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    What Your Car’s Paint Color Says About You

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    Top Ways To Upgrade Your Electric Vehicle

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    Tips for Crossing Water in Your Jeep Wrangler

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    4 Helpful Tips for Giving Your Car a Glossy Finish

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    4 Common Mistakes To Avoid With Car Restorations

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    Signs That It Might Be Time To Get a New Car

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    Mistakes To Avoid When Starting Your Online Store

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    Ways To Reduce Safety Hazards in the Office

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    How To Realistically Invest in Apartment Complexes

    Fighting housing shortage: Airbnb & Co should share more data with authorities to prevent fraud 

    Fighting housing shortage: Airbnb & Co should share more data with authorities to prevent fraud 

    How To Transition to Mass-Producing Your Product

    How To Transition to Mass-Producing Your Product

    How To Choose the Right Outdoor Lighting for Your Business

    How To Choose the Right Outdoor Lighting for Your Business

    Tips for Designing an Industrial-Style Restaurant

    Tips for Designing an Industrial-Style Restaurant

    Los Angeles implemented a new tax on luxurious real estate to finance affordable housing and combat homelessness

    Los Angeles implemented a new tax on luxurious real estate to finance affordable housing and combat homelessness

    Working shorter hours: 38 companies in the USA are testing the 4-day week

    Working shorter hours: 38 companies in the USA are testing the 4-day week

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      Essential Tips for Planning a Great Fashion Show

      Essential Tips for Planning a Great Fashion Show

      Signs That Your Tuxedo Doesn’t Fit Right

      Signs That Your Tuxedo Doesn’t Fit Right

      Make a Bold Style Statement With These Wide-Leg Pants

      Make a Bold Style Statement With These Wide-Leg Pants

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      Power Your Winter Workouts With The Best Zip Hoodies for Men

      The Ultimate Watch Buying Guide

      The Ultimate Watch Buying Guide

      Outdoor Enthusiasts, Take Note: These Watches Are as Tough as You

      Outdoor Enthusiasts, Take Note: These Watches Are as Tough as You

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      Our 7 Favorite Field Jackets for Tackling Fall Weather

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      The Best Leather Jackets for Guys – No Matter Your Budget

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      Campus-Ready Backpacks for Storing *All* the Books

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        Energizing Foods and Drinks To Consume Before a Workout

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        Classic Beer Styles You Should Know How to Brew

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        The Best Flour Alternatives That Work in Any Recipe

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        Cheese Tortellini in Creamy Marinara

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        Unusual Products That Come From Animals and Their Uses

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        Tips for Creating a Homemade Wine Cellar

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        How the Wine You Choose Can Help You have an Eco-Friendly Home

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          Florida Gov. Ron DeSantis Injects Presidential Politics Into the Covid Vaccine Debate

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          Tips for Fitting a Doctor’s Visit Into Your Busy Schedule

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          The Shrinking Number of Primary Care Physicians Is Reaching a Tipping Point

          Activist Misuses Federal Data to Make False Claim That Covid Vaccines Killed 676,000

          Activist Misuses Federal Data to Make False Claim That Covid Vaccines Killed 676,000

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          Illustrated Report: How Gun Violence Goes Viral

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          A New Medicare Proposal Would Cover Training for Family Caregivers

          New Alzheimer’s Drug Raises Hopes — Along With Questions

          New Alzheimer’s Drug Raises Hopes — Along With Questions

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          Blood Test That Screens for Cancer Raises Hopes, and Worries

          Medical Debt Is Making Americans Angry. Doctors and Hospitals Ignore This at Their Peril.

          Medical Debt Is Making Americans Angry. Doctors and Hospitals Ignore This at Their Peril.

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            Common Dog Owner Mistakes and How To Avoid Them

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            3 Reasons To Give an Antique or Vintage Engagement Ring

            Tim Ferris

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            Outdoor Luxuries To Add to Your Backyard

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            Why the Friend of My Enemy is My Enemy

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            Huge Money Mistakes New Parents Fall For

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            Energizing Foods and Drinks To Consume Before a Workout

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            Hobbies That Stimulate Cognitive Function

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            How To Prevent Mold from Growing in a Sauna

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              Carbon capture draws millions in lobbying, billions in federal subsidies

              Carbon capture draws millions in lobbying, billions in federal subsidies

              United leads soaring airline industry lobbying spending

              United leads soaring airline industry lobbying spending

              Deep-pocketed dairy industry continues war on plant-based milk as FDA hears comments on new draft guidance

