How Tech is Defending the Right to an Abortion (w/Kiki Freedman)
Newcomer PodMay 24, 202200:35:5332.87 MB

How Tech is Defending the Right to an Abortion (w/Kiki Freedman)

As the Supreme Court moves toward repealing Roe v. Wade, access to abortion pills over the internet could become a key frontier in the fight for abortion access in the United States.

On this week’s Dead Cat podcast, Tom Dotan, Katie Benner, and I talked to Kiki Freedman, the co-founder and CEO of the digital clinic for abortion access Hey Jane. (Freedman also worked at Uber for four years as an early Uber Eats employee.)

Hey Jane has raised more than $3 million in funding to provide abortion pills in California, Colorado, Illinois, New Mexico, New York, and Washington.

Like companies treating ADHD that we talked about earlier this month on the podcast, Hey Jane has been able to expand access to medication through telemedicine. Instead of prescribing Adderall, however, Hey Jane is prescribing abortion pills.

Benner, who writes about the U.S. Department of Justice for the New York Times, updates us on her prognosis for the legal status of abortions in America.

This week, Politico published a story headlined The Coming Legal Battles Over Abortion Pills:

“The anti-abortion movement has prepared for this moment and is already focusing on restricting access to pills, knowing that abortion bans will be far less effective if states cannot keep the drugs from entering their borders. Nineteen states do not allow medication abortion via telehealth, others prohibit sending pills through the mail, and some states are introducing legislation that would ban the drugs entirely. But enforcing those laws will be uncharted territory, with new avenues for evading state bans as well as new legal challenges about whether federal or state law reigns supreme in some instances.”

In our interview, Freedman recommends that people looking to support the right to abortion access donate to groups subsidizing abortions. Hey Jane has pulled together a list of funds that you can donate to.

On the podcast, we discuss the role that tech companies can play in expanding access to abortion.

Give it a listen.

Read the automated transcript.



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00:00:06
Welcome everybody. It's your dead cat for the week.

00:00:15
It's Tom dote on here joined by Eric newcomer and Katie Benner,

00:00:19
and our special. Guest this week is Kiki

00:00:21
Friedman. Kiki is the CEO of, hey Jane

00:00:25
which is a startup that provides abortion pills by mail.

00:00:29
So obviously, SLI. Very topical and company.

00:00:32
That is offering something that will be very much more in need

00:00:35
too many people in the coming months and years ahead.

00:00:39
So first of all, Kiki, thank you for joining us.

00:00:42
Thank you guys for having me. So before we get into all of the

00:00:45
reasons that your company is fascinating and too many people

00:00:50
vital, I think we should just give a better explanation of

00:00:53
what exactly. Hey Jane does, what sort of

00:00:56
person it is helping and trying to reach.

00:01:00
Yeah, let's just, let's just start there.

00:01:01
Great. And so, we are a digital clinic

00:01:04
for abortion access. I think, the first place to

00:01:07
start is, how do we do that? And it's through the abortion

00:01:10
pill, only one in five people right now know, with the

00:01:13
abortion Philly, but is so I could give a quick overview of

00:01:16
that. It's a set of medications that

00:01:18
have been approved by the FDA since 2000.

00:01:21
So, I've been around a while. Super super safe.

00:01:24
Actually have a lower adverse reaction rate than Tylenol and

00:01:28
very effective in that 90 percent. % they're approved for

00:01:31
use up to 11 weeks in the US, which is were the ninety percent

00:01:34
of abortions. And so, you know most patients

00:01:36
will be eligible for them though.

00:01:38
He did works. Is that folks can go online and

00:01:42
fill out a really easy sort of medical history consult and then

00:01:46
have a prescription confirmed by a licensed clinician.

00:01:49
Usually within 24 hours, the medications will then be mailed

00:01:52
to their home. Where they'll have lots of

00:01:54
information on how to take them and which I think most unique

00:01:58
about hey Jane is Route. They'll have access to On Demand

00:02:02
emotional support and online community.

00:02:05
Should they want it to be able to connect with others?

00:02:07
Going through the same thing? At the same time?

00:02:09
Is the ability to prescribe this through telemedicine?

00:02:12
New is that a pain? You know, we had an episode

00:02:14
about, you know, the ADHD medication.

00:02:17
So I'm just wondering is, is this also possible because of

00:02:21
telemedicine rules, or is it has been the case, that's a great

00:02:24
question. So, prior to covid it was sort

00:02:28
of Legally ambiguous, whether you're not the medications.

00:02:30
Could be dispensed via the mail it.

00:02:33
Basically, they had just been given in clinics, doctors

00:02:36
offices hospitals. But there'd been already some

00:02:39
strong momentum and research and policy making towards allowing,

00:02:44
you know, easier forms of access to align with the safety.

00:02:47
So there's a great study called the tella, worsen studied and

00:02:49
pre covid. And then at the beginning of

00:02:52
covid, the UK actually launched a large-scale offering and of

00:02:56
abortion pills by mail and the FDA.

00:03:00
Finally meet get permanently legal, just last December.

00:03:03
Let me start with the pills themselves because since we're

00:03:06
diving into like the, you know, medical industry part of it, is

00:03:09
this prescribed means it's a certain company that makes these

00:03:12
pills as their multiple providers of it.

00:03:14
Like what exactly is the business behind?

