June 10, 2025 • 27 mins
The One Big Beautiful Bill is a reconciliation bill which passed the House and has moved on to the Senate. Included in this bill are provisions that would defund Planned Parenthood, threaten health insurance access, undermine access to abortion and gender-affirming-care nationwide, and raise costs on working families. Ianthe Metzger, Senior Director, Advocacy Communications at Planned Parenthood, sits down to talk with us about this insidious bill and how it, among other things, threatens the care Planned Parenthood provides.
Defunding Planned Parenthood, which refers to cutting the provider out of the Medicaid program, would threaten access to cancer screenings, STI testing and treatment, prescription services, abortion care, and more across the country. In fact, a new analysis shows that, if the bill passes, nearly 200 health centers across the country would have to close, and 1.1 million people who depend on Planned Parenthood for a spectrum of care would be forced to look elsewhere.
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Episode Transcript
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(00:03):
Welcome to rePROs Fight Back, a podcast on all things related to sexual and reproductive health, rights, and justice. [music intro]Hi rePROs, how's everybody
doing?
I'm your host...
y'all my brain is strugglingtoday...
I'm your host Jennie Wetter andmy pronouns are she/ her.
Happy pride, y'all! I hopeeverybody's pride is off to a
(00:26):
wonderful start and that you'reable to find joy celebrating in
your community I know there is alot happening right now and
it's really heavy with so manyattacks on LGBTQ rights
particularly on trans rightsright now and there's so much
that we need to be keeping aneye on and fighting back against
but I hope you were able tofind the joy in celebrating with
(00:47):
your community and able tocontinue joyfully into the
fight.
You know, they want us to losehope and be frustrated and be
hopeless and celebrating andfinding joy is something that
they don't want us to have.
So, I hope everybody is able tobe joyful warriors to continue
to go forward and fight so hardfor the LGBTQ + community and to
(01:12):
continue to fight to ensurethat they are able to exercise
all of their rights.
Yeah.
So, just thinking of that thismonth and hoping people find the
peace and joy they need andcelebrating with their community
and that we are all energizedto keep up the fight against all
of the many ways that LGBTQrights are under attack right
(01:34):
now.
Let's see.
Also, I wanted to give a huge,huge thank you to some of the
people who reached out to meabout suggestions for films with
abortion storylines that Iasked for last week.
So, I really appreciate it,y'all.
Thank you.
Thank you.
Thank you.
Thank you.
If you didn't reach out and youhave some ideas, please feel
(01:54):
free.
I'm still open to suggestions.
You can email me at jennie@reprosfightback.com.
Feel free to reach out onsocial.
I'll see it there too.
Somebody also commented on theYouTube video.
I also see that, so...
Please feel free to reach outin any way you would like.
I always love to hear fromy'all.
(02:15):
If you have an episode topicyou would like us to cover, I
would also love to hear that aswell.
I want to make sure that we aregiving you the information that
you want and need.
So, if there's something inparticular that I haven't talked
about or something I haven'ttalked about in a while, please,
please, please shoot me a noteanytime.
I want to make sure that I amgiving you the tools you need to
(02:37):
continue fighting.
There's a lot going on rightnow and so much to keep an eye
on.
We're keeping an eye onCongress and the reconciliation
package.
We're going to be talking aboutthat in episode today.
There's so many terrible thingsin that bill.
We're not going to be able totalk about all of them, but
we're going to talk about someof them.
It is also, as Boom! Lawyeredsays, sweaty SCOTUS season.
(03:00):
It's that time of year becauseit's June where our all eyes
turn to the Supreme Court, wherewe are waiting for them to hand
down decisions in a number ofcases that we are keeping an eye
on.
We will have episodes up assoon as possible after decisions
on ones we have been keeping aneye on.
I know particularly this PrideMonth, I'm really worried about
(03:22):
this Skrmetti decision and whatthat would mean for gender
affirming care.
Yeah, just...
would really hate to see themattack trans rights at any time,
but also particularly duringPride.
So, this is just a lot to keepan eye on at the moment.
Also keeping an eye on whatit's going to mean, the Biden
(03:46):
administration's clarificationson EMTALA, the Emergency Medical
Treatment and Active Labor Act,which says that if you, among
other things, if you show up andan emergency room and you need
care and you're pregnant and thecare you need to save your life
and health is an abortion thatthe hospital has to provide it
(04:09):
for you.
The Trump administration istrying to say that that is not
true, that if states have bannedabortion, they don't need to
provide that care.
Let's just be clear.
That means people will die.
That is unacceptable.
So, we need to be keeping aneye on how what is going to
happen with that.
(04:29):
I'm sure we'll talk about it onthe podcast sometime in the
near future.
I know we've talked about him alot.
There's been a lot happening onit.
This year, so, you know, wewill maybe put it in like a grab
bag episode so we're not justdoing an all EMTALA episode
again because, yeah, there hasjust been a lot around EMTALA
(04:51):
happening.
But it is important because,again, it's basically saying
that you should let people dierather than getting life-saving
abortion, which is...
horrifying.
It is horrifying and shouldnever be the case.
Let's see.
I think those are most of thebig things I wanted to talk
about.
I guess the other thing, justbecause I always try to be open
(05:13):
and talk about when it'shappening, my anxiety is a
little high right now.
And in particular, it ismanifesting where...
my inner voice, I always talkabout my inner Statler and
Waldorf who are sitting thereand always constantly critiquing
me are particularly loud rightnow.
(05:33):
And part of being better aboutdealing with it is acknowledging
it's happening and that I don'tneed to listen to them.
They are not right.
They are not right about me.
They're just noise in thebackground.
And so, I'm trying really hardto push them the background
(05:54):
right now, but as I'm recordingthis today, they are very, very
loud.
So just acknowledging it andsaying it out loud does actually
help for me a little bitbecause it's just making it very
clear that that's all that is.
It's just noise.
It is not true.
My anxiety is lying to me.
So just, I always try to beopen about it here because I
(06:17):
know a lot of people strugglewith it.
So it is something I just wantto make clear that there are
harder days and today is one ofthose days.
I'm fine.
Nothing is wrong.
It's not a big problem, butthey're just particularly loud
and I need them to recede backinto the background a little bit
(06:41):
instead of being in theforeground where they are at the
moment.
So yeah, I think those are allthe big things I had to talk
about today.
I am very excited for thisweek's episode.
