{"id":36811,"date":"2024-03-13T01:07:00","date_gmt":"2024-03-13T01:07:00","guid":{"rendered":"https:\/\/www.lifeandnews.com\/articles\/?p=36811"},"modified":"2024-03-14T01:13:28","modified_gmt":"2024-03-14T01:13:28","slug":"im-a-political-scientist-and-the-alabama-supreme-courts-ivf-ruling-turned-me-into-a-reproductive-rights-refugee","status":"publish","type":"post","link":"https:\/\/www.lifeandnews.com\/articles\/im-a-political-scientist-and-the-alabama-supreme-courts-ivf-ruling-turned-me-into-a-reproductive-rights-refugee\/","title":{"rendered":"I\u2019m a political scientist, and the Alabama Supreme Court\u2019s IVF ruling turned me into a reproductive-rights refugee"},"content":{"rendered":"\n<p><a href=\"https:\/\/theconversation.com\/profiles\/spencer-goidel-1514791\">Spencer Goidel<\/a>, <em><a href=\"https:\/\/theconversation.com\/institutions\/auburn-university-1419\">Auburn University<\/a><\/em><\/p>\n\n\n\n<p>The day before the Alabama Supreme Court ruled that <a href=\"https:\/\/apnews.com\/article\/alabama-supreme-court-from-embryos-161390f0758b04a7638e2ddea20df7ca\">frozen embryos created and used for in vitro fertilization<\/a> are children, my wife, Gabby, and I were greenlighted by our doctors to begin the IVF process. We live in Alabama.<\/p>\n\n\n\n<p>That Friday evening, Feb. 16, 2024, unaware of the ruling, Gabby started taking her stimulation medications, worth roughly US$4,000 in total. We didn\u2019t hear about the decision until Sunday morning, Feb. 18. By then, she had taken four injections \u2013 or two doses \u2013 of each of the stimulation medications.<\/p>\n\n\n\n<p>For those who don\u2019t know, the <a href=\"https:\/\/theconversation.com\/what-is-ivf-a-nurse-explains-the-evolving-science-and-legality-of-in-vitro-fertilization-224476\">IVF process is a winding journey<\/a> full of tests, bloodwork and bills. An IVF patient takes hormones for eight to 14 days to stimulate their ovaries to produce many mature eggs. The mature eggs are then retrieved via a minor surgical procedure and fertilized with sperm in a lab. The newly created embryos are monitored, sometimes biopsied and frozen for genetic testing, and then implanted, usually one at a time, in the uterus. From injection to implantation, one round of IVF takes four to eight weeks.<\/p>\n\n\n\n<p>IVF can be as stressful as it is exciting. However, the potential of having a successful pregnancy and our own child at the end of the process, we hoped, would make it all worth it. The decision by the Alabama Supreme Court threw our dreams up in the air.<\/p>\n\n\n\n<p>I <a href=\"https:\/\/scholar.google.com\/citations?user=ow6DhIQAAAAJ&amp;hl=en&amp;oi=ao\">study politics<\/a> \u2013 I don\u2019t practice it. I\u2019m not involved in state or local government. I\u2019m a scholar, not an activist or an advocate. But now one of the most intimate, personal events of our lives had been turned into a political event by the state\u2019s highest court. As a result, I became something else, too, which I had not been before: an activist.<\/p>\n\n\n\n<h2>Making sense of the ruling<\/h2>\n\n\n\n<p>Throughout the process of creating, growing and testing embryos in a lab, as many as <a href=\"https:\/\/www.illumefertility.com\/fertility-blog\/ivf-attrition-rate\">50% to 70%<\/a> of embryos <a href=\"https:\/\/theconversation.com\/most-human-embryos-naturally-die-after-conception-restrictive-abortion-laws-fail-to-take-this-embryo-loss-into-account-187904\">can be lost<\/a>. Similarly, in the preimplantation stage of natural pregnancies, <a href=\"https:\/\/doi.org\/10.12688%2Ff1000research.22655.1\">many embryos don\u2019t survive<\/a>.<\/p>\n\n\n\n<p>If embryos are children, as the court ruled, then fertility clinics and patients would be exposed to an immense amount of potential legal liability. Under this new framework, patients would be able to bring wrongful death suits against doctors for the normal failures of embryos in the testing or implantation phase. Doctors would either have to charge more for an already expensive procedure to cover massive legal-insurance costs or avoid IVF altogether.