Cecile Richards on Planned Parenthood

It started with a relatively small action: A black felt armband worn to her Texas grade school as part of a nationwide protest against the Vietnam War. Cecile Richards was only 13 at the time, and it was her first big leap into the resistance. As a result of her act of rebellion, she was summoned by the principal, who promptly phoned her mom. As Richards recalls, her mother wasn’t home at the time, which made it probably one of the luckiest days of the principal’s life.

That’s because Richards’ mom was the legendary Ann Richards, an original Texas firebrand and political activist who went on to become governor. From that dynamic and politically charged upbringing, Richards would establish herself as a formidable organizer in her own right. She campaigned alongside nursing home workers, janitors and hotel staff to secure just wages and benefits. She later formed the Texas Freedom Network and rallied a community against the religious right when it tried to take over the local school district by ousting board members, directing curricula and composing reading lists. In 2002, she became deputy chief of staff for US Rep. Nancy Pelosi (D-Calif.), and later went on to found America Votes, a progressive organizing network that advocates for voters’ rights.

In her new memoir, Make Trouble, Richards writes about the influence of her mother, Pelosi and the countless workers she’s marched alongside who helped shape her own activism. For the past 12 years, Richards has been the president of Planned Parenthood Federation of America, championing its work providing health care to low-income individuals and standing up to constant assaults on reproductive rights. The federation is composed of 80 local affiliates operating approximately 800 health centres nationwide. This January, she announced that she would be stepping down from that position.

The title of Richard’s book, Make Trouble, is as much a reflection on her life as a directive to her readers. The book is filled with lessons on how to organize – not textbook tutorials, but personal tips learned from someone who has spent decades being a troublemaker, questioning authority and not waiting for someone else to do something.

You speak a lot in Make Trouble of your experiences at various Planned Parenthood outlets. How often did you visit clinics across the country, and how did those visits shape the work you did?

That has been, hands down, one of the best parts of the last 12 years at Planned Parenthood. From the moment I took the job, life on the road became my new normal. In fact, I recently visited my 50th state: North Dakota! Meeting the staff, volunteers and patients who are the heart of this organization has not only shaped my work; it has changed my life. There were so many incredible moments. Seeing the IUD-shaped bike racks outside Planned Parenthood in Portland was a fun one.

I also heard countless stories that really brought home why we do the work we do. I’ll never forget talking to a doctor in Ohio who told me, holding back tears, how hard it was to be forced by the state to repeat false information intended to shame and scare her patients out of ending a pregnancy. That was one of the common themes: The doctors, nurses, clinicians and staff who work at Planned Parenthood are deeply committed to their patients, whether they’re in Alaska or New York City or anywhere in between.

What impact has Donald Trump’s presidency had on women’s reproductive rights, here and abroad?

From the day this administration took office, they have been working to make it harder for women to access health care in the US and around the world. On his very first day, President Trump reinstated and expanded the Global Gag Rule, so that it not only slashes funding for global family planning, but jeopardises health programs addressing HIV and Zika. This administration has also cut off US funding for the United Nations Population Fund – an organization whose sole mission is to support maternal and child health around the world.

Here in the US, they have tried to kick millions of women off their health insurance, block women from coming to Planned Parenthood for affordable birth control and cancer screenings, and even tried to strip away maternity care benefits. Not only that, they’ve taken steps to allow employers to deny birth control coverage to their employees, undermined programs that prevent teen pregnancy, rolled back protections for transgender people and survivors of sexual assault, stacked the administration at every level with people who are radically anti-science and anti-abortion.

The unintended consequence, however, is that these attacks have energized and engaged millions of people across our country who are fighting back. I hope that will be the lasting legacy of this moment: the activism and grassroots organizing it has inspired.

So many of the battles against Planned Parenthood and other women’s health access points have been projected through the lens of abortion, when these are matters of complete health care for women, particularly women experiencing poverty. After a century, we’re still fighting for health care and reproductive rights. What do you want to see happen to get us beyond this cycle?

