It’s possible that I shall make an ass of myself. But in that case one can always get out of it with a little dialectic. I have, of course, so worded my proposition as to be right either way (K.Marx, Letter to F.Engels on the Indian Mutiny)
Saturday, February 19, 2022
New marijuana study in New Jersey
Meg Baker
NEWARK, N.J. -- Rutgers University recently conducted a study on marijuana usage to help guide state policy.
CBS2's Meg Baker has more on the possible impact of pot retail sales on children.
Usage overall in New Jersey is lower than the nationwide average, but a scary statistic shows younger people are using more now than ever.
"Marijuana use among those 12-17-year-olds is actually going up, which really ... that resonates in terms of we need to be more proactive. If the rate is already going up, what are we going to do now that recreational marijuana is legalized?" said Charles Menifield, dean of the School of Public Affairs at Rutgers-Newark.
Menifield, the study's principal investigator, looked at the impact of legalization and identifying disparities among different communities.
"Both in terms of public safety, education, and health, there's no question based on our finding that African-Americans could be disproportionately impacted in a negative way when cannabis retail sales actually begin."
He said the likelihood that retail outlets will be in communities of color is high. Data indicates that racial differences in school discipline could be linked to marijuana usage.
"Black kids were suspended at a rate that was more than twice that of any other group. Substance abuse was the third-highest reason for suspensions, right behind bullying and intimidation," Menifield said.
The report is a baseline of where the state is now, Menifield said annual research is needed to connect the dots between where marijuana usage is highest, and how legalization and the potential for increased usage will affect those communities, especially teens.
"We are No. 1 in graduation rates right now, in terms of having a good one. What we're saying is it could affect graduation rates because kids are getting high instead of studying," Menifield said.
He said a lot of focus has been on the revenue the marijuana business will make for the state. He suggests a percentage of those funds go into prevention education, and more research like this.
The study also looked at health factors of legalization, such as suicide rates, and he number of people entering treatment facilities for marijuana addiction.
Experts rate 12 vaccine claims by Robert Malone, the doctor catapulted to fame on Joe Rogan's podcast
Hilary Brueck,Andrew Dunn
Dr. Robert Malone in his office on his Virginia horse farm on July 22, 2020.AP Photo/Steve Helber
The scientist Robert Malone raises questions about the safety of COVID-19 vaccines.
Some of what he says about mRNA vaccines is true, while other claims are baseless or leave out info.
We asked 10 leading experts to separate the facts from the fiction in what he says.
Robert Malone, the self-proclaimed inventor of mRNA vaccines and a skeptic of the COVID-19 vaccines that use mRNA technology, has skyrocketed to celebrity status in recent months.
He is a frequent guest of Tucker Carlson's on Fox News, and his message reached his biggest audience yet in December when he appeared on Joe Rogan's podcast for three hours to discuss his fears about vaccination against COVID-19.
Malone says he's not against all vaccines. He says he's just concerned that the proper, usual precautions haven't been taken with the mRNA vaccines for COVID-19 and doesn't think people should be required to take them.
While Malone developed some of the first mRNA vaccines that mice took in the late 1980s, experts say some of his claims about mRNA-vaccine dangers are not rooted in fact. Malone does say some things about vaccines, and about infectious disease, that are accurate and should be discussed — in context.
One issue is that Malone's statements tend to come out of context. He often uses jargon and vague terms to skirt over inconsistencies about vaccine safety or cherry-picks data that makes the vaccines, and what they do to a person's body, sound scarier than the reality. And he tends to downplay the dangers of coronavirus infections.
We asked 10 leading experts, from infectious-disease pediatricians to sports cardiologists and health-policy professionals, to vet some of the most common claims Malone makes — whether in a podcast appearance with Rogan, in his Substack newsletter, on Fox News, or in front of an anti-vaccine crowd on the National Mall in Washington, DC.
The objective of this fact-check is to provide a fair assessment of Malone's claims based on all the evidence and knowledge these experts have in their respective fields.
CLAIM: Vaccines may be damaging to children
"On average, between one in 2,000 and one in 3,000 children that receive these vaccines will be hospitalized in the short term with vaccine-caused damage," Malone said at a January 23 rally in Washington, DC, against vaccine mandates.
RATING:
Alex Ford/Insider
EXPERT: Dr. C. Buddy Creech, a professor of pediatrics at Vanderbilt University School of Medicine and the president of the Pediatric Infectious Diseases Society
EXPLANATION: Malone did not provide a citation for this statistic at the rally, but there are only a couple of data sources that even approach the kind of hospitalization rates he cites. One was a retracted Canadian study, based on bad math, and the other was a study of all vaccinated adolescents in Hong Kong, where each hospitalized patient had very mild symptoms and, the study authors said, "required only conservative management" out of an abundance of caution.
