In Final Turn With Planned Parenthood, Cecile Richards Tells Obstetricians Women's Healthcare "Has a Long Way to Go"
Even though her final stretch at the helm of Planned Parenthood was not easy, Cecile Richards told the nation's obstetricians she is optimistic because of the activism she sees among women and girls at the grassroots level. "Women are on fire," she said.
For her final speech Sunday as president of Parent Parenthood, Cecile Richards returned to where it all began: she came to Austin, Texas, the state capital where her mother served as governor, and where the legislature represents the new battlefield over access to abortion, birth control, and cancer screenings.
And yet, Richards was full of hope as she addressed the 2018 annual meeting of the American College of Obstetricians and Gynecologists (ACOG). Her travels have put her in touch with women and girls awakened by the current political climate. She bears witness as patients become supporters, and then activists, and in some cases, candidates.
“Women are on fire,” Richards said. “We’ve got a lot of work to do. We’re fighting for the heart and soul of this country.”
She said capturing that fire—and translating it into votes—will be part of her next chapter after today, when she ends her 12-year run with Planned Parenthood. Richards is also promoting her memoir, Make Trouble: Standing Up, Speaking Out, And Finding the Courage to Lead, which tells her story growing up as the daughter of straight-talking Ann Richards in conservative Texas through her years as one of the country’s best-known healthcare activists.
The final stretch with Planned Parenthood has been eventful, as the Trump Administration tried to
Efforts by states to defund Planned Parenthood are the current threat, even though the organization serves 2.4 million women a year and polling shows most
While the group receives no funding for abortion, it does receive Medicaid reimbursements for other services. Planned Parenthood offers services for men, too;
New Tools, Birth Control Needed
Planned Parenthood was founded in New York City when death during childbirth was a leading cause of mortality among women. The pioneers, led by Margaret Sanger, started by handing out pamphlets and were promptly arrested. So, they handed out information in the jail.
“We’ve kind of been controversial since the moment we began,” Richards said.
Access to birth control, education, and vastly improved prenatal care has not only improved women’s health, but transformed career and economic opportunities—Richards pointed out the rising numbers of women in banking, law, medicine, and even at NASA. Plus, there are now 22 women in the US Senate, including Senator Tammy Duckworth, D-Illinois, the first woman to bring her newborn onto the Senate floor.
But there’s more to do to achieve “true healthcare equity,” Richards said. Echoing themes heard during the ACOG meeting, she said broader use of telehealth could allow women in underserved areas to receive medical abortion, eliminating the need for women to travel long distances for care.
Clinical trials in Houston, Texas, and in New Jersey could lead to FDA approval of a self-administered form of Depo Provera, which would dramatically increase uptake if women didn’t have to repeatedly go back to a doctor or health clinic.
Richards recalled one of her best days as president of Planned Parenthood, when President Barack Obama called to tell her that all forms of birth control would be
Having a variety of birth control options available is essential, Richards said, because each woman is different; 58% of women use birth control for reasons other than contraception, “for everything from acne to endometriosis,” she said.
Funding for birth control for low-income women under Title X, which has been in place since the Nixon Administration, is now under threat, she said. Unfortunately, access to birth control and other health services is highly dependent on where a woman lives, and those in the South have less access and fewer choices. Women of color face huge disparities, she said.
“Women in America have come a long, long way in this past century, but as you know, we have a long way to go, particularly when it comes to public health—to make access to care a reality for everyone.”
Less Access, Poor Outcomes
Richards later told reporters that as states have become battlegrounds, Planned Parenthood has put more resources in these areas. Her home state of Texas is perhaps the nation’s most stunning example of how a
“We are living through a maternal mortality crisis in this country that has not gotten nearly enough attention,” Richards said, citing ACOG’s efforts to address rising rates. On Saturday, ACOG’s outgoing and incoming presidents discussed the group’s
Combatting Teen Pregnancy
The combination of increased access to birth control under the ACA and a successful teenage pregnancy prevention program drove teen pregnancy rates to 30-year lows. But HHS has tried to end this program, and instead shift funding priority to those that promote abstinence, or “sexual risk avoidance.” The state of Washington sued and obtained a permanent injunction, she said.
Richards said she has seen teenagers advocate for their own healthcare, and the activism of this age group on gun control is inspiring. However, she told the healthcare professionals not to depend on patient activism.
“To build a future that we want to see, and that we believe in, we have to be not only be great providers of healthcare, researchers and public healthcare experts, we have to be advocates for the patients who count on us,” Richards said.
Newsletter
Stay ahead of policy, cost, and value—subscribe to AJMC for expert insights at the intersection of clinical care and health economics.
Related Articles
- Metabolic Issues More Common in Patients With HIV
September 18th 2025
- Barriers to Gender-Affirming Surgery Persist Despite High Satisfaction Rate
September 18th 2025
- Eating Behaviors May Predict GLP-1 Therapy Success in Type 2 Diabetes
September 18th 2025