Texans have a New Abortion Law. Americans have a New Political Reality.

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Texans have a new abortion law.

Americans have a new political reality. 

The Texas legislature passed the much-ballyhooed abortion law which would require abortion doctors to have hospital privileges and abortion clinics to provide the same health and safety standards as other outpatient surgical clinics. They crossed the finish line on this bill late last night amid what can only be described as a mob assault on the Texas state capitol.

The reason I chose the words “mob assault” is that the focus of at least a good number of the citizens who came to the Texas capitol was to use mob action to shut down the legislative process. Consider, for instance, this statement issued by the Texas Department of Public Safety:

AUSTIN – The Texas Department of Public Safety (DPS) today received information that individuals planned to use a variety of items or props to disrupt legislative proceedings at the Texas Capitol.

Therefore for safety purposes, DPS recommended to the Texas Senate that all bags be inspected prior to allowing individuals to enter the Senate gallery, which the Texas Senateauthorized.

During these inspections, DPS officers have thus far discovered one jar suspected to contain urine, 18 jars suspected to contain feces, and three bottles suspected to contain paint. All of these items – as well as significant quantities of feminine hygiene products, glitter and confetti possessed by individuals – were required to be discarded; otherwise those individuals were denied entry into the gallery.

In the interest of the safety and security of Texas legislators and the general public, these inspections will continue until the conclusion of Senate business.

I am all in favor of citizens visiting their state capitols. I think the people of this nation should pay a lot more attention to what their lawmakers are up to than they do now. I believe that every person in this country has a right to talk to their elected officials and to petition them concerning the issues and legislation they are voting on. 

We are, every single elected one of us, representatives of the people who put us here. We can’t know what the people who elected us want from us unless they tell us. Polls and things of that ilk are not a substitute for direct personal input with the people themselves. 

On the other hand, when a group of people try to use mob action to shut down the legislative process, they are attacking democracy. The people who were so bent on disrupting the Texas legislature would not have needed to be there at all if they had been able to take their cause to the court of public opinion and win elections. By trying to disrupt the legislative session with mob action, they were, in effect, attempting to overturn the elections which put the legislators in that chamber to cast those votes.

Political Campaign

If you don’t like what your legislator does with the power you gave them when you elected them, then run against them for election. If  you don’t want to run, then go out and volunteer to help someone else run. Put up yard signs. Make phone calls. Hand out literature. Donate money. 

That is the way to change the face of government in this country. It is a power we all have, and which we are giving away to special interests and money men when we don’t use it. 

There is a new kid on the political block, and it’s a yammering, spoiled, mean-spirited little brat who wants what it wants when it wants it and doesn’t care what damage it does to this country to get it. The bad behavior of some of the protestors in Texas is paralleled by the sudden rash of elected officials, Attorneys General, in particular, who run for office, get elected, and then find that their superior morality requires them to refuse to do the job they were elected to. 

We’re going to have to start arresting these people who come to state capitols and try to use mob action to shut down the legislative process. I don’t want to do that. I want people to feel free to go to their capitols and to talk to their legislators about whatever is on their minds. But we cannot allow mobs of people who cannot win an election try to overturn elections by shutting down the Democratic process by means of creating such havoc that they stop debate.  

Impeach

At the same time, we need to consider impeaching or at least defeating at the polls duly elected chief law enforcement officers who refuse to speak for the people in court. When an Attorney General of a state will not represent the people who elected him or her in court, they are derelict in their duty. They are using a sort of don’t-show-up-in-court-and-deliberately-lose-the-case veto power over the legislative and referendum process. They are making themselves the judge of what it is not their job to be the judge — the will and the power of the people of their state to make their own laws. 

Both of these extreme behaviors — the mob actions in Texas and other states, and the newfound desire to veto legislation by not showing up in court on the part of Attorneys General — are attempts to subvert the will of the people, and to nullify the actions of a representative government. 

I view both these behaviors as the natural outcome of the moral depravity of the positions some citizens are taking. It corrupts and hardens a person to support killing unborn babies. It scrambles the normal thinking processes to convince yourself of something as stupid as the idea that two men or two women are the same as a man and a woman. This is untrue on its face. 

Genuinely pro choice (as opposed to pro abortion) people have legitimate points. Much of what concerns them about the misogynistic treatment of women is well-founded. By the same token, homosexuals have legitimate claims to civil rights and protection under the law. However, the pretense that an unborn baby is not a human being, or that a homosexual union is the same as the marriage between a man and a woman, flies in the face of reality. 

Laws enacted according to these fantasies are always going to cause great harm, because they are not based on the reality of the human condition. People who advocate for these positions, will, over time, harm themselves and their thinking abilities. 

It saddens me, but it doesn’t surprise me, to see the destructiveness to our political fabric ratcheting up with each twist of the political dial. It is the inevitable consequence of the fantastical thinking many people use in forming their worldview.  

She Could Have Been Me

I wrote this post over a year ago. In light of questions raised by a reader concerning this post, I’ve decided to republish it today.

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She could have been me.

I didn’t get to that thought at first. My first reaction when I saw the Live Action undercover video The War on Baby Girls was anger. I’ve known this was happening, that women were aborting baby girls because they were baby girls, for quite a while.

My sources were nurses and chaplains who work in Oklahoma hospitals. I helped pass a bill which tried, within the straight jacket of Supreme Court rulings on the subject of abortion, to do something about it. The supporters of legal abortion claimed that the bill was unnecessary, that sex-selected abortions don’t happen.

