Did you call in gay today?

Day Without a Gay, a loosely organized protest created to draw attention to anti-gay ballot initiatives — including Prop 8, which repealed the right of gays to marry in California – is part economic boycott and part service project. Gays and lesbians are encouraged to spend the day volunteering for a nonprofit organization or worthy cause.

Not everyone can take the day off, so here are four things you can do to participate without missing work. There are also rallies being held around the country. In Chicago, the Gay Liberation Network is holding a rally to call for granting marriage licenses to same-sex couples. In San Francicso, a rally and march will be held this evening in the Mission District.

Lesbians Star in the Funny Pages: In case you missed it, Alison Bechdel’s “The Essential Dykes to Watch Out For” got a fab review in The New York Times. Dwight Garner not only heaps tons of praise, but he writes like a genuine fan, and the review is very enjoyable to read.

Even Bechdel is impressed. She wrote on her blog: ”Lemme tell you whippersnappers. I can remember when the Times wouldn’t even print the word ‘dyke.’ In fact, somewhere in my vast archives I have a tiny clipping from 1983 or so … maybe even later … containing the first instance of the Times using the word ‘gay,’ as opposed to ‘homosexual.’ I’m just saying.”

Here’s a sampler from the book.

What Will the Future (of Reproductive Health and Rights) Look Like?: RH Reality Check is sponsoring a live chat Wednesday, Dec. 17, at 1 p.m. on reproductive health issues in the Obama administration. Join experts Marilyn Keefe, National Partnership for Women & Families; William Smith, SIECUS; Heather Boonstra, Guttmacher Institute; Cristina Page, BirthControlWatch.org; and Kay Steiger, RH Reality Check. Learn more or submit questions in advance here.

Healthcare Overhaul Remains a Priority: “Former Sen. Tom Daschle, who is slated to oversee health-care policy in the Obama administration, is kicking off the effort to pass a comprehensive health-care plan,” reports the Wall Street Journal. And that effort includes you:

Mr. Daschle, who Obama transition officials say will be nominated secretary of Health and Human Services, will suggest that Americans hold holiday-season house parties to brainstorm over how best to overhaul the U.S. health-care system. He will promise to drop by one such party himself, and to take the ideas generated to President-elect Barack Obama.

The parties are part of an effort by the new administration to apply organizing tools from the presidential campaign to the more-complex task of governing. “What’s next for our Health Care Team? You are,” Mr. Daschle will say at the 2008 Colorado Health Care Summit, an event organized by Sen. Ken Salazar (D., Colo.).

Plus: Sign the petition to make breastfeeding a priority for the new administration. Via the U.S. Breastfeeding Committee.

What Women Want: YWCA USA recently released a national survey (PDF) of American women and their priorities for the new administration, including opinions on the financial crisis, healthcare reform and racial justice. Here’s a summary of the key findings. The survey was released in conjunction with the YWCA’s 150th anniversary.

You Know the Health Care System is Broken When …: A company sells you insurance to protect your right to buy health insurance. Read more.

Dream Big in 2009: This 2009 Dreams for Women Calendar features 12 postcards designed by people around the world in response to the question: What is your dream for women?

Funds raised from the sale of the calendar go to the Antigone Foundation, which encourages political and civic engagement for young women. The calendars are also available to women’s organizations to use as part of their own fundraising efforts.

Recommended Reading: And a Doula, Too recommends a number of books and online resources about pregnancy and birth, including OBOS’ own new book on the subject. When it comes to baby books, she offers this sage advice:

Be warned that every baby book I’ve ever seen or heard about has an agenda about how you should raise your child, and friends (and indeed strangers) will probably go nuts telling you they “swear by” such-and-such a book or method that probably isn’t a perfect fit for your family (especially when it comes to the touchy and highly individual subject of “sleep solutions”). I worry that we’re setting ourselves up for failure if we do anything other than learn a lot, trust ourselves, and find a pediatrician who shares and understands our values and ideas about pediatric care.

This concern extends to apparently objective books like the big American Academy of Pediatrics one (Caring for Your Baby and Young Child); it’s not that it’s bad to have or anything, but I’m glad that my partner and I feel confident enough to do our own research and disregard any book’s advice when appropriate for our own situation.

Birthing Practices in Bolivia: From Women’s eNews: Jean Friedman-Rudovsky reports that Bolivia has stemmed maternal and infant death rates by providing free medical care during pregnancy and childbirth. But many women prefer to labor at home rather than take free care at hospitals that comes packaged with birthing horror stories.

Certified Organic Male?: Alan Greene, a pediatrician in California, has performed an experiment of sorts on himself — all the food he’s eaten for the past three years has been organic. I loved this part:

The biggest surprise of the whole experience, he says, was that many people still don’t know what “organic” means.

“It’s surprising to me how few people know that organic means without pesticides, antibiotics or hormones,” he said. “In stores or restaurants around the country, I would ask, ‘Do you have anything organic?’ Half the time they would say, ‘Do you mean vegetarian?’”

Skin Deep: Nanophobia: “It sounds like a plot straight out of a science-fiction novel by Michael Crichton. Toiletry companies formulate new cutting-edge creams and lotions that contain tiny components designed to work more effectively. But those minuscule building blocks have an unexpected drawback: the ability to penetrate the skin, swarm through the body and overwhelm organs like the liver,” reports The New York Times. Um, yeah.

Don’t Worry – It’s Contagious: A study published in the British journal BMJ found that happiness really can be passed on to others. Here’s a related commentary and editorial, plus more from the AP. Cheers to you this weekend!

Allison Janney, Neil Patrick Harris, John C. Reilly, Maya Rudolph, Kathy Najimy and many more actors you know star in this send-up of religious objections to same-sex marriage. Did we mention Jack Black is Jesus?

“After being so angry and confused about this horrible and unconstitutional public shaming, it was amazing to go out there and do what we do best in protest: sing and dance,” said Adam Shankman, who staged and produced the video. The music and lyrics were written by Marc Shaiman, who won a Tony Award for “Hairspray” and who also wrote the score for “Southpark,” among other films.

The video ends with a message to visit Join the Impact for more information. Join the Impact coordinated the Nov. 15 National Day of Protest to repeal Proposition 8 and is now working toward becoming a clearinghouse for grassroots events related to gay rights.

Plus: From Pam’s House Blend, GLAAD/Harris post-election survey: Americans favor adoption and partner rights for same-sex couples

Sure we’ll be back to other health news soon, but first here’s a wrap on presidential politics and women’s health priorities. And, just to remind you that voting feels oh-so-good, Babeland’s voter discount continues through Nov. 11. Enjoy!

Yes We Can … End Eight Years of Failed Women’s Health Policies: Sign the RH Reality Check petition, which asks President-elect Barack Obama to:

• Defund failed abstinence only programs in favor of proven, effective comprehensive sex ed programs,
• Reinstate global family planning funds that save women’s health and lives and overturn the Global Gag Rule,
• Take action on ensuring availability of publicly funded contraception for low-income women and women in poverty,
• Immediately implement your HIV/AIDS domestic agenda,
• Pass FOCA (Freedom of Choice Act) that overturns dangerous anti-choice state legislation, and
• Protect Roe v. Wade.

Plus: Theresa Braine, writing at Women’s eNews, notes that women’s groups aren’t wasting any time organizing around priorities: “From fixing the domestic health-care system and the economy, to making child care more accessible to working mothers, to rescinding the so-called global gag rule that cuts off foreign aid to groups that provide abortion or counseling, or even lobby for changes in abortion laws, women’s groups started exercising the type of grassroots activism that political analysts say helped bring the Democrats to power on Tuesday.”

What’s On the Agenda (So Far): Here’s the new Obama-Biden administration’s agenda on issues addressing women. Health care is up there at the top.

