Limiting choice or protecting life? Abortion-safety bill stirs deep passions in Huntsville

Feb 7, 2013 | Posted by: roboblogger | Full story: Alabama Live

HUNTSVILLE, Alabama - A bill making its way through the Alabama House that would require physician involvement in all abortions is stirring deep passions in Huntsville, home to one of the state's five remaining abortion clinics.

Comments
1 - 20 of 174 Comments Last updated Mar 12, 2013
First Prev
of 9
Next Last

Since: Feb 07

Location hidden

|
Report Abuse
|
Judge it!
|
#1
Feb 7, 2013
 
"HB 57 mandates that an Alabama-licensed physician with staff privileges at an acute care hospital be present at all clinic abortions. It would also require clinics to provide patients the name and telephone number of a physician who will provide care in the event of post-procedure complications."

This is a reasonable requirement.
ThomasA

Birmingham, AL

|
Report Abuse
|
Judge it!
|
#2
Feb 11, 2013
 

Judged:

1

1

1

Susanm wrote:
"HB 57 mandates that an Alabama-licensed physician with staff privileges at an acute care hospital be present at all clinic abortions. It would also require clinics to provide patients the name and telephone number of a physician who will provide care in the event of post-procedure complications."
This is a reasonable requirement.
Reasonable in fairness to the privacy of the woman or reasonable in your mind only. This is just a move to restrict poor women's choice to a safe clinical PRIVATE procedure and to drive them back to kitchen table procedures by a nanny woman with a crochet hook. Women of financial means will still get their services done in a private clinic even if they have to travel across state lines.
Dan

Omaha, NE

|
Report Abuse
|
Judge it!
|
#3
Feb 11, 2013
 
ThomasA wrote:
<quoted text>Reasonable in fairness to the privacy of the woman or reasonable in your mind only. This is just a move to restrict poor women's choice to a safe clinical PRIVATE procedure and to drive them back to kitchen table procedures by a nanny woman with a crochet hook. Women of financial means will still get their services done in a private clinic even if they have to travel across state lines.
I thought abortion was simply a medical procedure, nothing more.

If so, requiring a physician is wrong.......how?

Were something to go wrong, you'd want one there.
ThomasA

Birmingham, AL

|
Report Abuse
|
Judge it!
|
#4
Feb 11, 2013
 

Judged:

1

1

1

Dan wrote:
<quoted text>
I thought abortion was simply a medical procedure, nothing more.
If so, requiring a physician is wrong.......how?
Were something to go wrong, you'd want one there.
Hello,Hello? How totally naive can you be? Physicians perform the procedures. Physicians that are Physicians because they know what they are doing and have the certification to prove it. Did you think the receptionists and assistants were doing the work? Come on back to the real world!
Dan

Omaha, NE

|
Report Abuse
|
Judge it!
|
#5
Feb 12, 2013
 

Judged:

1

1

ThomasA wrote:
<quoted text>Hello,Hello? How totally naive can you be? Physicians perform the procedures. Physicians that are Physicians because they know what they are doing and have the certification to prove it. Did you think the receptionists and assistants were doing the work? Come on back to the real world!
What's your objection here, then?
ThomasA

Birmingham, AL

|
Report Abuse
|
Judge it!
|
#6
Feb 12, 2013
 

Judged:

1

1

1

Dan wrote:
<quoted text>
What's your objection here, then?
The very idea of someone trying to push a house bill through that's not needed. It's just another attempt by the beady eyed zealots to keep pushing their beliefs on others.
Dan

Omaha, NE

|
Report Abuse
|
Judge it!
|
#7
Feb 12, 2013
 

Judged:

1

1

1

ThomasA wrote:
<quoted text>The very idea of someone trying to push a house bill through that's not needed. It's just another attempt by the beady eyed zealots to keep pushing their beliefs on others.
How?

