Joan Fleischman has always had people flying in from across the world to her private abortion practice in Manhattan. In the two decades her clinic has been open, she has seen clients from places such as Ireland, the Bahamas and Mexico, who couldn’t get abortions in their home countries. In the past year, that has changed. Since the US federal right to abortion was overturned in June last year, she is now more likely to see patients flying in from her own country.
Often they are from Texas, sometimes Ohio, or Florida. Some with links to the city, others with none.
After years of providing abortion care, Fleischman, 60, still finds these trips shocking. “Usually, if somebody needs unusual medical care, they are willing to fly around the world for it – like for advanced neurosurgery or something. It’s always struck me as incredible that people are flying to me for the most simple procedure.”
There’s a reason people fly to see Fleischman. She provides abortions through manual uterine aspiration – using a small, hand-held device to remove pregnancy tissue. The device is gentle enough that the tissue often comes out almost completely intact. It is a quick and discreet procedure where a patient might be in and out of the door in less than an hour.
Fleischman is the co-founder of the MYA Network, a network of primary care clinics and clinicians in 16 states. They believe the tool could be radical in the hands of more primary care clinicians – clinicians they are amping up to train.