Friday, July 18, 2014

So Many Whoppers, So Little Time

HT: Jill Stanek

A cheery little web site invites women to Early Options, ta private New York medical practice specializing in abortions -- specifically abortions up to 9 weeks of gestation, or 7 weeks after conception. The web site is a bit high on hype and low on honesty.

First, they talk about their "SofTouch" abortion technique, introducing us gently to the dishonesty that will bloom elsewhere into enormous lies:

They call the method "noninvasive" right before saying that the doctor inserts a tube into the uterus. That's minimally-invasive, not noninvasive.

They describe their abortion technique a method just induces "a natural release" of "your late period."

And, of course, there's the promise that you can always get pregnant again when you're ready -- a promise they can't make because any time you introduce anything into the uterus you're risking infection, which can leave the woman unable to become pregnant in the future.

Let's get to that "late period" that their procedures "release."

I have to first question the ethics of performing a procedure of any kind that they're flat out admitting might be unnecessary to end the pregnancy since it is, they admit, possible that the pregnancy wasn't viable in the first place.

But let's move on. They define "early pregnancy" has having "missed one or two periods." What, exactly, is removed in this early pregnancy procedure?
An early pregnancy consists of tissue similar to your menstrual tissue and a "bubble" of fluid, called the gestational sac. The pregnancy itself is invisible.
The zygote (new organism that comes into existence of conception) is the size of the ovum, which is actually visible to the naked eye. By the time the woman's first period is late, the zygote is 2 weeks into development and has about doubled in size to a tiny but still visible .2 mm. That's the thickness of a small lead in a mechanical pencil. People would have a really, really hard time working their mechanical pencils if the leads were invisible.

Now, let's just skip over to their page on "early pregnancy."

This "educational" information is staggering in its deceitfulness.Before we really dig in, I'd like you to keep in mind something you'll see a screen grab of later. The Early Options web site says:
An early visible embryo begins to form around 10 weeks of pregnancy.
At these stages, early termination of pregnancy is safe and simple. The pregnancy itself has not developed. Ending an early pregnancy is similar to releasing a late menstrual period.
Keep that in mind as I contrast their claims with what embryologists have to say.

Five Weeks.

"At five weeks of pregnancy," they say, "a gestational sac forms. The gestational sac is a thin membrane filled with fluis; this sac would later develop into the amniotic sac. Initially, the gestational sac is the size of a pea."

They're not so much lying as omitting crucial information in their description of what is removed in their procedures, describing it as just a gestational sac and providing a helpful picture of a shredded 5-week (3 weeks of embryonic development) gestational sac. They fail to mention that the embryo itself is so fragile that it is entirely torn apart by the suction.

Five weeks of gestation is three weeks into the embryo's life, at what embryologists call "Carnegie Stage 10." 

I'll admit, the embryo is not very impressive looking at 21 weeks. An untrained person won't even be able to tell if they're looking at the front, back, top, bottom, or side of the embryo. It look a bit like some sort of three-dimensional Rorschach blot. Read into that what you will. Just remember what the web site is telling women:
An early visible embryo begins to form around 10 weeks of pregnancy.
At these stages, early termination of pregnancy is safe and simple. The pregnancy itself has not developed. Ending an early pregnancy is similar to releasing a late menstrual period.
Let's get onto the degree to which "the pregnancy itself has not developed."

At this stage the neural tube, which forms the brain and nervous system, is developing quickly. The cells from which the eyes will develop are differentiated, as are the cells of the ears. The heart, which had originally been just a tube, has folded into an S-shape and has begun beating and circulating blood.

All of this is happening in an embryo so small that it could fit on the tine of a fork. It's tiny. But not invisible.

Seven Weeks.

"At seven weeks of pregnancy," they say, "the gestational sac is the size of a small grape. Cells start to cluster inside the sac, and can be identified on ultrasound but they are too small to be seen with the naked eye."

That's nonsensical on its face. Ultrasound is not nearly as sensitive as the naked eye. though I suppose they could claim they're not lying because the individual cells can't be seen with the naked eye.

