Abortion in Wisconsin

Abortion in Wisconsin has been legal since September 18, 2023, and is performed in Madison and Milwaukee, through 22 weeks gestation.[1] However, elective abortions in Wisconsin are under dispute after the overturning of Roe v. Wade by the Supreme Court of the United States on June 24, 2022. Abortion opponents cite an 1849 law that they claim bans the procedure in all cases except when the life of the mother is in danger.[2] However, lower level courts have argued that the law only applies to infanticide and not consensual abortions. [3] The enforceability of the law is disputed and being considered by the state courts. Planned Parenthood of Wisconsin announced that they would resume abortion services in Madison and Milwaukee on September 18, 2023.[4][5][6]

53% of Wisconsin adults said in a poll in 2014 by the Pew Research Center that abortion should be legal in all or most cases with 45% saying it should be illegal in all or most cases. The Center for Reproductive Rights labels the state as hostile towards abortion rights, e.g. 20-week ban, telemedicine ban, TRAP requirements, admitting privileges requirement, transfer agreement requirement, reporting requirement, parental consent required, mandatory counseling, mandatory ultrasound, and waiting period requirements.[7]

History

Legislative history

In 1849, the state legislature passed a law that criminalized abortion, making it a felony for a doctor to perform an abortion on a woman, no matter the circumstances of her pregnancy including pregnancy as a result of rape or incest, unless the pregnancy endangers the life of the mother:[8][9]

Every person who shall administer to any woman pregnant with a quick child, any medicine, drug, or substance whatever, or shall use or employ any instrument or other means, with intent thereby to destroy such child, unless the same shall have been necessary to preserve the life of such mother, or shall have been advised by two physicians to be necessary for such purpose, shall, in case the death of such child or of such mother be hereby produced, be deemed guilty of manslaughter in the second degree.[9]

In the 19th century, bans by state legislatures on abortion were about protecting the life of the mother given the number of deaths caused by abortions; state governments saw themselves as looking out for the lives of their citizens.[10]

By 1950, the state legislature would pass a law stating that a woman who had an abortion or actively sought to have an abortion, regardless of whether she went through with it, was guilty of a criminal offense.[10]

Wisconsin Stat. § 940.15, enacted in 1985, made abortion a crime only after viability, and allowed abortion after viability “if the abortion is necessary to preserve the life or health of the woman, as determined by reasonable medical judgment of the woman’s attending physician.”[11]

The state was one of 23 states in 2007 to have a detailed abortion-specific informed consent requirement.[12] Georgia and Wisconsin were 2 of the only 22 states with written informed consent materials referring women to  "crisis pregnancy centers" which acknowledged these centers did not support or provide women with abortion related services.[13]

As of 2013, state Targeted Regulation of Abortion Providers (TRAP) law applied to medication induced abortions in addition to abortion clinics.[14]

Following the passage of a 2013 Wisconsin law requiring abortion providers to have admitting privileges at a nearby hospital, three Catholic hospital systems in the state intended to deny admitting privileges to abortion providers. Wisconsin's attorney general said this intent violated the Church Amendment of 1973, which prohibits hospitals receiving federal funds from discriminating against a doctor on the basis of whether or not the doctor provides abortions or sterilizations.[15]

Five bills sought to outlaw abortion in Wisconsin in 2019.[8] As of mid-May 2019, state law banned abortion after week 22.[16] In 2019, Governor Tony Evers vetoed four Republican passed bills that would have limited abortion access.[17] Specifically, the legislature passed a measure requiring abortion physicians to provide information on abortion reversal, a procedure that the scientific community sees as illegitimate and invalid,[lower-alpha 1] as it is not based upon medically-sound research.[19][20] In addition, the legislature passed a bill that would eliminate all government funding for Planned Parenthood, as well as a ban on all abortions based upon the race, sex, or genetic anomaly of the fetus.[21] Evers also vetoed a bill that would sentence doctors to life in prison for failing to provide infants with medical care if they are born alive during a botched abortion attempt.[8] As of 2019, the state had a legal 24-hour waiting period before a woman could get an abortion.[8]