Like I said earlier, we aregoing to be talking a bit about
the reconciliation bill.
In particular, we're going tobe talking about defunding
Planned Parenthood and what thatwould mean.
And I am very excited to havewith me today Ianthe Metzger
(07:05):
with the Planned Parenthood totalk about the reconciliation
bill and what it would mean todefund Planned Parenthood.
So with that, let's go to myinterview with Ianthe.
Ianthe, thank you so much forbeing here today.
Ianthe (07:20):
Thank you, Jennie.
I'm really happy to be here.
Jennie (07:22):
Before we get started, do you want to take a second and
introduce yourself and includeyour pronouns?
Ianthe (07:27):
Sure.
So, my name is Ianthe Metzger.
I am the Senior Director ofAdvocacy Communications at
Planned Parenthood.
I use she /her pronouns, andI've been with the org for about
four years.
Jennie (07:36):
Great.
I'm so excited to have youback.
There is a lot going on, but Ifeel like a lot of it is
centered around this big billthat is working through in the
Senate right now.
And, like, I always feel like Iam dumber when I, like, say the
name.
But, like, it's called the BigBeautiful Bill.
It, like, hurts my soul to sayit.
Ianthe (07:55):
Yes.
Jennie (07:56):
But can tell us a little bit, like, what is this bill?
Ianthe (07:59):
Yes.
So the Big Beautiful Bill, perTrump's naming, it passed the
House last month.
And it's now with the Senate,as you said.
And it is a reconciliation billthat they are trying to pass
online.
with a simple majority in bothchambers, and it is jam-packed
with a bunch of cruel provisionsin it.
It is more than 100 pages oftext.
There are provisions that woulddefund Planned Parenthood, and
(08:21):
we can talk more about what thatmeans.
Also, just to rip away people'shealth insurance, to undermine
access to abortion andgender-affirming care
nationwide.
And it also includes a raft ofprovisions that would raise
costs on working families,undermine the rule of law, and
so much more.
So it really is an awful bill,and we are sounding the alarm so
people know what's in it andwhat's at stake.
Jennie (08:40):
Yeah, there's so much terrible in it that it feels
like it's hard to focus on anyone thing because there are just
so many parts that are bad andare going to have real impacts
on people's lives.
But we're going to focus todayon the Planned Parenthood part.
And I think really important tonote when we talk about it is:
(09:01):
I think a lot of people thinkwhen they say that, that there's
like this big bucket of moneythat says Planned Parenthood.
What does it actually mean todefund Planned Parenthood?
Ianthe (09:10):
Yes.
So Planned Parenthood is not aline item in the budget.
We basically have hundreds ofhealth centers across the
country that provide basicreproductive health services
like cancer screenings, birthcontrol, STI testing and
treatment.
And we have many patients thatare on
Medicaid and we are reimbursed for their services through the government Medicaid program.
So, defunding Planned Parenthood would mean cutting us out of that program, which would mean us not being able to provide those services to our patients, and in many cases, being forced to shut down. If this bill passes, we did a new analysis that found nearly 200 of our health clinics across the country would have to close or 1.1 million people would come to us be forced to find somewhere else for care. So, it would be really, really devestating.
Jennie (09:29):
Yeah, I think it's so important for people to
understand like whatan important role Planned Parenthood plays, particularly for people on Medicaid, for accessing reproductive healthcare. Often, their only point of contact with the healthcare system. Could you maybe explain that a little bit? Because I think people maybe don’t have quite the full picture on what that means.
Ianthe (10:17):
Planned Parenthood health centers are like 64% of
them are in areas that aremedically underserved or rural
and just don't have anothermedical provider.
So if we are kicked out ofMedicaid, if we are forced to
shut down, people would haveliterally nowhere to go.
And to your point, it is thefirst point of entry for many
people, you know, like to getbirth control and then they get
a wellness exam at the sametime.
(10:38):
So it's the first time they'reseeing a doctor or the only time
they're seeing a doctor.
So it would be really, reallydetrimental to communities
across the country.
But another thing that we arereally trying to make a really
salient point here is that, youknow, if these health centers
are forced to shut down, thatdoesn't mean that only like STI
testing, cancer screenings andall those important things are
being taken away.
That also means that that'sless clinics that can provide
(11:00):
abortion.
So they're also eliminatingabortion with this bill.
And we've been calling it abackdoor abortion ban.
We've been also sounding thealarm that in areas where we
would be forced to close, mostof them, 90% of those clinics
would be in states whereabortion is already protected.
So it really would cut accessacross the board for all
services, including abortion.
And that is the goal.
(11:20):
That is the intent of the bill.
And it's really dangerous.
Jennie (11:23):
So I think it's really also important to note the
important role PlannedParenthood plays in that they
would create a big gap in thesystem if they were not able to
see Medicaid patients.
One, not all providers seepatients with Medicaid.
There's often low reimbursementrates, so not all doctors take
Medicaid patients.
And that's a really importantrole that Planned Parenthood
(11:45):
fills because they do seepatients with Medicaid.
And Planned Parenthood is anexpert in sexual and
reproductive health services.
This is what they do.
They are able to see morepatients and have more family
planning appointments.
They provide a complete rangeof family planning options that
not all local doctors mayhave; they may not have the
(12:09):
expertise in IUD insertion orother things that Planned
Parenthood has because this iswhat they do all day, every day.
So if Planned Parenthood is nolonger able to see Medicaid
patients, there is going to be areally big gap that may not be
able to be absorbed, right?
Because the doctor first maynot offer a full range of family
(12:31):
planning services.
They may only have certainmethods.
They may not have expertise inall of the methods, but also
they may not accept Medicaid.
So, that will leave thesepatients without somewhere to
turn to for care.
Ianthe (12:43):
Yes, it'll be harder.
Wait times will be longerbecause yes, I mean, Planned
Parenthood, more than half ofour patients are Medicaid
patients or recipients of TitleX, which is another federal
family planning program that isunder attack right now.
And Guttmacher Institute justdid a report that really showed
that the providers that existare not able to fill the gap if
Planned Parenthood healthcenters shut down.
(13:04):
There's a lot of proof of thisin states where we've been
defunded at the state level,like in Texas.
There's a lot of evidence thatshows that when Planned
Parenthood is kicked out ofthese communities, patients
suffer.
We know that STI go untreated,cancer screenings go undetected.