It gets wearying, dealing with the constant barrage of lies that attend politics these days. No one tells the truth; not about their intentions, the legislation, or the objective facts of medical practice. Nothing — and I mean NOTHING — brings out the facile lying more than the fine art and practice of medical misogyny.

So, when I watched that video, my first reaction was anger. It took a few hours for the other reaction to come around. I kept remembering that counselor. She was careful with her words. She never said “abortion,” or “abort.” The word “kill” didn’t cross her lips. She talked about “terminate.”

“If you decide to terminate,” she said.

I replayed her face as she told the girl to avoid telling people that she was planning to abort her baby if the baby was a girl.

Some people might “place judgement,”  she said.

Nothing about the counselor shouted Monster! But what she was doing, what she was saying, what she was aiding, abetting and helping to happen WAS monstrous. How did she, how does anyone, get to this place? The grim logic of abortion and its illogical conclusions doubtless played a part in her actions. If a five month old baby (and that’s what a 20-week fetus is) is not human enough to have a right to life, then what does it matter why we kill her?

But the counselor’s words resonate: “Place judgement” she said. That’s the paralyzing ethos of our times at work. Judging, judgmentalism, are the evils in this upside down world, not the murder of an innocent baby girl.

I would guess that a lot of people look at that counselor with disgust and rage. But I feel sorry for her. I hate having to admit this, but the truth is, she could have been me. There was a time when I wasn’t just pro-choice, I was a stinking fanatic about it. I had seen and experienced first hand the violence, degradation and destruction that is misogyny and, like so many young women of my time, I saw abortion as a way out.

But when you go down that path of using one evil to justify another evil you end up committing even greater evils yourself. If you really aren’t a monster who has no conscience or concern for other people, you look for ways to hide what you are doing from yourself. The greatest lies of our times are the lies we tell ourselves to justify doing things that we know are wrong. What makes it work is that the whole culture conspires with us in the doing of it.

The culture, not just of Planned Parenthood, but of our whole American world, says that you can not, you should not, you must not “judge.”

As with most lies that are effective, this one has truth mixed into it. The desire to play God runs strong in all of us. I think that if we had the power to enact our judgements on one another, none of us would go to heaven. We would all condemn one another to hell.

But using the word “judgement” itself as a condemnation is not only idiotic, it’s destructive. The human brain is designed by Our Maker to observe, compare, think and conclude. These conclusions are just another word for “judgement.” When our culture labels this power to discern and decide an evil; when it shears our thinking brains away from us, we become a culture of co-dependence and mental decay.

It’s as if we’ve all suffered a cultural stroke and the words “this is wrong” have been erased from our minds. Instead of saying the plain facts of things, we go into mental gymnastics, trying to “understand” the most hideous behavior. We create fantasy motives for crimes against humanity which are tissues of lies we tell ourselves. These fantasy interpretations of the plain reality in front of us help us silence the thinking, analyzing parts of our brains. They allow us to avoid the social anathema of being labeled “judgmental.”We find ourselves unable to set standards for behavior for anyone, including ourselves.

That is how a basically kind-hearted person can become a monster.

The great irony is that the flip side of this is no better. If we take the untrammeled power to judge others onto ourselves, we unleash the monsters of condemnation, discrimination and, inevitably, killing of innocents. That’s where the gulags, pogroms, lynchings, rapes and murders come from. On the other hand, if we flee from this into a refusal to “judge,” we unleash the monsters of condemnation, discrimination and, inevitably, killing of innocents. That’s where the attacks on Christians, abortions, euthanasia, and starvation of millions for corporate greed come from.

We can whipsaw our human nature from pole to pole; from legalistic judging to fear of judging that becomes another kind of legalistic judging, and we always end up right back where we started from. We are caught forever in the morass and mess of original sin and we cannot think, moralize or fight our way out of it.

The only thing that can save us is the cross. The only One who can save us is Jesus.

I know. Because He saved me. My first reaction to that video was anger. Then, I indulged in a few minutes of self-righteousness by remembering what I went through trying to help pass a bill to lessen the practice of sex-selected abortion. Finally, I came around to the truth: That counselor could have been me, was me, is me, without Christ.

Human beings become monsters when we take the deciding of right and wrong, good and bad, on ourselves without reference to the One who made us. Nothing we can do, and I mean NOTHING we can do, can save us from this. You can go to church, sing in the choir, read the Bible, but if you do these things on your own power and by your own lights, you can and you will become a monster to somebody. You may not have an abortion. But you’ll do something.

We are not saved by ourselves, of ourselves, or even for ourselves. Our salvation comes through the humiliation of the cross and the only honest way we can approach that cross is with humility.

The only salvation we have is at the foot of the cross.

The counselor in that video could have been me.

When you look around at the sins of the world, which of them could be you?

63% of Texas Babies Killed in Abortions are Black or Hispanic

1950s nun

Texans kill a lot of babies, and most of them are black and hispanic

Sixty-three percent of the 77,152 babies who were murdered in Texas abortions in 2009 are black or hispanic. 

That has to be balanced against the 435,480 babies who were killed in the 27 states that report these numbers plus the District of Columbia. The last time I checked, there were 50 states, not 27, which means that abortions are grossly underreported in America. The real number of dead babies in 2007 was much higher than the already overwhelming toll of 435,480. 