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/images.theconversation.com\/files\/580233\/original\/file-20240306-30-vi57hp.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip\"><img src=\"https:\/\/images.theconversation.com\/files\/580233\/original\/file-20240306-30-vi57hp.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip\" alt=\"A screen shows a microscope's view of a needle and cells.\" \/><\/a><figcaption>Lab staff at an in vitro fertilization lab extract cells from embryos that are then checked for viability. <a href=\"https:\/\/newsroom.ap.org\/detail\/FrozenEmbryos\/ebbb52ebd68b4ab691798f90b3319f05\/photo\">AP Photo\/Michael Wyke<\/a><\/figcaption><\/figure>\n\n\n\n<p>The decision and its implication \u2013 that IVF could not continue in the state of Alabama \u2013 felt like a personal affront to us. We were infuriated to have this uncertainty injected into the process three days into injecting IVF medication.<\/p>\n\n\n\n<p>While the decision clearly imperiled the future of IVF in Alabama, it was not clear to us whether we would be allowed to continue the process we had begun. We were left completely in the dark for the next four days. Gabby and I had no choice but to continue daily life and IVF as though nothing was happening.<\/p>\n\n\n\n<p>For me, that meant teaching my <a href=\"https:\/\/bulletin.auburn.edu\/coursesofinstruction\/poli\/\">political participation course at Auburn University<\/a>.<\/p>\n\n\n\n<h2>Teaching politics when it gets personal<\/h2>\n\n\n\n<p>I\u2019ll never forget walking into class on Monday, Feb. 19, and telling the students about the court\u2019s ruling and how it \u2013 maybe? \u2013 was going to jeopardize Gabby\u2019s and my IVF process.<\/p>\n\n\n\n<p>Before starting IVF, Gabby and I had gone through three miscarriages together.<\/p>\n\n\n\n<p>IVF doesn\u2019t always work. Approximately <a href=\"https:\/\/nccd.cdc.gov\/drh_art\/rdPage.aspx?rdReport=DRH_ART.ClinicInfo&amp;rdRequestForward=True&amp;ClinicId=9999&amp;ShowNational=1\">55% of IVF patients<\/a> under the age of 35 \u2013 Gabby is 26 \u2013 have a successful pregnancy after one egg retrieval. We couldn\u2019t imagine the pain of telling friends and family that our attempt at having a child had once again failed. So we had agreed we were going to tell as few people as possible about starting IVF.<\/p>\n\n\n\n<p>Yet, here I was now, telling my entire class what we were going through and how the Alabama Supreme Court ruling could affect us.<\/p>\n\n\n\n<p>I wasn\u2019t alone in sharing our story. The night before my Monday morning class, Gabby published an <a href=\"https:\/\/www.al.com\/opinion\/2024\/02\/guest-opinion-alabama-supreme-court-embryo-ruling-may-make-it-difficult-for-us-to-have-children.html\">opinion column<\/a> on our local news site about the ruling and our resulting fears and anxieties, which really resonated with people.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/images.theconversation.com\/files\/578418\/original\/file-20240227-26-7ak5sq.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip\"><img src=\"https:\/\/images.theconversation.com\/files\/578418\/original\/file-20240227-26-7ak5sq.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip\" alt=\"Clear batches of containers of eggs and embryos in a large, frozen circular container\" \/><\/a><figcaption>Cryopreservation gives prospective parents more time to pursue pregnancy. <a href=\"https:\/\/www.gettyimages.com\/detail\/photo\/frozen-embryos-and-eggs-in-nitrogen-cooled-royalty-free-image\/520157312\">Ted Horowitz Photography\/The Image Bank via Getty Images<\/a><\/figcaption><\/figure>\n\n\n\n<p>I was, that day and throughout the next few weeks, fixated on the conceptual gulf between the court\u2019s ruling and public opinion. I wondered aloud, \u201cWho\u2019s against IVF? Surely, only 5% to 10% of the public agrees with this ruling.