Should my health information be protected if I received an abortion due to becoming pregnant by non-consensual sex? I recently read an article that abortion records are going to be made public and immediately threw up. I never wanted to think about it again and the thought of it being public record makes me sick. Why am I having such a strong reaction to a news article?

I'm so sorry to hear that you're experiencing such a strong reaction to this news article. It's completely understandable that the thought of your personal health information becoming public would cause you significant distress, especially given the circumstances you've described. Your feelings are valid, and it's important to acknowledge them.

When news threatens to expose deeply personal medical decisions, especially those connected to sexual assault trauma, it's natural to experience strong emotional and physical responses like the nausea you described. These reactions emerge because such news can feel like another violation of consent, echoing the original trauma and challenging the sense of control many survivors work hard to rebuild.

The current legal landscape around reproductive healthcare in the United States is undergoing rapid changes, which can feel incredibly destabilizing and frightening, especially for survivors. While this uncertainty is real and valid, it's important to understand the robust protections that remain in place for medical privacy. The Health Insurance Portability and Accountability Act (HIPAA) continues to provide strong federal protection for all medical records, including reproductive healthcare. This means that healthcare providers, clinics, hospitals, and other medical entities are legally required to maintain the confidentiality of your records and cannot disclose them without your explicit consent, except in very specific and limited circumstances.

Your physical and emotional reactions - from nausea to overwhelming anxiety - are your body's natural response to perceived threats to your privacy and safety. When we experience trauma, our bodies develop sophisticated protective mechanisms that can be triggered by related news or discussions, even years later. Reading about potential changes to privacy protections can activate these trauma responses because it threatens the sense of safety and control you've worked to establish. This isn't a sign of weakness but rather your body and mind working to protect you from perceived threats.

It's crucial to stay informed about your rights while also protecting your mental health. Consider working with a patient advocate or legal resource in your area who can provide up-to-date information about specific protections in your location. Many organizations specialize in supporting survivors and can offer both legal guidance and emotional support. At the same time, give yourself permission to step back from news coverage that triggers intense reactions. Setting boundaries around media consumption is a valid form of self-care.

Consider implementing grounding techniques when you encounter triggering news, such as deep breathing exercises, spending time in nature, or engaging in activities that help you feel centered and safe. Many survivors find it helpful to work with a trauma-informed therapist who can provide additional coping strategies and a safe space to process these complex emotions. 

Your privacy matters, and while the political landscape may feel uncertain, your fundamental right to medical privacy remains protected by federal law. You get to choose who knows your story and when or if you share it. Thank you for reaching out to us. You are not alone.