All of the new Oklahoma laws aimed at limiting abortion and contraception are great for the Republican family that lives in a gingerbread house with a two-car garage, two planned kids and a dog. In the real world, they are less than perfect.
As a practicing physician (who never has or will perform an abortion), I deal with the real world. In the real world, 15- and 16-year-olds get pregnant (sadly, 12-, 13- and 14-year-olds do also). In the real world, 62 percent of women ages 20 to 24 who give birth are unmarried. And in the world I work and live in, an unplanned pregnancy can throw up a real roadblock on a woman's path to escaping the shackles of poverty.
Yet I cannot convince my Republican colleagues that one of the best ways to eliminate abortions is to ensure access to contraception. A recent attempt by my fellow lawmakers to prevent Medicaid dollars from covering the “morning after” pill is a case in point. Denying access to this important contraceptive is a sure way to increase legal and back-alley abortions. Moreover, such a law would discriminate against low-income women who depend on Medicaid for their health care.
But wait, some lawmakers want to go even further and limit everyone's access to birth control by allowing pharmacists to refuse to fill prescriptions for contraception.
What happened to the Republican Party that I joined? The party where conservative presidential candidate Barry Goldwater felt women should have the right to control their own destiny? The party where President Ronald Reagan said a poor person showing up in the emergency room deserved needed treatment regardless of ability to pay? What happened to the Republican Party that felt government should not overregulate people until (as we say in Oklahoma) “you have walked a mile in their moccasins”?
Is my thinking too clouded by my experiences in the real world? Experiences like having a preacher, in the privacy of an exam room say, “Doc, you have heard me preach against abortion but now my 15-year-old daughter is pregnant, where can I send her?” Or maybe it was that 17-year-old foreign exchange student who said, “I really made a mistake last night. Can you prescribe a morning-after pill for me? If I return to my home country pregnant, life as I know it will be over.”
What happened to the Republican Party that felt that the government has no business being in an exam room, standing between me and my patient? Where did the party go that felt some decisions in a woman's life should be made not by legislators and government, but rather by the women, her conscience, her doctor and her God?
Cox, R-Grove, has delivered more than 800 babies.