with theAmerican College of
Obstetricians and Gynecologists,which views abortion as an
essential aspect ofcomprehensive health care.
(09:39):
Comparing the two candidates,harris's policies support
nationwide access to abortion,benefiting both wealthy and
low-income women.
Trump's policies haverestricted access, making it
harder for low-income women toobtain necessary care.
(10:00):
And why does this matter?
Well, consistent abortionprotections ensure equal access
for all women.
For those with resources,federal protections reduce the
need to travel out of state toaccess abortion services, while
for women with limited means,they remove financial and
(10:24):
logistical barriers to essentialcare.
Harris's approach aims tocreate this consistency, while
Trump's state-based approachrisks reinforcing inequalities
in access across the country.
So let's understand Roe, wadeand Dobbs.
(10:47):
These are the key players inreproductive rights history.
So in 1973, roe versus Wadebecame a pivotal case in
American history, casting aprotective light over a woman's
right to make personal decisionsabout her own body.
(11:08):
Roe was a pseudonym for NormanMcCovey, a Texas woman who
wanted to end her pregnancy butcouldn't legally do so under
Texas' restrictive abortion laws.
She brought a lawsuit againstHenry Wade, the district
(11:29):
attorney of Dallas County,challenging these laws.
The case reached the SupremeCourt, which ruled in favor of
Roe, declaring that women had aconstitutional right to privacy
that extended to their decisionsabout abortion.
This ruling ensured womenacross the nation had safe,
(11:55):
legal access to abortion fornearly 50 years.
But in 2022, dobbs v JacksonWomen's Health Organization
would change that landscape.
Dobbs refers to Dr Thomas EDobbs, the Mississippi State
Health Officer who defended astate law banning most abortions
(12:19):
.
After 15 weeks, the JacksonWomen's Health Organization,
mississippi's last abortionclinic, challenged this law,
arguing it was unconstitutional.
When the Supreme Court ruled infavor of Dobbs, it overturned
Roe v Wade, returning the powerto regulate abortion to each
(12:42):
individual state.
To regulate abortion to eachindividual state.
This decision created apatchwork of abortion laws
across the country, leavingaccess to this critical health
care uneven and uncertain.
So let's look at a painfulchapter in the history of
(13:03):
abortion the reality of illegalabortions.
Before Roe, women in the UnitedStates faced grave risks when
seeking to end pregnanciesconceived by both a man and a
woman, leaving theresponsibility to just the woman
.
With legal options unavailable,many women resorted to unsafe,
(13:29):
illegal methods Some tried usingsharp objects, others ingested
toxic substances, and manyturned to untrained
practitioners operating inunsanitary back alley settings.
These methods led to severeinfections, hemorrhaging,
(13:52):
infertility and even death.
This harrowing history remindsus why access to safe, legal
abortion is a vital aspect ofwomen's health care.
Moreover, though pregnancyresults from both a man and a
woman, society has long placedthe burden of cleanup unfairly
(14:17):
on women, leaving them to facethe physical, emotional and
financial consequences alone.
This imbalance underscores whyreproductive choice and autonomy
are essential for women'swell-being.
But why would a woman needabortion services in the first
(14:39):
place?
There are many reasons a womanmight need an abortion and it's
important to view thesedecisions with compassion and
understanding.
Here are some common reasons,explained in a positive and
supportive way.
Number one health concerns.
Sometimes, continuing apregnancy can seriously endanger
(15:01):
the woman's health or even herlife.
In these cases, abortion may benecessary to protect the
well-being of the mother.
It's a way for women to makethe best decision for their own
health, especially if their lifeis at risk.
Number two fetal healthproblems.
(15:23):
Some pregnancies involveserious medical complications
where the fetus, the unbornchild, has conditions that would
prevent it from surviving afterbirth.
In such cases, women may chooseto have an abortion to prevent
further suffering for themselvesand the baby.
(15:46):
Number three personal orfinancial readiness.
Some women may feel that theyare not in a stable situation,
whether financially, emotionallyor personally, to raise a child
.
They may choose abortion as away to make a responsible
decision for their future andfor the well-being of any
(16:08):
existing or future children theymight have.
