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MacKenzie Scott alone accounted for one-third of America's $19.2 billion in megagifts last year

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NewslettersMPW Daily

Is it worth ignoring abortion to make progress on the rest of women’s health? A new organization starts a debate

By
Dawn Laguens
Dawn Laguens
and
Emma Hinchliffe
Emma Hinchliffe
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By
Dawn Laguens
Dawn Laguens
and
Emma Hinchliffe
Emma Hinchliffe
Down Arrow Button Icon
October 23, 2025, 10:09 AM ET
The launch of bipartisan women's health organization 51& set off a debate about abortion and progress on women's health in Washington.
The launch of bipartisan women's health organization 51& set off a debate about abortion and progress on women's health in Washington. Getty Images
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Earlier this week, we published a story about 51&, a new organization that aims to make women’s health both bipartisan and apolitical. Through an AARP-style membership organization and a PAC, it’s supporting both Republican and Democratic politicians—and has decided not to touch the issue of abortion. Founder Jodi Neuhauser believes that abortion has been a “third rail in D.C.,” preventing progress on a host of other women’s health issues—from lower reimbursement rates for doctors (which affect access to care) to funding for research on cardiology, autoimmune disease, and other conditions that impact women.

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After publishing the piece by Fortune‘s Lila MacLellan, we heard from people with passionate responses to the approach. It’s clearly a strategy that drives strong feelings and debate. Is leaving aside the issue of abortion a pragmatic solution to an unfixable political stalemate, one that is harming women’s overall well-being? Or is it a betrayal of women’s most fundamental need for bodily autonomy?

In the latter camp was Dawn Laguens, a former EVP and chief brand officer of Planned Parenthood; she also held roles leading global strategy and innovation over 15 years at the organization. She sent in a response to the launch of 51&. Below is some of her perspective:

From a business standpoint, neutrality isn’t safe—it’s a blind spot. Women’s health is a $1.2 trillion market, and the fastest-growing segments—telemedicine, diagnostics, digital care, postpartum support—all intersect with reproductive health. Ignoring abortion doesn’t make your work bipartisan; it makes it incomplete. It shrinks the addressable market, limits innovation, and undermines consumer trust.

Staying silent on abortion signals to employees, consumers, and investors that a company will hedge on women’s autonomy whenever it feels politically convenient. The real opportunity is in credibility. Investors who want to lead in women’s health will recognize that autonomy isn’t ideology—it’s infrastructure. The companies that earn women’s trust by addressing the full spectrum of care will win the market and make a difference.

There’s a false bargain here: women might get attention for heart disease, autoimmune disorders, or maternal mortality, but only if we stay quiet about reproductive rights. That’s not pragmatism. Women shouldn’t have to pay for progress in one area of health by giving up power over another. Our rights—and our health care—come as a full set.

You cannot brand your way out of women’s bodies.

Dawn Laguens is former executive vice president for Planned Parenthood Federation of America and a current strategy and innovation consultant working on women’s health.

—

If you have thoughts to share on this conversation, feel free to send them my way. It’s complex—but an important one to have.

Emma Hinchliffe
emma.hinchliffe@fortune.com

The Most Powerful Women Daily newsletter is Fortune’s daily briefing for and about the women leading the business world. Subscribe here.

ALSO IN THE HEADLINES

GM plans to launch "eyes-off" autonomous driving by 2028. Fortune MPW editorial director Ellie Austin checked out the automaker's announcement in New York yesterday, which featured CEO Mary Barra (Fortune's No. 1 Most Powerful Woman in Business for the past two years). Her report: "GM is announcing its vision for the car of the future under Barra. Besides autonomous driving, it features conversational AI through Google Gemini and can help with restaurant recommendations, route-planning and more. Barra sold the idea convincingly, emphasizing a strategic shift toward a personalized experience for each driver and their family." 

Citi CEO Jane Fraser has a new title: chair. The roles of chair and CEO have been separate at Citi for two decades, since the financial crisis. The board's decision to reunite them both follows other banks and is a vote of confidence in Fraser's strategy; she'll also receive a $25 million stock award. Wall Street Journal

NBA commissioner Adam Silver came out against increasing revenue-sharing with WNBA players. Women's basketball players have been fighting for growing their share of revenue as the WNBA surges, aiming to match the share men receive of NBA revenue. Silver said that salary increase is "the right way" to increase compensation as the two sides continue to try to reach a collective-bargaining agreement. The Athletic

Fortune picked the Best Workplaces for Women. The list of 100 large employers ranks Hilton, Cisco, and American Express at the top. Fortune

Women's pro baseball will debut in 2026. The first four teams in the new league will be in New York, Boston, Los Angeles and San Francisco. The Athletic

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PARTING WORDS

"I want to make real change in how stories about dance are told."

— Misty Copeland on what she wants to do next after breaking barriers in ballet

This is the web version of MPW Daily, a daily newsletter for and about the world’s most powerful women. Sign up to get it delivered free to your inbox.
About the Authors
By Dawn Laguens
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Emma Hinchliffe
By Emma HinchliffeMost Powerful Women Editor
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Emma Hinchliffe is Fortune’s Most Powerful Women editor, overseeing editorial for the longstanding franchise. As a senior writer at Fortune, Emma has covered women in business and gender-lens news across business, politics, and culture. She is the lead author of the Most Powerful Women Daily newsletter (formerly the Broadsheet), Fortune’s daily missive for and about the women leading the business world.

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