April 4, 2024 • 46 mins
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Hello Fam,
I hope you all are doing well this week! Thanks again for all the support, by listening to the show and sharing it with your friends and family! Have a safe and happy weekend.
In this episode, we celebrate Women's History Month by highlighting a newly approved over-the-counter birth control pill, OPLL, as a significant step forward for women's autonomy and access to contraception, especially for those living in contraceptive deserts or seeking privacy. We then switch topics to maternal mortality rates in the black and brown communities, exacerbated by systemic racism within healthcare. It calls for more inclusive policies and services to support all women, regardless of their economic status. We then revisit IVF to clarify some unanswered questions.
0:00 From Birth Control to Maternal Mortality: Unpacking Healthcare's Complex Landscape
05:42 Birth Control Over The Counter "Opill"
17:54 Maternal Mortality
29:50 Alabama V. IVF Retake
38:45 The Green Goblin
To all my Melanated People (Black & Brown), it's never a sign of weakness to ask for help when you really need it. Life is not cupcakes and rainbows—struggles are what make us stronger!
Mark as Played
Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Stephan (00:00):
I don't have a interesting fact for you today,
but I have something a littlebit better.
Because.
You know, we're always inspiringto increase our mental health
and sometimes you just have tohear a motivational message.
That resonates with you.
This one resonates with me.
I hope it resonates with you.
(00:20):
Take listen.
Please three things that youshould stop doing immediately.
If you want to be happier.
Number one.
You have to stop regarding thepast.
There's nothing you can do aboutit.
Don't forget the past.
You can learn from it and getbetter from it.
So you don't make the samemistakes, but you got to stop
regretting the past.
Number two.
It stopped worrying about thefuture.
Psychologists have found that85% of what you worry about on a
(00:43):
daily basis will never happen.
That's a waste of your energy.
That's a waste of your time.
And the number three, stoplooking for your happiness and
other people.
Other people cannot make youhappy.
It is absolutely.
Impossible.
Happiness is 100% an inside job,welcome to the last
(01:04):
conversation.
Stephan Garrison (01:05):
Ominous instrumental music
Stephan (01:12):
What.
Up am.
It's been.
I think two weeks since our lastepisode came out.
So yay.
Today's show.
Is going to be about all of ourwomen out there.
Like this, this show is gearedtoward women.
We can not have a women's.
(01:34):
History month and not have anepisode that's geared toward
women.
Come on now.
As most of you guys all know Iam a feminist.
Let me describe what a feministin my Volusion, because there
was different versions becauseeverybody is different.
(01:54):
In the, how they describe afeminist.
So I'm a feminist because Isupport women.
That's either getting jobsthat's equal pay equal
healthcare.
All that amazing stuff, youknow, not work care, not won't
care on.
Not, not no sexual violence inthe workplace.
I want women to feel empoweredto be able to.
(02:16):
Pretty much to do whatever theywant to do, you know in a sense.
I do have something for you atthe end of the show about a
particular, a woman.
Our favorite person in theworld, Marvi Taylor green, or as
most of you guys know her as thegreen goblin.
But I'll save that because thatis a small present.
I want you guys to hear,especially for all of you guys
(02:37):
who were in Georgia, this is,this is your Congresswoman, and
this is what she's saying on thestreets anyways.
We're moving past that.
Let's talk about.
Really important stuff.
Like birth control.
But you would think.
That is fundamentally available.
Right?
(02:57):
Which it is, but you have to gothrough kind of like all this
red tape.
To get birth control, but oldpill was just manufactured and
it was FDA approved.
Last week.
To where now this is an over thecounter birth control.
But I didn't want to say thatthis is an achievement, because
(03:17):
now it's over the counter andyou don't have to go through all
the doctor's appointments.
For all of our younger women outthere who kind of want some.
I wouldn't say Secret see, butmaybe you don't want to have
that conversation with yourparents, or maybe you don't want
your parents all up in yourbusiness.
Because you want to feel likeyou're being an adult.
(03:38):
And you want to get birthcontrol.
So now you can get this birthcontrol pill.
Right over the counter.
And then we're going to switchgears to that's a little more
depressing.
And that is our maternal deathrate and our black and brown
community.
This article, I was just lookingthrough some stuff of what to
(03:59):
talk about, and this actuallypopped up.
And let me tell you how manyrabbit holes this article has.
Like I'll read one article andthen I'm going to another one.
Or move onto another one.
Yeah, but it it's, it's a thing.
And it's something that wehaven't really been paying a lot
of attention to.
And so I want to go ahead andtalk about it.
(04:22):
Next and final, last name torun.
Talk about his last episode wetalked about.
The IVF.
Alabama Supreme court.
Right now, I don't know aboutyou, but sometimes I'll read
things and I'm like, wow, likeI've, I've been left with more
questions.
And maybe some of you guys whohave listened to that episode is
(04:43):
like wat.
So.
I actually found a, anotherarticle.
That I will.
Actually publish the link in ourdescription.
It was published by the JohnHopkins Bloomberg school of
public health.
There's three questions on therethat they ask that will.
(05:05):
Clarify, what this is all about.
As I said, I'll put the linkbelow, so then you can actually
listen to it.
It's a podcast, to be honestwith you.
It's about 19 minutes, but youcan listen to it while you're on
the road or whatever the casemay be.
But it's real interesting.
So that's all we're talkingabout here on the last
conversation.
And.
(05:27):
Yeah, that's it let's go.
Let's let's start it.
Someone, someone start the.
The intro.
Nope.
We did the intro music already.
All right.
So let's talk about birthcontrol as most of you guys.
(05:48):
Now it has been something thatis another controversial issue.
In.
The political world and thepolitical specter.
But now ope hill.
It's called OPL like O P I L L Mhas now released last Monday, a
pill that you can order onlinethrough Oak hill dot com or
(06:11):
Amazon.
Birth control.
Old pill has suggested thatretail price will be about$20
for one month supply.
And it'll be about$50 for athree month supply.
and@opl.com a sick month.
Six month supply will beavailable for about 90 bucks.
Old pill will be available inCVS and through CVS pharmacy app
(06:34):
in late March.
So later this month a spokesmanwrote in an email in early
April, more than 7,500 CVSpharmacy stores will offer OPL
and for added privacy andconvenience, customers will be
able to choose.
Same day delivery or buy Alonand pick up on store.
They also said that if you dobuy it online, it's going to
(06:56):
come in a very discreet package.
So it doesn't have anything thatresonates with.
With birth control or anythinglike that, it's like, if you
order like a.
If you order.
A a sexual thing.
From like, Adam and Eve orSpencer's, which I've never
(07:17):
done.
I write.
I've never done.
And it comes in a very discreetpackage.
That's how OPL will work.
The biggest population.
That will benefit from this arethose who have limited access to
contraception in first place.
There is a lot of people in thecountry that live in.
What we all call a contraceptiveshin.
(07:38):
Deserts.
And there are areas that arelimited to have no access to
reproductive healthcareprovides.
Or to providers meaning andthey'll have to drive really,
really far away to be able toaccess a provider, or they may
not have access to a pharmacyclose by.
That's what the.
Director said.
(07:59):
They also go into in particular,this can impact adolescents who
are often reluctant.
On adult to provide thetransportation or the resources
to be able to go to a provider.
And this allows them to alsohave access to contraceptions
with more privacy.
Similarity.
People who may be in a domesticviolence situation where they
(08:22):
may be a component ofcontraceptive sabotage.
Where someone is eitherpreventing them from using
contraception or messing withtheir birth control.
This way they can accesscontraception without someone
else's.
Knowledge.
The more avenues through whichpeople can access contraception,
(08:45):
whether it's over the counter instore or online, more control,
they have over their ownreproductive health and choices.
Now having online options forpeople who are very tech, savvy,
and comfortable navigating theonline environment, which we
know younger people are betterat anyways.
Is a great option.
They go on to say that.
Of course, it's also reallyimportant to have pharmacies and
(09:08):
physical locations.
Where other folks who need.
To overcome the barriers ofprescription requirement can get
that over the counter option andmay.
B even interface with apharmacist, if they want to.
There's no requirement that theyneed to do that, but it's great
to have as many options asavailable for people.
(09:30):
Last year the U S food and drugadministration approved old pill
for use without a prescription.
And no age limit public healthexperts apply the move as a
milestone for the expansion ofaccess to contraception in the
United States.
Now the rollout has began.
However, there are some concernsthat states could place
(09:50):
restriction on the access.
Say that we not the president,but the president of this
company went on to say that welive in a time where everything
having to do with people'ssexual and reproductive health,
and people's ability to realizetheir reproductive goals and
pursue reproductive freedoms isabsolutely politicized.
