healthcare, law

One brave Texas physician has already defied the new abortion ban…

The featured photo was taken at a Mexican restaurant in San Antonio, where Bill and I lived before we moved back to Germany, and where our absentee ballot votes go when it’s election time.

Abortion is probably the last thing I want to write about today. That’s why I reposted four book reviews. Trust me… this is a topic I’m getting really tired of revisiting over and over again. I feel like this issue should have been settled about fifty years ago. But it’s hot news right now, and too many people seem to think it’s right to deny women this basic right to determine what happens to their own bodies. So here I am, writing about this again…

Actually, today’s post may be a bit more upbeat than outraged. One of the first news items I read this morning was in the Washington Post. It was about San Antonio based OB-GYN Dr. Alan Braid, who wrote an op-ed about how, on September 6, 2021, he violated Texas’s new abortion ban law. A woman received an abortion from him. Although she was still in her first trimester, she was further along in the pregnancy than six weeks. According to the article:

“I understand that by providing an abortion beyond the new legal limit, I am taking a personal risk, but it’s something I believe in strongly,” Alan Braid, a San Antonio OB/GYN, said in an op-ed in The Washington Post. “I have daughters, granddaughters and nieces. I believe abortion is an essential part of health care. . . . I can’t just sit back and watch us return to 1972.”

As I read that part of the article, all I could think of was– wow… what a BRAVE man. This is a man who cares about women and women’s health. He’s put himself at great risk. I would say that not only is his career at risk, but his very life could be at risk. He practices medicine in a state where just about anyone is allowed to carry a gun, and there are many religious nuts running amok.

I had to read Dr. Braid’s op-ed for myself, so I clicked the link in the article I read about it. In his opinion piece, Dr. Braid explains that he started practicing medicine on July 1, 1972. I was eleven days old on the day Dr. Braid began taking care of women’s health. I will be 50 on my next birthday. This is a man who has been in his field for a LONG time, and has seen and done a lot.

Dr. Braid graduated from the University of Texas medical school, and during his time as a med student, he was taught that abortions are an “integral part” of women’s health care. However, when he began practicing, abortions were effectively outlawed. It was only legal for a pregnant woman to get one if a psychiatrist certified that she was suicidal. I find that limitation curious, given that some women have medical issues that would also call for terminating a pregnancy for the sake of her health.

In those days, if a woman wanted an abortion, Dr. Braid would advise her to travel to a state where abortion was legal– California, New York, or Colorado. Some would go over the border to Mexico, which incidentally just recently decriminalized abortion. That’s interesting, isn’t it? It used to be, people from Mexico would come to the United States for medical care; but now, thanks to the extremely high prices of medical care and ridiculous laws such as Texas’s S.B. 8, Mexico may soon see more American women coming into the country for medical care.

As of September 1, 2021, Dr. Braid found himself in a similar situation that he faced in 1972. A 42 year old woman came to see him. She was pregnant, though she already had four children, three of whom were under age 12. Dr. Braid told her she should go to Oklahoma, a nine hour trip one way. He even told her he could help with the funding. The woman said, “Who’s going to take care of my kids? What about my job? I can’t miss work.”

Dr. Braid wrote:

Though we never ask why someone has come to our clinic, they often tell us. They’re finishing school or they already have three children, they’re in an abusive relationship, or it’s just not time. A majority are mothers. Most are between 18 and 30. Many are struggling financially — more than half qualify for some form of financial aid from us.

Several times a month, a woman confides that she is having the abortion because she has been raped. Sometimes, she reports it to the police; more often, she doesn’t.

Texas’s new law makes no exceptions for rape or incest.

And I have noticed that Texas is also doing nothing to help pregnant women, either. I have not read or heard of any child or family friendly policies being put into place to help pregnant women get the care they need. I have not heard for a push for better sex education or making contraception widely available, easily affordable, and accessible to everyone. I have heard a lot of slut shaming, though.

Yesterday, I read another article about this new law. The focus was on Johnathan Mitchell, the main architect of this legislation that violates women’s self-determination and privacy. Mr. Mitchell is a graduate of Wheaton College in Illinois, a very conservative Christian school. I knew about it before I heard about Mitchell, since I once worked with a guy who attended there. It was back in the 1990s. I remember my co-worker was very smart, even though he was selling ice cream at Busch Gardens in Williamsburg, Virginia. He was also VERY Christian. Anyway, I digress… except to say that I know Wheaton College is a prestigious, selective school, but it’s also a school for Christians.