"We actually have the data to be able to know what the likelihood of hospitalization after vaccination is" from mRNA vaccines, Creech said, adding: "And it is astonishingly small."
"We're talking about one in 100,000, one in a million," Creech said, referring to rates of myocarditis, a type of heart inflammation rarely seen after vaccination.
There is also good emerging evidence that spacing the two initial vaccine doses further than a month apart reduces the risk of developing myocarditis and makes the vaccine more effective. Myocarditis developed as a result of a COVID-19 infection is more severe and more often deadly.
CLAIM: We can't really be sure these vaccines are safe until they've been studied in people for several years
"Only the passage of time will we know what long term damage may occur to these children," Malone said at a January 23 "Defeat the Mandates" rally in Washington, DC.
"These vaccines can damage your children. They may damage their brains, their heart, their immune system, and their ability to have children in the future."
RATING:
Alex Ford/Insider
EXPERT: Dr. C. Buddy Creech, a professor of pediatrics at Vanderbilt University School of Medicine and the president of the Pediatric Infectious Diseases Society
EXPLANATION: "That time frame is completely made up," Creech said. "This idea that something's going to pop up 10 years from now, 30 years from now, 50 years from now, it illustrates a basic misunderstanding of how vaccines work."
Creech said all vaccine side effects "happen primarily in the first month after vaccination."
Generally speaking, he's right. Most of the things a vaccine can do to a person's immune system take days, not weeks, months, or years to surface. It is possible for rare complications from a vaccine to surface after 30 days, though they generally take place no more than 42 days afterward, according to federal compensation rules for vaccine injuries. That's because there are three main ways that a body reacts to vaccination, and they all happen relatively fast.
That's "15 to 30 minutes," Creech said, adding: "You have swelling, and we deal with it there in the office."
The second type of vaccine reaction a person can have is an inflammatory response. Most people experience this in the days to week after they're vaccinated.
"That's why a lot of people have arm pain, and fatigue, and fever, and achiness in the day or two after a vaccine," Creech said.
Finally, the third way a vaccine might trigger some issue in the body would be through some kind of abnormal response to vaccination. This can happen as the body is refining its response to a vaccine in the weeks to month after a vaccination. There may be genetic risk factors at play, or medical reasons some people have an unusual immune response at this point, Creech said.
"This is where we might see Bell's palsy after a vaccine, or we might see Guillain-Barré syndrome."
But can those things happen years after a vaccine has been administered?
"There's nothing left to continue to cause problems," Creech said. That's because the vaccine has left the body (for mRNA COVID-19 vaccines, it takes about 36 hours), and the subsequent immune responses it has triggered are all complete.
"If you can get to three months after vaccination, and you haven't had any side effect whatsoever, you're not going to now have a side effect," Creech added.
That's why the Food and Drug Administration requires six months of follow-up safety data on all vaccines before they receive full approval. (For emergency use authorization during a time of crisis, like the pandemic, two months of safety data is, temporarily, allowed.)
"When someone says, 'Why did we think these vaccines would be safe in the first place?' My answer is: 'We didn't, and that's why we did the clinical trials,'" Creech said. "We never know if a vaccine coming out of development is going to be safe. And that's why we have a system that is well-regulated, well-monitored, and open for scrutiny to be able to judge whether a vaccine is safe and effective.
"And if it is, we use it. And if it's not, it either never sees the light of day. Or if that side effect is so rare that it doesn't come to light until after it is given to millions of people, we remove it from the market."
Only one vaccine in recent history was taken off the US market because of safety concerns. RotaShield was removed from shelves in 1999 after 14 months of use because some babies developed rare but treatable bowel issues, generally within one week after a jab. RotaShield had been tested for nearly 20 years in 25 clinical trials carried out both in the US and around the world, but the side effect was so rare that it affected an estimated one in 10,000 babies vaccinated, which made it such an uncommon event that it was impossible to screen for during the clinical trials, with fewer than 15,000 participants.
CLAIM: There is a rise in 'sudden deaths' among athletes, and it's partially because of the vaccines
"Sudden deaths in high-performing athletes that are being observed all over the world, particularly in footballers where they're just suddenly dropping, is it because they've been infected or because they've been jabbed? And I think it's a mixture of both," Malone said on Rogan's December 31 podcast.
RATING:
Alex Ford/Insider
EXPERT: Dr. Ankit Shah, a Baltimore sports cardiologist at MedStar Heart & Vascular Institute and assistant professor of medicine at Georgetown University
EXPLANATION: "I don't know of any credibly reported case of an athlete having cardiac arrest either after a COVID illness or after vaccination for COVID — zero reports that I'm aware of," Shah said.
