Susan Wicklund (born 1954) is an American physician. Until her retirement, Dr Wicklund was the sole provider of abortions in some areas of the midwestern United States and was a prominent target of violence and harassment from opponents of abortion rights.
Wicklund grew up in rural Wisconsin. [1] After graduating high school, she worked low-wage part-time jobs and earned community college credits while receiving welfare and food stamps. When she became pregnant, she had an abortion in 1976, three years after the procedure became legal: Wicklund says that the poor treatment she received inspired her to make sure that other women would have better and more respectful reproductive health care. [2] [3] [4] She trained as a midwife, having becoming interested in midwifery while pregnant with her daughter Sonja whose birth was supervised by a midwife. An acquaintance who learned of Wicklund's desire to improve women's reproductive health care recommended that she become a physician. [5] : 13 Finishing college, [2] Wicklund went on to medical school, and as part of her training, she learned to perform abortions. [6]
In 1988, Wicklund completed her training and began practicing medicine at the hospital in Grantsburg, Wisconsin, near where she had grown up. [7] Hospital regulations that did not allow doctors to perform elective abortions left Wicklund frustrated at her inability to care for patients seeking them. By her account, she would receive a patient after hours and insert laminaria into the patient's cervix, inducing a miscarriage that would necessitate a therapeutic dilation and curettage in the hospital emergency room the next day. [5] : 40
At the April 1989 March for Women's Lives in Washington, D.C., which she attended with her mother and daughter, Wicklund "felt a personal call to action" and soon sought out clinics where she could work as an abortion provider. [6] That summer, she began traveling a few days a week to Milwaukee and Appleton, Wisconsin. In October, she left her job at the Grantsburg hospital and began working full-time as an itinerant abortion provider, traveling two hundred miles or more a day to work, adding clinics in St. Paul, Duluth, and Fargo to the Wisconsin locations. [7] The frequent travel and long working hours led Wicklund and her husband to divorce. [2] [7]
In February 1993, Wicklund opened her own clinic, the Mountain Country Women's Clinic in Bozeman, Montana, moving into the space formerly used by a retiring 72-year-old doctor who had heard about her work and the pressure she was under and offered to sell her his clinic. [8] [9] : 189 When she had to leave Montana in order to take care of her dying mother in Wisconsin, she hoped to sell the practice to another abortion provider or arrange with other doctors to keep it running on a temporary basis, [10] but in January 1998, she closed it and donated the equipment to nonprofit health centers. [9] : 190 Wicklund later re-opened Mountain Country Women's Clinic, after some delay, in Livingston, Montana in February 2009, sixteen years to the day after the original Mountain Country Women's Clinic had opened. [11] [12] In the meantime, she had been fired from the clinic in St. Paul after treating a patient who could not afford to pay. [7]
Wicklund placed a high importance on counseling in her practice, and if she believed that a patient was not completely secure in her decision to end her pregnancy or that she was bowing to pressure from others, she asked her to think it over and return another time. [3] Sometimes this strengthened the patient's confidence in her decision, while other times it led her to change her mind and decide to give birth. [1] Such focus on speaking to the patients also enabled Wicklund to find out when young girls who came to her were being abused, and to have police catch the perpetrators. [13]
Wicklund performed abortions only in the first trimester of pregnancy. Although she supports the legality of late-term abortions, she decided not to provide them after witnessing an abortion at 21 weeks as a medical student. [3]
For a number of years, Wicklund was the sole abortion provider for women in North Dakota. [14] No North Dakota doctors perform surgical abortions, so the clinic in Fargo, the state's only one, must fly physicians in. [15] [16] Besides patients from Minnesota, Montana, North Dakota, and Wisconsin, the states in which she worked, she also saw patients traveling from Wyoming, which has two abortion providers, and South Dakota, which has only one. [17]
Wicklund retired in 2013 to look after her health and her family, closing the Mountain Country Women's Clinic in Livingston, Montana. [18] [19]
Wicklund has often faced death threats, assaults, stalking, and harassment from abortion rights opponents, obliging her to adopt measures to protect herself: wearing disguises such as wigs and heavy makeup, carrying a loaded revolver, wearing a bulletproof vest, employing a security guard, owning a guard dog, taking roundabout routes home so that protesters would not know where she lived, and varying her routine so that they would not be able to predict where she would be. [1] [2] [6] [15] [17] Wicklund describes the necessity of taking such measures in order to go to work to perform a legal procedure in the United States as "absolutely absurd." [6] In addition to the threats and violence against Wicklund's person, her clinics, including the Mountain Country Women's Clinic and the Fargo Women's Health Organization, have also been the target of bombing, arson, acid attacks, and violent invasion. [9] [20] [21]