              Deep-pocketed dairy industry continues war on plant-based milk as FDA hears comments on new draft guidance

              Shein’s lobbying spending soars amid supply chain probes

              Shein’s lobbying spending soars amid supply chain probes

              Virginia legislative candidates in Richmond and Hampton Roads raked in millions in final primary sprint

              Virginia legislative candidates in Richmond and Hampton Roads raked in millions in final primary sprint

              Manchin outraises GOP challengers but has yet to announce 2024 plans

              Manchin outraises GOP challengers but has yet to announce 2024 plans

              Gallego outraises Sinema but falls far short of incumbent’s war chest in Arizona Senate race

              Gallego outraises Sinema but falls far short of incumbent’s war chest in Arizona Senate race

              Elon Musk outmuscled by Mark Zuckerberg’s money in politics

              Elon Musk outmuscled by Mark Zuckerberg’s money in politics

              Amazon lobbyists tout workplace safety improvements ahead of Senate investigation

              Amazon lobbyists tout workplace safety improvements ahead of Senate investigation

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                Ways To Invest in Real Estate With No Experience

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                How To Make Your Rental Property More Eco-Friendly

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                Things To Consider Before Investing in Real Estate Overseas

                Incredible Areas in Florida To Buy a Vacation Home

                Incredible Areas in Florida To Buy a Vacation Home

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                Helpful Home Staging Tips for Virtual Tours

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                Ways To Decorate and Design a Lake House

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                Challenges To Managing a Rental Property

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                The Best Landlord: How To Show Tenants You Care

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                The Best Locations To Invest in a Second Home

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                  What To Consider Before Repainting Your Classic Car

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                  What Your Car’s Paint Color Says About You

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                  Top Ways To Upgrade Your Electric Vehicle

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                  Tips for Crossing Water in Your Jeep Wrangler

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                  4 Helpful Tips for Giving Your Car a Glossy Finish

                  4 Common Mistakes To Avoid With Car Restorations

                  4 Common Mistakes To Avoid With Car Restorations

                  Signs That It Might Be Time To Get a New Car

                  Signs That It Might Be Time To Get a New Car

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                  Mercedes-Benz to Launch Global Branded High-Power Charging Network in North America

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                  Mistakes To Avoid When Starting Your Online Store

                  Mistakes To Avoid When Starting Your Online Store

                  Ways To Reduce Safety Hazards in the Office

                  Ways To Reduce Safety Hazards in the Office

                  How To Realistically Invest in Apartment Complexes

                  How To Realistically Invest in Apartment Complexes

                  Fighting housing shortage: Airbnb & Co should share more data with authorities to prevent fraud 

                  Fighting housing shortage: Airbnb & Co should share more data with authorities to prevent fraud 

                  How To Transition to Mass-Producing Your Product

                  How To Transition to Mass-Producing Your Product

                  How To Choose the Right Outdoor Lighting for Your Business

                  How To Choose the Right Outdoor Lighting for Your Business

                  Tips for Designing an Industrial-Style Restaurant

                  Tips for Designing an Industrial-Style Restaurant

                  Los Angeles implemented a new tax on luxurious real estate to finance affordable housing and combat homelessness

                  Los Angeles implemented a new tax on luxurious real estate to finance affordable housing and combat homelessness

                  Working shorter hours: 38 companies in the USA are testing the 4-day week

                  Working shorter hours: 38 companies in the USA are testing the 4-day week

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                  • Fashion
                    Essential Tips for Planning a Great Fashion Show

                    Essential Tips for Planning a Great Fashion Show

                    Signs That Your Tuxedo Doesn’t Fit Right

                    Signs That Your Tuxedo Doesn’t Fit Right

                    Make a Bold Style Statement With These Wide-Leg Pants

                    Make a Bold Style Statement With These Wide-Leg Pants

                    Power Your Winter Workouts With The Best Zip Hoodies for Men

                    Power Your Winter Workouts With The Best Zip Hoodies for Men

                    The Ultimate Watch Buying Guide

                    The Ultimate Watch Buying Guide

                    Outdoor Enthusiasts, Take Note: These Watches Are as Tough as You

                    Outdoor Enthusiasts, Take Note: These Watches Are as Tough as You

                    Our 7 Favorite Field Jackets for Tackling Fall Weather

                    Our 7 Favorite Field Jackets for Tackling Fall Weather

                    The Best Leather Jackets for Guys – No Matter Your Budget

                    The Best Leather Jackets for Guys – No Matter Your Budget

                    Campus-Ready Backpacks for Storing *All* the Books

                    Campus-Ready Backpacks for Storing *All* the Books

                    Trending Tags

                    • Food & Drink
                      Energizing Foods and Drinks To Consume Before a Workout

