The Contrarian

Meanwhile, at the FDA: Menopause Progress, Abortion Gaslighting

PUBLISHED 10/9/2025 by

The FDA caused a stir last week when it approved a new, generic version of mifepristone—the abortion medication that has safely, effectively and privately ended pregnancies for 25 years. Many mainstream outlets made it sound like a dramatic policy reversal, but really it was a procedural box check. Meanwhile, the Trump administration is already laying the groundwork to undermine access, announcing a so-called “safety review” based on flawed data and false claims. As reproductive rights advocates like Mini Timmaraju have pointed out, this is gaslighting—pretending to be moderate while plotting restrictions. That’s why protecting mifepristone still matters now.

At least there was some progress this week in menopause care: The FDA signaled plans to remove the “black box” warning on certain hormone treatments that has long stoked fear and confusion. Experts say the label was based on outdated science and has caused real harm, leaving countless women to suffer unnecessarily. For once, the agency seems poised to get this one right.

Trump and RFK’s Pseudoscience Is Another Tool to Control Women

PUBLISHED 10/2/2025 by

We have reached the point in American politics at which a sitting U.S. president sees fit to decree pregnant women must “tough it out.”

We all would be wise to strenuously push back on junk science—not just for our safety here and now, but in service of a future that doesn’t create new inroads for punishment of pregnancy.

Vile Reactions to Strong Women Can’t Silence Our Voices

PUBLISHED 9/18/2025 by

Being on the receiving end of yet another violent and targeted email from a stranger hit a little differently this week, as the nation grapples with the murder of Charlie Kirk and its fallout.

Mostly what I’m feeling since receiving an email from Robert G. Smith—who signs off as “Bonecrusher Bob”—is a deep sense of obligation to the girls and women in my life. In his message, he attacked me with grotesque language, mocking my intelligence, my sexuality and my writing on menopause, telling me to “stick to brainwashing the little insurrectionist bastards who attend [my] shithouse skool.”

Much of my work is about developing leaders—running a law school center and fellowship program, mentoring high school and college students to become public writers, and helping grassroots leaders use the op-ed as a tool for advocacy. My own writing shines a light on women’s health issues that have long been ignored, like menopause, highlighting not just problems but solutions lawmakers can get behind.

The Bonecrusher Bobs of the world will not deter me, and I see the same resilience in those around me.

Just this past weekend, a teenager I mentor asked how to handle an op-ed she’d drafted about aggressive masculinity at her school; my answer was simple: We keep raising our voices with conviction, exposing lies, and showing up fully as ourselves. And when necessary, yes, we share screenshots.

Texas Loves Its Bounty Hunters and Hates Its Women

PUBLISHED 9/5/2025 by

Over Labor Day weekend, Texas quietly rolled out yet another measure to restrict reproductive freedom. Senate Bill 33, which took effect Monday, bans municipal funding for abortion support—stripping cities like Austin and San Antonio of the ability to allocate local dollars to abortion funds, even for residents forced to travel out of state for care. The law denies “millions of Texans the opportunity” for their communities to support safe, legal abortion access, according to Jane’s Due Process, a nonprofit serving young people navigating the state’s bans.

It’s a playbook Texas has perfected. Four years ago, the state’s SB 8 created the infamous “bounty hunter” model, empowering private citizens to sue anyone who helps a person get an abortion after six weeks of pregnancy and rewarding them with $10,000. That law went into effect while Roe v. Wade was still technically the law of the land, an early harbinger of the Supreme Court’s Dobbs decision. Since then, Texas has become the national laboratory for copycat measures that push the boundaries of authoritarian control—from targeting trans people to censoring librarians.

The toll is devastating. Maternal deaths and infant mortality are on the rise; patients risk sepsis because doctors fear prosecution; and the cost of accessing abortion care has skyrocketed. Advocates like Jane’s Due Process warn that these laws are not just about abortion—they are about consolidating state power, silencing local communities and testing the limits of democracy itself. “This is another attack on democracy in an antiabortion disguise,” said Lucie Arvallo, the group’s executive director.

