Abortion Is a Right: Perspectives of Family Medicine Physician Residents

Abortion is healthcare. Bodily autonomy is a fundamental human right. As chief resident physicians representing family medicine residency programs in the Greater Bay Area and Central California in the University of California San Francisco Family Medicine Alliance, we share a deep commitment to promoting health equity, advancing social justice, and eliminating health disparities. The 2022 Supreme Court decision in Dobbs v. Jackson Women's Health Organization to overturn Roe v. Wade contradicts the inherent rights of patients to make their own reproductive healthcare decisions. This is a clarion call for all people to engage in activities to raise awareness and prompt discussion about abortion, reproductive rights, and maternal mortality.


Editorial
As family medicine resident physicians, we were appalled and outraged by the Supreme Court decision in Dobbs v. Jackson Women's Health Organization to overturn Roe v. Wade and Planned Parenthood v. Casey -in a move that strikes down decades of precedent. As the future of medicine and primary care, we are acutely aware of how measures to protect bodily autonomy are not only just but also lifesaving. We fear a world in which abortion is inaccessible and even criminalized, a world that generations of physicians before us had to navigate. We worry for the patients who will no longer have the right to make the medical decisions that are best for their bodies, their lives, and their families. We worry for our colleagues practicing in states swiftly banning abortion access as they tell their patients that they cannot provide the care they need without the threat of being punished by law. The consequences and ramifications of this decision have been chilling as seen in news media, ethics reviews, and even the potential influence on global healthcare practices [1].
This decision is also an issue of health equity and racism. The most affected populations will be Black, Indigenous, and People of Color who already experience racism, less healthcare access, and higher maternal mortality rates [2,3]. As we work and serve underresourced and marginalized communities, we recognize that the loss of abortion rights will only continue to amplify the inequities in our system [4].
We reaffirm our commitment to our patients and to the fight to protect reproductive rights. We will continue training to become providers who will walk with our patients through any and all decisions they make in pursuit of their health and well-being. We recognize that this commitment to our patients also involves a duty to our colleagues in other parts of the country, and we will actively seek ways to support efforts to expand abortion training for providers who seek to care for patients in areas with less abortion access [5].
In our own clinics, we have often sat with our newly pregnant patients and helped them navigate their questions and emotions. We have held their hands as they chose to terminate pregnancies, created space for their grief as they experienced painful miscarriages for very desired pregnancies, shared in their joy as we deliver their healthy newborns into the world, and cared for both the birthing patient and baby through lifethreatening postpartum or neonatal medical complications. It is precisely because of our growing expertise and our respect for human life that we maintain that above all else, we must trust our patients when they decide what is best for their bodies, their lives, and their families.
Our message is clear: Abortion is healthcare. Bodily autonomy is a fundamental human right.

Conflicts of interest:
In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.