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[[File:Dallas Texas Skyline bei Nacht.jpg|400px | thumb|right|]] | |||
'''OVERVIEW''' | '''OVERVIEW''' | ||
==Contraception== | As a major American city, Dallas has an incredible range of medical facilities and providers. Due to federal regulations, contraception is legal, though a prescription is required. Emergency contraception is also legal and no prescription is required; it can be purchased at pharmacies, drug stores and many clinics. However, there have been reported cases of pharmacists refusing to sell emergency contraception due to personal religious or moral beliefs. In general, Texas as a state is largely conservative with a strong religious Christian base. This heavily impacts the political and social climate of the state, and in particular abortion law. While abortion is legal in Texas, as it was ruled to be a legal right in Roe v. Wade (1973), abortion has been consistently challenged in Texas. There have been many laws passed since 2013 that have limited the ability of abortion clinics to operate as well as the ability of women to obtain abortions. Some of these provisions, most notably HB 2, have been challenged and struck down by the United States Supreme Court. But many other restrictions remain in place, creating frustrating circumstances for women. Overall, Dallas is a huge city and Texas is a huge state. This means that, while there are certainly restrictions that impose great difficulty, there are also a wealth of resources that can be sought after. | ||
==Contraception (Birth Control)== | |||
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here]. | '''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here]. | ||
===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
[[File:Lutera usa.jpg|200px | thumb|left|frame|'''Birth control sold in the USA''']] | |||
[[File:Condoms usa.jpg|200px | thumb|left|frame|'''Condoms''']] | |||
In Texas, contraception is generally legal but restrictions apply. You need a prescription to obtain birth control. Furthermore, if you are under 18 years old, you typically need permission from your parents. In fact, Texas is one of only two US states that does not allow state funds to be used for contraceptive use without parental consent.<ref>[http://www.contracept.org/articles/contraception/texas-birth-control-laws-for-teens Texas Birth Control Laws for Teens]</ref> | In Texas, contraception is generally legal but restrictions apply. You need a prescription to obtain birth control. Furthermore, if you are under 18 years old, you typically need permission from your parents. In fact, Texas is one of only two US states that does not allow state funds to be used for contraceptive use without parental consent.<ref>[http://www.contracept.org/articles/contraception/texas-birth-control-laws-for-teens Texas Birth Control Laws for Teens]</ref> | ||
If you cannot get permission from your parents, you can confidentially get birth control from Title X clinics (see section below where you can find them in Dallas). Note that Title X clinics are available to all people, regardless of their age or if they have parental consent, and they may even be able to give you birth control at a reduced cost or no cost at all depending on your financial situation. Also, if you're on Medicaid, you can get birth control at Texas clinics that accept Medicaid (even if you're under 18 and with no parental consent required).<ref>[http://janesdueprocess.org/title-x-clinics/ Jane's Due Process: Where Can I Get Birth Control?]</ref> | If you cannot get permission from your parents, you can confidentially get birth control from Title X clinics (see section below where you can find them in Dallas). Note that Title X clinics are available to all people, regardless of their age or if they have parental consent, and they may even be able to give you birth control at a reduced cost or no cost at all depending on your financial situation. Also, if you're on Medicaid, you can get birth control at Texas clinics that accept Medicaid (even if you're under 18 and with no parental consent required).<ref>[http://janesdueprocess.org/title-x-clinics/ Jane's Due Process: Where Can I Get Birth Control?]</ref> | ||