00:03:17
You know, the pills themselves, there's too many factors of it

00:03:21
and there's the sort of name brand manufacturer that's been

00:03:24
producing it since 2000. And that a generic came onto the

00:03:27
market Mentor recently, I believe in 2018, And it's

00:03:30
covered by health insurance. I mean, how much do these things

00:03:33
cost? Typically it depends.

00:03:34
So we see that the majority of abortion patients are within 200

00:03:39
percent of the federal poverty line.

00:03:41
And so we really look at Medicaid access as being the

00:03:44
most important indicator of insurance coverage.

00:03:48
There is something called the Hyde Amendment federally that

00:03:50
prevents Federal abortion funds from being used or federal funds

00:03:55
are being used to pay for or Downs.

00:03:57
Yeah. However, some states Provide

00:04:00
their own allocations of Medicaid funding to cover it.

00:04:03
So, long story short, it just depends based at the state

00:04:06
whether or not Medicaid will pay for services.

00:04:08
And if you're paying out of pocket, I mean.

00:04:10
How much is it? Paging is $249.

00:04:13
The national average is 550 and we also work with really great

00:04:17
abortion funds who are able to provide financial assistance, to

00:04:20
patients who can't afford it. Got it.

00:04:21
Have you yet created a large enough customer base to see any

00:04:24
Trends in the sorts of folks who are coming to you does it tend

00:04:27
to be people who skew younger Of skew older.

00:04:31
Yeah, these are of demographic information without giving away,

00:04:33
I know understand. They're obviously privacy issues

00:04:35
around patient privacy laws but just sort of in general like who

00:04:39
are you who you're reaching a new video?

00:04:40
Hope to reach. Yeah absolutely.

00:04:42
So we've served almost 10 patients now so we definitely

00:04:45
have some good data and what's really struck me as just the

00:04:49
diversity of our patient base. It really just does speak to the

00:04:52
fact that everyone gets abortion.

00:04:55
We see folks really approached the Gana in terms of Financial

00:04:58
Security in terms of I'm Urban versus rural in terms of

00:05:02
Education, etcetera, on average. Our patients are sort of in

00:05:05
their mid to late 20s and they are skewing a little bit more

00:05:08
urban, you know, like based in cities and pretty much aligned

00:05:13
with the national statistics on the average abortion patient.

00:05:16
And as of right now, this is going to get very different.

00:05:19
I imagine. Well, maybe not.

00:05:21
But what states that? Do you guys currently serve

00:05:24
people in? Like, where'd that people live?

00:05:26
Can they can access your service.

00:05:28
We're currently live in. Date so New York, California,

00:05:31
Washington, Illinois, Colorado, New Mexico and we did pick

00:05:35
states that have the highest treatment volume but also some

00:05:38
that are just too tickly positioned to be those anchor

00:05:41
States in a post real world, where many people will need to

00:05:44
travel across state lines in order to get care.

00:05:46
Did you have to prove residency or what it?

00:05:49
You know, obviously this is an important sort of service

00:05:52
business generally, but in the context of a world where people

00:05:57
are going to be getting these pills, The rules will be

00:06:00
state-by-state, people's ability to move from state to state, is

00:06:04
so important. So just curious what's possible.

00:06:06
They're totally. So the log traditionally in

00:06:09
telemedicine, says that the patient must be located in the

00:06:12
state where your license in order to receive treatment.

00:06:15
So they do not need to be a resident at, right?

00:06:17
I've had two. I've told doctors that I was in

00:06:19
Connecticut when they were like, no, you're in New York.

00:06:24
Yes. We can only serve patients if

00:06:26
they're physically located in one of those six states and the

00:06:29
patients were Of a test of their location, the, our intake, by

00:06:32
saying I live in that state if they provide you know utility

00:06:36
bills or it's really just like check this box if you say you

00:06:38
live in Washington. Yeah they don't need to provide

00:06:41
and any proof of residency because they don't need to be a

00:06:43
resident they just need to be physically there at the time of

00:06:46
the treatment. Right?

00:06:46
Which is why you can legally leave the state of Texas for

00:06:49
example, to go to another place to get an abortion.

00:06:53
Exactly, exactly. No sense.

00:06:55
These are trying to get creative with this.

00:06:57
Missouri did recently included one of their The essentially

00:07:01
restrictions on traveling to another state to get care from

00:07:05
Missouri residents, which is quite disturbing, it sort of

00:07:08
unprecedented and I don't think we've seen anything like that

00:07:10
since like, you just slave laws. Yeah.

00:07:12
And so I think that that idea of what to do about leaving the

00:07:15
state and whether or not people will try to control physical

00:07:18
movement is something that will certainly be adjudicated.

00:07:22
You can imagine that if any state were to pass a law like

00:07:24
that, they're a lawsuit would immediately follow.

00:07:27
Yes, we have to Katie just because we do Do have you as an

00:07:30
x-ray? Can you give your like one

00:07:32
minute state of play on likelihood that the Supreme, you

00:07:36
know, where the opinion is? Or just your view?

00:07:39
I think most people believe that this summer will see a Roe

00:07:42
versus Wade be overturned and if for some reason not this summer

00:07:44
very very soon. I think that alito's opinion

00:07:48
shows a lot of intent and so anybody who thinks that you can

00:07:51
stop that train, they can stop that train.

