Riaan 
Abahlinzeki bamaphilisi okuhushula izisu base-US bazama ukwenza izinhlelo zokulondoloza ikhophi njengeNkantolo Ephakeme inquma ukuthi ugcine imikhawulo emthini obalulekile i-mifepristone.
Eminye imitholampilo yomuntu siqu eNew York, California naseKansas izohlinzeka nge-mifepristone okwamanje, kodwa ilungiselela ukunikeza elinye iphilisi lokukhipha isisu uma isinqumo esilandelayo sivimbela umuthi. Abahlinzeki abambalwa abaphakathi kwabantu e-Ohio bangayeka ukunikeza i-mifepristone ngokuphelele. Umhlinzeki oyedwa we-telehealth unezinhlelo zokuvala amasonto amabili ukuze aqhubekele ekusebenzeni okusha.
Yonke leyo mizamo ihlose ukulondoloza ukufinyelela uhlobo oluvame kakhulu yokuhushula isisu e-US, ngisho noma impi yezomthetho enkulu nge-mifepristone ikhula.
Ukufinyelela ku-mifepristone kulenga esilinganisweni futhi kungase kushintshe ngokushesha kuye ngokuthi inkantolo ephakeme yezwe inquma ini ekuqaleni kweviki elizayo. Justice Samuel Alito ngoLwesihlanu imisiwe okwesikhashana izinqumo zenkantolo ephansi ezibeka imikhawulo ekufinyeleleni ku-mifepristone ukuze amajaji abe nesikhathi esengeziwe sokubuyekeza icala.
Kepha okwamanje, imitholampilo ye-telehealth kanye neyomuntu uqobo ingaphoqeleka ukuthi ibhekane nemikhawulo ebalulekile emuthini engaqala ukusebenza ngemuva kokuphelelwa yisikhathi kwe-oda lika-Alito ngoLwesithathu ngo-11:59 pm ET.
Kulo mfanekiso wesithombe, amaphakheji amaphilisi e-Mifepristone akhonjiswa emtholampilo wokuhlela umndeni ngo-Ephreli 13, 2023 e-Rockville, eMaryland.
Anna Moneymaker | Izithombe ze-Getty
Inkantolo yesi-5 Yesifunda Yokudlulisa Amacala yangoLwesithathu imise ingxenye yomyalelo weJaji u-Matthew Kacsmaryk omisa ukugunyaza kwabaPhathi Bezokudla Nezidakamizwa kwe-mifepristone. Kodwa inkantolo ikuvimbele okwesikhashana ukulethwa kwephilisi ngeposi, yaphinde yabeka ukuvakashela kodokotela ezigulini ezihushula izisu futhi yanciphisa ubude besikhathi iziguli ezikwazi ukuphuza iphilisi kuze kube isonto lesikhombisa lokukhulelwa, elehla emasontweni ayi-10 adlule.
Leyo mikhawulo izokhawulela ukufinyelela ku-mifepristone ngisho nasezifundeni lapho ukukhipha isisu kusemthethweni. Kepha isinqumo senkantolo yokudlulisa amacala asikuvimbeli ukufinyelela kwephilisi lokuhushula isisu ezifundazweni eziyi-17 naseWashington DC ebezingaphansi kwesinqumo senkantolo esikhishwe ngesonto eledlule, kusho ijaji lenhlangano eWashington ngoLwesine.
Eminye imitholampilo yokuhushula izisu ezifundazweni lapho inqubo isemthethweni itshele i-CNBC ukuthi ukuhlinzwa kuzohlala okufanayo. Kodwa baphinde bagqamisa izinhlelo zabo eziphuthumayo uma impi yasenkantolo iholela emikhawulweni eqinile yephilisi.
Themba Abesifazaneumtholampilo ose-Wichita, e-Kansas, uzoqhubeka nokunikeza i-mifepristone ngisho noma imingcele iqala ukusebenza, ngokusho kuka-Zack Gingrich-Gaylord, umqondisi wezokuxhumana walo mtholampilo.
“Asithintekanga kangako ngalesi sinqumo,” kusho uGingrich-Gaylord etshela i-CNBC, ekhuluma ngesinqumo senkantolo yokudlulisa amacala. “Kodwa sisakulungele ukwenza i-pivot uma kunemikhawulo eyengeziwe. Sinayo enye iphrothokholi elungile.”
Umtholampilo ukulungele ukunikeza i-misoprostol njengendlela yokwelapha ezimele uma isinqumo esilandelayo sichitha ukugunyazwa kwe-FDA kwe-mifepristone, kusho u-Gingrich-Gaylord. Umuthi ngokuvamile usetshenziswa uhlanganiswe ne-mifepristone ezigulini ezihushula izisu e-US
I-Misoprostol iyodwa igunyazwe emhlabeni jikelele njengendlela yokwelapha ephephile nephumelelayo kwabesifazane abafuna ukuqeda ukukhulelwa kwabo. Isinqumo senkantolo yezikhalo asithinti ukufinyelela emthini.