Fifty-six percent of the babies killed in these reporting states were either black or hispanic. That makes abortion a racial issue all over the country. But even more so in Texas. 

The question we have to ask is whether this is by design or simply a reflection of other currents in society. I think it’s by design, in a cumulative sense. 

Baby and mother s hand black

The population control movement has been shaped by a eugenics philosophy from its start. Proponents of the movement will argue against that in public, but turn around and make statements that are entirely in keeping with it in private. I have heard these comments myself, many times. 

One thing I’ve learned in this life is that people do what they want. They may tell you that they plan to work out 2 hours a day and get in shape, but they do what they want. If they sit on the couch instead of working out, it’s because sitting on the couch is what they really want. People say all sorts of things. But they do what they want.

By the same token, people usually get what they want. 

If say you want abortion to be for all women, but your put your clinics in the poorest parts of town and seek government grants to “educate” and “provide” for those without money or people of color, then you probably want to limit the number of poor and people of color. 

Abortion is the “answer” society gives poor women and women of color for the problems it dumps on them. Other groups of women have abortions, but if you doubt that abortion is the “choice” we’re giving primarily to poor women and women of color, just look at the numbers.

People do what they want and they get what they want. The abortion industry is getting a racially targeted number of abortions that reduces the percentage of black and hispanic babies being born. 

77,152 babies died in abortions in Texas in 2009.

Just writing these words grieves me. It oppresses me and pushes me toward despair. 

77,152 lives. 

In one state. 

How can anyone read that and not be sad?

Grandfather little girl hispanic

 

The Hydra-Headed DOMA Decision and Bankrupting the States

We all deserve the freedom to marry

Michigan state law allows health benefits for school employees and their spouses.

It does not allow health benefits for domestic partners.

US District Judge David Lawson struck down this law on June 28. He based his decision on the recent Supreme Court decision overturning the first half of the federal Defense of Marriage Act.

State law determines what benefits public school employees will receive. These benefits are paid for out of the state coffers. One would think that this would be a state’s rights issue, determined by the state’s legal definition of what constitutes a spouse.

However, the recent Supreme Court decision has allowed the judge to overstep state definitions of marriage and require the State of Michigan to extend health care benefits to domestic partners.

According to CNA:

U.S. District Judge David Lawson’s June 28 ruling said it can “never be a legitimate purpose” to deny health benefits to the same-sex partners of public employees. He said the plaintiffs who lost benefits or had to pay for more expensive private health insurance have a “plausible claim” that the law violates the U.S. Constitution.

The 2011 law ended same-sex partner benefits for a few school districts, the counties of Ingham and Washtenaw and the cities of Ann Arbor, East Lansing and Kalamazoo, the Associated Press said.

Defenders of the law said it was passed in the spirit of a 2004 constitutional amendment that defined marriage as a union of a man and a woman. That amendment won 58 percent of the vote.

This, of course, raises other questions for Michigan, and for all states. The Supreme Court decision essentially overturned state definitions of marriage as between one man and one woman, at least for all practical purposes. The Michigan case is just one small example of how far-reaching this Supreme Court decision actually is.

Money down the drain

It will require a change in how the states pay for things such as employee benefits and entitlements. This district court decision pushes the envelope past legal marriages and into the area of domestic partnerships. Since our laws are required to be equal in their applications, that means that it does not just apply to domestic partnerships between same-sex couples, but between virtually anyone.

I realize that is not what the judge specifically addressed in his ruling, but that is the impact of the ruling. It may take a few court cases to make the point, but if this ruling stands up under appeal, that will be its effect in the long term.

The question immediately arises: How are the states going to pay for this? The answer, I’m pretty sure, is that they can’t. Oklahoma is actually in better financial condition than many states, and we would be flummoxed trying to provide benefits for every live-in “domestic partnership.” Of course, the federal government might decide to step in with huge subsidies for these benefits, but that raises the ugly question of how they are going to pay for it.

The only financially responsible answer that provides equal protection under the law that I can see is to either change state laws to redefine marriage to include gay couples and then wait for the next big trendy change allowing polygamy, followed by benefits to cohabiting heterosexuals, OR, do away with benefits for everybody. That is the effect of the Supreme Court’s decision on DOMA on the states.

I have no doubt that in the long run — and I’m talking about years, maybe a decade, but not much longer — where we will end up is doing away with benefits for everyone. It will be a simple financial imperative.

Welcome to the brave new world of marriage is whatever we say it is today.

Book Review: Resurrection Year

ResurrectionYear 1 To join the discussion about Resurrection Year, or to order a copy, go here

Infertility treatment grinds you down, both physically and emotionally. It involves taking large doses of hormones that make you feel lousy. Your blood must be monitored on a daily basis to make sure the hormone levels in your body are not getting dangerous, and you have to go through daily ultrasounds to check your ovaries.

There’s a lot more to it than what I just said; the pain of all those procedures and needle sticks, the emotional roller coaster and the repeated monthly disappointments. It not only costs a great deal of money, it makes it harder for the woman to work, tethered as she is to the fertility clinic and her over-charged body chemistry.

Infertility treatment is more than just medical treatment. It is an all-consuming way of life that can destroy a woman emotionally and spiritually, as well as damage her physically. It is stressful for the marriage and for relationships with extended family and friends.

I know about this because I’ve been through it myself.

