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Copyright 1996 David C. Reardon. Excerpted with permission
for from Making Abortion Rare, published by Acorn Books, PO Box
7348, Springfield, IL 62791-7348 for internet posting exclusively at www.afterabortion.org.
All Rights Reserved.
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described in this chapter.
CHAPTER NINE
THE
LEGISLATIVE OPPORTUNITY
The previous five chapters have outlined the obligations of abortionists
and the rights of women as defined by the Supreme Court, professional medical
standards, and common law. Some of these arguments can and have been made
in medical malpractice suits against abortionists. Even without new state
and federal laws, these arguments will be made by malpractice attorneys
who hope to develop case law in favor of women who have been injured by
abortion. But this process of developing case law is slow and difficult,
and it excludes the vast majority of women who are presently suffering
post-abortion sequelae. Therefore, to accelerate this trend, federal and
state laws should be passed to codify these standards and solidify these
judicial precedents which will seal the abortion industry's fate.
Furthermore, the pursuit of this pro-woman legislation will advance
our educational objectives. Debate over pro-woman legislation will increase
public awareness of post-abortion injuries and provide a vehicle for building
common ground with the middle majority. It is also a political opportunity
to separate pro-abortion legislators from their pro-choice supporters who
will see them opposing women's rights in order to protect the abortion
industry. This debate will also serve as an opportunity to reshape the
public's perception of the pro-life movement showing that we are concerned
about the health and well being of women both before and after abortion.
The long and short of it is simply this: the abortion industry thrives
on providing cheap abortions on demand knowing that very few women will
succeed in suing them for physical or emotional injuries. Once abortionists
become truly liable for making the abortion recommendation, and truly liable
for the physical and emotional injuries which their abortions cause, they
will come to the conclusion that abortion is not only bad medicine, it
is also bad business.
Strategic Goals In Formulating Legislation
Pro-woman/pro-life legislation is first and always centered on advancing
women's rights and increasing the accountability of the abortion industry.
Even in the drafting of the legislation, we must carefully keep this focus
while also seeking ways to eliminate, or at least minimize, opportunities
for our opponents to pose as defenders of women.
Our goal is to leave opponents with only one complaint: our pro-woman
legislation is simply too burdensome on abortion providers. Without protection
from liability for abortion complications, they will complain, the abortion
industry will be forced to shut down, and therefore women will "suffer"
because they are being denied abortions.
To this complaint we will offer a five point response:
(1) Isn't the real suffering of a woman who has been hurt by abortions
just as important as the potential "suffering" of a woman who gives
birth to an unplanned child?
(2) Our legislation simply gives women a voice in determining if abortion
is or isn't safe. We are simply freeing market forces to push the abortion
industry into adopting the appropriate standard of care which maximizes
safety and minimizes liability.
(3) If abortion is as safe as its proponents claim, our legislation
will have no effect. It will only cause fewer abortions to the same degree
that it is dangerous. Only if abortion is very dangerous, will it become
very rare, in which case women would clearly benefit from fewer dangerous
abortions.
(4) Even if it does turn out that abortion is too dangerous to be used
in most cases, women will still be free to seek it and doctors will still
be free to recommend it. The only difference is that our law will encourage
doctors to recommend safer options whenever they are available.
(5) Our law merely codifies the standards established by the Supreme
Court in Roe and the subsequent abortion cases. Supporting the right
of women to hold physicians liable for abortion related injuries is the
only effective way of making sure legal abortions are safe abortions.
Legislative Initiatives
The following sections describe some of the major features of model
legislation developed by the author which has been introduced in the state
of Illinois. These features should be read in the light of the previous
five chapters which show why these features properly fit with precedent
and will dramatically expand the rights of women and the corresponding
liability of abortionists. Enforcement of these provisions is almost exclusively
through civil redress.
In drafting this legislation, I have been especially aware of the three
primary arguments which are used against standard informed consent statutes.
These are: 1) The waiting period after disclosure presents an onerous burden
to some women; 2) State mandated lists for disclosure force physicians
into giving women inaccurate or irrelevant information which is simply
intended to "scare" women; and 3) Most women already have access to all
of the information they need and have already made up their minds. Our
legislation eliminates, or makes irrelevant, all three of these objections.