Number four pregnancy fromtrauma In the unfortunate cases
of rape and incest.
Some women may choose anabortion because the pregnancy
is a result of a traumatic event.
In these situations, allowingwomen to make their own choices
(16:34):
gives them control over theirbodies and their healing
processes.
And number five for familyplanning.
And number five for familyplanning abortion, rightly or
wrongly used, can be a part of awoman's plan to ensure she can
provide the best life possiblefor her family.
For some, this means waitinguntil they are more prepared to
(16:58):
have a child, either emotionally, financially or in terms of
their support system.
In all these situations, thedecision to have an abortion
should be made thoughtfully,with care for both the woman's
health and her future, and it'sabout giving women the ability
(17:19):
to make choices that are rightfor them, based on their unique
circumstances.
So, going back to the candidates, we talk on the issue of
contraception access and familyplanning.
Donald Trump's administrationallowed employers to deny
(17:39):
insurance coverage forcontraception based on religious
or moral beliefs.
It was framed as a protectionof religious freedom, but this
policy prioritized theemployer's values over the
employee's healthcare choices,allowing organizations to
(18:00):
decline contraceptive coverageif it conflicted with their
beliefs.
Supporters saw this as a boostfor personal choice and
religious freedom in thehealthcare space, though critics
felt it limited individualhealthcare options.
Additionally, trump'sadministration cut federal
(18:23):
funding for Title X.
Title X is a program that fundsaffordable family planning and
preventive health services forlow-income communities, so by
cutting this funding, theyrestricted options for women
relying on Title X clinics forlow-cost birth control if they
(18:44):
lack employer-based insurance.
His administration's emphasison transparency in health care
costs was also intended to helpindividuals navigate pricing
across providers, potentiallybenefiting those who pay out-of
of pocket for contraception bymaking affordable options easier
(19:08):
to find.
Kamala Harris, in contrast,advocates for expanding access
to contraception for all women.
She supports over-the-counterthat is, otc birth control
options and pushes for insurancecoverage that removes
out-of-pocket costs, benefitingboth women who prefer the
(19:29):
convenience of over-the-counteraccess and those who rely on
Medicaid or other subsidizedinsurance for affordable birth
control.
Expanding over-the-counteroptions for birth control,
however, raise clinicalconsiderations.
Without a health careprovider's guidance, women may
(19:52):
choose contraceptives that don'talign with their health needs,
especially if they haveconditions like high blood
pressure or a history of bloodclots, like high blood pressure
or a history of blood clots.
Additionally, the lack ofmedical supervision could lead
to inconsistent or improper use,reducing the effectiveness of
(20:15):
over-the-counter birth controland skipping regular checkups
could result in missed screeningfor reproductive health.
To address these issues,harris's policies aim to balance
access with education andguidance to support safe,
informed contraceptive useacross all socioeconomic
(20:36):
backgrounds.
So, comparing both candidates.
Harris's policies seek toremove barriers to contraceptive
access for all women, promotingautonomy and affordability in
healthcare choices.
Trump's approach, while focusedon religious freedom and cost
(20:57):
transparency, has limited accessfor women relying on
employer-provided insurance orTitle X-funded services, placing
more emphasis on organizationalchoice over individual access
to family planning.
So why does this matter?
Well, accessible, affordablecontraception is essential for
(21:22):
women's autonomy, allowing themto make informed decisions about
family planning, health andtheir futures.
So, number four topic maternalhealth and addressing
disparities.
Donald Trump's administrationtook a significant step by
passing the Preventing MaternalDebts Act, which set up
(21:47):
committees across states tostudy and address maternal
mortality.
This initiative provided somegroundwork for understanding the
issues contributing to maternalmortality rates, but Trump's
platform has not emphasizedadditional maternal health
(22:07):
reform or specifically addressedthe racial and socioeconomic
disparities that continue toimpact many women.
Trump's broader health carepolicies, such as efforts to
repeal the Affordable Care Act,could have affected maternity
care access, especially forlow-income women who rely on
(22:31):
Medicaid for prenatal andpostnatal services.