And when it comes to the administration’s hiring policy, it’s nice to see that gender identity is included in the nondiscrimination clause. (via Feministing)

Health Care Ballot Initiatives: A wrap-up of several health care measures that passed on state ballots.

Why Prop 8 Won: “If exit polls are to be believed, some 70 percent of African-Americans voted Yes on 8, as did 52 percent of Latinos and 49 percent of Asians; each of these demographics went heavily for Obama, blacks by a 94-to-6 margin,” writes Richard Kim, associate editor of The Nation.

The easy, dangerous explanation for this gap, and one already tossed around by some white gay liberals in the bitter aftermath, is that people of color are not so secretly homophobic. But a more complicated reckoning — one that takes into account both the organizing successes of the Christian right and the failures of the gay movement — will have to take place if activists want a different result next time. First, there’s the matter of the Yes on 8 coalition’s staggering disinformation campaign.

Plus: I’m still reeling after reading Proposition Hate over at NoFo (via Gapers Block).

The Mom on the Bus: Jodi Kantor has a great piece up at the The Caucus blog about covering the presidential and raising her daughter, Talia, who is almost 3.

Sayonara, Sarah: Katha Pollitt bids good-bye to Alaska Gov. Sarah Palin, but not without first explaining how Palin was a gift to feminism –

[T]he first way Palin was good for feminism is that she helped us clarify what it isn’t: feminism doesn’t mean voting for “the woman” just because she’s female, and it doesn’t mean confusing self-injury with empowerment, like the Ellen Jamesians in The World According to Garp (I’ll vote for the forced-childbirth candidate, that’ll show Howard Dean!). It isn’t just feel-good “you go, girl” appreciation of female moxie, which I cheerfully acknowledge Palin has by the gallon. As I wrote when she was selected, if she were my neighbor I would probably like her — at least until she organized with her fellow Christians to ban abortion at the local hospital, as Palin did in the 1990s. [...]

Second, Palin’s presence on the Republican ticket forced family-values conservatives to give public support to working mothers, equal marriages, pregnant teens and their much-maligned parents. Talk-show frothers, Christian zealots and professional antifeminists — Rush Limbaugh and Phyllis Schlafly — insisted that a mother of five, including a “special-needs” newborn, could perfectly well manage governing a state (a really big state, as we were frequently reminded), while simultaneously running for veep and, who knows, field-dressing a moose. No one said she belonged at home. No one said she was neglecting her husband or failing to be appropriately submissive to him. No one blamed her for 17-year-old Bristol’s out-of-wedlock pregnancy or hard-partying high-school-dropout boyfriend. No one even wondered out loud why Bristol wasn’t getting married before the baby arrived. All these things have officially morphed from sins to “challenges,” just part of normal family life. No matter how strategic this newfound broadmindedness is, it will not be easy to row away from it.

With less than one week to go until Election Day, we’re taking a look at some of the women’s health issues at stake. Want to add more? Leave links to blog entries or other resources in the comments.

One other note — I can’t believe some folks aren’t voting. If you know anyone who plans on sitting this one out, please urge them to consider the importance of their vote on local and state issues, in addition to what’s obviously a national turning point for women’s reproductive rights and access to health care.

Still wondering about the differences between the health care reform proposals of senators John McCain and Barack Obama? You might want to review this non-partisan report, “Health Care Reform and the 2008 Election – A Guide for Women.”

Through the stories of seven “fictional women,” each with a different set of health problems and insurance coverage, readers can understand what each candidates’ health reform plan means to them. The report was published by the Connors Center for Women’s Health and Gender Biology at Brigham and Women’s Hospital.

And don’t forget Kaiser Family Foundation’s excellent Health08.org, which includes in-depth comparisons of the candidates’ health care plans and positions on issues.

Turning to ballot propositions, USC’s Initiative and Referendum Institute (IRI) offers a good overview (PDF) of the 153 ballot propositions before voters in 36 states, including headline issues of same-sex marriage and abortion (also the subject of discussion on Monday’s “Talk of the Nation”).

Measures to ban gay marriage are on the ballot in California, Arizona and Florida, with most eyes on California, which the IRI refers to as a “critical firewall in the battle over gay marriage.” This document (PDF) analyzes the likelihood of passage in each of the three states, and it features a list of all same-sex marriage propositions. Did you know that 29 of 30 measures banning same-sex marriage — some proposed by initiative, others by state legislatures — have passed?

BallotPedia.org is another comprehensive site. It’s easy to search and it does a nice job of listing initiatives by category, including abortion, marriage and health care. These pages include not only this year’s ballot items, but also initiatives coming up next year — and even those that failed to get on the ballot. Very cool.

Here’s a look at some of the discussions on three specific ballot items:

1. Colorado Amendment 48 Definition of Person: This amendment seeks to define “person” and grant constitutional rights from the “moment of fertilization.” It’s also been tied to “Horton Hears a Who” (”a person’s a person, no matter how small”) — much to the consternation of thinking Dr. Seuss fans everywhere.

Protect Families, Protect Choices has a good fact sheet about the far-reaching consequences of this amendment, including:

• Emergency contraception for rape and incest victims would be banned. By giving legal rights to fertilized eggs, this amendment could ban birth control options like the Pill and IUD’s. (These kinds of birth control can prevent a fertilized egg from implanting in the uterus.)
• Establishing rights from the moment of fertilization would ban some stem cell research being used to find cures for chronic disease and disabilities. In vitro fertilization could be banned since fertilized eggs used in these processes would have full legal rights.
• A woman with cancer could be denied access to life saving medical treatment because it could endanger a fertilized egg.

Former U.S. Rep. Patricia Schroeder recently wrote: “Years ago, when I was asked how I could be both a mother and a Congresswoman, I replied, ‘I have a brain and a uterus and I use both.’ On November 4, I urge Coloradans to use their brains and protect women’s uteruses. Vote no on Amendment 48.”

2. South Dakota Abortion Ban Initiative: Following South Dakota’s failed attempt in 2006 to ban abortion, this kindler, gentler initiative “now makes convoluted exceptions for rape, incest and, when there is a full moon and Mount Rushmore spouts Strawberry Quik, the health or life of the woman.” It’s being pushed by anti-choice activist Leslee Unruh, who has trouble following the facts of life (including her own).

South Dakota Campaign for Healthy Families has an incredible amount of useful information, including statements in opposition to the initiative submitted by the South Dakota State Medical Association and the South Dakota section of the American College of Obstetricians and Gynecologists.

Plus: Katha Pollitt this week spotlights Women Run! South Dakota, the umbrella organization for progressive pro-choice Native American women running for the state legislature.

3. California Proposition 4 (”Sarah’s Law)”: In an editorial, the L.A. Times came down against this parental notification proposal, noting:

The initiative purports to protect California girls from dangers associated with abortions by requiring that their parents be notified. But Proposition 4 attempts to solve something that isn’t much of a problem. There’s no evidence that California’s teenage girls are harmed by abortions with any frequency, whether or not their parents have been notified. [...]

In fact, under the guise of protecting underage girls, this proposal really is just the latest attempt to impose any obstacle in the exercise of reproductive freedom. This represents the third try in recent years to pass such a measure. California should reject it again.

The editorial goes on to note, in no uncertain terms, the ridiculousness of the measures included to protect girls in abusive situations:

Proposition 4’s writers say they crafted a measure that would permit girls in potentially abusive situations to get an abortion without their parents being notified. To do so, they would need to tell another adult relative. But a girl can use this option only if she makes a written accusation alleging that her parents are repeat child abusers, with the complaint to be turned over to authorities. Spoiler language like this makes it hard to believe that Proposition 4 is chiefly about girls’ safety.

Read more editorials against Proposition 4. Planned Parenthood has posted a number of videos about how the proposition would endanger teens, including the one below, “Jane’s Journey,” which shows the complexity of the judicial maze that teens would be forced to navigate if they can’t talk to their parents.