00:07:53
I think those people are pretty delicious all.

00:07:55
That's that is wrong. That then throws the question of

00:07:58
abortion to the 50 state. Yours.

00:08:00
So again, if you will need an abortion rights, then you really

00:08:04
shouldn't looking at State legislatures, who becomes the

00:08:07
governor who is thin and who's making state law among the state

00:08:11
laws, several states have so-called trigger laws that are

00:08:14
set to go into effect, the minute row Falls boosts, it will

00:08:18
lose access to abortion. And then, of course, you've

00:08:20
Orchid, Mississippi has only one abortion clinic Texas has

00:08:23
essentially made the practice incredibly difficult to have so

00:08:27
much so that some people say that it's now, Actually Dan we

00:08:30
yeah, effectively banned. And so you'll see a large swath

00:08:34
of the country immediately. Rescinded, access to abortions.

00:08:39
And so the question then becomes one will people inevitably we've

00:08:44
already seen lots and lots of people travel across state lines

00:08:46
to receive the procedure to undergo the procedure or to

00:08:49
receive abortion medication to the big question and sort of the

00:08:54
next legal fight is around services.

00:08:56
Like, Kiki's, how do those Services continue to operate

00:08:59
Legally who do they serve and then even questions about how do

00:09:02
you advertise, which I'd be so curious to hear from you.

00:09:05
How do you advertise this service?

00:09:06
Even today in a world where it's not illegal and and you know,

00:09:11
about half the country and then three sort of what does the

00:09:16
fight look like on the ground state to state with the lunch

00:09:19
with legislators? Because Republicans have been

00:09:21
extremely good on the ground organizing a strong ground game

00:09:25
and taking back local governments and we should say, I

00:09:29
mean to kick Get back over to you.

00:09:30
Kiki. Like your company, obviously

00:09:32
launched several years ago, right?

00:09:34
But was it when you kind of conceived of this business and,

00:09:38
and this service was it with this day in mind, that one day,

00:09:42
there would be, you know, a Supreme Court decision,

00:09:45
overturning the basic right to an abortion that would affect

00:09:48
millions and millions of women across, you know, half the

00:09:51
states in this country. I think we definitely saw the

00:09:53
writing on the wall, that things were going to get a lot worse.

00:09:55
As Katie mentioned, there's no six states.

00:09:57
That have one abortion clinic left across the Our state, I

00:10:00
went to school in one of them and summary teen as summer.

00:10:03
2019, that clinic was almost shut down.

00:10:06
That's what sort of prompted, the work that I've been doing on

00:10:08
heating, but really, if you'd asked me that, if I got Road be

00:10:12
falling in the next few years, the answer is a definite.

00:10:14
No, I think how extreme and quickly said of these changes

00:10:18
have role in it. I've taken place has definitely

00:10:21
been surprising to be so but the specifics of your business like

00:10:24
Katie was mentioning like what happens to you.

00:10:28
Now I remember talking to you about, Out this company it was

00:10:31
like 20 21. It was a piece I had done about

00:10:34
like ubereats alumni. You went in a very different

00:10:37
direction. What what exactly is going to

00:10:40
materially change about the way you run this company, who it can

00:10:44
serve by Katie was saying how you Market it.

00:10:46
I mean, like what, what is the direct impact for you?

00:10:48
Yeah, so the present state of things is that there are 18

00:10:52
states that have already banned access to telemedicine abortion.

00:10:55
So we cannot serve patients in those States.

00:10:57
But unfortunately, in a poster World.

00:11:00
All of those States will be an abortion completely and so those

00:11:04
patients will need to travel to states where telemedicine is an

00:11:07
option and they are forecasting, that 26 seats in total will be

00:11:11
an abortion after row. And essentially, all of the

00:11:15
people who need treatments within the states will be, you

00:11:18
know, funneled into a much smaller number of geographies.

00:11:21
There are forecasting that California is expected to see a

00:11:24
three thousand percent increase in the number of out-of-state

00:11:27
patients. In Illinois, it's almost 9:00

00:11:29
thousand percent and the clinics.

00:11:32
There are just going to be experiencing a surge in demand.

00:11:34
That will be very very difficult for them to accommodate.

00:11:37
We're already hearing of increased wait times sometimes

00:11:39
two to three weeks for clinics and that can be untenable for a

00:11:44
time-sensitive treatment and one that also may come with quite a

00:11:47
bit of anxiety and eagerness to just, you know, get it done.

00:11:52
And so we view he Gene a survey you know a role in stepping in

00:11:56
and absorbing a lot of that excess demand creating a

00:11:59
Additional channel for access in addition to the enforcement

00:12:03
context, which I want to emphasize are such an important

00:12:05
part of this ecosystem and needs to continue existing, no matter

00:12:10
what. And telemedicine will not be a

00:12:12
Panacea for everything, but certainly having an additional

00:12:15
and potentially more scalable form of choice will be will be

00:12:19
necessary. This is a basic what?

00:12:21
But the pills need to be prescribed or yeah.

00:12:25
And then if you are going to a clinic, Even during this sort of

00:12:31
early period. Where the pill Works, would they

00:12:35
prescribe a pill or would they have sort of a different

00:12:37
solution? Yeah, it depends on the clinic

00:12:39
but certainly many of them do prescribed medication abortion

00:12:42
in person? Yeah, you know, it's speaking

00:12:44
about geography also. I one more thing I want to note,

00:12:47
we talk about the State Legislative battles.