Kamala Harris has placed afocused emphasis on maternal
health, particularly for Black,native American and rural women,
who experience maternalmortality at disproportionately
higher rates.
Her support extends toinitiatives like the Maternal
(22:56):
Care Act, which seeks to reduceracial biases in maternal health
care and improve health careoutcomes.
Additionally, harris advocatesfor extending Medicaid coverage
for up to 12 months postpartum,aligning with the American
College of Obstetricians andGynecologists' recommendation
(23:21):
for comprehensive care thataddresses both physical and
mental health needs during thecritical postpartum period.
Harris's policies aim toimprove health equity by
ensuring that all women,regardless of income or
background, have continuedaccess to maternal care that
(23:44):
promotes long-term health.
Comparing the two candidateswhile Trump's administration
laid a foundation for maternalmortality review with the
Preventing Maternal Deaths Act,his broader platform has not
focused on maternal healthreform or reducing disparities.
(24:06):
In contrast, harris's policiesprioritize both expanded
maternal health coverage andreducing racial biases in health
care, aiming for systemicimprovements in maternal health
for all women.
And why does this matter?
It matters because safe andequitable maternal health care
(24:29):
is essential for the health andfutures of mothers across the
country.
Harris's focus on addressingdisparities seeks to provide
this protection for all women,helping to ensure that maternal
health does not depend on raceor income or location.
(24:49):
Number five rural health careaccess.
Donald Trump's administrationtemporarily expanded telehealth
services during the COVID-19pandemic, which allowed rural
residents to connect with healthcare providers remotely,
reducing travel burdens andproviding critical access to
(25:12):
care during emergencyrestrictions.
However, this expansion was notdesigned to be permanent and
Trump's broader health carepolicies did not focus on
long-term solutions to supportrural health care infrastructure
.
Once the emergency measuresended, many rural communities
(25:33):
were left with limited access toconsistent health care, relying
heavily on distance andaffordability to determine care
options.
Distance and affordability todetermine care options.
Kamala Harris, in contrast,advocates for making telehealth
a permanent healthcare option inrural areas to address
long-standing access issues.
(25:55):
Telehealth allows women in ruralcommunities to connect with
healthcare providers, includingspecialists, without the need
for extensive travel.
In areas like Forsyth, georgia,transportation barriers present
a significant challenge forwomen needing prenatal and
(26:15):
women's health services, withlimited public options and high
costs for private transport.
For these communities, harris'policies on telehealth could
mean a lasting, accessiblehealthcare connection.
One example of expanded accessis our own very OB-GYN birth
(26:39):
center in Forsyth, georgia,which made history by delivering
the first baby in the area in45 years.
This birth center continues toserve women facing access issues
, offering them quality prenataland delivery services close to
home in a region where access tosuch care has long been limited
(27:03):
.
Region where access to suchcare has long been limited.
This local presence isespecially crucial in an
underserved community whereaccess and distance are frequent
barriers.
So this approach benefits womenwith resources in rural areas,
who gain more convenient accessto specialists through
telehealth, and also benefitslow-income and minority women
(27:28):
who face additionaltransportation barriers and are
now able to access care moreeasily from home.
So, comparing the twocandidates, harris' policies
support a permanent expansion oftelehealth as a sustainable
healthcare solution for ruralareas, aligning with the
(27:49):
American College ofObstetricians and Gynecologists,
which endorses telehealth as away to close healthcare access
gaps for women in underservedregions.
Trump's temporary expansionprovided relief during the
pandemic, but did not establishtelehealth as a lasting,
(28:11):
accessible option for ruralhealthcare needs.
So why does this matter?
Well, rural healthcare accessaffects all women, those with
and those without resources,impacting healthcare outcomes
across these communities.
Long-term telehealth is a vitalbridge enabling women in rural
(28:34):
areas to access timely care thatmight otherwise be out of reach
due to distance, finances ortransportation limitations.
So, going to the sixth item,mental health, integration in
(28:56):
maternal and reproductive care.
Donald Trump's platform doesnot prioritize mental health
integration in maternal andreproductive health care.