Did you see Ellen weigh in on Sarah Palin and same-sex marriage? It’s one minute and 28 seconds of total goodness:

I doubt if anyone else could have touched on so many valid points in under 90 seconds — and with a truly humorous twist. Read the full transcript.

Gay Marriage Legal in California, Massachusetts and now Connecticut: The Connecticut Supreme Court on Friday struck down the state’s civil union law with a 4-3 ruling that same-sex couples have a constitutional right to marry. From The New York Times:

The ruling, which cannot be appealed and is to take effect on Oct. 28, held that a state law limiting marriage to heterosexual couples, and a civil union law intended to provide all the rights and privileges of marriage to same-sex couples, violated the constitutional guarantees of equal protection under the law.

Striking at the heart of discriminatory traditions in America, the court — in language that often rose above the legal landscape into realms of social justice for a new century — recalled that laws in the not-so-distant past barred interracial marriages, excluded women from occupations and official duties, and relegated blacks to separate but supposedly equal public facilities.

View the full ruling here (PDF). Opponents spoke of steps to enact a constitional ban on same-sex marriage, but on Friday night the plaintiffs in the original court case filed four years ago and their supporters were jubilant.

Garret Stack, 59, introduced his partner, John Anderson, 63, and said: “For 28 years we have been engaged. We can now register at Home Depot and prepare for marriage.”

Group Sues Over Required Ultrasound: The Center for Reproductive Rights has filed a challenge to an Oklahoma law that mandates a woman must have an ultrasound and listen to the doctor describe what her fetus looks like before she have an abortion. And that’s not all:

At the same time, the law prevents a woman from suing her doctor if he or she intentionally withholds other information about the fetus, such as a severe developmental defect. The statute also requires doctors to use a specific regimen for administering the medical abortion pill, despite that regimen being less effective and more costly than the one strongly recommended by the American College of Obstetricians and Gynecologists (ACOG).

The lawsuit, filed Thursday in Oklahoma County District Court, says the requirement intrudes on a woman’s privacy, endangers her health and assaults her dignity.

Set to go into effect on Nov. 1, the law would make Oklahoma the fourth state to require the viewing of ultrasounds before an abortion. The other states are Alabama, Louisiana and Mississippi.

South Dakota Abortion Ban 2.0: Lynn Harris of Broadsheeet offers a full, and funny, assessment:

Remember how South Dakota’s 2006 Margaret Atwood honorary abortion ban was defeated in referendum by a (none-too-cushy) 55-44 margin?

The ban’s primary liability, according to polls, was that it contained virtually no exceptions. But as ringleader Leslee Unruh of Vote Yes for Life said at the time, like Jason popping up out of Crystal Lake, “We started something here in South Dakota.” And now, as you may have heard, abortion opponents there are aiming to get the job done. Which means: The ban is back (PDF), in sheep’s clothing. It now makes convoluted exceptions for rape, incest and, when there is a full moon and Mount Rushmore spouts Strawberry Quik, the health or life of the woman.

Unruh (who says that over 90 percent of women seeking abortion are using it as “birth control”) calls Abortion Ban 2.0 “more moderate, more reasonable, more of a middle ground.” Yeah … no.

Plus: Visit South Dakota Campaign for Healthy Families for more information.

Birth Control Watch: While some voters think access to birth control is not a political issue, those of us who follow the activities of the Bush administration and legislatures around the country know better. Birth Control Watch has a great section on federal and state proposals that will limit our individual decision making and access — it’s called extreme schemes.

An excellent resource to pass along, it includes information on Colorado Proposition 48, a constitutional amendment that seeks to establish legal personhood from the moment of fertilization (which even self-described “pro-life” Catholic Gov. Bill Ritter opposes), and the proposed HHS regulations that would limit patients’ access to information and services.

The two-minute activist gives a concise run-down of actions you can take, and the press room tracks related stories.

Speaking of the HHS regulations, more than 150 Congressional Democrats stated their opposition in letters to HHS. The Senate letter concludes that the proposed rule is “damaging to the health care needs of women, their families and all Americans and will only serve to cause havoc, not clarity, among employers and employees in the health care field.”

Courts Failing Domestic Violence Victims: “For every man convicted in a Cook County court of beating his wife or girlfriend, five men brought in on similar charges walk away legally unscathed. And despite official promises to help women pursue abuse complaints, that conviction rate is only getting worse,” reports the Chicago Tribune.

The Trib also looks at a specialized unit of the Cook County state’s attorney office with a much higher conviction rate. The unit, Target Abuser Call, employs a more intensive investigatory approach for the most serious cases.

Plus: Programs for batterers are underfunded but should be supported to break the habit of abuse, say domestic violence experts. “No matter how many women you take in, it isn’t going to cure the problem,” said Toby Myers, vice chair of the National Center on Domestic and Sexual Violence.

Plus: A judge in Canada tells a woman not to bother calling police if she goes back to her partner. via Feministing

Nobel Prize Winners: The 2008 Nobel Prize in Physiology or Medicine went to Harald zur Hausen of Germany, who discovered the human papilloma viruses that causes cervical cancer, and Luc Montagnier and Francoise Barre-Sinoussi, French researchers who discovered HIV, the virus that causes AIDS.

Montagnier and Barre-Sinoussi later told President Nicolas Sarkozy that they fear the world financial crisis will affect funding to fight AIDS.

One-Year Distribution Update On Gardasil: “About a quarter of the nation’s teenage girls received the controversial cervical cancer vaccine Gardasil last year in its first full year of distribution, federal authorities said Thursday,” reports the L.A. Times.

The Realities of Addiction: Writing in the Washington Post, Jacqueline M. Duda shares the painful story of her daughter’s drug addiction and death — including the difficulty the family had finding adequate medical treatment for addiction.

“Surely, we thought, college-educated suburbanites like us could locate professional help: drug counselors, doctors, therapists specializing in addiction. Surely detoxification centers would treat desperate addicts and work out a payment plan. Surely we could check her into some kind of residential treatment program with a minimum of delay,” writes Duda. “We were wrong.”

PSA to Raise Awareness Around “That’s So Gay”: “For the first time since the Advertising Council was founded in 1942, the organization — which directs and coordinates public service campaigns on behalf of Madison Avenue and the media industry — is introducing ads meant to tackle a social issue of concern to gays and lesbians,” writes Stuart Elliot in The New York Times.

The campaign, created pro bono by the New York office of Arnold Worldwide, urges an end to using derogatory language, particularly labeling anything deemed negative or unpleasant as “so gay.” That is underlined by the theme of the campaign: “When you say, ‘That’s so gay,’ do you realize what you say? Knock it off.”

There will be television and radio commercials, print and outdoor ads and a special Web site devoted to the campaign (thinkb4youspeak.com). Some spots feature celebrities, the young actress Hilary Duff and the comedian Wanda Sykes, delivering the message.

Check out the Wanda Sykes PSA below:

Dear Gov. Sarah Palin: Lynn Paltrow, executive director of National Advocates for Pregnant Women, wrote an open letter to the newly picked vice presidential candidate that begins with this:

Many Americans agree with your position regarding abortion — they do this as a matter of faith, ethics, personal experience and sometimes politics. I am just wondering though, if you have thought about what would happen if you succeeded in getting your position — that fetuses have a right to life — established as the law of the land? Did you know that it not only threatens the lives, health and freedom of women who might want or need someday to end their pregnancies, it would also give the government the power to control the lives of women — like you who — go to term?

Go read the rest. Seriously. It’s amazing.

The Privilege of White Woman’hood/ Mommy’Hood: “Sarah Palin wants to put herself out there as ‘every woman.’ She wants to be seen as ‘just your average hockey mom,’ and other mommies see themselves and their reality reflected through Palin, except, mamis of color, that is,” writes Maegan “La Mala” Ortiz at Racialicious (and at her site, Mamita Mala).

