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President Trump could easily end up naming three, and maybe as many as four supreme court justices before he leaves office. Thank God he defeated that criminal Hillary. I think it is a case of poetic justice that neither Clinton EVER got to appoint a supreme court justice.
Bueller?Originally Posted by Guisslapp
I wish that were true. Ruth and Breyer were both appointed by Billy.
Please explain why it is "safer" for clinics to not have certain regulations that only doctors and not clinic staff can perform abortions and licensing standards. I understand the heartburn over the required ultrasounds in which the image of the fetus is shown to the patient and 24-hour waiting periods, but those don't have to do with safety or legality of the procedure just hindering the bottom line of the clinic.
http://www.kristv.com/story/38430156/texas-abortion-clinics-sue-to-undue-laws-dating-back-decades
She is going to die in office before she retires and lets Trump fill her spot.
What does showing the ultrasound image to the patient have to do with women’s safety?
The doctors restriction had to do with restricting access under the guise of safety. That is why several clinics shut down. In the end, when women don’t have adequate access to clinics, they pursue the unsafe abortion practices.
A 2013 study published in the American Journal of Public Health found that complications during abortions performed by newly trained advanced-practice nurses, physician assistants or doctors were "clinically equivalent."
Bump
Neither one of us can support this one way or the other- since there are no facts to support either position on this. You may have opinion pieces, but there are just no facts to support this. I think this is a bunch of crap. If abortions were not legal and in many instances free, the abortion rate in my opinion will drastically decrease. That "most" crap you spew is just typical democratic bull crap.
“The clinical evidence presented in this chapter on the provision of safe and high-quality abortion care stands in contrast to the extensive regulatory requirements that state laws impose on the provision of abortion services. These requirements may influence the efficiency of abortion care by requiring medically unnecessary services and multiple visits to the abortion facility, in addition to requiring that care take place in costlier and more sophisticated settings than are clinically necessary. These requirements go beyond the accepted standards of care in the absence of evidence that they improve safety. Some requirements, such as multiple visits and waiting periods, delay abortion services, and by doing so may increase the clinical risks and cost of care. They may also limit women’s options for care and impact providers’ ability to provide patient-centered care. Furthermore, many of these laws have been documented to reduce the availability of care by imposing unneeded regulations on abortion providers and the settings in which abortion services are delivered. The implications of abortion-specific regulations for the safety and quality of abortion care are described below.“
https://www.nap.edu/read/24950/chapter/4#77
Well, the abortion rate is higher in countries where it is illegal than in countries where it is legal.
By far the best way to reduce abortion is to make contraception free and readily available. That has played a major role in the reduction of the abortion rate within the US over the last 25 years.
Work on your reading comprehension and re-read my post, conveniently re-posted here.
So you will agree that licensed practitioners, unless you are saying that nurses and PAs are not licensed, need to be doing the procedure. I took it as, from the clinic inspection records, non-properly trained staffers (i.e. not nurses, PAs or doctors) providing medical services including anesthesia to patients. You can check out a myriad of clinic inspection records for the Whole Women's Health group here, I figure you will brush the source off as pro-life but the actual records are posted from the state. Also, for any clinic in the US you can use www.checkmyclinic.org and find health inspection records for any abortion provider. Our wonderful clinic in Shreveport, the Hope Medical Group for Women, has the following occurrences dating back to 2009:The doctors restriction had to do with restricting access under the guise of safety. That is why several clinics shut down. In the end, when women don’t have adequate access to clinics, they pursue the unsafe abortion practices.
A 2013 study published in the American Journal of Public Health found that complications during abortions performed by newly trained advanced-practice nurses, physician assistants or doctors were "clinically equivalent."
Again the inspection records, obtained through public records, are linked here. I discount your dismissal of the doctor's restriction as not being for the patients' safety. If what they are doing is indeed supposed to be safe and for the health of the mother, why are there so few doctors/hospitals willing to give an agreement that they will treat abortion patients in an emergency? Please explain how having a physician/hospital information available in discharge paperwork is a "guise of safety."