00:12:49
I think it's important never to resume which states will allow

00:12:53
abortions and which will not. I think New York is probably the

00:12:56
most interesting example, when you look at projections.

00:12:59
Of New York State elections over the next few Cycles.

00:13:04
New York could very well become a purple State.

00:13:06
And I think Heroes even just two years ago, people who could

00:13:09
never Envision York being anything but blue.

00:13:12
And so I think it is really so keep in my even like a purple

00:13:16
State though. You think it's possible that

00:13:17
they would take a step to Outlaw something like telemedicine.

00:13:20
Abortions, guess so d'you know. So again like this is when I say

00:13:25
this is going to be a legislative state by State

00:13:27
Legislative bottle, I really I do think that there's going to

00:13:30
be a lot of activity around abortion, and it's going to sort

00:13:34
informing State elections. Now, keep in mind, again, I

00:13:37
think I would argue Republicans been much better at paying

00:13:40
attention to what's going on state to state and trying to win

00:13:42
Governor's Mansions. I'm trying to win legislature so

00:13:45
that's important to look at but also on geography, you know,

00:13:48
Kiki, you're starting a company. I remember when I was covering

00:13:52
the valley ages ago, it was the question was, do you have to be

00:13:56
in the valley in San Francisco or even Allah in order to Start

00:14:00
a company to answer during the pandemic was a resounding though

00:14:03
and people flock to Texas and Florida.

00:14:07
Interestingly among other states, will it start to matter

00:14:11
to startups? Now where they establish

00:14:14
themselves for your own employee base for the kind of culture you

00:14:17
want to have? Will people think twice about

00:14:19
being in states that have banned something like abortion or even

00:14:22
looking ahead states, that raised questions about things

00:14:24
like same-sex marriage, which is also product made in a similar

00:14:27
reading of the Fourteenth Amendment that row is predicated

00:14:29
on. You know, so will your location

00:14:31
become a bigger question? I would have to think so.

00:14:35
I mean, besides sort of like the justice and rights issue of it

00:14:38
all there are real Economic Consequences to it.

00:14:41
We've already seen a number of large companies, like, Amazon,

00:14:44
and City, roll out travel, reimbursement for patients, who

00:14:48
need to prostate lines in order to get abortion care and one in

00:14:52
Four Women and, you know, other people with uteruses, will get

00:14:55
an abortion in their lives. It's not a fringe treatment and

00:14:58
so if you're needing to To our ball of these additional costs.

00:15:01
Let alone a loss in productivity from patients you know traveling

00:15:05
for many days in order to get care that significant and that's

00:15:08
sort of like the cold bottom line and view on it.

00:15:12
I think also we do see employees of tech companies.

00:15:15
Care a lot about this and I think may not want to

00:15:18
participate in a culture that is so restrictive on this and, you

00:15:21
know, potentially other issues moving forward.

00:15:23
What's your sense by the way on the response by tech companies

00:15:27
to very, I mean, to them, Employees.

00:15:30
But also signal more publicly that they are going to be

00:15:33
covering the cost of crossing state lines to get abortions if

00:15:37
they if they so need. I mean you know in one sense

00:15:41
you've seen Amazon and I believe Starbucks or two.

00:15:43
That come to mind. You probably have a list of

00:15:45
others that have said, they're willing to do that the same

00:15:48
time. There was a story that was in

00:15:50
The Verge, I think the other day that brought up, that on

00:15:54
Facebook, they are highly encouraging.

00:15:56
I don't even need it stricter than that too.

00:15:59
Admonishing employees to not discuss abortion on workplace

00:16:03
slack. So, you know, in one sense you

00:16:04
want to make it clear that it's a benefit.

00:16:06
These companies probably still even allow that as a benefit to,

00:16:09
You Know, cover crossing state lines to to receive the

00:16:12
treatment or care, but also they don't really want to discuss it

00:16:16
for fear of antagonizing or alienating.

00:16:18
The people who are morally opposed to it.

00:16:20
And where does text sit on that kind of spectrum.

00:16:23
Continuum, that is really interesting.

00:16:24
I will stay on after SBA. For example, the you know,

00:16:29
Texas. Glad that didn't portion after

00:16:31
six weeks. There is kind of a deafening

00:16:33
Silence from Tech across the board.

00:16:35
Right there were a few exceptions and but it was pretty

00:16:38
quiet in terms of responses. So I will say, I was pleasantly

00:16:42
surprised to see some of these companies step up and offer to

00:16:44
support their employees and traveling to get care.

00:16:48
I think they've gotten critique. You know they always could do

00:16:50
more but on an issue that folks have really been scared to talk

00:16:55
about at all. I think I'm happy too.

00:16:58
We'll take what we can get. He picked a happy to see at

00:17:01
least that acknowledgement. Well, I just see these companies

00:17:04
don't really know how to, you know, they're trying to walk

00:17:07
this line of expressing. What would be the moral outrage

00:17:11
of their employees? But also not trying to alienate

00:17:13
the people that could blow up into some media Firestorm on,

00:17:18
including their own employees. By the way some of their

00:17:21
employees are anti-choice. Some of their employees agree

00:17:25
with the overturning Roe versus Wade.