Somehow for the illustration they have what they say is a gestational sac -- perhaps passed by a woman who had a chemical abortion, since any mechanical procedure to suction it from the uterus would totally shred it.

Now let's take a look at the "cells" that are starting "to cluster inside the sac." The embryo is now at what embryologists call "Carnegie Stage 14." It is from 5 mm to 7 mm crown to rump.

It looks a bit lumpy, honestly, but the head, abdomen, and limb buds can easily be identified even by an untrained person. I've grabbed a screen shot from The Visible Embryo so you can see for yourself what it is the abortion web site is very pointedly omitting. Remember:
An early visible embryo begins to form around 10 weeks of pregnancy.
At these stages,.... [t]he pregnancy itself has not developed.
Looking at the screen grab, one might say that the lumpy-looking embryo ought not to be too much of a threat to abortion sales, right? There's nothing cute or cuddly about it. Nobody's thinking of an embryo that looks like that when they're knitting baby booties.

It's what is going on inside that blobby-looking body that would be a threat to abortion sales if the potential patients were to get wind of it.Inside that embryo, the brain is dividing into three zones -- hindbrain, midbrain, and forebrain. The spinal cord is developing. The eyes are beginning to form. The esophagus and trachea separate and lung sacs are forming. The heart is beating and pumping blood.

All of that going on inside a tiny -- yet quite visible -- body.

Nine Weeks.

"At nine weeks of pregnancy," they now say, "the gestational sac is the size of a half dollar."

And here is from whence I snatched the quote I repeated through the previous sections:
An early visible embryo begins to form around 10 weeks of pregnancy.
At these stages, early termination of pregnancy is safe and simple. The pregnancy itself has not developed. Ending an early pregnancy is similar to releasing a late menstrual period.
Remember, they assure the prospective patient that a "visible embryo" won't begin to form until "around 10 weeks of pregnancy. All the abortion is doing is "releasing a late menstrual period."

Let's get to the matter of what they're carefully keeping from the prospective patient. The goal, clearly, is to convince the woman that all that's being removed from her uterus is something that looks like it washed up on the beach after a storm.

The nine-week pregnancy is an embryo seven weeks into development from the time of conception. At seven weeks of gestation, the embryo is at 5 weeks developmentally, or "Carnegie Stage 19."
The embryo -- excuse me, "late period" -- is 13 mm to 18 mm from crown to rump. For comparison, a dime is just a hair over 18 mm in diameter. A screen grab from The Visible Embryo showing the contents of a "7-week gestational sac" drives home the degree to which this abortion facility is being dishonest.

Though the embryo is small and still a bit alien-looking, the eyes, ears, nose, fingers and toes are all clearly visible. And what's going on inside? The semicircular canals are starting to form in the inner ears. The ovaries or testes are forming. Toenails are developing. The hands, which develop before the feet, already have fingernails.

The embryo has been developing rapidly during the past two weeks. Tiny nipples have formed on the chest. Tiny kidneys are producing urine. The skeleton is ossifying. Tooth buds are forming in his jaws. The miniscule heart already has four chambers. The embryo's brain has already divided into hemispheres, and the olfactory bulb, which provides the sense of smell, has formed.

A Letter from Dr. Fleischman

Think back to the illustrations that the web site uses, and how they differ from what the embryology site has to say and illustrate. Rather than show an accurate illustration of the embryo that the woman is making a decision about, they show nothing but a shredded gestational sac, which is tougher than the embryonic tissues and thus more intact after the abortion.

The Earl Options site offers further reassurance in the form of "A Letter from Dr. Fleischman," in which she beats the claim of there being no developed embryo with a 2x4:

The early pregnancy tissue does not resemble an embryo. It is indistinguishable from a small clump of mucus. You are welcome to look at it. We have found that women who look at the tissue feel tremendous relief. They have often seen photos on the internet that have made them feel like the pregnancy is far more advanced.
In other words, Dr. Fleischman and her staff don't just push falsehood on the web site. They rinse away the blood and the pulverized embryo and show the woman the gestational sac, telling her that this is all that was removed from her womb.

