“It is very difficult to know what you can and cannot do.” A conversation with louise_p_king, a surgeon and bioethicist at Harvard, and the vice-chair of the ethics committee at the American College of Obstetricians and Gynecologists.
The Supreme Court’s decision to overturn Roe v. Wade sent the issue of abortion policy back to individual states—which has already led to a flurry of laws in red states limiting or banning women from having the procedure. Last week, I spoke to Louise Perkins King, a surgeon and bioethicist at Harvard, and the vice-chair of the ethics committee at the American College of Obstetricians and Gynecologists .
My personal opinion is that many of the legislative approaches to abortion that existed were inappropriate. The actual legislation that we have in Massachusetts—the one that I support, and I’m very glad that we have here—is called theAct, and it allows for abortion up to twenty-four weeks.
When you sit down with anyone who really wants to create some firm boundaries around abortion because they feel they have to, and then you start explaining to them how complicated things can become, if you’re dealing with severe hydrocephalus, severe cardiomyopathy, hypertension, diabetes, eclampsia, preeclampsia, hemorrhage—and I could go on—all of these nuances of the various complications and difficulties that arise in pregnancy don’t lend themselves to lines in the sand.
Obviously, if I’m sitting in front of somebody who is in the very early stages of pregnancy, this question is very simple for me. In the early stages of a pregnancy, if they don’t wish to take on those risks, a hundred per cent, they have an absolute right to bodily autonomy in those decisions. If we’re getting into later stages of pregnancy, it becomes quite complex, but really that’s almost a red herring, because it just doesn’t happen.
But that puts an enormous burden on those who do provide the care. And, in this country, that puts a burden on them that includes not being able to disclose their work to people, or their home addresses. I have one colleague who is very circumspect about what she does for a living, because she doesn’t want to put her children at risk. Their lives can be on the line, given the violence that has occurred.
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