What Women Want: There’s video up from the This Is What Women Want speakout in Boston (Aug. 21), including Rita Arditti advocating for health care as a universal right; Cynthia Enloe on lifting the global gag rule; and Kety Esquivel on treating immigrants as human beings.

The next speakout is Sept. 25 in Oxford, Miss. But you can always speak out right now, right here.

Smoother Transitions: “Across the country, particularly at larger companies, transgender workers are being protected and assisted in ways that were hardly imaginable a few years ago,” writes Lisa Belkin, author of the Life’s Work column in The New York Times.

Currently, 125 of the Fortune 500 companies include “gender identity” in their nondiscrimination policies, compared with “close to zero” in 2002, according to Jillian T. Weiss, an associate professor of law and society at Ramapo College of New Jersey, and an expert on transgender workplace diversity. [...]

“It is a different world,” said Dr. Weiss, who attributes the change, in part, to the slow adoption of laws banning discrimination on the basis of gender identity (20 states and roughly 100 cities have such laws), but mostly to the work of the Human Rights Campaign, the largest gay, lesbian, bisexual and transgender civil rights organization in the nation.

Yes, HRC, which releases the Corporate Equality Index — a measure of how receptive a company is to diversity. Questions concerning gender-identity protection and transgender benefits have been included since 2002.

High Rate of C-Section Births is Health Concern for Women: “One in four Washington mothers now give birth through C-section, according to the Department of Health, and the rate of the surgical procedure has been increasing by 6 percent every year for nearly a decade,” reports the Seattle Post-Intelligencer.

“The U.S. Centers for Disease Control and Prevention says we should have no more than 15 percent of low-risk births delivered by C-section,” said Joe Campo, director of research at the [state agency's Center for Health Statistics]. “It’s important for us to know what’s driving this increase.”

About 13,300 of the 21,800 total C-sections are first-time procedures and about 8,500 are repeat procedures, Campo and his colleagues found. Of the total, state officials believe at least 2,200 are clearly unnecessary. A fairly sophisticated analysis of the C-section rates allowed for a geographic comparison that found an especially pronounced increase in the use of the surgical procedure in the Puget Sound region.

Plus: In a guest column penned in response to the SI story, Sara L. Ainsworth, senior legal and legislative counsel at Northwest Women’s Law Center, wrote that the high rate of caesarean sections “raises alarms for those who care about women’s reproductive health and patients’ rights.”

In addition to the potential health risks of the surgery, women who have C-sections face consequences that even conscientious health care providers may not recognize or discuss with their patients.

In many parts of this state, having one C-section delivery will require another at a subsequent birth, even over the objection of the pregnant woman and her doctor. Several Washington hospitals refuse to allow doctors to provide labor and delivery services to pregnant women who have had a previous C-section unless those women submit to a second C-section delivery.

Breast Cancer Rates: The Kaiser Family Foundation has published a state-by-state breakdown of breast cancer incidence rate per 100,000 women in 2004. Massachusetts has the highest rate (134 per 100,000 women), followed by Oregon, Washington, Rhode Island and Connecticut. Arizona has the lowest rate (102.9), followed by Idaho, Arkansas, Nevada and Indiana.

Plus: Feminist Peace Network reports on Molecular Breast Imaging (MBI), a new procedure that may be useful for women with dense breasts who have a higher risk of breast cancer. The downside? Patients receive 8 to 10 times more radiation from MBI’s than from mammograms.

With Child, With Cancer: The New York Times Magazine profiles women who are undergoing cancer treatments during pregnancy and covers the medical history of treating pregnancy-associated breast cancer.

Health Reporters Not Helping Readers: A study by University of Missouri journalism professors found that “the majority of health journalists have not had specialized training in health reporting and face challenges in communicating new medical science developments.”

Of the journalists surveyed, only 18 percent had specialized training in health reporting and only 6.4 percent reported that a majority of their readers change health behaviors based on the information they provide. The journalists had an average of 18 years of journalism experience and seven years experience as health journalists.

“Health journalists play an important role in helping people effectively manage their health,” [assistant professor Maria] Len-Ríos said. “However, we found that many journalists find it difficult to explain health information to their readers, while maintaining the information’s scientific credibility. They have to resist ‘bogging down’ the story with too much technical science data and ‘dumbing down’ the story with overly simplistic recommendations.”

Journalists reported quoting medical experts, avoiding technical terms, and providing data and statistics as the three most important elements to making health information understandable. However, understanding numbers is a challenge for many people, [assistant professor Amanda] Hinnant said.

Celebrate the Anti-Wedding: Read what happens when death and taxes decide to get married and stage a protest against weddings. And there’s video.

Returning for the Final Time to the Republican National Convention: Jon Stewart drives home the hypocrisy of Republican attitudes toward reproductive rights with guest Newt Gingrich, while Samantha Bee tries to remember what that word is …

The unavoidable news today is John McCain’s VP pick — Sarah Palin, the 44-year-old first-term governor of Alaska, who couldn’t be anymore unlike Hillary Clinton in terms of her position on social issues, universal health care and advocacy for women.

Palin believes abortion is only acceptable if a woman’s life is in danger. During a debate in 2006, the candidates were asked what they would do if their own daughters became pregnant through rape. Palin’s response: “I would choose life.”

I don’t think I’ve heard Pat Buchanan say the word “feminist” on television so much in one day, or with so much enthusiasm. He was, of course, referring to Palin being a member of Feminists for Life, an anti-abortion group Ruth Rosen describes so well here.

“I don’t think a Hillary person would ever move to her, based on the issues,” Jean Craciun, a strategic research and planning consultant in Alaska who has done political polling for Democrats and Republicans, told The New York Times. “I don’t think before today I would have ever heard someone call her a feminist.”

More reading: Alex Blaze at The Bilerico Project provides a rundown of Palin’s legislative history; Tanya Melich, a co-founder of the National Women’s Political Caucus, has analysis on the symbolism of Palin and the GOP; and Ann Friedman writes about the inherent sexism in the choice for VP.

Now a look at the rest of the week …

Do Doctors View Women as Pre-Pregnant?: New York Times readers give the paper of record a lesson in language when it comes to discussing women of childbearing age. Writer Tara Parker-Pope also talks with Cindy Pearson, executive director of the National Women’s Health Network, about attitudes toward women’s health. Best phrase for describing the focus on women’s reproductive organs: “bikini medicine.”

And be sure to read this comment from a woman whose doctor deliberately didn’t tell her she was pregnant because he was afraid she might terminate the pregnancy. Unfrackinbelievable.

Del Martin, 87, Dies in San Francisco: You may recall when San Francisco Mayor Gavin Newsom married same-sex couples in 2004, Del Martin and her longtime partner Phyllis Lyon were the first to say, “I do.” They were first again on June 16 of this year, when same-sex marriages were legalized in California (watch the video of their 2008 wedding here).

Sadly, Martin, an author, organizer and leader in feminist and civil rights causes, died Aug. 27 after a long period of declining health, reports the San Francisco Chronicle.

“Ever since I met Del 55 years ago, I could never imagine a day would come when she wouldn’t be by my side,” Lyon, 83, said in a statement. “I am so lucky to have known her, loved her and been her partner in all things.

“I also never imagined there would be a day that we would actually be able to get married,” Lyon said. “I am devastated, but I take some solace in knowing we were able to enjoy the ultimate rite of love and commitment before she passed.”

The College Girl’s Guide to Anti-feminist Sex: Jessica at Feministing extracts the best excerpts from “Sense & Sexuality,” a new guide published by the conservative Clare Boothe Luce Policy Institute.

