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- Newsgroups: talk.abortion
- Subject: Re: Medical Enforcers? (Was: Holtsinger on Harassment & Health)
- Message-ID: <BxIJxF.ItJ.2@cs.cmu.edu>
- From: garvin+@cs.cmu.edu (Susan Garvin)
- Date: Tue, 10 Nov 1992 18:41:35 GMT
- Sender: news@cs.cmu.edu (Usenet News System)
- References: <1992Nov8.064722.10308@midway.uchicago.edu> <1992Nov9.184241.12652@nas.nasa.gov> <1992Nov9.231922.16381@midway.uchicago.edu>
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- Organization: School of Computer Science, Carnegie Mellon
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- In article <1992Nov9.231922.16381@midway.uchicago.edu> eeb1@midway.uchicago.edu writes:
- #In article <1992Nov9.184241.12652@nas.nasa.gov>
- #dking@raul.nas.nasa.gov (Dan King) writes:
- ##In article <1992Nov8.064722.10308@midway.uchicago.edu>
- ##eeb1@quads.uchicago.edu (e elizabeth bartley) writes:
- #
- ###I've recently made it clear that I support requiring medical approval,
- ###not judicial approval....
-
-
- She says, and then goes on to define medical approval as something
- that requires judicial approval exp post.
- ##You mentioned this before, and I asked you about it, but either I missed
- ##your reply or you missed my question. How is this suppose to work?
- ##Currently the medical profession has no such ability to make or
- ##enforce legislation. If you allow legislation to determine when
- ##abortions are allowed, you are taking it out of the hands of the
- ##medical profession. This would leave it up to the judiciary to
- ##enforce. So would you ellaborate on how you would write legislation
- ##that would keep the judiciary out of the equation?
- #
- #In an emergency, any doctor qualified to diagnose if a third-term
- #abortion is need and to perform one could go ahead and perform one but
- #might have to justify the abortion afterwards. (Of course, if he
- #doesn't perform one and she dies, there's no "might" about him having
- #to justify his lack of treatment.)
-
- This certainly doesn't keep the judiciary out of the equation. It
- does, however, make the doctor's decision more complicated, and
- might result in that doctor doing something that would endanger
- the woman's health (but keep her alive) because of the hassle of
- explaining the decision to abort to the courts.
-
- #In other cases, doctors who are certified qualified to diagnose
- #conditions which require an abortion (ask the AMA who; I would guess
- #all gynecologists and some others) can diagnose a needed abortion.
- #Two opinions (one could be granted over the phone or after looking at
- #faxed information if need be) are needed for a legal abortion.
- #Barring having accepted a bribe or giving false information to another
- #doctor to secure a concerring opinion, the worst he could face (say,
- #for routinely certifying every case in which a woman says she wants an
- #abortion as a case in which an abortion is medically necessary) would
- #be losing his certification to perform or authorize an abortion (with
- #a second opinion) without any possibility of having it legally
- #questioned afterwards.
-
- Any M.D. can diagnose any illness, legally speaking. I called the
- AMA and checked. Board certification implies expertise, it is not
- a requirement to practice. It sounds as if a new form of regulation
- is being suggested for physicians.
-
- #This obviously lets the doctors override the laws on abortion at will.
- #But I've no reluctance to let them do that, partially because of a gut
- #instinct that if the medical profession as a whole feels that strongly
- #about the matter maybe they outta be able to and mostly because it
- #would be very difficult to stop them from doing so in any case (I've
- #been told that there were some hospitals before Roe which routinely
- #performed illegal but medically necessary abortions; they were called
- #tonsilectomies or appendectomies and nobody involved admitted they
- #weren't; a third-term ban would be much harder to circumvent, but not
- #impossible ... the doctors could pretend she spontaneously went into
- #labor and the best they did to save both killed the fetus).
-
- I am not aware of any state that forbade abortions to save a woman's
- life before Roe. I'm also not aware of any doctors who claimed to
- have done an appendectomy when they actually had performed an abortion.
- I am aware of doctors who just recorded that they had done a D and C
- and didn't mention that the woman was pregnant. I'm also aware that
- many hospitals had "abortion boards" that decided if an abortion
- was medically necessary in the years before Roe. I'm aware that
- these boards granted the permission to do the procedure based on
- factors other than medical necessity, such as current public
- opinion (the Sherry Finkbein case) and the number of abortions
- already approved in that year. I'm aware that poor women rarely
- had their petitions approved.
-
- I'm at a loss as to how Beth thinks that this will prevent
- "unnecessary" late term abortions in a way that they are not
- currently prevented, other than denying women who are carrying
- severely deformed or dead fetuses their right to abort. I
- know that there are only a few doctors who will perform late
- abortions now, and I know that at least one of them refuses to
- do them when he thinks they aren't necessary. This still sounds
- like legislation for its own sake, with the added frill of
- more government interference in medicine via new forms of
- certification.
-
- Susan
-