Mr. Mitchell wrote, in a brief for the Supreme Court:

“Women can ‘control their reproductive lives’ without access to abortion; they can do so by refraining from sexual intercourse… One can imagine a scenario in which a woman has chosen to engage in unprotected (or insufficiently protected) sexual intercourse on the assumption that an abortion will be available to her later. But when this court announces the overruling of Roe, that individual can simply change their behavior in response to the court’s decision if she no longer wants to take the risk of an unwanted pregnancy.”

Based on this comment, I’m assuming that Mitchell doesn’t believe that women can get pregnant as a result of rape and incest. I’m guessing he’s akin to Missouri Republican Todd Akin, who famously said “If it’s a legitimate rape, the female body has ways to try to shut that whole thing down.”

Did either of these two men ever take a biology class? Have either or them ever studied sex education? Sure, women sometimes get pregnant because they, or their partners, or both parties were “careless”. But not all sexual intercourse is consensual and, in spite of what these men seem to believe, sometimes women DO end up pregnant afterwards.

Aside from that, sometimes pregnancy makes women very sick. Sometimes it even threatens their lives. I don’t understand why, in the age of healthcare privacy laws such as HIPAA, a woman should have to justify her need or desire for an abortion to anyone. But I haven’t heard or seen any provisions in the new Texas law that allows for that scenario, either. Instead, the law encourages neighbors to spy on each other and file lawsuits in healthcare situations that absolutely none of their business. What makes this law even more sickening is the fact that the people might theoretically sue haven’t suffered a personal loss due to a woman’s decision to have an abortion. But, by suing, they may stand to gain a financial incentive, which seems very unethical to me.

I will admit, however, that Mr. Mitchell is certainly correct that a woman can “refrain” (I hate that word) from having sexual intercourse. And, quite frankly, it would serve the men of Texas right if women went on a sex strike and denied them that pleasure. In fact, I hope Mitchell isn’t having sex and never does again. If I were his wife, I would certainly keep my legs closed around him. He should be deeply ashamed of himself.

In another article I read about this issue, author Chavi Eve Karkowsky writes:

“Every week, I see examples of morally necessary pregnancy terminations that, under the Texas law, could put doctors in legal jeopardy. In one case, a 14-year-old with brain damage had been raped by a caregiver. In another, my diagnostic ultrasound 15 weeks into a patient’s pregnancy showed that her fetus had developed an empty space where a brain should be and would not survive more than a few hours past birth. In another case, a patient, whose heart had become weak during her previous pregnancy and had never fully recovered, sought an abortion so she could live to care for her toddler.”

Can you even imagine? Can you fathom being a woman in any of those situations? Or a doctor? It’s sickening.

I totally get that many people find abortion distasteful and morally wrong. I find it distasteful, too. It’s probably not a choice I would make for myself, but I can’t say I would never make it. Because there are situations when it really is the right thing to do. I am lucky enough to be in a situation in which I could go elsewhere for an abortion if I needed one. I am also at a point in my life at which I won’t be affected by potential pregnancies.

However, this new law does open up a Pandora’s Box that could affect other people besides women of childbearing age. Who’s to say that, based on this precedent, lawmakers don’t try to screw with people’s healthcare privacy in other areas? What if a law was designed to deny vasectomies to men? What if we incentivized private citizens into reporting on the men who want vasectomies by offering a $10,000 bounty? That’s just one example off the top of my head. The same theory could easily extend into other controversial areas… say, gender reassignment therapy, or marijuana use, or euthanasia… I’m sure I could think of more if I tried.

Anyway, my hat is off to Dr. Alan Braid. I think he’s a hero. This may be one of the most lifesaving actions he’s ever taken in his entire medical career. I know he’s a good man. I knew it when I read this comment from him:

I have daughters, granddaughters and nieces. I believe abortion is an essential part of health care. I have spent the past 50 years treating and helping patients. I can’t just sit back and watch us return to 1972.”

What a dedicated, brave, inspirational, kind, and excellent doctor Dr. Alan Braid is. He deserves all of the respect and all of the support that is coming to him.

