{"id":116040,"date":"2020-05-28T05:20:00","date_gmt":"2020-05-28T12:20:00","guid":{"rendered":"https:\/\/calmatters.org\/?post_type=commentary&#038;p=116040"},"modified":"2020-05-27T11:54:24","modified_gmt":"2020-05-27T18:54:24","slug":"pregnant-women-in-prisons-and-jails-should-be-guaranteed-a-minimum-standard-of-care","status":"publish","type":"post","link":"https:\/\/calmatters.org\/_es\/health\/2020\/05\/pregnant-women-in-prisons-and-jails-should-be-guaranteed-a-minimum-standard-of-care\/","title":{"rendered":"A las mujeres embarazadas en prisiones y c\u00e1rceles se les debe garantizar un nivel m\u00ednimo de atenci\u00f3n"},"content":{"rendered":"<div class=\"wp-block-organic-profile-block\">\n\t\t\t\t\t\t\t<div class=\"organic-profile-image\" style=\"background-image:url(https:\/\/calmatters.org\/wp-content\/uploads\/2020\/03\/Kate-Karpilow.jpg)\">\n\t\t\t\t\t<figure class=\"wp-image-107597\">\n\t\t\t\t\t\t<img data-recalc-dims=\"1\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/calmatters.org\/wp-content\/uploads\/2020\/03\/Kate-Karpilow.jpg?ssl=1\" alt=\"Imagen de perfil\"\/>\n\t\t\t\t\t<\/figure>\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t<div class=\"organic-profile-content\" style=\"text-align:center\">\n\t\t\t\t<h3>\n\t\t\t\t\tPor Kate Karpilow, especial para CalMatters\t\t\t\t<\/h3>\n\t\t\t\t<h5>\n\t\t\t\t\t\t\t\t\t<\/h5>\n\t\t\t\t<p class=\"organic-profile-bio\">\n\t\t\t\t\tKate Karpilow es una escritora que anteriormente dirigi\u00f3 la <a href=\"http:\/\/www.phi.org\/focus-areas\/?program=california-center-for-research-on-women-and-families\">Centro de California para la investigaci\u00f3n sobre mujeres y familias<\/a> at the Public Health Institute, <a href=\"mailto:Kate.Karpilow@comcast.net\">Kate.Karpilow@comcast.net<\/a>. Karpilow has also written about the need for a <a href=\"https:\/\/calmatters.org\/commentary\/california-needs-a-pay-equity-czar\/\">zar de la equidad salarial<\/a> y un <a href=\"https:\/\/calmatters.org\/commentary\/in-californias-battle-against-the-coronavirus-we-have-a-new-class-of-superheroes\/\">new class of superheroes<\/a> in the battle against COVID-19. She wrote this commentary for CalMatters.\t\t\t\t<\/p>\n\t\t\t\t<div class=\"organic-profile-social\"><\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\n\t\n<p>It\u2019s a scary time to be pregnant \u2013 especially if you\u2019re incarcerated.<\/p>\n\n\n\n<p>That\u2019s because <a href=\"https:\/\/calmatters.org\/california-divide\/2020\/04\/californias-inmates-are-at-high-risk-coronavirus\/\">high-density prisons<\/a> and jails are like Petri dishes for the COVID-19 pandemic.<\/p>\n\n\n\n<p>While the CDC doesn\u2019t identify pregnancy as a high-risk condition for COVID-19, it does urge <a href=\"https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/need-extra-precautions\/index.html\">\u201cextra precautions<\/a>.\u201d<\/p>\n\n\n\n<p>More than enough reason for the California state Senate not to jettison <a href=\"http:\/\/leginfo.legislature.ca.gov\/faces\/billNavClient.xhtml?bill_id=201920200AB732\">Assembly Bill 732<\/a>, as it <a href=\"http:\/\/sjvsun.com\/news\/calif-state-senate-chief-tells-senators-to-shred-bills-upon-return-from-coronavirus-recess\/\">streamlines its bill load<\/a> to address the pandemic.<\/p>\n\n\n\n<p>AB 732, authored by Democratic Assemblyman Rob Bonta from Oakland, would establish uniform standards for pregnancy and reproductive health care for state prisons and county jails, codifying regulations mostly in place at state facilities, but not throughout the state\u2019s 121 county jails.<\/p>\n\n\n\n<p>Many of the regulations for reproductive care in California\u2019s state prisons were adopted after successful lawsuits forced the <a href=\"https:\/\/www.cdcr.ca.gov\/\">Departamento de Correcciones y Rehabilitaci\u00f3n de California<\/a> to accept standards guaranteed under federal law.