The State And Health Department Have No Say in the Quality of Abortion Care

Charles Swenson was concerned about the poor quality of abortion clinics after abortion was legalized in New York state, and the fact that so many clinics were badly run and dangerous to women.  He went went to the New York state attorney general, and told him that because of the new law they needed to start talking about the quality of care, of shaping up the clinics. The attorney general said:

“I’m sorry, gentlemen, there’s nothing in the law that says the state will play any role in the quality of care.”

I said, “you’ve got to be kidding.”

Carole Joffe. Doctors of Conscience: the Struggle to Provide Abortion before and after Roe Versus Wade (Boston, Massachusetts: Beacon press, 1995) 139

There are still very few regulations that abortion clinics have to meet in order to operate. Many dangerous clinics continue to operate unlicensed and unregulated, and many clinics are rarely or never inspected. Pro-choice groups fight against laws that would make abortion safer. Read about some of these bad abortion clinics here.

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Abortion Counselors Are Not Trained in Mental Health

A pro-choice author, who interviewed  dozens of abortion providers, said the following:

“The abortion counselor was typically a person without medical training-who often herself had had an abortion, either legal or illegal-whose role it was the counsel the patient before the procedure, accompany her through the abortion itself, and also “advocate” for patients in general.”

Carole Joffe. Doctors of Conscience: the Struggle to Provide Abortion before and after Roe Versus Wade (Boston, Massachusetts: Beacon press, 1995) 133

Obviously, the counselors were not there to provide qualified mental health counseling for the women. Rather, they were just there to “keep her company” and be there to support her through the process. They were not trained, and were not able to spot women who might be aborting under duress, discuss the reasons for the abortion and whether or not it was right for the woman, or to talk to a woman about alternatives.

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Doctor Describes Botched Abortion

A doctor describes an abortion complication that he witnessed:

“What happened was this guy perforated; he thought it was the cord and pulled out – they measured in the laboratory – 8 feet of small bowels… He panicked and blew his cool. He got the 8 feet out know what he did? He cut it with scissors and then he put it in the bucket and then he called me.

So she’s in the hospital. She had a bowel repair, and the general surgeon finished and everybody’s telling me to do a hysterectomy on this 17-year-old kid from Birmingham, Alabama, no children. I decided no. She had a hole in the top of her uterus; I opened it up and removed the fetus… We sewed up the uterus… The patient had a very stormy course but she left the hospital with her pre-reproductive organs and she was okay… What I do want to know, and I’ve always wondered about these many, many years, was whether this kid never had any children.”

Dr. Rothstein

Carole Joffe. Doctors of Conscience: the Struggle to Provide Abortion before and after Roe Versus Wade (Boston, Massachusetts: Beacon press, 1995) 119

Learn about other botched abortions here.

And read about some woman who died in botched legal abortions.

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Abortionist Describes the Difficulty of a D & C

An abortionist describes a D&C, an abortion procedure in which the  lining of the uterus is scraped to remove the baby and placenta. Now most early abortions are done by the suction curettage method, but in most cases the uterus is still scraped to remove remaining tissue that the  machine doesn’t suction out. So this quote is still relevant to the way abortions are performed today.

“I always used to tell medical students it was like being blindfolded and trying to scrape wet cotton balls out of a wet paper bag and getting all the balls without tearing the bag… The uterus was so soft, it was very easy to poke something through the uterus.”

Carole Joffe. Doctors of Conscience: the Struggle to Provide Abortion before and after Roe Versus Wade (Boston, Massachusetts: Beacon press, 1995) page 58

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Dr. Brian Finkel Mocks Pro-Life Protester And Insults His Wife

Dr. Brian Finkel was convicted of molesting dozens of women in his abortion clinic, and was accused of molesting over 100. Several years before his arrest, he said the following to a pro-life protester he dubbed “Beer Belly”:

‘Hey, Beer Belly, I want you to know that if your wife ever needs an abortion, I’ll do one for free.  Not because I’m a nice guy, but just because I want to get between her l-e-e-e-e-gs.’”