Of course the woman feels a sense of relief -- at the moment. She trusts the doctor, who has told her again and again and again and again that there is nothing in her womb that in any way resembles an embryo, that what's in there "is indistinguishable from a small clump of mucus." The woman feels her sense of relief and goes home.

The question is, how will she feel later when she has a wanted pregnancy and goes to a pregnancy web site and learns the truth? I was with my babysitter when she was finally pregnant with a baby her mother couldn't force her to abort -- when she looked at a prenatal development book from the library and learned that what Planned Parenthood had told her was "like a blood clot" was more like what she considered a baby. Planned Parenthood staff weren't there. I was.

Dr. Fleischman won't be there for the women she had in her office years earlier when they learn the truth. She will have long since collected her fee. And even if they learn the truth juts days later, what are they going to do? You can't return an abortion. You can only live with the reality.

Here's a challenge to the people who get their knickers in a twist about prolife centers supposedly misleading women. Why not hold Early Options up to a reasonable standard of honesty?

Friday, July 04, 2014

"Extreme and Disrespectful"

The HuffPo is being a bit chirked up after the Hobby Lobby ruling by the news that Missouri Governor Jay Nixon, a Democrat, has vetoed what he calls an "extreme and disrespectful" bill requiring women to take responsibility for their abortions.

The law would have done two things:
  1. Increase the pre-abortion waiting period from 24 hours to 72 hours
  2. Require the abortionist to show the woman her unborn baby on ultrasound, and play the baby's heartbeat for her
It is not "extreme and disrespectful" to hold a woman to an adult's level of responsibility. When a judge sentences a convicted murderer to death, he looks the prisoner right in the eye and reads the sentence, and then he signs it. And there's no pussyfooting around. The method of execution is spelled out clearly.

An abortion is not merely ending a pregnancy. It is ending the life of another human being. It is extreme and disrespectful toward that human being to try to pretend she doesn't even exist, that she's nothing more than an unwanted growth.

But even more, it's disrespectful of women to presume that they're not adults capable of squarely facing up to what their choices are. A decision to have an abortion, as I said before, is not a decision merely to end a pregnancy. It is a decision that a particular unique and irreplaceable human being must die at your request. And if you're unable to square up to that, you have no business having an abortion in the first place.

The idea that it's somehow putting an undue emotional burden on the woman is condescending. Frankly, I think she should have to face up to the reality of what she's doing much more squarely. She should have to see the baby and hear his heartbeat, yes. But she should go through a counseling session during which she is presented with all the information about how she could resolve her problems without resorting to the death of another human being. She should then have to first read aloud and then sign a document enumerating the non-violent alternatives that were offered to her and has rejected them in favor of the death of her child. The death warrant should also clearly state the means of execution, and not in some roundabout way like "via a termination of pregnancy procedure." The exact cause of the death should be spelled out -- lethal injection into the heart or brain, dismemberment, withholding of nutrition via chemical means. And she should have to both read out loud and sign a statement very clearly saying that this is indeed what she is freely choosing.

If women are going to take on the decision to end the life of another human being, they should do it honestly and in a straightforward manner. And I think it's time the prolife movement started drafting legislation mandating that women clearly and honestly state that they want their baby to die before they're allowed to have it killed. If she can't stomach that reality, she can't stomach the abortion.

Thursday, July 03, 2014

Operation Rescue Verifies: Lakisha Wilson Died from Abortion Complications

Lakisha Wilson
Operation Rescue has obtained the autopsy report of 22-year-old Lakisha Wilson. Lakisha went to Preterm Abortion Clinic in Cleveland, Ohio on March 21, 2014. She was 19.4 weeks pregnant.

After the abortion, she began bleeding heavily due to uterine atony (her uterus wasn't contracting and stopping her from bleeding from where the placenta had been attached.

The later in pregnancy an abortion is done, the higher the risk of uterine atony and its associated bleeding.

The Centers for Disease Control has said that with modern diagnostics and care, there is no legitimate reason for a woman to bleed to death after an abortion. Lakisha's hemorrhage left her brain without oxygen, ultimately causing her death.