No states have made suchproposals or actions on
(10:14):
restricting access to OPL, butthe concern stem that the us
Supreme court's DOB decision in2022.
Which reversed.
Roe V.
Wade and overturn it theconstitutional rights to an
abortion.
We are concerned about access toall forms of sexual reproductive
health.
So of course the OBS decisiondirectly impacted abortions
(10:37):
access, but we've seen evidence.
That it has trickled out andimpact that sexual improve
reproductive healthcare.
And contraception healthcare.
Cod worth, who testified at anFDA public hearing last year in
support of approving old pillwithout an age restriction.
(10:57):
It's a huge milestone that oldpill is available over the
counter.
And I think we should reallycelebrate the milestone and we
should situate this milestone.
On this.
Treachery of always wanting tomove toward increased access to
all people.
Now you're probably light wallStefan, what's the political
side of this.
Like we know that this is.
(11:19):
Going to have some type ofeffect statewide.
And every state.
Is either going to love this, orthey're not.
We know the Southern states aregoing to try and make an age
requirement of.
This pill.
Because the FDA approve old pillwithout an age research and
(11:39):
people have startedmenstruating.
And those going through.
Pre menopause can purchase it.
Dr.
Leanna associate professor atGeorge Washington university
said this month.
In her previous role as healthcommissioner of Baltimore, she
oversaw the city runreproductive health clinics.
(12:00):
She says that old pill should beconsidered by individuals who
desire birth control, but areunable to see primary care
physician, a gynecologist orother providers who can
prescribe birth control pills.
Some states.
May try and enforce agerestriction on old pill.
It says doctor.
Then Vidia, G.
(12:21):
A director of the nonprofit ofthe network for public health
law said in that email there areage restrictions on certain
medications on a state by statebasis and other content such as
with over-the-counter drugscontaining office.
supplement.
And other over the counter drugsin 20 20 12, California became
(12:42):
the first state to prohibit thesell of cough medicines to
minors and since then governorshave several other states have
signed similar laws.
Similarly.
Or separately, I should say.
When it comes to plan Bemergency contraceptions, there
have been some attempts toenforce state by state
differences in age restrictionto.
Plan B was approved for over thecounter use for adults in 2006.
(13:06):
And in 2013, when it wasapproved for all ages.
That year Oklahoma passed a lawrequiring anyone 17 and under.
To obtain a prescription beforeplan B could be dispensed to
them.
The state was sued and theplaintiff.
I'm represented by the centerfor reproductive rights
prevailed.
(13:26):
And the law was held to beunconstitutional because it
violates the state singlesubject rule.
The rule prohibits individualpieces of legislation or ballot
in this shit.
From addressing more than oneissue or unrelated issues in a
single law.
But these examples are not setby precedent for what type of
authority states may have torestrict access to an FDA
(13:48):
approved medication.
When it comes to old pill, manystates.
Also allow pharmacists to refuseto participate in the
healthcare.
That they find morallyobjectable.
This could include providingindividuals with old pill, even
though.
It is OTC.
Legal approval and actual accessare two.
(14:09):
Distinct issues.
And the latter influenced by aborder set of factors, including
state policies, healthcarepractices.
Birth control over the counter.
I don't, I don't like how thisarticle at the very end.
And this is more of.
I just don't like it.
How that it says that manystates.
(14:31):
Also allow pharmacists to refuseto participate in the healthcare
that they find morallyobjectable.
And I don't like that.
I don't like that at all becauseit's definitely something that
Florida has on the books.
And there were some otherRepublican led states where if a
healthcare provider doesn't feelmorally or ethically, or maybe
(14:52):
it goes against their religion.
Where they can dictate.
Well, we're not going to giveyou both control and its, or
we're not going to give you acertain care or if it's old pill
or maybe it's prep.
Or whatever the case may be.
Like I understand.
What.
(15:13):
Maybe their personal belief is,but this is healthcare.
You entered a field to helppeople.
Not to judge them on their lifeand not for you.
To sit here and be light whileI'm just not now.
Sorry, we're not going to giveit to you.
Especially, let's say that youare in one of those Republican
led states.
(15:33):
And let's say on a Tuesday, yougo and you buy and you try and
go buy old pill and the ones andthat pharmacist that day, right.
Is like, nah.
Sorry, I don't believe in givingout birth control and it's like,
what?
I don't give a damn what youdon't believe.
Like you're in healthcare tohelp people.
Not to help a selective.
(15:55):
View.
If that's the case, you need toopen your own private clinic.
And help the select a few thatyou want to.
Otherwise, when you enterhealthcare, you are obligated to
help.
Everyone, no matter what theirrace, no matter what their creed
is, no matter what theirreligion is, no matter what
their sexual orientation is.
If it.
(16:15):
If that's not for you.
Get out of healthcare.
Right.
I think that old pill.
Is going to be amazing.
I think that all of our youngerwomen and even some of our older
women.
Or just women in general, thisis good.
This is.
This is a step in the rightdirection.
(16:38):
I just am going to see somechallenges.
I feel like, and I mean, rightnow it's just probably the age
requirement.
We'll probably be a challenge,which is, I mean, it's
negotiable to be like, okay,well, you know, when should
this, but at the same timeevery, you know, things are
hitting differently.
(16:58):
For young girls than they weremaybe 20, 20, 30 years ago.
Right.
They're definitely developing alot sooner than 20, 30 years.
So, oh, pill.
Is good.
That's a good thing.
Will it be challenged obviously?
We're gonna switch gears alittle bit.
(17:19):
And we are going to talk about.
Pregnancy deaths.
It's a very.
Sad topic.
But we have to talk about, wehave to bring some type of.
Awareness to the issue,specially.
Because this article that I'mabout to read focuses on our
(17:39):
black and brown community andhow.
We are three times more likelyto die.
From pregnancy birth.
Or post.
Pardon?
We'll talk about that next righthere on the last conversation.
So.
Maternal.
Mortality has been a risingconcern in the black and brown
(18:01):
community.
COVID contributed.
A lot to these stats that theCDC released.
This is something that I wasdoing research of, okay, well,
what are the things that Ishould talk about that focuses
on women?
This article popped up and as Isaid before, I went into rabbit
holes.
I, it was just one article afterthe next.
(18:23):
And.
I want to just bring awarenessto it.
And maybe, you know, someone whois pregnant.
Or maybe.
Just share the episode.
That's what I want you to do.
Share the episode.
All right, let's get into it.
So in 2020.
Doctor.
Sharon's Wallace, a pediatricianwho was chief resident at
(18:46):
Indiana university of school ofmedicine.
Died.
Just two days after given bothto her daughter, Charlotte.
Charmaine.
Gibson studied at New Yorkuniversity.
And Medger Evers college anddies in 2019, just 13 days after
giving birth to her secondchild.
In 2007 17, Dr.
Sharon.
(19:07):
Irene, She worked for the uscenter of disease and control
and prevention CDC.
And was Lieutenant commander inthe us public health service
commissioned corpse died threeweeks after giving birth after
her ignored.
When returning to the hospitalfor care.
In 2016 Kara Johnson who had twodegrees spoke five languages,
(19:33):
and what's the daughter in lawof TVs, judge hatchet.
Bled to death after a routineC-section in Los Angeles
hospital.
These tragic deaths highlightwhat black women have known for
years.
That being well-educated andwell-resourced simply is not
fully protective factors when itcomes to maternal mortality.
(19:53):
Wait.
Selena Williams near deathexperience after given birth
only underscore that.
In 20, 20 black women in theUnited States, where 2.9 times
more likely to die during orafter childbirth.
Than a white woman.
According to CDC.
But more notably, a new studypublished in January showed that
(20:14):
the wealthiest black moms aremore likely to die in childbirth
than the poorest white moms.
The study uses California'sadministrative data to show how
household incomes alone is notprotected from racism's impact
on, infant care outcomes.
It's clear black maternalmortality is not just a low
(20:35):
income problem.
But a current wave of policy andadvocacy work is primarily
focused on re immersing doulasand offering me that
pregnancy-related services toMedicare eligible patients.
Doulas train birth professionalswho serve as educators and
advocates to pregnant women havebeen shown to be both per tech
(20:57):
active.
Improving birth outcomes forblack women and also
cost-effective by re reducingthe hospital expensive of
preterm births.
And C-sections.
And Oakland B incentive belovedbirth center program with
remarkable outcomes is reducingpreterm birth rates include.
(21:18):
Rates provides a doula.
A fitness trainer, a chefprepared meals for six weeks
postpartum.
A pregnancy related photo shoot.