Resurrection Year is the story of how popular Australian radio show host Sheridan Voysey and his wife Merryn dealt with the aftereffects of years of failed infertility treatment. This devout Christian couple was left devastated by the combined trauma of years of aggressive medical treatments and the loss of their dream to have a child.

It is striking that Merryn appears to never have reproached her husband, even though the infertility problem came from his low sperm count. The person she reproached was God. In her own words, the experience left her wondering if “God is a meanie.”

When Merryn told her husband that she wanted to move away from Australia and “have an adventure” by moving to a new country, he agreed to do it, even though it meant leaving behind his thriving career and literally starting over. Merryn had lost her first dream of motherhood, and he wanted to give her this new dream. They moved to England where Merryn found meaningful work at Oxford University, but Sheridan floundered professionally, unable to get started again in this new country that didn’t know him.

The first year they spent in England was their Resurrection Year. It was a year in which Merryn healed from her traumas and losses to be able to go forward in acceptance. It was the time she needed to get to know God on a deeper level and not only regain, but advance in her love of Him and spiritual growth.

Sheridan, too, ended up growing and advancing in his life in Christ. But his growth came from the pain of loss that he felt for having given up a career he loved to start over in the same field as a nobody once again.

What the book is really about is the give and take of marriage.

Merryn and Sheridan exhibited the kind of love that makes a marriage work. She, as I said, never rebuked him for the pain she suffered because she couldn’t have children. For his part, he not only gave up his career to help her dream a new dream, he did it without begrudging her the happiness she found in moving to England and without becoming bitter or angry toward her over the pain he experienced while re-starting his career.

I think the reason they were able to do this lies in their Christ-centered lives and their deep love for one another. Even when Merryn “lost” God in the depths of her pain, she didn’t turn her back on Him. She just honestly asked the question that everyone asks when life beats them up unjustly: Why?

She asked this question within the framework of the Gospels, the love of other Christians and her own best friend in this life — her husband. The answers she found in the Resurrection Year were the same ones that Christians have always arrived at when the pain is too much, and that is simply that we may not understand why in this life, but we do know that He is there with us in that pain.

Sheridan had to walk his way with less support from other people. Most of us don’t realize that loss of career is a loss every bit as real and painful as any other. It drives to the heart of our self identity and feelings of worth. It changes the way other people treat us and what we think of ourselves.

Sheridan suffered through this in the same way Merryn faced her grief; by walking with Christ and reaching out to other people.

Resurrection Year is a gentle book that doesn’t slam you over the head with conclusions and bullet-pointed lists of things you should do. Even though it talks specifically about recovery from infertility treatment and childlessness, its lessons could apply to any of life’s trials.

Perhaps its most important message is what it says about Christian marriage. The role of helpmate shifts from one spouse to the next, depending on the circumstance, throughout every good marriage. We have to love the people we marry, and we have to accept the limitations they bring with them to the marriage without reproaching and blaming them.

Resurrection Year is a good book to read on a Sunday afternoon. It is short and easy to get through. Its life lessons on how to love your husband or your wife are something we all need to learn and re-learn each day of our married life.

Texas and Abortion: This is How Pro Choice Created Gosnell

Convicted abortion doctor kermit gosn 001

I’ve written before that Dr Gosnell is the monster that pro choice built.

Dr Gosnell is the recently convicted serial killer/abortionist who operated what some people have described as a “chamber of horrors” in Pennsylvania.

I knew I would catch some flak for saying that, and I did. But I had said it advisedly, based on my experience on both sides of the abortion wars. I knew what I was talking about.

We are seeing the dynamic I referred to acted out once again in Texas; pro choice people are going over the top to fight the regulation of abortion clinics in the name of “women’s health.”

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About a week ago, Senator Wendy Davis of the Texas State Senate engaged in a 13-hour filibuster that resulted in a legislative train wreck for a good piece of pro life legislation. Her actions, along with some filibustering from the Senate gallery, effectively killed a bill that would have required that:

1. Abortion clinics provide the same kind of patient safety as any other ambulatory outpatient surgical center,

2. Doctors who perform abortions in clinics must have hospital privileges at a hospital that is within 30 miles of the clinic,

3. Abortion clinics provide their patients with a phone number which would be answered 24 hours so that they can call for medical follow-up to their abortions,

4. Abortion clinics give women the name and phone number of the emergency facility nearest to her home where she can go for medical care in the case of an emergency after her abortion,

5. Doctors, and not staff, prescribe drugs for a chemical abortion according to FDA guidelines, and that the drugs for chemical abortions may not be dispensed until after the prescribing physician has examined the patient and determined that she is not carrying an ectopic pregnancy.

6. Doctors who perform abortions who prescribe drugs for a chemical abortion also provide follow-up care, including a follow-up examination by the physician to determine that the abortion is complete and a 24 hour phone number in case the woman needs questions answered.

7. Doctors who perform abortions must report adverse affects caused by drugs used in chemical abortions to the FDA according to FDA guidelines.

These are the “outrageous” regulations that pro choice people are demonstrating to stop. In my humble opinion, there is not one thing on this list of requirements that even the most pro choice person would not want for their daughter if she was undergoing an abortion.

Doctors who do abortions — which are a surgery — should have hospital privileges?

Duh.

Abortion clinics — which are outpatient surgical clinics — should comply with the same health and safety regulations that every other outpatient surgical clinic does?

