HT: Threshing Grain
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I can't see the Lancet study, which is gated. But the summary does not back up this claim. The study says that abortions are generally high in the developing world, where it is usually illegal, and low in the developed world, where it is usually legal. It also tells you that abortion is relatively unsafe in the developing world.
But it seems mad to extrapolate this to a blanket statement such as "Law does not influence a woman's decision to have an abortion." For one thing, we know of cases where the law absolutely and indisputably did exert such an influence, such as Communist Romania, where abortion bans caused the birth rate to soar. For another, societies where abortion is illegal are probably different from societies where abortion is legal in other ways, such as attitudes towards birth control. Also, enforcement of laws varies even when the laws don't (abortion was technically illegal in Germany for most of the post-war period). And finally, since the variation is almost entirely among developed countries where access to birth control may be spotty for economic, political or social reasons, this would not necessarily tell us much about developed nations. As I understand it, most abortions in America are obtained by women who have had more than one abortion, which seems to indicate that for at least some segment of the population abortion is a substitute for birth control, rather than birth.
Similarly, saying that "making abortion illegal doesn't reduce its incidence, but only makes it more dangerous" is nonsense on stilts when the comparison is largely between developed countries with legal abortion, and developing countries with illegal abortion. Having an abortion in Burundi would be more dangerous than having one in America even if their government legalized the procedure, made it free, and awarded a medal and a complimentary fruit basket to every woman who had one. I am pretty sure that abortion, like almost every other activity, gets more dangerous when it is legally prohibited. But from what I can make out, this study doesn't do a good job of demonstrating that truism.
Cross-country comparisons--what statisticians call latitudinal studies--are fraught with difficulty because of all the differences in law, enforcement, data collection, social norms, political culture, health care systems, and so forth. That's why it's important to also look at longitudinal studies--studies that examine the same place over time. And all the reputable studies I'm aware of, which to be sure are not an exhaustive list, show pretty much the expected result: if you legalize abortion, you get more of it.




Planned Parenthood's Overland Park, Kan., clinic was charged Wednesday with 107 counts, including accusations that it provided unlawful late-term abortions.
Johnson County prosecutor Phill Kline charged the clinic with 23 felony counts and 84 misdemeanor counts, according to court records. Besides 29 misdemeanor counts of providing unlawful late-term abortions, the clinic is charged with multiple counts of making a false writing, failure to maintain records and failure to determine viability.
"I've heard nothing at all about specific charges that have been filed," Brownlie said in a telephone interview. "We always provide high-quality care in full accord with state and federal law."
As for allegations that Planned Parenthood performed illegal late-term abortions, Brownlie said its clinic doesn't perform any past the 22nd week of pregnancy.

One way Planned Parenthood massages the numbers to make its abortion business look trivial is to unbundle its services for purposes of counting. Those 10.1 million different medical procedures in the last fiscal year, for instance, were administered to only 3 million clients. An abortion is invariably preceded by a pregnancy test--a separate service in Planned Parenthood's reckoning--and is almost always followed at the organization's clinics by a "going home" packet of contraceptives, which counts as another separate service. Throw in a pelvic exam and a lab test for STDs--you get the picture. In terms of absolute numbers of clients, one in three visited Planned Parenthood for a pregnancy test, and of those, a little under one in three had a Planned Parenthood abortion.