Midwife where you led prenatalvisits and lactation consultant,
but this comprehensive programis currently on available to
black women on the state'sMedicare program in New York the
(21:42):
first free.
Doula program is focused onmarginalizing zip codes.
They go on to say, just becauseyou are not on Medicaid.
Does not mean that you can fullyafford a doula or other birth
professionals that black womanneed.
Tracy Collins, CEO and founderof national.
Black doula association and thehost of healthy girls podcast
(22:06):
and the interview via email, toomany black women are falling in
the gap.
Doulas.
Our only one piece of thecomplicated puzzle that
ultimately must include culturalchange within medical
institutions and systematicchange over all.
Now there's more research,reflecting the other line,
(22:26):
reality that regardless ofeducational, attuned, or related
factors like income, black womenexperience higher maternal
mortality rates across theboard.
So why aren't more policies andadvocates efforts focused on
providing pregnancy andpost-partum services for black
women across the economicspectrum.
(22:46):
The misconception and thenarrative that black Maternal
mortality rates are tied toincome has already caused harm.
Black women professionals,scientists and medical doctors
have shared with the article.
They're near death misses inchildbirth.
Several of them also share thatthey to consider themselves not
(23:07):
a.
At risk high.
Many black, both.
Berthings folks reasoned.
If the so-called research saidthe problem is being poor and
unable to advocate for yourselfand not poor.
And I'm educated enough toadvocate for myself, then I will
be okay.
That's false and dangerousthinking.
Chanel said the founder andexecutive director of ancient
(23:30):
song.
Doula services.
They go on to say that in mytravels advocating for black and
brown patients experience.
Data as a critical tool.
For symptomatic change.
I met with many middle-classblack women who are not on
Medicaid or who are not eligiblefor Medicaid.
But don't make enough to affordthe cost of a doula or an at
(23:51):
home postpartum support.
Some friends and family to chipin and I encourage them.
To put in on the baby registryas something other to contribute
to, but the idea of burdeningothers family, friends often
does not sit well with them andnot every community member.
Things say doula as necessary atwhen a crib diapers and other
(24:16):
centrals are also needed.
To be clear.
Efforts that focus on the needsof under resources.
Under-resourced our critical.
More than 3.3 million blackwoman.
Or one in four nationally arecovered by Medicare.
According to the national healthlaw programs, doula, Medicaid
(24:37):
project, 11 states.
Medicare program currentlyreimburse doulas to a modest
degree.
And nearly a dozen of them.
This is an overdue recognitionof the value of doulas and a
critical.
Momentum to make sure that theyare accessible.
And paid a level.
Full wage.
(24:58):
There's one more thing I want togo over that one of the main
messages I think from this isreally, there's a much bigger.
Society problem facing pregnantwomen.
And new moms who are in thatpostpartum period where, you
know, That's a very stressfultime of life.
What this points to is.
(25:20):
That there's particularvulnerability in this population
to some of the other socialfactors.
That's what the article said.
If you go back to 2015, most ofthe deaths in this population
were from pregnancy specificcauses.
I think it's around 60% to 40%.
From where other causes in 2020,it's kind of a flip-flop.
(25:41):
One of my toric.
The year after birth is acritical time period.
Women are still at risk for anumber of pregnancy associated
causes to death.
Of that.
However, for the most part, theyare disconnected from the
healthcare system.
It is important for communityand family to provide support
and understand the issues thatare facing postpartum women.
(26:04):
Put them at risk of death.
This article brings the light,something that has been an
issue, but it has not been anissue.
That we are talking about.
In the black and browncommunity.
This is an issue that highlyaffects us.
(26:25):
There's a lot of health issuesthat we have in the black and
brown community that we do nottalk about.
So our maternal rate.
Of deaths.
We also have high bloodpressure.
We have.
Other medical issues in ourcommunity that we do not talk
about.
(26:46):
And this is like a come to Jesusmoment.
And I remember when mygoddaughter was born.
And her mom had.
Medical issues as well.
And I remember we were racingher back to the hospital.
Everything turned out fine.
Her mom's behind my goddaughteris fine.
But.
There are issues in thehealthcare industry that we
(27:09):
don't talk about at all.
And I think we need to bringmore awareness to those issues.
Now, that's not the say that thehealthcare system.
Messed up its relationship withthe black and brown community.
From the start.
Now, if we're going to get real,let's get real.
You know, we, and it's beenpulled in.
(27:33):
That we will go to the doctorwith an issue and that doctor
will dismiss us with probablywhatever it may be.
Let's say that you have a sorethroat, right?
Oh, or that's, that's what youthink you're like, oh my
throat's a little raspy orwhatever you go to the one of
these clinics or your doctor orwhatever the case may be.
And they're like, oh, well youjust have a sore throat.
(27:55):
When underlining you had throatcancer.
That's a huge jump in, but it isa situation.
R.
Health is dismissed in thehealthcare system.
The healthcare system issystematically racist.
Against black and brown peopleand I'm not saying this because
(28:17):
it's not known.
It's known there's hugedisparities.
For us being in the black andbrown community, when it comes
to healthcare.
And until we start addressingthese healthcare issues and
bringing them to light,nothing's going to get done.
Something that I always suggestto my black and brown people is
(28:38):
I always tell them if you'regoing to get a primary care
doctor.
You need to get one that lookslike you.
Now you're probably like walls,the Fonda.
The, and I'm not saying that.
Other races of doctors.
Our bad.
I'm not saying that whatsoever.
I've had a white female doctorfor a while.
(28:59):
But then I switched over to ablack doctor.
Black male doctor.
And that's because he's going tounderstand.
What health issues we're goingto have in our community.
My, my other doctors, she wasamazing.
I love her.
But I switched over because as Iget older, I want someone who's
(29:20):
going to look like me.
I want someone who's going tonail what type of diseases?
Or type of health.
Issues.
Runs and the black and browncommunity.
We're going to talk about IVFin.
Alabama.
There's about three questions onthis article that I'm going to
go over.
(29:40):
That clearly explains more.
About it.
So you have a betterunderstanding.
I have a better understanding.
And we're both on the same page.
So remember how we talked aboutIVF in the last episode?
And some of you guys wereprobably left, confused.
I was left kind of confused.
(30:00):
Cause there was only one.
And I really listened to theepisode.
So in this episode, we're goingto be on the same page.
All right.
So I want to give a huge shoutout to John Hopkins, Bloomberg
school of public health.
For putting this out.
Helping some of us understandwhat's going on.
I will put a link.
(30:22):
In the description, so you canread it and also listen to it as
well, because this is somethingthat's really important.
But let's get to the reason ofwhy.
We are in the spot.
You're in.
What is the Alabama court caseabout?
The plaintiffs are three coupleswho.
(30:43):
All underwent IVF treatments ateight.
At a four.
clinic.
And Alabama.
Through the IVF treatment theyreceived, they all became
pregnant and gave birth to helpthe healthy babies.
As a result of the IVFtreatments, they also produced a
number of additional embryos.
(31:04):
This is standard practice in theIVF cycle.
Those additional embryos thatare not used, were frozen and
preserved by the fertilityclinic.
The presumption is that couplescould come back at some later
time and have another IVF cycle.
Using those embryos withouthaving to go through the entire
(31:25):
hormonal treatment andsurgeries.
What happened next is what gaverise to this case.
The plaintiff's couples frozenand Brailles have been
cryo-preserved at the fertilityclinic.
Which is located in a hospital.
In December, 2020.
A patient of that hospital enterthe fertility clinics cryo.
(31:47):
Preservation unit.
And open one of the tanks.
In there in which frozen embryosare stored, these embryos are
stored at subfreezingtemperatures.
So the patient put his hand inand grabbed some of the in
barrels.
He burned himself and drop theembryos.
Which hit the ground and weredestroyed.
(32:07):
The patient couples or theplaintiff couples brought
lawsuits again.
Against the fertility clinic.
And the hospital.
One of the lawsuits is fornegligence and wantonness, but
that wasn't part of this case.
The other lawsuit, the onethat's the subject of this case
was against the hospital and theclinic for the wrongful death of
(32:29):
a minor act.
Which is an Alabama statute.
At the trial court, this casewas dismissed.
The trial judge stay.
The embryos that exist in vitroare not people or children for
the purposes of the wrongfuldeath of a minor act.
And therefore was no claim thatthe couples could bring under
(32:49):
that act.
The couple's appealed thatdecision to the Supreme court of
Alabama, the highest court inthat state, the Supreme court
disagreed.
And in a nutshell, They saidthat the wrongful death of this
minor does apply.
This brief quote.
They said to all unborn childrenwithout limitation.
(33:11):
And that includes unbornchildren who are not located in
you TRO at the time they arekilled.