Many studies have been done on the risk of myocarditis, or the swelling of the heart muscle, and its risk in athletes. Those studies have found that about 0.6 to 0.7% of collegiate athletes who hadn't been vaccinated developed myocarditis after being infected with COVID-19. The highest rate of vaccine-related myocarditis among the general population comes in men ages 20 to 29. One study estimated the frequency of myocarditis in that group at 40.6 cases per million, or about 0.004% — a fraction of the risk of myocarditis among unvaccinated people who catch COVID-19.
Even those extremely rare cases of myocarditis are manageable. They haven't led to any uptick in deaths among athletes, Shah said.
"I haven't seen anything. None of my colleagues around the country have reported anything," he said. "Everyone has their own agenda, but in terms of the science, there's nothing there that supports it."
CLAIM: Ivermectin and Pepcid work to treat COVID-19, but the US government and healthcare workers don't want people to have access to them
"Ivermectin must be initiated immediately for people in high-risk categories in the United States and worldwide. This includes individuals with one or more co-morbidities and the middle-aged or elderly. Our 'design-to-fail' government-funded clinical trials for early treatment and governmental obstructionism regarding life saving treatments to patients must end now," Malone wrote on Substack.
As for the claim that these trials are designed to fail, Boulware said monoclonal-antibody treatments — an antiviral remedy that has been widely embraced by vaccine-hesitant people — were also tested in the same style of government-sponsored studies.
"Although government-funded, the trials are run by academic institutions and collaborate with doctors and hospitals around the country," he said.
In fact, there is a government-sponsored study under way testing ivermectin, along with two other repurposed drugs, fluvoxamine and fluticasone, as treatments for COVID-19. That study has been ongoing since the summer, and Boulware said results from that and other randomized controlled studies should help inform these questions in the next few months.
No randomized trial has found a clinical benefit to using ivermectin alone as a treatment for COVID-19. Until the results of this latest study are available, Malone's claims are baseless opinions, Boulware said.
While study results published on February 10 in The BMJ showed COVID-19 patients seemed to have their symptoms resolve faster when taking Pepcid instead of a placebo, Boulware said he wasn't convinced. The trial enrolled only 55 people, and other measurements showed no benefit from taking Pepcid.
"This is too small a trial to say much of anything," he added.
CLAIM: Masks don't prevent infection
"Neither masks nor vaccines prevent infection, replication or transmission of the Omicron strain of SARS-CoV-2," Malone wrote in a February 1 Substack post.
RATING:
Alex Ford/Insider
EXPERT: Ashley Styczynski, an adjunct clinical assistant professor in the Division of Infectious Diseases & Geographic Medicine at Stanford University
EXPLANATION: Styczynski conducted one of the only randomized controlled trials, aka RCTs, of masking during the pandemic. Though only about 40% of those offered masks for the purposes of the study put them on, infections among people over the age of 60 were slashed by 35%, which suggests masks help keep vulnerable people safe.
"Biologically, we have a lot of evidence about the way that masks do reduce infections, and we have good studies that look at the ability of particles of viral size that are airborne to pass through different mask materials," she said. "Then, we do have more empirical evidence through, for example, the RCT that we did. The tricky part is that none of these have been done in the era of Omicron, specifically."
Styczynski added: "We have a very solid foundation by which to say that we believe masks are effective against SARS-CoV-2 infections and transmission. What we can't say is what that efficacy number is for Omicron."
A well-fitted N95 mask, she said, "should offer as much protection against Omicron as it would against any other variant."
"Other masks that don't seal to your face, there is some degree of leakage, and we don't know how much that will impact differences in Omicron transmission as opposed to other variants," she added. "But we know it reduces it across the board.
"We use N95s for diseases that are far more transmissible than even Omicron is. And we have high levels of confidence that they continue to offer protection. Things like measles, for example. So I don't think that there's any argument to be made that Omicron is somehow constitutionally different in a way that masks would not protect against its transmission."
CLAIM: The FDA's system to monitor vaccine side effects is far weaker than the European data, which shows tens of thousands of deaths and nearly 2 million injuries
"Each of the major vaccines can cause a wide range of serious side effects — or kill people outright. Yet, the FDA's system to monitor such 'adverse events' appears to undercount such events dramatically. In contrast, the European Union's far more accurate system yields alarming statistics: As of July 31, 2021, the Eudravigilance10 database has recorded 20,525 deaths and 1,960,607 injuries," Malone wrote in a Washington Times op-ed, September 2021.
RATING:
Alex Ford/Insider
EXPERT: Deborah Fuller, a microbiologist and vaccine researcher at the University of Washington
EXPLANATION: "This is baseless," Fuller said. "The European website reports deaths by any cause after a medicine or vaccine is taken regardless of whether there is a link.