There is real evidence to that.
So it's really, really criticalthat we do everything we can to
stop this bill.
Jennie (13:22):
Okay.
And so, you started to mentionhow this would impact abortion
access, but maybe we want tofocus a little bit on that as
well.
Because in theory, this billdoesn't have anything to do with
abortion.
It doesn't call out abortion oradd any restrictions.
But as you said, it's going toimpact clinics that are open in
states where abortion is legal,and those clinics may be
(13:43):
providing abortion.
Ianthe (13:44):
Yeah, exactly.
I mean, this bill is a backdoorabortion ban.
Rather than try to makeabortion illegal nationwide,
because we know that'sincredibly unpopular, they're
doing everything they can tomake it as impossible to access.
So Planned Parenthood is beingtargeted for so-called defunding
because our health centersprovide abortion, and we're
proud to do so.
And we're being punished forit.
(14:05):
And in the process, they'repunishing millions of people
across the country.
And I think that that is areally important aspect of the
bill that is not being talkedabout enough.
So, beyond the defundingprovision in the bill, there's
also a measure that aims toeliminate health insurance
coverage for abortion under theAffordable Care Act.
So, they're coming from it atall angles.
And as you said, you know,abortion is not specifically
(14:28):
what it's targeting, but that isthe intent.
And that is the impact thatwe're going to see if this bill
is passed and signed into law.
Jennie (14:36):
Yeah.
And I always think it's alwaysimportant to note that none of
this is happening in a vacuum,right?
You already mentioned theattacks on Title X that we're
seeing that are also going toare impacting Planned Parenthood
affiliates.
There There's the Supreme Courtcase that y'all are waiting to
hear the decision on.
There's restrictions mife thatcould be happening.
(14:58):
There are so many ways thatthere are threats to accessing
care in the atmosphere right nowthat any one of them could
cause really detrimental impactsfor access to sexual and
reproductive health care.
Ianthe (15:12):
Yes.
And in the past week alone,there's been a lot of news on
the abortion access front.
We have this bill as we'retalking about, but I mean, you
mentioned the mifepristone thingwhere the FDA commissioner has
said how they are going toreview the safety and efficacy
of Mifepristone, which is insanebecause this is a drug that has
been studied and peer reviewedand been taken by 7.5 million
(15:35):
people across the country forsafe termination of pregnancies.
And this week, the Trumpadministration also rescinded
guidance on the EmergencyMedical Treatment and Active
Labor Act, EMTALA, which hasbeen known for 30 years to mean
that if apregnant people is experiencing a medical emergency and the cure
(15:56):
for that is an abortion, theyhave a right to an abortion.
The Trump administration saysthat's not true and that in
states where abortion is banned,you are out of luck if you are
pregnant and you are bleeding.
So a lot of really awful newshappened this week that we are
tracking, but you're right.
This is not happening in avacuum.
This is the goal.
It's a long, coordinated effortto come for our rights on all
(16:17):
fronts from all angles.
Jennie (16:19):
So the bill has the part about defunding Planned
Parenthood, but that's not theonly attack on healthcare that
we're seeing in that bill.
There are huge attacks onMedicaid.
Do you want to maybe tell us alittle bit about kind of the
overall attack on Medicaid?
Ianthe (16:32):
Yes.
So this bill guts Medicaid andObamacare health plans, and that
will lead to roughly 60 millionpeople, low or moderate
incomes, losing their healthinsurance.
I mentioned the piece about howit eliminates health insurance
coverage for abortion care.
It also adds a lot ofbureaucratic red tape to
Medicaid.
So there's things like workrequirements and eligibility
(16:54):
checks that will all make itharder for
people to get coverage and keep it. It charges people with Medicaid more out of pocket money to see a doctor or pick up a prescription. And it also ends the incentives for states to expand Medicaid and blows up state budgets by limiting the state’s ability to use provider taxes to fund their portions of Medicaid care. So it's just across the board, veryawful, which is why, you know,
(17:19):
of course we want the defundprovision to be taken out.
But, you know, we want the billto be dead like that because
it's so harmful.
And as I've also already saidso many of our patients are on
Medicaid and this is going toreally, really impact their
ability to get care from us orfrom any provider.
Jennie (17:34):
I think there's like one of those things that is so
insidious about some of thesethings is there are things that
on their face may soundreasonable if you like don't go
below like the inch of thesurface, right?
Like, where you hear about thework requirements, right?
Like, you're like, oh yeah,that makes sense.
Like, people need to work toget health insurance.
(17:56):
Like, of course, like you can'tjust be lazy, whatever's like
back to like the racist, like'welfare queen' like stuff.
So I think that people have alot of that image and like, but
when you like actually look atwork requirements and what they
do, like it is so much moreharmful than that.
Ianthe (18:15):
Yeah.
There's this idea that peoplewho support this bill are trying
to push about 30 year oldliving in his parents' basement,
playing video games all day onMedicaid and how he needs to get
a job.
But you know, there's beenresearch that shows that the
people who are impacted is asingle mother of two kids who
is, like, you know, trying toget by like those are the people
who are impacted when you addthese restrictions.
And so we really need to do alot of debunking of who the
(18:38):
Medicaid patient is, because forsome reason that really
insidious wrong narrative hasreally persisted.
And it's just not t rue.
(19:14):
Yeah, there is something about the messaging with so many of these…like, we see it with abortion and all of these things or even with gender affirming care, where you get this top-level narrative where if you don’t question it, it feels like it makes sense, but when you dig in, you’re like no wait this is actually just trying to ban care or whatever instead of trying to help people.
Yeah, no, 100%.
I feel like, and they don'twant us to question it.
They just want us to takeeverything at face value, to
ignore our lived experiences,ignore the people that we know,
and just assume that whatthey're doing is in our best
interest.
But we know that's not thecase.
We know that bills like thisare really cutting health
services for people with lowincomes just to give tax cuts
(19:35):
for the ultra wealthy.
And that is really who they'relooking out for, not for the
average person.
And that's why average people,everyday people like us need to
speak out and pay attentionto what's happening.
Jennie (19:45):
Is there anything else in the reconciliation bill that
you're keeping an eye on?
Ianthe (19:50):
Yes.
So , we are also looking at theattacks on gender-affirming
care in the bill.
So it does target the health oftrans people by stripping away
their access to this medicallynecessary care.
And it's for people across theboard, minors, adults, like
anybody.