So, while the Trumpadministration made strides in
other areas of health care, itlacked a specific focus on
ensuring that mental healthservices are incorporated within
maternal care.
(29:16):
This gap can leave many womenwithout the necessary mental
health support during criticalperiods such as pregnancy and
postpartum, where depression andanxiety are prevalent.
Mental health remains anessential but often
under-emphasized component inmaternal health care policy
(29:38):
under Trump's approach.
Kamala Harris, by contrast,places a strong emphasis on
integrating mental healthservices within maternal health
care, including dedicatedscreening for postpartum
depression.
Her approach aligns closelywith the American College of
Obstetricians and Gynecologists,which underscores the
(30:00):
importance of addressing mentalhealth as part of comprehensive
women's health care.
The American College of OBGYNsadvocates for mental health
screening and ongoing support tobe integrated throughout the
maternal care continuum,emphasizes that untreated mental
(30:21):
health conditions could haveprofound effects on mothers and
their families.
Harris's platform aims to makemental health care accessible
and integrated, particularlyduring the prenatal and
postpartum periods, to ensurethat women receive the
(30:41):
comprehensive care they need.
So, comparing both candidates,Trump's platform does not
emphasize mental healthintegration within maternal and
reproductive care, focusing morebroadly on health care
initiatives without a targetedapproach on maternal mental
health.
Harris, on the other hand,strongly supports mental health
(31:05):
integration, aligning withACOG's recommendation for mental
health screenings and servicesto be standard components of
maternal care.
Why does this matter?
Mental health is integral tooverall health and accessible
support ensures that women,whether mothers, daughters or
(31:26):
granddaughters, can live full,healthy lives.
By incorporating mental healthservices into maternal care
policies can create a supportivesystem that protects not only
women's physical health but alsotheir emotional well-being
during life's most significantstages.
(31:48):
Number seven the use oftechnology to advance care.
So, and we've talked a littlebit about this, but Donald
Trump's administration didsupport the expansion of
telehealth services duringCOVID-19 pandemic, allowing more
people to access healthcareremotely when in-person visits
were challenging.
(32:09):
However, this support waslargely limited to emergency
measures and Trump's broaderhealthcare policies did not
prioritize telehealth as along-term solution.
His administration's focus onreducing federal involvement in
healthcare also limited thepotential for permanently
(32:31):
integrating telehealthtechnology to expand access,
especially for underservedpopulations in rural or
low-income areas.
This approach emphasizedtemporary relief rather than
sustained improvements inhealthcare access through
technology.
(32:51):
Kamala Harris, on the otherhand, advocates for making
telehealth a permanent featureof the healthcare system,
recognizing its value beyond thepandemic.
Harris sees telehealth as a wayto expand access, especially
for women who face barriers liketransportation costs and lack
(33:11):
of nearby healthcare providers.
This approach benefits a rangeof women those with resources
who appreciate the convenienceand time savings of telehealth,
as well as low-income women andalso minority women who can
avoid travel expenses byaccessing care from the comfort
(33:32):
of their home.
Harris's vision for telehealthaligns with the American College
of OBGYN, which supports theuse of telehealth to improve
accessibility to health care,particularly for prenatal and
reproductive services.
Acog highlights telehealth asan effective means to address
(33:53):
health care disparities andincrease timely access to care
for women in rural andunderserved communities.
So comparing both candidatesand underserved communities.
So comparing both candidates.
Trump's support for telehealthfocused on short-term
pandemic-related needs.
Harris' policies promotetelehealth as a sustainable
(34:14):
solution to bridge healthcaregaps.
Her approach aligns with ACOG'sstance on the importance of
technology in enhancinghealthcare access, particularly
for women who face geographic orsocioeconomic barriers.
By aiming for long-termtelehealth integration, harris's
(34:35):
policies seek to providelasting benefits across diverse
communities.
And why does this matter?
Technology like telehealth hasthe potential to transform
healthcare access, makingessential services available to
all women, regardless oflocation or financial status.
Ensuring permanent access totelehealth.
(34:58):
Supports the health andautonomy of women in both rural
and urban settings, creating amore inclusive healthcare system
that adapts to the needs ofmodern communities.
