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The global gag rule, officially known as the Mexico City Policy, is not just a policy; it is a deliberate attack on bodily autonomy, sexual and reproductive health rights (SRHR), and the feminist movement at large. It is a political tool wielded to control the choices, voices, and futures of women and marginalized communities, particularly in the Global South. When the policy is in effect, it blocks international organizations from receiving U.S. global health funding if they so much as provide information about abortion even with their own, non-U.S. funds. This is not just a matter of financial restrictions; it is a suppression of knowledge, agency, and power.
Power and Control: Who Holds It and Who Suffers?
First implemented in 1985, the global gag rule has been a political pendulum, reinstated by Republican presidents and rescinded by Democratic ones. Over the decades, its impact has only grown more severe. The most devastating expansion came in 2017, under the Trump administration, casting an ominous shadow over global health systems. The policy was no longer just about restricting funding for abortion-related services; it cut off support for a broad spectrum of essential health services, including U.S. global HIV (under PEPFAR) and maternal and child health (MCH) assistance.
As of January 25, 2025, President Donald Trump has reinstated the policy. It is, at its core, about power. Who holds it? Who enforces it? Who is stripped of it?
Power is in the hands of policymakers, primarily wealthy, conservative men in the U.S. government who make decisions that shape the reproductive destinies of millions of women across the world. They dictate what can be said, what services can be provided, and who is deemed worthy of care. This is not about protecting life; it is about maintaining control over women's bodies, particularly those in the Global South, where foreign aid is often a lifeline for essential healthcare services.
Power is also in resistance. Feminists, activists, healthcare workers, and grassroots organizations continue to fight back, despite the chilling effect of the gag rule. Every time this policy is reinstated, we see a rise in unsafe abortions, a surge in unintended pregnancies, and a setback in access to contraception because banning organizations from using even their own, non-U.S. funds to provide abortion services or advocate for reproductive rights doesn’t eliminate abortion; it only drives it underground. And yet, we persist. The right to decide what happens to our bodies is not up for negotiation.
As we wait for a future progressive government to revoke this policy again, the damage is already being done. Delays in action are not neutral; they actively harm the feminist movement and the right to bodily autonomy that we fight for.
Think about it:
These are not just abstract losses; they are direct assaults on the feminist movement’s ability to empower, educate, and protect.
Break the Gag: A Call to Action
The global gag rule must not only be revoked; it must be permanently abolished. We cannot continue this cycle where every change in U.S. leadership dictates the fate of women's healthcare worldwide. Feminist organizing, advocacy, and pressure have forced reversals before, and they will again. But we must demand more than temporary fixes.
What can we do?
We will not be gagged. We will not be silenced. We will fight for choice, for power, and for the feminist future we deserve.
Article by Samantha Agasha and Hannah Stacey Baluka
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