So that is awful, of course,but we know that, you know, the
trans community continues to seea spate of attacks across the
(20:11):
board.
And it also strips insurancecoverage for children and
families by punishing statesthat use Medicaid funds to cover
immigrants, including folksthat are in DACA that are
participating in the ACAmarketplace.
So again, two groups that folkslike to demonize, immigrants
and transgender people, they arealso going to bear the brunt of
harm when it comes to this.
Jennie (20:33):
Yeah, when I see the stuff on gender affirming care
in this bill, it takes me backto abortion restrictions and
seeing how [lawmakers] said,"oh, we just want to make sure
that the young people areprotected and aren't being taken
advantage of." And so, you sawthe parental consent laws and
(20:53):
stuff with abortion, but itnever stopped there, right?
It wouldn't go to attack accessfor everybody.
And have been seeing so manytrans advocates and people
trying to explain to people thatit was never going to stop with
bans on young people.
It was always going to comeafter access for everybody.
(21:13):
And so this was a real clearsign to show that, yeah, they
are coming to block everybodyfrom getting gender-affirming
care.
Ianthe (21:21):
Yeah, for years, anti-trans folks have used the
anti-abortion playbook to pushtheir agenda, starting with
targeting young people's abilityto get care.
And, you know, this provisionin this bill that would ban
plans from coveringgender-affirming care, that is
basically a Hyde Amendment forgender-affirming care.
And the Hyde Amendment, as I'msure your audience knows,
(21:43):
prohibits the use of federalfunds for abortion, except in
very extreme circumstances.
And they're doing the samething with gender-affirming
care.
So it's the same playbook, thesame lies, and...
this is the point.
They've been successful andthey're going to keep trying to
push it, but we have to pushback.
Jennie (21:57):
Yeah, I feel like that's one of the provisions that
unless you're following likereally specific reporters,
particularly trans reporters, Ifeel like that bit has really
gotten lost in the coverage.
Ianthe (22:09):
Yeah, 100%.
And it's so disturbing becauseI feel like attacks on trans
people are continuing to blowup, but when we see these
tangible policy changes, they'renot getting enough attention.
But at the same time, peoplehave this warped sense of the
transgender community.
There's polling that showedthat people think that 25% of
(22:31):
people are transgender, which isnot true.
They just don't understand howthis community works because
it's been so demonized and beenso talked about in a way that is
negative.
But when it comes to theseactual policy issues, they're
flying under the radar, as yousaid.
Jennie (22:45):
Okay, so where are we at in the process right now?
And I guess we should say we'rerecording this on Friday, June
6th, in case something weirdhappens before this comes out on
Tuesday.
Ianthe (22:56):
Yes, so around May 21st or 22nd is when the House passed
their version of this bill.
So it is now with the Senate.
We are hearing that the Senateis hoping to pass their own
version or maybe this exactversion before 4th of July.
So, we have about three weeksto really dig in and, you know,
(23:19):
talk to our senators, ourlawmakers about why this bill is
harmful.
There's going to be a shortrecess during that time around
Juneteenth where folks will beback in their districts.
And hopefully that's a placewhere, you know, we can have
constituents talk to themdirectly.
But again, we have about threeweeks if they stick to their 4th
of July timeline.
It seemed impossible for theHouse to pass before Memorial
(23:42):
Day, given all the infighting,but they did it.
So never underestimate thesefolks.
But that is a timeline thatwe're working with at Planned
Parenthood for sure.
Jennie (23:50):
So we saw there are really bad provisions that we
would love to see come out, butI think the bigger ask is...
that we want it to just likekill this bill, right?
Ianthe (24:01):
Yeah, we want, this bill is awful all around.
And that is our goal.
You know, we have, we ofcourse, are a reproductive
rights org and are focused onthose issues, but you know, as I
said, the impact on immigrantsand LGBTQ communities is awful.
So we're, you know, standing inlockstep with our partners to
try to get this bill rejected.
I don't know if people know orremember in 2017 when there was
(24:23):
another reconciliation billabout to be passed, where they
were going to defund Obamacare.
There was a PPD fund provisionin there.
And it was John McCain's thumbsdown that killed the bill.
And he didn't kill itnecessarily because he supported
Planned Parenthood, but hekilled the bill.
And we're hoping for anotherhallelujah moment like that to
come.
But I think that we're doingeverything we can to talk to the
(24:46):
right people about the harm inmany purple and red states.
So there's a lot, I think, thatwe can hopefully find common
ground on and work with theright people to get this bill
rejected.
But yeah, there's a lot that wecan still do.
Jennie (25:01):
Okay, so now that our audience is informed and knows
what's in this bill and that itneeds to go, like: how can the
audience get involved in thisfight?
Ianthe (25:10):
Really, it really is about calling your elected
officials, calling yoursenators, telling your story,
making sure they understandwhat's at stake.
You know, if you are a personwho relies on Medicaid, if
you're if you did at one point,if you have family members to do
like talking about it, Medicaidis a huge program, you know,
many Americans, millions ofpeople will be impacted by this
(25:30):
bill.
And I'm sure many of yourlisteners are those people.
So it really is talking aboutit to your friends, getting
educated, calling your senators,and showing up for events.
Like I said, there's going tobe a recess around Juneteenth.
And I'm sure that many localorganizations in key states will
be having events.
I know that our affiliates arehoping to do so.
Showing up to those and holdingyour lawmakers' feet to the
(25:52):
fire.
They were elected to representus.
And it's important that theyknow where their constituents
and stand on the issues.
Jennie (25:58):
Thank you so much for being here.
It was so great to talk to youabout everything that is going
on right now.
Ianthe (26:04):
Yeah, this was a great conversation.
Thank you for having me.
And I hope that people getinvolved and stay engaged.
Jennie (26:09):
Okay, y'all.
I hope you enjoyed myconversation with Ianthe.
It was so wonderful to get totalk to her about the attacks on
Planned Parenthood, but alsokind of the full grab bag of
terrible things that are in thisbill and why it needs to be
killed.
It needs to go away.
Yeah, I hope everybody has achance to reach out to their
(26:32):
congressperson to let them knowthat they need to oppose this
bill and that we can stop itfrom happening because, like I
said, there is just a grab bagof terrible in there.
And with that, I will seeeverybody next week for the next
in our series on abortion laterin pregnancy.