New Data and Study on the Uninsured: New data released by the Census Bureau shows a drop in the number of uninsured Americans, to 45.7 million in 2007 from 47 million in 2006. From Raising Women’s Voices (which now has a blog!):

The percentage of women with no health insurance was 13.9 percent in 2007, down from 14.2 percent in 2006, but still higher than the rate in any other year since 1999 (which is as far back as the Census Bureau’s current set of historical tables go). The un-insurance rate in 2007 was far higher for women of color (Black women, 17.9 percent; Hispanic women of all races, 28.9 percent; and Asian-American women 15.7 percent) than for white non-hispanic women (9.6 percent).

Census bureau spokesman David Johnson acknowledged at a press conference today that the decline in the number of uninsured Americans could largely be attributed to increases in the number of children receiving coverage under government health insurance programs. The State Children’s Health Insurance Program (SCHIP) has been the subject of an ongoing battle between the administration and those members of Congress and Governors who want to increase the numbers of children covered by SCHIP.

“The numbers released today show the potential power of public insurance programs to provide desperately-needed coverage to uninsured Americans,” said Lois Uttley, Director of the MergerWatch Project and co-founder of Raising Women’s Voices for the Health Care We Need (RWV). She pointed out that women also benefit significantly from public health insurance programs.

The percentage of women who relied on government health insurance of any type (Medicaid, Medicare or military insurance) in 2007 was 29.8 percent, compared to 25.7 percent for men. A higher percent of women relied on Medicaid than did men (14.2 percent for women, compared to 12.2 percent for men), and the same was true for Medicare (15.4 percent of women had Medicare coverage, compared to 12.2 percent for men.)

Plus: The Kaiser Family Foundation has also published a new study examining spending on health care for the uninsured, and it projects the costs of care if the population were insured.

Leslee Unruh’s Facts of Life: Amanda Robb, niece of Bart Slepian, the obstetrician-gynecologist who was killed by an anti-abortion activist, profiles South Dakota anti-choice activist Leslee Unruh, executive director of the Vote Yes for Life Campaign, in the September issue of More magazine. Though they bond in some strange way, Robb uncovers the truth about Unruh’s first marriage, and the story includes reactions like this from Unruh:

I asked why she refused to work with Planned Parenthood on teen pregnancy prevention programs or contraceptive initiatives. Leslee Unruh, the media’s go-to resource on abstinence, whose views have been solicited by MTV, CNN, ABC, NPR, and more than 100 newspapers and magazines, answered that Planned Parenthood wants to sexualize children and that taking oral contraceptives is like ingesting pesticides. She went on to tell me that masturbation is dangerous, that abortion increases the risk of breast cancer, and that young girls should pledge to give themselves as a “wedding gift” to their husbands.

Argh.

Mexico City Abortion Law Upheld: “The Supreme Court upheld Mexico City’s abortion law by an 8-to-3 vote on Thursday, allowing unrestricted abortions during the first trimester of pregnancy,” reports Elisabeth Malkin in The New York Times. Earlier in the week, Malkin reported on the struggle women face in securing an abortion in Mexico City, even though abortion was made legal last year.

“Since the city’s legislature voted for the law in April 2007, some 85 percent of the gynecologists in the city’s public hospitals have declared themselves conscientious objectors,” notes Malkin. “And women complain that even at those hospitals that perform abortions, staff members are often hostile, demeaning them and throwing up bureaucratic hurdles.”

Plus: Also this week, Mexico City’s legislature passed a law “making it easier for transsexuals and transgender people to legally change their names and obtain revised birth certificates that reflect their gender identification,” reports the AP.

More From the Abortion and Politics Files: “A new anti-abortion group has its sights set beyond just running ads and launching viral Internet attacks on Barack Obama. The group wants to overturn the federal election law that could rein in not only its own activities but those of any so-called issue advocacy groups,” writes Marianne Lavelle at the Center for Public Integrity’s blog, Paper Trail.

Labor Day Reminder: “On Labor Day weekend, consider this: As many as 43 percent of American workers in private industry don’t have paid sick days, according to 2007 data from the federal government. If they call in sick, they lose their pay and, sometimes, their jobs,” writes Shari Roan of the L.A. Times.

“That number has risen over the years, part of a larger trend to cut back on sick leave. Among workers who do still have the once-venerable benefit, many have found their days reduced or lumped together as part of their vacation time. The United States — unique among industrialized countries — doesn’t mandate a minimum number of paid sick days for workers.”

The numbers are even higher among low-wage and part-time workers; close to 80 percent of each group do not have paid sick time, according to the Institute for Women’s Policy Research.

And with that, hope everyone enjoys the weekend!

Writing at Salon, Thomas Rogers looks at whether the publicity surrounding Thomas Beatie, aka “the pregnant man,” who has willingly appeared on “Oprah” and in many other media outlets, has ultimately helped or hurt the public perception about transgendered men and women.

Beatie, 34, was scheduled to give birth today via caesarean section. He first told his story in The Advocate back in March, when he explained:

I am transgender, legally male, and legally married to Nancy. Unlike those in same-sex marriages, domestic partnerships, or civil unions, Nancy and I are afforded the more than 1,100 federal rights of marriage. Sterilization is not a requirement for sex reassignment, so I decided to have chest reconstruction and testosterone therapy but kept my reproductive rights. Wanting to have a biological child is neither a male nor female desire, but a human desire.

Rogers looks at the media’s handling of Beattie — “Many journalists don’t seem to know how to talk about him, and some, like Diane Sawyer, have had trouble keeping their pronouns straight” — and talks with academics such as Paisley Currah, a transgendered associate professor of political science at Brooklyn College and author of the upcoming “The United States of Gender,” about why the public is so captivated by Beattie’s pregnancy.

Referring to a column by Jeff Jacoby that appeared in the International Herald Tribune under the title, “Pregnant, yes — but not a man,” Rogers writes:

Part of what seems to have unsettled Jacoby, in particular, is the way that advances in technology have made physical gender far more malleable than ever before. People can use surgery to remove — or add — breasts, and use hormones to change their voice and facial hair, while leaving other parts of their body intact. In Beatie’s case, Currah says, “gender ideology is colliding with the materiality of bodies.” Or, in slightly less abstruse terms, Beatie reminds us that sometimes our bodies and our gender don’t necessarily align in black-and-white terms — an unsettling feeling that some men encounter when they gain weight and grow breasts, or when women discover unsightly facial hair — and the pregnant man is such an extreme case that it’s almost impossible to look away.

According to Judith Halberstam, a gender theorist at the University of Southern California and the author of “Female Masculinity,” Beatie’s pregnancy also feeds into a more fundamental discomfort with the ways that medical technology has changed pregnancy. “It seems like the real reason it appeals to people is because the pregnant body is so sacred,” she says, “and the pregnant woman still represents something to people about nature.” Beatie’s protruding stomach, when combined with his male body, destroys the fantasy that pregnancy is a purely natural process. “His pregnant body is evidence that pregnancy has become another site of human engineering.”

While Beattie’s willingness to discuss his pregnancy also signals a growing comfortability with living outside of either gender, Rogers notes that “For the vast majority of transgendered people, however, who are content to live their life ‘passing’ in their new gender, there are far more pressing issues than a pregnant man — like keeping their jobs.”

Last year, a heated debate about the inclusion of “gender identity” in the Employment Non-Discrimination Act (a bill prohibiting job discrimination on the basis of sexual orientation) created widespread rancor between some transgender and gay and lesbian activists. The bill eventually passed the house without a gender identity clause, but the transgender rights movement has had other successes in past years, often in smaller jurisdictions. In New York, for example, it’s now legal for a transgendered person to change the gender on his or her birth certificate.

Mara Keisling, the executive director of the National Center for Transgender Equality, resents the way that the Thomas Beatie flap has overshadowed more important developments. “The media hasn’t gotten a message yet that they ought to get a life,” she snaps. Last week, Congress held its first-ever hearing on discrimination against transgender employees, and on June 17, the American Medical Association passed a resolution stating that it “supports public and private health insurance coverage for treatment of gender identity disorder,” but these items have received nowhere near Beatie’s media attention.