For many women, access to contraception in Texas is hampered by little government funding. This began in 2011, when 66% of state funds for Planned Parenthood | For many women, access to contraception in Texas is hampered by little government funding. This began in 2011, when 66% of state funds for Planned Parenthood were cut. Later in 2013, the state replaced its Medicaid program with the [http://www.texaswomenshealth.org/ Texas Women's Health Program], thereby allowing them to cut all former Medicaid funding for Planned Parenthood. These Planned Parenthood facilities served 60% of the state's low-income women.<ref>[http://www.latimes.com/science/sciencenow/la-sci-sn-planned-parenthood-texas-births-20160203-story.html After Texas stopped funding Planned Parenthood, low-income women had more babies]</ref> | ||
As reported by the Houston Chronicle, "In Texas, limits on abortion get the big headlines. But access to effective birth control has been weakened in the crossfire. When lawmakers kicked Planned Parenthood out of the state's Women's Health Program in 2013, they assured Texans that women would find providers elsewhere for family planning. This week, a University of Texas study published in the New England Journal of Medicine produced strong evidence that Texas has failed to fill the void. In counties affected by the Planned Parenthood exclusion, claims for long-acting contraceptives dropped by more than 35 percent, and requests for injectable contraceptives dropped 31 percent. Meanwhile, Medicaid-paid births spiked among women who previously had used injectable methods."<ref>[http://www.houstonchronicle.com/news/columnists/falkenberg/article/The-numbers-don-t-lie-Texans-need-access-to-6812535.php The numbers don't lie: Texans need access to birth control]</ref> | As reported by the Houston Chronicle, "In Texas, limits on abortion get the big headlines. But access to effective birth control has been weakened in the crossfire. When lawmakers kicked Planned Parenthood out of the state's Women's Health Program in 2013, they assured Texans that women would find providers elsewhere for family planning. This week, a University of Texas study published in the New England Journal of Medicine produced strong evidence that Texas has failed to fill the void. In counties affected by the Planned Parenthood exclusion, claims for long-acting contraceptives dropped by more than 35 percent, and requests for injectable contraceptives dropped 31 percent. Meanwhile, Medicaid-paid births spiked among women who previously had used injectable methods."<ref>[http://www.houstonchronicle.com/news/columnists/falkenberg/article/The-numbers-don-t-lie-Texans-need-access-to-6812535.php The numbers don't lie: Texans need access to birth control]</ref> | ||
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===Costs=== | ===Costs=== | ||
==Emergency Contraception== | ==Emergency Contraception (Morning After Pill)== | ||
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here]. | '''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here]. | ||
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====Support==== | ====Support==== | ||
* [http://www.dfwfriends.com/ Dallas/Fort Worth Herpes Support Group]: "DFW Friends is a free social group for adults 21 and up in the Dallas/Fort Worth and surrounding area that are living with Herpes (HSV1 and HSV2) and HPV. There is no membership fee to join our group. We are not a dating service, just a group of people that gets together several times a month to have fun in a relaxed atmosphere, where you don’t have to worry about 'that' for a while." | |||
* HEPHOP Hepatitis Support: 433 Douglas Dr., Dallas TX, Contact: HepHopper, Email: HepHopper@aol.com, Phone:(469)487-9493. | |||
* Hepatitis Support: Medical City, Dallas TX, Meets on: 3rd Thursday, Meets at: 7:00-8:30 PM, Contact: Robbie Cole, Email: meganms401@yahoo.com, Phone: (972) 386-6832 | |||
* Hip Hop Support Group (Hepatitis): Presbyterian Medical Center, Fogelson Bldg. Room B, Floor G, 8200 Walnut Hill Lane, Dallas TX 75231, Meets on: 2nd Thursday, Meets at: 6:30 PM, Contact: Laura Strohmeyer, Email: laurastrohmeyer@texashealth.org, Phone: 214-345-2662 | |||
HIV/AIDS Organizations, provided by [http://www.thebody.com/index/hotlines/other.html TheBody.com]: | |||
* [http://www.aidsdallas.org/ AIDS Services of Dallas:] "Provides housing, transportation, case management and food services to HIV-positive individuals." | |||
* [http://www.asistersgift.org/ A Sister's Gift]: "Offers social services and support for women/girls in Dallas and abroad. Services target and attract women who are mothers, disabled, low income, have limited food, clothing and support." | |||
