Public Health

Menopause in Prison Is a Public Health Crisis We’re Ignoring

PUBLISHED 2/10/2026 by

Speaking from a Texas prison, journalist Kwaneta Harris reveals how menopause is neglected and punished for those living under state control.

“You know what menopause looks like for most folks? Maybe some hot flashes at work, some joint pain and mood swings. Perhaps you adjust your thermostat frequently or get hormone therapy from your doctor.

“Now let me tell you what menopause looks like under state control. Imagine having a hot flash in a non air-conditioned cell with a recorded temperature of 119 degrees. The guards won’t let you have ice water. You’re bleeding through your state-issued white uniform because you had to beg an 18-year-old man-child for a pad this morning, and he said, ‘Maybe later.’ You get exactly five tampons a month, along with a handful of pads, if you’re lucky. Your hormones are all over the place, but there’s no hormone replacement therapy. Just Tylenol—if the guards remember.

“And here’s the kicker: They write you up for having an ‘attitude problem’ when you’re actually having hormone-induced mood swings from perimenopause. Those write-ups? They keep you from getting parole. So now you’re not just dealing with your biology changing, you’re trapped here longer because your biology is being criminalized.”

(This essay is part of the latest Women & Democracy installment, published in the middle of Black History Month, in partnership with Black Girls’ Guide to Surviving Menopause. Menopause is not only a physical transition—it is also cultural, social and political. Recognizing its full scope is essential to advancing true health and civic equity.)

Queering Menopause: A Conversation on Story, Power and Policy

PUBLISHED 2/10/2026 by and

What would it mean to treat menopause not as a private medical event, but as a collective, political and even spiritual transition—one that spans far more bodies and experiences than mainstream narratives allow?

In this wide-ranging conversation, writers and cultural workers Syd Yang and Austen Smith reflect on their own experiences of perimenopause and menopause—experiences shaped by queerness, trans identity, spirituality and community—as well as the broader systems that render many menopausal people invisible.

ICE’s Violence Isn’t a Flaw in the System—It’s the Bedrock

PUBLISHED 1/12/2026 by

It’s a heavy time in the U.S.

Early in the month, we learned of the death of Dr. Janell Green Smith, a certified nurse-midwife and doctor of nursing practice (DNP) in South Carolina. A Black maternal health advocate, Smith became a midwife to confront the Black maternal mortality crisis. That she died in childbirth is a devastating reminder of the urgency of her work. Black women are three times more likely to die of pregnancy-related causes than white women, according to the CDC—a crisis compounded by abortion bans after Dobbs. Black women are disproportionately represented on Ms.’ running list of preventable deaths linked to those bans.

Then, late last week, videos emerged from Minneapolis showing heavily armed ICE agents killing a community volunteer and legal observer, Renee Nicole Good—an outcome of the misogyny and violence embedded within ICE.

RFK Jr. has also altered the childhood vaccine schedule, reducing recommended vaccines. Children will die or suffer lifelong harm. Older people will die. Nobody is safe. This, too, is violence. We may never know whose lives will be lost or permanently altered, but we mourn those harmed by this administration—and commit to fighting like hell for the rest of us.

Seven Ways the Trump Administration Has Made Pregnancy More Dangerous

PUBLISHED 1/8/2026 by

Trump has been in office for less than a year. The Supreme Court killed Roe v. Wade less than three years ago. And today, if you are a woman in the United States, your rights change when you cross state lines—men’s rights do not. 

It’s easy to lose sight of just how debilitating this administration has been for reproductive rights, because they are doing so much else so loudly. (Apologies to Greenland.) But this administration has quietly attacked abortion rights from just about every angle. A new report from the Center for Reproductive Rights makes clear just how aggressive they’ve been. 

Here are seven quiet moves from the Trump administration that are costing women and girls their lives.

What’s Next for Menopause Legislation in Your State?

PUBLISHED 1/7/2026 by

An unprecedented 19 states have introduced three dozen bills to improve menopause care and treatment; eight of those bills are now law.

At the federal level, the U.S. Food and Drug Administration finally removed the “black box warning” on estrogen products, ushering in a new era for menopause care whereby women and their doctors can make decisions without the unnecessary fear the prior label engendered.

And so, we kick off the new year with a mighty impressive track record. Can we expect more of the same in 2026? My prediction is a resounding yes. This is only the beginning of a long overdue and much deeper series of demands. Here’s my forecast for what to expect in the weeks and months ahead.

I’m a Texan. But I Don’t Know if I Can Be a Texas OB-GYN.

PUBLISHED 1/6/2026 by

Mary (not her real name) tells her story to Bonnie Fuller:

“Texans don’t give up easily, and I’m a Texan. I’m in my second year of medical school in Texas, and I’m studying to be an OB-GYN.

“I grew up in Texas, and I’m open-minded about staying in the state to practice obstetrics and gynecology after I graduate, despite the laws that ban most abortions from conception. A lot of the people that I love are in Texas, and there’s this big draw to stay here because it’s my community. I really want to care for other women.

“But what worries me most about practicing here is that I won’t be able to provide certain types of care because of the laws. I worry about the moral distress I’ll feel if I’m unable to act in particular cases—especially in emergency situations when a woman might need a termination and the law says that you can’t do one.”

RFK Jr. Wants to Scrutinize the Vaccine Schedule—But its Safety Record Is Already Decades Long

PUBLISHED 1/5/2026 by

The U.S. childhood immunization schedule, the grid of colored bars pediatricians share with parents, recommends a set of vaccines given from birth through adolescence to prevent a range of serious infections. The basic structure has been in place since 1995, when federal health officials and medical organizations first issued a unified national standard, though new vaccines have been added regularly as science advanced.

Vaccines on the childhood schedule have been tested in controlled trials involving millions of participants, and they are continuously monitored for safety after being rolled out. The schedule represents the accumulated knowledge of decades of research. It has made the diseases it targets so rare that many parents have never seen them.

But the schedule is now under scrutiny.

A Very Bad Year for Women’s Health

PUBLISHED 12/24/2025 by

When I started writing for The Contrarian, a funny-not-funny inside joke was whether there would be enough fodder for a weekly democracy column that overtly centers gender. I think you already know the punchline. Suffice it to say, I did not miss a single Wednesday in all of 2025.

For my final entry of the year, we thought it worthwhile to offer a snapshot—a year’s worth of reporting on the depth of damage this administration has wreaked on women’s health, with real-time Contrarian reporting noted.

Congress Went on Recess. Americans Got Higher Healthcare Bills.

PUBLISHED 12/22/2025 by

Congressional discussions on extending the Affordable Care Act (ACA) tax credits, which are set to expire Dec. 31, remain deadlocked as Congress begins its winter recess. Now, millions will see their premiums increase as a result: Payments will more than double on average—some even quadrupling—for enrollees who were eligible for the tax credits.

Without the extension, more and more ACA marketplace enrollees will drop their increasingly costly health insurance plans. This comes at a time when the ACA is more popular than ever—recent polls show that across the political spectrum, three quarters of voters support extending the tax credits.

Could the administration’s latest attack on transgender young people be the administration’s way of deflecting attention from the disaster unfolding in real time for millions of families in need of healthcare?