You are absolutely right. More than three-quarters of Planned Parenthood patients live at 150 percent of the federal poverty level or below. For a lot of our patients, we are the only health care provider they see – without us, there’s no one else. In order to get beyond this cycle, I would like to see our leaders in this country recognize that abortion is part of women’s complete health care, and to understand that access to reproductive health care is also an economic issue for millions of women. I’ll never forget the student I met in Iowa who told me she was about to become the first in her family to graduate from college, and she was graduating thanks to two things: scholarships and birth control.

I was struck when reading about the young woman, a senior in high school, who said four years ago she was really shy. But after working with Planned Parenthood, she could talk about anything to anybody. And it struck me that the stifling of women’s health care, and just the “abnormalising” of women’s physicality and sexuality, has a much more significant impact than just appeasing objections to sexual behaviour. What are your thoughts on this?

I believe we will never change our politics until we change our culture. That’s especially true when it comes to the shame and stigma around women’s health and sexuality, which is so pervasive. But the ground is beginning to shift. We are experiencing a groundswell of women speaking out like never before about everything from abortion to miscarriage to sexual assault and harassment. They’re challenging people’s attitudes and assumptions and normalizing women’s experiences. And once that change begins, it can’t be reversed. As my mother used to say, you can’t un-ring a bell.

In several instances, you reference cases when people really change their mind about these issues that seem carved in stone – either for or against, around reproductive rights. What is the key to making people see this divisive issue in a new light?

Well, for a lot of people in this country, reproductive rights are actually not a divisive issue. Nine in 10 women have used birth control. One in five women have been to Planned Parenthood. For millions of people, this is simply part of life.

When it comes to the issue of abortion, we’ve found that there is more common ground than it sometimes seems. That’s part of the reason why, a few years ago, Planned Parenthood stopped using the labels ‘pro-choice’ and ‘pro-life’. This was a conversation folks in the reproductive justice community had been having for years: If you ask someone whether they identify as ‘pro-choice’ or ‘pro-life’, many say they identify as both or neither. But if you ask them whether they believe a woman should be able to make her own decisions about ending a pregnancy, a lot of people, regardless of their own personal views on abortion, say yes, of course. That’s something that has been proven in states like Mississippi, North Dakota and South Dakota, when voters overwhelmingly rejected proposed bans on abortion. People are capable of more complexity and nuance on this issue than we give them credit for.

The section on Dr George Tiller is particularly moving, especially that he found out later in life, after he went into health care, that his father had been providing abortions for women who had no other options available to them. And they were coming to George hoping to find similar services. (Tiller was murdered while attending church services in 2009.) Can you speak to the message of George Tiller’s story?

George Tiller was an incredible man, and one of the things that made him so remarkable was that he loved and respected his patients. He understood that they knew what they needed and deserved the right to make their own decisions about their health, lives and futures. To me, the message of George’s story is the same as his motto: Trust women.

You reference a vote in your book, I think it was held in the early 1910s by the Portland City Council and done in secret to ban the pamphlets on birth control published by Margaret Sanger, the founder of Planned Parenthood. Today, Oregon is viewed as being one of the most liberal states when it comes to women’s health care access and abortion access and Portland considers itself ahead of the curve. Meanwhile, other states are curbing access to care. Should we worry, given your experience, that the pendulum could swing back, even in a state like Oregon?

Oregon has a long, proud history of activism on reproductive rights. Back in the early 1910s, when the Portland City Council took the vote you mention, the women in town made pamphlets which read, “Shall five men legislate in secret against 10 thousand women?” They were definitely ahead of their time!

If we’ve learned one thing over the last year, it is that we can’t take anything for granted. It has never been more important to keep pushing forward and working to expand reproductive health and rights in places like Oregon where we have the chance to keep making progress and provide a North Star for the rest of the country.

You’re leaving Planned Parenthood, but I can’t imagine that you’re retiring. What’s ahead for you?

I’m leaving Planned Parenthood, but I’m definitely not leaving this movement. I’m going to be fighting for reproductive health and rights as one of the 11.5 million supporters. Beyond that? Well, I have this new book coming out…

Courtesy of Street Roots / INSP.ngo



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