Minimum Insurance Requirements
To protect the rights of patients in the event of an injury, proof that
the physician has adequate malpractice insurance, in the three to five
million dollar range, is required to receive a license to practice medicine.
This prerequisite could be established only for physicians practicing abortion
(who are notorious for "going bare") or for all physicians. To be adequate,
the insurance policy would need to cover not only negligence, but also
other potential causes for a suit regarding abortion, such as a violation
of the woman's civil rights.
Justification of this provision for licensing is straight forward. If
a physician does not have adequate malpractice insurance, a woman would
be denied the right to recover damages simply because no lawyer can afford
to take her case since there would be no guarantee that sufficient assets
would be available to pay the award. Furthermore, the lack of malpractice
insurance, or "going bare," is simply unprofessional. No hospital allows
admitting privileges to physicians without adequate malpractice insurance.
The abortion industry should be held to the highest of professional
standards; it should not be allowed to become a collecting pool for misfits
who have otherwise been unable to establish a professional practice. Proof
of adequate insurance coverage would be required each year when physicians
renew their medical licenses and drug prescription licenses.
Full Disclosure as a Civil Right
Our legislation codifies a woman's right to all information relevant
to her decision to accept a physician's recommendation. In drafting such
legislation, care has been taken to avoid the appearance that State mandated
requirements represent anything more than a minimum standard. Abortion
providers are expected to provide any additional information which a reasonable
patient might consider relevant, including newly published research findings,
photographs or videos of the developing human fetus at various stages of
gestation, and especially information which is uniquely pertinent to a
particular woman's health needs. While avoiding vagueness, disclosure requirements
should be broad enough to allow juries to continue to expand the standard
of "relevant" materials as specific cases are brought to trial.
A key feature of our pro-woman legislation provides that if a plaintiff
can demonstrate a lack of either full disclosure or voluntary consent,
this is a violation of the woman's basic civil rights for which she shall
be awarded damages of not less than $200,000 and not more than $2,000,000.
She does not have to show any other injury. Nor is she required to show
that the non-disclosed information would have changed her mind. Furthermore,
the cause of action, in such cases, is not one of medical malpractice,
which is always difficult to litigate, but is instead a violation of her
civil rights which, because her consent was invalidly obtained, culminated
in unlawful touch, which is battery.
This base award for violation of a woman's civil rights, of course,
can be increased further if physical or psychological injuries are shown
to have occurred. But this base award establishes sufficient monetary incentive
for attorneys to accept and litigate abortion cases.
Extended Statute of Limitations
Perhaps the most important step in holding abortionists liable for abortion
related injuries is the need to extend the statute of limitations for filing
a suit. The period for filing should not begin until such time as the woman
discovers that she has experienced an injury resulting from the abortion
and has recovered from the injury sufficiently enough to properly pursue
her case. This latter provision is very important because there can
be a prolonged delay before reproductive damage, cancer, or psychological
injuries become apparent.
The precedent for an open ended statute of limitations for psychological
injuries exists in the case law for victims of child molestation. Under
these precedents psychologically injured persons have been allowed to sue
for damages which were incurred several decades previously. These exceptions
to the normal statute of limitations exist because the law recognizes that
injuries suffered may create a psychological disability which makes it
impossible for a victim to seek damages until after that victim has achieved
psychological recovery.
In the case of abortion related trauma, this psychological disability
may include very long periods of denial and repression. In an Elliot Institute
study of 260 women, 62% of women who reported post-abortion problems experienced
a period during which they would have denied the existence of negative
feelings resulting from the abortion.(1)
This period of denial lasted, on average, slightly over five years, with
many reporting symptoms of denial lasting over a decade.
This same study, and others, show that women may also experience disabling
levels of shame and anxiety when confronted with anything to do with abortion.
