Bodily Autonomy is Impossible Under Capitalism

By Petra Glenn

Bodily autonomy is the right to make decisions about one’s own body. United States capitalism has turned bodies into commodities, thus preventing the obtainment of the human right of bodily autonomy. Capitalism requires the utilization of bodies as capital to generate wealth. The historic bodily oppression and utilization, particularly of black women, has created a dangerous and exploitative experience of motherhood in the United States. Rather than being based on care, the American medical, childcare, and education systems are built to generate profit, which in many cases results in poor care and exploitation. Due to the role and priority of economic efficiency in every stage of reproduction within the United States racialized capitalism, true bodily autonomy is impossible to obtain. 

This argument is part of a wider national discussion regarding bodily autonomy in the wake of Dobbs v. Jackson Women’s Health Organization, and Republicans’ newly revealed Project 2025, both of which highlight the GOP’s goal of eliminating access to reproductive healthcare. However, Project 2025 and the Dobbs decision are a consequence of a working system rather than a broken one. Capitalism, in theory and practice, relies on the commodification of bodies. So, despite living under a system supposedly grounded in individual liberties (abortion bans notwithstanding), to secure proper bodily autonomy, capitalism must be abolished. 

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Capitalism requires the utilization of bodily autonomy to sustain profit from workers. Workers sell their labor that occurs through the use of their bodily capital. Capitalists utilize labor by placing an economic value on labor and bodily capital. Through this process, the worker’s body becomes commodified. The United States economy was created through the oppression of enslaved person’s bodily autonomy and now operates under the guise of guaranteeing bodily autonomy but is instead rooted in the denial and utilization of bodily autonomy. Reproduction is vital to this system as it creates more bodies for the labor supply. Laborers create surplus value, or the value from labor that isn’t used to compensate the laborer. Through surplus value, businesses and companies generate profits. The goal within capitalist markets is to maximize profits, and therefore the surplus value created through laborers. Laborers thus don’t own their labor value. This system therefore relies on the exploitation of lower classes, which further burdens marginalized populations, such as women. 

The oppression of women has long played a role in the maintenance of capitalism even when separated from its racialized elements. The creation of modern Western class hierarchies was in part an establishment of gender hierarchies. From slavery through feudalism to capitalism, the oppression of women has been a feature of all stages of class society. The creation of separate family units isolated women into servile positions in their homes and families. Capitalist ideology reduced women to vessels of future workers, demeaning them while stealing the fruits of their uncompensated domestic labor. Pregnant people are therefore cogs in the creation of a labor supply while being economically valued through their labor in rearing children, homemaking, and other aspects of unpaid labor on which the United States economy relies. 

Black women are among the most oppressed populations in the United States through their intersection of race and gender. Through the legacy of slavery and contemporary racist policies,  race and American capitalism are inherently linked. Black labor was, and still is, foundational to the growth and development of the United States. The pivotal industries of cotton, tobacco, and sugar, which established the early infrastructure and profit that grew the economy, were built by enslaved persons. Railroads, which were essential in the Western expansion that grew and industrialized the states, were too. The White House, Capitol, and other landmarks were built by enslaved people. The rearing of many white children of plantation owners was through the labor of enslaved women. The for-profit prison industry and policing system were created in response to the emancipation of enslaved persons and now rely on black bodies for continual profit. The very core of the United States economy and culture was created through black labor and the suppression of bodily autonomy. 

Abortion access is just one facet of a racialized and for-profit medical system, which often fails to deliver actual care. Reproductive justice includes the ability to birth and raise children in a safe and healthy environment, which requires proper medical care beyond abortion access. These are consequences of the healthcare system's overall capitalistic structure, which creates economic inequality via class division. Owners' interests come first, so even healthcare is governed by principles of maximizing shareholder value. Among other things, this incentivizes insurance companies to deny care to those who are qualified for coverage.

Consequently, women are routinely denied the care they need to fully realize bodily autonomy — including but not limited to abortion. And it’s not just healthcare. No paid maternity leave also curtails bodily autonomy. The lack of support pushes many mothers into financial instability, disempowering these women and making them more reliant on their employers. 

Proper bodily autonomy therefore cannot exist under capitalism. For mothers in particular, every stage of conceiving, rearing, and raising children has been commodified, erasing the sanctity of procreation and parenthood. True reproductive justice is impossible under a class system that values profit over human lives. The Dobbs decision and the doom of Project 2025 simply prove that reforming a for-profit society can only secure basic rights for so long until the hierarchy inevitably shoves women back into place. Regardless of who wins in the upcoming 2024 election, securing true bodily autonomy will require greater class consciousness, rather than bandaging a system that requires control over our bodies. 

