Catholic Church


Parliamentary Assembly

Assemblée parlementaire

   

Doc.13110

24 January 2013

 

Failure to provide assistance to rape victim in Cologne, Germany, 15 December 2012

 

Written question No. 624 to the Committee of Ministers

by Ms Carina HÄGG, Sweden, Socialist Group

 

On 15 December 2012 in Cologne, Germany, two Catholic clinics rejected assisting a suspected rape victim in providing a gynaecological check-up for reasons claimed to be related to the ethics rules and procedures governing the hospitals which fall under the authority of the Catholic hierarchy in Germany. The 25 year old young woman woke up on a bench in a public park after having been drugged at a party she attended in Cologne with no memory of what happened in the intervening hours. With her mother, she went to a general practitioner who suspected that the young woman could have been the victim of rape/sexual assault. The general practitioner prescribed emergency contraception which is standard practice under German law in cases of rape/sexual assault, thus providing the young woman the ability to exercise her right to decide according to her own convictions whether to carry through or interrupt a possible pregnancy resulting from the sexual assault. After informing the police and in order to investigate possible criminal acts the general practitioner contacted two nearby hospitals for further medical testing, ie. conducting a ‘rape-kit’ – these were St.Vinzenz-Krankenhaus in Cologne-Nord and Heilig-Geist-Krankenhaus in Longerich (both happen to belong to the Foundation of Cellitinnen of Holy Maria).

 

However, both hospitals rejected the check-up of the suspected rape victim. Their Ethics Commissions had held consultations with Catholic Church authorities, after which the decision was taken to rule out such gynaecological check-ups in such cases since they are connected with a possible unwanted pregnancy as well as providing the victim with emergency contraception. The refusal to provide medical treatment based on Catholic ethics was maintained by the two hospitals even after the general practitioner clarified that he had already provided the suspected rape victim with the emergency contraception (which the Catholic hospitals would therefore not have had to provide).

 

In Germany, failure to provide assistance to a person in danger (unterlassene Hilfeleistung) is an offense according to paragraph 323c of the Penal Code (Strafgesetzbuch).

 

Ms Hägg,

 

To ask the Committee of Ministers:

 

– whether such actions by the Catholic hospitals in Cologne are in line with both the letter and the spirit of the laws in relation to the protection of victims of sexual assault/rape, specifically paragraph 323c of the German Code penal?

 

– whether it is known how many hospitals / health centres may be able to legally circumvent national laws in relation to the protection and assistance to victims of sexual assault based on  so-called ‘ethical’ grounds in Council of Europe member States?

 

– whether the public at large as well as victims’ associations and women’s groups should be informed in advance of all such hospitals / health centres in Council of Europe member States which may legally be allowed to circumvent national laws in relation to the protection and assistance to victims of sexual assault based on so-called ‘ethical’ grounds so that they may be able to better guide victims of sexual assault/rape?

By Miriam Defensor Santiago, Special for CNN
December 31, 2012
Supporters of the RH Bill celebrate, as lawmakers pass the landmark birth control legislation on December 17.
Supporters of the RH Bill celebrate, as lawmakers pass the landmark birth control legislation on December 17.

Editor’s note: Miriam Defensor Santiago is in her third term as a member of the Philippines Senate and a co-sponsor of the Reproductive Health Bill. She is also the founder of People’s Reform Party. Last year she was selected to be a judge in the International Criminal Court, though she has still to take office.

Manila, Philippines (CNN) — We were like David against Goliath. We fought long and hard, and in the end we prevailed.

After 14 long years in the dustbins of Congress, mainly due to strong opposition from the Catholic Church, the Reproductive Health (RH) Bill was approved by both the Senate and the House of Representatives on Monday, 17 December 2012.

Indeed, there is no force more powerful than an idea whose time has come. And the time for a Philippine reproductive health law is now.

Read: Philippines leader signs divisive bill

The Philippines remains one of the poorest countries in the world because, among other things, for a long time, it refused to acknowledge what could easily be seen when one glances out the window: the country desperately needs a reproductive health law.

Not having a reproductive health law is cruelty to the poor. The poor are miserable because, among other reasons, they have so many children. Providing reproductive knowledge and information through government intervention is the humane thing to do. It can help the poor escape the vicious cycle of poverty by giving them options on how to manage their sexual lives, plan their families and control their procreative activities. The phrase “reproductive rights” includes the idea of being able to make reproductive decisions free from discrimination, coercion or violence.

Read: A14-year fight for birth control

Many poor women do not receive information on how to receive reproductive health care. Our underprivileged women have to accept standards lower than what they need, want, or deserve. According to the Department of Health, the mortality rate for Filipino mothers increased to 221 per 100,000 live births in 2011 from 162 per 100,000 live births in 2009. But not only do the women suffer, the children do, too. The children remain undernourished and undereducated because their parents are ignorant about reproductive health care and choices.

In short, the bill merely wants to empower a Filipino woman from the poorest economic class to march to the nearest facility operated by the Department of Health or the local government unit, to demand information on a family planning product or supply of her choice. The bill, at the simplest level, wants to give an indigent married woman the freedom of informed choice concerning her reproductive rights.

If the bill is highly controversial, it is not because it is dangerous to humans or to the planet. It is not subversive of the political order. It is not a fascist diktat of a totalitarian power structure. The reason this bill is emotionally charged is because of the fervent opposition of the Catholic Church in the Philippines and those who wish to be perceived as its champions.

Yet the majority of Catholic countries around the world have passed reproductive health laws, even Italy where the Vatican City is located. Other nations include Spain, Portugal, Paraguay, Mexico, Guatemala, Ecuador, Colombia and Argentina.

Apart from the Catholic Church, all other major religions in the Philippines support the RH Bill. Other major Christian churches have not only officially endorsed the bill but have published learned treatises explaining their position. Support also comes from the Interfaith Partnership for the Promotion of Responsible Parenthood, the National Council of Churches in the Philippines, the Iglesia ni Cristo and the Philippine Council of Evangelical Churches.

The position of these Christian bodies is supported by the most authoritative body of Islamic clerics in the Philippines, the Assembly of Darul-Iftah of the Autonomous Region of Muslim Mindanao. These constitute the top-ranking ulama, deemed to have the authority to issue opinions on matters facing Islam and Muslims. In 2003, they issued a fatwah or religious ruling called “Call to Greatness.” It gives Muslim couples a free choice on whether to practice family planning.