Plus: Earlier this year, Annalee Newitz wrote about what makes Beatie more “relatable” than other men who have become pregnant and questions whether medical technology is catching up with cultural shifts or if it’s the other way around.

Planned Parenthood Expands its Reach: “Flush with cash, Planned Parenthood affiliates nationwide are aggressively expanding their reach, seeking to woo more affluent patients with a network of suburban clinics and huge new health centers that project a decidedly upscale image,” reports the Wall Street Journal.

Unfortunately the full story is available to subscribers only, but the WSJ health blog has a summary that includes these remarks:

Despite some critiques to the contrary, Planned Parenthood insists it’s not compromising is long-held focus on serving the poor with birth control, sexual-health care and abortions. Officials there say they take a loss of nearly $1 on each packet of birth-control pills distributed to poor women under a federal program that funds reproductive care. But they make a profit of nearly $22 on each month of pills sold to an adult who can afford to pay full price. That money helps subsidize other operations, including care for the poor as well as pursuing Planned Parenthood’s political agenda.

“It is high time we follow the population,” said Sarah Stoesz, who heads Planned Parenthood operations in three Midwest states. She recently opened three express centers in wealthy Minnesota suburbs, “in shopping centers and malls, places where women are already doing their grocery shopping, picking up their Starbucks, living their daily lives,” she said.

Pregnant in Gloucester: Concerning the 18 high school students pregnant in Gloucester, Mass, that have received national news coverage for supposedly choosing to get pregnant and raise their children together, Kelly McBride, who covers media ethics for Poynter Institute, has an excellent piece on pack journalism in search of a “pact..” Meanwhile, the high school principal who first said their was evidence of a pact defends his comments and his memory.

Plus: Courtney Macavinta of Respect RX discusses her own sex “pact” at age 15 and the cycle of disrespect that leads girls who don’t value themselves to make choices “in which the fine print (that life is about to get even harder) is written in invisible ink.”

Teen Pregnancies at 30-Year Low: Writing in the Chicago Tribune, Lisa Anderson reports on the latest pregnancy statistics released by the Guttmacher Institute.

Pregnancies — whether they end in birth, miscarriage or abortion — among women age 15 to 19 dropped to 72.2 per 1,000 women in 2004, down from a peak of 117 per 1,000 women in 1990 [...]

While some 700,000 women age 15 to 19 become pregnant every year, the rate has declined 36 percent since it peaked in 1990. The rate of abortions among teens also plummeted, to 19.8 per 1,000 women in 2004 from a high of 43.5 per 1,000 in 1988.

But researchers are keeping a close eye on the numbers, as there are some signs that the drop may be reversing:

Despite decades of improvement and for reasons yet unknown, there is statistical evidence that the drop in pregnancy rates, the age of first sexual activity and contraceptive use among teens stalled after 2001.

The exception may be in the teen birthrate. After a 14-year decline, the birthrate, meaning the number of live births, among women age 15 to 19 rose 3 percent in 2006 to 41.9 per 1,000 women from 40.5 per 1,000 women in 2005, according to the U.S. Centers for Disease Control and Prevention. Until more data are compiled, it is unclear whether the 2006 uptick in births was an isolated blip or the harbinger of a more significant and negative change on the teen reproductive landscape, according to David Landry, a senior research associate at the Guttmacher Institute.

Mandating Insurance Coverage for Psychiatric Ailments: Illinois will become the 17th state to mandate insurance coverage for treatment of anorexia and bulimia, assuming the governor signs a bill recently approved by the state Legislature.

Bonnie Miller Rubin and Ashley Wiehle of the Chicago Tribune write:

The measure is part of a larger national debate about addressing inequities in insurance coverage between psychiatric and physical ailments.

More than 12 million Americans, mostly young women, have eating disorders in their lifetime, according to the National Association of Anorexia Nervosa and Associated Disorders. The organization ranked risk of death as higher with anorexia than with any other mental illness. Among patients with anorexia, almost half of all deaths are suicides, according to ANAD. Yet many insurers balk at covering the tab, which can run as high as $2,500 a day.

“I’ve met so many parents who have had to refinance their homes,” said Rep. Fred Crespo (D-Hoffman Estates), one of the bill’s sponsors.

But others cite the financial cost of such a law. Richard Cauchi, health program director for the National Conference of State Legislatures, said Illinois has taken “an unusual action” for 2008, when the trend is to move away from mandates on business and governments.

“There’s more pressure now to repeal and restrict mandates than to enact new ones,” he said..

“Neglected Infections of Poverty”: “Despite plummeting mortality rates for most infectious diseases over the last century, a group of largely overlooked bacterial, viral and parasitic infections is still plaguing the nation’s poor, according to a report released this week,” writes Wendy Hansen in the L.A. Times.

“Many of the diseases are typically associated with tropical developing countries but are surprisingly common in poor regions of the United States, according to the analysis, published in the Public Library of Science journal PLoS Neglected Tropical Diseases.”

The study’s author, Dr. Peter Hotez, chairman of George Washington University’s department of microbiology, immunology and tropical disease, says there are 24 diseases affecting at least 300,000 Americans, and possibly millions. Poverty-stricken regions, including Appalachia, inner cities, the Mississippi Delta and the border with Mexico, are the areas most severely affected.

Will Women Give Hormone Maker a Second Chance?: “Can Wyeth win back the 40 million Premarin and Prempro users it’s lost since 2002 — along with $1 billion a year in profits — with a new menopause drug? Or will the once-bitten women who have filed more than 5,000 lawsuits claiming the hormones gave them cancer feel fooled twice?” asks Martha Rosenberg at AlterNet.org, in this look at Wyeth’s hope of marketing Pristiq as the first nonhormonal treatment for menopause symptoms.

Don’t Ask, Don’t Tell Affects Women More: “The Army and Air Force discharged a disproportionate number of women in 2007 under the “don’t ask, don’t tell” policy that prohibits openly gay people from serving in the military, according to Pentagon statistics gathered by an advocacy group,” reports The New York Times.

While women make up 14 percent of Army personnel, 46 percent of those discharged under the policy last year were women. And while 20 percent of Air Force personnel are women, 49 percent of its discharges under the policy last year were women. By comparison for 2006, about 35 percent of the Army’s discharges and 36 percent of the Air Force’s were women, according to the statistics.

The information was gathered under a Freedom of Information Act request by the Servicemembers Legal Defense Network, a policy advocacy organization.

Gardasil Not Approved for Older Women: “U.S. regulators have told Merck & Co they cannot yet approve Merck’s application to expand marketing of its cervical cancer vaccine Gardasil to an older group of women, the drugmaker said on Wednesday,” reports Reuters.

“Merck had applied for the use of Gardasil in women ages 27 through 45. The U.S. Food and Drug Administration said in a letter regarding the application that it has completed its review and there are ‘issues’ that preclude approval within the expected review time frame, Merck said.”

Exercise as a Tonic for Aging: The New York Times reports on an updated series of physical activity recommendations for older adults from the American Heart Association and the American College of Sports Medicine, which are expected to match new federal activity guidelines due in October from the United States Health and Human Services Department.

“Contrary to what many active adults seem to believe, physical fitness does not end with aerobics,” writes Jane Brody. “Strength training has long been advocated by the National Institute on Aging, and the heart association has finally recognized the added value of muscle strength to reduce stress on joints, bones and soft tissues; enhance stability and reduce the risk of falls; and increase the ability to meet the demands of daily life, like rising from a chair, climbing stairs and opening jars.”

