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California law allowing anonymous abortion pill prescriptions endangers women, experts say

Members of Students for Liberty protest chemical abortions at March for Life, Jan. 24, 2025. / Credit: Tyler Arnold/CNA

CNA Staff, Oct 6, 2025 / 08:00 am (CNA).

California Gov. Gavin Newsom signed a bill last week allowing doctors to anonymously prescribe abortion pills, a move ethicists and medical professionals say will endanger women.  

The law, designed to protect abortionists, allows them to prescribe the pill anonymously, protecting them from any professional, legal, or ethical oversight and from lawsuits filed by other states. 

California abortionists are already facing lawsuits for prescribing abortion drugs in states where they are illegal. In some cases, women maintain that they were coerced or deceived into taking the drugs by the father of their unborn child.

According to the new law, the doctor remains anonymous — even to the patient being prescribed the pill. His or her identity is only accessible via a subpoena within the state of California. 

Even the pharmacists dispensing the abortion drug may do so without including their names, or the names of the patient or prescriber, on the bottle. 

Abandoning women 

Dolores Meehan, a nurse practitioner and the executive director of Bella Primary Care in San Francisco, said the law is “codifying a type of back-alley abortion.”

“There’s no safety oversight at all from the perspective of the patient,” she told CNA. “It’s such a violation of patients’ rights.”

Father Tadeusz Pacholczyk, a senior ethicist at the National Catholic Bioethics Center, called the policy “patient abandonment.” 

Health care professionals “have a duty to provide careful medical supervision and oversight to patients who seek to obtain dangerous pharmaceuticals,” he told CNA.

“This oversight calls for significant patient scrutiny, medical testing, interviews, and in-person exams to assure that any prescribed medications will be appropriate for the specific medical situation of the patient,” Pacholczyk continued. “Such attentive oversight gets thrown to the wind when lawmakers and politicians like Gov. Newsom seek to pass unprincipled laws.”

Offering anonymous prescriptions, Pacholczyk said, “is a significant dereliction of duty.”

To do so implies “a willingness to look past important procedural requirements and duties, whether it’s health screening of the woman, obtaining her emergency contact information, or assuring follow-up care and support for her,” he continued.

The policy, Pacholczyk said, “works to corrode the very core of authentic medicine.”

Meehan expressed similar concerns about the anonymity of doctors prescribing abortion pills. 

She noted that licenses exist to ensure that “individuals are clear of any malfeasance or any malpractice.” 

“You can look up my license, and you can look up everything about me,” she said. “But if you don’t know my license, you don’t know who I am, you can’t.”

She noted that patients are turned into consumers but without any recourse should something go wrong. 

“You might as well go on Craigslist,” Meehan said. 

Not an informed choice

After he signed the bill, Newsom said that “California stands for a woman’s right to choose.” 

But Meehan noted that women don’t always know what they are choosing when they take the abortion pills. 

“It’s not about women’s rights, and it’s certainly not about women’s safety, and women’s health, and women’s choice,” Meehan said. “Because choice should always, always, always be accompanied by informed consent.”

“The gross misunderstanding about the abortion pill is that it’s somehow easy,” Meehan said. “But what so many women don’t understand is that they’re going to miscarry at home.” 

They’ll go through this “loss,” she noted, “by themselves.” 

“Women are really ill-prepared for what’s going to happen in their bodies. There’s the whole idea of women’s choice, but you’re not giving them informed choice,” she said. 

Pacholczyk shared similar concerns for women undergoing chemical abortions, saying that self-administered chemical abortions are a “harsh reality.”  

The abortion “often takes place in a bathroom, with psychological trauma experienced by a mother who may see her aborted baby floating in a toilet,” he said.  

Chemical abortions can sometimes lead to “serious medical complications — including sepsis, hemorrhage, or a need for repeated attempts to expel the child’s body” — for 1 in 10 women within 45 days of taking the abortion pill, he added. 

If a woman has an ectopic pregnancy, “administering the abortion pill could increase the risk of complications or delay urgently needed treatment,” he added.  