What zealot, for instance, is trying to force medical practicioners on you?
Katie

Seattle, WA

|
Report Abuse
|
Judge it!
|
#8
Feb 12, 2013
 
Susanm wrote:
"HB 57 mandates that an Alabama-licensed physician with staff privileges at an acute care hospital be present at all clinic abortions. It would also require clinics to provide patients the name and telephone number of a physician who will provide care in the event of post-procedure complications."
This is a reasonable requirement.
"Currently, clinics are permitted to use out-of-state doctors and contract with local on-call doctors to provide follow-up care in the event of complications."

That was the next paragraph. This is already in effect and a reasonable requirement, Sue.
ThomasA

Birmingham, AL

|
Report Abuse
|
Judge it!
|
#9
Feb 12, 2013
 
Katie wrote:
<quoted text>
"Currently, clinics are permitted to use out-of-state doctors and contract with local on-call doctors to provide follow-up care in the event of complications."
That was the next paragraph. This is already in effect and a reasonable requirement, Sue.
HB -57 is unneccesary. Why waste the time.
Dan

Omaha, NE

|
Report Abuse
|
Judge it!
|
#10
Feb 12, 2013
 
ThomasA wrote:
<quoted text>HB -57 is unneccesary. Why waste the time.
They want Alabama-licensed doctors in there.

Makes sense.
ThomasA

Birmingham, AL

|
Report Abuse
|
Judge it!
|
#11
Feb 13, 2013
 

Judged:

1

1

1

Dan wrote:
<quoted text>
They want Alabama-licensed doctors in there.
Makes sense.
These clinics are primarily used by poor women. Restricting them only turns back the clock to back alley clinics ,kitchen table procedures,or the good friend with a plastic speculum and a crochet hook. None of these keep records so what you don't know shouldn't bother you.

“Blessed Be”

Since: Jun 07

Location hidden

|
Report Abuse
|
Judge it!
|
#12
Feb 13, 2013
 
An argument against the bill from a physician.

"From Dr. Pippa Abston:
As your constituent and as a physician, I am asking you to vote “no” on HB 57. HB 57 proposes to increase safety in abortion clinics, but the provisions will not achieve this purpose. Instead, the bill sets worrisome precedents in legislating medical care.



There are three major elements that concern me. First, the bill arbitrarily assigns a pre-set fire code status to clinics in contradiction of nationally accepted standards. Currently, fire code status is assigned individually according to specific circumstances and functions within each medical facility. Using a pre-set status which may or may not apply to a specific clinic could require either unneeded and costly modifications or inadequate safety standards. In addition, it sets a precedent that if future legislators want to either force a certain type of business to close or preferentially help it remain open, they can simply assign an incorrect fire code status based on politics and not safety. I recommend instead that you ensure existing safety standards are appropriately enforced.



Second, the bill makes an arbitrary determination of a single sedation category, moderate sedation. Sedation regulations have been established by the Alabama Board of Medical Examiners according to the best practices in current use, and they already apply to abortion clinics as well as other clinics doing procedures with sedation. The specific protocol should be selected on an individual patient basis, not set in advance. Using moderate sedation regulations when no sedation or light sedation is more medically appropriate is certainly not in the best interest of safety. I recommend instead that you allow the Board of Medical Examiners to ensure existing sedation protocols are followed correctly.



Third, the bill would not allow physicians who work in abortion clinics to have written contracts with other physicians for hospital care of patients with complications—it would require them instead to have personal privileges at the local hospital. This is entirely against the current standard of care in medicine, which allows for safe transition of care between physicians and licenses physicians within a state, not within a single community. You may not be aware that hospital privileges require physicians to share call coverage duties for that hospital year round and are not just limited to care of a physician’s personal patients. They also require physicians to live within close driving distance of the hospital. If physicians could only treat patients in locations where they have hospital privileges, it would put an end to provision of pediatric, obstetric, family medicine and specialty care in rural areas by physicians traveling from the cities where they live. Also, community physicians increasingly contract with hospitalists to care for their patients in the hospital and assume call duties. This allows patients to receive timely outpatient services and have expert hospital care by physicians who specialize in hospital medicine. I recommend that for safety reasons, you continue allowing all patients to receive standard of care physician coverage and let the Alabama Board of Medical Examiners continue to monitor the qualifications of physicians to practice within their licenses.



