It’s not just new laws and restrictions, it’s not just protesters outside clinics, it’s not just Catholic hospitals gobbling up secular hospitals – it’s also training, and how difficult it is to get it. The Daily Beast reports on the scarcity of medical training in abortion.
…abortion training is still largely isolated in freestanding clinics and the relatively few OB-GYN residency programs that provide comprehensive training. Although the Accreditation Council for Graduate Medical Education—the governing body which sets nationwide rules for medical residencies—put abortion training on the curriculum for all OB-GYN programs in 1996, Congress took the unprecedented step of nullifying that decision soon afterward. To this day, any program that does not abide by the ACGME guidelines won’t lose its federal funding, and only 40 percent of OB-GYN programs in the country offer comprehensive abortion training.
“It’s this cuckoo level of micromanaging,” Carole Joffe, a sociologist and author of two books on the history of abortion rights, said of Congress’s decision. “In theory, it’s not illegal for them to do that, it’s just unprecedented.”
Congress micromanaging medical education to make sure abortion training is not required – wonderful, isn’t it? Nothing is too much when it’s a question of making sure women don’t have rights.
“We had one OB-GYN resident come work with us, and her hospital was affiliated with a Catholic hospital and she was getting no training in abortion whatsoever,” Debra Stulberg, a family practitioner and researcher at the University of Chicago, told The Daily Beast. “Often, having the elective time and being able to find an experience where you can get training is not the same.”
Even when motivated medical students and residents can find abortion training, they’re not always able to make use of those skills later on. Some private practices and hospitals have been known to make physicians sign contracts saying they won’t provide abortions—even at an outside clinic—while on staff.
“The real problem facing abortion provision—besides the stuff you know about Texas and admitting privileges—is at a much quieter level,” Joffe told the Beast.“It’s becoming hard for those who are trained to find places at which they can practice. From a hospital administration point of view, do you want picketers? Do you want hassles? No.”
They don’t need to overturn Roe v Wade. They can just make it too scary to provide abortions, and the result is the same.
Stulberg has observed the same thing. In 2011, she published a paper in which she found that, while 97 percent of OB-GYNs encountered patients seeking abortions, only 14 percent provided them.
“The tactic on the religious right to stigmatize abortion has translated beyond just making it hard for women to seek abortion,” she said. “Hospitals, medical schools, others who you would think might be neutral or even take a pro-reproductive-health stance, often are just afraid—afraid of protests, afraid of attention. They would rather just fly beneath the radar.”
Only 14% of OB-GYNs provide abortion.