"That would be like counting the number of people who got in a car accident after eating a bowl of Wheaties for breakfast in the morning and then claiming eating Wheaties for breakfast causes car accidents."
CLAIM: 'A viral gene will be injected into your children's cells'
"Both physical damage and death of our children from injecting them with genetic vaccines in order to protect the elderly from a virus is occurring," Malone said at the January 23 "Defeat the Mandates" rally in Washington, DC.
RATING:
Alex Ford/Insider
EXPERT: Dr. C. Buddy Creech, a professor of pediatrics at Vanderbilt University School of Medicine and the president of the Pediatric Infectious Diseases Society
EXPLANATION: Malone's claim that a "viral gene" will be injected into children is wrong, Creech said.
"There's not a viral gene being inserted into the cells," Creech said. "There's a recipe. There's an mRNA recipe that's made of sugars that get placed into the cell in the exact way that you would see it if you were infected with COVID. The difference being, we're doing it in a purified, controlled manner rather than getting a wild-type infection."
Creech added: "This notion that kids don't spread it, or kids aren't infected, is false. What Dr. Malone really needs to do is meet the parents of the child that develops severe brain dysfunction from the disease, or who can't go to school any longer because of long COVID, or who had multisystem inflammatory syndrome and now has coronary damage.
"Until he sees and cares for those patients and families, he needs to temper, in my opinion, his claims that children aren't affected by this pandemic virus and don't need a vaccine."
CLAIM: The coronavirus' spike protein interacts with the 'blood-brain barrier,' with a risk of brain inflammation
"These genetic vaccines are leaky" Malone said at the January 23 "Defeat the Mandates" rally in Washington, DC.
Malone also often says the virus' spike protein can permeate the blood-brain barrier:
"It has to do with the structure of the cells that line the blood vessels in your brain and what it allows to go through and doesn't go through. Spike causes that to become more like an open sieve, so things can go into your brain that shouldn't go into your brain. So that can trigger brain inflammation … whether it's the vaccine, the virus, or the adenovirus, you know the mRNA, the virus itself, or the adenoviral vectored spike. Those toxicities are there, and the common variable is the spike protein," Malone said on Rogan's podcast.
RATING:
Alex Ford/Insider
EXPERTS: Michelle Erickson, a research-assistant professor at the University of Washington's medical school and a research biologist at the Veterans Affairs Puget Sound Health Care System. Erickson has published research on the spike protein and blood-brain-barrier interactions in Nature.
David Walt, a pathology professor at Harvard University and coauthor of a Brigham and Women's Hospital study that Malone often cites when talking about the spike protein
EXPLANATION: Erickson is a clear authority on this topic, as she has extensively researched it through the pandemic.
Her group has found the spike protein can cross the blood-brain barrier of mice, and it has also shown it can cause inflammation in rats. But she wrote in an email to Insider: "There is also information out there that has convinced me that vaccines are safe for the brain, and indeed should prevent harmful effects on the brain if one was to become infected with SARS-CoV-2."
Overall, Malone's claim is based on research about the coronavirus' spike protein — the part of the virus it uses to infect cells. Erickson said she would be much more worried about spike-protein levels in the blood of people who aren't vaccinated and catch COVID-19.
While that finding has been used by Malone to raise alarm, Walt said his research was exactly what he would hope to see from a safe and effective vaccine.
"All we're saying in this paper that this person and others have cited is that the vaccine is actually working exactly as it was intended. It's being injected into the muscle. It is being converted from the RNA into the protein," Walt said, referencing the spike protein.
"In every one of these individuals, within a couple of days, we see the production of antibodies, which is exactly what's supposed to happen. And the protein disappears. The antibodies that are being produced are sopping up the protein," he added.
Importantly, no spike protein was detected in vaccinated people after their second shot, a sign their immune systems had been properly primed to fight the virus.
On top of that, the levels of spike protein found in Walt's study were incredibly low. Erickson said the amount would need to be about 200 times higher to enter the brain.
Ultimately, Erickson said she'd rate this claim as partially true. The spike protein, she said, "can do some of the things that Malone states but probably does not do any of those things in the case of vaccination." Getting vaccinated would help reduce the unpredictability of what a spike protein might do, she added.
This is one of Malone's more complex claims. To sum it up, he's not wrong in acknowledging the spike protein is detectable in the blood of some vaccinated people. But those levels are incredibly small — too tiny to be toxic — and go away in a few days as the vaccine produces antibodies that wipe away those proteins. Antibodies, either from vaccination or previous infection, stop those proteins from ever reaching the blood-brain barrier.