                      Energizing Foods and Drinks To Consume Before a Workout

                      Classic Beer Styles You Should Know How to Brew

                      Classic Beer Styles You Should Know How to Brew

                      The Best Flour Alternatives That Work in Any Recipe

                      The Best Flour Alternatives That Work in Any Recipe

                      Cheese Tortellini in Creamy Marinara

                      Cheese Tortellini in Creamy Marinara

                      Unusual Products That Come From Animals and Their Uses

                      Unusual Products That Come From Animals and Their Uses

                      Tips for Creating a Homemade Wine Cellar

                      Tips for Creating a Homemade Wine Cellar

                      How the wine you choose can help you have an eco-friendly home

                      How the Wine You Choose Can Help You have an Eco-Friendly Home

                      Rum and Cola Holiday Ham

                      Special Centerpieces for Holiday Celebrations

                      ChefsGiving 2020

                      This Holiday Season, How about Cooking for a Cause?

                      Trending Tags

                      • Health
                        Florida Gov. Ron DeSantis Injects Presidential Politics Into the Covid Vaccine Debate

                        Florida Gov. Ron DeSantis Injects Presidential Politics Into the Covid Vaccine Debate

                        Tips for Fitting a Doctor’s Visit Into Your Busy Schedule

                        Tips for Fitting a Doctor’s Visit Into Your Busy Schedule

                        The Shrinking Number of Primary Care Physicians Is Reaching a Tipping Point

                        The Shrinking Number of Primary Care Physicians Is Reaching a Tipping Point

                        Activist Misuses Federal Data to Make False Claim That Covid Vaccines Killed 676,000

                        Activist Misuses Federal Data to Make False Claim That Covid Vaccines Killed 676,000

                        Illustrated Report: How Gun Violence Goes Viral

                        Illustrated Report: How Gun Violence Goes Viral

                        A New Medicare Proposal Would Cover Training for Family Caregivers

                        A New Medicare Proposal Would Cover Training for Family Caregivers

                        New Alzheimer’s Drug Raises Hopes — Along With Questions

                        New Alzheimer’s Drug Raises Hopes — Along With Questions

                        Blood Test That Screens for Cancer Raises Hopes, and Worries

                        Blood Test That Screens for Cancer Raises Hopes, and Worries

                        Medical Debt Is Making Americans Angry. Doctors and Hospitals Ignore This at Their Peril.

                        Medical Debt Is Making Americans Angry. Doctors and Hospitals Ignore This at Their Peril.

                        Trending Tags

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                          Common Dog Owner Mistakes and How To Avoid Them

                          Common Dog Owner Mistakes and How To Avoid Them

                          3 Reasons To Give an Antique or Vintage Engagement Ring

                          3 Reasons To Give an Antique or Vintage Engagement Ring

                          Tim Ferris

                          Tim Ferriss’ Lifestyle Design: Unleashing Human Potential and Redefining Success

                          Outdoor Luxuries To Add to Your Backyard

                          Outdoor Luxuries To Add to Your Backyard

                          Strategy and business planning ideas. Chess gold on the board.

                          Why the Friend of My Enemy is My Enemy

                          Huge Money Mistakes New Parents Fall For

                          Huge Money Mistakes New Parents Fall For

                          Energizing Foods and Drinks To Consume Before a Workout

                          Energizing Foods and Drinks To Consume Before a Workout

                          Hobbies That Stimulate Cognitive Function

                          Hobbies That Stimulate Cognitive Function

                          How To Prevent Mold from Growing in a Sauna

                          How To Prevent Mold from Growing in a Sauna

                          Trending Tags

                          • Politics
                            Carbon capture draws millions in lobbying, billions in federal subsidies

                            Carbon capture draws millions in lobbying, billions in federal subsidies

                            United leads soaring airline industry lobbying spending

                            United leads soaring airline industry lobbying spending

                            Deep-pocketed dairy industry continues war on plant-based milk as FDA hears comments on new draft guidance

                            Deep-pocketed dairy industry continues war on plant-based milk as FDA hears comments on new draft guidance