In October 1991, protesters from the Lambs of Christ, shouting "Susan kills babies!" surrounded Wicklund's home and camped outside for weeks. [5] : 73 [9] : 164–65 Her daughter Sonja had to go to school in a police car. [2] The protesters blockaded Wicklund's driveway with cement barrels to try to stop her from going to work; she sneaked through the woods to get a ride from a friend. [7] Twice during that month, Wicklund's house was broken into; nothing was taken, but Wicklund said, "I think they just wanted to show me they could get in." [15] She believes that she was tracked down when a protester wrote down her license plate number and found her home address in a public database; the incident, and other use of license plate numbers by anti-abortion protesters, led Rep. Jim Moran to introduce the Driver's Privacy Protection Act in 1992. [22] It also prompted a permanent restraining order prohibiting several groups and individuals, including the Lambs of Christ, from following Wicklund. [15] During the siege, protesters passed leaflets around Sonja's school that said "Sonja's mom kills babies"; a protester was found in the school library searching yearbooks for a picture of Sonja. [4] [15] One of the protesters was Shelley Shannon, who in 1993 shot Doctor George Tiller several times in the arms prior to Tiller's 2009 shooting murder by Scott Roeder. [4]
Wicklund's dealings with these anti-abortion protesters were the subject of her appearance on 60 Minutes in February 1992. [5] : 1 [23] In 1993, she would also receive 62 letters over two months, threatening her with torture and death, from an abortion rights opponent who was subsequently convicted of felony intimidation and sentenced to ten years in federal prison. [24] The Guardian named Wicklund one of its top 100 women in March 2011, in recognition of her work in the face of violence. [25]
Wicklund's book, This Common Secret: My Journey as an Abortion Doctor, was co-written with Alan Kesselheim and published by PublicAffairs in 2007; it is a memoir that includes her own life and some of her patients' stories. [6] The title refers to the procedure of abortion, which is "common" in that almost 40% of American women have an abortion at some point in their lives—making it more prevalent than wisdom tooth removal or tonsillectomy—and a "secret" in that individual women are often ashamed of or reluctant to speak about their abortions. Wicklund said that she hoped the book would foster discussion of abortion on a personal level. [3]
Among the patients whose stories are included are a regular anti-abortion protester at the clinic who turned to Wicklund for help when she had an unwanted pregnancy; a rape victim who found out only after terminating her pregnancy that she had conceived by her husband before the rape; and a woman who lost her job because the state mandated a 24-hour waiting period before an abortion, obliging the patient to miss several days of work for multiple visits. [2] [3] Wicklund also describes the experience of revealing to her maternal grandmother that she was an abortion provider, a disclosure that she expected would receive her grandmother's disapproval. Instead, her grandmother told Wicklund that she was proud of her work, saying that when she was sixteen, her best friend got pregnant and bled to death from an unsafe self-induced abortion. [3]
The United States abortion-rights movement is a sociopolitical movement in the United States supporting the view that a woman should have the legal right to an abortion, meaning the right to terminate her pregnancy, and is part of a broader global abortion-rights movement. The movement consists of a variety of organizations, with no single centralized decision-making body.
An abortion clinic or abortion provider is a medical facility that provides abortions. Such clinics may be public medical centers, private medical practices or nonprofit organizations such as Planned Parenthood.
Rust v. Sullivan, 500 U.S. 173 (1991), was a case in the United States Supreme Court that upheld Department of Health and Human Services regulations prohibiting employees in federally funded family-planning facilities from counseling a patient on abortion. The department had removed all family planning programs that involving abortions. Physicians and clinics challenged this decision within the Supreme Court, arguing that the First Amendment was violated due to the implementation of this new policy. The Supreme Court, by a 5–4 verdict, allowed the regulation to go into effect, holding that the regulation was a reasonable interpretation of the Public Health Service Act, and that the First Amendment is not violated when the government merely chooses to "fund one activity to the exclusion of another".
Anti-abortion violence is violence committed against individuals and organizations that perform abortions or provide abortion counseling. Incidents of violence have included destruction of property, including vandalism; crimes against people, including kidnapping, stalking, assault, attempted murder, and murder; and crimes affecting both people and property, as well as arson and terrorism, such as bombings.
The Freedom of Access to Clinic Entrances Act is a United States law that was signed by President Bill Clinton in May 1994, which prohibits the following three things: (1) the use of physical force, threat of physical force, or physical obstruction to intentionally injure, intimidate, interfere with or attempt to injure, intimidate or interfere with any person who is obtaining an abortion, (2) the use of physical force, threat of physical force, or physical obstruction to intentionally injure, intimidate, interfere with or attempt to injure, intimidate or interfere with any person who is exercising or trying to exercise their First Amendment right of religious freedom at a place of religious worship, (3) the intentional damage or destruction of a reproductive health care facility or a place of worship.
Carol Downer is an American feminist lawyer and non-fiction author who focused her career on abortion rights and women's health around the world. She was involved in the creation of the self-help movement and the first self-help clinic in LA, which later became a model and inspiration for dozens of self-help clinics across the United States.
George Richard Tiller was an American physician and abortion provider from Wichita, Kansas. He gained national attention as the medical director of Women's Health Care Services, which, at the time, was one of only three abortion clinics nationwide that provided late-term abortions.
Governments sometimes take measures designed to afford legal protection of access to abortion. Such legislation often seeks to guard facilities which provide induced abortion against obstruction, vandalism, picketing, and other actions, or to protect patients and employees of such facilities from threats and harassment.
