Nebraska is the only state with two abortion measures on the ballot. Confusion is the point.

“The 12-week abortion ban Nebraska lawmakers passed in May 2023 included exceptions for pregnancies caused by rape or incest, or to save the life of the mother.

As in other states, these exceptions have proved ambiguous for doctors on the ground, and many patients who need abortion care have been unable to get it.

Kim Paseka, a 34-year-old woman based in Lincoln, Nebraska, was one of those patients. Paseka lives with her husband and their 3-year-old son, and though they wanted at least two children, they were unsure about pursuing that in Nebraska after Roe was overturned.

“We knew it was probably inevitable that our state government was going to work on banning reproductive health care in some capacity and it definitely gave us pause, like should we move, do we stay and fight? Those were our dinner table conversations,” she told Vox. In the summer of 2023, just after Nebraska lawmakers passed their 12-week ban, Paseka learned she was pregnant again.

Initial blood tests looked fine, but following a routine ultrasound, Paseka was informed that her baby’s heartbeat was slower than expected. In subsequent appointments, the doctors determined the heartbeat was diminishing and that Paseka was carrying a nonviable pregnancy.

Because of the new ban and the fact that Paseka’s life was not immediately threatened, her doctors weren’t comfortable ending the pregnancy. They sent her home with instructions for “expectant management” — meaning to wait until she’d bleed out eventually with a miscarriage.

“I had to go back to the hospital for three more scans, where I had to see the heartbeat weaken further week by week, and during this whole time I’m so nauseous, I’m tired, I’m experiencing all the regular pregnancy symptoms, but I was carrying a nonviable pregnancy,” she said. It took roughly a month for Paseka to finally bleed out the pregnancy at home.

“In Nebraska, we have these exceptions, but in my situation it wasn’t assault, it wasn’t incest, and my life wasn’t in immediate danger, so I automatically just lose health care,” she said. “They’re forgetting how detrimental that can be to mental health, that it’s not just about physical endangerment. … I felt like a walking coffin.”

Mann, the executive director of Nebraska’s statewide abortion fund, emphasized that the 12-week ban has had far-reaching consequences that most people underestimate.

“Not only are folks now restricted in how and when they can get the care they need, but it’s additionally problematic that these rules are designed to be confusing and were brought about during a time when confusion was at an all-time high,” she told Vox. “We talk to callers and members of the community all the time who have no idea when and if abortion is even legal here in Nebraska.”

There are two remaining abortion clinics in the state, though both only perform abortions part-time, meaning there sometimes are not enough appointments to go around, including for patients traveling in from states with near-total bans like Iowa and South Dakota.

“This means that not only are patients who are past the 12-week mark forced to flee the state for care, but even patients under that ban restriction are sometimes having to travel just to get an appointment in a timely manner,” Mann explained. “These patients are going to places like Minneapolis, Chicago, and Denver … this travel is often expensive, inconvenient, and overall an enormous burden on pregnant people.””

https://www.vox.com/2024-elections/377639/nebraska-abortion-ballot-measure-trimester-ban-election-reproductive-freedom

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