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At this moment in America, more than forty-four years since Roe v. Wade, women’s access to birth control and abortion is still under constant threat. I saw the effect of this in the 2016 election. Reproductive health was rarely mentioned in any of the primary debates, and when it was mentioned, it was often because I brought it up. I was dismayed when Bernie Sanders dismissed Planned Parenthood as just another part of “the establishment” when they endorsed me over him. Few organizations are as intimately connected to the day-to-day lives of Americans from all classes and backgrounds as Planned Parenthood, and few are under more persistent attack. I’m not sure what’s “establishment” about that, and I don’t know why someone running to be the Democratic nominee for President would say so.

After the election, Bernie suggested that Democrats should be open to nominating and supporting candidates who are anti-choice. Other topics, such as economic justice, are sacrosanct, but apparently women’s health is not. I don’t mean to criticize only Bernie here—a lot of progressives join him in thinking that reproductive rights are negotiable. And to be clear, I believe there’s room in our party for a wide range of personal views on abortion. I’ve been working for a quarter century with Democrats and Republicans alike to reduce the number of abortions, in part by expanding access to birth control and family planning, and we’ve made progress. And I picked as my running mate Tim Kaine, a Democrat personally opposed to abortion because of his Catholic faith but supportive of women’s rights as a matter of law and policy.

But when personal views on abortion become public actions—votes on legislation or judges or funding that erode women’s rights—that’s a different matter. We have to remain a big tent, but a big tent is only as strong as the poles that hold it up. Reproductive rights is central to women’s rights and women’s health, and it’s one of the most important tent poles we’ve got. And remember: it’s a constitutional right as defined in Roe v. Wade.

There’s overwhelming evidence about what happens when these rights are denied. Texas has defunded Planned Parenthood and refused to expand Medicaid, and maternal mortality doubled between 2010 and 2014. That’s the worst in the nation, and it’s higher than the rate in many developing countries. Six hundred women have died in Texas—not from abortions, but from trying to give birth. The number of Texas teenagers having abortions actually increased when support for family planning was cut. In one county, Gregg, it went up 191 percent between 2012 and 2014.

Ultimately, I’m pro-choice, pro-family, and pro-faith because I believe that our ability to decide whether and when to become mothers is intrinsic to our liberty. When government gets involved in this intimate realm—whether in places like China, which forced women to have abortions, or in Communist Romania, which forced women to bear children—it is horrific. I’ve visited hospitals in countries where poor women have no access to safe and legal abortion. I’ve seen what happens when desperate women take matters into their own hands.

As I see it, this issue comes down to the question: Who decides? We can debate the morality of abortion forever—and I have spent many hours engaged in such debates and surely will spend many more—but at the end of the day, who decides whether a woman gets or stays pregnant? A Congressman who has never met her? A judge who has spoken with her for maybe a few minutes? Or should the woman be able to make this momentous decision about her life, her body, her future, for herself?

Someone’s got to decide. I say let women decide.

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I’m not sure what we call our current era of feminism—I’ve lost count of which wave we’re in. But there’s a lot that feels new. There are all these new words. Mansplaining. The second I heard it, I thought, “Yes! We needed a word for that!” Intersectionality: an academic term for that vital idea that feminism must engage race and class. Revenge porn Trolls. Modern twists on ancient harms.

While we’re defining things, let’s take a moment for feminism: “the advocacy of women’s rights on the basis of the political, economic, and social equality of the sexes.” Not domination. Not oppression. Equality. Or as the English writer and philosopher Mary Wollstonecraft put it 225 years ago, “I do not wish women to have power over men, but over themselves.”

Then there’s emotional labor. Now, that’s a good one. It describes all the unpaid, uncounted, often unseen work that people—overwhelmingly women—perform to keep their families and workplaces humming along. Organizing office birthday parties. Arranging the kids’ summer camp. Coordinating visits with in-laws. Helping the new employee feel welcome and included. The list is endless: all the little details without which life would devolve into chaos and misery. Not all women take on these tasks, and that’s fine, and some men do, and I salute them—but it’s largely women’s work. Finally, someone thought to name it.

In my marriage, I’ve definitely been the one to perform the bulk of the emotional labor. I’m the one who schedules family visits, vacations, and dinners with friends. Bill has many positive qualities, but managing the logistical details of a household is not one of them. Of course, our situation is unique. For years, he was a Governor, then the President. He wasn’t going to be the parent keeping track of the SAT registration deadline, although he always knew exactly what Chelsea was studying in school. We’ve also been privileged, since moving into the Governor’s mansion years ago, to have people helping ensure that we’re well fed and taken care of. Neither of us has had to make an emergency run to the store to pick up milk in decades. Still, even our privileged lives require a lot of small but vital actions and decisions to keep rolling along, and I’m the one who tends to handle them.

That labor extends to my friendships. In March 2017, a few of my close girlfriends came to New York for the weekend. A new friend joined us and asked, “How do you all know each other?” That led to my friends going around the table explaining in great detail how I have lovingly interfered in their lives over the years. “When I got sick, Hillary hounded me until I went to her doctor and called me immediately after for a full report.” “That’s nothing! When my little girl cut her face, Hillary insisted I get a plastic surgeon and then called back ten minutes later with the best one in Washington on the phone.” They knew me well.

It happens at work, too. I make sure everyone has eaten, that my staff is wearing sunscreen if we’re at an event in the baking sun. When reporters who traveled abroad with us got sick or injured, I made sure they had ginger ale and crackers and would send the State Department doctor to their room with Cipro and antinausea drugs.

None of this is unusual. I’ve seen women CEOs serve coffee at meetings, women heads of state walk tissues over to a sneezing staffer. It’s also not new. It was women like Dr. Dorothy Height who did a lot of the unglamorous work of the civil rights movement, recruiting volunteers and organizing workshops and coordinating sit-ins and freedom rides. It is women who do a lot of the daily knitting in Congress, identifying problems, bringing together stakeholders, building effective coalitions. It’s often women who handle constituent outreach, answering phones and responding to letters and emails. And in my experience, a lot of women make those calls and write those letters to Congress. We’re not just the designated worriers in our families; we’re also the designated worriers for our country.