* [http://www.aidsarms.org/ AIDS Arms Inc]: "Provides medication assistance and case management. Also has a clinic and does outreach in prisons." | |||
* [http://www.aidsinterfaithnetwork.org/ AIDS Interfaith Network]: "A multicultural, non-profit, faith-based HIV/AIDS organization that provides services for persons living with HIV/AIDS, gives support to the people who care for them, and educates persons who are at risk of HIV infection." | |||
* [http://www.bryanshouse.org/ Bryan's House]: "A community-based program to focus on children and families who are impacted by HIV and AIDS." | |||
* [http://www.samaritanhouse.org/ Samaritan House]: "Housing, nutrition, transportation, treatment and job training for homeless, low-income HIV-positive people." | |||
===Costs=== | ===Costs=== | ||
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===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
Here are the known providers of PrEP in Dallas:<ref>[http://www.avac.org/sites/default/files/u44/Texas-PrEP-Providers_April-2016.pdf PrEP Providers in Texas]</ref> | |||
* Dallas Pounders Clinic: 3500 Oaklawn Ave, Suite 600 Dr. Pounder 214-520-8833 | |||
* [http://uptownphysiciansgroup.com/ Dallas Uptown Physicians Group]: 2929 Carlisle Street, Suite 260 214-303-1033 | |||
===Costs=== | ===Costs=== | ||
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===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
You'll be able to find pads, pantyliners, tampons and menstrual cups in Dallas. For DivaCups, you can find them at many CVS and Walgreen's locations (check out the website for a full list). For Mooncup, note that it is often sold under the brand name MCUK in the US but it's the same thing. | |||
===Costs=== | ===Costs=== | ||
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===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
In Texas, women are protected from any discrimination in the workplace due to pregnancy. You cannot be fired, disciplined or treated differently due to pregnancy. However, Texas state laws have no maternity leave requirements. The only maternity leave requirements in place are at the federal level under the Family and Medical Leave Act (FMLA). Under this law, certain companies are required to give 12 weeks off in a 12-month period for certain health-related needs, including pregnancy. For a company to fall under FMLA standards, it must have at least 50 employees for at least 20 weeks of current calendar year or the immediately preceding calendar year.<ref>[http://www.disabilitysecrets.com/resources/disability/disability-rights/maternity-leave-rights-in-texas# Maternity Leave Rights In Texas]</ref> You must also have worked at your company for at least 12 months and for a total of 1,250 hours (within the 12 month period preceding the time off) in order to be covered. For more details, click [http://www.disabilitysecrets.com/resources/disability/disability-rights/maternity-leave-rights-in-texas# here]. | |||
===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
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===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
[[File:Texaswomenprotest.jpg|450px | thumb|left|frame|'''Texas women protest SB 5/HB 2'''.]] | |||
Since 1973, abortion has been legal in the United States under the Roe vs. Wade Supreme Court decision. Yet in Texas, abortion has been consistently challenged, where additional restrictions have been placed on clinics, health care providers and women seeking abortions. | |||
One of the most controversial laws came in 2013, when Texas Governor Rick Perry signed House Bill 2 (known as "HB 2"), an anti-abortion bill. According to this law, "Abortion doctors must have admitting privileges at a hospital within 30 miles of the abortion clinic."<ref>[http://fundtexaschoice.org/what-is-hb2/ What is HB2?]</ref> Furthermore, abortion clinics must align by standards meant for ambulatory surgical centers, which have strict regulations on buildings, equipment and staff. Because nearly all abortion doctors have no admitting privileges to such hospitals in Texas, and because the hospitals have no incentives to provide such access, this forced many clinics to close down. Furthermore, because most abortion clinics don't have the funding or resources to abide by ambulatory standards, this also forced abortion clinics to close down. In the years following HB 2, Texas went from having 40 abortion clinics to only 19.<ref>[https://www.texastribune.org/2016/06/28/texas-abortion-clinics-have-closed-hb2-passed-2013/ Texas Abortion Clinics That Have Closed Since 2013]</ref> This lead to a situation in which many Texas women did not have access to abortion clinics in their areas, and they were forced to travel very long distances, oftentimes out of state, to obtain abortions. | |||
