By Felipe on March 18th, 2025. Posted under: 2025, Blog Post, Featured Article
On Wednesday, November 13, 2024, MSFC Student Organizing held an International Student Leader virtual event. It was an opportunity for student leaders from around the world to share their experiences, ask for advice, and provide context about what it is like to pursue and advocate for abortion training in their region. They reflected upon how MSFC has informed their work.
MSFC operates globally and has a robust network of current and future abortion providers, which allows us to come together to illuminate what providing that care looks like, what barriers exist to doing so, and how to best advocate for healthcare access and reproductive justice around the world.
During the event, we heard from several medical students leading chapters outside of the United States. We wanted to share some of their insights here for those unable to attend.
A student leader from Makerere University in Uganda spoke about what access to abortion care looks like in Uganda:
“Access to comprehensive abortion care is highly restrictive in Uganda and other low socio-economic countries due to unfavorable legal frameworks, cultural and religious landscape. Because of this, comprehensive abortion care and post-abortion care are not exclusively taught in medical schools. Medical Students for Choice has given us students from such abortion restrictive environments knowledge and skills to provide compassionate and non-judgmental care to individuals seeking reproductive health services; and skills to advocate for policy changes that prioritize the health, dignity and rights of all individuals. This has been through seminars, regional conferences, webinars, projects and reproductive health externship programs. I can now comfortably extend comprehensive abortion care, post-abortion care, and family planning services to girls and women needing them.”
This student also opened up about their experience attending the externship program hosted by the Dynamic Doctors Uganda program:
“Dynamic Doctors Uganda hosts medical students from across Africa with funding from Medical Students for Choice for hands-on training at health facilities in rural areas. This externship provides students with invaluable hands-on experience and an in-depth understanding of clinical care and counselling in sexual reproductive health and gives them a chance to refine their clinical skills from rural settings where they will practice from when they qualify in areas of reproductive health in comprehensive abortion care, post-abortion care and contraception. I had the pleasure to be an extern for this wonderful Externship Program at Jinja Regional Referral Hospital in July 2023. This MSFC/DDU RHE Externship Program was such an invaluable experience to understand the health disparities in rural settings from a global health perspective while delving into something that I am extremely passionate about sexual reproductive health and rights.”
At the event, we also heard from a student leader at the University of Duisburg-Essen who presented an overview of their work and the landscape of providing abortion care in Germany. This student shared that the chapter has hosted pub quizzes, lectures, and hands-on workshops. They have organized demonstrations, attended rallies, and coordinated with Doctors for Choice, ProFamilia in Action, Bündnis für sexuelle, and Selbstbestimmung. From these experiences, the chapter reports having developed networking and leadership skills and engaged in interdisciplinary exchange with other medical students and with a midwife community. They have grown in their ability to communicate with the press and give interviews. They have also organized effective campaigns to decriminalize abortion and formed a reliable network of like-minded people from a range of different fields and career stages.
The chapter also shared that their engagement with MSFC has increased political involvement and advocacy among medical students and has inspired many of them to pursue OB-GYN as a career path.
One of the University of Duisburg-Essen chapter members is researching influencing factors on abortion provision in Germany and credits MSFC’s network in facilitating the research required for her doctoral thesis.
Photos provided by the University of Duisburg-Essen
A student leader attending Dalhousie University in Canada provided additional context about their advocacy through MSFC. They focus on teaching students about topics they’ll encounter in any field of practice and getting students more knowledgeable and comfortable in providing a variety of services. They brought in a local abortion provider to share about prescribing abortion medication. This provider discussed indications, required testing, follow-up care, side effects and complications, and counselling patients. They also hosted a local pharmacist to discuss dispensing medication abortion pills, and the kinds of questions patients ask in those interactions. The event concluded with a hands-on session using MSFC MVA kits. The chapter also hosted a urologist to discuss vasectomies as a reproductive healthcare option, a contraceptive information session, and an IUD insertion workshop. They see their role as supporting future abortion care providers and advocating for reproductive justice in New Brunswick.
Finally, we heard from a student leader based in Cotonou, Benin, at the Faculty of Health Sciences, who described chapter activities and an overview of healthcare access in West Africa.
All of the student leaders expressed that MSFC has allowed them to organize, advocate for, and train to provide abortion care in their respective regions. Despite varying social, political, and economic barriers to providing reproductive healthcare globally, these student leaders related to one another through their commitment to fighting for reproductive justice and learning to provide the best care possible in their community.
MSFC HQ has a regular virtual events series and hosts events like these, which help us connect and learn about various topics related to abortion, family planning, and reproductive justice. We hope to see you at the next one!
By Felipe on February 11th, 2025. Posted under: 2024, Blog Post, Featured Article
Around the world, pregnant individuals face barriers to accessing safe, compassionate care, and providers encounter more challenges in ensuring reproductive rights are protected. Yet, in the face of adversity, members at Medical Students for Choice (MSFC) continue to make a lasting impact.