The Filipino people, regardless of religion, are in favor of RH. In June 2011, the Social Weather Stations, a survey group, reported that 73% of Filipinos want information from the government on all legal methods of family planning, while 82% say family planning method is a personal choice of couples and no one should interfere with it. An October 2012 survey among young people aged 15 to 19 years old in Manila shows that 83% agree that there should be a law in the Philippines on reproductive health and family planning.

This is the will of the Filipino people; it is the democratic expression of what the public wants from government. The anti-RH groups are mute on this ineluctable fact.

Reproductive health care is a human right. The people are entitled to demand it from their government and the government is obligated to provide it to its constituents.

The Secret History of Sex, Choice and Catholics

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“The Secret History of Sex, Choice and Catholics,” a new documentary-style filmproduced by Catholics for Choice, sets the record straight about Catholic social teaching on issues related to sex and sexuality. Catholic bishops the world over have politicized the pulpit, seeking to drown out the voices of Catholics who disagree with them. This film offers a straightforward explanation of what Catholic social teaching really is on the controversial issues that drive the news cycle-and it’s not simply the dictates of the bishops.

“Contrary to popular opinion, there is more to Catholics’ beliefs than what the hierarchy espouses,” said Jon O’Brien, president of Catholics for Choice. “We put together this film with some of the top theologians in the world to get at the heart of Catholic teaching: that people become Catholics through their baptism and are given both a free will and a conscience to make important decisions. We hope that anyone seeking to discuss ‘what Catholics think,’ how they vote or, most importantly, what Catholics believe, will consider this film.”

Please watch the movie, share it with your family and friends, and let us know what you think via e-mail or on our Facebook page.

Watch the Film

http://www.catholicsforchoice.org/SecretHistory.asp

http://www.guardian.co.uk/commentisfree/2012/nov/14/savita-halappanavar-medically-unnecessary-death

In the worst way possible, a woman refused a life-saving abortion in Ireland has proved ‘pro-life’ advocates wrong

Jill Filipovic for Feministe, part of the Guardian Comment Network

guardian.co.uk, Wednesday 14 November 2012 10.19 GMT

“This is a Catholic country,” was what Irish doctors told Savita Halappanavar after she learned she was miscarrying her pregnancy and asked for an abortion to avoid further complications. She spent three days in agonising pain, eventually shaking, vomiting and passing out. She again asked for an abortion and was refused, because the foetus still had a heartbeat.

Then she died.

She died of septicaemia and E Coli. She died after three and a half days of excruciating pain. She died after repeatedly begging for an end to the pregnancy that was poisoning her. Her death would have been avoided if she had been given an abortion when she asked for it – when it was clear she was miscarrying, and that non-intervention would put her at risk. But the foetus, which had no chance of survival, still had a heartbeat. Its right to life quite literally trumped hers.

US politicians and “pro-life” advocates like Joe Walsh will tell you that there are no circumstances under which women need abortions to avoid death or injury. The Republican platform doesn’t include an exception for medically necessary abortion. And the Republican party is trying to put laws similar to those in Ireland on the books in the United States – laws that would allow emergency room doctors to refuse to perform abortions, even in cases where the pregnant woman’s life or health depends on terminating the pregnancy. The GOP isn’t exactly the most science-friendly or fact-reliant crowd in the world, but to them, women like Savita either don’t exist or just don’t matter. As Jodie at RH Reality Check writes:

“These are the lives of your sister, your mother, your daughter, your aunt, your friends, and your colleagues. These are the lives at stake. These are the very people that the fanatical anti-choice and religious right see as ‘not people’.

They are all Savita Halappanavar.

We are all Savita Halappanavar.

But we do not have to die at the hands of misogynists.

In honour of Savita Halappanavar; in honour of the nearly 22 million women worldwide each year who endure unsafe abortion; in honour of the 47,000 women per year worldwide who die from complications of unsafe abortion and the estimated 10 times that number who suffer long-term health consequences; in honour of the millions of women who do not have access to contraception, who have no control over whether and with whom they have sex or whether or with whom they have children, we can fight back. In honour of the young girls married young and the women forced to bear children long past the point they are able to care for more … for all these women, we must continue to act, to liberalise abortion laws, ensure every woman has access, remove the stigma, and trust women, like Savita, who know when it is time to end even the most wanted pregnancy.”

Just two months ago, a consortium of Irish doctors got together to declare abortion medically unnecessary. They claimed that abortion is never needed to save a pregnant woman’s life, and stated: “We confirm that the prohibition of abortion does not affect, in any way, the availability of optimal care to pregnant women.”

I’m pretty sure Savita Halappanavar would disagree. I’m pretty sure she didn’t get optimal care.

SOLIDARITY REQUEST:

 

Protest the death of Savita Halappanavar in Ireland

 

PLEASE SIGN AND SEND THE E-MAIL BELOW TO THE FOLLOWING:

 

To: Taoiseach Enda Kenny (Irish Prime Minister)

cc: Tánaiste Eamon Gilmore (Irish Deputy Prime Minister and Minister of Foreign Affairs)

 

E-mails:

taoiseach@taoiseach.gov.ie

enda.kenny@oireachtas.ie

eamon.gilmore@oir.ie

 

Copy also to the Irish Embassy in your country. Find contact details here: http://www.dfa.ie/home/index.aspx?id=285

   

 

Re: Death of Savita Halappanavar in Galway

 

Honourable Taoiseach,

 

We are writing to you to express our concern about the recent death of Savita Halappanavar, who was repeatedly denied an abortion in Galway. This tragic case demonstrates once again that the prohibition of abortion in Ireland is not just undermining the autonomy of the women across the country, it is leading to unacceptable suffering and even death.

 

Savita Halappanavar made repeated requests for an abortion after presenting at University Hospital Galway on 21 October while miscarrying during the 17th week of her pregnancy. Her requests were refused, and she died one week later after several days in agonising pain and distress.

 

The situation of Savita Halappanavar provides the clearest possible evidence that laws that permit abortion only to save the life of a woman, such as the Irish law, are clinically unworkable and ethically unacceptable. There are numerous clinical situations in which a serious risk posed to a pregnant woman’s health may become a risk to her life, and delaying emergency action only increases that risk. There is only one way to know if a woman’s life is at risk: wait until she has died. Medical practitioners must be empowered by law to intervene on the grounds of risk to life and health, rather than wait for a situation to deteriorate.

 

You will be aware that the European Court of Human Rights, as well as a number of United Nations human rights bodies, have called upon the Irish government to bring its abortion law in line with international human rights standards. Had these calls been heeded before now, the death of Savita Halappanavar would have been prevented.

 

With the death of Savita Halappanavar, Ireland joins the ranks of countries worldwide where abortion is denied to women and leads to their deaths.