And number eight, support forsurvivors of domestic and sexual
violence.
(35:18):
Donald Trump's administrationfaced criticism for rolling back
protections for sexual assaultsurvivors, particularly in
educational settings.
These challenges reducedcertain protections for students
reporting harassment or assault, raising concerns that they
(35:41):
roll back limited resources andjustice avenues for those
affected.
This approach was seen by manyas a step backwards in
supporting vulnerableindividuals in school and
workplace environments,potentially discouraging
survivors from coming forward.
(36:01):
Kamala Harris, in contrast, hasa long-standing history of
advocating for survivors ofdomestic and sexual violence.
As a prosecutor and later as asenator, harris has supported
stronger protections forsurvivors, working on
legislation aimed at preventingviolence and ensuring that
(36:24):
survivors have access to justiceand support systems.
Her policies seek to expandprotections across all settings,
focusing on enhancing resourcesfor survivors and implementing
comprehensive support services.
So the American College ofOBGYN also advocates for strong
(36:47):
protections and healthcareservices for survivors of
violence, emphasizing theimportance of trauma-informed
care.
Acog supports policies thatfoster safe, accessible
resources for survivors,including holistic care that
prioritizes safety, dignity andwell-being.
(37:10):
This aligns closely withHarris's approach, which
emphasizes comprehensive,survivor-focused support within
both healthcare and legalframeworks, so comparing both
candidates.
While Trump's policies allowedfor reduced protections in
educational settings, limitingsupport and resources for
(37:34):
survivors, harris's policiesadvocate expanding survivor
protections across all areas,aligning with ACOG's commitment
to providing trauma-informedcare and robust support services
for those affected by domesticand sexual violence.
(37:55):
Why does this matter?
Well, ensuring robustprotections and support systems
for survivors of violenceprovides essential pathways for
healing and empowerment,ensuring that survivors can
(38:30):
access the resources that theyneed.
Number nine addressing racialand socioeconomic health
disparities.
Donald Trump's platform doesnot specifically address health
care disparities related to raceor socioeconomic status.
While his administrationfocused on broad health care
(38:52):
reforms, there was no targetedapproach to mitigate the
significant maternal andreproductive health risks faced
by marginalized communities,particularly black, Native
American and low-income women.
This gap in the platform meantthat the unique challenges faced
(39:15):
by these communities, such ashigher maternal mortality rates
and limited access to prenataland reproductive health services
, were not directly addressed.
We're broadcasting from Forsyth, georgia, that stands at number
49 of 50 in ranking formaternal mortality in the United
(39:38):
States.
Kamala Harris, in contrast, hasplaced a high priority on
tackling racial andsocioeconomic health disparities
, especially in maternal andreproductive health.
Her policies, including theMaternal Care Act, aim to reduce
(39:58):
racial biases in health careand improve access to essential
services for underservedcommunities.
Harris advocates for expandingMedicaid postpartum coverage for
up to 12 months, aligning withrecommendations from ACOG.
(40:18):
American College of OBGYNsstresses the importance of
extended postpartum care toimprove health outcomes for all
mothers and supports policiesthat close gaps in healthcare
access, particularly formarginalized groups who face
higher risks and fewer resources.
(40:40):
So American College of OBGYNstands has consistently
advocated for equitablehealthcare access, emphasizing
the importance of addressingracial and socioeconomic
disparities in maternal andreproductive health.
They highlight thatmarginalized communities face
(41:04):
significant risks, includinghigher maternal mortality rates,
due to structural inequities inhealth care.
Acog calls for policies thateliminate these barriers,
promote unbiased care and expandaccess to preventive services,
(41:25):
which align closely withHarris's focus on ensuring
equitable health care for allwomen.
So comparing the two candidates.
While Trump's healthcareapproach did not specifically
address the disparities thataffect marginalized communities,
harris's policies focus onreducing these gaps, especially
(41:49):
in maternal care, aligning withthe American College of Ob-Gyn's
call for equitable care accessand unbiased treatment for all
women.
Why does this matter?
Equitable health care ensuresthat all women, regardless of
race or income have access toquality care and support.