Two of our board members share their insights on the progress made in reproductive health and education, the significance of hands-on training, and the importance of supporting future healthcare professionals. Their perspectives highlight the hope and momentum in our community:
Jennifer Zhang, President-Elect
University of British Columbia
“As a Canadian medical student, I am grateful that in Canada, abortion remains legal and an available medical procedure. W hile environmental and systems barriers exist in accessing abortion, it is important that here we can practice without risks of provider or patient criminalization However, hands-on learning is rare, and didactic teaching is also limited. In the US, uncertainty surrounds the future of abortion care. At MSFC, we continue to support and champion the reproductive justice movement.
This year, MSFC’s in-person Conference on Family Planning (CoFP) was a unique space where folks could share experiences and learnings on abortion care and reproductive justice, which is much needed for current and aspiring providers practicing in all levels of restrictions. Providing hands-on practice opportunities and collaborative sessions that are rarely found in medical curriculums, the CoFP is something I am very grateful for and leaves me invigorated for the coming year.”
Dr. Hadiza P B Thompson
University of Nigeria Teaching Hospital, Enugu, Nigeria
“As we enter a new year, I want to reflect on the immense strides made in reproductive health and justice, both in the US and across the globe. What we did last year was nothing short of inspiring! It is a work grounded in compassion, resilience, and a commitment to every person’s right to access comprehensive reproductive care regardless of where they live or the barriers they face. I am deeply grateful for the in-person trainings that continue helping medical students and professionals with the tools, knowledge, and courage needed to effect change. These training sessions are spaces of advocacy and learning, where every action brings us one step closer to a world where reproductive rights are human rights.
MSFC is shaping the future of reproductive health and justice, not just in the U.S. but in Africa. In places where access to abortion care is limited, where sexual and reproductive health education is sparse, and where systemic barriers continue to prevent many people from receiving the care they need, we are making an indelible mark. This work is especially crucial in Africa, where both cultural and political challenges often exacerbate reproductive health disparities. Through training and advocacy, MSFC is creating a new generation of healthcare professionals who are ready to provide care, committed to challenging the status quo, and advocate for reproductive justice at every turn. Looking ahead, I am filled with hope. The strides we’ve made, though significant, are only the beginning. What we are doing together–whether through education, resources, or policy change–is laying the foundation for a future where reproductive justice is a reality for all.
To you reading this, know that you are part of something monumental. Your impact, whether through your actions or your support of MSFC and organizations like it, is shaping a future where reproductive health and rights are accessible to everyone, everywhere. As we enter this new year, let’s hold onto our mission, knowing that each day we are bringing hope to the hearts of those who need it most and restoring their dignity and autonomy.
Thank you for being part of this transformative journey. We will continue to achieve feats and move closer to a world where all reproductive health choices are freely accessible.”
This work would not be possible without the dedication of our supporters, members, and allies. Our MSFC community is shaping the future of reproductive health where education and hands-on training are the necessary tools for change.
By Felipe on November 06th, 2024. Posted under: 2024, Blog Post, Featured Article
Medical Students for Choice (MSFC) is dedicated to supporting students worldwide to advocate for reproductive freedom, access to contraception, and safe abortion education. Through local chapter events, these student-led initiatives have sparked meaningful conversations, provided hands-on training, and reached communities needing accurate and accessible health information. Below are the recent activities of MSFC chapters in Africa, detailing how each chapter has approached education, advocacy, and community engagement to positively impact in their regions.
FSS COTONOU UNIVERSITY – BENIN
During the first half of 2024, FSS Cotonou organized a webinar on the importance of contraception, during which they addressed numerous uncertainties that their fellow students had on the topic. Subsequently, they conducted an initiation activity for new members on Sexual and Reproductive Health. In addition to this, they carried out various information campaigns, notably on International Women’s Rights Day and International Menstrual Hygiene Day.
GULU UNIVERSITY – UGANDA
In collaboration with the student body of Gulu University in Uganda, the MSFC Gulu chapter organized a march through Gulu. Accompanied by a band, medical students wore their clinical coats to advocate for accessible medical abortion services, aiming to reduce the mortality rates and post-abortion complications faced by individuals, who are unable or unprepared to continue pregnancies for personal reasons. Due to the inaccessibility of abortion services, many are forced to resort to unsafe, self-administered methods, such as the use of herbs.
In their efforts to bring about positive change, the group also sought to reach the entire community. They utilized Radio Pacis as a platform to educate the public on various family planning methods, including where these services can be accessed, how they work, their uses, and potential side effects. This initiative had a significant impact as there was an increased turnover of community members accessing the family planning services compared to before.