Abortion docs should examine their patients before surgery and follow up with them afterwards? They should report side effects of the drugs they prescribe to the FDA? They should make sure that women they give abortion-causing drugs aren’t carrying an ectopic pregnancy, when giving those drugs to a woman who is carrying an ectopic pregnancy can cause her to bleed to death?

Er

These regulations are exactly what anyone who is interested in “safe, legal” abortions should want. Frankly, I think the pro choice people should thank the pro life legislators who are pushing this bill for cleaning up their dirty little industry.

However, the pro abortionists have pulled out all the stops to kill this bill, including misrepresenting it to their own followers. I doubt very much that the many “pro choice” people in this country who are buying the stuff the abortion industry is putting out about this legislation actually know what the bill contains.

If they did, most of them would favor the legislation. Frankly, anyone who favors “women’s health” should favor this legislation. But they’ve been conditioned for many decades by the constant drum beat of pro abortion extremists to believe any stupid thing those extremists say. There is little actual thinking that goes into the positions they take on abortion.

I would imagine that even most of the legislators who oppose this bill think they are doing it because if they don’t women will be “sent to the back alleys.”

The Texas legislature can not overturn the United States Supreme Court. Roe is not in danger. What is in danger is the lives of the young women who go to clinics that are protected from providing good medical care by abortion zealots who are so caught up in their cause that they don’t have a genuine thought in their heads.

Abortion rally texas

I read this morning that there are plans for celebrities to come to Texas and speak against the bill. The whole thing has turned into a cause celeb, both literally and figuratively. After all, it turns out that many of the clinics in Texas will have to close because they can’t comply with operating like regular outpatient surgical clinics do.

They want, they demand, that they be exempted from providing good medical care to women because if they do have to provide the same level of care that other outpatient surgical clinics provide, it will endanger women’s health.

Does anyone know who’s on first?

Lessee …

What are we making sure of?

That women’s doctors are free to not follow up with them, don’t have to provide the same health and safety for them that they would for any other surgery, don’t need to examine them before doing surgery on them or administering dangerous drugs to them, and … get ready for this now … don’t even have to have hospital privileges at a nearby hospital.

That’s “women’s health,” abortion style.

Remember Dr Gosnell and his chamber of horrors? This kind of folderol is exactly how pro choice built that monster.

They fight against any and all pro life legislation on the grounds that even safety standards “narrow” Roe. They tell poor deluded women that if laws like this one pass, they will be “forced into the back alleys” again.

So what happens to the women?

A lot of them end up suffering harm that would have been prevented by better medical care. I’m not even talking about what happens to the baby here. I am talking solely about women’s health.

I had to have a couple of surgeries last year. I came home the same day after both of them. Neither of them was as risky as poking around in a pregnant uterus.

I can tell you that I wanted a doctor with hospital privileges holding the knife when he went to work on me. I wanted him to examine me beforehand and make sure that he knew what he was doing and that I was a good candidate for the surgery. I wanted health and safety standards dutifully enforced in the place where he did this surgery. I would have been outraged if I had learned that I was on my own after the surgery with no support or follow up if something went wrong.

Nobody anywhere was out demonstrating for the doctor who cut into my foot to be free to practice dirty medicine, not have hospital privileges and dump me after the surgery. Not one person thought it was outrageous or a violation of my rights that my doctor was required to practice competent medicine on me.

But if I had been a woman who was seeking an abortion, they would have been jumping up and down, demonstrating, filibustering, importing celebrities to defend my “right” to incompetent medical practices.

That’s how pro choice built Dr Gosnell and his chamber of horrors. It’s how they endanger women’s lives all over this country.

Look at this carefully and tell me: What’s wrong with this picture?

Pray for Marriage

We are called to a day of fasting and prayer today for marriage and religious freedom. 

I think this is an excellent way for us to clear our minds and settle down into this new post Christian reality in which we live. We can no longer look to the larger culture to teach our children our values. We can no longer look to the society around us to give us courage and sustain us in our Christian walk. 

In this new reality, Christians are going to have to look to one another for their support in this life. We all must rely more on God and less on the government and our larger society to be our strength and our guide. 

I don’t think this has sunk in on most of us yet. Prayer and fasting, repentance and asking, are the best ways for us to begin to face this new reality. 

Here is a prayer from the USCCB. I plan to pray it several times today, along with the Divine Mercy Chaplet. 

Prayer In Defense Of Marriage

 

God our Father, we give you thanks
for the gift of marriage: the bond of life and love,
and the font of the family. 

The love of husband and wife enriches your Church with children,
fills the world with a multitude of spiritual fruitfulness and service,
and is the sign of the love of your Son, Jesus Christ, for his Church.

The grace of Jesus flowed forth at Cana at the
request of the Blessed Mother. May your Son,
through the intercession of Mary, pour out upon us
a new measure of the Gifts of the Holy Spirit
as we join with all people of good will
to promote and protect the unique beauty of marriage.

May your Holy Spirit enlighten our society
to treasure the heroic love of husband and wife,
and guide our leaders to sustain and protect
the singular place of mothers and fathers
in the lives of their children.

Father, we ask that our prayers
be joined to those of the Virgin Mary,
that your Word may transform our service
so as to safeguard the incomparable splendor of marriage.
We ask all these things through Christ our Lord,
Amen.

Saints Joachim and Anne, pray for us.


 


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Why are the Bishops Doing This?

Fortnight 4 freedom logo montage

In honor of the Fortnight for Freedom, I am going to limit today’s quick picks on Christian persecution to the United States.