“Rather than treating women as anonymous entities and forcing them into greater isolation … mothers deserve the supportive medical attention and active care of their health care team,” he said. 

“Ideally, such attentive care should help them feel strengthened and empowered to carry their pregnancies to term rather than defaulting to a fear-driven and desperate attempt to end their child’s life,” he said.

Lower standard of care 

Jordan Butler, spokesperson for pro-life advocacy group Students for Life of America, called the policy “reckless.” 

“Eliminating requirements for identification and pregnancy verification creates dangerous loopholes that allow sexual abusers to evade accountability,” Butler said. 

Through the policy, Newsom and the abortion industry are “exploiting vulnerable women and children for profit,” she said. 

Pacholczyk and Meehan expressed similar concerns for the lower standard of care women — especially vulnerable women — would receive under the law. 

For women and girls facing human trafficking or coercion, protections “don’t exist,” Meehan said.  

“You could have your local pedophile, a sex offender, stockpiling them,” Meehan said.  

“Politicians, the media, and many in the medical profession have decided that abortion deserves an entirely different and lower standard than the rest of medicine,” Pacholczyk said. 

“We would never sanction such a loose approach with other potent pharmaceuticals like opioids or cancer medications,” Pacholczyk said.

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Abortion pill complications are underreported, report finds  

Credit: Ivanko80/Shutterstock

CNA Staff, Sep 24, 2025 / 06:00 am (CNA).

Abortion pill complications go underreported in abortion industry studies and mainstream media, according to a recent report by the National Right to Life Committee (NRLC).

Abortion industry studies claim that serious complications are incredibly rare — occurring in less than half a percent of cases, according to the report “Missed, Misclassified, and Minimized: Why Abortion Pill Complications Are Underreported.”

But a study last year found that more than 1 in 10 women who took the abortion pill experienced serious complications such as hemorrhaging, infection, failed abortions, and surgical follow-up.

The author of the report, Randall O’Bannon, set out to investigate the discrepancy.

O’Bannon, director of education and research for the National Right to Life, found several factors contributing to the discrepancies. For one, he found that abortion providers often encourage women to conceal negative side effects and tell doctors they are symptoms of a miscarriage. O’Bannon also observed what he called a “contemptible lack of curiosity in the media” toward stories of women hurt by abortion drugs. Finally, serious complications are often categorized as “minor,” O’Bannon found.

O’Bannon said the “flawed or slanted industry studies” are “not good enough.”

“The public — and policymakers — deserve accurate, transparent reporting on the dangers of chemical abortion,” he said in a statement.

Dr. Ingrid Skop, vice president and director of medical affairs for Charlotte Lozier Institute and a board-certified OB-GYN, said she has encountered these medical complications in her own career as a medical provider.

“I have cared for dozens of women presenting to the ER with abortion drug complications, and they are told by abortion advocates there’s no need to report the use of abortion drugs,” she told CNA.

“When I see a woman in the ER with continued pain and bleeding sometimes weeks or even months after taking abortion drugs, she usually has retained pregnancy tissue and/or the dead baby, which the drugs have failed to expel,” Skop continued. “An unaware ER doctor is likely to give her more of the drugs that already failed rather than expediting the surgical aspiration she needs.”

“As a researcher and practicing OB-GYN, I can attest that the lived experience for many women reflects the data documented in this report,” Skop said.

“So where are all the women some of these later reports and studies say have been injured and abused by these drugs and their prescribers?” O’Bannon asked. “Once again, we see that they have been silenced and minimized, told their pain and blood and trauma are ‘minor complications’ that somehow just don’t rise to the level worthy of being noticed. But they suffer and bleed just the same.”

Looking at the numbers  

Michael New, assistant professor of practice at the Busch School of Business for The Catholic University of America, noted that “the FDA’s own data shows that there are a number of health risks involved with chemical abortions.”