CLAIM: Pharmaceutical companies never have to pay for the damages vaccines cause
"Pharmaceutical companies and the government are almost fully protected from any damages these products might cause to them."Malone said at a Washington, DC, rally on January 23.
RATING:
Alex Ford/Insider
EXPERT: Dorit Reiss, a University of California law professor and an expert on vaccine litigation
EXPLANATION: "It's true that pharmaceutical companies are protected from almost any damage from COVID-19 vaccines until February 2024. That's under a PREP (Public Readiness and Emergency Preparedness Act) declaration that the secretary of health and human services issued in March 2020," Reiss said.
The PREP declaration isn't just for vaccines, though. It covers any medical countermeasures against COVID-19, which may include drug treatments, diagnostics, and devices.
"That's a general emergency provision to make sure manufacturers are acting in an emergency. It's not just for vaccines — it's for all kinds of products," Reiss said.
This means pharmaceutical companies are essentially "all protected from liability until 2024," she added.
"It's also true that it's going to be hard to sue the government on this because the government is protected from liability for decisions within this discretion," she said.
But there are other ways that both the government and pharmaceutical companies can be held to account if something goes wrong with a vaccine.
"The government has a compensation program, the Countermeasures Injury Compensation Program, CICP, that will compensate people that can show their harm is caused by vaccines. The government will be on the hook for that," Reiss said, adding: "Tort liability isn't the only way companies can face sanctions.
"If there's a problem with a vaccine, there are other tools to impose potential penalties."
CLAIM: Hospitals are receiving a 'death benefit' for COVID-positive patients
"There's something like a $3,000, basically, death benefit to a hospital if it can be claimed to be COVID,"Malone said on Rogan's podcast.
"So that it really is true that if someone has a gunshot wound, and they're dying of that gunshot wound, and you check them for COVID, and if they're COVID-positive and they die, they marked it off as a COVID death?" Rogan asked.
We reached out to the Kaiser Family Foundation, an independent nonprofit focused on national health issues, to vet this claim.
While KFF didn't want to rate the claim on our scale (saying it would rather "stick to explaining policy"), its assessment of the claim suggests that it has some truth behind it but is misleading.
EXPERT: KFF
EXPLANATION: "Medicare provides a bump in payment for COVID-related DRGs for Medicare beneficiaries, unrelated to whether the person died in the hospital," KFF said, referring to diagnosis-related group payments. "There's no evidence of hospitals gaming the system to boost payments inappropriately, and there needs to be a documentation of a positive lab test for COVID-19 in the patient's medical record in order to qualify for the 20% payment bump. If they did falsify records to get a pay bump, that would be fraud."
CLAIM: Children shouldn't be vaccinated for COVID-19. Mandates are wrong.
RATING: Because this is Malone's opinion, we didn't rate it
But we did get Dr. C. Buddy Creech, who's an expert on childhood vaccines, to weigh in.
EXPERT: Creech, a professor of pediatrics at Vanderbilt University School of Medicine and the president of the Pediatric Infectious Diseases Society
EXPLANATION: "Should children be mandated to receive the vaccine? I think it's worthy of lively debate," Creech said. "I think it's going to change depending on where in the pandemic we are.
"In March of 2020, should children be mandated? Nope. Now with Omicron, I don't know, maybe. A lot more kids are in the hospital now."
Creech added: "I think we can entrust people to make decisions that are best for them.
"But I'll tell you this: It needs to be available to them. It needs to be available to our high-risk kids."
"The effects of the legacy media and Big Tech promote a clear and psychological manipulation, which has deeply distorted public-health policy," Malone told the crowd gathered at the January 23 DC rally against vaccine mandates.
"The Davos oligarchs have demonstrated their gross incompetence to all the world over the last two years," he added.
"I sincerely believe that we can break through the effects of the madness of crowds, the mass formation," he said.
RATING: This is an unverifiable theory. Here's what an expert on crowd psychology and another on conspiracy theories had to say about it.
EXPERTS: Stephen Reicher, a professor of social psychology at the University of St. Andrews who has studied crowd psychology for more than four decades
Karen Douglas, a professor of social psychology at the University of Kent who studies conspiracy theories
EXPLANATION: Reicher previously told Reuters that the idea Malone suggested here was really more of a 19th-century concept of crowd psychology, which is not in line with current research or modern-day reality.
"The claim was that people in the mass lose their sense of identity and their ability to reason. They regress to an inferior mental state where they are manipulable by unscrupulous leaders," Reicher said. "It has been totally discredited by contemporary work on groups and crowds."
Reicher added: "What is true is that people do have to make sense of a confusing and complicated world with different accounts coming from different sources.
"We are not vaccinologists, so when people tell us contradictory things about vaccines, who do we listen to? That is a matter of trust and of our social relationship to the source of information.