Petra Glenn is an activist and aspiring political scientist. She is pursuing her PhD and aims to aid in bridging the gap between academic theory and practice.

The Reproductive Rallying Cry

By Audrey Elberger, Nathaniel Ibrahim, Simon Moncke, and Juan Gonzalez Valdivieso

Republished in modified form from The Specter.

On June 24, 2022, the Supreme Court overturned 50 years of precedent via a 6-3 decision in Dobbs v. Jackson Women’s Health Organization. The ruling established that states can restrict abortion as they please and without limits. The case Dobbs overturned, Roe v. Wade, constitutionally protected abortion rights through the first trimester with limitations in the second and third trimesters based on maternal or fetal health.

Planned Parenthood v. Casey later overturned this framework in favor of a viability analysis. That opened the door for states to implement abortion restrictions in the first trimester. So, even when abortion was a “right,” it really wasn’t.

Following the Dobbs decision, many online articles alerted people to “safe havens”: areas where abortion access remained protected. But these articles seldom acknowledged the fact that many lack the resources to visit safe havens. Since women, minorities, and the poor are disproportionately under-resourced, abortion access is indeed a race, class, and gender issue.

That the Supreme Court is openly hostile to the needs of these marginalized communities should come as no surprise. The institution was designed to safeguard elite interests while insulating itself from public opinion. This rift between the people and their government sharply narrows the range of political possibilities. Questions such as whether the state ought to guarantee material security for all are forever left off the agenda.

Perhaps that would change if enough Supreme Court justices had working-class interests. But the selection process makes this incredibly implausible. These days, Court appointees ascend almost exclusively from a consolidated legal class of Ivy League graduates. Currently, only one of nine justices — Christo-fascist Amy Coney Barrett — didn’t graduate from Harvard or Yale. But she still went to Notre Dame: a prestigious private institution with an endowment exceeding $20 billion.

The elite background of jurists is reflected in the Court’s penchant to side with the monied, reactionary, and powerful. It’s also reflected in which cases they even choose to hear. The Supreme Court, after all, carefully selects its cases. They receive around 10,000 petitions each year but typically only approve about 80 of them. That means cases relevant to working people are almost always sidelined.

This raises the question of how to amplify working-class interests. While the American political landscape is bleak, there are nonetheless proven strategies at our disposal. By implementing them, we can send a powerful message that our demands around reproductive rights must be met.

Throughout the United States, there are abortion funds accepting donations. Many of them use that money to help low-income people pay for otherwise unaffordable reproductive care. Abortion funds often work in conjunction with healthcare centers to fund not only operations themselves but also transportation and childcare. The National Network of Abortion Funds provides an incredibly thorough database of abortion funds listed by state.

Beyond fundraising, we can also wage the fight for reproductive rights in the streets. Direct action like protests, rallies, and teach-ins are being held by organizations across the United States. These groups may be fully geared toward the issue of reproductive health, as is the case with Planned Parenthood and Reproductive Freedom for All. Or they may be fighting for abortion rights within a larger anti-capitalist movement. Examples include the Democratic Socialists of America (DSA) and its young wing YDSA, among other anti-capitalist parties and organizations within the United States.

Within this broader anti-capitalist milieu, the struggle for reproductive justice exemplifies why labor organizing should lie at the base of all other grassroots efforts. Under an oppressive, capitalist, forcefully evangelical society, the individual sits powerless, unable to alter the institutions that uphold the status quo. However, by exploiting society’s unwavering reliance on endless growth, individuals can join forces with fellow workers to collectively withhold their labor until more desirable conditions are secured. While fundraising and direct action are indispensable, organizing workplaces is perhaps the best bulwark against elite capture of powerful institutions. What happened in the Republic of Ireland roughly a decade ago shows this.

For years, the island nation known for its social conservatism banned abortion in nearly all cases. In 2012, however, Irish activists organized a march for choice. Ireland soon saw massive demonstrations which attracted international attention. Even the United Nations began calling on Ireland to change its abortion laws. But the Irish government didn’t cave to this pressure. That’s when labor organizers turned to more radical measures.

On International Women’s Day 2017, thousands of women went on strike demanding better abortion laws. They managed to shut down the capital city of Dublin for four hours. This action put the Irish government on notice. The following year, they held a referendum on abortion rights with two-thirds voting to expand access.