This is a timeline of reproductive rights legislation, a chronological list of laws and legal decisions affecting human reproductive rights. Reproductive rights are a sub-set of human rights pertaining to issues of reproduction and reproductive health. These rights may include some or all of the following: the right to legal or safe abortion, the right to birth control, the right to access quality reproductive healthcare, and the right to education and access in order to make reproductive choices free from coercion, discrimination, and violence. Reproductive rights may also include the right to receive education about contraception and sexually transmitted infections, and freedom from coerced sterilization, abortion, and contraception, and protection from practices such as female genital mutilation (FGM).
The legality of abortion in the United States and the various restrictions imposed on the procedure vary significantly, depending on the laws of each state or other jurisdiction, although there is no uniform federal law. Some states prohibit abortion at all stages of pregnancy, with few exceptions; others permit it up to a certain point in a woman's pregnancy, while some allow abortion throughout a woman's pregnancy. In states where abortion is legal, several classes of restrictions on the procedure may exist, such as parental consent or notification laws, requirements that patients be shown an ultrasound before obtaining an abortion, mandatory waiting periods, and counseling requirements.
William Floyd Nathaniel Harrison was an American obstetrician who delivered 6,000 babies and then switched to abortions, performing the procedure an estimated 20,000 times in his career. He became one of the only doctors in Northwest Arkansas to provide this service to women, as other physicians stopped offering to perform abortions. His Fayetteville Women's Clinic was frequently picketed and blocked by anti-abortion protesters.
Abortion is the termination of human pregnancy, often performed in the first 28 weeks of pregnancy. In 1973, the United States Supreme Court in Roe v. Wade recognized a constitutional right to obtain an abortion without excessive government restriction, and in 1992 the Court in Planned Parenthood v. Casey invalidated restrictions that create an undue burden on people seeking abortions. Since then, there has continued to be an abortion debate in the United States, and some states have passed laws in the form of regulation of abortions but which have the purpose or effect of restricting its provision. The proponents of such laws argue they do not create an undue burden. Some state laws that impact the availability of abortions have been upheld by courts. In 2022, Roe and Casey were overturned by the Supreme Court in Dobbs v. Jackson Women's Health Organization, meaning that states may now regulate abortion in ways that were not previously permitted.
Susan Hill was an abortion rights activist from Durham, North Carolina. She was President of the National Women's Health Organization in North Carolina, helping oversee a group of abortion clinics in the Southeast. She is most celebrated for her commitment to women's reproductive rights, with the National Organization for Women writing about Hill "She went on to open the first abortion clinic in the state of Florida and was a founding member of both the National Abortion Federation and the National Coalition of Abortion Providers."
Abortion in Idaho is illegal from fertilization. Following the overturning of Roe v. Wade on June 24, 2022, abortion in Idaho was criminalized by the trigger law which states that a person who performs an abortion may face two to five years of imprisonment. The ban allows exceptions for maternal health, rape and incest within the first trimester. The law took effect on August 25, 2022. Minors need parental consent to travel out of state for an abortion.
Abortion in Kansas is legal. Kansas law allows for an abortion up to 20 weeks post-fertilization. After that point, only in cases of life or severely compromised physical health may an abortion be performed. In July 2024, the Kansas Supreme Court struck down two abortion restrictions.
Abortion in Montana is legal at most stages of pregnancy. The number of abortion clinics in Montana has fluctuated over the years, with twenty in 1982, twelve in 1992, eight providers of which seven were clinics in 2011, and five clinics in 2014. There were four clinics from 2015 to February 2018 when All Families Healthcare clinic in Whitefish reopened. There were 1,690 legal abortions in 2014, and 1,611 in 2015.
Abortion in New York is legal, although abortions after the 24th week of pregnancy require a physician's approval. Abortion was legalized up to the 24th week of pregnancy in New York in 1970, three years before it was legalized for the entire United States with the Supreme Court's decision in Roe v. Wade in 1973. Roe v. Wade was later overturned in 2022 by the Supreme Court in Dobbs v. Jackson Women's Health Organization. The Reproductive Health Act, passed in 2019 in New York, further allows abortions past the 24th week of pregnancy if a pregnant woman's life or physical or mental health is at risk, or if the fetus is not viable. However, since these exceptions are not defined by the law, and the law carries no criminal penalties for the pregnant individual, abortion is effectively legal throughout pregnancy.
Abortion in North Dakota is technically legal, but with no current providers. The state's sole abortion clinic, the Red River Women's Clinic, relocated to Minnesota.
Abortion in South Dakota is illegal. Anyone who induces an abortion is guilty of a Class 6 felony. An exception is included to "preserve the life of the pregnant female," given appropriate and reasonable medical judgment.
Abortion in Wisconsin has been legal since September 18, 2023, before which its legal status had been unclear since the overturn of Roe v Wade, and is performed in Madison, Milwaukee and Sheboygan through 22 weeks gestation. 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. However, lower level courts have argued that the law only applies to infanticide and not consensual abortions. 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. Planned Parenthood of Wisconsin later announced that they would resume abortion services in Sheboygan on December 28, 2023.