\u201d<\/p>\n\n\n\n<p>The actual numbers aren\u2019t far off my in-class guess. <a href=\"https:\/\/d3nkl3psvxxpe9.cloudfront.net\/documents\/econTabReport_XLG2Z6p.pdf\">Only 8% of Americans<\/a> say that IVF is immoral or should be illegal. But the story is more nuanced than that. Approximately <a href=\"https:\/\/www.ipsos.com\/sites\/default\/files\/ct\/news\/documents\/2024-02\/Axios%20Ipsos%20Alabama%20IVF%20Topline%20PDF%202.28.24.pdf\">31% of Americans and 49% of Republicans<\/a> support \u201cconsidering frozen embryos as people and holding those who destroy them legally responsible.\u201d<\/p>\n\n\n\n<p>In an attempt to tie our personal political experience into the class topic, I remarked that this court decision was a surefire way to get people involved in politics. I had no clue at the time how prophetic my comment would be.<\/p>\n\n\n\n<h2>Fleeing to Texas for reproductive rights?<\/h2>\n\n\n\n<p>On Wednesday, Feb. 21, the <a href=\"https:\/\/www.al.com\/news\/2024\/02\/uab-pauses-in-vitro-fertilization-due-to-fear-of-prosecution-officials-say.html\">University of Alabama Birmingham\u2019s fertility clinic<\/a> paused IVF treatments. That wasn\u2019t our clinic, but the move sent us into a total panic. Our clinic\u2019s closure seemed inevitable \u2013 and within 24 hours <a href=\"https:\/\/www.nbcnews.com\/health\/health-news\/university-alabama-pauses-ivf-services-court-rules-embryos-are-childre-rcna139846\">it had paused IVF treatments as well<\/a>.<\/p>\n\n\n\n<p>We didn\u2019t know what we were going to do, but we knew we were likely leaving the state to continue IVF. I needed to tell my department chair what was going on.<\/p>\n\n\n\n<p>I was walking out of my department chair\u2019s office when my phone rang. Gabby told me, \u201cWe got in, we\u2019re going to Temple.\u201d I ran back into my department chair\u2019s office, told her we were going to Temple, Texas, and then rushed home.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.cnn.com\/2024\/02\/22\/us\/alabama-embryos-ruling-ivf-treatment-leaving-state\/index.html\">A reporter from CNN<\/a> beat me there. It was one of <a href=\"https:\/\/www.washingtonpost.com\/nation\/2024\/02\/24\/alabama-ivf-treatment-ruling-abortion\/\">several<\/a> <a href=\"https:\/\/www.nbcnews.com\/health\/health-news\/ivf-doctors-patients-fearful-alabama-court-rules-embryos-are-children-rcna139636\">interviews<\/a> with <a href=\"https:\/\/apnews.com\/video\/alabama-assisted-reproductive-technology-courts-legislation-gabby-goidel-8990ee5efaab450b940da1e6a39bf8d1\">major<\/a> <a href=\"https:\/\/www.msnbc.com\/katy-tur\/watch\/-thoughtless-ivf-patients-speak-out-on-alabama-embryo-decision-204655173631\">media<\/a> <a href=\"https:\/\/www.theguardian.com\/us-news\/2024\/feb\/22\/alabama-fertility-pause-ivf-embryo-ruling\">outlets<\/a> Gabby did in the wake of her opinion column. After the interview, we threw clothes in a suitcase, dropped our dogs off at the vet and drove to the Atlanta airport. We flew to Texas that night. https:\/\/www.youtube.com\/embed\/9MCbgW7i2I0?wmode=transparent&amp;start=0 One of the Goidels\u2019 many media interviews in the wake of the Alabama ruling.<\/p>\n\n\n\n<p>The thought of not completing the egg retrieval never seriously entered our minds. We were confident that we could get in with another IVF clinic somewhere, anywhere. But we\u2019re affluent. We\u2019re privileged. What if we weren\u2019t so well off? We wouldn\u2019t have wanted to give up, but we wouldn\u2019t have been able to afford the fight.<\/p>\n\n\n\n<p>We spent exactly one week at my parents\u2019 house in Texas. Thankfully, my parents live an hour and a half away from the Temple clinic. We met our new doctor, <a href=\"https:\/\/www.bswhealth.com\/physician\/gordon-bates\">Dr. Gordon Wright Bates<\/a>, and were immediately reassured. His cool expertise and confidence were calming to a stressed-out couple. The Alabama Supreme Court may have upended our lives, but we felt weirdly lucky to be in such a comfortable place.<\/p>\n\n\n\n<p>The egg retrieval was Wednesday morning, Feb. 28. By all indications, it went well. IVF, however, is full of uncertainties. Now we are waiting on the results from preimplantation genetic testing. After that, there\u2019s implantation and hoping the embryo continues to grow. We\u2019re not in the clear: IVF is a stressful process even without a state court getting in the way. But today we are in a situation more like an average couple going through IVF than we have been in the past few weeks.