{"id":31065,"date":"2024-05-05T15:19:55","date_gmt":"2024-05-05T15:19:55","guid":{"rendered":"https:\/\/cincinnatirighttolife.org\/?p=31065"},"modified":"2024-05-05T15:21:31","modified_gmt":"2024-05-05T15:21:31","slug":"why-do-abortion-providers-get-a-pass","status":"publish","type":"post","link":"https:\/\/cincinnatirighttolife.org\/why-do-abortion-providers-get-a-pass\/","title":{"rendered":"Why Do Abortion Providers Get a Pass?"},"content":{"rendered":"\n<p style=\"font-size:18px\"><strong><em>By <a href=\"https:\/\/pregnancyhelpnews.com\/commentary\" target=\"_blank\" rel=\"noreferrer noopener\">Lloyd Holm, D.O., originally published May 2, 2024, Pregnancy Help News<\/a><\/em><\/strong><\/p>\n\n\n\n<p class=\"has-medium-font-size\">Planned Parenthood recently released its 2022-2023&nbsp;<strong><a href=\"https:\/\/cdn.plannedparenthood.org\/uploads\/filer_public\/ec\/f4\/ecf43d92-fcd2-4d11-b299-e67b5c3ac394\/2024-ppfa-annualreport-c3-digital.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">annual report<\/a><\/strong>&nbsp;and the data are telling. The nation\u2019s largest abortion business reported 392,715 \u201cabortion procedures\u201d while the&nbsp;<strong><a href=\"https:\/\/www.guttmacher.org\/2024\/03\/despite-bans-number-abortions-united-states-increased-2023\" target=\"_blank\" rel=\"noreferrer noopener\">Guttmacher Institute<\/a><\/strong>&nbsp;estimates a total of 1,026,690 abortions performed in the United States in 2023, 63% of which were chemically induced.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">In his classic American novel,&nbsp;<em>Moby Dick<\/em>, Herman Melville wrote, \u201cIn this world, shipmates, sin that pays its way can travel freely and without a passport; whereas Virtue, if a pauper, is stopped at all frontiers.\u201d<\/p>\n\n\n\n<p class=\"has-medium-font-size\">And of course, what makes&nbsp;<em>Moby Dick<\/em>&nbsp;a classic \u2013 aside from the 173 years since its publication \u2013 is that this nugget of insight is still relevant. This is particularly so if one considers the current state of abortion and the abortion industry in America today.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">It\u2019s been&nbsp;<strong><a href=\"https:\/\/www.sparknotes.com\/lit\/mobydick\/symbols\/\" target=\"_blank\" rel=\"noreferrer noopener\">written<\/a><\/strong>&nbsp;that the white whale represents an unknowable God and all that is good in the world, while Captain Ahab obsesses over the destruction of the whale as he travels the world \u201cfreely\u201d seeking the annihilation of the white whale, which is \u201cstopped at all frontiers.\u201d<\/p>\n\n\n\n<p class=\"has-medium-font-size\">But the allegory goes beyond the obvious as Melville\u2019s quotation applies to the entire abortion industry. Clearly, the sins of the abortion industry have traveled freely for decades since the passage of&nbsp;<em>Roe v. Wade<\/em>. There is much more than what\u2019s on the surface. A lot more.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">A physician practicing at any hospital in this country has a moral and ethical obligation to his or her patients to either attend to the patients\u2019 present and future needs, or in the event of a planned absence, make arrangements for adequate coverage.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Hospitals must have a policy in place whereby all basic services are covered for emergency coverage. For instance, if a patient were to sustain a fractured leg, the hospital and emergency room must make arrangements for that patient to be seen by an orthopedic specialist or have follow-up with one. This is the&nbsp;<strong><a href=\"https:\/\/www.acep.org\/patient-care\/policy-statements\/emtala-and-on-call-responsibility-for-emergency-department-patients\/\" target=\"_blank\" rel=\"noreferrer noopener\">law<\/a><\/strong>. It applies to all medical and surgical services, including gynecologic.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Even abortion facilities have rules and guidelines \u2013 sort of.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">The World Health Organization (WHO) has policies and recommendations as it relates to post-abortion care in the outpatient setting. In the WHO document entitled&nbsp;<a href=\"https:\/\/iris.who.int\/bitstream\/handle\/10665\/97415\/9789241548717_eng.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Clinical<\/strong>&nbsp;<strong>Practice Handbook for Safe Abortions<\/strong><\/a>, appropriate guidelines are presented for facilities and providers to follow such as stabilization and referral; however, what is not mentioned is the concept of continuity of care for the patient.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Abortion facilities do require their providers to either have admitting privileges at a local hospital or a written agreement with a local hospital to accept patients in transfer that might need further evaluation or intervention at the time of their abortion.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">These policies are also outlined in the book published by the National Academy of Sciences, Engineering, and Medicine,&nbsp;<strong><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK507232\/\" target=\"_blank\" rel=\"noreferrer noopener\">Safety and Quality of Abortion Care in the United States<\/a><\/strong>. Interestingly, but not surprisingly, this document also fails to address continuity of care by abortion providers.