Online Abortion Care Provider Hanna Kim of Hey Jane: ‘Everything Is Done in Your Own Time’


“Sufferers really feel actually cared for,” Hanna Kim advised Ms. “I bear in mind one e mail that mentioned, ‘I felt like I used to be speaking to a mother or a sister who had all of the solutions.’” (Sally Rashid)

As we await the destiny of Roe v. Wade, Ms.’s “Online Abortion Provider” series will highlight the wide selection of latest telemedicine abortion suppliers arising throughout the nation in response to the recent removal of longstanding FDA restrictions on the abortion capsule mifepristone.

Telehealth abortion supplier Hey Jane opened in January 2021 and now serves sufferers in New York, California, Washington, Illinois, Colorado and New Mexico. Hey Jane gives remedy abortion as much as 10 weeks of being pregnant to sufferers aged 18 and older, no matter immigration standing. Tablets arrive in an unmarked field to guard sufferers’ privateness.

Ms. spoke to Hey Jane’s lead nurse Hanna Kim about how Hey Jane’s providers work and why telehealth abortion is so vital proper now as many states are clamping down on abortion entry.

Carrie Baker: Are you able to inform me about your medical background and your observe?

Hanna Kim: I’ve been a nurse for nearly 10 years now in reproductive well being, some in fertility, some in obstetrics, however the majority of it has been in abortion care. It’s my experience and what I’ve been doing for many of my nursing profession. I’m now full time with Hey Jane. Earlier than this I used to be working in-clinic at Deliberate Parenthood, the place I acquired most of my coaching. I’m considered one of 5 core medical employees who interacts most with sufferers at Hey Jane.

Baker: How does Hey Jane’s telemedicine abortion service work?

Kim: We have now an consumption type on our web site. We ask the identical questions that an consumption individual would ask you in a clinic like your medical historical past—earlier surgical procedures, issues like that—to make sure the affected person is eligible for remedy abortion. And we ask further questions like, “The place would you like your tablets mailed?”

As soon as that’s accomplished, the medical workforce critiques the consumption type. The affected person will both hear from the nurse asking some clarifying questions, or they’ll hear from the supplier instantly, letting them know their meds have been despatched.

We ship sufferers a really, very thorough therapy information, which has step-by-step directions on methods to take the tablets, continuously requested questions and warning indicators. Then the affected person will obtain an e mail from the pharmacy that we work with, which is known as Honeybee Well being, giving them their monitoring data. The meds sometimes get there in a single to 5 days.

All through the whole course of, we ship every day messages lined up with the place individuals are of their therapy, saying issues like, “Right here’s methods to put together on your therapy.” Then we ship different messages like, “When are you able to return to your common actions? Do you want a comply with up?” We’re always watching the inbox to reply any questions sufferers have.

Baker: How do you talk with sufferers?

Kim: We do most of our dialog with sufferers on the Spruce app, a HIPAA-compliant texting app that’s privateness protected. They’ll do it on their cellphone or a pc. I’d say 70 to 80 p.c of our communication is thru the app. However sufferers can request a video go to at any time. They’ll simply ask within the app, “Can I speak to someone?” Then both someone is offered proper then or on the newest the subsequent day.

We ship every day messages lined up with the place individuals are of their therapy, saying issues like, “Right here’s methods to put together on your therapy,” “When are you able to return to your common actions?” “Do you want a comply with up?”

Baker: As soon as a affected person fills out the net type, how lengthy does it take so that you can prescribe the remedy?

Kim: About 24 hours. We assessment the medical consumption types seven days every week. The pharmacy doesn’t ship out on Sundays, so there’s somewhat little bit of a delay when you join on a weekend.

Baker: Did the Texas abortion ban S.B. 8 have any impression on Hey Jane?

Kim: When S.B. 8 went into impact, Hey Jane made a gaggle choice to pivot actually shortly to open up in New Mexico and Colorado to attempt to assist some individuals out.

Baker: Do you get many individuals from Texas?

Kim: I believe so as a result of generally we’ll have ultrasounds that have been performed in Texas. However sufferers are being handled in New Mexico or Colorado and even California. My sufferers are undoubtedly touring, for certain.

Remedy abortion makes use of two kinds of tablets: mifepristone, which interrupts the circulate of the hormone progesterone that sustains the being pregnant; and misoprostol, which causes contractions to expel the contents of the uterus. (VAlaSiurua / Wikimedia Commons)

Baker: How a lot do you cost. Do you’re taking insurance coverage?

Kim: $249. We don’t take insurance coverage but however we’re engaged on it. We additionally work with a variety of abortion funds, that are listed on our web site’s resources page. We’re speaking about how we will make this extra accessible for individuals.