(42:11):
Addressing disparities lays afoundation for a healthier, more
inclusive future, providingnecessary resources for all
women, including those inmarginalized communities, to
thrive and receive the care theyneed.
Number 10, balancing federalversus state control of health
(42:34):
care.
Donald Trump has emphasized astate-led approach to health
care, preferring to letindividual states set their own
standards on issues likeabortion and health care funding
.
This approach allows states tomake decisions that align with
local values and priorities, butit also results in inconsistent
(42:57):
healthcare access andprotections across the country.
While these policies supportstate autonomy, it can mean that
access to healthcare services,including abortion, varies
significantly depending on wherea woman lives.
One potential benefit of thisapproach is that it provides
(43:18):
states with the flexibility toinnovate in healthcare delivery,
though this flexibility oftencomes at the cost of uniform
access.
Kamala Harris, by contrast,advocates for federal
protections in health care toensure consistent access and
(43:38):
quality of care across statelines.
She believes that a woman'sright to health care,
particularly reproductive healthcare, should not depend on her
geographic location.
Of mention is the control atthe state level of freestanding
birthing centers, allowingstates to regulate free birthing
(43:59):
centers without adhering tofederal emergency medical
treatment and labor act.
Emtala laws can lead to seriousdisparities and risks in patient
care.
Emtala mandates that anyonecoming to an emergency
department must be stabilizedand treated, regardless of their
insurance status or ability topay.
(44:22):
This federal regulation existsto ensure equitable and
immediate access to criticalemergency services, particularly
in labor and delivery scenarioswhere timely care is essential
for the health and safety ofboth mother and baby.
When states regulatefreestanding birthing centers
(44:44):
independently, ignoring EMTALAprotections, there is a risk
that certain centers may notprovide the same level of
emergency support or seamlessaccess to hospital services in
critical situations.
This creates gaps in care,especially in rural or
underserved areas, wherefreestanding birthing centers
(45:08):
may serve as the primary pointof care for pregnant individuals
.
Without adherence to EMTALAstandards, states could
potentially impose transferagreements or regulations that
limit the ability of birthcenters may also result in
varied standards across states,leading to inconsistent access
(45:43):
to emergency care.
Women in one state might haveaccess to federally supported
emergency protocols at freestanding birthing centers, while
women in another might not,depending on state policies.
Federal EMTALA standardsprovide a crucial safety net,
ensuring a minimum standard ofcare that can protect mothers
(46:08):
and infants from preventableharm due to delayed or denied
emergency services, like in thestate of Georgia.
When strong hospital lobbyinggroups use their influence to
block freestanding birthingcenters from securing transfer
agreements, the issue oftenstems from economic motivations.
(46:31):
Hospitals viewing freestandingbirthing centers as competition
for maternity and birth-relatedservices may leverage their
influence to protect marketshare and revenue by denying
essential transfer agreements.
This practice not only hampersthe operation of free-standing
(46:51):
birthing centers, but also putspatient safety at risk by
creating delays in emergencysituations when swift transfers
are critical.
State regulations may allowthis kind of economic
suppression, enabling hospitalsto excise control over smaller
(47:12):
health care providers, likefreestanding birthing centers,
as is being done in the state ofGeorgia.
Like freestanding birthingcenters, as is being done in the
state of Georgia, however, afederal mandate, such as those
provided under EMTALA, couldprevent this by ensuring that
all patients, regardless oftheir location or the facility
they initially visit, haveguaranteed access to emergency
(47:36):
services.
Federal intervention coulddisallow economically motivated
restrictions, focusing insteadon patient welfare, by mandating
that freestanding birthingcenters have fair access to
hospital support when needed forurgent care.
This dynamic highlights theimportance of federal oversight
(48:40):
to prevent monopolisticpractices in health care
landscape for expectant mothersand families, especially in
rural and underserved areas, aswe are in Forsyth Georgia, so
comparing the two candidates.
Trump's state-centered modelallows states to customize
health care policy, but it oftenleads to a fragmented system
with varying levels of access,as we see in Forsyth Georgia.