So in fact, the Alabama Supremecourt determined that these in
vitro embryos are declaredpersonhood.
So they have, they are childrenor people.
And the couples can thereforeproceed with their lawsuit.
(33:31):
They are seeking punitivedamages for what they say is
wrongful death of theirchildren.
Tell me more about this wrongfuldeath of a minor.
And how it's being applied.
The wrongful death of a minoract dates back to 1872.
At the time it was introduced.
IVF did not exist.
Then they had a very differentunderstanding of developing
(33:53):
fetus.
There is prior Alabama Supremecourt case law, making clear
that a fetus developing in uterois considered a child.
For the purposes of wrongfuldeath of a minor act.
So a parent could bring a claimunder that act.
If a fetus developing in uterodies due to an incident.
(34:13):
This is the first time ever thatthe definition of a minor or H
high yield under that statutehas been applied to an embryo.
That exists in the lab.
Do you think the federal courtswould step in?
And their answer is at least inmy mind.
(34:34):
There isn't a clear path to takethis case to the us Supreme
court.
Since it involves an Alabamastate statue.
It involves the interpretationof the Alabama state
constitution.
The ball is more likely to landsquarely in the court of
Alabama's legislature.
There are nine justice thatheard the appeal in Alabama, two
(34:56):
of them, one in the state.
And one who agreed, but wroteseparately have said that the
proper body.
To determine how to regulate IVFand what to do with embryos is
not the court it's legislators.
This issue is likely to landback in the Alabama letter
Slater.
Which we'll have to decide whatto do, whether they want to
(35:20):
carve out an exemption.
Wrongful death statues that havebeen not introduced.
All that this complication forin vitro in barrels or whether
they want to take a broader lookat IVF with the input bioethics
reproductive.
And legal.
Is there anything else thatmakes this decision so
(35:41):
extraordinary?
It's clearly extraordinary in.
It's determination.
That.
In vitro eight cell.
Embryos are considered people,but beyond that, B concurring
decision of the chief justiceand the main justice are really.
Relevant.
(36:01):
In the decision as I was readingthese opinions.
What really struck me is thatthe rhetoric sounds more like
scripture than it does thelanguage of a law.
Here's what they said...
we believe that each human.
Being from the moment ofcontraception is made in the
image of God.
Created by him to reflect itslightness.
(36:23):
It is as if the people ofAlabama took what was spoken of
the prophet.
And applied it to every unbornperson in a state.
The chief justice continuesreferring to the embryos.
Carving out an exemption for thepeople in this case, small as
they are.
It would be unacceptable to thepeople of this state who have
(36:44):
required the treat up to treatevery human being in accordance
with the fear of holy God.
Who made them in.
His image.
Is remarkable decision, both inoutcomes and its analysis that
took to the courts.
In the article the reason a lotof couples do you IVF?
(37:07):
Is because there are over amillion and a half embryos
currently frozen across theUnited States.
This isn't all in Alabama, butit raises a huge question about
what the obligations are forfrozen embryos.
Does that mean they can not bedestroyed and have to be
preserved forever.
And half of all IVF.
(37:27):
Cycles that take place involvepreimplantation genetic testing
of embryos, many couples thatseek IVF do so because one.
Of the members is a carrier of aknown genetic mutation
associated with a seriousdisease or conditions.
Those couples seek IVs so theycan have embryos genetically
tested prior.
(37:48):
To implantation.
And if this genetic mutation isdiscovered in an embryo,
Edinburgh is usually discarded.
Does that mean thatpreimplantation genetic testing
should no longer take placebecause it cannot cause you
cannot disclose the Ambrose.
Those are too, or just to thequestions of the rising from
involving what to do with theseembryos.
(38:09):
If they are human beings.
And can give rise to liability.
Well, So much.
Right.
But I wanted to give a clearunderstanding of.
What we were looking at becauseas I said, I read it.
And I was like, man.
What the hell did I address?
(38:32):
And then, you know, like howsometimes you'll read something.
And then you'll realize threeother things and you're like,
okay, I understand what they'resaying.
So that's why I wanted to do inthis one.
We're going to take a quickbreak.
Now.
Most of you guys now, I lovemaking fun of.
Marginally Taylor green.
(38:54):
Or AKA the green.one.
But this right here.
Now it's a full.
It's not really an interview.
Well, it is like an interview.
But I'm not alone.
Let you listen to before.
It's really this last, likeminute into.
That Jen.
(39:15):
It's not funny, but take alisten to it.
Tell me why so many people thatsupport Donald Trump love
conspiracy theories, includingyourself.
He seems to attract lots ofconspiracy theorists.
Well, let me tell you you're aconspiracy theorist and the left
in the media spreads moreconspiracy theories.
We like the truth.
We like supporting ourconstitution, our freedoms and
(39:37):
America.
First sound about Jewish spacelasers.
Tell us about Jewish.
Why don't you?
Why don't you.
Let's go talk about Jewish spacelasers, and really why don't you
fuck off?
How about that?
Thanks.
Thank you very much.
Hi.
Oh, Oh, does it not bring.
She said, why.
(40:00):
Okay.
All right.
Okay.
Okay.
I'm good.
Good.
I don't.
I don't know why that's sofunny, but that's marjorie
Taylor green for ya.
Like she came up with the Jewishspace.
Leisure's like, Jewish.
Space lasers.
(40:20):
We're going to strike us likepew, pew, pew, pew.
Oh, I just like how she endedthat by us.
I just saying poor reporter.
I definitely.
It's not funny, but it's funny.
And she's like, why don't youjust go fuck off.
Like wow.
(40:42):
Wow.
Wow.
Just man, just.
Anyways.
I hope you guys laughed at thatpart too.
Like I was that's so that's sohilarious anyways.
So this episode.
Every time.
I think violate now I'm just.
Just like laughing in my headanyways.
(41:03):
So before we end the show, Iwant to do our weekly shout out
to all the countries except theUnited States.
That also listen to this show.
I want to see these numbers goup.
So.
In both place.
We have Australia like.
(41:23):
All right.
My light.
My, is that, is that it might,is it the, I don't know.
Anyways, conga role.
I'm sorry.
Anyways, but yeah, so Australia.
You are like the second countryfrom the United States that
listen to the show.
So thank you.
You, you deserve a round ofapplause.
(41:53):
There you go Australia.
Next up is India.
And then we have Canada.
And then we have the UnitedKingdom now United Kingdom.
We're going to have to step up.
We're going to have to get upthere with Australia.
Okay.
So I don't know, maybe send thisover to the king or send it to
the pallet.
However, I keep giving you guyscompliments.
(42:13):
Like I love.
Scotland.
I love the United Kingdom.
I love the medieval.
I love the castles every time.
Like I interact with someonefrom the UK, I'm like, Hey, can
I come?
I buy a castle.
And they're like, you know,sure.
I, I guess.
And then we got Nigeria.
Nigeria is on the list too.
Ireland is on here.
(42:34):
It's not a lot of people, but.
There's two people in Ireland.
You guys know about my piece ofland.
I like to do this every twoweeks or whenever we do an
episode, just to show myappreciation.
For all of you guys who listento the show.
Because I truly try and meetthese shows for you guys or try
(42:57):
and make them somewhatentertaining.
This one, this episode, I candefinitely say I'm going to be
doing a lot of editing.
Good, but, you know but.
Next week.
I do want to get another episodeout for you.
It's going to be on D E I.
D E I Stansberry diversity.
(43:18):
Equality and inclusion.
The reason why we're going tofocus on this is because this is
going to be a very hot topic.
For this upcoming politicalculture.
And it's just the culture ingeneral for a lot of Southern
states that are Republican ledthat are trying, that are.
I wouldn't say trying to, theyare getting rid of D E I
(43:38):
programs.
Or prohibiting it in schools.
Or prohibiting in the workplace.
I would probably like willStefan, why is DEI even that
important?
DEI is a structure of.
R.
Country.
You need diversity, you needequality and you need inclusion.
(44:02):
It definitely relates to usbeing in the black and brown
community.
You know how these peoplealready look at us.
So now.
These Republican led states aretaking them out.
Of schools.
Jobs.
So it's, we're going to talkabout DEI.
(44:24):
Also with that, we're going totalk about how the NAACP is also
encouraging our black and brownathletes.
To look for colleges.
That are encouraging D E I N tobe on the lookout for the
colleges.
We're not supporting DEI as muchas they might like you for your
(44:44):
basketball skills.
They may not be a diversityequality or inclusion schools.
Which means it's going to be awhole different ball game for
you.
We'll talk about that next week.
Anyways.
I love you all.
Be safe.
Be kind.
Be different.
