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- NATION, Page 27SCANDALSThe Cruelest Kind of Fraud
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- A fertility doctor is charged with using his position of power
- and trust to secretly father his clients' children
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- They came to Dr. Cecil Jacobson's Vienna, Va., clinic from
- all over the Washington area, women and men desperate to conceive
- a child. As a fertility specialist, Jacobson was highly
- recommended. He was a brilliant geneticist who helped pioneer
- the amniocentesis procedure in the U.S. During office visits he
- liked to call himself "the babymaker." "God doesn't give you
- babies," he would tell his patients. "I do."
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- They gave him their trust and their money, but according
- to a federal indictment handed up last week, he deceived them.
- Not only did the babymaker tell women they were pregnant when
- they weren't, say federal officials, but he secretly
- inseminated others with his own seed, fathering at least seven
- children for couples who thought they were receiving legitimate
- donor sperm. "It's basic fraud of the cruelest sort," said U.S.
- Attorney Richard Cullen, whose office is prosecuting the case.
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- The extraordinary charges cap several years of civil
- proceedings against the 55-year-old physician, who first came
- to the attention of authorities after what seemed to be an
- unusual string of false pregnancies. According to the
- government, Jacobson was giving patients hormone treatments that
- simulated the effects of early pregnancy. At hearings before a
- committee of the Virginia Board of Medicine in 1989, several
- women wept as they described how Jacobson would show them
- sonograms of what he said was their fetus, pointing out
- nonexistent heartbeats, fetal movements and thumb-sucking. He
- would give them fetal snapshots to take home -- only to announce
- several weeks later that their baby had died.
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- The Virginia board found sufficient evidence to warrant
- revoking Jacobson's medical license, despite pleadings by his
- attorney that the board was paying too much attention to the
- complaints of "disappointed women who had difficulty conceiving"
- and ignoring "the other side of the coin," the fact that he had
- treated a lot of other women who did get pregnant. Jacobson
- agreed to give up his practice and moved to Provo, Utah, where
- his father lives.
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- The latest charges come from some of those other women.
- Acting on a tip, several patients requested genetic tests, which
- revealed the doctor himself had fathered their babies. According
- to the indictment, Jacobson conned patients into thinking he had
- an elaborate system for matching sperm donors to particular
- physical, mental and social characteristics. But in some cases,
- says the government, he was the sole donor.
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- Jacobson faces 53 felony charges. At his arraignment late
- last week, he proclaimed his innocence. His attorney asserted
- that if the doctor had used his own sperm, he had done so in
- the interests of providing a sample that was "clean and good"
- in a time of AIDS.
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- The disturbing case of Dr. Jacobson underscores a problem
- that has plagued the booming field of infertility medicine.
- Doctors can claim to be experts on the basis of scant experience
- or training. There is no board certification and little
- regulation. Now Jacobson has single-handedly made it time for
- the Federal Government and organized medicine to crack down on
- those who prey on the infertile.
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- By Philip Elmer-DeWitt. Reported by Dick
- Thompson/Washington
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