Harris's approach, on the otherhand, seeks to establish
(49:01):
federal standards that provideconsistent health care
protections for all women,reflecting ACOG's stance on the
importance of nationwide accessto reproductive health care.
Why does this matter?
A woman's right to health careshould not be determined by her
zip code.
Federal protections ensure thathealth care access and quality
(49:25):
are consistent across thecountry, supporting the dignity,
health and autonomy of allwomen, regardless of location.
List of location.
And then number 11, the lastbut not the least, the long-term
impact on generations of women.
So Donald Trump's approach tohealthcare emphasizes state
(49:47):
control and free marketprinciples, prioritizing
individual choice andmarket-driven solutions over
federal intervention.
This model promotes personalresponsibility and local
governance, but can limit accessto affordable health care
options for vulnerablepopulations, including women who
(50:09):
rely on comprehensivereproductive and mental health
services.
Supporters argue that thisapproach can reduce government
intervention and allowinnovation in the private sector
, but it risks leaving somewomen with fewer protections and
fewer options for essentialservices.
Kamala Harris, in contrast,advocates for federal
(50:33):
protections and expanded accessto health care, particularly in
reproductive and mental health.
Her platform seeks to ensurethat essential health care
services are accessible andaffordable for all women,
including those in marginalizedcommunities.
Harris's focus on comprehensivecare, especially in areas like
(50:56):
maternal and mental health,aligns with the American College
of OBGYN's recommendations toaddress longstanding gaps in
women's health.
This approach aims to shape ahealthcare system that provides
security and support forgenerations of women, ensuring
that future mothers, sisters anddaughters can access the care
(51:20):
they need.
So, comparing the twocandidates, trump's policies
prioritize limited governmentinvolvement, emphasizing free
market choices and local control, while Harris' approach centers
on federal protections,affordability and expanded
access.
Trump's model may offerflexibility, but Harris's
(51:43):
approach is aimed at creating aconsistent, equitable healthcare
framework that serves all women, especially those facing
economic and geographic barriers.
And why does this matter?
The health care policies chosentoday will shape the future for
generations of women.
This election is pivotal indefining a legacy of health care
(52:09):
that provides support, choiceand security for mothers,
daughters, granddaughters andfuture women, who deserve a
strong foundation of health andwell-being.
So the key takeaway for voterson women's health in the 2024
election number one onreproductive rights, kamala
(52:31):
Harris supports nationalabortion protections, advocating
for federal consistency thatensures all women have access to
abortion services, regardlessof location or income.
Hastan's aims to protect womenacross socioeconomic background,
providing both affluent andlow-income women with more
(52:55):
consistent access to care.
Donald Trump prefers astate-regulated approach,
aligning with restrictivemeasures like Project 2025 and
the Comstock Act, which makeabortion access more difficult,
particularly impacting womenwith fewer financial resources
(53:15):
who cannot afford to travel forservices.
So comparing both of themHarris's policies provide
nationwide protections, whileTrump's approach results in
varied access depending on statelaws.
And this matters becauseconsistent access to
reproductive rights ensures thatall women have autonomy over
(53:38):
their health care, regardless ofgeographic or economic barriers
.
On health care access, kamalaHarris works to expand the
Affordable Care Act and Medicaid, aiming to make health care
affordable and accessible for awider range of women.
Her support for federalinvolvement ensures that women,
(53:58):
especially in lower incomebrackets, receive essential care
.
Donald Trump has focused onmarket-driven health care
solutions, reducing federalcontrol and emphasizing price
transparency and competition.
However, his efforts to repealthe Affordable Care Act would
(54:19):
reduce access to key health careservices for low-income women
who rely on Affordable Care Actprotections.
So, comparing the twocandidates Harris's approach
broadens access to affordablecare, while Trump's reduces
federal oversight, potentiallylimiting essential coverage.
(54:40):
And this matters becauseaccessible health care enables
women to make informed decisionsfor themselves and their
families without financialstrain.
On maternal health, kamalaHarris prioritizes addressing
racial and socioeconomicdisparities in maternal health,
(55:00):
particularly benefitinglow-income and minority women.