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Who, then, is responsible for the patient who is discharged but then experiences problems a few hours or days later? &nbsp;&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"has-medium-font-size\">If a gynecologist performs out-patient surgery on a woman on a Wednesday and the patient is discharged the same afternoon her surgeon leaves town on vacation, the surgeon is obligated to have someone take call for him or her. If a patient were to experience a post-operative complication or emergency while their surgeon was out-of-town and arrangements were not made for proper coverage by a responsible provider, the surgeon could be held liable for&nbsp;<strong><a href=\"https:\/\/www.bottarleone.com\/blog\/medical-abandonment-medical-malpractice\/\" target=\"_blank\" rel=\"noreferrer noopener\">abandonment<\/a><\/strong>. This just isn\u2019t theoretical, it\u2019s the standard of care. To breach this tenet of medical care can lead to sanctions by a state board of medical examiners \u2013 unless of course, the provider in question is performing abortions. In this instance, it\u2019s a two-tiered system of accountability.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Over the course of my career as an OB\/GYN, I attended numerous female patients who sought care following an abortion. Never \u2013 not once \u2013 was I able to reach the provider who performed the procedure and ask them to assume care of the possible complication they most likely contributed to.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Admittedly, complications following an abortion are rare. The state of Minnesota maintains a state-mandated&nbsp;<strong><a href=\"https:\/\/www.health.state.mn.us\/data\/mchs\/pubs\/abrpt\/docs\/2021abrpt.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">registry<\/a><\/strong>&nbsp;of abortions and complications performed at five different facilities. In 2021 a total of 10,136 abortions were performed between five different facilities and there were 87 (0.87%)&nbsp;<em>reported&nbsp;<\/em>complications that required follow-up care. This number is consistent with other published<strong>&nbsp;<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25560122\/\" target=\"_blank\" rel=\"noreferrer noopener\">data<\/a><\/strong>, however, others have&nbsp;<strong><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK430793\/\" target=\"_blank\" rel=\"noreferrer noopener\">reported<\/a><\/strong>&nbsp;up to 40% of women undergoing an abortion seek emergency department care within six weeks of the initial abortion procedure. And I would opine that the vast majority of these women were cared for by someone other than the provider who performed the abortion in the first place.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">In visiting with an old friend \u2013 a residency-trained and board-certified emergency medicine specialist \u2013 about this very topic, he affirmed that in his 40 years of practice in a large metropolitan city, he cared for numerous women who presented to the emergency room with complications following an abortion. Not once was he able to contact the provider who had performed the abortion. He went on to state, \u201cAfter so many years, I just gave up trying to reach them for follow-up care.\u201d<\/p>\n\n\n\n<p class=\"has-medium-font-size\">To further test my hypothesis, I reached out to the head of a large urban emergency department with years of clinical experience and posed the question: \u201cHave you ever had a post-abortion patient present to your ER for care related to her abortion and have the responsible individual who performed the abortion notify the ED of the patient\u2019s pending arrival or been able to contact the abortion provider personally to discuss their patient with them.\u201d \u201cNo, never,\u201d was the simple response.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">These experiences are the rule, not the exception.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">How is it that the concept of abandonment does not apply to providers of abortions?<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Why do they get a pass when one of their patients suffers a complication and they \u2013 or a designated provider in their stead \u2013 are unavailable and therefore unaccountable?<\/p>\n\n\n\n<p class=\"has-medium-font-size\">A better question might be,&nbsp;<em>why<\/em>&nbsp;is it they don\u2019t care?<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Why, indeed?<\/p>\n\n\n\n<p style=\"font-size:18px\"><strong><em>Dr. Lloyd Holm is a retired OB\/GYN and former President of the Iowa State Board of Health who is currently the Executive Director of Options for Women\/River Falls, and a Pregnancy Help News contributor<\/em><\/strong>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Lloyd Holm, D.O., originally published May 2, 2024, Pregnancy Help News Planned Parenthood recently released its 2022-2023&nbsp;annual report&nbsp;and the data are telling. The nation\u2019s largest abortion business reported 392,715 \u201cabortion procedures\u201d while the&nbsp;Guttmacher Institute&nbsp;estimates a total of 1,026,690 abortions performed in the United States in 2023, 63% of which were chemically induced. In his&hellip;<\/p>\n","protected":false},"author":2,"featured_media":31066,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":["post-31065","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Why Do Abortion Providers Get a Pass? - Cincinnati Right to Life<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cincinnatirighttolife.org\/why-do-abortion-providers-get-a-pass\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Why Do Abortion Providers Get a Pass? - Cincinnati Right to Life\" \/>\n<meta property=\"og:description\" content=\"By Lloyd Holm, D.O., originally published May 2, 2024, Pregnancy Help News Planned Parenthood recently released its 2022-2023&nbsp;annual report&nbsp;and the data are telling. The nation\u2019s largest abortion business reported 392,715 \u201cabortion procedures\u201d while the&nbsp;Guttmacher Institute&nbsp;estimates a total of 1,026,690 abortions performed in the United States in 2023, 63% of which were chemically induced. 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