After reviewing this bill, I can tell you as a physician that it will neither increase patient safety nor reduce abortion. Our state can work to decrease unwanted pregnancies without misapplication of fire codes, sedation protocols and physician licensure."

“Blessed Be”

Since: Jun 07

Location hidden

|
Report Abuse
|
Judge it!
|
#13
Feb 13, 2013
 

Judged:

1

1

1

Dan wrote:
<quoted text>
They want Alabama-licensed doctors in there.
Makes sense.
If you really believe that is the reasoning behind this bill, I have truly given you credit for more intelligence than you deserve.

They are, quite simply, attempting to shut the clinics down in any way they can.

http://www.youtube.com/watch...
ThomasA

Birmingham, AL

|
Report Abuse
|
Judge it!
|
#14
Feb 13, 2013
 
Bitner wrote:
<quoted text>
If you really believe that is the reasoning behind this bill, I have truly given you credit for more intelligence than you deserve.
They are, quite simply, attempting to shut the clinics down in any way they can.
http://www.youtube.com/watch...
Well put!

“Blessed Be”

Since: Jun 07

Location hidden

|
Report Abuse
|
Judge it!
|
#15
Feb 13, 2013
 

Judged:

1

ThomasA wrote:
<quoted text>Well put!
Thanks :)
Dan

Omaha, NE

|
Report Abuse
|
Judge it!
|
#16
Feb 14, 2013
 
ThomasA wrote:
<quoted text>These clinics are primarily used by poor women. Restricting them only turns back the clock to back alley clinics ,kitchen table procedures,or the good friend with a plastic speculum and a crochet hook. None of these keep records so what you don't know shouldn't bother you.
The story doesn't say that the state-licensed physician in question here be the personal physician of the prospective abortion patient, thus the "harms poor women" rejoinder doesn't seem to make sense.

How are poor women placed at any disadvantage here?
Dan

Omaha, NE

|
Report Abuse
|
Judge it!
|
#17
Feb 14, 2013
 
Bitner wrote:
<quoted text>
If you really believe that is the reasoning behind this bill, I have truly given you credit for more intelligence than you deserve.
They are, quite simply, attempting to shut the clinics down in any way they can.
http://www.youtube.com/watch...
Again, how?

I read the piece and I don't understand how this is perceived as good or bad by either side on this issue.

