amadi: A bouquet of dark purple roses (Fund Abortion Now)
[personal profile] amadi
It's me again, with another potentially controversial poll. Well, not really, because this isn't about opinions, just about facts. The purpose of this poll is to gain a better understanding of one of the key issues of abortion access -- funding -- in other countries, as political battles over that issue are raging across the U.S.

Yes, I could go scour through two separate Wikipedia articles then try to drill down into other resources to figure out the final piece of the puzzle, but it's easier to crowdsource this info with four simple questions.

This poll is for people who reside outside of the U.S.A. only. (This poll and entry are public, so if you'd like to poke your friends in other countries to come answer, that'd be spiffing.)

For the purposes of this poll, elective abortion is defined as one that is not sought due to pressing health concerns for the pregnant person or due to a pregnancy arising from sexual violence.

Poll #7243 International Abortion Access
Open to: Registered Users, detailed results viewable to: All, participants: 23


What country do you live in?

Is ELECTIVE abortion legal in your country?

View Answers

Yes (This includes legality only within certain limits, e.g. first trimester only or for adults only)
22 (95.7%)

No
0 (0.0%)

It's complicated & I'll comment to explain
1 (4.3%)

Is there a national health plan (socialized medicine) in your country?

View Answers

Yes
21 (91.3%)

No
1 (4.3%)

Sort of, I'll comment to explain
1 (4.3%)

If you answered yes to the previous question, does your national health plan fund ELECTIVE abortion?

View Answers

Yes
16 (72.7%)

No
2 (9.1%)

It's complicated, I'll comment to explain
4 (18.2%)

Date: 2011-06-10 01:23 pm (UTC)
lilacsigil: 12 Apostles rocks, text "Rock On" (12 Apostles)
From: [personal profile] lilacsigil
Australia has a complicated mix of state and federal funding for healthcare, and an equally complicated mix of laws. In most states, abortion is technically illegal unless there's a risk to the health of the mother (including mental health) and this is very generously applied. I think there's only been one (failed) prosecution since the early 1970s. In my state, abortion for any reason is legal up to 24 weeks, and the health of the mother rule still applies after that (the health of the mother rule applies throughout pregnancy in other states).

In all states, abortions are paid for by the Federal government and there is no distinction between elective or not. If you want to go to a particular clinic, or have a same-day appointment in a busy area you might choose to pay for it privately. Additionally, the Medicare item that is paid for is not specified as an abortion, so there's no difference in the records between women who have, say, a D&C for PCOS-related reasons (like I did) and one who has an abortion.

Date: 2011-06-10 02:23 pm (UTC)
lilacsigil: 12 Apostles rocks, text "Rock On" (12 Apostles)
From: [personal profile] lilacsigil
The woman and her partner were swiftly acquitted - medical testimony said that there was no proof she'd ever been pregnant, that the pills "caused harm" or that an abortion (rather than a non-implantation) occurred. There was little support for the trial - even in a relatively conservative state - and it was generally considered a waste of public money,

Date: 2011-06-19 08:56 am (UTC)
lauredhel: two cats sleeping nose to tail, making a perfect circle. (Default)
From: [personal profile] lauredhel
Yep. I answered "yes" to the first question because it is legal in my state without a medical indication so long as other conditions are met (relatively early, informed consent, adult OR parental consent OR court waiver of parental consent). And "yes" to the third, but there are gaps to pay so it's not completely funded; but there is at least one local clinic who advertises clearly that they will not turn anyone away based on inability to pay.

Date: 2011-06-10 01:33 pm (UTC)
supermouse: Simple blue linedrawing of a stylised superhero mouse facing left (Default)
From: [personal profile] supermouse
I'm in the UK, and *technically* we never allowed 'elective' abortions, but there's a 'will bring distress to the mother' mental health clause - you have to get two doctors to agree that carrying through the pregnancy would be too distressing for you to cope with. However, in Britain[1] the actual *culture* is fairly pro-choice, so it's become a legal formality rather than a battle. In practice, you can have an elective abortion. It's all funded on the NHS - abortions are much cheaper and easier to handle than pregnancies.

Northern Ireland doesn't have this culture and the law is worded differently, and so it's really hard to get an abortion there, even though the country is part of the United Kingdom.

[1]Britain is England, Scotland and Wales but *not* Northern Ireland. The UK includes Northern Ireland. Hence using the UK in one case and Britain in the other.