Do what that inspirationalmessages and find something that
(45:07):
makes you happy this week.
Whether it's going for a walk.
Maybe it's getting coffee byyourself.
Whatever the case may be.
Find one famous week one.
One thing that makes you happy.
Not what makes someone elsehappy?
Not what makes your job happy.
Not what makes your coworkershappy?
(45:29):
Find something this week.
That is your challenge.
This is your challenge to findone thing.
One thing that makes you happy.
At the end of the day.
The only person who cares aboutyour happiness is going to be
you.
Take care of everyone.
so much for watching, and I'llsee you in the next video.
I don't have a interesting fact for you today,
but I have something a littlebit better.
Because.
You know, we're always inspiringto increase our mental health
and sometimes you just have tohear a motivational message.
That resonates with you.
This one resonates with me.
I hope it resonates with you.
(00:20):
Take listen.
Please three things that youshould stop doing immediately.
If you want to be happier.
Number one.
You have to stop regarding thepast.
There's nothing you can do aboutit.
Don't forget the past.
You can learn from it and getbetter from it.
So you don't make the samemistakes, but you got to stop
regretting the past.
Number two.
It stopped worrying about thefuture.
Psychologists have found that85% of what you worry about on a
(00:43):
daily basis will never happen.
That's a waste of your energy.
That's a waste of your time.
And the number three, stoplooking for your happiness and
other people.
Other people cannot make youhappy.
It is absolutely.
Impossible.
Happiness is 100% an inside job,welcome to the last
(01:04):
conversation.
Stephan Garrison (01:05):
Ominous instrumental music
Stephan (01:12):
What.
Up am.
It's been.
I think two weeks since our lastepisode came out.
So yay.
Today's show.
Is going to be about all of ourwomen out there.
Like this, this show is gearedtoward women.
We can not have a women's.
(01:34):
History month and not have anepisode that's geared toward
women.
Come on now.
As most of you guys all know Iam a feminist.
Let me describe what a feministin my Volusion, because there
was different versions becauseeverybody is different.
(01:54):
In the, how they describe afeminist.
So I'm a feminist because Isupport women.
That's either getting jobsthat's equal pay equal
healthcare.
All that amazing stuff, youknow, not work care, not won't
care on.
Not, not no sexual violence inthe workplace.
I want women to feel empoweredto be able to.
(02:16):
Pretty much to do whatever theywant to do, you know in a sense.
I do have something for you atthe end of the show about a
particular, a woman.
Our favorite person in theworld, Marvi Taylor green, or as
most of you guys know her as thegreen goblin.
But I'll save that because thatis a small present.
I want you guys to hear,especially for all of you guys
(02:37):
who were in Georgia, this is,this is your Congresswoman, and
this is what she's saying on thestreets anyways.
We're moving past that.
Let's talk about.
Really important stuff.
Like birth control.
But you would think.
That is fundamentally available.
Right?
(02:57):
Which it is, but you have to gothrough kind of like all this
red tape.
To get birth control, but oldpill was just manufactured and
it was FDA approved.
Last week.
To where now this is an over thecounter birth control.
But I didn't want to say thatthis is an achievement, because
(03:17):
now it's over the counter andyou don't have to go through all
the doctor's appointments.
For all of our younger women outthere who kind of want some.
I wouldn't say Secret see, butmaybe you don't want to have
that conversation with yourparents, or maybe you don't want
your parents all up in yourbusiness.
Because you want to feel likeyou're being an adult.
(03:38):
And you want to get birthcontrol.
So now you can get this birthcontrol pill.
Right over the counter.
And then we're going to switchgears to that's a little more
depressing.
And that is our maternal deathrate and our black and brown
community.
This article, I was just lookingthrough some stuff of what to
(03:59):
talk about, and this actuallypopped up.
And let me tell you how manyrabbit holes this article has.
Like I'll read one article andthen I'm going to another one.
Or move onto another one.
Yeah, but it it's, it's a thing.
And it's something that wehaven't really been paying a lot
of attention to.
And so I want to go ahead andtalk about it.
(04:22):
Next and final, last name torun.
Talk about his last episode wetalked about.
The IVF.
Alabama Supreme court.
Right now, I don't know aboutyou, but sometimes I'll read
things and I'm like, wow, likeI've, I've been left with more
questions.
And maybe some of you guys whohave listened to that episode is
(04:43):
like wat.
So.
I actually found a, anotherarticle.
That I will.
Actually publish the link in ourdescription.
It was published by the JohnHopkins Bloomberg school of
public health.
There's three questions on therethat they ask that will.
(05:05):
Clarify, what this is all about.
As I said, I'll put the linkbelow, so then you can actually
listen to it.
It's a podcast, to be honestwith you.
It's about 19 minutes, but youcan listen to it while you're on
the road or whatever the casemay be.
But it's real interesting.
So that's all we're talkingabout here on the last
conversation.
And.
(05:27):
Yeah, that's it let's go.
Let's let's start it.
Someone, someone start the.
The intro.
Nope.
We did the intro music already.
All right.
So let's talk about birthcontrol as most of you guys.
(05:48):
Now it has been something thatis another controversial issue.
In.
The political world and thepolitical specter.
But now ope hill.
It's called OPL like O P I L L Mhas now released last Monday, a
pill that you can order onlinethrough Oak hill dot com or
(06:11):
Amazon.
Birth control.
Old pill has suggested thatretail price will be about$20
for one month supply.
And it'll be about$50 for athree month supply.
and@opl.com a sick month.
Six month supply will beavailable for about 90 bucks.
Old pill will be available inCVS and through CVS pharmacy app
(06:34):
in late March.
So later this month a spokesmanwrote in an email in early
April, more than 7,500 CVSpharmacy stores will offer OPL
and for added privacy andconvenience, customers will be
able to choose.
Same day delivery or buy Alonand pick up on store.
They also said that if you dobuy it online, it's going to
(06:56):
come in a very discreet package.
So it doesn't have anything thatresonates with.
With birth control or anythinglike that, it's like, if you
order like a.
If you order.
A a sexual thing.
From like, Adam and Eve orSpencer's, which I've never
(07:17):
done.
I write.
I've never done.
And it comes in a very discreetpackage.
That's how OPL will work.
The biggest population.
That will benefit from this arethose who have limited access to
contraception in first place.
There is a lot of people in thecountry that live in.
What we all call a contraceptiveshin.
(07:38):
Deserts.
And there are areas that arelimited to have no access to
reproductive healthcareprovides.
Or to providers meaning andthey'll have to drive really,
really far away to be able toaccess a provider, or they may
not have access to a pharmacyclose by.
That's what the.
Director said.
(07:59):
They also go into in particular,this can impact adolescents who
are often reluctant.
On adult to provide thetransportation or the resources
to be able to go to a provider.
And this allows them to alsohave access to contraceptions
with more privacy.
Similarity.
People who may be in a domesticviolence situation where they
(08:22):
may be a component ofcontraceptive sabotage.
Where someone is eitherpreventing them from using
contraception or messing withtheir birth control.
This way they can accesscontraception without someone
else's.
Knowledge.
The more avenues through whichpeople can access contraception,
(08:45):
whether it's over the counter instore or online, more control,
they have over their ownreproductive health and choices.
Now having online options forpeople who are very tech, savvy,
and comfortable navigating theonline environment, which we
know younger people are betterat anyways.
Is a great option.
They go on to say that.
Of course, it's also reallyimportant to have pharmacies and
(09:08):
physical locations.
Where other folks who need.
To overcome the barriers ofprescription requirement can get
that over the counter option andmay.
B even interface with apharmacist, if they want to.
There's no requirement that theyneed to do that, but it's great
to have as many options asavailable for people.
(09:30):
Last year the U S food and drugadministration approved old pill
for use without a prescription.
And no age limit public healthexperts apply the move as a
milestone for the expansion ofaccess to contraception in the
United States.
Now the rollout has began.
However, there are some concernsthat states could place
(09:50):
restriction on the access.
Say that we not the president,but the president of this
company went on to say that welive in a time where everything
having to do with people'ssexual and reproductive health,
and people's ability to realizetheir reproductive goals and
pursue reproductive freedoms isabsolutely politicized.
No states have made suchproposals or actions on
(10:14):
restricting access to OPL, butthe concern stem that the us
Supreme court's DOB decision in2022.
Which reversed.
Roe V.
Wade and overturn it theconstitutional rights to an
abortion.
We are concerned about access toall forms of sexual reproductive
health.
So of course the OBS decisiondirectly impacted abortions
(10:37):
access, but we've seen evidence.
That it has trickled out andimpact that sexual improve
reproductive healthcare.
And contraception healthcare.