[I]f said men found themselves in need of an emergency abortion, I don’t expect their doctors would chuck some kind of horror-pill at them and tell them to go home and sit on the loo until the foetus was expelled. And yet government advisers are, as we speak, paving the way to make DIY abortions “easier” for women. I like “easier”. It’s a bit like the NHS providing penknives and Savlon to anyone who fancies a caesarean, or who can’t quite face the queue for a mastectomy.
Currently, if you take an abortion pill – two pills, actually: mifepristone, which detaches the foetus from the womb, followed by misoprostol, which induces miscarriage – you are given both in hospital. If the law is changed, the second pill will be made available as a takeaway, so that you can stagger away cramping and finish the job in your own bathroom.
Now, think what you like about abortion – I’m not keen, as it happens, though I do see that it needs to be legal and freely available – but surely chucking pills at women and expecting them to go home, cramp and bleed until the thing is done and then – what? Flush the loo? – is a brutality too far. It is, obviously, an act of brutality towards the foetus (which I would call the baby, hence my issue with this whole subject) but, my goodness, it is also an act of supreme brutality towards the woman.
Get drunk with a gaggle of girlfriends and talk about children, and there are always one or two who’ll slur something like, “I’d have a 20-year-old by now”, or, “It meant absolutely nothing at time, but it does now”, or, “If I’d known how hard I’d find getting pregnant again . . .”
Forget the fact that the abortion pill is “safe” and “effective”, and rather imagine the mother of four who simply can’t contemplate another child. She’s been to the clinic and taken her first pill, and she doesn’t feel great. She supervises the homework, puts another batch of laundry on, sorts the children’s tea, bathtime, bedtime, then she swallows the second pill and goes to her bathroom.
I mean, if that woman was your worst enemy, you’d break into her house to rescue her, or at least hold her hand. And in the morning she’s expected to get up as though nothing had happened and get on with life, with nary a look back at the lavatory pan. I know we’re “copers”, but this is ridiculous. It is also completely obscene.



I found something weasely in the way all those options were presented, as though my only real choice were between being dispatched into the hereafter at the first sign of loss of consciousness or being stuck with as many tubes as needles in a voodoo doll and imprisoned inside a ventilator until global warming melts the ice caps and the hospital washes out to sea.