The list below comes from the website of the United States Conference of Catholic Bishops. None of these examples involves burning down churches or mass murders of Christians. They do, however, show a huge change in the way that religious liberty is viewed by the government from just a few years ago.

I believe that this change has come about primarily through the almost non-stop Christian bashing that takes place in our media, academia and on websites. Christian bashing has become so popular that those who practice it as a profession, such as certain authors, speakers and bloggers, are not only able to continue their practice of Christian bashing without facing objections, they make an excellent living at it.

The rise of professional Christian bashers and the aggressive way that they ply their trade has certainly contributed to a cultural situation in which Christians must constantly be on the defensive. I think it has also fueled the attitudes which have led to the discriminatory practices listed below.

I’ve said a number of times that discrimination is a continuum. People do not move to violent persecution in one step. They work themselves into it by moving along a progression of prejudice and hatred. I believe that America is, as a nation, moving rather rapidly along that progression where Christians are concerned.

From the USCCB:

Current Threats To Religious Liberty

An Overview of Specific Examples

Pope Benedict XVI spoke last year about his worry that religious liberty in the United States is being weakened.  He called religious liberty the “most cherished of American freedoms.”  However, unfortunately, our most cherished freedom is under threat.  Consider the following:

  • HHS mandate for contraception, sterilization, and abortion-inducing drugs.  The mandate of the Department of Health and Human Services forces religious institutions to facilitate and fund a product contrary to their own moral teaching.  Further, the federal government tries to define which religious institutions are “religious enough” to merit protection of their religious liberty. 

  • Catholic foster care and adoption services.  Boston, San Francisco, the District of Columbia, and the State of Illinois have driven local Catholic Charities out of the business of providing adoption or foster care services—by revoking their licenses, by ending their government contracts, or both—because those Charities refused to place children with same-sex couples or unmarried opposite-sex couples who cohabit. 

  • State immigration laws.  Several states have recently passed laws that forbid what they deem as “harboring” of undocumented immigrants—and what the Church deems Christian charity and pastoral care to these immigrants.

  • Discrimination against small church congregations.  New York City adopted a policy that barred the Bronx Household of Faith and other churches from renting public schools on weekends for worship services, even though non-religious groups could rent the same schools for many other uses.  Litigation in this case continues. 

  • Discrimination against Catholic humanitarian services.  After years of excellent performance by the U.S. Conference of Catholic Bishops’ Migration and Refugee Services (MRS) in administering contract services for victims of human trafficking, the federal government changed its contract specifications to require MRS to provide or refer for contraceptive and abortion services in violation of Catholic teaching. 

  • Christian students on campus.  In its over-100-year history, the University of California Hastings College of Law has denied student organization status to only one group, the Christian Legal Society, because it required its leaders to be Christian and to abstain from sexual activity outside of marriage.

  • Forcing religious groups to host same-sex “marriage” or civil union ceremonies.  A New Jersey judge recently found that a Methodist ministry violated state law when the ministry declined to allow two women to hold a “civil union” ceremony on its private property.  Further, a civil rights complaint has been filed against the Catholic Church in Hawaii by a person requesting to use a chapel to hold a same-sex “marriage” ceremony.

Is our most cherished freedom truly under threat?  Yes, Pope Benedict XVI recognized just last year that various attempts to limit the freedom of religion in the U.S. are particularly concerning.  The threat to religious freedom is larger than any single case or issue and has its roots in secularism in our culture.  The Holy Father has asked for the laity to have courage to counter secularism that would “delegitimize the Church’s participation in public debate about the issues which are determining the future of American society.”

Fortnight for Freedom 2013: Meatless Fridays and Prayer for our First Freedom

Today is the first day of Fortnight for Freedom 2013.

The American bishops have asked Catholics to refrain from eating meat on Fridays during the fortnight as a fast for religious freedom.

I would suggest that we also pray the Rosary for the intention of religious freedom on Fridays during the fortnight.

You can sign up for text alerts on religious freedom from the USCCB here.

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If It’s Not Prostitution, Take the Money out of It

MH900448636 I knew when I posted The New Prostitution: Surrogate Pregnancy that I would get a flurry of indignant responses and lies from people who buy and sell women’s bodies in this new, medical form of prostitution.

I’ve been to this particular rodeo before. What I encountered then and now is what people who stand up for the human rights of women always encounter: Lying attacks from their exploiters, self-destructive defenses of their own dehumanization by self-hating women, and stories of the “benefits” of the prostitution from their purchasers.

Just for the record, I don’t put pimps’ testimony on this blog. That includes pimp husbands who take money from their wives selling their bodies to medical science and doctors who buy and sell women’s bodies. I also don’t put johns’ excuses for their behavior on this blog. You’re wasting your time, trying to comment here.

My experience with this began when I went through infertility treatment to have my first child. I know a lot of about these drugs they give people. I know about their side effects and how they make you feel. I do not have first-hand knowledge of the irresponsible medical practice of egg harvesting.

My doctor was treating me for a diagnosed medical condition. The dangers and miseries I endured were part of a legitimate treatment for a bodily disfunction. She never over-stimulated my ovaries to try to make as many eggs as she could. She also never lied to me about the risks. She told me everything before we ever started, including the fact that the treatment could kill me.