Cod worth, who testified at anFDA public hearing last year in
support of approving old pillwithout an age restriction.
(10:57):
It's a huge milestone that oldpill is available over the
counter.
And I think we should reallycelebrate the milestone and we
should situate this milestone.
On this.
Treachery of always wanting tomove toward increased access to
all people.
Now you're probably light wallStefan, what's the political
side of this.
Like we know that this is.
(11:19):
Going to have some type ofeffect statewide.
And every state.
Is either going to love this, orthey're not.
We know the Southern states aregoing to try and make an age
requirement of.
This pill.
Because the FDA approve old pillwithout an age research and
(11:39):
people have startedmenstruating.
And those going through.
Pre menopause can purchase it.
Dr.
Leanna associate professor atGeorge Washington university
said this month.
In her previous role as healthcommissioner of Baltimore, she
oversaw the city runreproductive health clinics.
(12:00):
She says that old pill should beconsidered by individuals who
desire birth control, but areunable to see primary care
physician, a gynecologist orother providers who can
prescribe birth control pills.
Some states.
May try and enforce agerestriction on old pill.
It says doctor.
Then Vidia, G.
(12:21):
A director of the nonprofit ofthe network for public health
law said in that email there areage restrictions on certain
medications on a state by statebasis and other content such as
with over-the-counter drugscontaining office.
supplement.
And other over the counter drugsin 20 20 12, California became
(12:42):
the first state to prohibit thesell of cough medicines to
minors and since then governorshave several other states have
signed similar laws.
Similarly.
Or separately, I should say.
When it comes to plan Bemergency contraceptions, there
have been some attempts toenforce state by state
differences in age restrictionto.
Plan B was approved for over thecounter use for adults in 2006.
(13:06):
And in 2013, when it wasapproved for all ages.
That year Oklahoma passed a lawrequiring anyone 17 and under.
To obtain a prescription beforeplan B could be dispensed to
them.
The state was sued and theplaintiff.
I'm represented by the centerfor reproductive rights
prevailed.
(13:26):
And the law was held to beunconstitutional because it
violates the state singlesubject rule.
The rule prohibits individualpieces of legislation or ballot
in this shit.
From addressing more than oneissue or unrelated issues in a
single law.
But these examples are not setby precedent for what type of
authority states may have torestrict access to an FDA
(13:48):
approved medication.
When it comes to old pill, manystates.
Also allow pharmacists to refuseto participate in the
healthcare.
That they find morallyobjectable.
This could include providingindividuals with old pill, even
though.
It is OTC.
Legal approval and actual accessare two.
(14:09):
Distinct issues.
And the latter influenced by aborder set of factors, including
state policies, healthcarepractices.
Birth control over the counter.
I don't, I don't like how thisarticle at the very end.
And this is more of.
I just don't like it.
How that it says that manystates.
(14:31):
Also allow pharmacists to refuseto participate in the healthcare
that they find morallyobjectable.
And I don't like that.
I don't like that at all becauseit's definitely something that
Florida has on the books.
And there were some otherRepublican led states where if a
healthcare provider doesn't feelmorally or ethically, or maybe
(14:52):
it goes against their religion.
Where they can dictate.
Well, we're not going to giveyou both control and its, or
we're not going to give you acertain care or if it's old pill
or maybe it's prep.
Or whatever the case may be.
Like I understand.
What.
(15:13):
Maybe their personal belief is,but this is healthcare.
You entered a field to helppeople.
Not to judge them on their lifeand not for you.
To sit here and be light whileI'm just not now.
Sorry, we're not going to giveit to you.
Especially, let's say that youare in one of those Republican
led states.
(15:33):
And let's say on a Tuesday, yougo and you buy and you try and
go buy old pill and the ones andthat pharmacist that day, right.
Is like, nah.
Sorry, I don't believe in givingout birth control and it's like,
what?
I don't give a damn what youdon't believe.
Like you're in healthcare tohelp people.
Not to help a selective.
(15:55):
View.
If that's the case, you need toopen your own private clinic.
And help the select a few thatyou want to.
Otherwise, when you enterhealthcare, you are obligated to
help.
Everyone, no matter what theirrace, no matter what their creed
is, no matter what theirreligion is, no matter what
their sexual orientation is.
If it.
(16:15):
If that's not for you.
Get out of healthcare.
Right.
I think that old pill.
Is going to be amazing.
I think that all of our youngerwomen and even some of our older
women.
Or just women in general, thisis good.
This is.
This is a step in the rightdirection.
(16:38):
I just am going to see somechallenges.
I feel like, and I mean, rightnow it's just probably the age
requirement.
We'll probably be a challenge,which is, I mean, it's
negotiable to be like, okay,well, you know, when should
this, but at the same timeevery, you know, things are
hitting differently.
(16:58):
For young girls than they weremaybe 20, 20, 30 years ago.
Right.
They're definitely developing alot sooner than 20, 30 years.
So, oh, pill.
Is good.
That's a good thing.
Will it be challenged obviously?
We're gonna switch gears alittle bit.
(17:19):
And we are going to talk about.
Pregnancy deaths.
It's a very.
Sad topic.
But we have to talk about, wehave to bring some type of.
Awareness to the issue,specially.
Because this article that I'mabout to read focuses on our
(17:39):
black and brown community andhow.
We are three times more likelyto die.
From pregnancy birth.
Or post.
Pardon?
We'll talk about that next righthere on the last conversation.
So.
Maternal.
Mortality has been a risingconcern in the black and brown
(18:01):
community.
COVID contributed.
A lot to these stats that theCDC released.
This is something that I wasdoing research of, okay, well,
what are the things that Ishould talk about that focuses
on women?
This article popped up and as Isaid before, I went into rabbit
holes.
I, it was just one article afterthe next.
(18:23):
And.
I want to just bring awarenessto it.
And maybe, you know, someone whois pregnant.
Or maybe.
Just share the episode.
That's what I want you to do.
Share the episode.
All right, let's get into it.
So in 2020.
Doctor.
Sharon's Wallace, a pediatricianwho was chief resident at
(18:46):
Indiana university of school ofmedicine.
Died.
Just two days after given bothto her daughter, Charlotte.
Charmaine.
Gibson studied at New Yorkuniversity.
And Medger Evers college anddies in 2019, just 13 days after
giving birth to her secondchild.
In 2007 17, Dr.
Sharon.
(19:07):
Irene, She worked for the uscenter of disease and control
and prevention CDC.
And was Lieutenant commander inthe us public health service
commissioned corpse died threeweeks after giving birth after
her ignored.
When returning to the hospitalfor care.
In 2016 Kara Johnson who had twodegrees spoke five languages,
(19:33):
and what's the daughter in lawof TVs, judge hatchet.
Bled to death after a routineC-section in Los Angeles
hospital.
These tragic deaths highlightwhat black women have known for
years.
That being well-educated andwell-resourced simply is not
fully protective factors when itcomes to maternal mortality.
(19:53):
Wait.
Selena Williams near deathexperience after given birth
only underscore that.
In 20, 20 black women in theUnited States, where 2.9 times
more likely to die during orafter childbirth.
Than a white woman.
According to CDC.
But more notably, a new studypublished in January showed that
(20:14):
the wealthiest black moms aremore likely to die in childbirth
than the poorest white moms.
The study uses California'sadministrative data to show how
household incomes alone is notprotected from racism's impact
on, infant care outcomes.
It's clear black maternalmortality is not just a low
(20:35):
income problem.
But a current wave of policy andadvocacy work is primarily
focused on re immersing doulasand offering me that
pregnancy-related services toMedicare eligible patients.
Doulas train birth professionalswho serve as educators and
advocates to pregnant women havebeen shown to be both per tech
(20:57):
active.
Improving birth outcomes forblack women and also
cost-effective by re reducingthe hospital expensive of
preterm births.
And C-sections.
And Oakland B incentive belovedbirth center program with
remarkable outcomes is reducingpreterm birth rates include.
(21:18):
Rates provides a doula.
A fitness trainer, a chefprepared meals for six weeks
postpartum.
A pregnancy related photo shoot.
Midwife where you led prenatalvisits and lactation consultant,
but this comprehensive programis currently on available to
black women on the state'sMedicare program in New York the
(21:42):
first free.
Doula program is focused onmarginalizing zip codes.
They go on to say, just becauseyou are not on Medicaid.
Does not mean that you can fullyafford a doula or other birth
professionals that black womanneed.
Tracy Collins, CEO and founderof national.
Black doula association and thehost of healthy girls podcast
(22:06):
and the interview via email, toomany black women are falling in
the gap.
Doulas.
Our only one piece of thecomplicated puzzle that
ultimately must include culturalchange within medical
institutions and systematicchange over all.