Honestly, I don't see the issue.
Dan

Omaha, NE

|
Report Abuse
|
Judge it!
|
#18
Feb 14, 2013
 
Bitner wrote:
An argument against the bill from a physician.
"From Dr. Pippa Abston:
As your constituent and as a physician, I am asking you to vote “no” on HB 57. HB 57 proposes to increase safety in abortion clinics, but the provisions will not achieve this purpose. Instead, the bill sets worrisome precedents in legislating medical care.
There are three major elements that concern me. First, the bill arbitrarily assigns a pre-set fire code status to clinics in contradiction of nationally accepted standards. Currently, fire code status is assigned individually according to specific circumstances and functions within each medical facility. Using a pre-set status which may or may not apply to a specific clinic could require either unneeded and costly modifications or inadequate safety standards. In addition, it sets a precedent that if future legislators want to either force a certain type of business to close or preferentially help it remain open, they can simply assign an incorrect fire code status based on politics and not safety. I recommend instead that you ensure existing safety standards are appropriately enforced.
Second, the bill makes an arbitrary determination of a single sedation category, moderate sedation. Sedation regulations have been established by the Alabama Board of Medical Examiners according to the best practices in current use, and they already apply to abortion clinics as well as other clinics doing procedures with sedation. The specific protocol should be selected on an individual patient basis, not set in advance. Using moderate sedation regulations when no sedation or light sedation is more medically appropriate is certainly not in the best interest of safety. I recommend instead that you allow the Board of Medical Examiners to ensure existing sedation protocols are followed correctly.
Third, the bill would not allow physicians who work in abortion clinics to have written contracts with other physicians for hospital care of patients with complications—it would require them instead to have personal privileges at the local hospital. This is entirely against the current standard of care in medicine, which allows for safe transition of care between physicians and licenses physicians within a state, not within a single community. You may not be aware that hospital privileges require physicians to share call coverage duties for that hospital year round and are not just limited to care of a physician’s personal patients. They also require physicians to live within close driving distance of the hospital. If physicians could only treat patients in locations where they have hospital privileges, it would put an end to provision of pediatric, obstetric, family medicine and specialty care in rural areas by physicians traveling from the cities where they live. Also, community physicians increasingly contract with hospitalists to care for their patients in the hospital and assume call duties. This allows patients to receive timely outpatient services and have expert hospital care by physicians who specialize in hospital medicine. I recommend that for safety reasons, you continue allowing all patients to receive standard of care physician coverage and let the Alabama Board of Medical Examiners continue to monitor the qualifications of physicians to practice within their licenses.
After reviewing this bill, I can tell you as a physician that it will neither increase patient safety nor reduce abortion. Our state can work to decrease unwanted pregnancies without misapplication of fire codes, sedation protocols and physician licensure."
OK.

If this doctor's statement is true, then I see why pro-choice folks don't like the bill.

The actual story was pretty vague.
Dan

Omaha, NE

|
Report Abuse
|
Judge it!
|
#19
Feb 14, 2013
 
Bitner wrote:
<quoted text>
If you really believe that is the reasoning behind this bill, I have truly given you credit for more intelligence than you deserve.
They are, quite simply, attempting to shut the clinics down in any way they can.
http://www.youtube.com/watch...
McCutcheon obviously has a constituency in AL, so they can decide their feelings on his position here at the ballot box.

Thx for the link.

“Blessed Be”

Since: Jun 07

Location hidden

|
Report Abuse
|
Judge it!
|
#20
Feb 14, 2013
 

Judged:

1

1

1

Dan wrote:
<quoted text>
McCutcheon obviously has a constituency in AL, so they can decide their feelings on his position here at the ballot box.
Thx for the link.
You're welcome.

The video makes it clear that this Senator is not concerned with a woman's safety. His motivation is an attempt to close all abortion clinics in the state, because of his religious beliefs. Do your really believe this kind of thing is in the best interest of ALL of his constituents?

Tell me when this thread is updated: (Registration is not required)

Add to my Tracker Send me an email

First Prev
of 9
Next Last
Type in your comments below
Name
(appears on your post)
Comments
Characters left: 4000
Type the numbers you see in the image on the right:

Please note by clicking on "Post Comment" you acknowledge that you have read the Terms of Service and the comment you are posting is in compliance with such terms. Be polite. Inappropriate posts may be removed by the moderator. Send us your feedback.

13 Users are viewing the Huntsville Forum right now

Search the Huntsville Forum:
Title Updated Last By Comments
Police Probe Lawn Ornaments Left In Front of Ho... 5 min Mr Sparkles 4
Country Day School teacher Brett Naff arrested,... (Sep '12) 8 min Bobby 218
It's National Hot Dog Day. Who has the best wee... 14 hr Phil Mycrevus 3
Domestic Dispute Ends at Decatur Gym 17 hr Layne Staley 5
Review: Kenney And Associates Wed anonymous 2
Holy Spirit Condemnation!. Wed Satan 2
Who do you support for State Board of Education... (Oct '10) Wed Give Him a Brain 84
•••
•••
•••
•••

Huntsville Jobs

•••
Enter and win $5000
•••
•••

Huntsville People Search

Addresses and phone numbers for FREE

•••

Huntsville News, Events & Info

Click for news, events and info in Huntsville
•••

Personal Finance

Mortgages [ See current mortgage rates ]
•••