<\/p>\n\n\n\n<p>The lesson? Provide and pay for reproductive care \u2013 or get sued and pay even more in legal fees.<\/p>\n\n\n\n<p>\u201cMost people have never thought about pregnancy behind bars,\u201d said Minouche Kandel of the ACLU, an AB 732 sponsor.<\/p>\n\n\n\n<p>But we should, as national <a href=\"https:\/\/ajph.aphapublications.org\/doi\/pdf\/10.2105\/AJPH.2019.305006\">investigaci\u00f3n<\/a> on prisons found \u201c3.8% of newly admitted women and 0.6% of all women were pregnant\u201d in 2016.<\/p>\n\n\n\n<p>In California, more than 5,000 women are held in <a href=\"https:\/\/www.cdcr.ca.gov\/research\/wp-content\/uploads\/sites\/174\/2020\/05\/Tpop1d200506.pdf\">prisiones estatales<\/a> and about 9,000 in <a href=\"http:\/\/jail-pop-trends-through-q4-2019.pdf\/\">county jails<\/a>.<\/p>\n\n\n\n<p>Lorena Garcia Zerme\u00f1o with California Latinas for Reproductive Justice, another AB 732 sponsor, acknowledges that \u201csome county jails are trying to do a better job than others,\u201d but the \u201cquality of reproductive health care shouldn\u2019t be tied to where a person is incarcerated.\u201d&nbsp;<\/p>\n\n\n\n<p>That\u2019s why more than 50 organizations signed on to support AB 732: to require a consistent standard of pregnancy and reproductive care for incarcerated people \u2013 in prisons and county jails.<\/p>\n\n\n\n<p>So why is the California State Sheriffs\u2019 Association opposing AB 732?&nbsp;&nbsp;<\/p>\n\n\n\n<p>They claim the bill would create a local mandate, requiring services without funding for \u201cspecific, inflexible and costly prenatal and postpartum care for pregnant county jail inmates.\u201d<\/p>\n\n\n\n<p>A tried and true, but in this case, irrelevant argument.<\/p>\n\n\n\n<p>The U.S. Constitution and legal precedent already require that health care, including reproductive services, be provided in prisons and jails.<\/p>\n\n\n\n<p>The real issue is power, not cost.<\/p>\n\n\n\n<p>Too many sheriffs consider their counties like territories in the Wild West, where their word is law.<\/p>\n\n\n\n<p>Some provide decent care, others don\u2019t.<\/p>\n\n\n\n<p>In 2016, the ACLU published \u201c<a href=\"https:\/\/www.aclusocal.org\/en\/reproductive-health-behind-bars-california\">Reproductive Health Behind Bars in California<\/a>.\u201d It paints a disturbing picture of pregnant people in some county jails being shackled, or not provided timely prenatal care, vitamins and nutrition supplements.<\/p>\n\n\n\n<p>In 2018, Candace Steel filed suit against the Alameda County Sheriff\u2019s Office for placing her in isolation while pregnant and then ignoring her screams as she gave birth without medical assistance.<\/p>\n\n\n\n<p>In moving the case forward, U.S. District Judge James Donato wrote that the sheriff\u2019s treatment of Steel was \u201ca textbook example of deliberate indifference.\u201d<\/p>\n\n\n\n<p>Eso es <a href=\"https:\/\/definitions.uslegal.com\/d\/deliberate-indifference\/\">legal shorthand<\/a> \u201cfor conscious or reckless disregard of the consequences of one&#8217;s acts or omissions.\u201d<\/p>\n\n\n\n<p>Wouldn\u2019t it be smarter \u2013 and kinder \u2013 for county sheriffs to ensure basic care for pregnant people \u2013 rather than write big checks to law firms?<\/p>\n\n\n\n<p>Of course it would \u2013 and it\u2019s time for the sheriffs\u2019 association to end their opposition to AB 732.<\/p>\n\n\n\n<p>It\u2019s also time for the state to collect and make public standardized reports on health care quality in county jails \u2013 including reproductive care.<\/p>\n\n\n\n<p>Without information, there can be no accountability.