I Isikhungo Sezokwelapha Sabesifazane Esikhethiwe eQueens, eNew York, nase I-University of California San Francisco Center for Pregnancy Options ngokufanayo izoqhubeka nokunikeza i-mifepristone futhi ibe nohlelo lwemithi ye-misoprostol kuphela njengohlelo oluyisipele, ngokusho kwabamele emitholampilo.
Kepha eminye imitholampilo yokuhushula izisu yomuntu siqu e-Ohio ingayeka ukukhipha i-mifepristone ngokuphelele uma leyo mikhawulo iqala ukusebenza, ngokusho kukaJessie Hill, ummeli omele abahlinzeki abambalwa abazimele kuhulumeni.
U-Hill, ophinde abe nguprofesa wezomthetho e-Case Western Reserve University, uthe umthetho wase-Ohio udinga ukuthi odokotela balandele imihlahlandlela yelebula yenhlangano lapho bebeka i-mifepristone. Ubalule ukuthi umthetho usho ukuthi imitholampilo ayikwazi ukunikeza umuthi ngendlela engakagunyazwa uhulumeni wobumbano, owaziwa ngokuthi incwadi kadokotela “engekho ilebula”.
Eminye imitholampilo ezifundazweni lapho ukuhushula isisu kusemthethweni inganquma ukuthi i-mifepristone isuswe ilebula ngemva kwamasonto ayisikhombisa okukhulelwa, ngokusho kuka-Hill. Uthe lokho kuvumela imitholampilo ukuthi isebenze ngempumelelo ekuvinjweni kwenkantolo yezikhalazo ngendlela abahlinzeki base-Ohio abangakwazi ngayo.
“Lo myalelo wenza kube nzima kakhulu ukuthi imitholampilo yase-Ohio inqume i-mifepristone, ngakho-ke cishe ngeke. Kungenzeka kube yisona sodwa isimo esikulesi simo esiyinqaba,” kusho u-Hill.
Ubalule ukuthi eminye imitholampilo ingaqala ukunikeza uhlobo lwemithi ye-misoprostol kuphela uma nje imikhawulo isiqala ukusebenza. ngoba “empeleni kuyinketho engcono kwabaningi ngalesi sikhathi.”
Imitholampilo ye-telehealth yase-US kungase kudingeke ukuthi yenze amashifu amaningi ngokuzumayo kunabahlinzeki bangaphakathi mathupha ngenxa yomkhawulo wokulethwa kwe-imeyili kwe-mifepristone.
Ukukhipha Isisu Telemedicine izohlinzeka kuphela nge-misoprostol ezifundazweni eziyivumelayo uma imikhawulo iqala ukusebenza ngoLwesithathu, ngokusho komsunguli womhlinzeki u-Jayaram Brindala. Umtholampilo usiza iziguli ku-trimester yokuqala, okungamaviki angu-13 ukhulelwe.
Iphilisi Nje futhi ukulungele ukunikeza “uhlelo oluphephile nolusebenzayo lwe-misoprostol kuphela uma ludingeka,” kusho uDkt. Julie Amaon, umqondisi wezokwelapha wale nkampani. I-Just The Pill iletha imithi yokuhushula isisu e-Wyoming, e-Montana, e-Colorado nase-Minnesota.
I-Wispinkampani ehlinzeka ngokuhushulwa kwezisu kwemithi ye-telehealth ezifundazweni eziyisishiyagalolunye, izophinde ishintshele ekunikezeni i-misoprostol kuphela uma leyo mikhawulo ibekiwe, ngokusho kukaMonica Cepak, isikhulu esiphezulu sezokukhangisa kule nkampani.
Kepha lolo shintsho luzodinga ukuthi inkampani ivale amasonto amabili kusukela ngoLwesithathu, waphawula.
“Njengamanje, sikumodi yethu ye-quo futhi sizohlala sinjalo kuze kube yilapho sizwa okunye okwenzekayo,” kusho uCepak.
Ugcizelele indima ebalulekile ye-telehealth ekunakekelweni kwezisu e-US, ephawula ukuthi ukwanda kwesidingo sezinsizakalo zomuntu kukwenza nzima ukuze iziguli zihlele isikhathi sokubonana.
“Ngezinye izikhathi kungathatha izinsuku ezingu-20 kuya kwezingu-40. Lokho kude kakhulu ukuthi abantu abaningi bangalinda,” esho. “I-Telehealth ivala leso sikhala.”