[music outro] If you have any questions, comments, or topics you would like us to cover, always feel free to shoot me an email. You can reach me at jennie@reprosfightback.com or you can find us on social media. We're at @RePROsFightBack on Facebook and Twitter or @reprosfb on Instagram. If you love our podcast and wanna make sure more people find it, take the time to rate and review us on your favorite podcast platform. Or if you wanna make sure to support the podcast, you can also donate on our website at reprosfightback.com. Thanks all!
Welcome to rePROs Fight Back, a podcast on all things related to sexual and reproductive health, rights, and justice. [music intro]Hi rePROs, how's everybody
doing?
I'm your host...
y'all my brain is strugglingtoday...
I'm your host Jennie Wetter andmy pronouns are she/ her.
Happy pride, y'all! I hopeeverybody's pride is off to a
(00:26):
wonderful start and that you'reable to find joy celebrating in
your community I know there is alot happening right now and
it's really heavy with so manyattacks on LGBTQ rights
particularly on trans rightsright now and there's so much
that we need to be keeping aneye on and fighting back against
but I hope you were able tofind the joy in celebrating with
(00:47):
your community and able tocontinue joyfully into the
fight.
You know, they want us to losehope and be frustrated and be
hopeless and celebrating andfinding joy is something that
they don't want us to have.
So, I hope everybody is able tobe joyful warriors to continue
to go forward and fight so hardfor the LGBTQ + community and to
(01:12):
continue to fight to ensurethat they are able to exercise
all of their rights.
Yeah.
So, just thinking of that thismonth and hoping people find the
peace and joy they need andcelebrating with their community
and that we are all energizedto keep up the fight against all
of the many ways that LGBTQrights are under attack right
(01:34):
now.
Let's see.
Also, I wanted to give a huge,huge thank you to some of the
people who reached out to meabout suggestions for films with
abortion storylines that Iasked for last week.
So, I really appreciate it,y'all.
Thank you.
Thank you.
Thank you.
Thank you.
If you didn't reach out and youhave some ideas, please feel
(01:54):
free.
I'm still open to suggestions.
You can email me at jennie@reprosfightback.com.
Feel free to reach out onsocial.
I'll see it there too.
Somebody also commented on theYouTube video.
I also see that, so...
Please feel free to reach outin any way you would like.
I always love to hear fromy'all.
(02:15):
If you have an episode topicyou would like us to cover, I
would also love to hear that aswell.
I want to make sure that we aregiving you the information that
you want and need.
So, if there's something inparticular that I haven't talked
about or something I haven'ttalked about in a while, please,
please, please shoot me a noteanytime.
I want to make sure that I amgiving you the tools you need to
(02:37):
continue fighting.
There's a lot going on rightnow and so much to keep an eye
on.
We're keeping an eye onCongress and the reconciliation
package.
We're going to be talking aboutthat in episode today.
There's so many terrible thingsin that bill.
We're not going to be able totalk about all of them, but
we're going to talk about someof them.
It is also, as Boom! Lawyeredsays, sweaty SCOTUS season.
(03:00):
It's that time of year becauseit's June where our all eyes
turn to the Supreme Court, wherewe are waiting for them to hand
down decisions in a number ofcases that we are keeping an eye
on.
We will have episodes up assoon as possible after decisions
on ones we have been keeping aneye on.
I know particularly this PrideMonth, I'm really worried about
(03:22):
this Skrmetti decision and whatthat would mean for gender
affirming care.
Yeah, just...
would really hate to see themattack trans rights at any time,
but also particularly duringPride.
So, this is just a lot to keepan eye on at the moment.
Also keeping an eye on whatit's going to mean, the Biden
(03:46):
administration's clarificationson EMTALA, the Emergency Medical
Treatment and Active Labor Act,which says that if you, among
other things, if you show up andan emergency room and you need
care and you're pregnant and thecare you need to save your life
and health is an abortion thatthe hospital has to provide it
(04:09):
for you.
The Trump administration istrying to say that that is not
true, that if states have bannedabortion, they don't need to
provide that care.
Let's just be clear.
That means people will die.
That is unacceptable.
So, we need to be keeping aneye on how what is going to
happen with that.
(04:29):
I'm sure we'll talk about it onthe podcast sometime in the
near future.
I know we've talked about him alot.
There's been a lot happening onit.
This year, so, you know, wewill maybe put it in like a grab
bag episode so we're not justdoing an all EMTALA episode
again because, yeah, there hasjust been a lot around EMTALA
(04:51):
happening.
But it is important because,again, it's basically saying
that you should let people dierather than getting life-saving
abortion, which is...
horrifying.
It is horrifying and shouldnever be the case.
Let's see.
I think those are most of thebig things I wanted to talk
about.
I guess the other thing, justbecause I always try to be open
(05:13):
and talk about when it'shappening, my anxiety is a
little high right now.
And in particular, it ismanifesting where...
my inner voice, I always talkabout my inner Statler and
Waldorf who are sitting thereand always constantly critiquing
me are particularly loud rightnow.
(05:33):
And part of being better aboutdealing with it is acknowledging
it's happening and that I don'tneed to listen to them.
They are not right.
They are not right about me.
They're just noise in thebackground.
And so, I'm trying really hardto push them the background
(05:54):
right now, but as I'm recordingthis today, they are very, very
loud.
So just acknowledging it andsaying it out loud does actually
help for me a little bitbecause it's just making it very
clear that that's all that is.
It's just noise.
It is not true.
My anxiety is lying to me.
So just, I always try to beopen about it here because I
(06:17):
know a lot of people strugglewith it.
So it is something I just wantto make clear that there are
harder days and today is one ofthose days.
I'm fine.
Nothing is wrong.
It's not a big problem, butthey're just particularly loud
and I need them to recede backinto the background a little bit
(06:41):
instead of being in theforeground where they are at the
moment.
So yeah, I think those are allthe big things I had to talk
about today.
I am very excited for thisweek's episode.
Like I said earlier, we aregoing to be talking a bit about
the reconciliation bill.
In particular, we're going tobe talking about defunding
Planned Parenthood and what thatwould mean.
And I am very excited to havewith me today Ianthe Metzger
(07:05):
with the Planned Parenthood totalk about the reconciliation
bill and what it would mean todefund Planned Parenthood.
So with that, let's go to myinterview with Ianthe.
Ianthe, thank you so much forbeing here today.