Several house later she was finally taken to Chase University Medical Center, where she was placed on life support and pronounced dead on March 28.

Wednesday, July 02, 2014

Misinformation, The Pro-Choice, and Hobby Lobby

In the wake of the Hobby Lobby decision, we've seen a lot of rending of garments by the political Left. Much of this weeping and lamentation (and in some cases downright tantrum throwing) is based on a profound ignorance about what is actually going on.

The Wardrobe Door sums up the situation in "7 Myths (or Outright Lies) About Hobby Lobby and the Supreme Court Ruling." In a nutshell, the outraged are either lying or grotesquely mistaken in these beliefs:
1. The Supreme Court allowed Hobby Lobby to ban all birth control. Actually, before the ruling Hobby Lobby was already covering 16 different birth control methods and will continue to provide coverage for those 16. Hobby Lobby will not (and cannot) prevent any employee from purchasing the other four types themselves.
2. All business owners can now stop covering these forms of birth control. Actually, the decision limited this to closely held companies, basically small businesses or family-owned companies. Although Hobby Lobby is a large, national chain store, they are owned and operated by a single family.

3. Religious owners can now refuse any type of medical treatment based on their beliefs. Actually, the ruling only addresses the four abortifacient birth control methods that Hobby Lobby took umbrage with.

4. The government (or our boss) is now in our bedroom. Actually, as writer Sean Davis put it: "The question is not about whether Hobby Lobby is in your bedroom, making birth control choices for you. The question is about whether the federal government has the right to force Hobby Lobby into your bedroom to pay for every form of birth control you may choose."

5. Hobby Lobby is hypocritical because they do business in China. That's a completely separate issue. I'll also point out that Hobby Lobby is doing business with Chinese businesses, whereas it's the Chinese government that forces abortions.

6. This is just another battle in the War on Women. As previously pointed out, as we already discussed Hobby Lobby covers 16 of the 20 contraceptives for women. They also don't cover vasectomies or condoms. Does this constitute a "War on Men?"

7. The ruling jeopardizes the health of women. Even the White House is pushing this lie. It's an incredible leap from "Pay for your own Plan B" to jeopardizing somebody's health. Plus, Hobby Lobby pays so much above minimum wage that any woman who wants Plan B need only work a single day to earn enough above and beyond minimum wage to pay for a dose of Plan B. She need only work a little under four weeks to pay for the most expensive IUD. But more relevant -- she makes enough more to afford better food, a gym membership, etc. to improve her health. And -- this is an important point to remember -- her ordinary health care is still covered.
So here we are, with the most misinformed people, and those most militant in their misinformation, standing firmly for something they don't even fully understand.  And this is hardly new on the political Left.

In 1990, three massive surveys were commissioned by the National Conference of Catholic Bishops, the Family Research Council, and Americans United for Life and conducted by the Gallup Organization. Those surveys were not designed to produce propaganda for release to the general public. They were intended for in-house use to fully understand the target audience of the pro-life message. James Davison Hunter summarized those findings in "What Americans Really Think About Abortion," published in First Things in 1992.

Hunter made note of something very telling:

Curiously the people most confident in their misinformation about abortion law generally, and Roe v. Wade in particular, were the ones most hostile to the pro-life cause. Those who view themselves as moderately or strongly pro-choice (who are also disproportionately college-educated), for example, are nearly two times more likely than the national average to say that Roe permits abortion only in the first three months.
 So what we're seeing -- the people most confident in their misinformation about the Hobby Lobby case in particular, and all the issues surrounding abortifacients in general, are the ones most hostile to the cause of religious liberty.

This militant misinformation works well for the abortion lobby, the birth control lobby, and the political Left, so we can't expect them to ever stop doing it. What we can do, however, is become as educated ourselves about life-issue news as quickly and thoroughly as possible so we can head the lies off at the pass and prevent the Left from whipping people into a frenzy over things they are clueless about.

