Medicare and Medicaid

How We Can Turn Away From Medicalized Birth Culture and Reset the U.S. Birth Care System

PUBLISHED 10/24/2025 by

The U.S. has been doing birth backwards for decades, providing highly medicalized, costly care despite poor outcomes, and ignoring data that estimates at least 60 percent of U.S. pregnancies are low-risk and could be safely supported by midwives in a community setting.

Alice Walker writes, “The most common way people give up their power is by thinking they don’t have any.” It is this self-defeating pattern in the face of authoritarianism that the current U.S. federal government is counting on. And sadly, a pattern to which some of our most powerful institutions have succumbed. Fear and chaos are tried and true tools of oppression. Vision and courage, however, are exponentially stronger.

America’s birth care system can be reset, but not by fearfully resisting its collapse or playing in its rubble.

(This essay is part of a collection presented by Ms. and the Groundswell Fund highlighting the work of Groundswell partners advancing inclusive democracy.)

America Is an Increasingly Dangerous Place for Women and Girls 

PUBLISHED 10/17/2025 by

In America’s hyper-macho, gun-drenched culture, growing up female has never been safe. But under the Trump administration, America is becoming a much more dangerous place for women and girls.

America is dangerous for women and girls because our leaders choose to make it so. The Trump administration has already begun blocking access to abortion and Medicaid coverage for reproductive health, as well as targeting the rights of pregnant people within the 2023 Pregnant Workers Fairness Act.

Already, the macho culture of the U.S. has steadily made women’s safety in the nation decline. Around 41 percent of women in the U.S. have experienced sexual violence, while a third of women reported severe assault by a husband or boyfriend. The normalization of gun violence and violent pornography have also run rampant across the country, making America more dangerous day by day.

Who Gets to Procreate and Parent? A Black Feminist Critique of the Pronatalist Agenda

PUBLISHED 10/17/2025 by , and

Pronatalism is not simply about encouraging births—it is a political project rooted in racism and control. Its goal is to engineer a future that permits only certain people to bear and raise children while coercing or punishing others for reproducing or parenting.

Adriana Smith’s experience of coerced reproduction is a devastating example: a Black nurse and mother declared brain-dead, yet kept on life support for months to sustain her pregnancy under Georgia’s restrictive abortion laws. This is what pronatalism looks like in practice—the state asserting ownership over a Black woman’s body.

As Black feminists, we understand that reproductive choices are personal, but they are also deeply shaped by structural power. Pronatalist leaders and influencers cloak their agenda in the language of family and morality, but in truth, they seek to restrict autonomy and consolidate control. Reproductive justice, by contrast, insists on every person’s right to decide whether and how to have children, and to parent in safety and dignity.

This Manufactured Shutdown Threatens Healthcare and Reproductive Freedom

PUBLISHED 10/9/2025 by

This is not governing—it’s sabotage, carried out at the expense of Americans’ health and freedoms.

In July, House Republicans created a healthcare crisis when they rammed through a budget that gutted Medicaid, defunded Planned Parenthood and put a target on the Affordable Care Act. Now, instead of fixing the mess they made, they’re steering us toward a government shutdown that will only compound the damage.

Americans across the political spectrum value these programs. Medicaid, Planned Parenthood and the ACA are lifelines in red states and blue states alike. People may disagree on politics, but they overwhelmingly agree that their families deserve access to affordable healthcare. That’s why the position to protect care and keep the government open is both the responsible path forward and the popular one.

One Megabill for the Megarich

PUBLISHED 10/7/2025 by

The Trump administration is calling its new budget “the most pro-family legislation ever crafted.” But for women like Bre’Jaynae Joiner, a single mother of two in Oakland, the cuts to Medicaid and SNAP threaten her family’s very survival.

Over the next decade, more than 11 million Americans—mostly women and children—are expected to lose health coverage, while deep food assistance cuts and work requirements will push even more families into crisis. Advocates call the bill a massive transfer of wealth to the rich at the expense of the poor, a policy that will shutter rural hospitals, deny essential care and worsen maternal mortality.

As Sen. Raphael Warnock puts it plainly: “If you cut $900 billion out of Medicaid, people are going to die.”

How the Government Shutdown Is Hitting the Healthcare System—and What the Battle Over ACA Subsidies Means

PUBLISHED 10/7/2025 by

Major rifts over key healthcare issues are at the heart of the federal government shutdown that began at the stroke of midnight on Oct. 1, 2025. Without a budget agreement in place, Trump ordered most federal agencies to wind down their nonessential activities. The shutdown will continue until Congress passes either a short-term or long-term funding bill and Trump signs it.

Government shutdowns are nothing new, but as a health policy expert, I worry this time around the impasse may have far-reaching effects on healthcare.

Republicans Are Holding Women’s Health Hostage

PUBLISHED 10/6/2025 by

As the government shutdown drags into another week, women and their families have the most to lose. The Republican budget that triggered this fight guts Medicaid and rolls back ACA tax credits that make health insurance affordable for millions—what experts are calling a “quiet repeal” of the Affordable Care Act. Nearly 50 years after Rosie Jiménez died because she was denied Medicaid coverage for abortion, we’re watching the same systems endanger women’s lives all over again.

And yet, there’s reason for hope: The FDA just approved a new generic version of mifepristone, expanding access to medication abortion at a moment when it’s most under attack.

The War on Women Report: New Texas Law Targets Abortion Pills; More Planned Parenthoods Close Amid Federal Funding Cuts

PUBLISHED 9/30/2025 by and

MAGA Republicans are back in the White House, and Project 2025 is their guide—the right-wing plan to turn back the clock on women’s rights, remove abortion access, and force women into roles as wives and mothers in the “ideal, natural family structure.” We know an empowered female electorate is essential to democracy. That’s why day after day, we stay vigilant in our goals to dismantle patriarchy at every turn. We are watching, and we refuse to go back. This is the War on Women Report.

Since our last report:
—A judge in Missouri is currently deciding whether a proposed amendment that would ban abortion in the state’s constitution can appear on the 2026 ballot … even though Missourians voted just last fall to keep abortion legal in the state.
—The Trump administration announced in August that it would remove gender-affirming care from the health services offered to federal workers.
—Mississippi declared a public health emergency as the state’s infant mortality rate soars to a rate nearly double the national average.

… and more.

‘We Need Equal Rights in the Constitution’: NOW’s New Leaders Kim Villanueva and Rose Brunache See ‘a Lot of Energy for Advocacy’

PUBLISHED 9/30/2025 by

Almost 60 years ago, in 1966, Pauli Murray, a queer Episcopal priest and legal scholar, approached noted feminist Betty Friedan about the need for an organization to push the Equal Employment Opportunity Commission to enforce the Civil Rights Act. Although the Act had passed in 1964 and banned discrimination based on race, color, national origin, sex, and religion, Murray understood that the law’s promise would remain unfulfilled without vigilance and pressure from activists. Friedan agreed, and later that year, the National Organization for Women (NOW) was created.

Newly-installed president Kim Villanueva—the former president of NOW’s Illinois chapter, cofounder of the Asian American and Pacific Islander Caucus and chair of the National Election Committee—and vice president Rose Brunache, former president of the DC chapter, spoke to Ms. reporter Eleanor J. Bader one month after taking office.