In June 2016, the United States Supreme Court struck down HB 2 in a 5-3 decision. As written by Justice Stephen G. Breyer, “We conclude that neither of these provisions offers medical benefits sufficient to justify the burdens upon access that each imposes. Each places a substantial obstacle in the path of women seeking a previability abortion, each constitutes an undue burden on abortion access, and each violates the federal Constitution.”<ref>[http://www.nytimes.com/2016/06/28/us/supreme-court-texas-abortion.html?_r=0 Supreme Court Strikes Down Texas Abortion Restrictions]</ref> | |||
Yet, other restrictions in Texas remain in place, particularly those passed in December 2015. Under these new restrictions, a woman must receive an ultrasound before obtaining an abortion. The health care provider must show and describe the ultrasound image to the woman. The ultrasound must be obtained at least 24 hours before an abortion, which imposes difficulties on women who do not live close to abortion providers. Furthermore, a woman must receive counseling before obtaining an abortion. During counseling, the woman will be discouraged from getting an abortion. Following counseling, she must wait at least 24 hours before receiving an abortion. Furthermore, minors must receive parental consent if they wish to obtain an abortion. The use of telemedicine for the performance of a medical abortion is prohibited. | |||
There are also strict timelines to consider. Before 20 weeks of post-fertilization, all reasons for an abortion are permitted. However, at or after 20 weeks, an abortion can only be performed if the woman's life is endangered, the pregnancy puts her at significant health risk, or if the pregnancy is "medically futile," which is "based on the spurious assertion that a fetus can feel pain at that point."<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-texas State Facts About Abortion: Texas]</ref> | |||
Furthermore, on January 1 2016, Texas House Bill 3994 ("HB 3994") went into effect. As explained by Planned Parenthood, "The law assumes all women seeking abortions are minors until they prove otherwise, and places the burden of proof on the physician performing the abortion to request a proof of identity and age.<ref>[https://www.plannedparenthood.org/planned-parenthood-center-for-choice/texas-abortion-laws#sthash.9koRhmBH.dpuf Texas Abortion Laws]</ref> | |||
Despite the severe restrictions placed on Texas women, they continue to seek abortions every year. According to studies, in 2011, 14% of pregnancies in Texas resulted in abortion. Overall, 13.5 out of 1000 women received abortions, though one should remember that some of these women may have been from out-of-state and some Texas women may have received abortions in other states.<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-texas State Facts About Abortion: Texas]</ref> | |||
===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* [http://www.routhstreet.com/ Routh St. Women’s Clinic]: 4321 Central Expressway, Dallas, TX 75205, 214-748-8611, 800-742-8489. Medical abortions up to 7 weeks. Surgical abortions up to 17 weeks, 6 days. | |||
* [http://www.southwesternwomens.com/ Southwestern Surgery Center]: 8616 Greenville Ave. Ste 101, Dallas, TX 75243, 214-742-9310. 800-727-2255, Medical abortions up to 7 weeks, Surgical abortions up to 21 weeks | |||
* [https://www.plannedparenthood.org/health-center Planned Parenthood]: 7424 Greenville Ave., Ste. 211, Dallas, TX 75231, 214-373-1868, 866-563-9623. Not providing medical abortions. Surgical abortions up to 17 weeks, 6 days. | |||
* [http://www.abortionadvantage.com/ Abortion Advantage]: 1929 Record Crossing Rd., Dallas, TX 75235, (214) 630-3333/ | |||
There are also some abortion clinics in Ft. Worth (nearby): | |||
* [http://wholewomanshealth.com/ Whole Woman’s Health]: 3256 Lackland Rd., Fort Worth, TX 76116, (817) 924-6641, Medical abortions only on certain days, Surgical abortions up to 17.6 weeks. | |||
* [https://www.plannedparenthood.org/planned-parenthood-greater-texas Planned Parenthood of Greater Texas]: 6464 John Ryan Drive, Fort Worth, TX 76132, 817-276-8063. No medical abortions. Surgical abortions up to 17 weeks, 6 days. | |||