Abortion rights in Argentina have a similar history. As in Ireland, the Catholic Church is a dominant force in Argentinian politics and has helped curtail reproductive freedom for decades. In 2016, however, women workers staged a mass strike. That was followed by huge demonstrations for abortion rights as part of a protest movement called “The Green Wave.” The Argentinian Congress finally legalized abortion in 2020.

Given these facts, us fighting for abortion rights must ask ourselves: Is my workplace unionized? If so, how can I join the union? If not, how do I start that conversation? The sooner unionizing efforts get underway in every workplace, the sooner the working-class and oppressed peoples can leverage their collective power in the name of a more just society.

Misoprostol, Coat Hangers, and Trump: Foreign Objects in Our Wombs

By Assata Baxter

In the United States, one in three of us has had one. We don't share this. In the midst of making hard decisions, we bear the vitriolic harassment of those who have never and will never carry children, or those who chose to project the insecurities of their own decisions on others, before we can get to the door. We are blamed and shamed in clinic parking lots with pictures of 56 week old dead fetuses. We enter clinics alone without our partners' knowledge, weighted with surprises in pink lines when it's not yet our time. Or our partners hold our hands and say that whatever we choose they are beside us. Or depending where we are in a low-income country, there may be no clinics. So, we ask our friends if anyone has a doctor in the family who can write a prescription; anyone who knows someone who knows someone who works at a pharmacy. We look up which combination of pills it requires, and pray that it works. We go to sangomas in another village. We put our lives in the hands of "surgeons" and hope that we wake up with use of our reproductive organs… or that we wake up period. There are no certain answers. No "do-it-yourself" manuals. And every 8 minutes in low-income countries, one of us will die of complications arising from it.

We don't announce our decisions on Facebook, or post pictures to Instagram of the sonogram, of the fetus we have chosen not to keep. We may tell some close to us, but often we don't tell our best friends, our parents, our siblings, sometimes our partners. We are afraid their religion or recently recognized righteousness will get in the way of them hearing us…that they will guilt us into thinking otherwise, or it may change forever how they see us. We fear scarlet letter branding. We talk in hushed whispers if at all. Sometimes we find support groups. Sometimes we continue life as usual. Sometimes we are forever changed. While our experiences are different, what remains consistent is that abortion sits squarely at the juncture of ethics, religion, morals, science, gender and politics. And yet the discussion of the experience remains taboo.

I have had two abortions; one in Kenya, one in Djibouti, both "back alley" in the sense that they lacked medical supervision or prescription. I was not raped. My health was not in danger. Simply, neither the birth control, nor the morning after pill worked. I give you these moderating factors for two reasons. One, because the myth often goes that underserved populations use abortion as birth control. This was not the case. Further these very factors had both an impact on my conscience and impacted accessibility to any legal type of procedure.

My period was a week late. But, my period was always a little bit hard to calculate. It didn't cross my mind that I could be pregnant until week two. We always used protection, and our one accident, I had taken the morning after pill. I bought a take-home pregnancy test at the nearby market. I remember crouching on the floor of my apartment in south B, Nairobi watching the Test line appear. The test was supposed to take three minutes, but positives appear faster… and even the few seconds it took, seemed like a lifetime. I rocked back and forth, hugging my knees to my chest, crying… I called my boyfriend, shaking, inconsolable, tears pouring down my face. He rushed over and held me as I cried myself to sleep. I wished it happened like in the movies. The girl who finds herself pregnant always magically miscarriages. She never actually has to make a decision. She can share her story freely, with whoever chooses to listen, because miscarriages are not of our choosing. They are not our fault or our choice. They are met with sorrow or pity or empathy, because they are God's will or the will of the Universe or whomever we believe in. We hold no "fault".

But it did not happen like the movies. I bought three more pregnancy tests the next week. I convinced myself I had ovarian cysts, that I kept contaminating the urine sample, or that the pharmacy by my house was selling expired tests. By the end of the week, I started having dizzy spells. I was beginning to feel nauseous quite often, but I had three days off work before heading to rural Uganda for work, and so the race against the clock started. The next day I woke up I felt awful, and depressed. I wanted to see a doctor. That would be the only way to know for sure. We made an appointment at a nearby hospital. I explained the situation and they too thought that pregnancy was unlikely, particularly given the dates of my last period and encouraged me to do an ultrasound. I agreed. For once and for all, I would know.

