Medication abortion is one of the safest procedures out there; it’s less risky than wisdom-tooth extraction (which requires anesthesia). But doctors and nurses in Arkansas are so afraid of abortions — and the attendant politics — that it’s almost impossible to learn about them as a medical student, let alone administer them. Where I grew up, in the River Valley of western Arkansas, nobody said the word “abortion” out loud. When I went to medical school at the University of Arkansas for Medical Sciences (UAMS) in Little Rock, that censorious silence didn’t relent. Over four years, the most exposure we got to the topic was a half-hour guest lecture. (At that time, 17 percent
of medical schools offered no formal abortion education, according to a national survey published by the American Journal of Obstetrics and Gynecology.)