November 21, 2014

THE CULTURE WARS ARE A ROUT:

'I can't think of a time when it was worse': US abortion doctors speak out (Karen McVeigh, 21 November 2014, The Guardian)

Texas state law HB2, passed last year, banned abortions after 20 weeks post-fertilisation. It also ushered in a number of requirements: that physicians follow outdated regimes regarding medicated abortion, requiring up to four visits to the same doctor; that they secure admitting privileges in local hospitals (an agreement that they can admit patients if necessary); that they operate as "ambulatory surgical centres", requiring expensive refits; and that they introduce 24-hour waiting periods. The requirements, most of which have no medical advantage, according to clinics, are opposed by the American Congress of Obstetricians and Gynecologists.

Curtis believes that some of the restrictions, for instance the 24-hour waiting period, send a clear message to women. It is there in order for her to "go away and think", he says. "As if she hasn't thought about it before. It is clearly a message that she must not do this bad thing."

If, as the clinics claim, the regulations are simply a ruse designed to put them out of business, they have certainly worked. The number of abortion providers in Texas has halved, from 41 in 2013 to about 20 today. This number would be even lower had the supreme court not stepped into the legal fray in October this year, placing a hold on the requirement for ambulatory surgical centre refits, which would have closed all but seven facilities in the state, while legal challenges continue. [...]

[S]upport for abortion, even among those who are pro-choice, drops off sharply later in pregnancy, when the procedure also carries more medical risks.

The Boyds are reluctant to talk in detail about this aspect of their work, because they are concerned anything they say will be seized upon by anti-abortion campaigners. "It distorts the issue," Curtis says. He took on later-term abortion in 2010 because he wanted it to be available, but says that it amounts to a "tiny proportion" of his work. In the US, 89% of all abortions are done before 12 weeks, with only 1.2% occurring after 21 weeks, according to the Guttmacher Institute for reproductive health.

"If I do one in a million, that's what they want to talk about," Curtis says.

I suspect a fair number would want to talk about the million other victims too.

Posted by at November 21, 2014 1:36 PM
  

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