A6 THE ASTORIAN • SATuRdAy, MAy 14, 2022 2017 2018 2019 2020 The number of abortions among people from Clatsop County has remained relatively constant over the past five years, according to the Oregon Health Authority. 2021 ABORTIONS AMONG PEOPLE FROM CLATSOP COUNTY Abortion access: Recent change by the federal government could expand local access to one type of abortion enthood, which provides about 75% of the abortions in Oregon, said most choose med- difficulties are compounded. ication abortions. At Columbia Memorial, which is Last year, the Food and Drug Adminis- Lutheran-affiliated, obstetrician-gynecol- tration lifted a restriction on abortion pills, ogists offer phone and office consultations allowing patients to have telemedicine when patients want to discuss abortion. The appointments with providers who can pre- scribe and mail abortion pills directly to women’s center provides information on them. abortion options and offers ultrasound and Before the rule change, the first dose of blood testing in advance. Patients can also the two-medication regimen was required to follow up with health care providers after- ward if needed. be dispensed at a health care facility. Social workers and a board-certified In Oregon, some health care providers chaplain are available to provide unbiased have already been conducting telehealth support and counseling throughout the pro- appointments and mailing pills through cess if patients pursue abortion. the TelAbortion Project, a research project The hospital also provides assistance authorized by the FDA. with logistics, such as insurance, travel and The federal agency decided to stop financial issues. Staff is available to help enforcing the in-person requirement in April manage potential complications or medi- 2021, and in December it was lifted per- cal emergencies for patients who terminate manently, allowing the pills to be mailed pregnancies. directly to patients. Providence Seaside, part of a Catholic Reproductive health care experts say the health care system, declined an interview decision could make access to abortion eas- ier, particularly in underserved places like for this story. Tracy Erfling, a naturopathic doctor who rural Oregon. serves as Clatsop County’s reproductive Restrictions on abortion in neighboring health provider, said she is not aware of any states could draw more women seeking to clinics or hospitals in the region that offer or end their pregnancies to Oregon. plan to offer abortion services. Idaho has sought to enforce an abortion “It’s a very big political hot topic,” she ban after about six weeks of pregnancy by said. “So some people just don’t want to dip allowing family members to sue abortion their toe in that pool and just would rather providers. The law is modeled after a similar utilize the sort of functioning entities that are law in Texas that was crafted to get around already there to do those services rather than constitutional protections. try to take that on.” “What Idaho is going to do is really shut Without meaningful access, Planned down access for people in Idaho with this Parenthood has said, “abortion is a right in new law,” Udall said. “We believe that we name only.” will begin to see high percentages of people Barriers to reproductive health care are coming into Oregon.” often higher based on race, income and dis- A report by the Guttmacher Institute, tance from urban centers. a research and policy organization that “Oregon has worked very hard – even in favors abortion rights, estimated that even a more conservative parts of the state – to be 15-week abortion ban could mean a 234% a state where women and people who need increase in the number of people whose abortions have complete nearest abortion pro- vider would be located and total access to that in Oregon. service free of charge,” ‘IF THE GOOd Given the reality of said Anne Udall, the TEACHINGS OF abortion access in Ore- president and CEO of gon and the anticipated Planned Parenthood CONTRACEPTION demand coming from Columbia Willamette. (ARE) OuT THERE, “From sort of a finan- other states, Planned Par- enthood is providing cial support, Oregon is THEN THIS WHOLE medication abortions by just truly one of the lead- ers in the country for sex- mail. People who live out THING’ — THE ual reproductive heath of state can access the pills QuESTION OF care. We know that the if they provide an address rural parts of the state — in Oregon or Washing- ABORTION — ‘IS ton state, which can be a it’s much harder,” Udall friend’s house or clinic. said. POTENTIALLy Planned Parentood AVOIdEd.’ has been focused on ‘A scary and Eastern Oregon, she stressful time’ If the Supreme Court said, “but we are also Tracy Erfling | naturopathic doctor overturns Roe v. Wade, as increasingly paying who serves as Clatsop County’s a leaked draft of a ruling attention to the lack of reproductive health provider indicated, more than two abortion access on the dozen states are likely to coast.” In Erfling’s experience, the more rural a ban or significantly restrict access to abortion. population, the more acceptable it is to have Oregon, Washington state and California unintended pregnancies. have taken proactive steps to protect access. “If someone wants to have a kid, even if The Reproductive Health Equity Act, it’s unintended, we all have to be OK with passed by the Oregon Legislature and that because it’s going to happen,” she said. signed into law by Gov. Kate Brown in But Erfling still thinks about a patient 2017, codified abortion into state law and she saw 20 years ago: a pregnant 13-year- required private health insurance plans to old who came into the county Public Health cover abortions with no out-of-pocket costs. Department with her mom. The law also covers abortion services for “I’ll just never forget the look on her undocumented immigrants.Bracing for an face,” she said. “She just had this blank influx, new legislation this year established stare. I don’t even think that information a $15 million fund intended to cover, in part, was filtering into her mind.” the costs for patients who travel across state The teenager’s mother was nonchalant lines and the costs for abortion providers. about the situation, saying she and others In Astoria, news of the Supreme Court’s she knew also got pregnant at a young age. potential decision ignited something in Education about contraception and the Johnsen. Fresh in her memory was her own ability to have conversations about the abortion and the lack of local resources she options during pregnancy are critical, Erfling encountered. believes. In 2020, the county’s reproduc- In a matter of days, she launched the tive health program averted 49 unintended nonprofit Lemonade Foundation. She is still pregnancies due to access to contraception, finalizing the nonprofit status, but the foun- dation’s mission will be to help people who according to the Oregon Health Authority. want to end a pregnancy through every step In 2019, the county averted 59 unintended of the process: from scheduling appoint- pregnancies. The number of abortions among peo- ments and organizing companionship so no ple from Clatsop County has remained rela- one goes through a procedure alone to pro- tively constant over the past five years. The viding funds to cover things like transporta- tion or child care. Oregon Health Authority tracked 60 abor- tions in preliminary data from 2021, 46 in Johnsen plans to reach out to other local 2020, 47 in 2019, 64 in 2018 and 67 in 2017. nonprofits and find ways to connect with Oregon, like many states across the the people they see. She feels there are country, has seen abortions steadily decline likely many in the community who don’t over the past few decades. know about the resources that are available “If the good teachings of contraception to them or how to access those resources if (are) out there, then this whole thing” — they are considering an abortion. the question of abortion — “is potentially “It can be such a scary and stressful avoided,” Erfling said. time,” she said. With the Lemonade Foundation, Johnsen Medication abortion wants people who have chosen to or who A recent change by the federal govern- need to end a pregnancy to know “that you ment could expand local access to one type are not just being denied care from every of abortion. provider in our region. That there is someone For women who are still early in their here that is going to aid you with care and pregnancies, a medication abortion — can connect you to care and be present for it.” achieved by taking the prescription drugs This story is part of a collaboration mifepristone and misoprostol — is an between The Astorian and Coast Commu- nity Radio. increasingly common method. Planned Par- Continued from Page A1 Hyak: Lift would be able to hoist vessels weighing up to 1,500 tons Continued from Page A1 investment in the site. During the meeting, several shipyard own- ers and workers asked that the funding be denied or delayed for further analysis, claim- ing it would give Hyak an unfair advantage and harm other businesses on the river. They also questioned the amount of public funding going to the project. Robert Dorn, Hyak’s CEO, said the project would increase Oregon’s shipyard capacity rather than cut into the market. He said exist- ing shipyards cannot