- Systemic issues with anesthesia at this clinic, year after year
- Staff had no documentation of training or competency for anesthesia administration. A nonlicensed administrator “went over the dosages and how to calculate them”. That was the extent of the training.
- There was no evaluation of competency in the nurse’s files to ensure they were proficient in compounding medications
- The facility failed to have a policy and procedure in place related to time limits for storing the compounded Lidocaine/Vasopressin medications.
- No physician’s order for anesthesia administered in patient’s medical record.
- Review of the personnel file for “operating room technician” revealed her prior work history was with a portrait studio at a national department store chain and a restaurant. A form titled “Operating Room Training Schedule”, dated 07/15/08, included training for operating room and nitrous/oxygen set up. Interview with the tech revealed when asked who was the person who trained her, she replied, the Clinic Director (not a licensed professional), and another unlicensed non-professional performing duties of an operating room technician. She stated that this was the only training she had received.
- The facility failed to ensure each patient’s level of consciousness, respiratory and cardiovascular status was monitored during and after the administration of intravenous medications and during the administration of inhalation gas agents used during the abortion procedure.
- The corrective action by the facility was to stop administering nitrous oxide and IV medications rather than hire a nurse who is qualified to administer anesthesia.
- Medical director (a physician) had not conducted in service training with the staff in over 2 years. –
- There was no physical examination completed and signed by the physician on 100% of the charts reviewed by inspectors.
- Unlicensed, untrained, and unqualified staff were administering anesthesia for abortion procedures and did not monitor the patient for adverse reactions.
You provide opinions, there is no support for what you state as fact. Once again, I believe your opinion is flawed and I am hopeful we will see birth rates increase if abortions are not free and available. I believe we will!
“The use of sedation and anesthesia also has important implications for personnel. If moderate sedation is used, it is essential to have a nurse or other qualified clinical staff—in addition to the person performing the abortion—available to monitor the patient (ASA Task Force, 2002; NAF, 2017a). Both deep sedation and general anesthesia require the expertise of an anesthesiologist or certified registered nurse anesthetist (CRNA) to ensure patient safety.”
“The White and colleagues (2015) systematic review described above identified 11 studies that report patient outcomes related to the use of local anesthesia, moderate sedation, or general anesthesia for aspiration abortions. Anesthesia-related complications were rare regardless of the clinical setting or level of sedation: ≤0.2 percent of office-based procedures and ≤0.5 percent of procedures in surgical centers and hospital-based clinics.”
“The clinical evidence makes clear that legal abortions in the United States—whether by medication, aspiration, D&E, or induction—are safe and effective. Serious complications are rare; in the vast majority of studies, they occur in fewer than 1 percent of abortions, and they do not exceed 5 percent in any of the studies the committee identified. However, the risk of a serious complication increases with weeks’ gestation. As the number of weeks increases, the invasiveness of the required procedure and the need for
deeper levels of sedation also increase. Thus, delaying the abortion increases the risk of harm to the woman.
State regulations that require women to make multiple in-person visits and wait multiple days delay the abortion. If the waiting period is required after an in-person counseling appointment, the delay is exacerbated (Roberts et al., 2016; Sanders et al., 2016; White et al., 2017). Restrictions on the types of providers and on the settings in which abortion services can be provided also delay care by reducing the availability of care (Baum et al., 2016; Fuentes et al., 2016; Gerdts et al., 2016; Grossman et al., 2014, 2017).”
From the same NAP link I posted above.
Regarding clinic-specific details: have you looked at inspection records for your closest hospital?
Google is your friend.
https://www.nbcnews.com/health/healt...report-n858476
So your official position is bad hospital inspections make bad abortion clinic inspections bearable. Have fun with that. I am not giving hospitals a pass by any means (although you will conflate my position as such), but abortion clinics offer very limited services. Not discounting contraceptive, pregnancy testing and other non abortion services, but abortion is the main procedure in these facilities. It pays the bills and these clinics more or less specialize in the abortion procedure. I don't give them a pass for a lackadaisical attitude with a number of documented short comings, some on a repeated basis.
You still have yet to provide a reason that having a physician/hospital information available in discharge paperwork is a "guise of safety."
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