                            Shein’s lobbying spending soars amid supply chain probes

                            Shein’s lobbying spending soars amid supply chain probes

                            Virginia legislative candidates in Richmond and Hampton Roads raked in millions in final primary sprint

                            Virginia legislative candidates in Richmond and Hampton Roads raked in millions in final primary sprint

                            Manchin outraises GOP challengers but has yet to announce 2024 plans

                            Manchin outraises GOP challengers but has yet to announce 2024 plans

                            Gallego outraises Sinema but falls far short of incumbent’s war chest in Arizona Senate race

                            Gallego outraises Sinema but falls far short of incumbent’s war chest in Arizona Senate race

                            Elon Musk outmuscled by Mark Zuckerberg’s money in politics

                            Elon Musk outmuscled by Mark Zuckerberg’s money in politics

                            Amazon lobbyists tout workplace safety improvements ahead of Senate investigation

                            Amazon lobbyists tout workplace safety improvements ahead of Senate investigation

                            Trending Tags

                            • Real Estate
                              Ways To Invest in Real Estate With No Experience

                              Ways To Invest in Real Estate With No Experience

                              How To Make Your Rental Property More Eco-Friendly

                              How To Make Your Rental Property More Eco-Friendly

                              Things To Consider Before Investing in Real Estate Overseas

                              Things To Consider Before Investing in Real Estate Overseas

                              Incredible Areas in Florida To Buy a Vacation Home

                              Incredible Areas in Florida To Buy a Vacation Home

                              Helpful Home Staging Tips for Virtual Tours

                              Helpful Home Staging Tips for Virtual Tours

                              Ways To Decorate and Design a Lake House

                              Ways To Decorate and Design a Lake House

                              Challenges To Managing a Rental Property

                              Challenges To Managing a Rental Property

                              The Best Landlord: How To Show Tenants You Care

                              The Best Landlord: How To Show Tenants You Care

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                              Patient Mistrust and Poor Access Hamper Federal Efforts to Overhaul Family Planning

                              by Staff Writer
                              November 23, 2022
                              in Health
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                              By Renuka Rayasam

                              JACKSON, Miss. — Two years ago, after an emergency cesarean section at a Mississippi hospital, Sherika Trader was denied a tubal ligation. Trader, now 33, was told that to have her tubes tied, she had to have a second child or a husband’s permission, even though she wasn’t married.

                              Jasymin Shepherd had heavy menstrual cycles because of a birth control pill prescribed after the birth of her son 13 years ago. The symptoms continued even after she stopped taking the medication. Last year, a doctor in Jackson responded by offering Shepherd, 33, a hysterectomy, which she didn’t want.

                              The experiences left the women feeling as though providers acted like “robots,” or, worse, they felt stereotyped. Black women already face major barriers to accessing health care, including provider shortages and racial bias rooted in the medical system.

                              But with contraceptive care, which deals with deeply personal patient preferences, they must also contend with providers who dismiss their concerns. Decisions about whether — or when — to have a baby and how to prevent pregnancy are not as standardized as care for other conditions. Yet providers hand out prescriptions or recommendations while disregarding a patient’s specific circumstances, Shepherd said.

                              Late last year, the White House made new recommendations for a federal program that provides funding for free contraceptives, wellness exams, and certain cancer screenings. Health officials want to regain the trust of patients like Trader and Shepherd, who feel as though their doctors don’t always listen to them. The goal of the Title X program, which distributes grants to states and other groups for family planning, is to let patients dictate the care they want, said Jessica Marcella, who is the deputy assistant secretary for population affairs at the U.S. Department of Health and Human Services and oversees the Title X program.

                              “Our belief, and that of the family planning field, is that it is essential that you respect the interests, needs, and values of a client,” she said. Providers shouldn’t force patients to take a birth control method because it’s more effective, she said, or deny them a particular method because they think a patient might want more kids.

                              “What we don’t want is a provider to create trauma or do unintentional harm,” Marcella said.

                              In Mississippi, efforts to implement that approach have started with a change in who gets to administer the Title X funds, taking that responsibility from the state and giving it to a four-year-old Jackson-based nonprofit named Converge. The Biden administration’s decision this year to give Converge the $4.5 million grant marks the first time in four decades that Mississippi’s health department hasn’t won the federal family-planning grant.

                              Converge doesn’t offer family planning services. Instead, the group provides funding to a network of clinics statewide, organizes provider training, helps clinics navigate technology challenges, and keeps them stocked with supplies. For example, when a provider was having trouble printing out a survey that patients took about their contraception preferences, Converge co-founder and co-director Jamie Bardwell shipped the clinic a wireless printer.