MSFC Gulu Chapter members at Radio Pacis, a community-based radio station in Arua, Uganda.
MAKERERE UNIVERSITY – UGANDA
In Uganda, the MSFC-MAK Chapter organized a two-day Sexual and Reproductive Health (SRH) Day Fair in collaboration with various partners at the College of Business Administration and Management Studies (COBAMS). The event provided students with opportunities to showcase innovations in sexual and reproductive health and access services such as condoms, safe male circumcision, contraceptive services, menstrual hygiene services, HIV/AIDS and STI testing and screening, pregnancy testing, reproductive health education, emergency contraception, and more.
The fair also included activities aimed at reducing unsafe abortions among university students. There was a collaborative evaluation meeting with Makerere University Hospital and partnering clinics, preliminary debates for the SRH Inter-University Dialogue, a menstrual campaign, and the national launch of the “Community Check Now” HIV testing services in Uganda.
Flyer for the Sexual and Reproductive Health Day Fair organized by the MSFC Makerere Chapter
MBARARA UNIVERSITY OF SCIENCE AND TECHNOLOGY – UGANDA
The MSFC chapter organized a sexual and reproductive health event in collaboration with Reproductive Health Uganda, students, and the Mbarara Medical Students Association. The event attracted 87 students and provided services such as SRH education, guidance and counseling, safe abortion education, family planning information, condom distribution (56 boxes distributed), and HIV testing and counseling (22 individuals tested). A key goal was also to raise the visibility of Medical Students for Choice within Mbarara University.
In addition to the event, they conducted outreach in university halls, distributing flyers and posters about Medical Students for Choice, family planning, safe abortion, and women’s rights. These materials were posted on notice boards in various hostels, allowing students who may not attend SRH events to access vital information and reach more students.
SOROTI UNIVERSITY – UGANDA
The chapter hosted hands-on training in surgical abortion, utilizing models and Manual Vacuum Aspirator (MVA) sets. First-time participants gained foundational knowledge in the use of MVA as a vital tool in abortion training, in addition to learning other methods such as dilatation and curettage.
In collaboration with university religious groups, the chapter also organized a one-day workshop on engaging traditional and religious leaders in sexual and reproductive health and rights activism. Recognizing that religious leaders hold significant influence, the workshop allowed participants to explore what different faiths say about sexual and reproductive health and rights (SHRH).
Additionally, the chapter conducted a capacity-building session on self-care and personal resilience in SRHR activism, addressing common obstacles and how to navigate them in any context.
UNIVERSITY OF NGOZI – BURUNDI
During the semester, the chapter organized three key events advocating for reproductive justice for all.
- On February 13th, medical students gathered to discuss how they can engage in comprehensive family planning, including abortion, by breaking the stigma surrounding these services. The event was attended by 50 students (27 girls and 23 boys).
- On March 5th, the chapter, which included 25 students, celebrated International Women’s Day. This event focused on empowering girls to stand up for their rights, including abortion rights.
- On May 28th, in honor of Menstrual Hygiene Day, 55 students met to discuss how menstruation can be normalized and how to avoid stigmatizing girls during their periods. The event emphasized supporting girls throughout their monthly physiological journey.
Medical students in MSFC chapters have been at the forefront of reproductive health advocacy, striving to create safer, more informed communities. By addressing topics such as family planning, menstrual hygiene, and safe abortion practices, these students are empowering their peers and local communities to make informed decisions about their reproductive health.
By Felipe on October 08th, 2024. Posted under: 2024, Blog Post, Featured Article
We’re thrilled to share the journey of the Medical Students for Choice (MSFC) chapter in Riga, Latvia, the first of its kind in the Baltics. Our chapter, based at Riga Stradins University (RSU), one of Latvia’s largest medical schools, was inspired by the 2022 FIAPAC conference held at RSU. This event, organized by the International Federation of Abortion and Contraception Professionals, connected us with reproductive rights activists worldwide and set the stage for our mission to advocate for reproductive rights.
Our current team—Isabell von Waitz, Patricia Steuber, Hanna Kreuzer, Féline Kuhn, and Linda Schulz—came together with a common goal: to empower choice in reproductive healthcare. United in our commitment, we’ve organized various educational activities, including film evenings, open discussions, and lectures. A highlight was a session with Theresa Nisslmüller, a member of Doctors for Choice and an OBGYN, who shared invaluable insights into reproductive rights in Germany. We’ve also conducted two Papaya Workshops, also known as a Manual Vacuum Aspiration (MVA) Workshop. An MVA is a safe and easy method of providing early surgical abortion. A papaya is used as the model and students use the MVA procedure to remove papaya pulp and seeds from the papaya which simulates suctioning the products of conception from the uterus. This was possible through support from MSFC HQ and our mentors, Dr. Olga Plisko and Dr. Anita Ungure, and resources from German MSFC chapters. The latest workshop featured Marcela Trocha, a veteran reproductive rights activist from Poznan, drawing over 50 enthusiastic medical students.