Now there's more research,reflecting the other line,
(22:26):
reality that regardless ofeducational, attuned, or related
factors like income, black womenexperience higher maternal
mortality rates across theboard.
So why aren't more policies andadvocates efforts focused on
providing pregnancy andpost-partum services for black
women across the economicspectrum.
(22:46):
The misconception and thenarrative that black Maternal
mortality rates are tied toincome has already caused harm.
Black women professionals,scientists and medical doctors
have shared with the article.
They're near death misses inchildbirth.
Several of them also share thatthey to consider themselves not
(23:07):
a.
At risk high.
Many black, both.
Berthings folks reasoned.
If the so-called research saidthe problem is being poor and
unable to advocate for yourselfand not poor.
And I'm educated enough toadvocate for myself, then I will
be okay.
That's false and dangerousthinking.
Chanel said the founder andexecutive director of ancient
(23:30):
song.
Doula services.
They go on to say that in mytravels advocating for black and
brown patients experience.
Data as a critical tool.
For symptomatic change.
I met with many middle-classblack women who are not on
Medicaid or who are not eligiblefor Medicaid.
But don't make enough to affordthe cost of a doula or an at
(23:51):
home postpartum support.
Some friends and family to chipin and I encourage them.
To put in on the baby registryas something other to contribute
to, but the idea of burdeningothers family, friends often
does not sit well with them andnot every community member.
Things say doula as necessary atwhen a crib diapers and other
(24:16):
centrals are also needed.
To be clear.
Efforts that focus on the needsof under resources.
Under-resourced our critical.
More than 3.3 million blackwoman.
Or one in four nationally arecovered by Medicare.
According to the national healthlaw programs, doula, Medicaid
(24:37):
project, 11 states.
Medicare program currentlyreimburse doulas to a modest
degree.
And nearly a dozen of them.
This is an overdue recognitionof the value of doulas and a
critical.
Momentum to make sure that theyare accessible.
And paid a level.
Full wage.
(24:58):
There's one more thing I want togo over that one of the main
messages I think from this isreally, there's a much bigger.
Society problem facing pregnantwomen.
And new moms who are in thatpostpartum period where, you
know, That's a very stressfultime of life.
What this points to is.
(25:20):
That there's particularvulnerability in this population
to some of the other socialfactors.
That's what the article said.
If you go back to 2015, most ofthe deaths in this population
were from pregnancy specificcauses.
I think it's around 60% to 40%.
From where other causes in 2020,it's kind of a flip-flop.
(25:41):
One of my toric.
The year after birth is acritical time period.
Women are still at risk for anumber of pregnancy associated
causes to death.
Of that.
However, for the most part, theyare disconnected from the
healthcare system.
It is important for communityand family to provide support
and understand the issues thatare facing postpartum women.
(26:04):
Put them at risk of death.
This article brings the light,something that has been an
issue, but it has not been anissue.
That we are talking about.
In the black and browncommunity.
This is an issue that highlyaffects us.
(26:25):
There's a lot of health issuesthat we have in the black and
brown community that we do nottalk about.
So our maternal rate.
Of deaths.
We also have high bloodpressure.
We have.
Other medical issues in ourcommunity that we do not talk
about.
(26:46):
And this is like a come to Jesusmoment.
And I remember when mygoddaughter was born.
And her mom had.
Medical issues as well.
And I remember we were racingher back to the hospital.
Everything turned out fine.
Her mom's behind my goddaughteris fine.
But.
There are issues in thehealthcare industry that we
(27:09):
don't talk about at all.
And I think we need to bringmore awareness to those issues.
Now, that's not the say that thehealthcare system.
Messed up its relationship withthe black and brown community.
From the start.
Now, if we're going to get real,let's get real.
You know, we, and it's beenpulled in.
(27:33):
That we will go to the doctorwith an issue and that doctor
will dismiss us with probablywhatever it may be.
Let's say that you have a sorethroat, right?
Oh, or that's, that's what youthink you're like, oh my
throat's a little raspy orwhatever you go to the one of
these clinics or your doctor orwhatever the case may be.
And they're like, oh, well youjust have a sore throat.
(27:55):
When underlining you had throatcancer.
That's a huge jump in, but it isa situation.
R.
Health is dismissed in thehealthcare system.
The healthcare system issystematically racist.
Against black and brown peopleand I'm not saying this because
(28:17):
it's not known.
It's known there's hugedisparities.
For us being in the black andbrown community, when it comes
to healthcare.
And until we start addressingthese healthcare issues and
bringing them to light,nothing's going to get done.
Something that I always suggestto my black and brown people is
(28:38):
I always tell them if you'regoing to get a primary care
doctor.
You need to get one that lookslike you.
Now you're probably like walls,the Fonda.
The, and I'm not saying that.
Other races of doctors.
Our bad.
I'm not saying that whatsoever.
I've had a white female doctorfor a while.
(28:59):
But then I switched over to ablack doctor.
Black male doctor.
And that's because he's going tounderstand.
What health issues we're goingto have in our community.
My, my other doctors, she wasamazing.
I love her.
But I switched over because as Iget older, I want someone who's
(29:20):
going to look like me.
I want someone who's going tonail what type of diseases?
Or type of health.
Issues.
Runs and the black and browncommunity.
We're going to talk about IVFin.
Alabama.
There's about three questions onthis article that I'm going to
go over.
(29:40):
That clearly explains more.
About it.
So you have a betterunderstanding.
I have a better understanding.
And we're both on the same page.
So remember how we talked aboutIVF in the last episode?
And some of you guys wereprobably left, confused.
I was left kind of confused.
(30:00):
Cause there was only one.
And I really listened to theepisode.
So in this episode, we're goingto be on the same page.
All right.
So I want to give a huge shoutout to John Hopkins, Bloomberg
school of public health.
For putting this out.
Helping some of us understandwhat's going on.
I will put a link.
(30:22):
In the description, so you canread it and also listen to it as
well, because this is somethingthat's really important.
But let's get to the reason ofwhy.
We are in the spot.
You're in.
What is the Alabama court caseabout?
The plaintiffs are three coupleswho.
(30:43):
All underwent IVF treatments ateight.
At a four.
clinic.
And Alabama.
Through the IVF treatment theyreceived, they all became
pregnant and gave birth to helpthe healthy babies.
As a result of the IVFtreatments, they also produced a
number of additional embryos.
(31:04):
This is standard practice in theIVF cycle.
Those additional embryos thatare not used, were frozen and
preserved by the fertilityclinic.
The presumption is that couplescould come back at some later
time and have another IVF cycle.
Using those embryos withouthaving to go through the entire
(31:25):
hormonal treatment andsurgeries.
What happened next is what gaverise to this case.
The plaintiff's couples frozenand Brailles have been
cryo-preserved at the fertilityclinic.
Which is located in a hospital.
In December, 2020.
A patient of that hospital enterthe fertility clinics cryo.
(31:47):
Preservation unit.
And open one of the tanks.
In there in which frozen embryosare stored, these embryos are
stored at subfreezingtemperatures.
So the patient put his hand inand grabbed some of the in
barrels.
He burned himself and drop theembryos.
Which hit the ground and weredestroyed.
(32:07):
The patient couples or theplaintiff couples brought
lawsuits again.
Against the fertility clinic.
And the hospital.
One of the lawsuits is fornegligence and wantonness, but
that wasn't part of this case.
The other lawsuit, the onethat's the subject of this case
was against the hospital and theclinic for the wrongful death of
(32:29):
a minor act.
Which is an Alabama statute.
At the trial court, this casewas dismissed.
The trial judge stay.
The embryos that exist in vitroare not people or children for
the purposes of the wrongfuldeath of a minor act.
And therefore was no claim thatthe couples could bring under
(32:49):
that act.
The couple's appealed thatdecision to the Supreme court of
Alabama, the highest court inthat state, the Supreme court
disagreed.
And in a nutshell, They saidthat the wrongful death of this
minor does apply.
This brief quote.
They said to all unborn childrenwithout limitation.
(33:11):
And that includes unbornchildren who are not located in
you TRO at the time they arekilled.
So in fact, the Alabama Supremecourt determined that these in
vitro embryos are declaredpersonhood.
So they have, they are childrenor people.
And the couples can thereforeproceed with their lawsuit.
(33:31):
They are seeking punitivedamages for what they say is
wrongful death of theirchildren.
Tell me more about this wrongfuldeath of a minor.
And how it's being applied.
The wrongful death of a minoract dates back to 1872.
At the time it was introduced.
IVF did not exist.
Then they had a very differentunderstanding of developing
(33:53):
fetus.