Baker: With funds, how does that course of work?

Kim: Sufferers contact the fund after which the fund offers them a reduction code to make use of on the web site.

Baker: Do you provide advance provision abortion tablets?

Kim: We don’t. We ask if an individual has had a optimistic being pregnant take a look at.

Hey Jane gives remedy abortion for anybody who’s not less than 18 years previous, medically eligible, as much as 10 weeks pregnant, and positioned in New York, California, Washington, Illinois, Colorado or New Mexico.

Baker: What are you able to inform me about your sufferers?

Kim: Age smart, there’s a wide array, identical to in a clinic. Race smart, there’s additionally a wide array. We ask for demographic data on our consumption type. I believe we get a variety of sufferers who could also be rural, as a result of a lot of them are involved about privateness. They’re involved that they’ll see someone they acknowledge or individuals of their city will discover out, which makes me suppose that they reside someplace small and never in an enormous metropolis.

Baker: Are you aware why they’re utilizing telemedicine?

Kim: Privateness and pace. Physician’s appointments might be very tough to get. With Hey Jane, we will get remedy to sufferers in like a day. I believe lots of people are drawn to how shortly we will get the meds to them. With us, you don’t want an appointment. We don’t even require deliberate video visits both. All the things is finished in your individual time, like when individuals have a lunch break, or no matter. They’ll additionally plan taking the tablets round their lives. They’re not required to take the meds as quickly as they get them. This framework of care works for individuals who want some extra flexibility.

Baker: You talked about privateness. Do individuals ever point out not desirous to cross picket traces or protesters?

Kim: Yeah. I believe individuals are actually frightened about that, and scared. We get a variety of feedback like, “I’m simply so glad that I didn’t should take care of the protesters and folks yelling at me on the road.”

For people who’re in home violence conditions, this will likely even be a safer technique of getting an abortion. If you happen to can have a package deal mailed to your good friend’s home down the road and also you don’t want to elucidate why you have been at a clinic all day, it might be a greater choice.

Individuals even have transportation issues and youngster care points. Work is a giant problem too. It’s unhappy what number of workplaces should not understanding of individuals’s have to take time without work for well being care. When you’ve one thing delivered to your home, you don’t have to take care of these further stressors. It’s simpler.

Physician’s appointments might be very tough to get. With Hey Jane, we will get remedy to sufferers in like a day. I believe lots of people are drawn to how shortly we will get the meds to them.

Baker: How has telemedicine abortion labored on your sufferers?

Kim: Persons are actually pleased with the comfort. I had a video name with a affected person right this moment who was like, “Hey, I’m in between lessons, do you’ve time?” Or others say, “I’ve a break from work, are you able to give me a name actual fast?” It’s so handy.

As a result of we’re digital and we don’t require appointments the place we see somebody head to head, our affected person assist workforce desires to make sure that care and compassion and empathy can cross the barrier of the display screen. I believe we do a fairly good job of that. Sufferers really feel actually cared for. I bear in mind one e mail that mentioned, “I felt like I used to be speaking to a mother or a sister who had all of the solutions.” It’s so candy.

Baker: Why is providing telemedicine abortion vital to you?

Kim: I believe the abortion panorama is altering. I believe telemedicine improves accessibility. I beloved working in a clinic. however I do know that it may be tough for individuals for quite a lot of causes—like getting there, youngster care and time. Having the ability to bypass a variety of that stuff is admittedly thrilling to me. Our society isn’t set as much as assist people entry well being care who’ve these items of their lives. We’d like to have the ability to textual content individuals. This needs to be an choice. Lots of people talk that manner now. Particularly younger individuals. The truth that we will textual content individuals is a large draw.

Baker: Any last ideas?

Kim: What I’d love for individuals to find out about Hey Jane is that in my expertise with the suggestions that folks have given is that we do a extremely, actually good job of being there for individuals. We do check-ins with individuals and we care very deeply about our sufferers. We strive actually laborious to make private connections with individuals. That’s what we goal for after we work together with our sufferers. Lots of occasions in medication, clinicians inform sufferers, “that is what you must do.” That’s simply not okay. What we do at Hey Jane is we give choices, like let’s determine a plan collectively.

Hey Jane has awesome merch—posters, shirts and mugs—with Gloria, Serena, AOC and RBG.

Discover the total assortment of on-line abortion suppliers profiles:

Sign and share Ms.’s relaunched “We Have Had Abortions” petition—whether or not you your self have had an abortion, or just stand in solidarity with those that have—to let the Supreme Courtroom, Congress and the White Home know: We is not going to hand over the suitable to secure, authorized, accessible abortion.


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