Her support for the MaternalCare Act aims to improve
maternal outcomes acrosscommunities.
Donald Trump's policies havenot emphasized maternal health
reform.
Policies have not emphasizedmaternal health reform, although
(55:23):
his administration did pass thePreventing Maternal Deaths Act
to create review committees onmaternal mortality.
So, while Trump'sadministration established a
framework for studying maternalhealth, harris's policies aim
for comprehensive reform,particularly targeting
vulnerable communities.
And this matters becauseequitable maternal health
(55:43):
ensures that all women have safe, quality care throughout
pregnancy and postpartum,reducing racial and
socioeconomic health disparities.
On contraception access, kamalaHarris advocates for accessible
and affordable contraception,including over-the-counter birth
(56:03):
control and federal policiesthat remove out-of-pocket costs,
making contraception morewidely available, though
over-the-counter birth controlcan be clinically problematic.
Control can be clinicallyproblematic.
Donald Trump permittedemployers to deny contraception
coverage based on religious ormoral grounds, reducing access
(56:25):
for some women, especially thosedependent on employer-based
insurance.
So, comparing the twocandidates, harris supports
broad contraceptive access,while Trump's policies place
more control in employers' hands, potentially limiting coverage.
And this matters becauseaffordable access to
(56:46):
contraception allows womenautonomy over family planning
and personal health, regardlessof employment status.
On rural health care access,kamala Harris supports permanent
telehealth expansion toincrease rural healthcare access
, helping address logistical andfinancial barriers.
(57:09):
Her policies ensure that womenin remote areas can access
specialists without needing totravel.
Donald Trump's administrationexpanded telehealth temporarily
during COVID-19 pandemic, butdid not prioritize permanent
support for telehealthpost-pandemic.
And, comparing the twocandidates, harris advocates for
(57:31):
lasting solutions in ruralhealthcare, while Trump's
approach was more temporary.
And why does this matter?
While Trump's approach was moretemporary, and why does this
matter?
Reliable telehealth access inrural areas and even in urban
areas can transform healthcarefor women who may otherwise lack
access to timely medicalattention.
And then on the issue oftechnology in healthcare, kamala
(57:53):
Harris promotes telehealth as alasting feature in healthcare,
improving access to care forwomen across various locations.
Donald Trump supportedtelehealth expansion during the
pandemic, though his approachwas limited to short-term
emergency responses.
And, comparing the twocandidates, harris views
(58:16):
telehealth as a permanentsolution, aligning with ACOG's
endorsement of telehealth toreduce healthcare disparities.
And why does this matter?
Technology like telehealthsupports women's access to care
by overcoming geographic andfinancial barriers, particularly
for those in underservedregions.
(58:39):
The references that we usednumber one the American College
of Obstetricians and Gynecology,acog.
Number two KFF Women VotersRevisited Abortion, inflation
and Healthcare in 2024,available at wwwkfforg.
Available at wwwkfforg.
(59:05):
Number three the CommonwealthFund Healthcare on the Ballot in
2024, available atwwwcommonwealthfund.
Brookings Institution AbortionRights in the 2024 Election
available at wwwace-usaorg.
(59:27):
Healthy Women, where KamalaHarris and Donald Trump Stand on
Women's Health Issues,available at wwwhealthywomenorg.
(59:53):
And my final thoughts as weapproach the 2024 election, it
is evident that Kamala Harrisand Donald Trump offer distinct
visions for women's health care,their policies on reproductive
health, reproductive rights,health care access, maternal
(01:00:14):
health and more present voterswith contrasting choices that
will shape the future healthcare landscape.
Maternal health and morepresent voters with contrasting
choices that will shape thefuture health care landscape for
generations.
Each voter must reflect ontheir values to determine which
candidate aligns best with theirviews on women's health care.
It is my hope that the nextadministration will do
(01:00:36):
everything they promised theywould do and will work actively
to improve health care access,equity and quality for all women
across the country.
So to our listeners out there,thank you for listening to
CocoaPods podcast.
Stay informed, ask questionsand hold leaders accountable.
My name is Dr Bola Sogade.
Thank you, thank you.
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