Such feelings may result in avoidance behavior. This disability, avoidance
behavior, can severely limit a woman's ability to defend her rights. Thus,
a woman be so overcome with shame that she is unable to confide in a lawyer,
much less confront her abortionist, even if she has experienced severe
physical injuries. Alternatively, even if she does initiate legal action,
she may experience an abnormal onslaught of anxiety reactions which may
prevent her from continuing with or cooperating in the suit. According
to the same Elliot Institute study, women who experienced post-abortion
sequelae report that it takes, on average, 7.5 years before they can even
"begin to reconcile" themselves to the abortion experience. Until this
time, it may not be possible for them to effectively exercise their right
to pursue a malpractice claim.
Extending the statute of limitations until after there is sufficient
recovery from an abortion created disability is not only a fair consideration
to a patient's rights, it is also good consumer protection policy. Since
the risk of psychological sequelae can easily be pre-identified using known
risk factors, proper liability for long term psychological injuries would
dramatically improve the quality of pre-abortion screening and informed
consent procedures. No physician wants to risk being sued by patients they
treated ten or fifteen years ago. Therefore, physicians who use abortion
in their treatment regimen will be very careful in pre-screening their
patients and ensuring that they are fully informed of all its attendant
risks.
Liability for the Abortion Recommendation
Our pro-woman statutes clearly reiterate Roe's finding that abortion
is "inherently, and primarily, a medical decision." In the event of a subsequent
lawsuit, the abortionist can and should be held accountable for having
formed a basis for "his medical judgment [that] the patient's pregnancy
should
be terminated." In defending themselves in civil action, abortionists would
be required to document the basis for their recommendations to abort given
a woman's particular health needs, circumstances, and psychological risk
profile, especially in relation to alternative options for managing the
woman's psychosocial crises. An inability to justify his choice for the
recommended treatment, would be considered sufficient to establish negligence.
We believe that this issue, that an abortion must be recommended by
a physician as the preferred treatment option, will be an important one
in many jury decisions. Conversely, the law must also be clear in restating
the physician's right and duty to refuse to provide an abortion which in
his best judgment, given each patient's physical, psychological, and social
circumstances, would be injurious to her health. This aspect of the law,
too, will be relevant to jury deliberations.
Screening for High-Risk Factors
Prior to making a recommendation for abortion, physicians would be required
to properly screen patients for any characteristics which would predict
that the patient is at risk of experiencing physical or emotional harm
after the abortion. The physician would be legally and ethically bound
to consider these risk factors in forming a recommendation, to advise the
woman of the existence of these risk factors, and, in at least some cases,
to refuse to perform an abortion until these risk factors had been alleviated
through appropriate counseling. An inadequate evaluation of a woman's medical
needs and psychosocial condition would be considered sufficient to establish
a finding of negligence.
In essence, our pro-woman bill establishes a two tier process of disclosure.
There is standard disclosure, according to the reasonable patient standard.
But if screening discloses any high risk factors, the abortionist is expected
to provide additional counseling above and beyond the normal standard,
or refer the patient to a third party, in order to: 1) alleviate these
predisposing risks, 2) to discover a safer course of care, or 3) to document
and certify why the abortion is recommended over other options for crisis
management.
This touches on another political benefit of this bill compared
to traditional informed consent bills. Our bill recognizes that each woman
is unique in her needs and relative risks. It simply requires clinics to
treat each woman accordingly, which they claim to be doing already. Indeed,
one of the pro-abortionist's standard arguments against reading off a State
mandated laundry list of risks and alternatives is that such lists do not
respect the unique circumstances of each patient. This bill accepts their
argument, and insists that they live up to their own idealized standard
for individualized counseling and accept legal liability when they do not.
Burden of Proving Adequate Disclosure
In the event of a lawsuit on the basis of lack of informed consent,
the burden of establishing the sufficiency of the disclosure should fall
on the physician. Video taped recordings of the pre-abortion counseling
would be advised, a copy of which should be given to the client. Furthermore,
the failure to disclose potential complications, which did in fact occur,
should be considered presumptive evidence that either: 1) the physician
negligently evaluated the patient, 2) the physician was incompetently ignorant
of risks which should have influenced his recommendation, or 3) the physician
deliberately withheld relevant information in order to guide the patient
toward his own pre-determined choice.