Ianthe (07:20):
Thank you, Jennie.
I'm really happy to be here.
Jennie (07:22):
Before we get started, do you want to take a second and
introduce yourself and includeyour pronouns?
Ianthe (07:27):
Sure.
So, my name is Ianthe Metzger.
I am the Senior Director ofAdvocacy Communications at
Planned Parenthood.
I use she /her pronouns, andI've been with the org for about
four years.
Jennie (07:36):
Great.
I'm so excited to have youback.
There is a lot going on, but Ifeel like a lot of it is
centered around this big billthat is working through in the
Senate right now.
And, like, I always feel like Iam dumber when I, like, say the
name.
But, like, it's called the BigBeautiful Bill.
It, like, hurts my soul to sayit.
Ianthe (07:55):
Yes.
Jennie (07:56):
But can tell us a little bit, like, what is this bill?
Ianthe (07:59):
Yes.
So the Big Beautiful Bill, perTrump's naming, it passed the
House last month.
And it's now with the Senate,as you said.
And it is a reconciliation billthat they are trying to pass
online.
with a simple majority in bothchambers, and it is jam-packed
with a bunch of cruel provisionsin it.
It is more than 100 pages oftext.
There are provisions that woulddefund Planned Parenthood, and
(08:21):
we can talk more about what thatmeans.
Also, just to rip away people'shealth insurance, to undermine
access to abortion andgender-affirming care
nationwide.
And it also includes a raft ofprovisions that would raise
costs on working families,undermine the rule of law, and
so much more.
So it really is an awful bill,and we are sounding the alarm so
people know what's in it andwhat's at stake.
Jennie (08:40):
Yeah, there's so much terrible in it that it feels
like it's hard to focus on anyone thing because there are just
so many parts that are bad andare going to have real impacts
on people's lives.
But we're going to focus todayon the Planned Parenthood part.
And I think really important tonote when we talk about it is:
(09:01):
I think a lot of people thinkwhen they say that, that there's
like this big bucket of moneythat says Planned Parenthood.
What does it actually mean todefund Planned Parenthood?
Ianthe (09:10):
Yes.
So Planned Parenthood is not aline item in the budget.
We basically have hundreds ofhealth centers across the
country that provide basicreproductive health services
like cancer screenings, birthcontrol, STI testing and
treatment.
And we have many patients thatare on
Medicaid and we are reimbursed for their services through the government Medicaid program.
So, defunding Planned Parenthood would mean cutting us out of that program, which would mean us not being able to provide those services to our patients, and in many cases, being forced to shut down. If this bill passes, we did a new analysis that found nearly 200 of our health clinics across the country would have to close or 1.1 million people would come to us be forced to find somewhere else for care. So, it would be really, really devestating.
Jennie (09:29):
Yeah, I think it's so important for people to
understand like whatan important role Planned Parenthood plays, particularly for people on Medicaid, for accessing reproductive healthcare. Often, their only point of contact with the healthcare system. Could you maybe explain that a little bit? Because I think people maybe don’t have quite the full picture on what that means.
Ianthe (10:17):
Planned Parenthood health centers are like 64% of
them are in areas that aremedically underserved or rural
and just don't have anothermedical provider.
So if we are kicked out ofMedicaid, if we are forced to
shut down, people would haveliterally nowhere to go.
And to your point, it is thefirst point of entry for many
people, you know, like to getbirth control and then they get
a wellness exam at the sametime.
(10:38):
So it's the first time they'reseeing a doctor or the only time
they're seeing a doctor.
So it would be really, reallydetrimental to communities
across the country.
But another thing that we arereally trying to make a really
salient point here is that, youknow, if these health centers
are forced to shut down, thatdoesn't mean that only like STI
testing, cancer screenings andall those important things are
being taken away.
That also means that that'sless clinics that can provide
(11:00):
abortion.
So they're also eliminatingabortion with this bill.
And we've been calling it abackdoor abortion ban.
We've been also sounding thealarm that in areas where we
would be forced to close, mostof them, 90% of those clinics
would be in states whereabortion is already protected.
So it really would cut accessacross the board for all
services, including abortion.
And that is the goal.
(11:20):
That is the intent of the bill.
And it's really dangerous.
Jennie (11:23):
So I think it's really also important to note the
important role PlannedParenthood plays in that they
would create a big gap in thesystem if they were not able to
see Medicaid patients.
One, not all providers seepatients with Medicaid.
There's often low reimbursementrates, so not all doctors take
Medicaid patients.
And that's a really importantrole that Planned Parenthood
(11:45):
fills because they do seepatients with Medicaid.
And Planned Parenthood is anexpert in sexual and
reproductive health services.
This is what they do.
They are able to see morepatients and have more family
planning appointments.
They provide a complete rangeof family planning options that
not all local doctors mayhave; they may not have the
(12:09):
expertise in IUD insertion orother things that Planned
Parenthood has because this iswhat they do all day, every day.
So if Planned Parenthood is nolonger able to see Medicaid
patients, there is going to be areally big gap that may not be
able to be absorbed, right?
Because the doctor first maynot offer a full range of family
(12:31):
planning services.
They may only have certainmethods.
They may not have expertise inall of the methods, but also
they may not accept Medicaid.
So, that will leave thesepatients without somewhere to
turn to for care.
Ianthe (12:43):
Yes, it'll be harder.
Wait times will be longerbecause yes, I mean, Planned
Parenthood, more than half ofour patients are Medicaid
patients or recipients of TitleX, which is another federal
family planning program that isunder attack right now.
And Guttmacher Institute justdid a report that really showed
that the providers that existare not able to fill the gap if
Planned Parenthood healthcenters shut down.
(13:04):
There's a lot of proof of thisin states where we've been
defunded at the state level,like in Texas.
There's a lot of evidence thatshows that when Planned
Parenthood is kicked out ofthese communities, patients
suffer.
We know that STI go untreated,cancer screenings go undetected.
There is real evidence to that.
So it's really, really criticalthat we do everything we can to
stop this bill.
Jennie (13:22):
Okay.
And so, you started to mentionhow this would impact abortion
access, but maybe we want tofocus a little bit on that as
well.
Because in theory, this billdoesn't have anything to do with
abortion.
It doesn't call out abortion oradd any restrictions.
But as you said, it's going toimpact clinics that are open in
states where abortion is legal,and those clinics may be
(13:43):
providing abortion.
