Poll: Should Texas prevent a pregnant woman with fetal abnormalities from obtaining an abortion?

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Leeea

Diamond Member
Apr 3, 2020
3,690
5,424
136
Wow, you need to practice in health care. BTW, im still waiting on patients to transfer to a higher level of care for needed services. When we calll our transfer center we get put on a wait list now. Sometimes 30 deep. That's in addition to all the admits in the ER. Maybe it's better in other places but not where I practice. Do you practice medicine?

The transferring physician could be held liable by the state and lose their license. We're running into weird stuff in ID too. Oncology docs are refusing pregnant patients with cancer because chemo can induce an abortion. Talked to 2 different oncologists that wanted to open practice in ID. Now they are not.

Keep trying for those beds.
California is waiting for you.

We would love to have you. You can practice medicine the way it is meant to be practiced.

It doesn't have to be CA. There are a bunch of blue states just like CA. All you have to do is move.


Your just going to get ran into the ground. Staff are leaving red states, and as they do the remaining staff get pushed harder and harder. It is mainly the nursing staff that are getting hit the hardest, but we are getting everything.


You don't want to be the last to leave, you will be driven straight into the ground by the endless pile of the dying.
 
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Jaskalas

Lifer
Jun 23, 2004
33,562
7,618
136
Oncology docs are refusing pregnant patients with cancer because chemo can induce an abortion. Talked to 2 different oncologists that wanted to open practice in ID. Now they are not.
....

Words utterly fail to express the enormity of my rage upon learning this. Sigh....
We truly, still are, every bit as savage and barbaric as 20,000 years ago.

Your message, of the consequences, must be a vital part of the 2024 campaign.
 
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kitkat22

Golden Member
Feb 10, 2005
1,463
1,323
136
California is waiting for you.

We would love to have you. You can practice medicine the way it is meant to be practiced.

It doesn't have to be CA. There are a bunch of blue states just like CA. All you have to do is move.


Your just going to get ran into the ground. Staff are leaving red states, and as they do the remaining staff get pushed harder and harder. It is mainly the nursing staff that are getting hit the hardest, but we are getting everything.


You don't want to be the last to leave, you will be driven straight into the ground by the endless pile of the dying.
I am in a blue state. There's a nationwide shortage of physicians and nurses. I absolutely love where I work. It has its nuances and quirks but it's a wonderfully supportive environment. I work between two hospitals. Consequently, I get to see how difficult it is to transfer patients from one facility to another.

Even transferring patients to UW is interesting as they are transferred to the ER before they are admitted to a room which seems odd to me. The next step is figuring out lifeflight or ambulance. Lifeflight is faster but expensive. For the latter, you have to actually find the service. Crossing state lines is actually a bit of a challenge.

The more interesting ones are to transfer patients from ambulance to fixed wing then ambulance on the receiving end. There's a lot of logistics involved especially for large distances.

Even though I'm sitting on 2 pending transfers, our system still has a triage ability. We do prioritize patients depending on acuity. The ER triage system scales from 1 to 5 with 1 being critical. Same idea for the transfer list. I expect these two will go today or early tomorrow. They are scheduled for surgeries that are urgent, not critical. Strokes and MI go first.
 

Sunburn74

Diamond Member
Oct 5, 2009
5,031
2,601
136
Wow, you need to practice in health care. BTW, im still waiting on patients to transfer to a higher level of care for needed services. When we calll our transfer center we get put on a wait list now. Sometimes 30 deep. That's in addition to all the admits in the ER. Maybe it's better in other places but not where I practice. Do you practice medicine?

The transferring physician could be held liable by the state and lose their license. We're running into weird stuff in ID too. Oncology docs are refusing pregnant patients with cancer because chemo can induce an abortion. Talked to 2 different oncologists that wanted to open practice in ID. Now they are not.

Keep trying for those beds.
Of course I practice medicine. I've transferred many patients out of state mostly for various organ transplant services. I've also received many patients from out of state hospitals for similar reasons. I've done this both in my current state and in completely different regions of the country where I used to live. Sometimes it takes 2-4 weeks to get a bed. Sometimes it takes less than a week. It's really quite variable.