In addition, if a pattern of inadequate disclosure with patients can
be established, this may be construed as evidence that the physician was
involved in deceptive trade practices, in which case the plaintiff may
be entitled to triple damages.
Here it is worth noting that if the courts were to decide that there
must be a better defined standard for determining what risks must be disclosed,
a two-study rule, patterned after an FDA standard, could be mandated. According
to this FDA standard, if any two studies link a substance to cancer, the
substance must be listed as a potential carcinogen. These studies can be
drawn from international literature and can include studies on animals.
In the case of abortion, this same standard could be adopted requiring
disclosure of any complication reported in two or more studies as potentially
associated with abortion. The adequacy of the studies would not be at issue.
The relevant point is simply that a patient might have a reasonable basis,
drawn from at least two studies, for believing that the reported complication
may
be related to abortion.
Sufficient Reflection Time
A major objection to standard informed consent laws is that 24 or 48
hour waiting periods represent a substantial burden to women who are required
to make two trips to the abortion clinic. They argue that most women have
already had adequate time to consider their decision and already know all
that they need to when they arrive. Rather than argue with them, we once
again not only give them what they want, but more than they want.
Our model legislation requires that the abortionist must simply certify
that the woman has had "sufficient reflection time." Our definition states
that "sufficient reflection time" normally requires no less than 24 hours,
but that even this period for reflection can be waived if the abortionist
certifies that the patient has demonstrated adequate maturity, possessed
prior knowledge of all the information which she has been given, and has
already given the information due consideration.
The catch is this: if the abortionist provides an abortion with less
than 24 hours of reflection time, then in the event of a suit for lack
of informed consent, the abortionist is liable for triple damages. He would
also face the additional burden of proving the appropriateness of his decision
with evidence establishing that the patient was mature and had adequately
considered all the relevant information, and therefore did not require
additional reflection time.
Politically, this solution defuses all of the objections to a mandatory
waiting period. Here, nothing is mandatory, except good medical judgment.
The right to "sufficient reflection time" is already part of the common
law interpretation of informed consent procedures. This law simply states
that for a complex decision such as abortion, this period of reflection
time normally requires at least 24 hours. However, because the state "respects"
their medical opinions, abortionists are free to waive even this nominal
period for reflection, if they are willing to accept greater liability
allowing a rushed decision. Obviously, because their chief concern is money,
they will not accept this increased liability. Instead they will voluntarily
choose to require a 24 hour period for reflection.
Another advantage of this approach is that the standard for "sufficient
reflection time" is related to maturity and intellect of the particular
patient. In the event of a subsequent suit, this leaves the door open for
another charge of negligence. Specifically, a plaintiff's attorney may
be able to show that for a particular woman whose cognitive abilities were
impaired by low intelligence, immaturity, or emotional stress, the requirement
for "sufficient reflection time" might require two weeks rather than only
24 hours. Again, since the burden of evaluating the patient's understanding
of the disclosed information rests on the physician, the abortionist becomes
liable for defending the basis for his opinion that the woman had "sufficient
reflection time."
Abortionists' Responsibility for Brochures
Informed consent laws in most states have sought to guarantee disclosure
by mandating that women receive a brochure prepared by the State describing
fetal development, risks of abortion, and alternatives. Typically, these
brochures have been prepared by the state's department of public health.
This approach has been fraught with difficulties. First, the writing
of these brochures has been highly politicized. In some cases, pro-abortion
bureaucrats have actually attempted to use the law to benefit the abortion
industry by exaggerating the dangers of childbirth while understating the
risks of abortion. Still another problem with these brochures is that their
very existence tends to shift responsibility for disclosure from the physician
to the State. Defense attorneys for the abortionist can argue that provision
of the "official" state prepared brochure satisfies all of the abortionist's
responsibilities for disclosure.
Our legislation avoids these pitfalls. First, we emphasize that a brochure
is required as an aid to disclosure, but it is not a substitute for full
disclosure, which may vary from case to case, and that in every instance
the adequacy of the disclosure must be certified by the attending physician.