"But telling people who disagree with you that they are deluded and in a state of psychosis is essentially a device to silence them and a form of disrespect. It alienates and, hence, undermines an attempt at dialogue. It isn't an explanation of the problem — it is part of the problem."
Douglas, likewise, said people were often attracted to conspiracy theories "when one or more" of their "psychological needs are frustrated."
These needs include:
The need to know the truth and have clarity and certainty.
The need to feel safe and have some control over things that are happening around us.
The need to maintain our self-esteem and feel positive about the groups that we belong to.
"Anyone can fall prey to conspiracy theories if they have psychological needs that are not being met at any particular time," she said. "This is perhaps one explanation why we seem to be seeing a lot of conspiracy theories about COVID-19. People are scared and uncertain about the pandemic and are looking for ways to cope with the uncertainty, insecurity, and loss of social contact."
The abortion travel agents: ‘Some women know what they need, others just say: help’
Hanien supports women in Malta, where abortion is a criminal offence.
Photograph: Cliona O’Flaherty/The Guardian
With reproductive rights being increasingly restricted in Europe, people are relying on a network of volunteers to help them
When The Handmaid’s Tale first came out in 1985, the initial response was broadly that people thought such threats to women’s bodies and reproductive rights “couldn’t happen here”. By the time it aired as a TV series in 2017, just after Donald Trump was inaugurated in the US, people were no longer so sure. With every headline about gains in reproductive rights – Ireland repealing the eighth amendment in 2018, which had effectively banned abortions – there are others that underscore how fragile these rights are, wherever you live.
Recent changes to abortion law in Texas, which have prohibited abortions after six weeks – one of the most restrictive rules in the nation – and Poland’s near total ban on the procedure last year make it clear just how slippery the slope still is. We have to ask: what kind of country do we want to live in? A democratic one in which every individual is free to make decisions concerning their health and body, or one in which half the population is free and the state corrals the bodies of the other half?
Women who are not allowed to make their own decisions about whether or not to give birth are, in fact, owned by the state, as the state claims the right to dictate the uses to which their bodies must be put. The work of the Abortion Support Network (ASN) and the need for it in apparently progressive Europe is a stiff reminder: democratic rights don’t grow on trees. They must be struggled for and maintained. Those at risk of forced childbearing should be very grateful to have such organisations and their volunteers in their corner.
– MARGARET ATWOOD
In the evenings, after she is done with her day job in London, Ciara makes phone calls to people across Europe. Everyone she calls has contacted the ASN, a UK-based charity that helps people from European countries to access abortions. She is one of about 80 volunteers providing logistical advice, travel planning, a place to stay and solidarity to people who live in countries with restrictive abortion access. Mara Clarke, who founded ASN in 2009, says, “People think that abortion travel is an American or developing-world thing, but it isn’t.”
While there has rightfully been extensive coverage of the US, given the introduction of restrictive abortion laws in Texas and the potential for the Roe v Wade ruling to be overturned this year, the evolving situation in Europe has received little attention.
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When she set up ASN, Clarke was told there was no demand for a European abortion helpline. “I knew that wasn’t right,” she says. “If there were women who could afford to pay to travel for an abortion, there were other women who couldn’t.”
Clarke was proved right. Calls came first from the Republic of Ireland, Northern Ireland and the Isle of Man, and the charity began helping hundreds of women every year. As abortion laws became more liberal in those countries in 2018 and 2019, ASN opened their services to Poland, Malta and Gibraltar, and anyone else in Europe who needs it (just because abortion is technically legal in a country does not mean it is always straightforward to access). ASN also works with partner organisations across the continent who direct people to one another for local advice and funding. ‘Money is often the biggest hurdle for our callers’: Ciara, 36, helpline volunteer, London
Photograph: Olivia Harris/The Guardian
I grew up in Dublin. Abortion was something I’d talk about with my friends, but the “going to England” part it entailed was mysterious to us. There was always this concern that if one of us needed an abortion, none of us would know how to go about it. Advertisement
I heard about ASN when I went to a vigil at the Irish embassy in London in 2012 for Savita Halappanavar. Savita had died from a septic miscarriage at a Galway hospital after her requests for an abortion were denied. Her death underlined to me that the fight for reproductive rights is about life and death, and it drove the campaign to repeal Ireland’s eighth amendment, which effectively banned abortion.
I began donating to ASN, and soon after responded to a call for volunteers. Working on the helpline was scary at first. I got training and support, but I was speaking to people in vulnerable situations. In my second week, a man called from a Northern Ireland hospital because his wife’s pregnancy was in danger. He thought they might have to travel to England to get an abortion and wanted to know what he needed to do.