Saturday, June 28, 2014

Diane Sawyer and the Non-Story of Lawson Akpulonu

With Diane Sawyer in the news about leaving the news, I thought it was timely to share the story I think of whenever I hear her name. It's the story what she considered worth reporting -- or rather, not worth reporting. It turned out to be the story of a serial rapist.

Tentative Curiosity

In March of 1995, I was at Life Dynamics and we were  working on Lime 5, a book about abortion malpractice and its enablers. We got a call from one of Diane Sawyer's assistants. Ms. Sawyer, we were told, had heard rumors that some abortion facilities were selling abortions to women who were not, in fact, pregnant; they just thought they were.

We told Ms. Sawyer's assistant that this was a slow news day kind of story that local news stations would often do: send female reporters to abortion clinic with male reporter's urine specimens, and then document being told that they were pregnant and the attempts to sell them abortions.

We supplied the assistant with what he asked for -- a list of abortionists who were still practicing even after having been caught selling abortions to women who were not pregnant. But we also included a list of abortionists who were a serious public health threat and were still practicing, suggesting that these fellows might make a more news worthy project than rehashing something local news organizations across the country had been doing for over twenty years.

The Big Tip

While I was compiling documentation and verifying that certain quacks were still in practice, we got a call from a nurse in California. She told us, "I'd always thought that the stories of seedy abortion mills were just a bunch of bogus stories made up by right to lifers. But I just quit a job at one of those seedy mills, and I want to report this guy before something terrible happens."

Dr. Lawson Akpulonu
This nurse told us that she had answered a help wanted ad placed by Dr. Lawson Akpulonu, and had been hired on the spot on January 14, 1995. After just four hours, she was so appalled that she quit. After wondering what to do, she saw an advertisement for Life Dynamics' abortion malpractice litigation program, and decided that we were the right people to call.

Akpulonu, she told us, had the filthiest clinic she'd ever seen. She saw life-threatening conditions including:
  • rusty metal speculums and forceps
  • instruments cleaned with dishwashing liquid
  • lack of lifesaving equipment or  apparatus for administering anesthesia
  • cockroaches in the operating room
  • rancid blood smell in rooms
  • used needles left on tables in the operating room
  • improper handling of fetal materials
Scott helped her to prepare a complaint for the California medical board. In her complaint, she reiterated what she'd told Scott, and warned the medical board:
    "When Akpulonu began the abortion procedures, he did not allow anyone else in the room with him. There was no nurse or assistant with him.... I truly believe that someone will become seriously injured if something is not done immediately."
We also asked her if she would be willing to talk to Diane Sawyer about what she'd seen. She said absolutely, that she wanted this guy exposed for what he was before something terrible happened to any of his patients. We contacted Diane Sawyer's assistant and faxed him a copy of the complaint the nurse was about to file. Diane Sawyer had, in her hot little hands, the entire story, before it had even been handed off to the medical board.

Averting Her Eyes 

The next day, Diane Sawyer's assistant called us back, told us that Miss Sawyer had reviewed all the material we'd sent her, and had decided that seedy abortion facilities in general and Lawson Akpulonu in particular were "a non-story."

A few days later all hell broke loose.

The medical board in California went public with a complaint from a patient they identified as "A. A." While under anesthesia for an abortion by Akpulonu at his Midland Medical Center on January 28, 1995:

    The patient awoke to find Akpulonu raping her."A.A. awoke to find respondent raping her; he had penetrated her vagina with his penis. Respondent gave patient A.A. a shot and she went back to sleep. When patient A.A. woke up a second time, she saw respondent next to her. She saw his erect penis out of his pants. She tried to push him away. ... Respondent then gave her another shot and she went back to sleep. When patient A.A. awoke for a third time, she found her sweater had been removed and her bra partially pulled down exposing her right breast. Respondent was caressing patient A.A.'s body. ...when patient A.A. tried to scream, respondent placed his hand over her mouth. Respondent told patient A.A. she had a beautiful body. He said she was a very nice girl and a very sexy girl while he continued rubbing her inside her blouse and bra. He kissed her right breast. He then placed his business card inside her bra and said she could call him anytime"
What Diane Sawyer had dismissed it as "a non-story" turned out to be quite a bombshell. More reports of similar abuse started pouring in from other patients once A.A. had the courage go come forward.