                              But across the South, the attempt to change the culture of family planning care faces old and new obstacles. Some are deeply rooted in the medical system, such as the bias long faced by Black women and other women of color. In addition, contraception care is limited in the conservative South, and the Supreme Court’s June decision to overturn Roe v. Wade has led to the curtailing of abortion access across much of the region.

                              Black women often feel disrespected and dismissed by their providers, said Kelsey Holt, an associate professor of family and community medicine at the University of California-San Francisco. She co-authored a 2022 study in the journal Contraception in which dozens of Black women in Mississippi were interviewed about their experiences getting contraceptives.

                              Women told researchers that they struggled to get appointments, faced long wait times, and had to put up with condescending behavior. Many of the women said providers didn’t inform them about alternatives to the contraceptive Depo-Provera, a progestin shot administered once every three months, despite the known side effects and the availability of other, more appropriate options.

                              Trying to undo decades of such damage — and overhaul how providers deliver family planning care — became even more difficult after the Supreme Court decision and the closure of abortion clinics across the South. Suddenly, women in Mississippi, Alabama, and about a dozen other states could no longer get abortions.

                              “A major service has been cut off,” said Usha Ranji, associate director for women’s health policy at KFF. Title X funds cannot be used — and have never been used — to pay for abortions. But, she said, clinics can no longer present abortion as an option, hampering their ability to provide comprehensive counseling, a key requirement of the Title X program.

                              Many Mississippians can’t afford to travel across state lines to terminate an unwanted pregnancy. In 2020, 84% of Title X clients in the U.S. had incomes at or below 200% of the federal poverty level, and 39% were uninsured. Even women in Mississippi with the means to travel will face hurdles in nearby states, like Georgia and Florida, where abortion is not fully banned but access has been scaled back.

                              Even before the Supreme Court decision, access to family planning care in Mississippi came with hurdles and judgment.

                              In 2017, when Mia, who didn’t want her last name used for fear of legal and social repercussions, became pregnant for the second time, she called the local health department in Hattiesburg for advice on obtaining an abortion. She had a daughter and wasn’t financially or mentally prepared to have another child. The health department contact sent Mia to a faith-based, anti-abortion center.

                              “I felt judged,” Mia said about the call. Eventually, she terminated the pregnancy in Jackson, about 90 miles away, at the state’s sole abortion clinic, which closed in July. “Ultimately, I did what was best for me,” said Mia, who went on to have a son several years after the abortion.

                              The loss of abortion care in Mississippi puts more pressure on family planning providers to win the trust of their patients, said Danielle Lampton, who also co-founded Converge. Patient-centered care is the “bedrock of what we do,” Lampton said.

                              Both Trader and Shepherd serve on Converge’s patient experience council and receive occasional stipends for providing their perspectives to the nonprofit.

                              Providers shouldn’t force or pressure low-income patients to use long-term contraception, such as an intrauterine device, to safeguard against pregnancy, said Dr. Christine Dehlendorf, a family physician and researcher at UCSF, who is advising Converge.

                              Pressuring Black women to use IUDs, implants, and other long-term contraception is reminiscent of a history in which Black women were sterilized against their consent, she said. Even today, studies show that providers are more likely to pressure women of color to limit the size of their families and recommend IUDs to them. These women also have a harder time getting a provider to remove the devices and getting insurance to cover the removal cost, Dehlendorf said.

                              Too often, Wyconda Thomas, a family nurse practitioner near the Arkansas border, meets patients who are skeptical of birth control because of a bad experience. Many of her patients continued Depo-Provera shots even after they gained an unsafe amount of weight — a known side effect — because they weren’t offered other options.

                              Even if patients come in for another reason, Thomas talks to them about family planning “every chance I get,” she said. Four years ago, Thomas opened the Healthy Living Family Medical Center in Gunnison, a 300-person town that is 80% Black. The clinic receives Title X funds through Converge. Still, Thomas doesn’t force contraception on patients — she respects their decision to forgo a pill, patch, or implant.

                              But Title X funds help Thomas stock a variety of contraception methods so patients don’t have to worry about driving to a separate pharmacy.

                              “My job for them is to get them to understand that there are more methods and there’s no method at all,” Thomas said. “And that’s a whole visit by itself.”

                              This story was produced by KHN (Kaiser Health News), a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.

                              KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.

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