Judicial history

In March 1970, Wisconsin’s Eastern District Court granted a declaratory judgment, stating that Wisconsin's contemporary abortion law was unconstitutionally vague. However, this did not prohibit prosecutors from charging the plaintiff using different laws, or from enforcing the same law against different plaintiffs. The plaintiff was subsequently recharged for violating Wisconsin's law against abortion. In November 1970, Wisconsin’s Eastern District Court granted an injunction forbidding the prosecution of any person under Wisconsin's law against abortion, thus making abortion legal in Wisconsin. [22] The annotations in Wisconsin's abortion statute list the March 1970 declaratory judgement as the point where Wisconsin's abortion ban was overturned,[23] despite prosecutions and indictments for abortion occurring until the November 1970 injunction against enforcement. [22]

The US Supreme Court's decision in 1973's Roe v. Wade ruling affirmed the ban issued by the Wisconsin East District. (However, the Supreme Court overturned Roe v. Wade in Dobbs v. Jackson Women's Health Organization, No. 19-1392, 597 U.S. ___ (2022).[24][25])

In 2015, the 7th U.S. Circuit Court of Appeals upheld a decision to strike down the admitting privileges requirement of Act 37, passed in 2013.[26] Admitting privileges require physicians providing abortion to obtain the right to admit patients at local hospitals – although federal law dictates that no hospital can deny a patient admittance. Wisconsin already had a transfer agreement requirement established, which mandates that all facilities where abortion is performed to have an agreement with a local hospital for the transfer of patients. Most in public health and clinical practice understand admitting privilege requirements – adopted by nine states, including Wisconsin – to be nonessential, and not grounded in evidence-based practice.[27][28] Further, as argued during the court proceedings, the law would lead to diminished access to abortion within the state, particularly as the law was to go into effect two days after its passage.

After a District Court ordered an immediate temporary injunction, the 7th U.S. Circuit Court granted a hearing of the case. The state's primary argument in defense of the admitting privileges requirement centers on women's health. Specifically, if complications arise, this requirement presumes a continuity of care for the patient.[29] The court's ruling, however, determined that the remarkably low rates of complications associated with abortion, and the state's failure to impose similar requirements on physicians providing riskier procedures rendered these claims moot.[30] Following the 7th U.S. Circuit Court's ruling, the state of Wisconsin petitioned the Supreme Court for review of the case; the Supreme Court chose not to hear the case, leaving the 7th Circuit Court's ruling in place.[31][32]

After the 2022 Supreme Court decision overturning Roe v Wade, providers immediately stopped providing elective abortions, fearing prosecution under an 1849 law banning abortion in all cases except to save the life of the mother.[33] Wisconsin Attorney General Josh Kaul filed a lawsuit disputing the enforceability of the old law, arguing more recent changes to abortion law effectively repealed it.[34]

Clinic history

Number of abortion clinics in Wisconsin by year

Between 1982 and 1992, the number of abortion clinics in the state declined by 13, going from 29 in 1982 to 16 in 1992.[35] In 2013, Affiliated Medical Services was located in Milwaukee at 1428 N. Farwell Ave. Women going to the clinic often had to be accompanied as there were protesters outside.[36] In 2014, there were 4 abortion clinics in the state.[37] In 2014, 96% of the counties in the state did not have an abortion clinic. That year, 67% of women in the state aged 15–44 lived in a county without an abortion clinic.[38] In March 2016, there were 22 Planned Parenthood clinics in the state.[39] In 2017, there were 21 Planned Parenthood clinics, of which 2 offered abortion services, in a state with a population of 1,270,774 women aged 15–49.[40]

Statistics

In the period between 1972 and 1974, there were zero recorded illegal abortion deaths in the state.[41] In 1990, there were 577,000 women in the state at risk of an unintended pregnancy.[35] In 2001, Arizona, Florida, Iowa, Louisiana, Massachusetts, and Wisconsin did not provide any residence related data regarding abortions performed in the state to the Centers for Disease Control.[42] In 2013, among white women aged 15–19, there were 570 abortions, 200 abortions for black women aged 15–19, 90 abortions for Hispanic women aged 15–19, and 80 abortions for women of all other races.[43] In 2014, 53% of adults said in a poll by the Pew Research Center that abortion should be legal in all or most cases with 45% stating it should be legal in all or most cases.[44] In 2017, the state had an infant mortality rate of 6.4 deaths per 1,000 live births.[45]