 

We call on your government to take urgent and decisive steps to reform the legislation that led to the death of Savita Halappanavar. Until the Irish legal system is reformed the lives, health and autonomy of women across Ireland are in jeopardy.

 

Yours faithfully,

By Rafael Romo,  Wed July 25
  • A 16-year-old girl with leukemia hasn’t received treatment because she’s pregnant
  • Article 37 of the Dominican Republic’s constitution forbids abortion
  • Chemotherapy for the girl’s illness will likely terminate her pregnancy
  • Incident has sparked a renewed debate on abortion laws in the country

Santo Domingo, Dominican Republic (CNN) — In the Dominican Republic, a ban on abortion is preventing a teenage girl from receiving treatment for a life-threatening disease.

At the Semma Hospital in the captial city of Santo Domingo, a 16-year-old girl is dying of acute leukemia. Doctors say the girl, whose name is being withheld to protect her privacy, needs an aggressive chemotherapy treatment. But there’s one problem: the teenager is nine weeks pregnant and treatment would very likely terminate the pregnancy, a violation of Dominican anti-abortion laws.

Rosa Hernandez, the girl’s mother, is trying to convince doctors and the Dominican government to make an exception so that her daughter’s life can be saved. “My daughter’s life is first. I know that [abortion] is a sin and that it goes against the law … but my daughter’s health is first,” Hernandez said.

According to Article 37 of the Dominican constitution, “the right to life is inviolable from the moment of conception and until death.” Dominican courts have interpreted this as a strict mandate against abortion. Article 37, passed in 2009, also abolished the death penalty.

Turkish women rally against plans to restrict access to abortion

Miguel Montalvo, the director of the bioethics council that rules on the application of the law, says the council is leaning toward allowing the treatment. “At the end of the day the patient may decide for himself or herself. In this case, the family may decide what’s more convenient for the patient,” Montalvo said.

Women’s and human rights groups are outraged, saying the girl should have received chemotherapy immediately.

Lilliam Fondeur, a women’s rights activist, complains that conservative politics is preventing necessary treatment to save the teenager’s life.

“How can it be possible that so much time is being wasted? That the treatment hasn’t begun yet because they’re still meeting, trying to decide if she has the right to receive the treatment to save her life — that’s unacceptable,” Fondeur said.

Some Dominican opposition lawmakers say there should be a new debate over the abortion ban in the Caribbean country and the problems created by the constitutional ban go beyond this case. Opinion leaders like former representative Victor Terrero say clandestine abortions are also putting the lives of many women at risk.

“The constitution is going to have to be modified sooner rather than later,” Terrero said. “We cannot allow under any circumstances that pregnancies that present complications for women be permitted to continue as normal.”

Bautista Rojas Gomez, the Dominican minister of health, has publicly indicated he favors chemotherapy over protecting the pregnancy, but doctors are still reluctant to act for fear of prosecution.

Pelegrin Castillo, one of the architects of Article 37, says the constitutional ban does not prevent doctors from administering the treatment. It does, however, prevent them from practicing an abortion in order to treat the patient with chemotherapy.

“It’s an artificial debate,” Castillo said. “What we have clearly said is that in this case doctors are authorized by the constitution to treat the patient. They don’t have to worry about anything. They have the mandate of protecting both lives.”

And while the debate rages on around the country, back at the hospital the clock keeps ticking for the 16-year-old pregnant girl.

  • Gillian Kane

    Gillian Kane is senior policy advisor for Ipas, an international women’s reproductive health and rights organization.

     

  • Last month the World Congress of Families (WCF), an international conservative network, met at the Palacio de Congresos in Madrid to share tactics in defense of the “natural family.” For its participants the natural family is a standard for social values that harkens back to a mythical era when men headed the household, women tended the kitchen and children, and sex was for procreation only.

    Because these ideals don’t line up with the way many people live and think about their lives, it’s tempting to dismiss the WCF as a gathering of out-of-touch extremists. Scratch the surface, though, and what you find are well-connected and well-funded groups hard at work codifying their “traditional values” through national and regional legislatures and judiciaries.

    The conference theme, “Marriage and Family, the Future of Society,” echoed many of the concerns of conservative religious organizations here in the U.S. (the WCF, unsurprisingly, is headquartered in Rockford, Illinois). While drolly retrograde panels like “Authentic Women and Rediscovering Homemaking” and “Solutions to Homosexual Behavior” featured prominently, embedded in these and most other panels were serious themes articulating a conservative worldview and strategies for protecting and promoting them in the public sphere.

    Personal improvement sessions like “Keeping Families Together,” “The Case for Marriage, Purity and Abstinence: How to Develop Character,” and Promoting Fatherhood (Crisis in Manhood),” were outnumbered by those analyzing opposition tactics like, “Threats to Life and Family in International Law,” “The Homosexual Lobby,” “The Natural Family and the Revolution against the Family,” and counter-strategic sessions like “How to Fight Back against International Law,” or “How to Impact Public Policies and Elections.”

    2012 marked the first time the WCF devoted an entire day to organizing with parliamentarians and civil society. The invitation-only International Parliamentary Forum met to develop concrete political and legislative solutions in defense of the natural family. By far the biggest block of participating parliamentarians was from Spain’s newly installed conservative party, the Partido Popular (PP).

    With a political platform staunchly opposed to reproductive and sexual rights, the Partido Popular is a natural ally for the WCF. Among their first announcements upon entering office was the promise to restrict Spain’s progressive abortion laws; specifically denying youth access without parental consent (youth rights versus parental rights was a central theme of many conference presentations). The PP’s promise to replace a required public school class—which includes instruction on respect for human rights and sexual diversity, among other topics—with one that would exclude “contents that could be used for ideological indoctrination,” drew high praise from participants.

    What emerged after three days was a clear tension between agitating against governments, courts, and international human rights bodies that had “corrupted the meaning and dignity of marriage, devalued parenting, encouraged easy divorce and births outside of marriage, confused sexual identities, promoted promiscuity, created conditions that increased child abuse, isolated the elderly, and fostered depopulation,” and figuring out how to best manipulate those same systems into defending their particular religious values.

    One concern undergirding the varied topics covered by the speakers was that the protection of individual rights (youth rights, gay rights, reproductive rights) was taking place at the expense of “fundamental” religious, cultural, and parental rights. The idea of Christian persecution, or Christianophobia, was echoed throughout and the human rights framework was frequently misappropriated to serve the needs of a given speaker. Human rights were oppressive when they protected reproductive and gender rights (or “new” rights), whereas, when it came to protecting “traditional” rights to freedom of religion and speech, they were suddenly fundamental. New rights, they argued, cannot supersede traditional human rights. When they do, these rights violations must be redressed.