Date: 2011-06-10 01:34 pm (UTC)
supermouse: Simple blue linedrawing of a stylised superhero mouse facing left (Default)
From: [personal profile] supermouse
Oh yes, and there's a term limit on these not-legally-but-in-practice elective abortions. I forget what it is, but I wish it wasn't there.

Date: 2011-06-10 04:58 pm (UTC)
urocyon: Grey fox crossing a stream (Default)
From: [personal profile] urocyon
Thanks for explaining the complications. :) I called it "elective", but there is that interesting legal setup.

And it does bug me that, even if this tends to be a formality, there is plenty of potential for it not to be. I may be a tad more hyper about this, coming from the US, but here's an interesting piece from last year: Is it time for abortion to return to the political agenda?. While they haven't had much luck so far, there is apparently an increase in attempts to interfere with people's reproductive rights here as well.

There are also accessibility problems which would probably lead me to go private if I needed an abortion. I have not been impressed at the kind of reproductive health care I have gotten so far under the NHS, and have run into enough know-better disablist attitudes with that so I am currently avoiding going for a routine Pap smear. (The last time I did, I left with an IUD I did not want. Seriously.)

ETA: I wrote some about some of the problems of having a giant HMO with a monopoly in this context a while back: Contraception, and informed choice. While it's a lot better than having no access, that doesn't make the implementation good. Especially when you don't have a lot of other options if you do run into outright discrimination; I know I'm lucky to be able to afford to go private, if need be.
Edited (CRS Syndrome ;)) Date: 2011-06-10 05:37 pm (UTC)

Date: 2011-06-10 06:55 pm (UTC)
trouble: Sketch of Hermoine from Harry Potter with "Bookworms will rule the world (after we finish the background reading)" on it (Default)
From: [personal profile] trouble
I watched a documentary about the difficulties in getting abortions in Northern Ireland. It was very distressing.

Date: 2011-06-10 02:56 pm (UTC)
mercredigirl: Screencap of Twi'lek Jedi Aaylas'ecura from Star Wars, kissing. (Aayla Secura)
From: [personal profile] mercredigirl
Healthcare plan: The state deducts part of working people’s income (mandatory, no opt-out) into a savings account for healthcare for the worker and dependents. It also operates a network of government clinics around the country.

Elective abortion: Not funded by state healthcare; legal to 24 weeks unless health complications arise; compulsory two-day waiting period and counselling session unless the person obtaining the abortion already has three or more children; minors can obtain an abortion without parental information or consent, but the police are notified if they are below the age of consent (16).

If I’m wrong, fellow Singaporeans, feel free to point out my error(s).

Date: 2011-06-10 03:09 pm (UTC)
trouble: Sketch of Hermoine from Harry Potter with "Bookworms will rule the world (after we finish the background reading)" on it (Default)
From: [personal profile] trouble
In Canada, while healthcare is federally mandated, the actual provision of health care services is a provincial matter. New Brunswick refuses to pay for abortion services, even though they are mandated to under the Canada Health Act. In order to end this, someone with "Standing" would need to take it to the courts, the same way the initial striking-down of the abortion law happened. This would require a person who paid for an abortion out of pocket to be willing to go through the public and lengthy humiliation of the court case. No one has been willing to so far.

The other issue is what access to abortion means. PEI is Canada's smallest province, and prides itself on the fact that there are no abortion providers there. There are also no dermatologists. If one needs an abortion paid for by the province, your doctor needs to refer you, and then the province will fly you out to Nova Scotia for one.

Date: 2011-06-10 03:13 pm (UTC)
trouble: Sketch of Hermoine from Harry Potter with "Bookworms will rule the world (after we finish the background reading)" on it (Default)
From: [personal profile] trouble
I should also note that abortion is an... odd topic here. Our current Prime Minister is pretty much anti-choice, but having sorted out that "re-opening the abortion debate" is the fastest way to have the Canadian people flip the fuck out, he has repeatedly publicly sworn he will not.

The funding debate, on the other hand....

Date: 2011-06-10 06:51 pm (UTC)
theleaveswant: text "make something beautiful" on battered cardboard sign in red, black, and white (yoga warrior)
From: [personal profile] theleaveswant
Yup. Abortions are supposed to be accessible, under the Canada Health Act, on request and fully funded in hospitals to all Canadian citizens and permanent residents, but as [personal profile] trouble says "access" is kind of a slippery concept in this case. Last I checked, there are fully or partially funded clinics in all of the mainland provinces, Yukon Territory, Northwest Territories, Nova Scotia and Newfoundland, with no funding in New Brunswick and not clinics performing abortions in Prince Edward Island or Nunavut. For women in rural and especially northern areas cost of travel is often prohibitive (this is the case for all medical procedures not available locally), and some hospitals refuse to perform abortions on patients from out of province or require additional documentation and basically make the process as miserably complicated as possible. Also protests outside clinics providing abortions are not uncommon (not here in Toronto, anyway, although I think they might be banned in B.C.) and there have been numerous acts of violence against doctors and clinics known to provide abortions (shootings, stabbings, firebombings). So yeah, elective abortion is legal and funded under socialized healthcare on paper, but real world practical access is a lot more complicated.