Second, each clinic is free to prepare its own disclosure brochure,
or it may purchase copies from a third party, which might be from either
a pro-abortion source or an anti-abortion source. In any event, the abortionist
is individually liable for ensuring the adequacy of the contents and for
supplementing or updating the contents with additional printed materials.
In the brochure, itself, only general topics are mandated: "Your Legal
Rights," "Resources To Help You," "Development of the Human Fetus," "Risks
Which May Be Related to Abortion," and "Characteristics Which May Place
You at Higher Risk." Abortionists are free to fill in these sections in
whatever way they feel is accurate and sufficient, knowing that they are
also completely liable for the accuracy and sufficiency of their statements.
The only exception is the section on legal rights where the law mandates
very specific statements regarding the physician's obligations and the
woman's rights, including her right to sue for any lack of full disclosure
or other violations of her rights. In the event of a suit against the abortionist
on the basis of inadequate disclosure, a jury would use the reasonable
patient standard to judge the adequacy of the abortionist's disclosure
document.
Politically, this approach robs pro-abortionists of the arguments that
1) the State is incompetent to give medical advice and 2) doctors should
not be "forced" to recite a list of risks developed by state bureaucrats
which may be inaccurate or outdated. Both charges are true. Therefore,
our approach gives them complete freedom regarding specific content, but
also makes them totally responsible for full disclosure. In essence, we
ensure quality not by dictating the exact contents of disclosure but by
increasing the liability risks for inadequate disclosure.
In practice, the safest way for abortionists to minimize liability will
be for them to give more information than necessary, which is as it should
be. Indeed, because they will actually be held liable for the contents
of their brochures, they will be far more motivated to provide full disclosure
than would public health officials who are subject to political pressures.
The Abortion Information Depository
To assist both abortionists and plaintiffs' attorneys, our model legislation
requires the State department of public health to maintain an Abortion
Information Depository. Anyone, in particular those who believe abortion
has risks, or who offer safer alternatives, can deposit date-stamped information
and data which should be available for consideration by patients seeking
abortion. The legal presumption will be that abortionists are familiar
with the materials in the depository.
In the event of a lawsuit the clinic prepared brochure can be compared
to the contents of the Depository. The jury would then decide if there
is anything in the Depository which a reasonable patient would have found
relevant to her decision but was not disclosed. If so, the plaintiff has
made her case.
Certification of Voluntary Consent
Abortion providers would be held legally responsible for certifying
that a woman's choice to have an abortion is totally her own and that she
is not being pressured into this decision by others. If abortion clinics
fail to properly screen their patients for signs of coercion, they have
been negligent. Furthermore, if a women can later show that an abortion
counselor added to the pressures which made her feel she "had no choice,"
or did nothing to protect her from being pressured into an unwanted abortion,
the clinic would be held accountable as an "accomplice" in the crime of
pressuring her into an unwanted abortion.
Liability for Wrongful Death
If a plaintiff's testimony establishes that her pregnancy was in any
way wanted, or conversely that the abortion was in some way unwanted,
such testimony shall entitle the woman to seek damages for wrongful death
- a claim which can entail multi-million dollar awards. There are several
reasons for this.
First, if the pregnancy was wanted, the abortionist failed to intervene
to protect the woman from the individuals or circumstances which were making
her feel forced to undergo an unwanted abortion. This in turn demonstrates
that there was failure in the process of screening, counseling, and consideration
of alternatives better suited to the woman's desire to keep her wanted
pregnancy.
Second, if one accepts the pro-choice position that "personhood" attaches
to the unborn child only when the woman mentally decides that she wants
or loves the child, then a child who is killed during an unwanted
abortion is a person of value. While it is possible that a mother could
feel forced to consent to the killing of her wanted child, it is impossible
that she could freely consent to such an act. Therefore, no matter
how dire the circumstances, if the woman believes that she is aborting
"her baby" as opposed to "fetal tissue" she is losing a loved one and should
have been protected from this loss.