We work with each caller to see what they need. It can be anything from a simple question about arranging an appointment at a clinic, to figuring out the most efficient travel plan for them and assisting with money. The later the abortion, the more expensive it becomes. The cost of the procedure, which is £1,300 in England for a second trimester abortion, plus travel, childcare and time off work, can be high. Money is often the biggest hurdle for our callers. I’ve given a grant of £5 before – that was all that was preventing a woman from accessing an abortion.
You need to speak to most clients several times. I fit the calls around my day job, either during lunchtime or in the evenings. When I was in the office, I’d find a meeting room where I could speak privately. It can require a mental shift to go from speaking to someone about something that is so emotionally challenging for them, to returning to my regular life. Advertisement
You really get the warm and fuzzies from doing this. In 2018, when the eighth amendment was put to a referendum in Ireland and repealed, an ASN colleague was approached by a woman who mentioned me by name and said I saved her life. I think about that often. ‘Some know what they need; others just say, “Please help me”’: Kasia, 35, adviser and helpline volunteer, London
Photograph: Olivia Harris/The Guardian
A few years ago I joined some activist groups on Facebook and saw ASN’s ad for Polish-speaking volunteers. This work combines my two favourite things: feminism and logistics. When someone calls, I can give tangible support. There are people who know what they need, and others who are completely lost and just say, “Please help me.”
We have a checklist of questions to understand their circumstances. We find out how far along they are, as there are different legal limits in different countries – sometimes abortion pills can be an answer. The UK has the longest limit at 24 weeks. That, and where they live, helps us figure out the most suitable place for callers to travel to. Most people from Poland travel to the Netherlands or Spain, and most people from Ireland go to England. We get calls from other countries where the law is more liberal; in Italy, many doctors conscientiously object to abortion and in France abortion is permitted on demand only up to 14 weeks.
Now we ask about passports; Brexit means people from the EU can no longer travel to the UK using only their national ID card, which affects many callers. We also find out how much money they have, to give grants.
Callers are often angry, especially from Poland. They feel abandoned by the government and stigmatised by society. It can be nice to offer solidarity and say, “It’s not you, it’s the system. It shouldn’t be like this.” And to remind them that they are not alone.
There’s this unspoken assumption that abortion is always a difficult choice, or there is suffering to endure, but that’s not the reality. No one wants an abortion, but there are people who don’t feel guilt. I’ve also spoken to callers who didn’t believe in abortion, but need one.
The work can get stressful and busy, but there’s a feeling of solidarity. We have a few WhatsApp groups, and when something happens, the volunteers reach out and lift each other up; that support is tremendous. ‘The people who come from Ireland are so brave and strong to travel such a distance’: Patricia, 67, host and retired social work trainer, Liverpool
Photograph: Simon Bray/The Guardian
My daughter works at the city’s Merseyside Clinic and told me there were women coming over from Ireland seeking abortions who had nowhere to stay. This was nine years ago and I thought, “I’ve got a spare room.” I became ASN’s first host in Liverpool. There are about seven of us now.
We get emails asking if anyone can take a client on particular dates. When I say yes, I’m given their name, age and when they’re coming. It’s not a lot of background, but it’s as much as I need.
Everybody I’ve hosted has come from Ireland. Even though the law has changed there, access to an abortion after 12 weeks is permitted only in limited circumstances, so the women who come now tend to be further along than they used to be. I’ll pick them up, make a meal and we’ll eat together. Some want to tell you everything about their lives and you have a laugh; others are feeling more vulnerable and don’t want to engage. I let people talk as much or as little as they want. Why they are having an abortion has nothing to do with me.
Most come on their own. Many have children at home. Often they haven’t told anyone what they’re doing. I had a young woman who was a refugee in Ireland. There was also a grandmother who brought her 15-year-old granddaughter. The people who come are so brave and strong to travel such a distance. They’re having to make decisions and organise things quickly. It’s rewarding to be able to support them through that. ‘In Malta, we’re taught from a young age that abortion is synonymous with murder’: Hanien, 24, volunteer for a helpline in Malta, currently living in Dublin
Photograph: Cliona O’Flaherty/The Guardian
I was against abortion when I was younger because that was the only reality I knew. Malta is a Catholic country and there is anti-abortion sentiment in its institutions. We’re taught from a young age that abortion is synonymous with murder, and that a woman who seeks one is evil.
Maltese law states that abortion is a criminal offence, with no exceptions. Any person who seeks or helps with one can face up to three years in prison. The penalty is higher for medical professionals.