00:17:26
I don't think we can forget that.

00:17:28
I mean, so, Obviously, I've been thinking a lot about feminism

00:17:33
and what's terrible is happening more broadly.

00:17:35
And I go back to, you know an essay that was written by Joan

00:17:39
Didion where she talks about you know at the height of feminism

00:17:44
as we know from the mid-century this she validly questions.

00:17:49
The idea that any movement can capture a whole group of people

00:17:53
just because they all happen to have a uterus and why and sort

00:17:57
of the contortions the knees. Made for feminism to be relevant

00:18:01
to people who don't want it to be relevant to them.

00:18:03
And it was a really smart insightful.

00:18:07
Some questions that were never really answered.

00:18:09
I think, at the time, she posed them and we've seen successive

00:18:13
waves of feminism, common goal. And now we're at a point where

00:18:17
we're dealing with legal questions, run a medical

00:18:20
procedure but that really does speak to the heart of.

00:18:23
Can we make assumptions about groups of people simply because

00:18:26
they share a physical characteristic in this case

00:18:29
because they were At a certain kind of company.

00:18:30
So, I think the time is right. The companies are walking a

00:18:34
tightrope, but it's not just because they're trying to handle

00:18:36
it, internal conversation versus an excellent, General

00:18:39
conversation. I think that it would be wrong

00:18:42
to say that the internal conversation at a company that

00:18:45
has many employees is meta or alphabet formerly known as

00:18:49
Facebook and Google the but that they all those employees feel

00:18:54
the same way. Just throwing that out.

00:18:55
There is a caveat. Yeah and I think they'd be much

00:18:58
happier sort of They would rather no one ever discussed,

00:19:01
controversial topics, including abortion, ever, they know, but

00:19:05
they almost would feel much more comfortable providing this as a

00:19:08
benefit. I think, then they would ever

00:19:11
having people discuss it because it's a perk for the people who

00:19:14
want it and they can avoid what they view is like the toxic

00:19:17
workplace slack discussions. That they view is like, so

00:19:20
detrimental to productivity and morale.

00:19:22
And all of these issues Capital Areas, like we were saying

00:19:25
earlier, for hopped on line. It's like if I pop into my

00:19:29
Slack, A core group and I'm like, guys, I'm going to be out

00:19:31
on Friday because I have a dentist appointment.

00:19:33
I'm getting my wisdom teeth removed and be like, all right,

00:19:35
see you on Monday. If I pop in nose, like, I'm out

00:19:38
Friday, because I'm getting an abortion.

00:19:39
I'm probably going to be fine by Monday.

00:19:41
See you later. Like, what does a, what does the

00:19:45
company do with that conversation, right?

00:19:47
How do they treat it? If when there's no question of

00:19:50
legality, it was one thing, right?

00:19:52
When you could say that while in every state abortions, legal to,

00:19:57
at least some extent, there be nothing.

00:19:59
Be done. But if you're in a state where

00:20:01
it's illegal, is that Ben Akin to saying, guys, I gotta go

00:20:04
cause I'm going to shoot up. I'm going to use heroin all day

00:20:06
Friday and I'll see you on Monday, you know, like life on

00:20:10
its face at legal hacked. Right.

00:20:12
Right. I mean like it rolls into the

00:20:14
you know, almost the mentality of don't ask.

00:20:16
Don't tell they seemed fine to allow it to happen on some level

00:20:20
they just don't want to be aware of it as far as that part goes.

00:20:24
I mean like to even put it to a more like crafts business

00:20:26
question for you Kiki. Are you working with any of

00:20:29
these Companies, have you gotten Outreach from medium to large,

00:20:32
tech companies that are trying to tell their employees?

00:20:35
We've got you covered. If this is what you need.

00:20:38
I mean, is this a business opportunity?

00:20:41
We have not received Outreach directly from any of the

00:20:43
companies yet. But interestingly, we have seen

00:20:46
interest from insurers. So some of the payers, that

00:20:49
support these larger companies and particularly on, self paid

00:20:52
plans, they do seem to be expressing quite a bit of

00:20:55
appetite, for new ways to get their employees access to the

00:20:58
surface and I wouldn't be surprised if we do start seeing

00:21:01
more direct Outreach soon and we've historically, we thought

00:21:05
about it. As you, visit mentioned, thought

00:21:06
it was simply too controversial to be a B2B product and Crest

00:21:10
terms, but it does seem like that.

00:21:12
Is beginning to shift your startup, it's raise Capital.

00:21:16
What can you talk about? Sort of how much you've raised

00:21:19
and sort of the strategy there. But then there's also, you know,

00:21:23
a cause component where there are lots of people sort of, who

00:21:26
believe in it. Are there ways for people to

00:21:29
support Ort, you financially Beyond getting on the cap table,

00:21:32
or sort of how how do you think about sort of straddling the,

00:21:37
where normal Corporation and obviously there's a sort of,

00:21:40
well, well of people who want to support us anyway.

00:21:43
Yeah, so we raised three point six million last year and our

00:21:47
seed round. We got a really awesome, sort of

00:21:49
Syndicate of angels and existing groups.

00:21:53
You are all super aligned with the mission and just very, very

00:21:55
supportive of the work. So our super grateful for them.