    This very argument is being used in the debate over the Obama health care reform law, one of the main objections to which is access to reproductive health care. Lawsuits challenging the constitutionality of the mandate, however, do not directly confront abortion and contraception, but are based on the purported violation of the First Amendment. Stand Up For Religious Freedom, one of the lead networks agitating against health care reform, explicitly states that: “the American ideal of religious liberty is at stake. This isn’t really about contraception—it’s about the First Amendment.”

    The Arizona-based Alliance Defense Fund (ADF), one of four World Congress of Families co-conveners, has been extremely active in “defending religious organizations and businesses that refuse to comply with the mandate and abandon their faith.” To date they have filed three lawsuits against the Obama administration, each claiming that the health mandate is unconstitutional based on its violation of the First and Fifth Amendments.

    The ADF is also actively litigating religious freedom cases overseas. Because U.S. justices are increasingly citing progressive international jurisprudence in their opinions and decisions, much of the ADF’s international litigation is aimed at ensuring that foreign rulings serve its domestic objectives. This, despite ADF Chief Council’s Benjamin Bull’s comment that “The Constitution is the only arbiter of American law. Allowing foreign or international law to determine the legitimacy of American law is completely unjustifiable and rife with dire consequences.” Presumably it is fine for activist American justices to cite international jurisprudence if it advances their religious agenda.

    Roger Kiska, an Ave Maria-trained lawyer, runs ADF’s European office. Located in Vienna, it’s a Eurail ride from both the European Court of Justice in Luxembourg and the European Court of Human rights in Strasbourg, where Kiska spends a great deal of time. Kiska is developing an allied attorney network dedicated to litigating European cases with the potential to impact ADF work in the United States. Kiska’s WCF presentation, “How to Fight Back against International Law,” included a four-point strategy that, while not revealing too many trade secrets, was notable for its venomous tone toward “humanists” and others who, he says, accuse Christians of demanding preferential treatment.

    The European premiere of the Hollywood film For Greater Glory perfectly complemented the persecution complex detectable in many presentations. Titled Cristiada in Spain, the film chronicles the Mexican Cristero War as experienced by Catholic militia who opposed attempts by the post-Mexican Revolution government to impose anticlerical laws. A New York Times review described the movie’s characters as “clear-cut saints and sinners.” Like the Cristeros fighting against the Mexican lay state, WCF members see their battle as one of religious freedom against an oppressive state bent on forcing them to reject their values and accept a secular, relativist one.

    While WCF participants make the case that they’re being denied their fundamental rights, they are in fact using “religious freedom” as a cover to deny women, children, sexual minorities, and others access to basic needs and protections. The WCF may want to take us back to the Dark Ages, but they’re not afraid to use modern human rights systems to get there.

    On the final day of the conference Paul Herzog Von Oldenburg, the Belgian president of the right-wing Catholic group Tradition, Family and Property, summarized it best: “our great aim, our great ideal, is to build a Christian civilization from the ruins of the modern world just as the medieval world arose from the ruins of the Roman world.”

www.rhrealitycheck.org/article/2012/03/21/tragedy-in-el-salvador-church-supported-laws-lead-to-death-mother-two-jailed-afte

by Jodi Jacobson, Editor in Chief, RH Reality Check

March 21, 2012 – 12:31pm

El Salvador today is not a good place to be a woman. In 1998, the government passed a new Penal Code creating a complete ban on abortion. No exceptions. This was a shift from an earlier law which allowed abortions in cases of threats to the health or life of the woman, as well as for rape, incest, or severe fetal abnormality. Passage of the ban made El Salvador one of only five countries in Latin America–including Nicaragua, Honduras, Dominican Republic, and Chile–that maintain an absolute ban abortion.

And now women’s groups are fighting it. Today, the Center for Reproductive Rights joined with local Salvadoran organization Colectiva de Mujeres para el Desarrollo Local to file a petition with the Inter-American Commission on Human Rights protesting the current law and based on the case of a woman who died in prison after being jailed for a miscarriage.

Reading the words of the ban underscores just how draconian it is. Chapter II of El Salvador’s reformed Penal Code, dealing with “Crimes Against the Life of Human Beings in the First Stages of Development,” penalizes women who induce their own abortions; give their consent to someone else to induce an abortion; doctors, pharmacists or other health care workers who practice abortions; persons who encourage a woman to have an abortion or provide the financial means to obtain an abortion; and persons who unintentionally cause an abortion. According to an October 2010 shadow report to the United Nations Human Rights Committee, Report on Violations of Women’s Human Rights Due to the Complete Criminalization of Abortion:

El Salvador’s restrictive abortion laws were further solidified in 1999 with a constitutional amendment defining a human being “from the moment of conception.

For good measure, and to make sure these laws were strictly enforced against apparently dangerous women trying desperately to control their lives, the country established a policing apparatus to prosecute, investigate and denounce any suspicious activities in public hospitals and other places in the country.

El Salvador’s ultra-conservative Catholic Church hierarchy played a leading role in passing the new law banning abortion under any circumstance.human rights analysis conducted in the years after the new penal code was put in place underscores how the shift in the Church’s leadership and philosophy, from the seventies when it focused on social justice and organizing peasants to the nineties, when things changed dramatically, contributed heavily to passage of the ban. According to the analysis, the Roman Catholic Church and right-wing Catholic groups in countries like El Salvador… “exert direct influence on regulatory changes that limit the exercise of women’s rights, counter to international agreements.”

The Catholic Church’s role as a protector of social justice and human rights, and its impact on social issues changed… with the appointment of the new Archbishop of San Salvador. He is a member of the right-wing Opus Dei and has the support of the ruling class as well as close ties with right-wing nongovernmental organizations. This change has influenced the stance of both the Church and the government with regard to social issues that affect women in particular.

In 1997, the Church and right-wing Catholic groups joined with others in a full-on campaign against abortion, mobilizing students from Catholic schools, campaigning through the media and using other means of pushing for the passage of the new penal code and the complete ban until it was passed.

Since its passage, according to CRR, “the ban has resulted in tragic and often fatal consequences” for the women living in the country, resulting in “the arbitrary imprisonment of women suffering from miscarriages and complications in their pregnancies.”

Such was the case of “Manuela” (a pseudonym). According to CRR, Manuela was a 33-year-old Salvadoran mother of two who was  convicted of murder and sentenced to 30 years in prison after suffering an apparent miscarriage and severe complications giving birth. No trial, no appeal. Thirty years.