Ianthe (13:44):
Yeah, exactly.
I mean, this bill is a backdoorabortion ban.
Rather than try to makeabortion illegal nationwide,
because we know that'sincredibly unpopular, they're
doing everything they can tomake it as impossible to access.
So Planned Parenthood is beingtargeted for so-called defunding
because our health centersprovide abortion, and we're
proud to do so.
And we're being punished forit.
(14:05):
And in the process, they'repunishing millions of people
across the country.
And I think that that is areally important aspect of the
bill that is not being talkedabout enough.
So, beyond the defundingprovision in the bill, there's
also a measure that aims toeliminate health insurance
coverage for abortion under theAffordable Care Act.
So, they're coming from it atall angles.
And as you said, you know,abortion is not specifically
(14:28):
what it's targeting, but that isthe intent.
And that is the impact thatwe're going to see if this bill
is passed and signed into law.
Jennie (14:36):
Yeah.
And I always think it's alwaysimportant to note that none of
this is happening in a vacuum,right?
You already mentioned theattacks on Title X that we're
seeing that are also going toare impacting Planned Parenthood
affiliates.
There There's the Supreme Courtcase that y'all are waiting to
hear the decision on.
There's restrictions mife thatcould be happening.
(14:58):
There are so many ways thatthere are threats to accessing
care in the atmosphere right nowthat any one of them could
cause really detrimental impactsfor access to sexual and
reproductive health care.
Ianthe (15:12):
Yes.
And in the past week alone,there's been a lot of news on
the abortion access front.
We have this bill as we'retalking about, but I mean, you
mentioned the mifepristone thingwhere the FDA commissioner has
said how they are going toreview the safety and efficacy
of Mifepristone, which is insanebecause this is a drug that has
been studied and peer reviewedand been taken by 7.5 million
(15:35):
people across the country forsafe termination of pregnancies.
And this week, the Trumpadministration also rescinded
guidance on the EmergencyMedical Treatment and Active
Labor Act, EMTALA, which hasbeen known for 30 years to mean
that if apregnant people is experiencing a medical emergency and the cure
(15:56):
for that is an abortion, theyhave a right to an abortion.
The Trump administration saysthat's not true and that in
states where abortion is banned,you are out of luck if you are
pregnant and you are bleeding.
So a lot of really awful newshappened this week that we are
tracking, but you're right.
This is not happening in avacuum.
This is the goal.
It's a long, coordinated effortto come for our rights on all
(16:17):
fronts from all angles.
Jennie (16:19):
So the bill has the part about defunding Planned
Parenthood, but that's not theonly attack on healthcare that
we're seeing in that bill.
There are huge attacks onMedicaid.
Do you want to maybe tell us alittle bit about kind of the
overall attack on Medicaid?
Ianthe (16:32):
Yes.
So this bill guts Medicaid andObamacare health plans, and that
will lead to roughly 60 millionpeople, low or moderate
incomes, losing their healthinsurance.
I mentioned the piece about howit eliminates health insurance
coverage for abortion care.
It also adds a lot ofbureaucratic red tape to
Medicaid.
So there's things like workrequirements and eligibility
(16:54):
checks that will all make itharder for
people to get coverage and keep it. It charges people with Medicaid more out of pocket money to see a doctor or pick up a prescription. And it also ends the incentives for states to expand Medicaid and blows up state budgets by limiting the state’s ability to use provider taxes to fund their portions of Medicaid care. So it's just across the board, veryawful, which is why, you know,
(17:19):
of course we want the defundprovision to be taken out.
But, you know, we want the billto be dead like that because
it's so harmful.
And as I've also already saidso many of our patients are on
Medicaid and this is going toreally, really impact their
ability to get care from us orfrom any provider.
Jennie (17:34):
I think there's like one of those things that is so
insidious about some of thesethings is there are things that
on their face may soundreasonable if you like don't go
below like the inch of thesurface, right?
Like, where you hear about thework requirements, right?
Like, you're like, oh yeah,that makes sense.
Like, people need to work toget health insurance.
(17:56):
Like, of course, like you can'tjust be lazy, whatever's like
back to like the racist, like'welfare queen' like stuff.
So I think that people have alot of that image and like, but
when you like actually look atwork requirements and what they
do, like it is so much moreharmful than that.
Ianthe (18:15):
Yeah.
There's this idea that peoplewho support this bill are trying
to push about 30 year oldliving in his parents' basement,
playing video games all day onMedicaid and how he needs to get
a job.
But you know, there's beenresearch that shows that the
people who are impacted is asingle mother of two kids who
is, like, you know, trying toget by like those are the people
who are impacted when you addthese restrictions.
And so we really need to do alot of debunking of who the
(18:38):
Medicaid patient is, because forsome reason that really
insidious wrong narrative hasreally persisted.
And it's just not t rue.
(19:14):
Yeah, there is something about the messaging with so many of these…like, we see it with abortion and all of these things or even with gender affirming care, where you get this top-level narrative where if you don’t question it, it feels like it makes sense, but when you dig in, you’re like no wait this is actually just trying to ban care or whatever instead of trying to help people.
Yeah, no, 100%.
I feel like, and they don'twant us to question it.
They just want us to takeeverything at face value, to
ignore our lived experiences,ignore the people that we know,
and just assume that whatthey're doing is in our best
interest.
But we know that's not thecase.
We know that bills like thisare really cutting health
services for people with lowincomes just to give tax cuts
(19:35):
for the ultra wealthy.
And that is really who they'relooking out for, not for the
average person.
And that's why average people,everyday people like us need to
speak out and pay attentionto what's happening.
Jennie (19:45):
Is there anything else in the reconciliation bill that
you're keeping an eye on?
Ianthe (19:50):
Yes.
So , we are also looking at theattacks on gender-affirming
care in the bill.
So it does target the health oftrans people by stripping away
their access to this medicallynecessary care.
And it's for people across theboard, minors, adults, like
anybody.
So that is awful, of course,but we know that, you know, the
trans community continues to seea spate of attacks across the
(20:11):
board.
And it also strips insurancecoverage for children and
families by punishing statesthat use Medicaid funds to cover
immigrants, including folksthat are in DACA that are
participating in the ACAmarketplace.
So again, two groups that folkslike to demonize, immigrants
and transgender people, they arealso going to bear the brunt of
harm when it comes to this.
