Why 4B Is More Urgent Than Ever: Hospital Guidance to Provide Emergency Abortion Revoked

Why 4B Is More Urgent Than Ever: Hospital Guidance to Provide Emergency Abortion Revoked

In 2022, when the U.S. Supreme Court overturned Roe v. Wade, many women experienced a chilling awakening. The legal bedrock that had protected a woman’s right to bodily autonomy for nearly half a century was stripped away overnight. What many thought couldn’t happen did. The mask was off, and the patriarchy’s disdain for female independence was laid bare. Now, in 2025, the erosion continues.

Trump administration revokes guidance requiring hospitals to provide emergency abortions | AP News

This week’s shocking development, that women in states banning abortion may not even be guaranteed lifesaving care under EMTALA, the federal emergency medical law, confirms what 4B women have been warning about patriarchy for years: the system is designed to keep women obedient, dependent, and reproductive.

The U.S. Supreme Court, in a 4-4 split decision, failed to uphold protections under EMTALA that would ensure pregnant women facing emergencies can access abortion care. This effectively green-lights state laws that could force women to bleed out or go septic, all because a parasitic fetus is prioritized over the woman carrying it. In these moments of crisis, a woman becomes not a person, but a vessel, a body to be used, regardless of pain or danger.

We must say it plainly: this is forced birth. And with forced birth comes the return of sexual control. You cannot strip abortion rights without also making sex dangerous, and when sex becomes dangerous for women, it becomes a weapon of male dominance.

The 4B Movement: A Lifeline for Women

The 4B movement, no sex with men, no marriage to men, no giving birth, and no dating men, has never been more vital. It is not just a set of rules to follow. It is a survival strategy in this patriarchal world.

Many women once believed we could reform this system. We tried to vote, protest, and negotiate our way to equality. But what we’re facing now is not just a political shift, it is a cultural and religious war on female autonomy. A war in which our pain and trauma are simply collateral damage.

And so we withdraw. We say no. We reject not just male violence, but male entitlement. We reject the expectation to “understand” male rage, to cater to male sexuality, to risk our health and freedom in exchange for fleeting companionship. We will not carry the next generation of our oppressors. We will not die to keep civilization running for those who would rather see us subdued than sovereign.

Sex Is No Longer Safe, But Was It Ever?

The Supreme Court’s refusal to defend women in emergency rooms isn’t just an attack on abortion access. It is an attack on sex itself. It tells women: “You may bleed, you may die, but your life is less important than a zygote.” And in that moment, every romanticized lie we’ve been told about men and love collapses.

What they call love is just a contract: sex in exchange for status, marriage in exchange for security. The simple truth is: there is no love where one side can kill the other in childbirth and be protected by the law. There is no love where one side’s body is legally disposable.

No woman owes her life for a man’s orgasm. No woman owes a child to a system that will not even save her if it puts her in danger. ♀