By Carole Joffe
Surprising firsthand money owed from front traces of abortion provision demonstrate the chronic cultural, political, and financial hurdles to access
More than thirty-five years after ladies gained the best to felony abortion, most folks do not understand how inaccessible it has develop into. In those pages, reproductive-health researcher Carole Joffe indicates how a pervasive stigma—cultivated by way of the non secular right—operates to take care of limitations to entry through shaming girls and marginalizing abortion prone. via compelling testimony from medical professionals, health-care employees, and sufferers, Joffe experiences the lived studies at the back of the polemics, whereas additionally delivering desire for a extra compassionate commonplace of women’s health and wellbeing care.
Read or Download Dispatches from the Abortion Wars: The Costs of Fanaticism to Doctors, Patients, and the Rest of Us PDF
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Additional resources for Dispatches from the Abortion Wars: The Costs of Fanaticism to Doctors, Patients, and the Rest of Us
But with abortion the situation gets more complex, because of the small number of doctors who are providers. In some cases, a non-abortion-providing physician can offer perfectly adequate backup if necessary. But in too many other cases, such backup can be very problematic. For example, doctors not familiar with the working of mifepristone might not know how much bleeding is normal and order a transfusion when it is not warranted, adding anxiety and cost to the procedure for the patient. Similarly, uterine perforations occasionally occur in aspiration abor- “you need a community with you” 37 tion, leading abortion providers to worry about the “punitive hysterectomy” that an antiabortion ER doctor might order.
He told me of the “explosion of anger” when a few of the residents who were opposed to abortion on religious grounds heard of these plans. In the first of many indications that Wolff would receive that dealing with abortion was different from other matters in academic medicine, the objections of this minority of residents led some of his colleagues to reconsider this training, even though most of the faculty had already approved it in principle. In other spheres of medical training, it is safe to say, residents’ wishes typically do not trump those of faculty.
The shortage of providers has been an issue ever since Roe v. Wade and has only worsened in recent years. Many of the first generation of doctors who performed legal abortions as a result of Roe have reached retirement age or shortly will. A few medical groups want abortion essentially banished from American health care, except in the rarest circumstances. Examples include the Christian Medical and Dental Association and the prolife caucus of the American College of Obstetricians and Gynecologists.