From the moment Manuela arrived at the hospital seeking emergency health  care, slipping in and out of consciousness and hemorrhaging, doctors treated her as if she had attempted an abortion and immediately called the police. She was shackled to her hospital bed and accused of murder.

Manuela  was sentenced to 30 years in prison without ever having a chance to  meet with her lawyer, without an opportunity to speak in her own defense, and without the right to appeal the decision. Shockingly, the  judge overseeing her case said that “her maternal instinct should have  prevailed” and “she should have protected her child.”

After several months in prison, it was discovered that the visible tumors Manuela had on her neck for which she sought medical care several times without being accurately diagnosed, was advanced Hodgkin’s lymphoma — a  disease that likely lead to the severe obstetric emergency she suffered.

“Tragically,” continues CRR, “Manuela did not receive the appropriate treatment for her disease and died in prison in 2010, leaving behind her two young children.”

Her illness could have been caught earlier if she had received adequate  medical attention when she consulted about her tumors in years prior, and if medical officials treating her during her emergency paid any  attention to her condition, rather than focusing on reporting her to  authorities.

This case exhibits all the most draconian aspects of already-draconian anti-choice laws, many of which are in now in force in various parts of the United States. Profound and fundamental mistrust of women. Abusive laws that remove from women any choice in whether, when, with whom, and under what life or health circumstances to have a child or another child. Policing of maternity wards. The criminalization and arrest of women who have had miscarriages. Disregard for the right to life of living, breathing women.

“El  Salvador’s laws have turned emergency rooms into crime scenes,” said Nancy Northup, president and CEO of CRR, “forcing pregnant women to live under a dark cloud of suspicion. The  international community must come together to demand an end to this  cruel treatment of women and make a commitment to safeguard fundamental  reproductive rights.”  Like Manuela, many women in El Salvador who miscarry or experience emergency obstetric complications are charged with aggravated murder, for which they can be  imprisoned for up to 50 years, and subsequently spend decades behind bars.

Is this just? Is this what is meant by “right to life?”

The legal campaign by CRR and Colectiva de Mujeres marks the first time an international judicial body will hear the case of a woman imprisoned for seeking medical care due to  obstetric emergencies, as a result of a total abortion ban. The case  argues that El Salvador’s absolute ban on abortion violates a number of  human rights, including the right to life, right to personal integrity  and liberty, right to humane treatment, and the right to a fair trial and judicial protection.

“Salvadoran  women have been unjustly persecuted by their government for far too  long,” said Mónica Arango, CRR’s regional director for Latin America and  the Caribbean. “We are bringing Manuela’s case before an international  human rights body so women won’t suffer the same tragic fate, and El  Salvador can finally be held accountable.”

“Liberalizing  restrictive abortion laws, like El Salvador’s, is essential to saving the lives and protecting the health of millions of women across the  globe every year,” said Northup. “Study after study has shown there are no positive outcomes to banning abortion outright.”

recent study by the World Health Organization and the Guttmacher Institute  underscores what has been shown before: Restrictive abortion laws are not associated  with lower rates of abortion. According to the study, the 2008 abortion rate in Latin America—a region where abortion is highly restricted in almost all countries—was 32 per 1,000 women of childbearing age, while in Western Europe, where abortion is generally permitted on broad  grounds, the rate is just 12 per 1,000.

Apart from the very real, though largely invisible tragedies of women like Manuela imprisoned for miscarriage or those who may have been arrested for thwarting a law that assigns absolutely no value to their lives, there is another critical issue here as well.

The proliferation of abortion bans and other such laws at the state level in the United States, the efforts to eliminate access to contraception for a large share of women in this country, the heavy involvement of the United States Conference of Catholic Bishops in laws and policies governing women’s rights, the increasing degree of degrading speech about women used by politicians together underscores just how much closer we are  every day to a theocratic/right wing state like El Salvador. How far will we let things slide before the lives and health of ourselves and our daughters mean nothing?  And how long will we stand by while the “religious right” abuses women, whether they live here or in El Salvador?

Follow Jodi Jacobson on Twitter, @jljacobson

Catholic Hospitals Expand, Religious Strings Attached

By 
Published: February 20, 2012

As Roman Catholic leaders and government officials clash over the proper role of religion and reproductive health, shifts in health care economics are magnifying the tension. Financially stronger Catholic-sponsored medical centers are increasingly joining with smaller secular hospitals, in some cases limiting access to treatments like contraceptionabortion and sterilization.

Catholic hospitals have a broad mission for medical care, says Sister Carol Keehan, president of the Catholic Health Association.

In Seattle, Swedish Health Services has offered elective abortions for decades. But the hospital agreed to stop when it joined forces this month with Providence Health & Services, one of the nation’s largest Catholic systems.

In late December, Gov. Steve Beshear of Kentucky turned down a bid by Catholic Health Initiatives, another large system, to merge with a public hospital in Louisville, in part because of concern that some women would have less access to contraceptive services.

And in Rockford, Ill., there is resistance to a plan by OSF HealthCare, run by the Sisters of the Third Order of St. Francis, to buy a hospital because of new restrictions that would require women to go elsewhere if they wanted atubal ligation after a Caesarean section.

About 20 such deals have been announced over the last three years, by one estimate, and experts expect more as stand-alone hospitals and smaller systems with no Catholic ties look to combine with larger and financially stronger institutions, in part because changes under the federal health care law are forcing all hospitals to become much more efficient.

There is already considerable tension between Catholic-run medical institutions and the Obama administration over insurance coverage for contraception for employees. The cultural divide over reproductive health is playing out on the campaign trail as candidates debate hot-button issues like abortion and contraception.

But while the growth of Catholic-run hospital networks is a testament to their long history and operational skill, local and state officials, doctors and advocates in many communities are concerned that some procedures that run counter to Catholic doctrine may no longer be available or will be much more limited. Some doctors fear they may not be able to do what’s best for patients, forced to wait to treat a woman who is miscarrying, for example, or to send arape victim elsewhere for an emergency contraceptive.

The restrictions at any given hospital may not be clear. “Women simply don’t know what they’re getting,” said Jill C. Morrison, senior counsel in health and reproductive rights at the National Women’s Law Center.

The confusion is likely to increase.

“We are starting to see what was rare in the past,” said Lisa Goldstein, who follows nonprofit hospitals for Moody’s Investors Service and predicts more such partnerships. The institutions themselves are grappling with how to remain true to Catholic doctrine and serve a broader community. About one-sixth of all patients were admitted to a Catholic hospital in 2010. In many smaller communities, the only hospital within miles is Catholic.