Date: 2011-06-10 06:54 pm (UTC)
trouble: Sketch of Hermoine from Harry Potter with "Bookworms will rule the world (after we finish the background reading)" on it (Default)
From: [personal profile] trouble
New Brunswick has weekly protests outside the Morgantaler clinic in ... Fredericton, I think? Here in Halifax we only have protests during that irritating "40 days to end abortion" thing, which mostly consists of people sitting just outside the hospital grounds and staring intently at the hospital.

Date: 2011-06-10 07:01 pm (UTC)
theleaveswant: grizzly bear with open mouth facing right, salmon leaping out of water heading left towards mouth (bear fish)
From: [personal profile] theleaveswant
Toronto has a regular "protest season" during those forty days, and harassment is bad enough that clinics seek extra volunteer escorts to walk people past the sign-wavers. It might happen sporadically at other times too, if abortion is big in the news that week or whatever.

I was going to edit my earlier comment to fix a typo and emphasize that geographic limitations on access disproportionately affect First Nations, Inuit, and Metis communities, but your reply came in too quickly :)

Date: 2011-06-10 07:05 pm (UTC)
trouble: Sketch of Hermoine from Harry Potter with "Bookworms will rule the world (after we finish the background reading)" on it (Default)
From: [personal profile] trouble
Oh, that's good to know. I'm moving to Toronto and would like to be supportive.

Date: 2011-06-11 05:01 am (UTC)
lilacsigil: 12 Apostles rocks, text "Rock On" (12 Apostles)
From: [personal profile] lilacsigil
I had no idea the situation in Canada was so bad. Thanks for the details - Australia also has state-by-state care, but lack of access to abortion is linked to lack of access to any kind of medical care. For example, in my very small town, minor surgery day is once a week. If I wanted an abortion, I would have to travel to a bigger town or wait until the next Wednesday. It would be the same for any kind of minor surgical procedure. So access can be a problem, but not because abortion is singled out.

Date: 2011-06-10 08:45 pm (UTC)
franzi1981: (Default)
From: [personal profile] franzi1981
In Germany, elective abortions are legal. Finally.

Paid for by the health insurance companies if the mother's health is in danger, the fetus is "damaged" (for lack of a better word) OR if the woman has been raped.

If you simply don't want the child, you have to pay or yourself.

However, if you have a low income (at/near the poverty level or below), the health insurance will pay in any case. It's not very expensive anyway, so I think that this is fair. Paying for low-income women, but only paying for women with normal income if it's medically indicated or the woman was raped.

(btw, it's the same with some exams when you're pregnant - afaik, the standard minimum is paid for, but if you want more/better care, you have to pay. Unless you're in the low income range)

Date: 2011-06-17 10:47 pm (UTC)
feuer_flammenlos: Feminism: six answers to dudebros (feminism)
From: [personal profile] feuer_flammenlos
Hello!
I ended up on your journal following a link chain and have been drawn to the power of Poll.

In Italy, abortion is elective up to the 90° day after the first day of your last menstruation (so, likely 2 1/2 months after conception?), after that term it is allowed only on the basis of "will harm the mother" - with harm including distress - and should, if performed in a public hospital and without extras, be free or with a minimal cost (ticket).
HOWEVER!
1)Objection of conscience (tr?) is sanctioned by the law, and is sadly widespread (60% and up in some regions).
2)The health service (tr?) has agreements with many private hospitals - many of which belong to the Catholic Church or affiliates - and this means that in any given city there might be very few/not enough places that will perform an abortion. [if the number of hospitals N is proportional to the necessities of citizens, then N minus the number of places-refusing-to-perform-abortions is likely to be below the population's demand]

Date: 2011-06-24 04:06 pm (UTC)
rooibos: (Default)
From: [personal profile] rooibos
For clarification- abortion in Trinidad is only legal in cases where the mother's life is at risk. I've never heard of anyone having a legal abortion, though.
Page generated Jul. 21st, 2026 10:41 am
Powered by Dreamwidth Studios