Impressions from the first Papaya Workshop. (Photo: Aleksandrs Oborins)
In addition to workshops, we hosted a lecture on Transgender Healthcare, emphasizing the diverse needs and choices within healthcare. Our book club discussion on “Ejaculate Responsibly” by Gabrielle Blair broadened our perspective on reproductive health by highlighting the often overlooked role of male fertility in contraception.
Our motivation is deeply rooted in the belief in free choice and bodily autonomy. The 2022 overturning of Roe v. Wade intensified the urgency of the pro-choice movement globally. In Europe, rising far-right ideologies threaten reproductive rights, making our advocacy for gender equality and social justice more critical than ever. Through our work, we aim to increase the availability of abortion providers and ensure comprehensive reproductive healthcare training for medical students, an often neglected area in medical education.
One of our most rewarding moments was the overwhelming response to our first Papaya Workshop in the Baltics. The students’ enthusiasm has inspired us to consider making these workshops a regular part of our activities. Our mentors, who led the workshop for the first time, have been strong advocates for integrating such practical training into the medical curriculum.
First Papaya Workshop in the Baltics with mentors Dr. Olga Plisko and Dr. Anita Ungure (Photo: Aleksandrs Oborins)
Our journey has included challenges. One of the biggest hurdles was creating a collaborative space between international students and students from the OBGYN association. Securing Manual Vacuum Aspirators (MVAs) for our workshops was another challenge, initially solved by borrowing kits from German MSFC chapters, leading to a cross-border collaboration. Recently, through the generous support of Doctors for Choice Germany, we’ve become proud owners of our MVAs, enabling us to continue our Papaya Workshops independently.
These experiences have taught us the importance of reaching out and building connections with like-minded organizations and individuals. Collaboration and careful planning have allowed us to overcome obstacles and lay the foundation for sustained and impactful advocacy. Looking ahead, securing consistent funding will be essential as we continue to expand our workshops and other activities.
From left to right: Diāna Grasmane (Human Rights activist), Arturs Zaremba (Clinical Psychologist) and Dr. Una Gailiša (Endocrinologist) speaking at the Transgender Healthcare Lecture.
Our goal is to destigmatize abortion, dispel myths, and promote safer practices in reproductive healthcare, ultimately strengthening the doctor-patient relationship and fostering greater trust in healthcare settings.
For any student considering starting an MSFC chapter at their medical school, our advice is simple: take the plunge. Connect with like-minded individuals and feminist organizations. The MSFC network is strong and supportive, and if there isn’t a chapter in your country, neighboring ones can offer guidance. Build connections, find supportive physicians, and start with accessible activities like movie screenings. Together, we can advance reproductive healthcare rights and make a meaningful difference in the lives of patients and healthcare providers.
Second Papaya Workshop with mentor Dr. Olga Plisko. (Photo: Aleksandrs Oborins)
By Felipe on August 21st, 2024. Posted under: 2024, Blog Post, Featured Article, News and Views
The fall semester begins! Now is the time to welcome new members, revitalize our chapters, and deepen our commitment to reproductive health education. Whether you are an Experienced Student Leader (ESL) or new to Medical Students for Choice (MSFC), the upcoming months promise a variety of opportunities for learning, advocacy, and growth.
Welcoming New Members
A new semester brings new faces, fresh perspectives, and boundless enthusiasm. At MSFC, we are thrilled to welcome new members passionate about reproductive rights and health. Joining MSFC means becoming part of a community dedicated to education, advocacy, and support.
For those new to our chapters, there are many ways to get involved:
- Many chapters host events and clinical training sessions at the start of the semester. These are great opportunities to meet current members, learn about our mission, and find out how you can contribute. MSFC provides Event Resources for personalized event planning help with chapter events and workshops.
- We offer various training sessions and workshops equip you with the knowledge and skills to advocate for reproductive health. Our workshops are interactive and engaging; providing a platform for students to ask questions, participate in discussions, and learn from experts in the field.
- Get started in participating in local advocacy efforts, engaging in campus outreach, or contributing to curriculum reform. There are numerous ways to make your voice heard as a future abortion provider.
Arkansas MSFC welcoming first-year medical students during the Interest Group Fair
Enhancing Our MSFC Chapters
Existing members play a crucial role in helping our chapters thrive. Your experience and knowledge are invaluable in mentoring new members and leading initiatives.
Here are a few ways you can help strengthen our chapters:
- Experienced Student Leaders offer mentorship to new members by sharing their experiences, providing guidance, and helping them navigate their involvement in MSFC.
- You may consider becoming an MSFC Chapter Leader at your campus. Your leadership can significantly impact in your medical journey and curriculum.