An Alarming History

If Diane Sawyer had turned over a few rocks, she would have found an even greater scandal. Just like the Gosnell case in Pennsylvania, California authorities had long known that Akpulonu was a danger to women and had failed to shut him down. Another former employee had told the Medical Board that Akpulonu did not sterilize instruments, used untrained assistants in surgery, and flushed fetal remains down the toilet. She also reported being hired with no medical training or experience, and being required to assist in surgery. She quit after three weeks.

Unlike those in Pennsylvania, California authorities actually did poke their noses inside abortion clinics. Inspections of Akpulonu's clinic dating from 1991 through 1994 had found deplorable conditions including:
  • Filthy rest room with no toilet paper
  • Unsterile instruments being used in operating room
  • No registered nurse at the facility
  • Akpulonu performing abortions alone, with no assistant
  • Employees trained to clean hoses used in medical procedures in running cold water by working the hoses manually to flush out all blood and tissue
  • A stench of rotting tissues
  • A surgery room splattered with blood and other rooms were filled with dust
  • Rat droppings were found in the surgery room and hallway
  • Akpulonu had brought his entire staff into the examination room to observe a patient who had a severe case of genital warts.
  • No on-site equipment for handling emergencies
  • Fetal remains up to 24 weeks flushed down the garbage disposal or toilets
  • Staff re-using single use equipment
  • A dirty autoclave containing rusty, dirty, tissue-encrusted instruments
  • No soap, antiseptic, or towels at hand-washing facilities
So at the time we contacted Diane Sawyer's assistant and sent her the nurse's complaint, Akpulonu already had a four-year history of dangerous behavior posing a threat to women's health and lives. Ms. Sawyer would have quickly uncovered this situation, as did we, with a single fax to the California medical board. But she and her staff either did not bother to investigate, or had investigated and reviewed this four year string of disgusting inspections and had still dismissed it as "a non-story."

 The Sawyer-Akpulonu Legacy

Kermit Gosnell
After the allegations of patient A.A. became public, a warrant was issued for Akpulonu's arrest on charges of rape. He fled. His whereabouts are still unknown. He and his facility remain "a non-story," very much like the way the "house of horrors" Kermit Gosnell was running in Pennsylvania was dismissed by Sawyer-caliber journalists as just "a local story" and not worth a second glance on their part.

Diane Sawyer, if she'd had a shred of journalistic integrity, would have skulked off in vile disgrace after the Akpulonu story broke no thanks to her. Instead, she continued to pick and choose what the public should know about for decades. Her departure from the newsroom is a long overdue good riddance to bad rubbish.

Saturday, June 21, 2014

Richard Blumenthal's Poisoned APPL

Feminists for Life once characterized a Maryland pro-abortion law as the "APPL -- Abortionists' Promotion and Protection Act." I believe that this is an apt way to describe the "Womens' Health Protection Act of 2013", sponsored by Democrat Sen. Richard Blumenthal of Connecticut.

Abortionists determine viability
Viability.--The term ``viability'' means the point in a pregnancy at which, in the good-faith medical judgment of the treating health care professional, based on the particular facts of the case before her or him, there is a reasonable likelihood of sustained fetal survival outside the uterus with or without artificial support.
This, in short, allows the abortionist to unilaterally declare any fetus he chooses to abort as not being viable, because it would be contingent upon prosecution to prove beyond a reasonable doubt that the abortionist was not acting on "good-faith medical judgment." The bill later indicates that this law is to be interpreted as liberally as possible. All the abortionist would need to do would be to present any justification whatsoever for believing that the baby was "not viable." He could claim:
  • "Good-faith" miscalculation of gestational age
  • "Good-faith" miscalculation of fetal weight
  • "Good-faith" misinterpretation of any finding that could even remotely be construed as a health issue in the fetus
Abortionists determine threat to the mother's life or health