If a woman is in a situation where an abortion is clearly in her best interest and it cannot be performed in her state, I struggle to see why ob/gyn at another state who routinely does them on thr inpatient side of things would not bring her over for it. The only reason would be if the woman was somehow deemed "dischargeable" and then they would recommend discharge and referral for the out of state follow up. However I'm sure ob/gyn can read between the lines as to who really can follow up and as to who is really "dischargeable". Docs are human and compassionate, and are also outraged by all this anti abortion crap .

Whilst there are costs to out of state transfers, generally speaking it's covered by insurance. Almost all insurance plans offer out of state coverage care. Almost immediately the patient will reach their out of pocket max with this sort of thing for people who have to pay that and then the rest is free. Plus it's nothing compared to the cost of losing life/fertility or to the cost of having an unwanted child.
 

Sunburn74

Diamond Member
Oct 5, 2009
5,031
2,601
136
One more example that references the oncologists. Let's say a pregnant individual is 6-8 weeks pregnant and gets AML. Untreated AML has a life expectancy of about 5 months and outcomes get worse and worse the longer it's left untreated. Induction chemotherapy is teratogenic and will cause an abortion. It is standard of care in every other state to have the individual have an abortion before starting treatment for individual diagnosed in the first trimester. 2nd and 3rd trimesters have potentially better outcomes for the fetus, but the complication rate remains high and there is no standard consensus for timing of chemotherapy vs risk for fetal survival. Fetal complications remain at roughly 16% though fetal survival is about 87%. Maternal survival is only 30%.

As you state, it's standard of care to offer an abortion when chemo is being given as chemo causes major developmental problems. Most chemotherapy is actually so bad that often they will offer egg harvesting as well so the woman can have a child in the future potentially. If you're in a state where abortion is illegal and are working as an oncologist, likely you won't be able to practice with pregnant women and will need to refer them out of state for an abortion + chemo. I don't think ethically you can give chemo when there is a developing fetus (mother may have life threatening pregnancy related complications from the fetus, and the fetus will be malformed ).

There are many treatments that are not offered to pregnant woman because of potential fetal complications. Elective abortions are a part of obstetric care simply because there are hundreds of conditions where you are not allowed to be pregnant either as part of the disease or as part of the treatment. This is why it's maddening that politicians are mucking around with what are straightforward medical decisions.
 
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kitkat22

Golden Member
Feb 10, 2005
1,463
1,323
136
As you state, it's standard of care to offer an abortion when chemo is being given as chemo causes major developmental problems. Most chemotherapy is actually so bad that often they will offer egg harvesting as well so the woman can have a child in the future potentially. If you're in a state where abortion is illegal and are working as an oncologist, likely you won't be able to practice with pregnant women and will need to refer them out of state for an abortion + chemo. I don't think ethically you can give chemo when there is a developing fetus (mother may have life threatening pregnancy related complications from the fetus, and the fetus will be malformed ).

There are many treatments that are not offered to pregnant woman because of potential fetal complications. Elective abortions are a part of obstetric care simply because there are hundreds of conditions where you are not allowed to be pregnant either as part of the disease or as part of the treatment. This is why it's maddening that politicians are mucking around with what are straightforward medical decisions.
You should read Texas' bill.


Sec.A171.208.AACIVIL LIABILITY FOR VIOLATION OR AIDING OR ABETTING VIOLATION. (a)AA Any person, other than an officer or employee of a state or local governmental entity in this state, ma ybring a civil action against any person who1)AAperforms or induces an abortion in violation of this subchapter;(2)A Aknowingly engages in conduct that aids or abets the performance or inducement of an abortion, including paying for or reimbursing the costs of an abortion through insurance or otherwise, if the abortion is performed or induced in violation of this subchapter, regardless of whether the person knew or should have known that the abortion would be performed or induced in violation of this subchapter;

In Texas, transferring a patient out of state is aiding and abetting abortion regardless of cause. Hence why there are several cities/counties in Texas creating laws to prohibit interstate travel to perform abortions.