- We also work with other reproductive health organizations and groups to broaden our reach and amplify our message. Collaborative efforts can lead to innovative projects and stronger advocacy networks.
Family Planning and Reproductive Health Education
This semester, we are committed to engaging more students in workshops to advance their skills in reproductive health care. These workshops are designed to provide comprehensive, evidence-based information on a range of topics, from contraception and abortion care to advocacy and policy.
Don’t forget to register for the 2024 Conference on Family Planning – Bridging Divides, Sparking Connections: The Power of Community! This year’s conference will be held in Denver, Colorado on Saturday, December 7 – Sunday, December 8, 2024. Registration opens on August 26 and closes on October 28, 2024. MSFC welcomes our members, alum, and colleagues to join us as we meet in person to engage with the pro-choice community and spark new connections to bridge divides in reproductive health, equity, and justice through medical student education, training, and advocacy.
How to Get Involved with MSFC
Contact Your Local Chapter: Find out about events and meetings happening on your campus. Email our Student Organizing team and we will help you get connected to an existing chapter or start one at your medical school.
Follow Us on Social Media: Follow what future doctors are doing to protect and expand abortion access. And stay updated with our latest news and events.
Visit our Website: Explore resources, upcoming events, and more information about MSFC.
We look forward to a productive and inspiring semester ahead. Welcome to the new semester with Medical Students for Choice!
By Felipe on February 05th, 2024. Posted under: 2024, Blog Post
Last year marked the 30th anniversary of Medical Students for Choice. Over three decades, our organization has grown to represent more than 10,000 student-advocates across 287 chapters in 29 countries.
As we celebrated this milestone, we reflected upon our evolving organizational purpose and aspirations for the future. With input from our global community, the MSFC Board of Directors spent the last year working to refresh our mission statement. We are excited to announce our revised mission statement: “to support future abortion care providers and advocate for reproductive justice globally.”
This statement better reflects that our organization’s focus includes but is not limited to abortion, in line with our increasing focus on reproductive justice. Moreover, it captures our commitment to fostering a culture of diversity, equity, and inclusivity within our organization, as we work to combat the forces of white supremacy, patriarchy, colonial imperialism, and capitalism that shape our world.
By Felipe on December 04th, 2023. Posted under: Blog Post, Featured Article
I am a Sharon Mathew, 4th year medical student at Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine (NSU-KPCOM). As an aspiring OB/GYN, I aim to use my career to advocate for reproductive healthcare freedom through patient-centered care and community leadership. Serving as a committee member for Unmuted-MSFC since 2021 has allowed me to train in advocacy work as a student.
Championing Gynecological Research in a Post-Roe V. Wade Era
Unmuted is a national subdivision of MSFC that focuses on how the intersections of race, gender, and class affect reproductive healthcare. The research symposium was created to showcase medical students’ research on public health or gynecology. The main objective of the symposium was to create a platform where medical students could highlight their research findings and collaborate with students who might be located in states with restrictions on bodily autonomy. The aim was also to encourage further research and its more “complicated” topics by awarding presenters and creating a platform for students to feel secure and empowered regarding these more controversial topics.
Following the overturning of Roe V. Wade, I and members of our community (AFAB/women/GNC people, etc.) were incredibly disheartened. Witnessing how the monumental defeat affected myself and my future OB/GYN colleagues angered me; I strove to find a way to help empower us to continue pursuing gynecology despite the challenges we may face. This chain of events led me to create a research symposium highlighting gynecological and public health research. I wanted to create an opportunity for the gynecological research of medical students to be celebrated and protected. Creating this safe space for students to showcase their abortion research, helps empower them as future physicians to continue pursuing research in the field and to use their voices to support evidence-based medicine and the rights of their patients.
We were very lucky to have several outstanding presentations!
Timing of Pregnancy Confirmation- 1st place winner; Martinique Ogle
This research surveyed patients at a free-standing abortion clinic in Philadelphia about the gestational age (GA) when they suspected being pregnant vs the GA at which their pregnancy was confirmed. The research concluded that the average GA of pregnancy suspicion was ~4.95 weeks, and most patients (~66.7%) were accurate about their approximate gestational age. This data indicates that patients are able to determine when they are pregnant with relative accuracy, although this is not a perfect method and does not apply to every patient. Even patients can determine that they are pregnant, cannot do so until about 5 weeks GA. This is significant as several restrictions across the nation have been lowered to 6 weeks GA (more colloquially called “heartbeat bills”). It is clear to see how these restrictions directly clash with the timing and lived reality of patients who may not be able to seek medical care before the 6 week mark due to numerous outside factors such as ability to take time off work, child care, transportation, familial support etc. As clinicians, we must use evidence-based research such as this to highlight how these restrictions make it impossible for patients to seek the healthcare they need.