“That is a constant challenge,” said Sister Carol Keehan, president of the Catholic Health Association of the United States, which represents the nation’s roughly 600 Catholic hospitals. “It’s a challenge we take very seriously.”

Being a Catholic hospital means adhering to the church’s religious directives about care, Sister Carol said, but she says hospitals also see their mission much more broadly, including caring for those who are less fortunate and treating patients with respect.

At the Seton Healthcare Family in Texas, a unit of Ascension Health — the nation’s largest Catholic system and largest nonprofit system — officials say partnerships with struggling community hospitals are integral to their mission. Seton’s first partnership, in 1995, was to operate Brackenridge, a public hospital in Austin, because Seton was “not doing enough to care for the poor and vulnerable in central Texas,” said Charles J. Barnett, an Ascension executive.

In that case, Mr. Barnett says the system never agreed to provide services like elective abortions and sterilizations, and public officials and hospital administrators initially struggled to find a compromise. Although another system eventually offered sterilizations on a separate floor of the hospital, complete with a separate elevator, another hospital now provides those services.

One large system, Catholic Healthcare West in San Francisco, announced in January that it was severing its formal ties to the church to better work with hospitals that did not share its faith. The system, renamed Dignity Health, operates 25 Catholic hospitals, which will remain Catholic, and 15 non-Catholic hospitals. While none of Dignity’s hospitals will provide elective abortions or offer in vitro fertilization, the non-Catholic hospitals will not have to adhere to the church’s religious directives.

Dignity officials declined interview requests.

Even as Catholic Healthcare West, however, the system was not without controversy. One of its Catholic hospitals performed what it considered a life-saving abortion in 2009, but the local bishop in Phoenix disagreed, and the nun who allowed the procedure was excommunicated.

In many communities, like Rockford, the question is an intensely practical one: How will patients, particularly women, use services barred by the church? Because none of the city’s three hospitals perform elective abortions, the debate has largely focused on whether a woman who has a C-section can have her tubes tied afterward.

“It would just be an inconvenience to the patient and the physician, who has to make life-and-death decisions,” said Dr. Ronald Burmeister, a retired obstetrician in Rockford who is concerned about the merger.

The merger itself was prompted by the increasing need for hospitals to combine. Despite the federal government’s concern about possible antitrust implications, many believe the city can support just two hospitals. “Rockford needed a strategic partner,” said Andrew K. Bachrodt, a managing director for Kurt Salmon Associates, which advises nonprofit hospitals. OSF already owns a Rockford hospital, OSF Saint Anthony Medical Center.

OSF says Rockford needs fewer hospitals and wants to expand its network to better serve the area. “It’s all about how to deliver care, coordinated and efficient care,” said Robert C. Sehring, an executive at OSF.

OSF has already developed an arrangement in which affiliated doctors can prescribe birth control pills through a separate practice.

A woman who wanted a tubal ligation immediately after a C-section would be able to go to a competing hospital, if her insurance plan allowed. “It’s not like we’re eliminating female sterilization procedures,” said Kris L. Kieper, the chief executive of the YWCA in Rockford, who serves on an advisory committee for the OSF hospital there.

In Louisville, the debate focused on contraceptive services, like elective sterilizations, that had been provided by the University of Louisville Hospital, one member of a planned three-party merger that would have created a large statewide system. There was considerable uncertainty over whether University Hospital would be required to follow Catholic policies, according to a report by the Kentucky attorney general. Officials initially said the hospital would follow Catholic directives but then focused on certain procedures.

“While this evolving explanation may represent an accurate description of the proposed legal structure of the consolidation, it has cast a cloud of vagueness and skepticism over the issue in the public eye,” the report concluded.

Asking women to go across town to another hospital for services is not a solution, said Dr. Peter Hasselbacher, a retired university official who follows health policy in Kentucky. And while women in Louisville generally have a choice of hospitals, women in rural communities may not, he said, adding that many of Catholic Health Initiative’s Kentucky hospitals are the only hospital available.

Catholic Health says there was never a possibility that University Hospital would be allowed to perform services like elective sterilizations. “Our position around the ethical and religious directives never changed. How we communicated that evolved and changed over time,” said Paul Edgett, a senior vice president at the system.

Mr. Edgett says the system will consider future partnerships with non-Catholic hospitals, including University Hospital, as it seeks to position itself as a stronger system as health care evolves. “We all have to adopt and adapt,” he said. But, he added, “we’re not going to compromise our values in the process.”

www.thenation.com/article/165436/mexicos-anti-abortion-backlash?page=full

Mary Cuddehe

January 4, 2012   | 

This article was reported in partnership with the Investigative Fund at The Nation Institute.

Daniela Castro, a 21-year-old administrator for a Mexican children’s charity, got to the hospital just before dark. It was a warm, cloudless July night in 2010, and Daniela grabbed the arm of her boyfriend of three years, a handsome architecture student named Carlos Bautista. The two walked through the entrance confidently. If anything, they looked more like a pair of teen models than a couple of criminals. But Daniela was at the hospital that night because she had taken abortion pills that made her sick. Abortion is banned throughout Mexico, and authorities in her native Guanajuato, a mid-sized state in the center of Mexico with an ultraconservative reputation, like to enforce the law.

 

The state has opened at least 130 investigations into illegal abortions over the past decade, according to research by women’s rights groups, and fourteen people, including three men, have been criminally convicted. Given Mexico’s 2 percent national conviction rate during its most violent period since the revolution, that’s a successful ratio.

But Daniela did not have such numbers in her head when she told the attending physician her story. A few days earlier, she and Carlos had turned to Carlos’s mother for help. Of their parents, Norma Angelica Rodriguez, 41, was the most likely to be sympathetic. She had been a young mother herself, and she knew of a pharmacy in town that would sell Misoprostol—an over-the-counter ulcer drug that women take to induce labor—without asking a lot of questions. Rodriguez knew this because, like the estimated 875,000 Mexican women who have abortions every year, she had once needed the drug herself.

The doctor listened to Daniela, then slipped out of the room and made a call. Guanajuato hospitals are expected to report suspicious miscarriages just as they would a gunshot wound. It wasn’t long before a couple of officers arrived, followed by a lawyer from the district attorney’s office, who took out a note pad. “So, Daniela, how many people have you had sex with?” he asked, jotting down the answers. “And who gave you those pills?” That night, the DA opened an official probe into Daniela’s case. If convicted, both she and Carlos’s mother—though not Carlos—faced up to three years in prison.