The doctors who perform egg harvesting in Oklahoma lie about the risks. I know they lie because when I introduced a bill to stop them from paying women to undergo egg harvesting, they lied to other legislators and to the press. One of them said that egg harvesting was no more dangerous than riding in a car, among other flat-out lies.

They also claimed that they had not ever had a single complication. Another lie. One of these docs was part of the infertility clinic I went to. He wasn’t my doctor, but I knew him. While I was undergoing treatment, one of his patients lost an ovary. Call me crazy, but I think that qualifies as a complication.

These doctors are misrepresenting the risks and exploiting young women, endangering their lives, future health and fertility. They are reducing women and children to things to be bought and sold on the marketplace. They are also turning medical practice into an exploitative and dangerous profession that people cannot trust. 

If doctors can subject people to dangerous treatments that the patients have no medical need of in order to make money, if they can lie about the risks and use their professional associations’ political clout to create an environment that allows them to do this with impunity, then how can anyone ever trust their doctor?

We rely on these medical people to tell us the truth. We rely on them to give us treatments that we need because we are sick and need those treatments to get well. We rely on them not to inflict unnecessary medical treatments on us to make money.

These doctors are preying on women. They are buying and selling babies. All the lies in the world won’t change that.

There is one simple solution. Take the money out of the equation. If a woman wants to undergo a surrogate pregnancy for someone out of the goodness of her heart and she knows the risks and freely undertakes them, ok. But do not allow anyone to pay her to do this.  The same should go for egg harvesting. 

There is a reason we have laws that do not allow people to sell their bodily organs. The same laws should to apply to egg donation and surrogate pregnancies.

What I want to do is,

TAKE THIS:

Donor page masthead

 

AND THIS

  • First-time surrogates receive a base payment of $23,000, paid in installments throughout the pregnancy.
  • Additional payments total $4,000 or more, which increases the total compensation to $27,000. These payments include money for maternity clothes, payment for completing the embryo transfer, and a monthly expense allowance beginning when the surrogate signs the contract with the intended parents.
  • Surrogates who carry twins receive an additional $5,000, raising their total to at least $32,000.
  • Women who become surrogates a second time have their base payment increase to $28,000. This means they receive at least $32,000 total, or $37,000 if they carry twins. (see here.)

AND THIS

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OUT OF THE EQUATION. 

Give women and children their human dignity under the law. 

Otherwise, stop lying and call it what it is: The new prostitution.

The story below comes from a young doctor. She gave me permission to use her testimony when I was working to pass a bill to make it illegal to pay for egg harvesting in Oklahoma. I never used it, even though she gave me permission. She was still a student and afraid of what public use might do to her medical career. I didn’t think she understood how vicious and slandering these people really are, and I did not want to harm her in any way. I left her out of that fight.

However, she is in a different place in her career now.  She has offered her story as testimony to the Kansas State Senate and it is published at the Eggsploitation web site.

I reprint it here with permission. From Eggsploitation:

 

Sindy’s Testimony

Testimony by Sindy, M.D., Ph.D. to Kansas State Senate on Senate Bill 509, “Women’s Health and Embryo Monitoring Program Act,” March 2010

My name is Sindy. I have an M.D. and a Ph.D. in Biology with specialization in the field of real-time live imaging of the early immune response. With my strong background in basic science research and publications in top scientific journals such as Nature and Science, I have always been an avid supporter of biological research using live subjects and donated tissue, both animal and human. However, my experiences have taught me that at times, even a scrupulous medical scientist may be tempted to make erroneous assumptions, cut corners, or risk safety in order to save time or achieve success. In my medical and research training I have learned the importance of certain principles whenever attempting a procedure or study. These include: 1) ethics, 2) subject safety, 3) informed consent, and 4) patient autonomy. I am testifying today as a former egg donor on the dangers posed to women by the egg harvesting industry. I believe that all four of the above key principles had been violated in my case. Even though I suffered immediate life-threatening complications from the process, it wasn’t until many more years of medical training that I was able to understand the full scope of how I had been taken advantage of, mislead, and abandoned by the egg harvesting industry. As a medical professional it is still difficult to accept that such abuses are allowed to exist in my profession. Meanwhile, players “behind the scenes” such as the egg donation agency and the egg brokers have left the issues of ethics, health, and safety to the doctors, so that they can concentrate on profit. It is my assessment that the egg donation industry cannot be allowed to continue without regulations aimed at preventing unethical recruitment, substandard practices, and inadequate monitoring of women for the purpose of egg harvesting.

The goal of my testimony is to illuminate the importance of placing regulations on the way that the egg harvesting industry is run — from ethical, legal, and medical standpoints. 1) The health and safety of women must be protected first and foremost in any procedure related to ovum production, and should never be superseded by concerns of profit, costs of screening and monitoring the subject, quantity of eggs produced, quantity of eggs retrieved, or completion of the cycle. 2) Furthermore, like any other industry, the egg harvesting industry must be held accountable for reporting adverse effects and for tracking the long-term health of donors. 3) Ethically, informed consent must be properly obtained, with an admission that more research is needed to illuminate the long-term risks to donors. It is also an ethical responsibility for those who profit from egg harvesting to track the health of donors, including conducting large scale research in order to study risks.