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healthcare, YouTube

A Texas OB-GYN spells out in detail why the new abortion ban is so dangerous…

Above is a screen shot of a photo of dentist, Savita Halappanavar, who died in Ireland on October 28, 2012. She died of septicemia at age 31, because doctors could not give her the abortion she requested due to miscarriage. Naturally, the pro-lifers in Ireland generously offered their “thoughts and prayers” to Halappanavar’s family.

Yesterday, I ran across this excellent YouTube video by an obstetrician-gynecologist who practices in Texas. I don’t know how I got linked up with Mama Doctor Jones, who makes videos about women’s healthcare for YouTube. I think I recently saw a video she made about having COVID-19. She didn’t sugarcoat her experience, which I really appreciated.

In any case, I happened to see a recent video she posted about Texas’s new abortion ban. And make NO mistake about it, it is an outright ban. She explains why that’s so in the video below.

Please watch this video. She puts into words why this ban is going to cause suffering and will ultimately cause some women to die.

I commented on an article about the ban that was run by the Washington Post, pointing out that no one with actual experience with gynecology, embryology, or just plain medicine had anything to do with writing this law. It definitely shows… and Dr. Jones explains in clear detail why that is such a huge problem. Especially since the law doesn’t make allowances for any exceptions. Yes, I know that technically abortion will be allowed before cardiac activity is presented, but most people don’t realize that it’s pretty much impossible to arrange for an abortion at that point in a pregnancy. Dr. Jones clearly explains why that’s also so.

Several years ago, Ireland finally made abortion legal. The reason they finally did that is because of a well-publicized death of a dentist that occurred because Ireland used to have a law like the one in Texas. 31 year old Savita Halappanavar was 17 weeks pregnant with a baby she wanted when she started suffering a miscarriage. Because of Ireland’s draconian laws against abortion at the time, doctors were hesitant to help her with the inevitable miscarriage. She had to wait for the fetus to die before she could get medical help, and she ended up dying of septicemia. In the above video, Dr. Jones mentions this case in Ireland, and the absolutely horrifying bind the law put Irish doctors in when Halappanavar presented herself for care. Now, doctors in Texas are in a similar situation.

The doctor also explains why abortions are also sometimes the kindest thing for developing fetuses and their mothers. Imagine getting the news that the baby you very much want to be born has developed with no kidneys. Dr. Jones explains that she’s seen this defect, and the babies who have it uniformly die of suffocation after birth because their lungs haven’t developed.

Imagine being the mother in that case, knowing that your baby is destined to die very soon after birth, no matter what you do. In some of those cases, women prefer to give birth and hold the baby as it passes away, but others are traumatized by the idea of having to tell people that their baby is going to die after birth. Having access to abortion is one way to spare parents that kind of grief. Unfortunately, thanks to the overbearing anti-abortion efforts of meddlesome pro-life people, the folks who are in this sad situation and need an abortion for medical reasons STILL have to listen to the bullshit anti-abortion information that is supposed to change their minds. And they still have to wait 24 hours, too.

When I made my comment about how no one with medical training had anything to do with writing this law, I promptly got a “laughing” reaction from a man. I want to think this man isn’t as big of a dick as he comes across when he laughs at people who are so concerned about this new overreaching and diabolical law against women. I responded to the guy and wrote something along the lines of, “it really sucks that a MAN is laughing about this. My comment is very serious. People will suffer and DIE because of this new law.” Sadly, a lot of people just plain don’t care.

I am not going to be affected by this law. My days of being able to conceive are almost over. I don’t live in Texas right now, anyway… nor do I live in any of the “red” states that will probably try to pass similarly dangerous and misogynistic laws. I am concerned for all of the women who are coming behind me and WILL be affected. I want to use my voice to advocate for them.

I am also concerned because I know that OB-GYNs already pay very high medical malpractice insurance premiums for the work they do. They are already at a high risk of being sued. How many of them will either leave Texas or get out of the OB-GYN field entirely? That will leave women without medical care.

I hope and pray that this new law gets repealed as soon as possible. I am truly worried for the women of Texas. I also worry for the children that will be born and may wind up in a social welfare system that is ill equipped to care for them. Texas is not exactly known for helping people who are down on their luck.

I want to praise Mama Doctor Jones for making this video. I think she is very brave. And I hope I can encourage those of you who are reading this to watch it and gain an understanding as to why this law is so dangerous and will have a devastating effect on women’s health in Texas, and probably beyond Texas.

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