The bill would forbid:
A prohibition on abortion after fetal viability when,in the good-faith medical judgment of the treating physician, continuation of the pregnancy would pose a risk to the pregnant woman's life or health.
Since the bill also requires the most liberal interpretation possible, clearly the states would be required to return to the Doe vs. Bolton definition of the woman's "health":
[M]edical judgment may be exercised in the light of all factors - physical, emotional, psychological, familial, and the woman's age - relevant to the wellbeing of the patient. All these factors may relate to health. This allows the attending physician the room he needs to make his best medical judgment. And it is room that operates for the benefit, not the disadvantage, of the pregnant woman.
In other words, if the abortionist is unable to squeeze the fetus into a pre-"viability" situation, he can use anything to squeeze the abortion itself through the "health" loophole. All that is necessary under Doe vs. Bolton is that the abortionist write down someplace that he agrees with the woman that the abortion will benefit her. The only post-viability abortions a state would be permitted to ban would be ones the woman won't sign a consent form for.

Medical standards for abortion facilities would be virtually abolished

As far as regulation of abortion practice in any way, the bill limits such regulations to those imposed on "medically comparable procedures.The bill, however, does not define "medically comparable procedures"  All the abortion lobby need do, under the mandated liberal interpretation of the law, is invent the definition in such a way that abortion is not "medically comparable" to any give procedure. This leaves the following ways to weasel out of pretty much all regulation:
  • Chemical abortions could be declared "medically comparable" only to any other prescription of a medication, and thus subject to no regulation whatsoever beyond those dictating who may write prescriptions and under what circumstances.
  • Any abortion involving extraction of the fetus through the cervix could be declared to not be "medically comparable" to outpatient surgery on the grounds that it does not involve a surgical incision. The only procedures the state could try to present as "medically comparable" would be procedures that involve inserting instruments into an existing orifice. The requirement that the law be interpreted as liberally as possible would probably only allow the sort of regulation the state would impose on a facility that performs colonoscopies or similar procedures.
The one possible flaw of the law, from the abortionists' perspective, would be that states might be able to classify labor-induction abortions as "medically comparable" to childbirth and thus regulate facilities that do that to the same standards as birthing centers. An attempt to weasel out on the grounds that "abortion is safer than childbirth" would not fly because even the most abortion-enthusiastic researchers admit that by 20 weeks, abortion is riskier than childbirth. The requirement, however, that the law be interpreted as liberally as possible might force states to classify induction abortions as variations on extraction abortions on the grounds that the intention to deliver a dead fetus rather than a live infant makes the practice more "medically comparable" to an extraction abortion than to the delivery of a live infant.

Pretty much anything the abortion lobby objected to would be forbidden

Sec. 4 would abolish all informed consent laws, waiting periods, or anything else that the abortion establishment found could in any way -- directly or indirectly -- delay an abortion, increase its cost, or be construed as to pose any sort of hindrance. In short, Sec. 4 defers to the abortion lobby and the abortionists themselves as to how abortion shall be practiced in every state in the union.

The entire law is to be construed in the most abortion-friendly way possible
Liberal Construction.--In interpreting the provisions of this Act, a court shall liberally construe such provisions to effectuate the purposes of the Act.
As the law is drafted, especially with this "liberal construction" clause, the abortion lobby could successfully establishing a Catch-22 situation in which no state, city, county, or other agency or entity could so much as investigate an abortion facility or practitioner unless and until the facility or practitioner were already proven to pose a "significant" danger to abortion patients.

In short, a facility would have to have a Gosnell moment, in which an unrelated investigation uncovered egregious circumstances, before the state could so much as peek inside to see what's going on, because, as I noted above, abortion can be "liberally construed" not to be "medically comparable" to any other practice" and thus not subject to the inspections and oversight of outpatient surgery.

Other than, at least at first glance, allowing parental involvement laws to stand and allowing states to ban mandated insurance coverage of abortion, Blumenthal's APPL is an abortion lobby wish-list codified in law.

We need to remind Sen. Blumenthal, and our own Senators, of exactly what happens when the abortion lobby is allowed to determine what's adequate protection of women in abortion practice.