I became interested in women’s rights around 2016 when the morning-after pill became legally available. I’ve volunteered for the Family Planning Advisory Service in Malta since it started in 2020. It’s a pro-choice helpline providing information about reproductive health choices. Because of the law in Malta, we cannot help people get an abortion or give them money towards travel to get one, but we can share publicly available information, like the fact that ASN exists.
The main danger in this work is the social stigma. Malta is a small country and you can be easily identified. The stigma is greater if you’re a woman and even more so if you are a person of colour. It’s framed as, “Look at this person who is foreign and bringing this evil on us.”
Sometimes people are surprised that I do this. I wear a hijab and people associate being religious with being anti-choice and anti-abortion. But that is misinformation and ignorance about how Muslims view abortion. This work is my way of standing up against damaging patriarchal structures that affect me and my peers.
‘I hate that people are panicking about money, childcare and flights’: Pip, 26, veterinary surgeon and volunteer, Manchester
Photograph: Simon Bray/The Guardian
My job is to make posts for ASN’s Instagram that help people understand the charity’s work and encourage people to donate. I fit it in around my day job.
I became interested in abortion access when I was 17. I was at boarding school and a girl asked me for help getting an abortion. She felt alone and terrified – and this was in England where abortion is legal. I hate that people from countries where abortion isn’t legal are panicking about money, childcare and booking flights.
Being an openly queer person, I’m no stranger to online abuse and harassment, which helps with the moderation side of the job. We have a coordinated response which boils down to, “Don’t feed the trolls.” So on Instagram, hateful comments get deleted immediately and people get blocked. We have a lot of evangelical Christian, American men harassing us. “Murderers” is a common insult. And there’s a lot of misogynistic harassment and insinuations that if a woman wants to have unprotected sex, then she should have to deal with the consequences.
An American man was repeatedly making threatening comments on our Facebook page and one of our followers reported him to the FBI. He was recently sentenced to 20 months.
You can feel powerless in the face of the wave of restrictions on people’s bodily autonomy. But it does feel powerful to know the work we’re doing changes lives. ‘We can’t change the law on our own, but this work gives me a sense of agency’: Aga, 27, Abortion Without Borders volunteer, Warsaw, Poland
Three years ago, I moved to the Netherlands and a friend told me the Abortion Network Amsterdam (ANA) needed Polish-speaking volunteers. I did email shifts responding to people and helping them set up travel and appointments. I once accompanied someone to a clinic; my role was to translate, but there was a support element, too.
ANA helps people with costs, and when their funds aren’t enough, they contact ASN. Both are part of the Abortion Without Borders network, which is made up of groups across Europe.
The volume of emails increased dramatically in the run-up to the Polish abortion ban. After I returned to Poland six months ago, I had to stop helping individuals directly: I work as a translator, helping with medical records and press releases, but I no longer set up abortions myself because when you’re in Poland, you have to be far more careful. You need to find where the line lies and that’s murky; the way the laws are set up means there’s a lot of room for interpretation. We’re very careful to stick to things we can’t be prosecuted for.
While we don’t have control over what happens in Polish hospitals, and we can’t change the law on our own, doing this work gives me a sense of agency in an otherwise overwhelming situation. ‘I cannot have this baby’: testimonies from women who have contacted the charity
“I am 21 weeks and three days pregnant. I wish I could have this baby, but it has been diagnosed with severe brain defects. I need help in arranging a trip abroad. I have no idea how to go about this.”
“I am eight or nine weeks pregnant. I have a very difficult family and financial situation. My husband beats me and my children, and abuses alcohol. I don’t want the same for my third child. My husband raped me and it turns out that I am pregnant.”
“I am pregnant: 21 weeks. I only found out at 16 weeks. I live in Poland. I cannot have this baby. I have no money or support because the baby’s father left me as soon as he found out. I don’t have money to go abroad to a clinic, so I ordered abortion pills, but after over a month, they still haven’t arrived. I don’t know what to do.”
“I am 18 weeks pregnant and the baby has a serious heart defect. The doctors told me to expect that at any moment the baby may die. I can’t bear it, I can’t function normally. All the antenatal tests so far have ruined us financially because they are not covered in Poland.”
“I feel incapacitated in my country and am ashamed that I live here and have to get help from people from a foreign country. I know that after the procedure a stone will fall from my heart. Carrying such a sick child is probably every mother’s worst nightmare. I will be grateful to you till the end of my life, and I will support you as much as I can because there will be more women like me because of the stupid law in this country.”
“The doctor told me the baby was very unlikely to survive in the womb, but because of our legislation I was not able to access an abortion. I wish that I lived in a country where they trusted women to make the right choices for themselves.”
“I don’t want to write that our pregnancy was a matter of life and death, but it was. You gave us a chance for further life. We are still so shocked and grateful that there is still such a thing as genuine, honest kindness and selflessness in this world.”