The women who died, two (Holly Patterson and Chanelle Bryant) got their abortion drugs at PP, two (Oriene Shevin and Vivian Tran) at National Abortion Federation members, and one (Brenda Vise) at an unlicensed facility in Tennessee. Holly, Chanelle, Vivian, and Oriene died of sepsis. Brenda died of a ruptured ectopic pregnancy that the "clinic" failed to diagnose.
The F.D.A. has now received reports that six women in the United States died after taking RU-486, or Mifeprex. .... The two most recent deaths and two of the previous four underwent their procedures at Planned Parenthood clinics, a spokeswoman said.
Deaths Reported After Use of Mifepristone
FDA is aware of 12 deaths possibly involving the use of mifepristone in women. Nine of these deaths were in the U.S. (I only knew of five.) Of these, five were determined to be related to infections (I only knew of four -- Holly, Chanelle, Oriene, and Vivian, one involved an undiagnosed ectopic pregnancy (Brenda), one appears unlikely to be related to the use of mifepristone (Was it still related to abortion, or was somebody misusing the drug in another way?), one was determined to be unrelated to either the medical abortion or the use of mifepristone and misoprostol, and one that is currently under investigation appears not to have involved the administration of misoprostol and appears to be unrelated to the use of mifepristone. In addition, there were three deaths in other countries related to mifepristone and misoprostol induced abortion. These 12 deaths are described below:
- Five deaths in U.S. women associated with mifepristone and misoprostol induced medical abortion, with what appears to be a rapidly fatal toxin-mediated shock syndrome
- * Four of these five, all in California, were confirmed to involve a rare anaerobic bacterium, Clostridium sordellii (C. sordellii). All involved the use of mifepristone 200 mg orally, followed by 800 mcg of misoprostol inserted intravaginally, a regimen that is not part of the FDA-approved labeling. (Holly, Chanelle, Oriene, and Vivian)
- * One U.S. woman from the west, whose death was confirmed to involve a different bacterium, Clostridium perfringens (C. perfringens). This case involved the use of mifepristone 200 mg orally, followed by 800 mcg of misoprostol inserted intravaginally, a regimen that is not part of the approved labeling. (One I did not know about. Does anybody have information on this woman?)
- One death in a U.S. woman who had an undiagnosed ectopic pregnancy. Ectopic pregnancy is a contraindication for the use of mifepristone. (Brenda)
- One death involving a woman who initially had an unsuccessful attempted surgical abortion, followed by an unsuccessful medical abortion involving mifepristone, and then followed by a second and successful surgical abortion. The woman was hospitalized approximately one month after taking mifepristone, and she died approximately 24 hours after admission during a hysterectomy. There was no autopsy, but pathology findings included a degenerated, pus-filled uterine fibroid. Cultures were negative for any Clostridial bacteria. Based on the available evidence at this time, FDA and the Centers for Disease Control and Prevention (CDC) do not believe this death was related to the use of mifepristone. (Though this does appear to be an abortion death. Does anybody have information on this woman?
- One death in the northeastern U.S. was determined to be unrelated to either the medical abortion or the use of mifepristone and misoprostol.
- One death in the southwestern U.S. is still under investigation, but appears not to have involved the administration of misoprostol, and appears to be unrelated to the medical abortion or the use of mifepristone.
- One death in Canada of a woman who died during participation in a clinical trial. This death was due to sepsis involving C. sordellii.
- One death in Sweden of woman as a result of severe hemorrhage related to a medical abortion.
- One death of a British woman was attributed to gastric (stomach) bleeding from an ulcer.
The four California deaths, plus the Canadian case, were reported in the New England Journal of Medicine in December 2005, by CDC scientists. Since that time, CDC has been actively seeking additional cases across the country. FDA is aware that CDC has identified two additional cases which appear to be unrelated to the use of mifepristone:
- A death from the midwest in a woman who had a second trimester medical abortion employing misoprostol and laminaria (a moisture absorbing medical device inserted into the vagina to stimulate cervical dilation), but not mifepristone. This woman had C. perfringens. (Another abortion death. Does anybody know anything about this woman?)
- A toxin-mediated infectious death due to C. sordellii in a woman who initially was reported to have had a medical abortion. However, the woman had appendicitis and pneumonia, not a uterine infection, and CDC has been unable (despite extensive investigation) to find evidence that she had an abortion or had ever been pregnant.
The cases of women with C. sordellii infection are of great concern to FDA and CDC. C. sordellii is a rare infection and has been reported in the literature since the 1930s. The largest case series, published in 1989 by McGregor, Soper, and colleagues in the obstetrical literature, describes cases after vaginal delivery and Cesarean section, as well as a case of spontaneous endometritis. All developed a fatal shock syndrome. Other literature describes infectious illnesses in intravenous drug users and in organ transplant recipients.

When initially considering Dr. Kioko's petition for reinstatement of his suspended license, the [board] was not presuaded that Dr. Kioko expressed true remorse for the Hillview victims, except to the extent that it interfered with his professional career. In fact, it was not clear that Dr. Kioko was even cognizant of his own role in the deaths of two patients. Over the past several years .... [the board] has observed a change. Dr. Kioko appears truly remorseful for the deaths of the Hillview patients, has a better understanding of both his role in those events and the need to take responsibility to insure that they are not repeated.
Dr. Kioko ... now seems to comprehend that his role as a surgeon goes beyond merely performing a technical procedure: he is responsible for overseeing the well being of the patient.
Dr. Kioko's eventual understanding of the Hillview tragedies and his rehabilitative efforts to correct deficiencies in his judgment and training in life support skills to endure that they will never happen again, persuades the [board] that Dr. Kioko is competent to practice medicine in this State, provided he is placed on probation for a period of time and subject to certain restrictions.
Femal pt. naked from the waist down and rolling back and forth on the table, screaming. Pt. covered in blood, legs bathed in blood, heavy constant stream of blood spurting from pt's vagina, table covered in blood numerous equipment tools on tables covered in blood. Suction unit on table also covered in blood and had blood in it. Pt. had an IV line started by on scene office personnel. IV bag also covered in blood.
Pt. responded to her name but could not answer questions. Moaning and screaming. Pt. Stopped moving. Female attendant on scene tried to arouse pt. No response. (emergency personnel) slid onto cot. Pt. awake as being moved & responded by screaming again.