Jennie (20:33):
Yeah, when I see the stuff on gender affirming care
in this bill, it takes me backto abortion restrictions and
seeing how [lawmakers] said,"oh, we just want to make sure
that the young people areprotected and aren't being taken
advantage of." And so, you sawthe parental consent laws and
(20:53):
stuff with abortion, but itnever stopped there, right?
It wouldn't go to attack accessfor everybody.
And have been seeing so manytrans advocates and people
trying to explain to people thatit was never going to stop with
bans on young people.
It was always going to comeafter access for everybody.
(21:13):
And so this was a real clearsign to show that, yeah, they
are coming to block everybodyfrom getting gender-affirming
care.
Ianthe (21:21):
Yeah, for years, anti-trans folks have used the
anti-abortion playbook to pushtheir agenda, starting with
targeting young people's abilityto get care.
And, you know, this provisionin this bill that would ban
plans from coveringgender-affirming care, that is
basically a Hyde Amendment forgender-affirming care.
And the Hyde Amendment, as I'msure your audience knows,
(21:43):
prohibits the use of federalfunds for abortion, except in
very extreme circumstances.
And they're doing the samething with gender-affirming
care.
So it's the same playbook, thesame lies, and...
this is the point.
They've been successful andthey're going to keep trying to
push it, but we have to pushback.
Jennie (21:57):
Yeah, I feel like that's one of the provisions that
unless you're following likereally specific reporters,
particularly trans reporters, Ifeel like that bit has really
gotten lost in the coverage.
Ianthe (22:09):
Yeah, 100%.
And it's so disturbing becauseI feel like attacks on trans
people are continuing to blowup, but when we see these
tangible policy changes, they'renot getting enough attention.
But at the same time, peoplehave this warped sense of the
transgender community.
There's polling that showedthat people think that 25% of
(22:31):
people are transgender, which isnot true.
They just don't understand howthis community works because
it's been so demonized and beenso talked about in a way that is
negative.
But when it comes to theseactual policy issues, they're
flying under the radar, as yousaid.
Jennie (22:45):
Okay, so where are we at in the process right now?
And I guess we should say we'rerecording this on Friday, June
6th, in case something weirdhappens before this comes out on
Tuesday.
Ianthe (22:56):
Yes, so around May 21st or 22nd is when the House passed
their version of this bill.
So it is now with the Senate.
We are hearing that the Senateis hoping to pass their own
version or maybe this exactversion before 4th of July.
So, we have about three weeksto really dig in and, you know,
(23:19):
talk to our senators, ourlawmakers about why this bill is
harmful.
There's going to be a shortrecess during that time around
Juneteenth where folks will beback in their districts.
And hopefully that's a placewhere, you know, we can have
constituents talk to themdirectly.
But again, we have about threeweeks if they stick to their 4th
of July timeline.
It seemed impossible for theHouse to pass before Memorial
(23:42):
Day, given all the infighting,but they did it.
So never underestimate thesefolks.
But that is a timeline thatwe're working with at Planned
Parenthood for sure.
Jennie (23:50):
So we saw there are really bad provisions that we
would love to see come out, butI think the bigger ask is...
that we want it to just likekill this bill, right?
Ianthe (24:01):
Yeah, we want, this bill is awful all around.
And that is our goal.
You know, we have, we ofcourse, are a reproductive
rights org and are focused onthose issues, but you know, as I
said, the impact on immigrantsand LGBTQ communities is awful.
So we're, you know, standing inlockstep with our partners to
try to get this bill rejected.
I don't know if people know orremember in 2017 when there was
(24:23):
another reconciliation billabout to be passed, where they
were going to defund Obamacare.
There was a PPD fund provisionin there.
And it was John McCain's thumbsdown that killed the bill.
And he didn't kill itnecessarily because he supported
Planned Parenthood, but hekilled the bill.
And we're hoping for anotherhallelujah moment like that to
come.
But I think that we're doingeverything we can to talk to the
(24:46):
right people about the harm inmany purple and red states.
So there's a lot, I think, thatwe can hopefully find common
ground on and work with theright people to get this bill
rejected.
But yeah, there's a lot that wecan still do.
Jennie (25:01):
Okay, so now that our audience is informed and knows
what's in this bill and that itneeds to go, like: how can the
audience get involved in thisfight?
Ianthe (25:10):
Really, it really is about calling your elected
officials, calling yoursenators, telling your story,
making sure they understandwhat's at stake.
You know, if you are a personwho relies on Medicaid, if
you're if you did at one point,if you have family members to do
like talking about it, Medicaidis a huge program, you know,
many Americans, millions ofpeople will be impacted by this
(25:30):
bill.
And I'm sure many of yourlisteners are those people.
So it really is talking aboutit to your friends, getting
educated, calling your senators,and showing up for events.
Like I said, there's going tobe a recess around Juneteenth.
And I'm sure that many localorganizations in key states will
be having events.
I know that our affiliates arehoping to do so.
Showing up to those and holdingyour lawmakers' feet to the
(25:52):
fire.
They were elected to representus.
And it's important that theyknow where their constituents
and stand on the issues.
Jennie (25:58):
Thank you so much for being here.
It was so great to talk to youabout everything that is going
on right now.
Ianthe (26:04):
Yeah, this was a great conversation.
Thank you for having me.
And I hope that people getinvolved and stay engaged.
Jennie (26:09):
Okay, y'all.
I hope you enjoyed myconversation with Ianthe.
It was so wonderful to get totalk to her about the attacks on
Planned Parenthood, but alsokind of the full grab bag of
terrible things that are in thisbill and why it needs to be
killed.
It needs to go away.
Yeah, I hope everybody has achance to reach out to their
(26:32):
congressperson to let them knowthat they need to oppose this
bill and that we can stop itfrom happening because, like I
said, there is just a grab bagof terrible in there.
And with that, I will seeeverybody next week for the next
in our series on abortion laterin pregnancy.
[music outro] If you have any questions, comments, or topics you would like us to cover, always feel free to shoot me an email. You can reach me at jennie@reprosfightback.com or you can find us on social media. We're at @RePROsFightBack on Facebook and Twitter or @reprosfb on Instagram. If you love our podcast and wanna make sure more people find it, take the time to rate and review us on your favorite podcast platform. Or if you wanna make sure to support the podcast, you can also donate on our website at reprosfightback.com. Thanks all!
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