Best Headline: “Abstinence-only funding is like an evil Energizer Bunny,” courtesy of Vannesa at Feministing. Why the evil? The House Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies voted to continue funding the Community-Based Abstinence Education (CBAE) program, an abstinence-only education funding stream, despite all the research that’s it’s a waste of money and resources. Scott Swenson of RH Reality Check has a good wrap-up here.

Share This: Via Brownfemipower, I found an online petition — Statement of Black Men Against the Exploitation of Black Women — written in the wake of R. Kelly’s acquittal. The petition and related useful books, films and organizations are also listed on Mark Anthony Neal’s blog, which itself is a terrific resource on issues on issues of race and masculinity.

UN Addresses Rape as a War Crime: “In Sudan, girls as young as four are raped by rebel forces and government-backed militias. In Democratic Republic of Congo, women are sexually mutilated by roving gangs. In Burma, they are systematically raped as part of a military offensive,” writes Olivia Ward in the Toronto Sun. “[Thursday], the United Nations Security Council agreed that sexual violence against women and girls in war zones is a threat to international stability, opening the way for action against countries that condone or promote atrocities.”

Here’s more from the BBC, and the full text of UN Resolution 1820, which states that “rape and other forms of sexual violence can constitute war crimes, crimes against humanity or a constitutive act with respect to genocide.” The 15-member Security Council also demanded the “immediate and complete cessation by all parties to armed conflict of all acts of sexual violence against civilians.”

In Europe, Debate Over Islam and Virginity: From The New York Times:

As Europe’s Muslim population grows, many young Muslim women are caught between the freedoms that European society affords and the deep-rooted traditions of their parents’ and grandparents’ generations.

Gynecologists say that in the past few years, more Muslim women are seeking certificates of virginity to provide proof to others. That in turn has created a demand among cosmetic surgeons for hymen replacements, which, if done properly, they say, will not be detected and will produce tell-tale vaginal bleeding on the wedding night. The service is widely advertised on the Internet; medical tourism packages are available to countries like Tunisia where it is less expensive.

“If you’re a Muslim woman growing up in more open societies in Europe, you can easily end up having sex before marriage,” said Dr. Hicham Mouallem, who is based in London and performs the operation. “So if you’re looking to marry a Muslim and don’t want to have problems, you’ll try to recapture your virginity.”

A 23-year-old French student of Moroccan descent who paid $2,900 for the procedure, said: “In my culture, not to be a virgin is to be dirt … Right now, virginity is more important to me than life.”

Plus: Read Judith Warner’s column, which links hymen surgery, father-daughter purity balls and other news stories related to patriarchy and female chastity.

World Refugee Day: In recognition of the 8th Annual UN World Refugee Day on June 20, Worldview looked at the plight of Iraqi refugees.

Cervical Cancer Screenings Lacking in Developing Countries: “A study published in the open-access journal PLoS Medicine has found that women in the developing world are not getting the cervical cancer screenings that they need,” according to Medical News Today. “Researcher Emmanuela Gakidou (University of Washington) and colleagues report that although women in the developing world have the highest risk of developing cervical cancer, few are effectively screened. Additionally, there exist severe inequalities between and within countries concerning the access to cervical cancer screening.”

Plus: A survey of 38,000 Canadian women found that obese women are significantly less likely (30 to 40 percent, depending on the degree of obesity) to be tested for cervical cancer than women of average body weight, according to CBC News. Breast and colon cancer screening are unaffected by a woman’s body mass.

Shopping for Breast Cancer: The Center for Media & Democracy’s PRWatch recently posted an article about “Pinkwashing” — which is what happens when corporations try to boost sales by associating their products with the fight against breast cancer. “The worst pinkwashers exploit the intense emotions associated with breast cancer while selling products that actually contribute to breast cancer,” writes Ann Landman, who goes on to offer some key examples, including a Ford 2008 V-6 Mustang with Warriors in Pink Package, which proclaims to “add more muscle to the fight.”

Landman also links to Breast Cancer Action’s excellent Think Before You Pink campaign.

Study Finds Drop in Use of HRT: “Fewer older women in Canada are using hormone-replacement therapies to treat the symptoms of menopause, turning instead to natural remedies, says a study released Thursday,” reports The Vancouver Sun.

“The Canadian Institute for Health Information has found only five per cent of women in five provinces who are 65 years and older use hormone-replacement therapies — a drop from 14 per cent six years ago, when a report found the risks of using the menopause therapies outweigh the benefits.”

The Number of Underinsured Grows: Via the L.A. Times – A new study published in Health Affairs journal found that 25 million people ages 19 to 64 were underinsured in 2007, up from 16 million in 2003.

Nearly 50 million additional people have no health insurance at all. In all, “You end up with about 75 million adults who were either underinsured or uninsured at some time during the year,” says study co-author Sara Collins, an assistant vice president of the Commonwealth Fund, a foundation that supports independent healthcare research.

Those who had inadequate insurance coverage were almost as likely as those with no insurance to avoid getting needed care or to suffer medically related financial problems. Some 53% of the underinsured went without needed care, compared with 68% of the uninsured. And 45% of underinsured people had trouble paying medical bills, compared with 51% of uninsured people. “You can have health insurance and still go bankrupt if you get sick,” the authors note.

ACLU Symposium on LGBTQ Rights: Melissa points to a number of pieces posted at the symposium, including her piece on gay marriage written as a LGBTQ ally. I loved what Rachel Maddow had to say in an interview with the ACLU:

So far the state where I grew up (California) and the state where I live (Massachusetts) and the state where I work most of the time (New York) have legalized, legalized, and agreed-to-recognize-other-states’ same-sex-marriages, respectively. I am accepting applications now from other states that want me to relocate, since apparently I am to second-class gay citizenship what Saint Patrick was to snakes.

Congratulations to Del Martin, 87, and Phyllis Lyon, 84 — longtime gay rights activists who were the first to wed in San Francisco Monday, on the eve of the legalization of same-sex marriage throughout California.

“When we first got together we weren’t thinking about getting married,” said Lyon before cutting a wedding cake, according to The New York Times. “I think it’s a wonderful day.”

It was actually their second wedding — their first took place four years ago, also in San Francisco, when Mayor Gavin Newsom sanctioned same-sex weddings. The California Supreme Court later invalidated those marriages.

From the San Francisco Chronicle:

Martin and Lyon have been at the forefront of the gay-rights movement since they moved in together in 1953. They’ve fought for equality for gays and lesbians in the workplace, housing, the medical establishment, the feminist movement and, most recently, the institution of marriage.

Martin wore a purple pantsuit and stood up from her wheelchair to face Lyon, dressed in a blue pantsuit. During the six-minute ceremony, the two held hands as they recited their vows to love and honor each other, for richer or poorer, in sickness and in health. Their eyes welled with tears.

Lyon was the first to say “I do,” her voice resonating in the room. Martin’s “I do,” which came next, was more muted, audible only to those close by. They exchanged rings – the ones they’ve worn before – hugged, and then kissed each other lightly.

The room erupted in cheers – and tears.

For more coverage, check out the Chronicle’s multimedia section on same-sex marriage, which includes profiles of couples saying, “I do”; multiple photo albums; and Chronicle reporter Jim Doyle discussing the recent history of same-sex marriage.

The L.A. Times, meanwhile, looks at the high number of marriage licenses issued as of 5 p.m. Tuesday in California. Here’s a map that shows how counties are handling same-sex marriages; a report on the tactics of opponents (who are apparently lying low for now); and a reader Q&A that even answers questions like this: “Our friend was ‘ordained’ by the ‘Church of the Latter-Day Dude’ and performed his sister’s ceremony in South Carolina last month. Does he need to do anything else to be able to marry us in California?”

Finally, here’s a look at reaction from other countries. Bruce Wallace writes:

Many parts of Europe have reacted with a collective shrug to the California Supreme Court ruling that found the ban on same-sex marriage to be discriminatory. Same-sex marriage has been legal in the Netherlands since 2001, in Belgium since 2003 and in Spain since 2005. The move by the second U.S. state to join them brought only cursory news coverage.

