Abortion Is Healthcare: Lessons From a Public Hospital

Abstract

F E M IN IS M A F t E R D O B B S Since the Supreme Court’s Dobbs v. Jackson Women’s Health Organization decision, many have invoked the coat hanger and the public hospital septic abortion ward as portents of life after the fall of Roe. Illinois Governor J. B. Pritzker was one of many pro-choice advocates who made direct reference to Ward 41 at Chicago’s public hospital, Cook County Hospital. But by only paying attention to the horror stories of botched abortions in the pre-Roe era, we miss the other lessons that public hospitals like Cook County can teach us: even during Roe, access to abortion was limited, hard-fought, and dependent on local conditions. Public hospitals are key to understanding the brutal consequences of policies that limit people’s access to healthcare, as well as the role that local governments often play in a country with no national healthcare system. In providing care to everyone who came through its doors, the public hospital approximated the right to healthcare. When county, state, and federal lawmakers undermined the right to reproductive care, Chicagoans demanded its reinstatement at Cook County Hospital. these struggles and the hospital’s history shed light on the importance of tethering demands for reproductive rights to a more expansive welfare state and healthcare system. they also help us understand the crucial importance of federal action.