June 17, 1999 Phoenix New Times article, Trash-talking abortionist Dr. Brian Finkel has a message for pro-life zealots: “Kiss My Ass.”

Quoted by Life Dynamics

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Stigma of Abortion Persisted after Roe Versus Wade

On how the medical community did not support those who performed legal abortions after Roe:

“Academic departments of obstetrics and gynecology [did not] welcome skilled abortionists to their ranks. Even though abortion now was legal, a stigma remained on those who had earlier performed illegal abortions.”

Philip Darney, “Training Physicians In Elective Abortion Technique in the United States” in U. Landy and S. Ratnam, editors, Prevention and Treatment of Contraceptive Failure (New York: Plenum, 1986) P133 – 140

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Doctor: Abortionist Is a “No More Than a Technician”

From pro-choice author Carole Joffe in Doctors of Conscience: the Struggle to Provide Abortion before and after Roe Versus Wade (Boston, Massachusetts: Beacon press, 1995)

 “[influential physician Robert Hall said that women should have counseling before an abortion] Then if she still wants the abortion she should have it. When it comes to the doctor, I think he’s eventually going to be no more than a technician. This may be humiliating to him. But it is his unavoidable plight if we are to grant women their inherent right to an abortion.”

This may be part of the reason why abortionists are so hard to come by in United States. They often turn out abortions on an assembly line, seeing the woman only long enough to perform the operation and developing no rapport with her as a patient.

Often abortion clinics have very substandard counseling. Read about abortion counseling here.

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A Shortage of Abortionists in Duluth

Tina Welsh of the Duluth Women’s Health Center abortion clinic told 20/20 in a May 24, 1991 interview,

“In 10 years we have never had a physician from Duluth that has been willing to work here.  And I went right down the list, about 27 physicians, in the immediate area of northern Minnesota and Michigan and Wisconsin.”

Abortionists are hard to come by these days in the United States. Pro-choicers often blame pro-life activities and violence, but the more honest among them point to the stigma of providing abortions and the unpleasantness of the work. Read more about the stigma in this section.

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Early Abortion Clinic Is Not Safe for Women

Abortionist who set up a clinic shortly before Roe versus Wade, when abortion was only legal in a few states:

“We did about 60 abortions a day. It was a wonderful service, and women were coming from all over the United States where it was illegal. They traveled long distances… And then the problem of getting care for them after they’d go home. They’d call up and be in trouble and we didn’t know where to send them. There were no doctors to take care of them. It was quite an experience… Back in the early days, the clinic had an ambulance that was kept on hand all the time. It was rarely, if ever, used and finally they got rid of it. It just fell apart from no use but we didn’t know if it might be necessary if a woman started bleeding in the clinic and we had to rush her to the hospital…”

Sending women home without follow-up care and operating without a means of transportation for injured women put women’s lives and health at risk in his clinic.

Carole Joffe. Doctors of Conscience: the Struggle to Provide Abortion before and after Roe Versus Wade (Boston, Massachusetts: Beacon press, 1995) page 18

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The Reasons Why There is a Shortage of Abortion Providers in America

From author Carole Joffe in Doctors of Conscience: the Struggle to Provide Abortion before and after Roe Versus Wade (Boston, Massachusetts: Beacon press, 1995)

She discusses the fact that there are so few abortion providers, and puts forth the theory that it is stigma within the medical community and not pro-life activities or violence, that causes the shortage.

“In seeking to explain this puzzle – a high degree of support for legal abortion by both the general public and the medical specialty most directly affected, yet so little commitment by this specialty to provide necessary services and training – it is tempting to point to the violent wing of the antiabortion movement… There is no question that the climate of violence surrounding abortion facilities, and especially the murders that occurred, have had a chilling effect on abortion provision. But it is a mistake to overemphasize the role of the terrorist wing of the antiabortion movement in the current crisis… It is the medical community itself, and not Operation Rescue, that bears chief responsibility for the present marginalization of abortion provision.”

 

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