Third, contrary to popular notions, the Supreme Court never ruled that
human life does not begin at conception. Instead the Court has decided
that "difficult question of when human life begins" cannot be resolved
by the mandate of the State, therefore the State may not "override" the
rights of a woman by "adopting one theory of life."(2)
In other words, the Court has insisted that the subjective views of the
individual woman take precedence over the views of the State, at least
up until the point of viability in the third trimester.(3)
Clearly, if a state legislature may not impose one legal theory regarding
the beginnings of life women, then neither can state courts. It is improper,
then, for a civil court do deny a mother the right to seek damages for
wrongful death of her unborn child. Such a ruling would improperly restrict
the rights of a plaintiff by imposing "one theory of life" upon them. Instead,
if the subjective standards of Roe are to be consistently applied,
a woman should always be entitled recovery for the wrongful death of her
unborn child if she can provides testimony that the abortion occured after
such time as she subjectively believes human life begins. Her charge of
wrongful death would be further substantiated by testimony regarding factors
which made her feel forced into an unwanted abortion or evidence showing
that she was denied information which would have changed her mind. In short,
if we are to be ruled by a subjective view of when human life begins, then
this subjective view must operate both ways--both to allow for abortion
and to allow for charges of wrongful death.
Finally, women who have had abortions who subjectively believe that
the aborted child was a being of value are confronted with a high risk
of developing psychological sequelae. This one risk alone should be sufficient
to deter a responsible physician from performing an abortion.(4)
In such cases, then, compensation for wrongful death is fair because the
emotional pain and suffering of a mother who loses a wanted child to abortion
may be just as great as the suffering of a mother who loses her child to
a careless driver.
If capricious and tyrannical courts refuse to allow awards for wrongful
death, legislation should be sought which would set generous minimum levels
of compensation for the emotional pain and suffering which results from
an unwanted abortion.
Withdrawn Consent
It is not uncommon for patients immediately before or during the abortion
procedure to get "cold feet" and withdraw consent. In interviews with 300
Australian women, psychologist Lawrence Fulton found that three of every
four tried to stop the abortion at the last minute. Fulton attributed this
finding to pre-surgical anxiety-reducing drugs which allowed deeper feelings
of ambivalence to surface.
In many of these cases, patients have been inaccurately told that "it's
too late" and the abortionist will insist on continuing with the procedure.
In other cases, the physician will momentarily pause but pressure the woman
to make up her mind in haste: "Get on the table now, or get out!"
Because even a temporary withdrawal of consent is clearly an indication
that the patient is experiencing deep and unresolved conflicts about her
decision, continuing an abortion, in such cases, is inappropriate and irresponsible.(5)
In such cases, the abortion should not be resumed or rescheduled until
the woman has received more extensive screening and counseling and has
had additional, unpressured time to reflect on her decision and resolve
her conflicting feelings. If the abortion has already begun, the abortionist
would be required to cease the operation and transfer the patient to a
hospital for evaluation and treatment by another physician to determine
if the pregnancy can be saved.
Payment Procedures
It is common practice in the abortion industry to obtain payment for
the abortion in advance. This requirement for upfront payment is unheard
of in any other medical practice and is clearly unprofessional. It is also
potentially coercive in that it may deter women from changing their minds
for fear of not getting their money back.
According to our model legislation, a woman's consent to abortion is
voluntary only if she is not required to pay any amount for the abortion
procedure, or pre-abortion counseling, until after the procedure has been
completed. Abortion provider's may, however, request proof of an ability
to pay before providing any services. If after screening and counseling
the woman decides against recommendation for an abortion, she would be
liable for no more than $50 in counseling and surgical preparation fees.
Reporting of Cases Involving Potential Child Molestation
Whenever a person seeking abortion is a minor the abortionist would
be required to determine if the pregnancy did result, or may have resulted,
from an act of incest, forcible rape, or statutory rape. If there
is reason to believe that the pregnancy is a result of one of these criminal
acts, the abortionist would be required to report the case to the appropriate
law enforcement officials and child protection authorities.