* * *

Mexico has thirty-two states if you include Mexico City’s federal district, and until the spring of 2007, when Mexico City legalized it during the first twelve weeks of gestation, abortion was illegal in all of them. It was rarely prosecuted, though, and there were also legal exemptions. Every state had one for rape, and many to save the mother’s life; one state even had an exemption for economic hardship. Access, though, was another story. I once asked Rigoberto Velarde, the silver-haired state coordinator for Guanajuato’s Maternal Health Program, where a pregnant rape victim could get the procedure that was her legal right. Velarde drew back in his chair, widened his eyes and looked at me like I was crazy. “She can’t do that!” was his reply. Mexico’s abortion laws date back to the 1930s, and in the intervening decades two parallel systems have developed. Wealthy women could go to a private doctor or, since Roe v. Wade, travel to the United States. But any woman at the mercy of the public health system was pretty much on her own.

Mexico City’s legalization law, which required city hospitals to provide the service free, was the first in Mexico and one of few like it in Latin America (in many states the tide is turning in the other direction: in 2008 Nicaragua instituted a criminal prohibition on abortions, with no exemptions; in 2009 the Dominican Republic did the same). A month later, the National Human Rights Commission, whose director opposed the law, and the attorney general filed appeals with the Supreme Court, arguing that the law was unconstitutional. A long and closely watched debate roiled Mexico off and on for a year, until the justices finally voted to uphold the law, in August 2008. Abortion was now legal—and free—in the capital of one of the world’s most Catholic countries. It looked like a great victory for feminists.

* * *

Up until 2007 there had only been advances on abortion,” Elsa Conde, a former Mexico City legislator and the director of the National Alliance for the Right to Choose, one of the country’s leading abortion rights groups, told me in the summer of 2010. Advocates like Conde had spent decades chipping away at state-level bans. In 2004, for example, they got Baja California Sur to amend its rape exemption so that victims would actually be able to get legal surgeries at public hospitals; the following year the state reduced its maximum penalty to two years in jail. “But then we started seeing setbacks,” Conde went on. “And since October 2008, all we’ve seen is setback after setback after setback.” That year, lawmakers next door, in Baja California, passed a controversial fetal-rights constitutional amendment. While it did not technically change the existing rules—abortion could not become more illegal, after all—it codified one of the key goals of the US Christian right since Roe v. Wade: legally protected life beginning at “the moment of conception.” And an amendment is much harder to overturn than a law. By the end of 2009, fifteen more states had passed versions of this extreme ley anti-aborto.

The amendments were similar to a measure recently defeated in a Mississippi referendum but being prepared in other parts of the United States. In fact, the US “personhood” movement has been taking lessons from its neighbor to the south. In September Mexico’s Supreme Court rejected constitutional challenges to the ley anti-aborto in two states, providing a new spring of confidence for US anti-choicers. “This decision in Mexico provides proof that it is a viable strategy that is working in other places,” said Gualberto Garcia Jones, a legal analyst with Personhood USA. “If it had gone the other way, we would have seen pro-lifers say, If it can’t work in Mexico, it can’t work in the US.” Seventeen Mexican states—more than half the country—now have a fetal-rights amendment on the books. (Chihuahua has had one since 1994, and the seventeenth state, Tamaulipas, approved one in 2010.) This would be like the Mississippi ballot succeeding and then spreading to twenty-five states between now and the end of 2012.

The sweep was so fast and successful that no one had ever seen anything like it. Two of the three main national parties sponsored the amendments—President Felipe Calderón’s National Action Party (PAN) as well as the Institutional Revolutionary Party (PRI). Being anti-abortion was inherent in the PAN agenda, and the party’s state congressmen were strategizing about how to fight Mexico City’s legalization law at national meetings as early as the fall of 2007, according to a legislator who attended. (“Vicente Fox made ‘the Catholic look’ fashionable again,” Roberto Hernandez, a political analyst based in Mexico City, once told me.) The PRI’s participation was more of a departure from that party’s centrist foundations, and not all the rank and file were on board, but the PRI had been badly splintered since losing the presidency to the PAN in 2000, and the party core, perhaps sensing a change in the public mood and determined to take back the presidency in 2012, has supported the ley anti-aborto.

Catholic civic groups had done their part. Jorge Serrano, the skinny, flat-topped director of Pro-Vida, a prominent anti-abortion group based in Mexico City, became a fixture as he choreographed protests against the capital’s legalization law (one day a group of women who had had enough of his crusading showed up to taunt Serrano with a “rainstorm of thongs”—bunches of thong underwear stapled to their placards). The Mexican division of the Knights of Columbus got involved, too, mailing lawmakers plastic fetuses representing the various stages of gestation.

But as far as the feminist movement was concerned, the Catholic Church played the lead role. This was so widely believed, it was taken as fact. I was told more than once, for example, that Norberto Rivera, Mexico City’s archbishop, had hosted a fancy dinner for PAN governors and their wives during which he urged them to pass the ley anti-aborto as he pressed special rosaries from the pope into their hands. A PRI state congresswoman told me she had met a Vatican emissary who was traveling from state to state on a hush-hush lobbying mission. More recently, a bishop from Mexicali spurred the conspiracy mill when he implied that the pope had called the Supreme Court justices to influence their votes to support the ley. (The diocese declined to speak with The Nation.) But, as I learned one morning in the summer of 2010, a concentrated effort like this may not have been necessary.

That day I took a bus from Mexico City to Aguascalientes, a tiny, landlocked state in the heart of the country’s Bible Belt. Monica Delgado, the fresh-faced, preppy PAN congresswoman who drafted the Aguascalientes version of the ley, ushered me into her office in the Congressional building. There were different floors for the different parties, and the PAN floor was decorated with posters for an anti-abortion group called Vifac, whose motto is “We celebrate life.” Delgado explained that, like most PANistas, she was disturbed by the Supreme Court decision upholding Mexico City’s abortion-rights law and wanted to “bulletproof” her state against any progressive incursions. After she had finished drafting the amendment, Delgado said, she and the eight other PAN state lawmakers walked across the plaza to meet the local prelate. It sounded like the beginning of a joke: nine congressmen go to see a priest. But Delgado didn’t see anything funny or strange about the visit. The prelate had been nagging her and her colleagues in his weekly radio address, and the meeting was a “courtesy,” she said. “We had to go over and tell him, ‘It’s already been presented!’” Delgado’s proposal eventually stalled because of resistance from local feminist groups and one liberal PRI congresswoman who controlled a crucial committee. But with priests and politicians this close, it wasn’t hard to imagine the same scene playing to a different outcome in other states, regardless of any organized intervention by high-ranking clergy.