Elsewhere, Canada has officially recognized same-sex marriage since 2005. South Africa stands out as the exception on a continent where homosexuality is largely taboo. It passed a law in 2006 to recognize homosexual marriages after a Constitutional Court ruling said anything less would treat gays and lesbians as inferior.

And Norway happened to legalize same-sex marriage today.

Press speculation is now underway about the type of first lady Michelle Obama might be (comparisons to Barbara Bush? Please).

Writing at Disability Studies, Penny L. Richards, a research scholar at the UCLA Center for the Study of Women, acknowledges that she’s usually not interested in discussing the role of the first lady, but she offers an informative analysis of how the physical disabilities of First Lady Ida McKinley helped shaped the press coverage of her husband’s presidency.

Throughout her adulthood, McKinley had epilepsy, intense headaches and phlebitis, which made walking difficult. She was also under great emotional stress: Both her daughters died young in the 1870s; her only brother was murdered. Richards notes that she was probably overmedicated with sedatives.

A discreet press was mostly silent about her “fainting spells,” and “a special campaign biography” of her was released to frame her health in the most gentle terms. Reporters, forbidden to write about her health, instead focused on her gowns. Her husband, President William McKinley, was devoted to Ida’s care: like many partners, he could see the subtle signs of an impending seizure, and knew how to cover for her during required periods of rest. And that devotion became part of his public reputation. Even her absence on the campaign trail was seen as helpful — a gap that reminded voters of the candidate’s tender personal life. Her “frailty” was held up as ladylike and unthreatening, in contrast to Mary Baird, Mrs. William Jennings Bryan, the trained lawyer and reform-minded woman who was rumored to write her husband’s fiery speeches. [...]

Privately, some in Washington read Ida McKinley as a manipulative “invalid,” using her perceived delicacy to demand indulgences (think of Zeena in Ethan Frome for a well-known literary version of this archetype). She would appear at state events propped in a velvet chair, with the understanding that she would neither rise from her seat nor shake hands. She wore luxurious lacy gowns and jewels, to enhance her persona as a fragile beauty. (She was the first First Lady to appear in newsreels, so she had a much wider audience for her fashion choices than previous First Ladies). Ida McKinley crocheted a lot — a fine sickbed tradition; while in the White House she reportedly made 3500 pairs of slippers to raise money for charities. There’s some evidence that she was sedated not only for medical necessity but to control her “irrational” personality.

Despite her husband’s devotion, the story of Ida McKinley seems to be a lesson in the early power of image and how the first lady becomes the most acute projection of our gendered desires.

For additional reading, Richards lists sources on McKinley and on the representation of feminine illness.

* * * * * *
In other news …

- “Three islanders from Lesbos told a court Tuesday that gay women insult their home’s identity by calling themselves lesbians,” reports the AP. “The plaintiffs — two women and a man — are seeking to ban a Greek gay rights group from using the word ‘lesbian’ in its name.”

- Some great feminist events in New York this week, via Feministing.

- Following up on the study we mentioned last week on how well journalists cover health news, I wanted to mention that the study’s lead author, journalism professor Gary Schwitzer, has his own blog, in addition to publishing Health News Review.

Wide Disparities in Health Care by Race and Region: “Race and place of residence can have a staggering impact on the course and quality of the medical treatment a patient receives, according to new research showing that blacks with diabetes or vascular disease are nearly five times more likely than whites to have a leg amputated and that women in Mississippi are far less likely to have mammograms than those in Maine,” reports The New York Times.

The study was conducted by researchers at Dartmouth and was commissioned by the nation’s largest health-related philanthropy, the Robert Wood Johnson Foundation, which announced a three-year, $300 million initiative intended to narrow health care disparities across lines of race and geography.

Repairing the Damage, Before Roe: “With the Supreme Court becoming more conservative, many people who support women’s right to choose an abortion fear that Roe v. Wade, the 1973 decision that gave them that right, is in danger of being swept aside,” writes Waldo L. Fielding in this op-ed. “When such fears arise, we often hear about the pre-Roe ‘bad old days.’ Yet there are few physicians today who can relate to them from personal experience. I can.” Read on.

Legal Effects of Marriage for Same-Sex Couples: The San Francisco Chronicle has a comprehensive run-down of the legal and financial changes same-sex couples face if they get married in California.

Plus: What happens to the status of couples already married if the November initiative to ban same-sex marriage passes? Expect heavy litigation and a decision ultimately decided by the California Supreme Court, says UCLA law professor Brad Sears.

Paying for Health Care in Retirement – Good Luck: “I write about health care, and still the realization hit me like a ton of bricks today after I put down a just-released report from the Employee Benefit Research Institute. None of the presidential candidates have been talking about how to fix Medicare," writes Judith Graham at the Chicago Tribune.

Here’s the sobering EBRI report (PDF), effectively titled: “Savings Needed to Fund Health Insurance and Health Care Expenses in Retirement: Findings from a Simulation Model.”

On Becoming a Woman: In case you were looking for some, er, real-life advice, Blinky has excerpts from this 1950’s guide. Here’s analysis from Echidne, who calls it “a fascinating trip into the sexual politics of the past.”

“On the other hand,” she adds, “almost everything in those excerpts is advocated in this country somewhere, right this very moment. Abstinence is the responsibility of girls, for example. Women gentle and home-directed while men are strong and outer-directed? I was just told this by a liberal guy.”

Speaking of Abstinence: The National Abstinence Education Association has launched a $1 million campaign to recruit 1 million parents to “lobby local schools to adopt sex education programs focusing on abstinence and to work to elect local, state and national officials who support the approach,” reports the Washington Post.

The campaign comes as Congress is debating whether to authorize about $190 million in federal funding for such programs, which have come under increasing criticism because of a series of reports that concluded they are ineffective. Such criticism has prompted at least 17 states to refuse federal funding for such programs.

The group hopes to counter that trend, in part with a provocative video that asserts that comprehensive sex education encourages sexual activity by teenagers and a Web site that offers advice to parents about sex education.

Plus: Five days later, the same WaPo reporter, Rob Stein, wrote a page-one story about a new study by the Centers for Disease Control that found “a decade-long decline in sexual activity among high school students leveled off between 2001 and 2007, and that the rise in condom use by teens flattened out in 2003.”

The new figures renewed the heated debate about sex-education classes that focus on abstinence until marriage, which began receiving federal funding during the period covered by the latest survey and have come under increasing criticism that they are ineffective.

“Since we’ve started pushing abstinence, we have seen no change in the numbers on sexual activity,” said John Santelli, chairman of the department of population and family health at Columbia University. “The other piece of it is: Abstinence education spends a good amount of time bashing condoms. So it’s not surprising, if that’s the message young people are getting, that we’re seeing condom use start to decrease.”

Not surprisingly, proponents of abstinence-only programs blamed comprehensive sex-ed.

Hands Up if You’ve Experienced Street Harassment: The F-Word is gathering comments here, in response to comments here.

Breast Cancer News from ASCO Conference: Several breast cancer-related studies presented at the annual American Society of Clinical Oncology conference in Chicago are summarized here by Daily Women’s Health Policy Report. Meeting abstracts from the conference are available here.

Eat Locally, Think …: “The local food movement typically has been about improving the health of the planet,” writes Tara Parker-Pope. “But now researchers are trying to find out if eating locally farmed food is also better for your health. A team of researchers at the University of North Carolina at Chapel Hill has received a grant to study the public health impact of moving toward a local, sustainable food system.”

Chicago can’t hold a carrot stick to California when it comes to the availability of locally grown produce, but the farmers markets rock during the summer and fall. How ’bout where you live?

If I Could Be Anywhere Right Now: It would be here.