Araam: We love that! I鈥檇 love to hear about what first inspired you to become an abortion provider.
Dr. Brandi: I鈥檝e always been interested in human rights and social justice, so I was drawn to abortion care as a concept, but I didn鈥檛 know much about it clinically or how it actually happened.
When I started medical school, I got involved with AMSAand Medical Students for Choice, and I assumed that when I became a “serious doctor,” I鈥檇 have to set that aside. But then I found OB-GYN to be the perfect marriage of healthcare and social justice.
There was a specific moment that really solidified my decision. I remember working with a patient who was there for an abortion due to a fetal anomaly. She was devastated鈥攕he didn鈥檛 want to be there, but she knew this was the best decision for her and her child. And yet, the nurses barely wanted to be in the room with her. They didn鈥檛 want to talk to her because she was having an abortion.
It was awful. These were nurses I respected, people I knew provided excellent care
鈥攂ut in that moment, they let stigma override their compassion.聽
I never wanted patients to feel ostracized or neglected like that. If someone needs care, they should be able to access it with dignity and respect. That experience shaped a lot of my work, especially in marginalized care, and abortion has always been central to that.
Araam: Wow. Did you feel like you had a lot of exposure to abortion care in medical school?
Dr. Brandi: I was lucky. My fourth-year elective let me shadow and actually perform a few first-trimester procedures, which was eye-opening and inspiring. After that, I was all in鈥攍ike, sign me up, what do I need to do?
I was also fortunate to attend a residency program where abortion training was part of the core curriculum. That made all the difference. I know that鈥檚 not the case for many, so I recognize how lucky I was to have that exposure early on.
Araam: Has your perspective on abortion care changed over time?
Dr. Brandi: Not really, but my understanding of how institutions approach abortion care has evolved.
I did my medical school and residency in New Jersey, where we have relatively liberal laws. But even though abortion was legal, it wasn鈥檛 necessarily openly discussed. We provided care, but it was still hush-hush. No one really talked about it.
When I went to Boston for fellowship, I noticed a huge difference in the culture. There, we openly said the word abortion instead of using euphemisms like 鈥渢ermination of pregnancy.鈥 There was no hesitation or discomfort鈥攊t was just part of normal healthcare, and that was refreshing.
Since then, I鈥檝e worked in various spaces鈥攁cademic institutions, Planned Parenthoods, independent clinics鈥攁nd they all approach abortion differently. Even in supportive states, there are layers of stigma embedded in the system. And of course, I鈥檝e done training in restricted states, where the challenges are even greater.
Araam: What are some of the biggest challenges you鈥檝e faced as an abortion provider?
Dr. Brandi: Legitimacy.
Abortion has long been ostracized in medicine. Before Roe, abortion was illegal, and providers were often depicted as shady, untrustworthy people. Those tropes never fully went away, and anti-choice rhetoric continues to push the idea that abortion doctors are greedy, unskilled, or bottom-of-the-class physicians.
That鈥檚 simply not true. I trained extensively for this. I have the same credentials as anyone else in my field,
and I approach my work with the same compassion and commitment to patient autonomy.
I think all of us in medicine struggle with imposter syndrome to some degree, but for abortion providers, it鈥檚 compounded by societal stigma. For a long time, I felt like I had to prove that I was a real doctor. But the truth is, not many OB-GYNs can perform second-trimester D&Es or provide complex abortion care.聽
My expertise is valuable, and I鈥檝e learned to wear that as a badge of honor.
Araam: That鈥檚 such an important point. And your work is incredible. How do you maintain your emotional resilience?
Dr. Brandi: I remind myself that if I don鈥檛 do this, who will?
Every time I face challenges鈥攚hether it’s systemic barriers, stigma, or personal doubts
鈥擨 think back to that patient no one wanted to care for. If I don鈥檛 provide this care, who will?
If we all gave up, there would be no resistance left.
I also try to focus on the wins. Even when things feel overwhelming, I remind myself that every patient I help, every trainee I support, every stigma I push back against鈥攊t all matters.
Araam: What do you wish more people understood about abortion care and the providers who offer it?
Dr. Brandi: That abortion is normal.
People seeking abortions come from all walks of life. There鈥檚 no single 鈥渢ype鈥 of person who gets an abortion. I鈥檝e provided care to people who say, 鈥淚 don鈥檛 believe in abortion, but I need this.鈥 And my response is always: your abortion is just as valid as everyone else鈥檚.
Abortion providers are also diverse. People have a specific image in their minds of who provides abortion care, but we don鈥檛 all fit that mold. Many of us are deeply connected to the communities we serve. We do this work because we believe in it. And let鈥檚 be honest鈥攖here are far more lucrative medical specialties.聽
People who provide abortions do it because they care, not because it鈥檚 easy or profitable.
Araam: What does Abortion Provider Appreciation Day mean to you?
Dr. Brandi: It鈥檚 complicated.
It actually falls on my birthday, which feels like a sign鈥擨 was literally born to do this work.
But the day itself is rooted in tragedy. It marks the anniversary of the first abortion provider killed for doing this work. That鈥檚 sobering. It reminds me how dangerous this job can be, how real the threats are.
At the same time, I love that people have reclaimed it as a celebration鈥攁n opportunity to honor those who
have laid their lives on the line for this work, and to uplift the future generation of providers.
Araam: Speaking of the next generation, if you could leave one message for future abortion providers, what would it be?
Dr. Brandi: Don鈥檛 listen to the noise.
There鈥檚 so much noise around abortion right now鈥攎isinformation, stigma, political attacks. It鈥檚 heavy. Even in personal conversations with friends and family, it can be exhausting.
But that鈥檚 not why you鈥檙e here. You鈥檙e here because you believe in this work.
Focus on that. Keep pushing forward. The world needs you.
Araam: That鈥檚 such a powerful message. Thank you so much for this conversation!
Thank you to Dr. Brandi for sharing her time and insights.
These conversations are crucial in breaking down stigma, uplifting providers,
and ensuring that abortion remains accessible and supported.
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