Number of reported abortions, abortion rate and percentage change in rate by geographic region and state in 1992, 1995 and 1996[46]
Census division and stateNumberRate % change 1992–1996
199219951996199219951996
East North Central204,810185,800190,05020.718.919.3–7
Illinois68,42068,16069,39025.425.626.13
Indiana15,84014,03014,8501210.611.2–7
Michigan55,58049,37048,78025.222.622.3–11
Ohio49,52040,94042,87019.516.217–13
Wisconsin15,45013,30014,16013.611.612.3–9
Number, rate, and ratio of reported abortions, by reporting area of residence and occurrence and by percentage of abortions obtained by out-of-state residents, US CDC estimates
LocationResidenceOccurrence % obtained by

out-of-state residents

YearRef
No.RateRatioNo.RateRatio
Wisconsin7,0146.51045,8005.3862.82014[47]
Wisconsin6,7316.21005,6605.2843.52015[48]
Wisconsin 6,633 6.1 100 5,612 5.2 84 2.5 2016 [49]
^number of abortions per 1,000 women aged 15–44; ^^number of abortions per 1,000 live births

Abortion rights views and activities

Protesters pose with their signs moments before kick off of the Madison, Wisconsin rally for the Women's March on January 21, 2017.

Organizations

Wisconsin Alliance for Reproductive Health is an organization that supports abortion rights.[8] In May 2019, they were active in trying to overturn Wisconsin's 1849 era abortion ban.[8]

Views

Wisconsin Alliance for Reproductive Health Executive Director Sara Finger said, "Wisconsin is not recognized as having some of the harshest abortion laws, but we're right up there with Texas and some others who do have that reputation."[8]

Activities

On January 27, 2013, Planned Parenthood of Wisconsin marked the 40th anniversary of Roe v. Wade with an event titled "Our Lives. Our Stories. Our Celebration" at the Majestic Theater in Madison.[36]

Protests

Women from the state participated in marches supporting abortion rights as part of a #StoptheBans movement in May 2019.[50]

Violence

On May 8, 2022 a crisis pregnancy center in Madison, Wisconsin was firebombed. The attack was claimed by Jane's Revenge, a militant pro-abortion rights group.[51] In a statement issued after the attack, the group demanded the disbanding of anti-abortion organizations, with a threat of "increasingly extreme attacks",[52] including a "Night of Rage" should Roe v. Wade be overturned by the Supreme Court.[53][54]

Anti-abortion rights view and activities

Activism

Much of the anti-abortion movement in the United States and around the world finds support in the Roman Catholic Church, the Christian right, the Lutheran Church–Missouri Synod and the Wisconsin Evangelical Lutheran Synod, the Church of England, the Anglican Church in North America, the Eastern Orthodox Church, and the Church of Jesus Christ of Latter-day Saints (LDS).[55][56][57][58]

Specifically, organizations such as Pro-Life Wisconsin, Wisconsin Right to Life, and the Wisconsin Catholic Conference are actively working to limit or restrict access to abortion access within the state of Wisconsin.[59][60][61] They all engage in outreach and education campaigns directed towards the general public, fundraising activities, and resources to churches and Pastors for use in their own ministry.[62][63] Further, each organization engages in policy and legal efforts to limit access to abortion, whether it is through testimonials before the state legislature on bills related to abortion, or assistance in court cases that challenge existing abortion restrictions.[64][65][66]

Violence

On April 1, 2012, a bomb exploded on the windowsill of a Planned Parenthood clinic in Grand Chute, Wisconsin, resulting in a fire that caused minimal damage.[67]

Footnote

  1. "Equally unscientific 'abortion reversal' laws are also gaining traction. These laws, now on the books in eight states, require doctors to tell patients receiving a medication abortion, a safe and effective way to end an early pregnancy, that it can be reversed halfway through to save their pregnancy. Not only is this law bad science, it is actively dangerous. The idea of abortion reversal is based on a single study of six participants that was (poorly) conducted without an ethics review board. The so-called abortion reversal procedure is experimental and has neither been clinically tested nor approved by the Food and Drug Administration. Both heartbeat bills and abortion reversal laws have been opposed by leading medical groups, including the American Medical Association and the American College of Obstetricians and Gynecologists." — Baran, Goldman, & Zlikova (2019)[18]

References

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  4. "Planned Parenthood to resume offering abortions next week in Wisconsin, citing court ruling". CBS 58. Retrieved September 14, 2023.
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  9. Ritsche, Daniel (December 2015). Abortion laws in Wisconsin (PDF) (Report). Wisconsin Legislative Reference Bureau. Archived from the original (PDF) on February 23, 2017.
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