The Effects of Recent Women’s Reproductive Health Legislation Changes on Access to Isotretinoin- Faige Jeidel
This research focuses on how restrictive abortion bans affect AFAB/women who take teratogenic medications such as Accutane. Isotretinoin, more commonly known as Accutane, itself has many regulations and monitoring protocols required for AFAB patients who are of child-bearing age. The aim of this research was to assess how the overturning of Roe V. Wade impacted the use of this medication for both patients and physicians. What was found was that physicians have become increasingly more reluctant to prescribe these medications to their AFAB patients due to abortion restrictions and any potential complications that can arise. The significance of this research lies in the fact that abortion restrictions do not only impact the reproductive healthcare of the affected patients. These restrictions impact the patient’s health across every organ system and advocacy on the part of the physician is required in order to protect the patient’s best interest and autonomy.
Medical Students’ Perspectives on Dobbs v Jackson Women’s Health Organization- Uma Reddy
This research aimed to delineate the shift in perspective of medical students in regards to the overturning of Roe V. Wade. Medical students were surveyed on their geographical region and specialty of choice and how that may have changed due to the overturning. Following the Dobb’s decision, there was a reported 6% decrease in students who reported their specialty to be “Undecided, related to reproductive healthcare.” The impact of this decision not only affects patients seeking care, but also affects the student physicians as they train.
Although not from this paper, research has shown that young doctors are also much less likely to settle in states with restrictive abortion bans, regardless of their specialty. As the crisis of the physician shortage continues to grow, more people will find themselves living in areas without sufficient access to not only gynecological care, but care across other specialties as well.
Empowering Future Advocates
Medical students are enthusiastic leaders who unfortunately cannot stand on their own yet due to the dynamics of being a medical student. Although they are incredibly well informed, the fear of lack of support or retribution from our organizational institutions hinders us from pursuing advocacy despite our desire to do so. In creating events/organizations surrounding abortion care/education, we are able to empower future physicians as students who will feel supported in fighting for evidence-based medicine and for what they believe is right.
As medical students, we are often unintentionally ignored/undermined in clinical settings due to our role. Despite our constant hard work, it is very rare that we are congratulated or highlighted for our accolades. Creating events such as this, where students can showcase their research, be awarded nationally, and collaborate with students/researchers across the nation has proven to be an effective way in garnering engagement and promoting further advancement in these more controversial areas.
One of the aspects that I think the MSFC community should pay more attention to is the call for more research. With every research project’s conclusion, there was a resounding call for further research in these fields. As evidence-based practicing physicians, we should be answering the call for reproductive freedom through investigative research methods. The only way to combat the ambiguity of these complex matters is through neutral data collection/investigation and our dedication to our patient’s rights.
By Felipe on November 08th, 2023. Posted under: 2023, Blog Post, Featured Article
Acknowledgements: MSFC leaders across Massachusetts medical schools.
Since the overturning of Roe v. Wade in June 2022, access to abortion has been severely limited across the United States. The increasing state-led criminalization of abortion is forcing thousands of people to travel hundreds or even thousands of miles to receive essential abortion services. As medical students in Massachusetts, we feel that it is important to consider where gaps exist in abortion care and how we can best bridge these gaps in care as we train in a state with many protections for abortion care.
Not all states where abortion is legal, provide comparable insurance coverage for abortion care. Eleven states have laws in effect that prevent private insurance companies from covering abortion care; 22 states restrict coverage for public employees; and, 25 states have restrictions on abortion coverage for plans through health insurance exchanges. Additionally, insurance companies can independently decide what type of abortion care to cover, and often reimbursing at rates too low to sustain abortion providers. This has led to fewer clinics being able to accept insurance in recent years.
Financial barriers prevent many patients from accessing abortion care, even in states where abortion is legal. As the Hyde Amendment prevents the use of federal funds for abortion care, patients covered by Medicaid, patients who are federally employed, patients insured through the military, and patients receiving care through the Indian Health Services are prohibited from accessing insurance-covered abortion care. Though some states have elected to cover abortion services in their own statewide health insurance plans, such as MassHealth in Massachusetts, this is rare and relies on ever-changing political norms and legislation.
MassHealth and state-mandated coverage of abortion services helps many residents pay for care. 2022 laws shield providers from laws in other states, regardless of patient location. This is imperative to protect providers who prescribe medication abortion via telehealth. The Obstetrics and Gynecology Department at UMass Chan in Worcester proposed a plan to introduce self-pay options for procedural abortions, which is now being finalized. They hope to propose a similar self-pay plan for medication abortions in the near future. Low-income patients are able to take advantage of discounts proportional to their income. Even with discounts, however, the procedures can be prohibitively expensive. The estimated prices range from $3,000 to $15,000 with the highest discount, $7,000 to $31,000 with the lowest discount, and $12,000 to $52,000 without a discount. A representative of the program stated that self-pay options are primarily offered to out-of-state patients who cannot use their insurance or are not insured. Other hospital systems offering self-pay include Boston Medical Center.