===Costs=== | ===Costs=== | ||
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. In Texas, Medicaid does not cover abortion.<ref>[https://fundabortionnow.org/get-help/medicaid Can Medicaid cover my abortion?]</ref> | |||
==Advocacy & Counseling== | ==Advocacy & Counseling== | ||
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===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* [http://www.thehotline.org/ National Domestic Abuse Hotline]: 1-800-799-7233 | 1-800-787-3224 (TTY) | |||
* [https://promisehouse.org/ Promise House]: "Promise House embraces homeless, runaway and at-risk youth, giving them needed support, encouragement and hope to live a better life. Our programs cover the vital needs of youth, including emergency shelter, transitional living, pregnant and parenting teen services, individual, group and family counseling, street outreach and educational intervention." 224 W. Page Ave., Dallas, Texas 75208. Phone: 214.941.8578. Fax: 214.941.8670. | |||
For a full list of women's shelters in Dallas, click [https://www.womenshelters.org/cit/tx-dallas here]. Also, here's a list of a few of them: | |||
* [http://www.genesisshelter.org/ Genesis Women's Shelter Outreach]: Address: 4411 Lemmon Ave #201, Dallas, TX 75219, United States, Phone: +1 214-389-7700 | |||
* River Of Life Homes For Women and Children - Dallas: Undisclosed location. Dallas, TX - 75238. 800-799-7233/ | |||
* Union Gospel Mission of Dallas - Center of Hope - Dallas: Exclusively takes in single mothers with children. 4815 Cass Street, Dallas, TX - 75235, 214-638-2988. | |||
* My Second Chance, Inc. - Dallas: Has an integrated recovery program to deal with drug abuse, alcoholism, family and work relations, etc. 1657 S. Corinth Street Road, Dallas, TX - 75203, 214.374.1104 | |||
* Salvation Army Dallas Women's Shelter - Dallas: 5302 Harry Hines, Dallas, TX - 75247, (214)424-7000 | |||
* Conference On Crime Against Women Inc - Dallas: 4411 Lemmon Ave Ste 201, Dallas, TX - 75219, (214) 946-2337 | |||
* The Haven Women's Outreach - Dallas: PO Box 601021, Dallas, TX - 75360, 866) 889-5374 | |||
===Costs=== | ===Costs=== | ||
==List of Additional Resources== | ==List of Additional Resources== | ||
* [http://www.myresourcecenter.org/ Resource Center]: "Resource Center is dedicated to helping you stay healthy. Through our health and wellness programs the Center provides culturally sensitive, LGBT-friendly services including low-cost mental health counseling, vaccinations, lab work, transgender health and HIV services." AddressL 5750 Cedar Springs Rd., Dallas, TX 75235, Phone: 214-521-5124, Email: info@myresourcecenter.org . Fax: 214-522-4604 | |||
* [http://theafiyacenter.org/ The Afiya Center]: "The Afiya Center is unique in that it is one of the very few non-profit reproductive justice organizations in North Texas founded and directed by women of color. The Afiya Center is committed to creating an atmosphere where the unique experiences of black women and other women of color are embraced." Address: 501 Wynnewood Village Suite 213, Dallas, Texas 75224. Phone:972-685-5571 Email: info@theafiyacenter.org/ | |||
* [http://prochoicetexas.org/ NARAL Pro-Choice Texas]: "NARAL Pro-Choice Texas’ mission is to develop and sustain a constituency that uses the political process to guarantee every Texan the right to make personal reproductive health decisions and to guarantee access to the full range of options, including preventing unintended pregnancy, bearing healthy children, and accessing legal abortion." | |||
* [https://www.dallaswomensfdn.org/ Dallas Women's Foundation]: "Dallas Women's Foundation invests in women and girls and empowers women's philanthropy to build a better world." | |||
* [http://www.dallaswomenscouncil.org/ Women's Council of Dallas County]: "Organized May 4, 1954, the Women's Council of Dallas County, Texas, Inc. is a voluntary, non-partisan, nonprofit organization of diverse members and member organizations. Each year, the Women's Council organizes educational programs to illuminate community problems such as homelessness, sexual assault, education and health services. Our members then work with civic and community leaders to advocate for and implement positive changes for the welfare of our communities." | |||
==References== | ==References== | ||
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