But the rule also contains a second provision that could be just as harmful. The domestic gag rule mandates that reproductive health care clinics that provide abortion care must establish “physical and financial separation of Title X projects and facilities from programs and facilities where abortion is a method of family planning.” This could force clinics to build separate entrances depending on what service a patient is getting.
Many clinics provide comprehensive reproductive and sexual health care services in addition to abortion, including fertility and infertility testing, STI testing, Pap smears, birth control, cancer screenings, and more. Patients enter these clinics for a variety of health care needs, and they all enter through the same door. But if this rule is allowed to go into effect, that won’t be the case anymore.
Instead, abortion patients will be forced to use a separate entrance, one that clearly marks them as someone who is going to the clinic for an abortion. For patients seeking abortion care, having to use an entrance that specifically delineates them as abortion patients could be a violation of the , which guarantees the right over your own health information and establishes limits on who can view and know your health information. “All the privacy that HIPAA affords is gone,” Leah Torres, a Utah-based ob-gyn and abortion provider, tells. “Just by creating a separate entrance, you’re violating their privacy [as well as] creating a target on patients.
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