Many academic medical centers do not offer self-pay options for medication or procedural abortion care. While other centers only have self-pay options for medication abortion, such as Beth Israel Deaconess Medical Center in Boston. Patients presenting to these locations in need of self-pay options are usually directed to local Planned Parenthood clinics or other independent abortion facilities in the state.
The Planned Parenthood League of Massachusetts (PPLM) has standardized state-wide self-pay options for both medication and procedural abortions up to a gestational age of 20 weeks and 6 days. The cost of an abortion at PPLM increases with increasing gestational age, from $700 for an abortion up to eleven weeks gestational age to $1400 for an abortion up to 20 weeks gestational age. Beyond 20 weeks, PPLM refers the patient to a hospital system that is able to provide complex abortion care.
Self-pay packages for abortion services are one way to bridge the abortion care coverage gap and provide more access to care to uninsured or underinsured patients, patients whose insurance does not cover abortion services, and those traveling for care. Self-pay packages are predetermined prices for select services. For abortion, these include medication and procedural costs, varying by factors such as location of services and pregnancy gestation. A study of self-pay packages from 2017 to 2020 found that the median cost of medication abortion and first-trimester procedural abortion increased from $495 to $560 and from $475 to $575, respectively. Second-trimester abortion cost decreased from $935 to $895. This study also found that health insurance coverage for abortion care began declining across many states from 2017 to 2020.
In 2021, a Federal Reserve survey showed that 1 in 4 Americans could not cover a $400 emergency expense, less than the cost of the average U.S. self-pay abortion. Patients cannot postpone an abortion to save up without compromising access to care by progressing further into an unwanted pregnancy.
Community-based abortion funds have attempted to fill this gap. Abortion funds are small organizations, usually led by small staff and volunteers, that collect donations from grassroots fundraising, institutional donors, and grants. In 2020, the National Network of Abortion Funds found that over 220,000 people requested help from its member abortion funds, and over 190,000 were given some level of funding. On average, patients were given $215 to cover abortion costs. To use this funding, patients most often must receive care at a clinic that has a “self-pay” option for which the clinic can accept pledges from the abortion funds for payment. This works well for clinics that have standard prices that they can quote patients. However, this model fails when a patient is seen at a clinic that does not have transparent pricing and a “self-pay” option.
As providers seek to make abortion accessible in the post-Roe era, they must consider how patients pay for these services. For those traveling from restrictive states, self-pay becomes the lifeline to essential care. As clinicians strive to provide abortions to all patients in need throughout the US in the post-Roe era, self-pay options must be made more available to remove financial barriers to essential medical care.
From left to right: Jill Jones, Katherine Wasden, Aisvarya (Ash) Panakam, Anna Roselle
By Felipe on October 26th, 2023. Posted under: 2023, Blog Post, Featured Article, News and Views
Hello, I am Gaston Ndagijimana, a third-year medical student at the University of Rwanda, and an active member of MSFC Rwanda. MSFC stands for Medical Students For Choice, and I am part of the Huye Chapter. In this blogpost, I’ll share my experiences and insights from the MSFC East Africa Regional Meeting, held in Kigali, Rwanda, on the 26th of August 2023.
About the MSFC East Africa Regional Meeting
Every two years, medical students from the East African region come together at the MSFC East Africa Regional Meeting. This meeting serves as a platform for students to discuss critical topics related to Sexual and Reproductive Health (SRH) and exchange expertise. It equips students with the knowledge and skills needed to become future leaders in the field of comprehensive reproductive healthcare, including safe abortion care.
Activities at the Regional Meeting
- Panel Discussions: The meeting featured panel discussions where experts, healthcare providers, activists, and students shared their perspectives and knowledge on SRH. These discussions were invaluable for gaining diverse insights and ideas.
- MVA Safe Abortion Simulation Training: One of the highlights for me was the MVA Safe Abortion simulation training. It provided me with practical skills and knowledge in safe abortion care through interactive learning and hands-on activities.
- Networking and Collaboration: The event facilitated networking and collaboration opportunities with both international and local participants. Building professional relationships is vital for advancing our common goals.
- Keynote Presentations: We had the privilege of listening to representatives from MSFC chapters across different countries. They shared the achievements and operations of their chapters, which were both inspiring and enlightening.
Making a Difference in Reproductive Healthcare
These activities play a pivotal role in advancing reproductive healthcare rights and access. Panel discussions and training equip students with the knowledge and skills to be champions of comprehensive reproductive healthcare. Networking enhances collaboration, which is crucial in advocating for improved reproductive healthcare services.