* * *

According to Diego Valadés, a legal scholar at the National Autonomous University of Mexico, state constitutional amendments nearly always take at least a couple of months to be approved. And yet when it came to fetal rights, lawmakers in most states where the ley anti-aborto passed managed to muscle it through in a matter of days. “There has never been anything like it; it was an almost synchronized series of events,” said Valadés. But like any work hastily composed, the ley was imperfect and seemed to place the IUD and in-vitro fertilization—not to mention exceptions to the abortion restrictions that were still on the books in many states—into a legal gray zone. “They say we protect life since conception—except for these causes that we already had,” said Fatima Juarez, a demographics expert at the Colegio de Mexico, in Mexico City. “How can you reconcile ‘We protect since conception’ and ‘You can [terminate a pregnancy] for economic reasons’? It’s illogical.” Now many fear that women who terminate a pregnancy for any reason can be prosecuted for infanticide.

Instead, state prosecutors dusted off the old abortion penal codes—most of which call for prison terms or fines—and opened investigations: ten in Veracruz, thirty in Puebla and thirty-one in Hidalgo. In 2009 in the southern state of Quintana Roo, a Mayan woman was wrongfully jailed for what turned out to be a spontaneous miscarriage, and in 2010 an 11-year-old girl who was raped and impregnated by her stepfather was denied an abortion because she was four months pregnant—one month past the allowable twelve weeks. The cases became a flashpoint in the national debate over abortion and the fairness of the ley, and when I called Elsa Conde again this past August, she described what she said was a mini-backlash to the backlash: four more states had strengthened access to abortion for rape victims. But Conde was quick to add that pro-choice advocates remain in a “position of defense.” “Basically,” she said, “we’re just trying to make sure no other states adopt the ley anti-aborto.”

In May 2009 the ley was approved with a two-thirds majority in Guanajuato. Just nine years earlier, the state congress had voted to eliminate the exemption for rape victims, but the governor was forced to veto it after a public outcry. In 2009 public school teachers staged a bonfire of middle school biology textbooks, and subsequent editions had some noteworthy changes in the chapter on sex: life now begins at the “moment of conception,” and virginity is “a treasure.”

But if one episode cemented Guanajuato’s conservative status, it came in the summer of 2010, when Centro Las Libres, a women’s health group in Guanajuato City, broke the news that seven women were in prison on a charge that amounted to infanticide—homicidio con razón de parentesco, or homicide of a family member—with a maximum penalty of twenty-nine years. Some had already spent more than six years in prison, so their sentences said more about the cruelty of the Mexican criminal justice system than the new ley anti-aborto. But the women became symbols of the dangerous consequences of criminalizing abortion and a focal point for the left in organizing against the ley. All the women said the fetuses they were accused of murdering were stillborn or miscarried. Yolanda Martínez, who says she didn’t even know she was pregnant, was alleged to have left a nearly full-term fetus to die in an outhouse. But police had first arrested her on suspicion of abandoning another infant—not hers, it turned out—found that day in a different part of town. Once she was in custody, her house was searched, and officers emerged with blankets that they claimed had held her dead newborn. Susana Dueñas says three experts declared the baby she was accused of killing a stillbirth, but the judge sided with a fourth opinion, of a doctor on the prosecutor’s payroll. After a media outcry, the state reduced the penalty for the type of homicide they had been charged under—from twenty-nine to eight years. In September 2010 all seven women were released for time served.

* * *

Las Libres is not the only women’s rights group in Guanajuato, but it is the most vocal. It was the unrelenting campaigning of Las Libres that was crucial in getting the seven women released, and when the New York Times ran a story about it, the group’s director, Veronica Cruz, appeared in the accompanying photo, protectively embracing one of the newly released women.

The first time I met Cruz was on an overcast morning in the summer of 2009. Forty years old, with a round face and light brown hair, she has the energy of a longtime activist. She is earnest but cynical. Inside the Las Libres headquarters on the outskirts of Guanajuato City, she introduced me to a petite woman dressed in white named Rosario. She was 20 and had recently completed a nine-month probation sentence. Her story was shocking to me at the time. She had taken abortion pills, fallen ill with nausea, gone to the hospital and been reported to the police. She said the staff had mistreated her, calling her names, completing the abortion surgically without anesthesia (which is standard) and allowing medical students into the room to take pictures with their cellphones. She paused and started to cry. About a month after the surgery, she said, she was lured out of her house in her slippers by men in an unmarked van and taken to jail in handcuffs. Her family borrowed the money to pay the $800 bond.

But it turns out that going to the hospital is a common way for Mexican women to get caught. According to the US-based Guttmacher Institute, a sexual and reproductive health and rights organization, the abortion-related hospitalization rate in Mexico is high—17 percent in 2006 (it is 0.3 percent in the United States). This is because so many abortions are clandestine, exposing women to physical as well as legal risks.

This past June I went back to Guanajuato to see Cruz. I found her curled up in a chair, gossiping with her sister, who helps run the office, and another volunteer. Cruz said that a couple of women had recently been arrested but that she wasn’t following their cases. “Honestly, it’s just too many to keep up with,” she said with a shrug. Daniela Castro’s was one of the last like it that Las Libres had pursued, so she picked up the phone to call her.

Daniela agreed to meet me at a cafe across from a large salmon-hued cathedral in the plaza of a nearby town. She looked carefree and summery in a floral A-line skirt and a fitted white T-shirt. But it was just a year before that Daniela woke up every morning worried that she was going to prison, and her life seemed to be falling apart. “My friends stopped talking to me, and they even wrote messages on my Facebook,” she said. Carlos quit the local university for a cheaper school two hours away so they could afford a private attorney, but he proved as useless as the public defender. For a while, they had no idea what to do. “We were thinking about running away to the United States—like wetbacks,” Daniela said, shaking her head. Las Libres heard about the case and connected Daniela with a group of pro bono lawyers from Mexico City who complained to the state Human Rights Commission. They argued that Daniela’s hospital interview was inadmissible because she hadn’t had a legal representative present. That small oversight seemed to be all that was needed: a few weeks later, Daniela’s case was closed for lack of evidence.

After we talked, Carlos and Daniela offered me a ride to the bus station. Carlos had been quiet most of the afternoon, but he suddenly chimed in as he was driving. “At the time there were all these kidnappings going on, all these people on the street kidnapping and murdering,” he said. “And yet we were the ones they had down at the prosecutor’s office.” Then he fell silent again, edging the truck around a corner.


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