00:21:58
And in terms of ways to Or heat Jean.

00:22:01
I think the donating to abortion funds is one of the best in

00:22:04
people can be doing right now and we partner with several in

00:22:07
the seats that were in and there are really great but I'm sort of

00:22:10
across the country. And those allow us to give free

00:22:13
care to patients who need it. There are also practical support

00:22:16
organizations. It's called tool.

00:22:18
I'm help patients cover. The cost of travel which is of

00:22:21
course, becoming increasingly relevant one other thing that

00:22:24
we've been thinking about a lot recently and could always use

00:22:27
support on sort of to what Katie Talking about earlier, is while

00:22:31
we see a lot of the Hostile States passing, these really

00:22:34
restrictive and Draconian bills at to beat a restrict access to

00:22:38
abortion. Some of them were Progressive

00:22:40
States like New York, California, Connecticut.

00:22:42
I've been passing protective measures to sort of counter

00:22:45
balances and limit the degree to which abortion providers or

00:22:50
other folks. Assisting with abortion access

00:22:52
could get sued by some of these other jurisdictions civilly or

00:22:55
criminally whatever. And so letting your local And

00:22:59
governments know that this is important as really helpful.

00:23:02
I mean, I just keep thinking about people going to Nevada, or

00:23:06
whatever to get a divorce or annulment.

00:23:09
I mean, now it's like or married, you know.

00:23:11
Now, all of a sudden, I don't know.

00:23:14
Yeah. Democrats are going to be

00:23:15
obsessed with retaining. Their blue states rights to

00:23:20
serve people in red City. I mean, if they weren't already

00:23:24
sort of touched on this with the corporate thing and, you know,

00:23:28
you don't necessarily need to have a strong opinion but I'm

00:23:30
curious. I mean, do you do you think

00:23:31
employees should demand that their employer, a tech company?

00:23:36
It you know, provide services for abortion or comes out as

00:23:40
sort of pro-choice explicitly or do you think that's sort of too

00:23:44
much to ask? I do think that abortion is

00:23:46
Healthcare and it again 14 women have people theaters, this will

00:23:50
get one. So I do think then covering it

00:23:53
is a must if they're gonna be offering robust Health Care

00:23:55
Services, whether or not they have to make a personal

00:23:58
statement on their opinions on I feel that I eat it, I feel as

00:24:00
strongly about, but they should absolutely be supporting access

00:24:03
to health care for their employees.

00:24:04
And this is a key part of it makes sense.

00:24:07
What's interesting is, the more we talked about this, it kind

00:24:09
of, it is very much within the capability of tech companies and

00:24:13
specifically the kind of consumer base, sharing economy,

00:24:16
type companies to provide National access to people.

00:24:21
And I think you've seen some movements towards that.

00:24:23
I don't know if Airbnb is explicitly said they're willing

00:24:25
to house someone for free that is crossing state lines to

00:24:28
receive an abortion. In, but they could, will it, you

00:24:31
know, they've offered up housing for Ukrainian refugees and other

00:24:35
people dealing with geopolitical crises, Uber and Lyft, could

00:24:38
very easily. And I don't want to speak

00:24:40
completely out of turn, right? I think they may have made some

00:24:42
gestures again towards this, but they could provide, you know,

00:24:46
assuming the driver would want to be on board with that

00:24:49
transportation for people. And it reminds me of the

00:24:52
conversation. We had a couple months back

00:24:53
about Spotify and how, you know, we've sort of out sourced

00:24:57
questions around free speech to Asians and having them kind of

00:25:00
adjudicate what is or isn't allowed to be discussed.

00:25:04
And where the line is drawn, and who should be responsible for

00:25:08
deciding when speech goes too far, the same exact thing could

00:25:13
happen with with abortion, and with tech companies.

00:25:15
And it's relatively easy probably to restrict or to set

00:25:20
lines around Free Speech, because that's just a matter of

00:25:22
turning an account off. But for something like this,

00:25:24
where real money real physical people, you're moving them

00:25:27
around, there's Logistics on the line.

00:25:29
Here, let's like, let's see what you do here like, let's see

00:25:32
where your morals, actually, stay, and how far you're willing

00:25:34
to go. The one, the one caution though,

00:25:36
Tom is keep in mind, states have proposed making it punishable to

00:25:41
Aid or abet. A person was receiving an

00:25:44
abortion. So what you've just described

00:25:45
could for some States run afoul of those laws by aiding and

00:25:49
abetting. Somebody who wants to get an

00:25:51
abortion? Well, I thought this was Supreme

00:25:53
Court was vociferous. Defender of corporate speech,

00:25:57
being free speech, and deploying.

00:25:59
Money being a form of exercising speech.

00:26:02
So you would think corporations expressing their first amendment

00:26:07
principles with their pocketbooks would be the most

00:26:11
thing I was most American thing you could do with conservatives

00:26:15
but that's very different from but that's different from

00:26:18
giving, somebody Free Housing who's left their state to get an

00:26:22
abortion. And is that then eating and

00:26:24
abetting, somebody who is committing an illegal act,

00:26:26
because keep in mind, soon this will be an illegal Eagle Act

00:26:30
Right In many states. So we're not talking about Free

00:26:32
Speech, free speech is not illegal anywhere.