Standard of care doesn't matter if state legislators can rewrite medical standard of care. Hence the issue with oncologists and pregnant patients needing chemo. Regardless of the standard of care, they are aiding and abetting an abortion. Transferring someone to out of state is aiding and abetting abortion and if you are practicing in Texas you can be sued by anyone and lose your license.
 

nOOky

Platinum Member
Aug 17, 2004
2,892
1,910
136
Yes, if a woman leaves the state for an abortion, then comes home, her nosy neighbor may turn her in and collect $10,000.
 
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Jaskalas

Lifer
Jun 23, 2004
33,562
7,618
136
Yes, if a woman leaves the state for an abortion, then comes home, her nosy neighbor may turn her in and collect $10,000.
I am seeing the problem there.
Women's rights groups, etc, need to organize a fund to help those in need with the process of relocation.
 

bononos

Diamond Member
Aug 21, 2011
3,894
162
106
Yes, if a woman leaves the state for an abortion, then comes home, her nosy neighbor may turn her in and collect $10,000.
Has it actually happened yet? I'd like to see a test case on this matter and see where it goes.
 

Sunburn74

Diamond Member
Oct 5, 2009
5,031
2,601
136
Yes, if a woman leaves the state for an abortion, then comes home, her nosy neighbor may turn her in and collect $10,000.
I don't think so. This seems like a straightforward violation of federal law. You can't pass a state law that regulates interstate commerce. Healthcare procedures in other states is interstate commerce. It'd be like texas banning someone from traveling to get a colonoscopy in NJ.

I read the law. State laws by definition apply to activities within the state. People in texas aren't being arrested for smoking marijuana whilst on vacation in california. They're not being arrested for seeing prostitutes in Nevada or in Amsterdam. If you read the bit about where the case is to be tried, it says you have to first try it in the county the event occurred which is technically in another state.

Plenty of texas women had have had out of state abortions since the law has been passed. To my knowledge there has only been one instance of it being used and it was a symbolic case which was thrown out due to lack of standing or something like that.
 

akugami

Diamond Member
Feb 14, 2005
5,834
2,095
136
Attach files
I don't think so. This seems like a straightforward violation of federal law. You can't pass a state law that regulates interstate commerce. Healthcare procedures in other states is interstate commerce. It'd be like texas banning someone from traveling to get a colonoscopy in NJ.

I read the law. State laws by definition apply to activities within the state. People in texas aren't being arrested for smoking marijuana whilst on vacation in california. They're not being arrested for seeing prostitutes in Nevada or in Amsterdam. If you read the bit about where the case is to be tried, it says you have to first try it in the county the event occurred which is technically in another state.

Plenty of texas women had have had out of state abortions since the law has been passed. To my knowledge there has only been one instance of it being used and it was a symbolic case which was thrown out due to lack of standing or something like that.

Even if the Texas abortion assistance law does not pass legal muster, it is another legal hassle that a woman who wants to have an abortion must go through. It is another form of GQP harassment of women. Another from of GQP control over women. And it's not only to the women in question who wants an abortion, it is aimed at anyone who dares to help the women.
 

MrSquished

Lifer
Jan 14, 2013
21,854
20,181
136
I don't think so. This seems like a straightforward violation of federal law. You can't pass a state law that regulates interstate commerce. Healthcare procedures in other states is interstate commerce. It'd be like texas banning someone from traveling to get a colonoscopy in NJ.

I read the law. State laws by definition apply to activities within the state. People in texas aren't being arrested for smoking marijuana whilst on vacation in california. They're not being arrested for seeing prostitutes in Nevada or in Amsterdam. If you read the bit about where the case is to be tried, it says you have to first try it in the county the event occurred which is technically in another state.

Plenty of texas women had have had out of state abortions since the law has been passed. To my knowledge there has only been one instance of it being used and it was a symbolic case which was thrown out due to lack of standing or something like that.