“Since the FDA approved the chemical abortion pill in 2000, the FDA’s own data indicates that there have been 32 deaths, 4,218 adverse events, 1,049 hospitalizations, 604 cases of blood loss requiring a transfusion, 418 infections, and 75 severe infections,” New, a senior associate scholar at the Charlotte Lozier Institute, told CNA. 

The FDA figures “are underreported” due to a change in the reporting requirements implemented nearly a decade ago, according to New.

“In 2016, the FDA quit requiring that health care professionals report complications from chemical abortion drugs,” New said. “Since 2016, the reporting of complications has been voluntary.” 

In 2020, during the COVID-19 pandemic, the FDA removed the requirement for women to have an in-person medical exam before being prescribed chemical abortion drugs.

Since then, “the number of complications has almost certainly increased,” New said.

Without a medical exam, abortion providers may unwittingly provide abortion drugs to women whose pregnancies are further along than is recommended for chemical abortions, as well as women who have ectopic pregnancies (a life-threatening condition where the embryo implants outside the uterus). 

Trump administration continues to implement ‘unwise policy’

“The Biden administration FDA and thus far the Trump administration FDA have continued with this unwise policy,” New said. 

Chemical abortions are sometimes falsely advertised as “safer than Tylenol.” But a chemical abortion is far less safe than even a surgical abortion, Skop noted. 

Complications occur at least four times as frequently following drug-induced abortions compared to surgical abortions, causing at least 1 in 15 women to require emergency care when the drugs are used as the FDA recommends,” Skop said. “Even more women suffer when they are taken at advanced gestational ages.” 

“The abortion pill is being sold as safe, but independent data tell another story,” Carol Tobias, president of National Right to Life, said in a statement. “Women are being harmed, and the dangers are being ignored or hidden.” 

“Abortion industry spin makes mifepristone abortions sound easy, but the truth is each abortion takes the life of a living preborn child and places the woman in danger,” Tobias said.

How can policymakers respond?

New noted that public officials could take several steps “to protect mothers and children” from these dangers, including requiring that “medical professionals report complications that arise from chemical abortions.” 

In addition, the FDA “could require that women obtaining chemical abortions first have an in-person medical exam,” a change that New said the Trump administration could make “right away.” 

“Thus far, it is disappointing that the Trump administration has not prioritized keeping women safe from unregulated chemical abortion drugs,” New said. 

Skop added that “policymakers need better abortion data.” 

“Extensive deficiencies affect abortion data collection in the U.S., including a lack of anonymized national reporting requirements,” Skop said. 

“Women also need to know the true risk of abortion and potential complications, which are both physical and mental,” she continued. 

Skop noted that “the majority of women with a history of abortion would have preferred to give birth if they had the necessary support.” 

“Women also should know there are 2,750 pregnancy resource centers that want to walk alongside women facing an unintended pregnancy to provide any support they need,” Skop said. 

Nonprofit organizations across the country exist to provide pregnant women and mothers with support — from baby clothes to ultrasounds to parenting classes. 

“The abortion industry’s goal is to promote all-trimester abortion on demand,” Skop noted. “And lawmakers, the public, and most importantly, women considering abortion, must understand abortion advocates will mislead them to achieve that goal.”

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Mothers urge lawmakers to ban assault weapons after Minneapolis Catholic school shooting

Police gather at Annunciation Catholic School in Minneapolis on Aug. 27, 2025, following a mass shooting that killed two children and injured 17 others, 14 of them children. / Credit: Chad Davis, CC BY 4.0, via Wikimedia Commons

CNA Staff, Sep 22, 2025 / 17:17 pm (CNA).

At a town hall meeting in Plymouth, Minnesota, over the weekend, three mothers whose children survived the school shooting at Annunciation Catholic Church in August advocated for stricter gun laws. 

Two children were killed and 21 people were injured after Robin Westman, 23, a man who identified as a woman, shot through the stained-glass windows of the church during a school Mass on Aug. 27. 

Fletcher Merkel, 8, and Harper Moyski, 10, were killed in the attack. 