00:26:34
But I mean, the trees. This is abortion will literally

00:26:37
be illegal in several States. And if you're helping people to

00:26:39
break a state law, that is that depending on how the laws are

00:26:44
written state, where you're helping them, go to another

00:26:46
state and depending on how the laws are written in certain

00:26:49
states, that could be a punishable act as well.

00:26:52
I guess like the Fugitive Slave Law.

00:26:54
Basically thank you very much. It's a great example.

00:26:56
This is not a simple, something awesome speech.

00:26:59
Symbol. I'm being, I'm being cute and I

00:27:01
think I mean, I relations who feel very bold today.

00:27:05
Their General councils are going to be looking hard at all of

00:27:08
these state laws that get passed to figure out exactly what they

00:27:10
can do. Because they probably will be

00:27:13
disinclined to run afoul of the law.

00:27:17
That says may be aiding and abetting some.

00:27:18
Yeah, I think a lot of these states make it punishable to Aid

00:27:22
and abet, regardless of whether you did so knowingly.

00:27:25
So in the case of Texas, for example, there was a lot of

00:27:27
attention on the idea of an Uber driver.

00:27:29
We're dropping someone off near an abortion clinic potentially

00:27:32
unaware that they did that a new bird.

00:27:34
Lift, both did a believe launch live with legal, defense funds

00:27:38
for that type of scenario. But all of the the structure of

00:27:41
these laws is just so new and sort of untested that I think

00:27:44
the tech companies that and dealing with the physical world

00:27:47
in any way are going to be running up against them whether

00:27:50
they like it or not. Yeah, absolutely.

00:27:52
Absolutely, because the question is for them.

00:27:54
How hard do they want to try to test the limits of these laws?

00:27:58
And now, a lot of these companies aren't that Flush,

00:28:00
frankly. So you know how much they really

00:28:02
want to invest at times, that their stock prices are

00:28:04
plummeting in, you know, arguing novel legal defenses to why they

00:28:09
should be allowed to do, and perform these Services.

00:28:11
Could seem a huge distraction of financial, but at the same time,

00:28:16
if you truly are so in favor of the, you know, these

00:28:20
possibilities, these legalities for the broader public that you

00:28:24
serve stand for it, push for it. I mean, I'm not saying it's

00:28:28
easy, but but it seems a lot easier to put out a press

00:28:31
release or two very nominally provide low level services to

00:28:35
people, but something harder to like, truly be a part of the

00:28:38
legal cause that could provide the foundational support for

00:28:41
these people. I mean, I just think we've

00:28:43
gotten to a point where a lot of these tech companies have core

00:28:47
values. Sort of Express opinions about

00:28:49
all sorts of things and yeah it seems perfectly reasonable that

00:28:54
it would be sort of open supporters of choice.

00:28:59
Given that most of their employees support Choice.

00:29:02
Yeah, I mean, I can see why they don't want to do it, but, but

00:29:05
that seems perfectly in line with, you know, taking a stance

00:29:08
and lots of other issues. Well, it's interesting.

00:29:10
Also when these issues also cross, with other causes that

00:29:14
they're not in favor of so Amazon.

00:29:16
For example, announced that they were going to provide, you know,

00:29:18
abortion access for all of their employees but not for the people

00:29:21
that are not full-time. Now there's like practical

00:29:24
reasons for that which is that these people probably don't have

00:29:26
Amazon run health insurance, so So it might not be as simple as

00:29:30
to say or sort of saying our Amazon health care plan provides

00:29:34
for, you know, that sort of support but they could is the

00:29:37
thing. But then it crossed into another

00:29:39
line of like well are these people employees?

00:29:41
Do they need to be given rights Beyond just those of, you know,

00:29:44
1099 contractors and they're definitely not going to cross

00:29:47
that line anytime soon. Like, that's a, that's a hard

00:29:49
one for them. Can you talk about, I mean,

00:29:52
what's the scale that you're operating at right now?

00:29:56
And I mean, are there big medical companies that Competing

00:30:00
with you or what? Yeah, why why should a start-up

00:30:03
deliver this service? Instead of a traditional, I

00:30:06
don't know medical company. Yeah.

00:30:09
So there aren't any huge medical companies, doing telemedicine,

00:30:13
abortion, and the way that in the way that we are that, you

00:30:16
know, that it makes it fully digital.

00:30:19
There are other groups students offering similar products, but

00:30:24
it is new, there is that recent regulatory shift that's just

00:30:26
sort of made it possible. And I think there is also So

00:30:29
just across all of healthcare, a lot of Legacy momentum that

00:30:33
limits piloting is deaf. We have already seen quite a

00:30:37
steep increase in demand since the row memo leaked.

00:30:40
I think in part because more people are becoming aware of

00:30:42
this as an option, but also I think people are seeking out new

00:30:47
forms of excess. So sort of an unfortunate in the

00:30:52
rear lighting but definitely expecting demand to go up.

00:30:54
And did you say already how your offer to sizing to increase?

00:30:57
Customer your CO2? Write your customer base.

00:31:00
Yeah. So since you Google search it

00:31:02
said, you know, people are actively seeking out a solution

00:31:05
and and so they find us primarily through Google.

00:31:08
I think you asked earlier about maybe ability to advertise in

00:31:11
some of the states where some of the more hostile States.