<\/p>\n\n\n\n<p>Late Wednesday night, March 6, <a href=\"https:\/\/www.nytimes.com\/2024\/03\/06\/us\/politics\/alabama-ivf-law.html\">Alabama Gov. Kay Ivey signed into law a bill<\/a> providing legal protection to IVF clinics in the state. Gabby and I rejoiced at the news. Hopefully, we\u2019re the last Alabamian couple to flee the state for IVF.<\/p>\n\n\n\n<h2>A mobilizing moment<\/h2>\n\n\n\n<p>When state politics directly interferes with your life, it feels like a gut punch, as if the community that you love is saying you\u2019re not loved back. It\u2019s easy to see how such an experience could either discourage or motivate you. Research shows that traumatic events, for the most part, <a href=\"https:\/\/doi.org\/10.1017\/S0003055422001010\">depress voter turnout<\/a> in the following presidential election. By contrast, families and friends of 9\/11 victims <a href=\"https:\/\/doi.org\/10.1073\/pnas.1315043110\">became and remained more politically engaged<\/a> than their peers.<\/p>\n\n\n\n<p>In this case, the Alabama Supreme Court ruling mobilized Gabby and <a href=\"https:\/\/www.democracynow.org\/2024\/3\/4\/alabama_ivf_patients_warning_to_others\">other<\/a> <a href=\"https:\/\/www.today.com\/health\/news\/alabama-ivf-ruling-embryo-transfer-canceled-rcna140029\">women<\/a> going through the IVF process. For better or worse, the women, couples and families mobilized by this decision will likely always be more engaged because of it.<\/p>\n\n\n\n<p>\u201cOh, God,\u201d I remarked to my dad, \u201cwe\u2019re going to be activists now, aren\u2019t we?\u201d<\/p>\n\n\n\n<p>\u201cSo?\u201d he asked.<\/p>\n\n\n\n<p>\u201cNo one likes activists,\u201d I responded in jest. But if we\u2019re going to have and raise the family we want, this is just the first of many decisions we\u2019re going to make that someone\u2019s not going to like.<\/p>\n\n\n\n<p><a href=\"https:\/\/theconversation.com\/profiles\/spencer-goidel-1514791\">Spencer Goidel<\/a>, Assistant Professor of Political Science, <em><a href=\"https:\/\/theconversation.com\/institutions\/auburn-university-1419\">Auburn University<\/a><\/em><\/p>\n\n\n\n<p>This article is republished from <a href=\"https:\/\/theconversation.com\">The Conversation<\/a> under a Creative Commons license. Read the <a href=\"https:\/\/theconversation.com\/im-a-political-scientist-and-the-alabama-supreme-courts-ivf-ruling-turned-me-into-a-reproductive-rights-refugee-225126\">original article<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Spencer Goidel, Auburn University The day before the Alabama Supreme Court ruled that frozen embryos created and used for in vitro fertilization are children, my wife, Gabby, and I were greenlighted by our doctors to begin the IVF process. We live in Alabama. That Friday evening, Feb. 16, 2024, unaware of the ruling, Gabby started [&hellip;]<\/p>\n","protected":false},"author":44,"featured_media":36812,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[42],"tags":[3237,870,163,2841,260,4661,494,14565,4697,15367,15366,13,493,1801,15368,6580],"_links":{"self":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/36811"}],"collection":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/users\/44"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/comments?post=36811"}],"version-history":[{"count":1,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/36811\/revisions"}],"predecessor-version":[{"id":36813,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/36811\/revisions\/36813"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/media\/36812"}],"wp:attachment":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/media?parent=36811"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/categories?post=36811"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/tags?post=36811"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}