This provision is especially important to protect minors from exploitation
by older males. According to one study of 29 babies born in 1992 to 10
to 14 year olds in Kansas, 20 (69%) of the fathers were over the age of
18. Similarly, of 937 babies born to girls 15-17 years of age, 781 (83%)
were fathered by adults over the age of 18. Clearly, the State has a public
policy interest in prosecuting adult males who prey on minors.
In addition, child protection authorities may need to investigate home
environments where fourteen year old girls are dating 20 year old men for
evidence of negligence. As Linda Martinez, who brought these statistics
to my attention, comments: "If parents accepted money for allowing a man
to have sexual intercourse with their young child, they would be charged
with several crimes. But when they allow it at no charge, is it okay? No,
it's not okay. It's neglect! Parents may not be able to prevent it ahead
of time, but if they refuse to cooperate with law enforcement after the
fact, they should face neglect charges themselves."
Linda also suggests that statutory rape and indecent liberties with
children laws should be modified in a manner similar to laws against spousal
abuse. These modified laws allow prosecution without the cooperation of
the victim. Prosecution should not be stymied simply because the girl refuses
to cooperate, whether out of fear of the abuser, or because she loves her
seducer. This is especially true in the event that the minor becomes pregnant.
Whether the child is born, or aborted, blood tests can be used to establish
paternity which should be entirely sufficient for obtaining a conviction.
This law not only would provide an effective means for intervening on
behalf of a young girl who is being sexually exploited, it may also provide
her with the opportunity to escape from an unwanted abortion. This is especially
important because minors are more likely to be coerced into unwanted abortions,
especially in cases of incest. Furthermore, a vigorous prosecution of statutory
rape charges, combined with financial liability for the child and the young
mother, will deter the victimization of minors and may ultimately do more
to reduce births among minors than other state programs which simply promote
contraception and abortion.
Expert Testimony
Our legislation also expands the right of plaintiffs attorneys to call
upon expert witnesses outside of the abortion industry. Specifically, the
statute distinguishes between the technical-medical aspect of induced abortion
and the separate issues of screening, counseling, disclosure, and making
a medical recommendation. With regard to the latter, physicians or qualified
persons who provide care for women in crisis pregnancies would be allowed
as expert witnesses. With regard to the technical-medical process used
for the induced abortion, any physician skilled in D&C, D&E, evacuation
techniques, instillation, prescription of labor inducing drugs, or other
medical techniques which are substantially similar to the method employed
for the induced abortion at issue, would be allowed to testify as an expert.
The testimony of a board certified obstetrician-gynecologist would normally
be allowed as expert testimony.
Liability for Referrals
Any physician, health care worker, or family planning agency which makes
referrals for abortion would be held as jointly liable for all of the obligations
of this law. Any party who makes referrals to an abortionist outside of
the State would be solely liable for all provisions of our statute, including
the requirements to guarantee full disclosure, voluntary consent, and adequate
reflection time. Finally, any abortion provider advertising in the State
should be considered as doing business in the State and would be held liable
for satisfying the requirements of the statute.
Guaranteed Jury Instructions
To avoid the risk that jury instructions will fail to adequately define
the woman's rights and the physicians' duties, the jury shall be provided
with a copy of the pro-woman legislation at the request of either counsel.
This feature ensures that juries have an opportunity to more fully appreciate
the intent of the legislation and the broad rights which it grants to women.
Federal Legislation
While pro-woman legislation can be pursued in the individual states,
many of these principles can also be enacted through federal legislation.
Following the Republican congressional victory of 1994, this author proposed
to pro-life congressmen the enactment of the Full Disclosure Act which
would define the right abortion patient's right to full disclosure as a
civil right under federal law. The central aspects of this act are described
in the appropriate sections above.
In summary, the Full Disclosure Act would codify the reasonable patient
standard for all cases of abortion in all fifty states. It would specifically
require notification of all pre-identifying risk factors and disclosure
of all optional ways of correcting the physical, emotional, familial, social,
or economic problems associated with the pregnancy. Women who are denied
their civil right to full disclosure would be entitled to a compensatory
award of not less than $200,000 and not more than $2,000,000 without the
need to prove any other injury, though this award could increase if additional
injuries are proven.