My memories of the next few moments that day are very blurred. I remember hearing a heartbeat. I remember crying and heaving in some corner in the hospital. I remember I went home with a sonogram as a parting gift, that I have never brought myself to discard. But I did not want to have a baby, even after heartbeats and sonograms. I was 24, living and working in Kenya on 2000 USD a month, with an ocean separating me from my family, and financially supporting a sick mother back at home. I was six weeks pregnant, and I did not want to be a mother, then… the same way I am unsure if I want to be a mother now. I knew immediately what I wanted to do, but had no idea how to do it, and having chosen to abort, there was nothing more that I wanted than to stop being pregnant. In my mind, I kept thinking the longer I waited, the closer the fetus came to viability, or to what in my mind was personhood. However, figuring out what to do was not easy. There is no "Planned Parenthood" in Kenya. I could not make an appointment to discuss my options. Abortion is and was illegal in Kenya, and only viable to save a woman's life or preserve her physical health.

I was not willing to wait any amount of weeks to try and fly to another country and come back. I also was not willing to literally have a back alley surgical abortion. I had one or two friends I confided in, who might have known someone who had "the surgery". I was not willing to risk my future reproductive health or a return to consciousness being unsure of what had been cut, or poked or inserted inside of my body. Here there was no RU-486. We had to find a doctor who would be willing to write a prescription for the pills I would need to give myself a medical abortion. We could not get it in the pharmacy without a prescription. We found a doctor who was willing to write a prescription however the dosage was not enough. It was for only 200mcg. We made copies of the prescription. We bribed pharmacists to give us more until we had 800mcg. There were multiple websites with multiple directions. I chose one and stuck with it. I put a pill under my tongue, wrote a letter to my unborn child, and asked for her forgiveness and to come back when it was her time. I wore a pad for the rest of the night. And in the morning, it was just as if I started my period. And that was it. I no longer felt nauseous. I just had what felt like period cramps... At least I thought that was it. I headed to Uganda for work. The secret safe between my boyfriend and I.

For the next two days life, continued as somewhat normal. However the third day, I had cramps far worse than any period I had ever had. They were so painful that I had to bite on a towel to keep from screaming out, every time I used the bathroom. I struggled through my work day, taking multiple breaks per hour. I was dizzy, sweating, and nauseous. Day four, I had what I realize now was probably Class Two hemorrhaging. I woke up to blood everywhere in the sheets. I wouldn't stop bleeding. In a town in far West Uganda, coming from the bathroom, too weak to walk, I tried to crawl back to bed, but could not make it. So, I lay on the cold floor of a hotel room, entering and exiting consciousness until morning; bleeding uncontrollably, until a friend found me in the morning. I never did see a doctor, but the process of healing from both the physical and psychological wounds was a long one. The psychological wounds remained because the physical damage to my body, the anticipated lack of support, my suffering in physical and emotional pain in silence, the battle of my conscience, and the feeling of utter loneliness did not leave immediately. But I survived… which makes me a lucky one.

International Access to Abortion

Imagine that approximately 310,000 women undergo abortions in secrecy each year in Kenya alone, according to the East Africa Centre for Law and Justice[1]. 21,000 women are admitted each year as a result of complications related to unsafe abortions, which are usually undertaken in back alley clinics. 2,600 of these women eventually die. Research from the Center for Reproductive Rights has found that unsafe abortions account for 40% of the maternal mortality rate[2]. I was fortunate enough to have a supportive boyfriend, and enough financial capital to be able to afford both seeing private doctors, and paying the costs of both prescriptions and bribes. I know that is a privilege not all women have in Kenya. Due to restricted abortion legislation, even with the new constitution, women, less than having access to a medically safe procedure, do not even have access to the human contact that would provide them with the support and empathy they seek, and the tools they would need to make an informed decision.

In sub-Saharan Africa, 98% of countries allow abortions to save the mother's life, however only 33% permit abortion in cases of rape or incest and only two allow elective abortions for any reason. But, I will point fingers neither at Kenya, nor the continent of Africa. Kenya is not the only country with restrictive abortion legislation. In fact the countries with the most restrictive abortion legislation are found in Europe, Central and South America. The Holy See (Vatican City), Malta, Dominican Republic, El Salvador, Nicaragua and Chile do not allow abortion under any circumstances, even if the mother will die from complications prior to or giving birth[3].