There is prior Alabama Supremecourt case law, making clear
that a fetus developing in uterois considered a child.
For the purposes of wrongfuldeath of a minor act.
So a parent could bring a claimunder that act.
If a fetus developing in uterodies due to an incident.
(34:13):
This is the first time ever thatthe definition of a minor or H
high yield under that statutehas been applied to an embryo.
That exists in the lab.
Do you think the federal courtswould step in?
And their answer is at least inmy mind.
(34:34):
There isn't a clear path to takethis case to the us Supreme
court.
Since it involves an Alabamastate statue.
It involves the interpretationof the Alabama state
constitution.
The ball is more likely to landsquarely in the court of
Alabama's legislature.
There are nine justice thatheard the appeal in Alabama, two
(34:56):
of them, one in the state.
And one who agreed, but wroteseparately have said that the
proper body.
To determine how to regulate IVFand what to do with embryos is
not the court it's legislators.
This issue is likely to landback in the Alabama letter
Slater.
Which we'll have to decide whatto do, whether they want to
(35:20):
carve out an exemption.
Wrongful death statues that havebeen not introduced.
All that this complication forin vitro in barrels or whether
they want to take a broader lookat IVF with the input bioethics
reproductive.
And legal.
Is there anything else thatmakes this decision so
(35:41):
extraordinary?
It's clearly extraordinary in.
It's determination.
That.
In vitro eight cell.
Embryos are considered people,but beyond that, B concurring
decision of the chief justiceand the main justice are really.
Relevant.
(36:01):
In the decision as I was readingthese opinions.
What really struck me is thatthe rhetoric sounds more like
scripture than it does thelanguage of a law.
Here's what they said...
we believe that each human.
Being from the moment ofcontraception is made in the
image of God.
Created by him to reflect itslightness.
(36:23):
It is as if the people ofAlabama took what was spoken of
the prophet.
And applied it to every unbornperson in a state.
The chief justice continuesreferring to the embryos.
Carving out an exemption for thepeople in this case, small as
they are.
It would be unacceptable to thepeople of this state who have
(36:44):
required the treat up to treatevery human being in accordance
with the fear of holy God.
Who made them in.
His image.
Is remarkable decision, both inoutcomes and its analysis that
took to the courts.
In the article the reason a lotof couples do you IVF?
(37:07):
Is because there are over amillion and a half embryos
currently frozen across theUnited States.
This isn't all in Alabama, butit raises a huge question about
what the obligations are forfrozen embryos.
Does that mean they can not bedestroyed and have to be
preserved forever.
And half of all IVF.
(37:27):
Cycles that take place involvepreimplantation genetic testing
of embryos, many couples thatseek IVF do so because one.
Of the members is a carrier of aknown genetic mutation
associated with a seriousdisease or conditions.
Those couples seek IVs so theycan have embryos genetically
tested prior.
(37:48):
To implantation.
And if this genetic mutation isdiscovered in an embryo,
Edinburgh is usually discarded.
Does that mean thatpreimplantation genetic testing
should no longer take placebecause it cannot cause you
cannot disclose the Ambrose.
Those are too, or just to thequestions of the rising from
involving what to do with theseembryos.
(38:09):
If they are human beings.
And can give rise to liability.
Well, So much.
Right.
But I wanted to give a clearunderstanding of.
What we were looking at becauseas I said, I read it.
And I was like, man.
What the hell did I address?
(38:32):
And then, you know, like howsometimes you'll read something.
And then you'll realize threeother things and you're like,
okay, I understand what they'resaying.
So that's why I wanted to do inthis one.
We're going to take a quickbreak.
Now.
Most of you guys now, I lovemaking fun of.
Marginally Taylor green.
(38:54):
Or AKA the green.one.
But this right here.
Now it's a full.
It's not really an interview.
Well, it is like an interview.
But I'm not alone.
Let you listen to before.
It's really this last, likeminute into.
That Jen.
(39:15):
It's not funny, but take alisten to it.
Tell me why so many people thatsupport Donald Trump love
conspiracy theories, includingyourself.
He seems to attract lots ofconspiracy theorists.
Well, let me tell you you're aconspiracy theorist and the left
in the media spreads moreconspiracy theories.
We like the truth.
We like supporting ourconstitution, our freedoms and
(39:37):
America.
First sound about Jewish spacelasers.
Tell us about Jewish.
Why don't you?
Why don't you.
Let's go talk about Jewish spacelasers, and really why don't you
fuck off?
How about that?
Thanks.
Thank you very much.
Hi.
Oh, Oh, does it not bring.
She said, why.
(40:00):
Okay.
All right.
Okay.
Okay.
I'm good.
Good.
I don't.
I don't know why that's sofunny, but that's marjorie
Taylor green for ya.
Like she came up with the Jewishspace.
Leisure's like, Jewish.
Space lasers.
(40:20):
We're going to strike us likepew, pew, pew, pew.
Oh, I just like how she endedthat by us.
I just saying poor reporter.
I definitely.
It's not funny, but it's funny.
And she's like, why don't youjust go fuck off.
Like wow.
(40:42):
Wow.
Wow.
Just man, just.
Anyways.
I hope you guys laughed at thatpart too.
Like I was that's so that's sohilarious anyways.
So this episode.
Every time.
I think violate now I'm just.
Just like laughing in my headanyways.
(41:03):
So before we end the show, Iwant to do our weekly shout out
to all the countries except theUnited States.
That also listen to this show.
I want to see these numbers goup.
So.
In both place.
We have Australia like.
(41:23):
All right.
My light.
My, is that, is that it might,is it the, I don't know.
Anyways, conga role.
I'm sorry.
Anyways, but yeah, so Australia.
You are like the second countryfrom the United States that
listen to the show.
So thank you.
You, you deserve a round ofapplause.
(41:53):
There you go Australia.
Next up is India.
And then we have Canada.
And then we have the UnitedKingdom now United Kingdom.
We're going to have to step up.
We're going to have to get upthere with Australia.
Okay.
So I don't know, maybe send thisover to the king or send it to
the pallet.
However, I keep giving you guyscompliments.
(42:13):
Like I love.
Scotland.
I love the United Kingdom.
I love the medieval.
I love the castles every time.
Like I interact with someonefrom the UK, I'm like, Hey, can
I come?
I buy a castle.
And they're like, you know,sure.
I, I guess.
And then we got Nigeria.
Nigeria is on the list too.
Ireland is on here.
(42:34):
It's not a lot of people, but.
There's two people in Ireland.
You guys know about my piece ofland.
I like to do this every twoweeks or whenever we do an
episode, just to show myappreciation.
For all of you guys who listento the show.
Because I truly try and meetthese shows for you guys or try
(42:57):
and make them somewhatentertaining.
This one, this episode, I candefinitely say I'm going to be
doing a lot of editing.
Good, but, you know but.
Next week.
I do want to get another episodeout for you.
It's going to be on D E I.
D E I Stansberry diversity.
(43:18):
Equality and inclusion.
The reason why we're going tofocus on this is because this is
going to be a very hot topic.
For this upcoming politicalculture.
And it's just the culture ingeneral for a lot of Southern
states that are Republican ledthat are trying, that are.
I wouldn't say trying to, theyare getting rid of D E I
(43:38):
programs.
Or prohibiting it in schools.
Or prohibiting in the workplace.
I would probably like willStefan, why is DEI even that
important?
DEI is a structure of.
R.
Country.
You need diversity, you needequality and you need inclusion.
(44:02):
It definitely relates to usbeing in the black and brown
community.
You know how these peoplealready look at us.
So now.
These Republican led states aretaking them out.
Of schools.
Jobs.
So it's, we're going to talkabout DEI.
(44:24):
Also with that, we're going totalk about how the NAACP is also
encouraging our black and brownathletes.
To look for colleges.
That are encouraging D E I N tobe on the lookout for the
colleges.
We're not supporting DEI as muchas they might like you for your
(44:44):
basketball skills.
They may not be a diversityequality or inclusion schools.
Which means it's going to be awhole different ball game for
you.
We'll talk about that next week.
Anyways.
I love you all.
Be safe.
Be kind.
Be different.
Do what that inspirationalmessages and find something that
(45:07):
makes you happy this week.
Whether it's going for a walk.
Maybe it's getting coffee byyourself.
Whatever the case may be.
Find one famous week one.
One thing that makes you happy.
Not what makes someone elsehappy?
Not what makes your job happy.
Not what makes your coworkershappy?
(45:29):
Find something this week.
That is your challenge.
This is your challenge to findone thing.
One thing that makes you happy.
At the end of the day.
The only person who cares aboutyour happiness is going to be
you.
Take care of everyone.
so much for watching, and I'llsee you in the next video.
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