<\/p>\n\n\n\n<p>As the ACLU learned while developing \u201cReproductive Health Behind Bars in California,\u201d it currently takes time-consuming public records requests to assemble a statewide picture of the quality of health care in California\u2019s local jails.<\/p>\n\n\n\n<p>The COVID-19 crisis has laid bare the threadbare nature of our health care system. Despite a common threat and unifying fear, we remain divided into communities of health-care haves and have-nots.<\/p>\n\n\n\n<p>The purpose of AB 732 is to safeguard the least among us, to guarantee incarcerated people a minimum standard of pregnancy and reproductive care.<\/p>\n\n\n\n<p>I\u2019d call that a moral mandate.<\/p>\n\n\n\n<p class=\"has-text-align-center\">_____<\/p>\n\n\n\n<p><em>Kate Karpilow es una escritora que anteriormente dirigi\u00f3 la <\/em><a href=\"http:\/\/www.phi.org\/focus-areas\/?program=california-center-for-research-on-women-and-families\"><em>Centro de California para la investigaci\u00f3n sobre mujeres y familias<\/em><\/a><em> at the Public Health Institute, <\/em><a href=\"mailto:Kate.Karpilow@comcast.net\"><em>Kate.Karpilow@comcast.net<\/em><\/a><em>. Karpilow has also written about the need for a <\/em><a href=\"https:\/\/calmatters.org\/commentary\/california-needs-a-pay-equity-czar\/\"><em>zar de la equidad salarial<\/em><\/a><em> y un <\/em><a href=\"https:\/\/calmatters.org\/commentary\/in-californias-battle-against-the-coronavirus-we-have-a-new-class-of-superheroes\/\"><em>new class of superheroes<\/em><\/a><em> in the battle against COVID-19. <\/em><em>Ella escribi\u00f3 este comentario para CalMatters.<\/em><\/p>","protected":false},"excerpt":{"rendered":"<p>M\u00e1s de 50 organizaciones apoyan la AB 732, que exige un est\u00e1ndar consistente de atenci\u00f3n durante el embarazo y la reproducci\u00f3n para las personas encarceladas.<\/p>","protected":false},"author":69,"featured_media":116046,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"single-feature.php","format":"standard","meta":{"_acf_changed":false,"_stopmodifiedupdate":false,"_modified_date":"","newspack_ads_suppress_ads":false,"newspack_popups_has_disabled_popups":false,"newspack_sponsor_sponsorship_scope":"","newspack_sponsor_native_byline_display":"inherit","newspack_sponsor_native_category_display":"inherit","newspack_sponsor_underwriter_style":"inherit","newspack_sponsor_underwriter_placement":"inherit","apple_news_api_created_at":"","apple_news_api_id":"","apple_news_api_modified_at":"","apple_news_api_revision":"","apple_news_api_share_url":"","apple_news_cover_media_provider":"image","apple_news_coverimage":0,"apple_news_coverimage_caption":"","apple_news_cover_video_id":0,"apple_news_cover_video_url":"","apple_news_cover_embedwebvideo_url":"","apple_news_is_hidden":"","apple_news_is_paid":"","apple_news_is_preview":"","apple_news_is_sponsored":"","apple_news_maturity_rating":"","apple_news_metadata":"\"\"","apple_news_pullquote":"","apple_news_pullquote_position":"","apple_news_slug":"","apple_news_sections":[],"apple_news_suppress_video_url":false,"apple_news_use_image_component":false,"_spanish_translation_id":0,"_is_translation":false,"_newspack_byline_active":false,"_newspack_byline":"","newspack_content_restriction_is_exempt":false,"newspack_featured_image_position":"","newspack_post_subtitle":"","newspack_article_summary_title":"Overview:","newspack_article_summary":"","newspack_hide_updated_date":false,"newspack_show_updated_date":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[65015,58,9],"tags":[40117,64998],"legislator":[],"bill":[],"newspack_spnsrs_tax":[],"coauthors":[4186],"class_list":["post-116040","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-capitol","category-commentary","category-health","tag-commentary","tag-my-turn","entry"],"acf":[],"apple_news_notices":[],"yoast_head":"<!-- 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