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“I’m a Texas Abortion Provider. I Don’t Know How to Do Right by the Community I Took an Oath to Serve.”

Posted on September 20, 2021September 20, 2021 by yellowdogrising

NY Times: “In other words, those restrictions leave us with questions. We don’t know: Can Texas come after people who assist someone in leaving the state? Does that mean that if you’re in Texas and you get a pregnancy diagnosis after six weeks, then it is illegal for you to ever get an abortion anywhere? It boggles the mind to think about how abortion opponents think that this law can be extended and used, but I am an obstetrician-gynecologist, and it is my ethical duty to take care of people. It is also my ethical duty to refer those patients elsewhere when I’m barred from taking care of them where they are. When I am in a place where I can take care of them, if possible, I am going to advise them to travel to me. That is also my ethical duty.

It’s not just abortion care I am worried about. All pregnancies have now become more dangerous in Texas. There are a few reasons for that. For one, we know that death from childbirth is considerably higher than with induced abortion. And childbirth is especially dangerous in a state like Texas, with our abysmal maternal mortality rates. That doesn’t mean we should fear pregnancy. But since pregnancy can be dangerous, you should have to consent to continue a pregnancy, right. And people need to do it with a full heart and understanding.

The other thing that makes pregnancy more dangerous has less to do with having or desiring an abortion: Pregnancies that face complications will now be at greater risk. Under this new law, the only abortion exception allowed is for a medical emergency. That might mean if a woman will imminently lose an organ or die without intervention. But how we judge that risk will play out individually with each hospital’s policy, in each clinic.

I can think of no other area of health care in which we would wait for someone to worsen nearly to the point of death before we offered intervention. It’s just unconscionable.”

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