support the demand for repairs. The meeting followed a six-month appli- cation review process by the Oregon Depart- ment of Transportation. Timo Toristoja, the owner and president of JT Marine, which has locations in Rainier and Vancouver, Washington, said the company recently purchased a dry dock for Rainier that will now be a wasted investment. Dry-docking involves draining the water from a section of the port, which is a slower process than Hyak’s lift, which would hoist ships from the water to an on-site repair area. “I feel like we’re fighting for our life here, and our very existence in this market,” Tor- istoja said. “With our ability to do between 20 and 30 dry-dockings a year, Hyak will be able to do that at one time. Our average cost to dry dock a vessel is between $10,000 and $15,000. (Hyak) can do it in less than half that. So to try to say that it won’t affect us is just crazy.” Frank Manning, the vice president of Diversified Marine in Portland, asked the commission to reject the funding request. He said that Dorn and partner Gordon Smith’s personal wealth and successful business should be considered. “It’s going to cannibalize our existing mar- ket and — I beg you. I ask you respectfully that you consider this and reject the Hyak funding,” he said. Hyak’s lift would be able to hoist vessels weighing up to 1,500 tons, allowing it to ser- vice boats that would otherwise travel out of state or join a waitlist. Hyak’s application included letters of support from tugboat oper- ators who say available dry docks haven’t kept up with demand. An independent economic impact study by the Columbia-Pacific Economic Develop- ment District, or Col-Pac, contracted by Hyak, included figures for Hyak’s future spending and contributions at the site. The study estimates the project will create 51 full-time jobs at Hyak upon installation, with an average salary of around $78,000. It also projects an additional 50 jobs five Colin Murphey/The Astorian Hyak Maritime hopes to create higher- paying shipwright jobs. years after installation, bringing the total to over 100 full-time jobs. The Col-Pac study predicts that the lift will add $400,000 in annual local and state tax rev- enue by 2025 and $700,000 annually by 2030. At the meeting, Dorn pointed to the eco- nomic impact study and its finding of lack of shipyard capacity. He said he intends to col- laborate with existing shipyards on the river. “The state, to invest in this, is such a good investment. I assure every other operator of a shipyard on the Columbia River that we’ll support them,” Dorn said. “There’s more work than we can handle. There may need to be another travel lift project in the Columbia River in the future. We’ll support that. We’ll support anything that can enhance the mari- time repair ability, shipbuilding process here.” Following the public comments, Erik Havig, the Department of Transportation’s statewide planning and policy manager, who oversaw the project funding selection, explained the review process and answered questions from commissioners. Havig said that as the applicant, Hyak pro- vided the economic information used in the impact analysis. The state relies on its econ- omists, area commissions and review groups to determine how projects would impact the economy on a local, regional and state level. “There’s no way that ODOT can be experts — our economists experts — in ship repair. Nor would Business Oregon regional development officers be statewide experts in that industry, so they use the best informa- tion they have available,” Havig said. “So it is not detailed, trying to dissect every claim, or every specific issue to that kind of level. That would take a lot more time, energy and cost.” Along with approving the funding, the commission also asked that the Depart- ment of Transportation carry out an informal review of the Connect Oregon grant selection process and revisit the application require- ments, including the amount of public fund- ing acceptable for each project. SUZANNE BONAMICI IS DELIVERING FOR NORTHWEST OREGON. SUZANNE’S ACCOMPLISHMENTS IN WASHINGTON, D.C. $219 million distributed to Oregon families through the Child Tax Credit $289 million in rental assistance for Oregonians $87 million to assist Oregonians paying their energy bills $4.5 billion to invest in Oregon’s infrastructure, including broadband Advocating for good-paying jobs and workforce training to grow Oregon’s economy AS OUR REPRESENTATIVE, SUZANNE WILL CONTINUE TO FIGHT FOR WHAT WE NEED. SUZANNE BONAMICI FOR CONGRESS Building a better future for all Oregonians. bonamiciforcongress.com /SuzanneBonamici Paid for and Authorized by Bonamici for Congress.