According to Pew Research Centre, although in Europe about 73% of countries allow abortions for any reason, Ireland, Andorra (between France and Spain) and San Marino (Italy) only allow abortions in order to save the life of the mother. In Ireland, illegal abortion carries a sentence of up to 14 years in prison. And therefore, more than 5000 women each year are forced to leave the country to have abortions outside of Ireland [4]. These same studies have revealed that 26% of countries in the world only allow abortion to save a mother's life; and 42% allow abortions only when the mother's life is at risk in combination with "at least one other specific reason, such as to preserve a woman's physical or mental health, in cases of rape or incest, because of fetal impairment or for social or economic reasons" [5]. According to the World Health Organization 21.6 million women undergo unsafe abortions every year [6]. Of those, 6.9 million women were treated for complications from unsafe abortions. I form part of the 40% of women who experienced complications but never received treatment. Unsurprisingly, almost all abortion-related deaths occur in low-income countries, with the highest number occurring in Africa. The Guttmacher Institute, according to recent studies have found that 8-18% of maternal deaths worldwide are due to unsafe abortion, and the number of abortion-related deaths in 2014 ranged from 22,500 to 44,000 [7].

What these numbers and percentages mean, is that beyond any discussion about population control in low-income countries, at what specific age human life becomes viable, if abortion is morally right or wrong, the after-life consequences of our actions, is that women are literally dying trying to get abortions, often of the surgical kind.

Trump in Our Wombs

The 1973 Helms Amendment , created in the wake of the Roe v. Wade decision, prevents the use of American foreign aid for abortions. The caveat being that the money could still be used to fund family planning, or educate women about abortions, but could not be allocated to the procedure itself. On January 23 rd 2017, beneath our noses, President Trump signed an executive order which reinstated the "global gag rule". Effectively this rule bans federal funding for international non-governmental organizations that offer abortions, advocate for the right to an abortion, or even discuss abortion as an option to mothers. In the past this order known as the "Mexico-City Policy", has been instituted by Republicans and struck down by Democrats multiple times. Yet the massive degree of funding that will be affected by this gag order is absolutely unprecedented. The gag rule will apply to about $9.5 billion dollars in global health funding which will effect organizations mostly in low and middle income countries. These cuts may even effect HIV prevention and treatment, and maternal health care. Conservative estimates by the Guttmacher Institute project that the result will be 38,000 more abortions. Marie Stopes International estimates that the global gag rule will lead to an additional 2.2 million abortions worldwide, and given the restrictive abortion policies in 68% of countries, a vast majority of these will be unsafe abortions.

Basta de Rosarios en Nuestros Ovarios (No More Rosaries in Our Ovaries)

While it is impossible to project definitively, I wonder how many more women will die this way, unaccounted for, afraid, hemorrhaging to death on the floor of a hotel room, or during surgery in the room of a back office with no windows, where her body may simply be disposed of, to ensure the continued financial gain of the "clinic". This unnecessary maternal mortality is a direct byproduct of desperation in environments that stigmatize and demonize women for unintentionally becoming pregnant, for whatever reason, and then punish them by restricting access to services. On top of this, with funding basically drained to international and national NGOs who specialize in family planning, pregnancy prevention, and pre- and post-counseling, women, especially in low-income countries are left very alone. I took years to heal from my psychological wounds. I never once regretted my decision. But I almost lost my life in the process. Reproductive rights belong to those who are doing the reproducing. Trump's new policies are invading our wombs, reaching into our bodies to yank away reproductive rights with fetal heartbeat bills and global gag rules. As has happened historically, when autonomy over our own bodies is taken away, we as women find a way to take it back. Banning abortion, or cutting funding to organizations that even discuss abortion will not make abortion disappear, it will only result in the unnecessary death of tens of thousands of women a year, by knitting needle, Misoprostol and coat hangers.

Notes

[1] http://eaclj.org/about-us/7-fida-and-kclf-landscaped-comparison.html

[2] https://www.reproductiverights.org/initiatives/maternal-mortality

[3] http://www.care2.com/causes/the-5-countries-that-would-let-a-woman-die-before-getting-an-abortion.html

[4] http://www.pewresearch.org/fact-tank/2015/10/06/how-abortion-is-regulated-around-the-world/

[5] Pew Research Center http://www.pewresearch.org/interactives/global-abortion/

[6] http://www.who.int/reproductivehealth/topics/unsafe_abortion/magnitude/en/

[7] https://www.guttmacher.org/fact-sheet/induced-abortion-worldwide