Overcoming Challenges
Challenges are an integral part of such conferences. Language barriers and logistical issues were among the challenges. However, these challenges were overcome through teamwork, patience, and adaptability.
Impact on Healthcare Services
The knowledge and skills gained from the conference will undoubtedly have a positive impact on both patients and students. As future healthcare providers, we are better equipped to provide safe and comprehensive reproductive healthcare services.
Advice to Students Interested in establishing an MSFC Chapter at their Medical School
Gaston Ndagijimana, third-year medical student at the University of Rwanda.
For students interested in starting an MSFC chapter at their medical school, my advice is simple: be passionate, persistent, and collaborative. These qualities are essential for driving positive change in the field of reproductive healthcare.
In conclusion, the MSFC East Africa Regional Meeting was a transformative experience. It equipped us with the knowledge, skills, and motivation to be advocates for reproductive healthcare rights and access. Together, we can shape a future with universal access to Sexual and Reproductive Health Rights, comprehending safe abortion.
Thank you for joining me on this journey to empower medical students for reproductive healthcare.
By Felipe on September 21st, 2023. Posted under: 2023, Blog Post, Featured Article
International Safe Abortion Day 2023 marks a crucial moment in our ongoing fight for reproductive justice. This year’s theme, “Call to Action! Unstoppable Movement: Movement building, solidarity, and justice for the right to safe abortion,” resonates deeply with our mission at Medical Students for Choice (MSFC). Access to safe abortion is a human right that must be protected and expanded. The consequences of restricted access are dire, affecting the health, well-being, and autonomy of individuals around the world. We cannot afford to stand idly by while lives are at stake.
Building an Unstoppable Movement
At MSFC, we believe that knowledge is power. By educating ourselves and our communities about the realities of unsafe abortion, we can break down stigma and misinformation. We recognize that the fight for safe abortion is interconnected with other struggles for reproductive justice, gender equality, and social equity.
This International Safe Abortion Day, commit to being a vocal advocate for evidence-based, compassionate reproductive healthcare. Join forces with like-minded organizations and individuals to amplify our collective voice.
Policy Engagement
Advocate for policies that safeguard the right to safe abortion and engage with local and national lawmakers to make your voice heard. Being a vocal advocate includes supporting legislation that removes barriers to access and working to repeal restrictive laws that endanger lives.
MSFC chapters are taking an active stance in legislative advocacy. The chapter at Creighton University School of Medicine has been sending chapter members to the Capitol to protest bills that could limit reproductive health access. These students are leading by example, demonstrating the importance of engaging in local politics to protect healthcare rights.
Medical students are participating in public hearings, writing letters to senators, and organizing grassroots efforts to raise awareness about the impact of certain bills on healthcare access. They’re showing that healthcare providers, even in training, have a powerful voice in shaping policies that affect patient care.
The University of North Carolina School of Medicine chapter rallied to sustain the veto of SB20 signed by Governor Roy Cooper. UNC attendings and residents joined students.
The University of North Carolina School of Medicine chapter members at the rally to sustain the veto of SB20. Taken from @msfc_uncsom
Providing Supportive Healthcare
Future healthcare professionals are crucial in ensuring access to safe abortion services. By creating safe spaces for dialogue, we can reduce stigma and empower individuals to make informed decisions about their bodies. Foster open, honest conversations about reproductive health within your communities. As you advance in your medical journey, commit to providing non-judgmental, evidence-based care that centers on the autonomy and well-being of your patients.
Promoting Justice and Equity
Recognize and actively work to address the disparities in access to safe abortion care. Advocate for policies and programs prioritizing marginalized communities and ensuring that everyone, regardless of socio-economic status, can exercise their right to safe abortion.
Stand up against discrimination and stigma surrounding abortion. Being an impactful advocate includes advocating for comprehensive sexuality education, which empowers individuals with the knowledge and skills to make informed decisions about their reproductive health.
Why MSFC’s Work is Relevant
In a world where access to safe abortion is often met with barriers, MSFC’s work is more relevant than ever. We are part of a global movement dedicated to ensuring that every individual has the right to make informed choices about their bodies and futures. Our work directly impacts the lives of those who may otherwise be denied access to safe and legal abortion services.
Medical students during an In-Person Abortion Training Institute learn how to perform a Manual Vacuum Aspiration (MVA). Students use the MVA procedure to remove the pulp and seeds, which simulate suctioning the products of conception from the uterus.
Let’s become an unstoppable force for change. Help us make reproductive healthcare education accessible for all medical students by becoming a sustaining donor by setting up a monthly recurring gift.
We can continue to build a movement grounded in solidarity, compassion, and justice. We are committed to fighting for the right to safe abortion for all. Join us to create a future where every individual has the opportunity to make decisions about their bodies and lives.
