Dr. Colleen McNicholas zig-zags across the Midwest—considered an 'abortion desert'—to provide women with care that's harder and harder to come by. In Marie Claire's 2016 series on reproductive rights, she takes us with her.
Oh, Colleen, you're here to butcher the babies again, aren't you?" That's how an antiabortion protester greets Dr. Colleen McNicholas as she maneuvers her silver SUV into the parking lot of the Planned Parenthood clinic in St. Louis' Central West End on an unseasonably warm day in mid-February.
McNicholas was raised on the South Side of Chicago in a family that was"supportive of me being whatever I wanted," she says. In high school, most of her friends were on birth control and some had abortions, and none of them thought of it as an"Oh, my God, crisis," she says. It wasn't until McNicholas went to medical school in rural Kirksville, Missouri, that she realized how different her experience was.
Whether McNicholas is performing a medical abortion, where the patient takes one pill at the clinic and a single dose of four others within the next 48 hours at home, or a surgical abortion, where the pregnancy is suctioned out of the uterus, she only needs about 10 minutes with each patient. She enters the room with a big smile and a cheerful hello, immediately trying to put patients at ease.
The result is few doctors with privileges—often none in the same town or city as a clinic—so doctors like McNicholas rack up frequent-flier miles, jetting from state to state to provide care. McNicholas is ushered inside by an armed security guard who worked as Tiller's personal bodyguard for 17 years. Within 10 minutes, she's inside an exam room with the first patient. She will perform 24 abortions today and 17 tomorrow before heading home."Lots of people assume the hardest part of my job is the work—abortion after abortion, how sad that is," she says."But the truth is, the hardest part of my job is when I have to say no to somebody.
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