00:31:15
The lawyers are still looking into that again, this is all so

00:31:17
new do but it seems as if that may dot be advisable, given sort

00:31:22
of some of the aiding and abetting restrictions that

00:31:24
extends but due to wonderful journalists.

00:31:27
Like you guys and social media, I think there has been more

00:31:31
visibility to. Hey, Jade, another telemedicine

00:31:33
models in those states. Are you surprised at all at?

00:31:37
I mean, you came to this like you said having worked or maybe,

00:31:40
like I said you were at ubereats for for your one of the earlier,

00:31:43
people that worked on that product and I think you were

00:31:46
running businesses in like Amia. So kind of like the more out

00:31:50
there extensions of ubereats has territories, the kind of more

00:31:54
ideological and cause based approach that a lot of tech

00:31:58
employees. Adopted in the last couple of

00:32:00
years, it seemed like, you know, the focus on growth and

00:32:04
transformational companies purely.

00:32:06
And like we can be very large and make a lot of money to find

00:32:10
a large era of text or the one that Katie and Eric, and I have

00:32:13
been been writing about, but are we moving towards a point now,

00:32:16
where you we are going to see more, you know, Tech employees,

00:32:19
start companies or be involved in, you know, capitalistic

00:32:23
Enterprises towards specific causes like yours, I hope so.

00:32:26
And there does seem to be quite a bit of research that that

00:32:29
consumers are valuing companies that have a strong social

00:32:32
Mission more. So I think you can support it

00:32:34
from a capitalistic justification.

00:32:36
But I also do think there's been a recognition of some of the

00:32:39
problematic Nature's of hyper growth and also just serving

00:32:43
underserved markets, can be really good business in addition

00:32:46
to serving an important social purpose.

00:32:48
Cool. I mean, if Hadrian were to grow

00:32:52
like, do you think eventually you would grow in the

00:32:54
telemedicine space or do you think you would grow into sort

00:32:58
of more Services around abortion or like yeah, what's obviously,

00:33:06
we're mostly interested in sort of the cause element, but as a

00:33:09
diligent startup reporter, what is the Tam for this business?

00:33:12
It seems so it's been really interesting since launching UGA.

00:33:18
And one of the things we've noticed is that we have like the

00:33:21
highest NPS of any telemedicine company that we've seen and has

00:33:25
been net promoter score sort of customer satisfaction.

00:33:28
And I think one of the reasons for that is because we've

00:33:30
developed a model that layers on emotional support and Community

00:33:35
Support over this core clinical experience and people seem to

00:33:39
really, really like it as opposed to traditional digital

00:33:42
Clinic models. That may be more transactional.

00:33:44
So now we are really excited to think about applying that model

00:33:48
to other underserved treatment. We actually just started,

00:33:50
testing into postpartum depression, which again is

00:33:53
extraordinarily common and also sort of ignored by the

00:33:55
healthcare system today and we have some other Big Ideas

00:33:59
Additional treatments in the future.

00:34:01
Hmm. Or investors like ever proposed

00:34:03
you be like why don't you just spend more time on that?

00:34:05
That's so much less controversial here, there are so

00:34:08
few Supreme Court decisions that could affect the growth of a y

00:34:11
plus part of depression. I side from Tom Cruise in

00:34:14
Scientology the name sort of locks you in right.

00:34:17
I mean is it? Hey Jane I mean it's like it's

00:34:21
like there's a sort of abortion advocacy reverence they're right

00:34:25
or what sort of the origin of the name.

00:34:27
Yeah I mean the name Jane has been Used I think throughout

00:34:30
abortion access in history. There's the Jane Collective

00:34:33
jinro, of course. And so, we're just trying to

00:34:35
sort of give a nod to that Historical Park that were now

00:34:38
building off of if you were to, you know, tell people that are

00:34:41
interested who maybe are not, you know, just being made aware

00:34:44
of your service, but want to support it in some way or the

00:34:47
other, I mean, can you direct us towards a couple of sites or

00:34:50
causes or people that we should check out?

00:34:53
Yeah, absolutely. We posted a bunch of resources

00:34:55
on our site at he doing .ko and on our Instagram at you.

00:34:59
Inhale, and with some great abortion funds to donate to and

00:35:02
other actions that you can take to sort of drive forward access.

00:35:06
The other thing you could do is just let people know that the

00:35:08
abortion pill exists and that options like hey Jane are out

00:35:10
there, we still see one in five people know about the abortion

00:35:13
pill and said we really want to make sure people are aware that

00:35:16
it's an option for them. Great, Kiki.

00:35:18
Thank you so much for joining. I'm sure it's a crazy busy time,

00:35:21
a lot of stuff changing that you have to deal with that.

00:35:24
We all have to deal with so some more than others but thank you

00:35:27
so much for joining and yeah. Yeah, we'll yeah.

00:35:30
Thank you so much for coming out.

00:35:31
Super, thank you guys, I really appreciate it.

00:35:45
Goodbye, goodbye, goodbye, goodbye.

00:35:48
Goodbye. Goodbye.

00:35:29
Yeah, we'll yeah. Thank you so much for coming

00:35:31
out. Super, thank you guys, I really

00:35:33
appreciate it. Goodbye, goodbye, goodbye,

00:35:47
goodbye. Goodbye.

00:35:49
Goodbye.