Do you really think the Republicans respect the rule of law these days?

That's your first mistake.
 

HomerJS

Lifer
Feb 6, 2002
36,275
28,131
136
Texas Supreme Court just ruled on her case. They said the lower court was wrong for allowing her to get an abortion. They said an unviable fetus must be carried to term

How much more information do you need to vote out EVERY pro life Republican?

Wanna bet Paxton prosecutes her and anyone who helped her flee the state
 
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MrSquished

Lifer
Jan 14, 2013
21,854
20,181
136
There no way there will be no conservative Texan citizen trying to get $1,000 bounty for this abortion.

This is what they live for.

I'm sure women have gotten out of state abortions but the right people would have to know about it. Now all of Texas knows about it.
 

HomerJS

Lifer
Feb 6, 2002
36,275
28,131
136
There is a counter to Ken Paxton. Go to social media and get hundreds of volunteers to post fake claims of sighting her fleeing. They will be inundated with thousands of fake claims. So many they will be unable to determine the real culprit.

Kinda like a DoS website hack.
 

gothuevos

Platinum Member
Jul 28, 2010
2,019
1,727
136
Texas Supreme Court just ruled on her case. They said the lower court was wrong for allowing her to get an abortion. They said an unviable fetus must be carried to term

How much more information do you need to vote out EVERY pro life Republican?

Really awful situation and I feel for her but I also question some of the legal advice she's been receiving.

According to that same Texas Supreme Court ruling, she never needed to file a court order, her doctor could have simply done the abortion had they felt her life was in danger. So why didn't they?

Instead they chose to make it a very public case and now she is also very publicly and dramatically stating she is "fleeing the state" opening her up to further legal jeopardy in regards to bounty laws or whatever else they decide to throw at her.

How does this help her?

Just feels like someone gave this poor woman bad advice and/or is trying to use her as a political football and it backfired. Just feels really weird to open your medical history up like this to national scrutiny when it sounds like it wasn't necessary in the first place, and especially in a state where you know exactly what the outcome will be regardless.
 
Last edited:

Brovane

Diamond Member
Dec 18, 2001
5,476
1,671
136
Something doesn't feel right about this story.

According to that same Texas Supreme Court ruling, she never needed to file a court order, her doctor could have simply done the abortion had they felt her life was in danger. So why didn't they?
Why would doctors risk felony criminal charges by a overzealous DA who disagreed with their medical assessment that her life was in danger? The Republican's in Texas wrote the law in such a vague way to not make it clear under what circumstances a abortion is legal.
 

HomerJS

Lifer
Feb 6, 2002
36,275
28,131
136
Something doesn't feel right about this story.

According to that same Texas Supreme Court ruling, she never needed to file a court order, her doctor could have simply done the abortion had they felt her life was in danger. So why didn't they?

Instead they chose to make it a very public case and now she is also very publicly and dramatically stating she is "fleeing the state" opening her up to further legal jeopardy in regards to bounty laws or whatever else they decide to throw at her.

Huh?

Just feels like someone gave this poor woman bad advice and/or is trying to use her as a political football and it backfired. Just feels really weird to open your medical history up like this to national scrutiny when it sounds like it wasn't necessary in the first place, and especially in a state where you know exactly what the outcome will be regardless.
Because how are doctors/hospitals supposed to know who to treat? Paxton already stated he would prosecute any doctor who performed the abortion. This was BEFORE the Texas SC ruling.

Does anything about make you uneasy about the SC making this kind of decision? These laws were written intentionally vague so they can go after whomever they wish.

Why are you blaming this on the woman??
 
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local

Golden Member
Jun 28, 2011
1,851
512
136
As a father to 3 girls I am appalled at this direction the so called conservatives have taken. As a 7th generation Texan I just don't know what to do about this place anymore. I cannot do anything without risking my current, quite ok, life and at the same time I feel like I cannot do nothing. Running away lets them win but staying keeps us with everyone and everything we know. Fuck Abbott, Patrick, Paxton and all the assholes that put us in this situation. I am weary of this shit.
 
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