Of Course Trump Threatened Ballot Access on the 19th Amendment’s Anniversary

PUBLISHED 8/21/2025 by

The 19th Amendment turned 105 this week. Instead of marking progress, we’re watching Trump officials entertain the idea that women’s right to vote is negotiable. Defense Secretary Pete Hegseth amplified a pastor calling for repeal of the amendment, and when pressed, his office issued a half-hearted “of course” women should vote. We’ve seen this playbook before: Roe was safe, contraception wasn’t at risk—until both were.

Trump himself piled on this week, vowing to eliminate mail-in ballots and voting machines ahead of the 2026 midterms. He can’t legally do it, but the threat is the point. Combined with the SAVE Act, which could disenfranchise married women who changed their names, the message is clear.

The anniversary of women’s suffrage is not just history—it’s a warning flare. The right to vote is under attack, and the fight this time is for all the marbles.

‘It Was Never Mine’: August, Autonomy and the America We’re Losing

PUBLISHED 8/7/2025 by

Welcome, August! When my kids were young, I used to refer to it as the juiciest month of the year, loving its bloated days, all sunshine and sweat.

In 2025, I have to admit this month is yet another joy I am doing my best not to let the relentless news-and-doom cycle ruin. Curating a round-up of breaking headlines about gender and democracy is surely not for the faint of heart or spirit.

I’ll be doing all I can to channel Taylor Swift (Trump only wishes he could) and trying to salvage August so that it is “sipped away like a bottle of wine.”

Pregnant and Unmarried? In Tennessee, That’s Now Grounds for Denial of Care.

PUBLISHED 7/24/2025 by

This week marked the first reported case of a woman being denied prenatal care for being unmarried in the state of Tennessee and the country. And it is the direct result of the state’s 2025 Medical Ethics Defense Act, which went into effect in April. The law enables physicians, nurses, hospitals and insurers to invoke religious, moral or ethical objections to the provision of care and treatment, with no legal requirement to provide patients with a referral or alternative.

Menopause Finally Gets a Seat at the Table

PUBLISHED 7/18/2025 by

On Thursday, July 17, the FDA held a two-hour briefing featuring political leadership and a panel of doctors to focus on menopausal hormone treatments. Among the issues addressed was a decades-old labeling requirement for estrogen products—a.k.a. the “black box warning.”

FDA commissioner Martin Makary appears willing to consider scrapping it on packaging for localized vaginal estrogen treatment. The FDA should do so: The label is inaccurate and utterly alarming.

In the case of menopause, a rare combination of bipartisan commitment and robust public attention reflect not just heightened interest among constituents, but also proof of the democratic process actually working.

Five Ways the GOP Is Quietly Paving the Road to a National Abortion Ban

PUBLISHED 7/5/2025 by and

The vast majority of Americans support abortion and reproductive freedom, yet state lawmakers continue to introduce and pass laws stripping citizens of these rights. Providers face confusing, punitive rules that might lead them to delay or deny care. Planned Parenthood and other providers face budget cuts that threaten to restrict healthcare access for millions of Americans.

These are not isolated outcomes. Rather, they reveal a coordinated national strategy. Here are five myths we believe need to be dispelled to counter the challenges that lie ahead.

A Bill That Rips Away Food, Healthcare and Dignity From Millions—So Billionaires Can Get Richer

PUBLISHED 7/2/2025 by

Sen. Ron Johnson (R-Wis.) and others can repeat the lie that no one will lose coverage, but it does not make it so. Seventeen million people will lose healthcare (including 11 million Medicaid beneficiaries). Millions will lose food assistance. The debt will grow by over $3 trillion.

It is hard to find anyone outside the MAGA cult who thinks this will benefit America. Republicans respond by lying about the bill even when confronted with the misery their handiwork will cause.

Republicans refuse to admit that they are hurting ordinary, hard-working Americans trying to provide for themselves and their families. To do otherwise would be a confession of their inhumanity. Instead, using well-worn authoritarian techniques (e.g., demonization, dehumanization and marginalization), MAGA politicians convince themselves that those who rely on vital benefits are unfit and undeserving. Republicans dub them “rats” or “vermin” or “murderers.”

If the bill passes the House, the pain in all 50 states will no longer be abstract. MAGA Republicans’ betrayal will hurt and, yes, kill tens of thousands of Americans. And everyone will know which party is responsible. Republicans have no plausible excuse for putting the interests of billionaires over those of ordinary people.