Carla Maldonado, who has two children at Annunciation Catholic School, said “taking action” by tightening gun laws would honor the deaths of the two children and “all lives taken by gun violence.”

“We cannot accept a world where civilians have access to weapons designed for battlefields,” she said, referring to assault weapons and calling for their prohibition.

Another mother, Malia Kimbrell, who also supports an assault weapons ban, asked: “If the next mass shooting happens at your child’s school, what type of weapon are you comfortable with the shooter being armed with?”

Kimbrell, whose daughter Vivian, 9, is recovering after she was shot multiple times, advocated for “more mental health resources and safer gun storage and better background checks and detecting potential threats online and improved security measures.” 

Stephanie Moscetti said her son “was an honorary pallbearer at his friend’s [Merkel’s] funeral; how is this our reality?” 

“Our kids deserve safe schools, they deserve safe childhoods where they can play and learn,” she said.

Rep. Kelly Morrison, a Democrat who represents Minnesota’s 3rd Congressional District, organized the town hall meeting, which focused on the prevention of gun violence. 

Several of the mothers at the town hall also testified last week before a working group of state lawmakers who deliberated over proposed reforms dealing with gun violence.

At the hearing, Rob Doar, senior vice president of the Minnesota Gun Owners Caucus, asked lawmakers to strengthen the law surrounding mental health resources access, pointing out that none of the proposals put forward would have prevented the shooting because Westman legally purchased the weapons. 

Westman used three firearms during the August attack: a rifle, a shotgun, and a pistol, all of which were purchased legally under existing state law. The rifle was likely an AR-15-style semiautomatic rifle, which is considered an assault weapon. 

Laws limiting those with mental health disorders from gun possession

Though Westman struggled with his gender identity, the American Psychiatric Association (APA) removed “gender identity disorder” from the Diagnostic and Statistical Manual of Mental Disorders (DSM) and replaced it with “gender dysphoria” in the revised version, known as the DSM-5, published in 2013. 

This change marked a significant shift in how struggles with a person’s sexual identity are classified, with health care professionals no longer calling it a mental illness.

The new classification of gender dysphoria, though it is still in the APA’s manual of mental disorders, addresses the symptoms, or the distress, associated with gender incongruence and not the incongruence itself. 

Minnesota, along with 29 other states, bars people with mental health issues who have been involuntarily committed or found to be a danger to self or others from possessing a gun. 

This law did not come into play in the August shooting, however.

Gov. Tim Walz in early September called for a special session, which has yet to take place, that will focus on gun safety. He proposed banning assault weapons and high-capacity magazine clips as well as more safety regulations concerning storage and a stronger red flag law.

Minnesota’s current red flag law allows family or local and state officials to ask for an extreme risk protection order, or ERPO, which allows them to petition the court to have an at-risk person’s guns removed or to temporarily prohibit that person from buying a gun.

“We passed a red flag law. It was passed in 2023 and it was supposed to deal with a situation like this,” Minnesota House Republican leader Harry Niska said in early September after Walz proposed the special session. “So I hope everyone is asking serious questions about why — why did this incident not trigger either a background check flag or a red flag?”

Walz will need the support of Republican lawmakers in the special session, and they have different proposals. They want to make private school security eligible for state funding, something the Minnesota Catholic Conference, the public policy arm of Minnesota’s six Catholic dioceses, has asked for multiple times.

Republicans also want to allow doctors more discretion concerning transgender medical procedures, more funds for mental health facilities, and harsher penalties for certain gun crimes. 

Ten states ban assault weapons, but the proposal in Minnesota failed to come up for a vote in 2023. Just over half of rural residents opposed an assault weapons ban in a 2022 MinnPost poll, while 69% of urban dwellers supported it. Overall, the poll found that nearly 54% supported it.

Minnesota already has one of the nation’s stronger gun regulation frameworks, according to Everytown Research, which ranks the state 14th in the country for gun safety policies.

The state requires universal background checks for all firearm sales, including private transfers, and domestic violence protections prohibit access for those under restraining orders or with misdemeanor convictions, among many other regulations.

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