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How Poor Science is Driving the Push to Limit Access to Abortion Pills


Health and Human Services Secretary Robert F. Kennedy Jr. has directed the FDA to perform a safety review of mifepristone, the primary pill used in U.S. abortions, following a controversial report alleging a significantly higher rate of serious complications associated with its use than previously recorded. This report, released by the Ethics and Public Policy Center, a conservative think tank, claims that the rate of serious adverse effects from mifepristone is 11%, compared to the FDA’s reported figure of less than 0.5%. The report’s methodology, which relies on 865,727 insurance claims, has been criticized by reproductive health experts as flawed and lacking transparency.

Experts like Dr. Ushma Upadhyay from UCSF have dismissed the report as junk science, emphasizing that substantial clinical research supports the medication’s safety when used correctly. The report not only categorizes minor side effects as serious but also classifies conditions unrelated to mifepristone, such as ectopic pregnancies, as serious events.

FDA Commissioner Marty Makary had previously indicated no plans to investigate mifepristone unless new safety concerns emerged. This shift in approach coincides with calls from Senators like Josh Hawley to reinstate restrictions on mifepristone access, reinforcing an ideological battle over abortion rights. Critics argue that the report is part of a broader anti-abortion strategy to limit access to reproductive health services through misleading research and legal actions.

Kennedy suggested that future regulatory decisions on mifepristone will be influenced by Trump’s administration. As the legal landscape surrounding mifepristone continues to evolve, experts express concern over the implications of such studies on public health policies and women’s access to safe abortion care.

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