On a smaller scale, this same standard could be specifically applied
only to agencies receiving federal health and family planning grants. Planned
Parenthood, and the like, have insisted that the "Gag Rule" forbidding
federal funds from being spent on counseling for abortion prevents them
from providing women with the option of abortion, which they are "ethically"
bound to provide. Since we want to respect their ethical standards (especially
since they are so rarely seen), the "Full Disclosure Rule" would simply
insist that once they bring up the topic of abortion, they become legally
and financially responsible for providing full disclosure. This
Full Disclosure rule would include all of the provisions as described above
with two additional stipulations. First, the grant recipient is solely
responsible for all awards to a plaintiff for violation of the full disclosure
requirements. Second, violation of the full disclosure requirements would
automatically make the offending agency, and any parent agency, ineligible
for federal funds, under all funding Titles, for any programs, for a period
of ten years.
It should be noted that this same strategy can be used to stop any
pro-abortion legislation. Pro-woman/pro-life candidates need merely to
amend the legislation to expand women's rights against the abortion industry.
For example, when President Clinton came into office, the pro-abortionists
were pushing hard for the Freedom of Choice Act. The centerpiece of this
act was the provision that States "may not restrict the right of a woman
to choose to terminate a pregnancy." Pro-abortionists hoped to use this
bill to protect abortion in the event that Roe was reversed. Roe
wasn't reversed and so the push for FOCA died. If it is ever revived, pro-abortion
enthusiasm for the bill would immediately dissipate if a simple amendment
were added, namely: "A State may not restrict the right of a woman, or
her survivors, to recover damages in civil action, at any time, from an
abortion provider for any physical, psychological, emotional or social
injuries associated with the abortion." This amendment to FOCA would strike
down all statutes of limitations on civil actions against abortionists
and would eliminate all malpractice caps on awards for abortion related
injuries--all while expanding women's rights, which was ostensibly the
goal of the bill. Any debate of such an amendment would place supporters
of FOCA in the very awkward position of claiming that the right of women
to sue for abortion related injuries must be limited to protect the viability
of the abortion industry. Clearly they would not want to openly debate
this amendment, but neither could they afford to let it pass into law.
Thus this amendment would be a "poison pill" which would force them to
withdraw their bill.
Taking Back Choice
Readers by now have noticed that I like to take the battle onto our
opponents' ground. If we are right, and they are wrong, then even the smallest
kernel of truth which lies in their arguments can be built upon to destroy
their false god. They claim to be concerned about the welfare and autonomy
of women. I claim to be more concerned, for the very good reason that abortion
is injuring women, not helping them.
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To learn more about our model legislation, including a copies of model bills and support documents,
please go to www.afterabortion.info/leg
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To read the rest of this chapter, order Making Abortion Rare,
today.
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Order Making Abortion Rare Today
Notes
1. David Reardon, "Psychological Reactions Reported
After Abortion," The Post-Abortion Review 2(3):4-8, Fall 1994.
2. Roe, 159-162.
3. Roe, 163-164.
4. As previously noted, Sylvia Stengle of the National
Abortion Federation admits that in such cases the abortionist would be
ethically bound to refuse to perform the abortion. Woo, "Abortion Doctor's
Patients Broaden Suits", Wall Street Journal Oct. 28, 1994, B12.
5. "Mixed feelings and uncertainty about proceeding
with an abortion seem to be associated with later guilt, preoccupation
with fantasies of the fetus, including its sex, awareness of the term delivery
date and being upset at seeing other women with babies." Gath & Rose,
"Psychological Problems & Gynacological Surgery" in Psychological
Disorders in Obstetrics and Gynaecology (London: Butterworths, 1985).
See the additional citations in Appendix A.
* * * ALL RIGHTS RESERVED * * *
Copyright 1996 David C. Reardon. Excerpted with permission
for from Making Abortion Rare: A Healing Strategy for a Divided Nation,
published by Acorn Books, PO Box 7348, Springfield, IL 62791-7348 for internet
posting exclusively at www.afterabortion.org. All Rights Reserved.
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