I will now relate my experience. In 2001, while still in the combined MD/PhD program, I signed up for egg donation after seeing a university newspaper advertisement for egg donors. The monetary compensation of $6,500 seemed like a lot to me at the time, as I made barely enough to live on. Though I had a desire to help an infertile couple, money was definitely a major driving factor in my decision. Before I started, I searched the medical literature with a fine-tooth comb to verify that this procedure was indeed as harmless as advertised by the egg donation agency. I did not find any hard evidence in the literature of future infertility and cancers, and it seemed that the risks of other complications were extremely low. However, I was not told that the egg donors were rarely followed after the donation, and that doctors were under no obligation to report adverse events.1 Like many other women egg donors, I was bound by legal contracts to remain anonymous and therefore even if late complications occurred, they would be difficult to report.

At this point I had a normal gynecologic history, including normal age at first menses, regular menstrual cycles, and nothing significant on pelvic ultrasounds. It was assumed that I was healthy enough to undergo the egg harvesting protocol. Then I submitted my photographs, passed my genetic screening as a “quality assurance” for the tissue purchaser, and submitted myself to a psychological screen and IQ test administered by a psychiatrist. Based on these results I was chosen as the egg donor, from whom a “designer offspring” would be created.

The legal contract stated that the creation of these eggs were for the purpose of in vitro fertilization. The recipients of my eggs would retain all rights to my eggs and any subsequent embryos created from my eggs, “including but not limited to the ability to make all decisions regarding disposition of embryos.” The literature given by the egg donation agency outlined the possible risks of ovarian hyperstimulation syndrome (OHSS), as well as some other theoretical risks that they assured me were rare. What I did not realize at this time was that there were other hidden players in the egg industry who could potentially make money off my eggs, and that there were no laws in place to discourage hyperstimulation of many more eggs than reasonably needed for the goal of helping the infertile couple. My contract did not guarantee that third parties would not be involved in the trading or selling of these eggs, though it specifically forbade donations to other infertile couples without the donor’s consent. My eggs could have been a high-value commodity for profiteers who had nothing to do with the infertile couple, and I was not made aware of this possibility in a forthcoming and direct manner.

The below was part of the information provided to the public by the egg donation agency:

Q: How many eggs are removed during the retrieval? A: The average is 10-15 eggs aspirated per cycle, but donors can produce 16 or more eggs.

Q: Can a donor not produce enough eggs in a stimulated cycle? A: Yes, if the doctor cancels the cycle for poor response the donor will be compensated between $650.00 — $750.00.

According to my agency, failure to produce more than 4 eggs qualifies as “not enough eggs”. Four is typically higher than the target for women who are receiving fertility treatment using oral medications. However, note that there is no upper limit for the number of eggs a donor may safely “produce”, indicating that safety of ovum overproduction is being ignored. This illustrates that the drive to produce a higher number of eggs is extremely high, and failure to produce “adequate” eggs is linked with reduced financial compensation for the donor. Needless to say, this concept of “more is better” brings up ethical questions concerning the use of financial compensation for the recruitment of egg donors. This is especially alarming when no standards are in place to prevent an agency from overproducing eggs. The agency also told me that if I had a successful donation and become a proven donor, I may receive more compensation for future cycles, upwards of $8,000 (on paper) to $20,000 (verbally) – more than I would make in a year of intensive lab work. When “successful” production cycles are linked to increased financial compensation and “failures” are linked to a decrease in financial compensation, women will become more likely to tolerate untoward side effects, including those of OHSS, for fear of losing this compensation. This payment structure poses an obvious ethical conflict.

After signing my legal contract I began to administer all the medications as directed by the egg donation agency. These medications arrived by mail. I already knew how to mix and administer the medications but I don’t recall being instructed by medical personnel. At no point did they adjust my dosage. I remember receiving follow-up early on with a local doctor, and more exams after I travelled by plane to Northern California for the harvesting. Imagine my surprise when they told me that I was producing approximately 60 egg follicles! A mature follicle measures ~2 cm in diameter. The normal ovary measures approximately 4 x 2.5 x 1 cm, and is analogous to the testes. Therefore, you can imagine how 30 mature follicles of 2 cm diameter clustered within each gonad must look like and feel. I was concerned, but the doctors and nurses assured me that this was within the reasonable range for a fertile young woman.

A couple of days before the retrieval the nurse emailed me that my blood estrogen (estradiol) levels came back much higher than they had anticipated (~10,000 pg/ml). A woman in her 20s has an average estrogen level of ~150 pg/ml, with a peak of ~400 pg/ml prior to ovulation. In late pregnancy, the levels may rise 100-fold, but this rise normally occurs over a 6 month period. I asked the fertility specialist to consider altering the timing and course of this process. I was concerned because the drugs I received were probably tested on Caucasian women of average weight. I am a thin non-Caucasian woman. Studies have shown genetic differences in liver drug metabolism for ethnic populations; the examples are too many to reference and are beyond the scope of this topic. Despite my concerns, the doctor told me that even though my hormone levels were extremely high, they would not make any adjustments to the protocol because they did not want to risk failure. I continued to follow all their directions, as it stipulated in my legal contract that I “[understood] it [was] imperative” that I “not deviate from [the protocol] unless instructed to do so by the IVF physician.” Therefore, I proceeded to finish my ovarian stimulation, finishing off with a shot of human chorionic gonadotropin (HCG) to help release the eggs for the harvesting. The next morning, I underwent transvaginal needle retrieval of the eggs.

What was unknown after the surgery was that the doctor had punctured an artery during the harvesting. When I woke from the anesthesia I became weak, nauseous, and dizzy. I was scheduled to catch a plane that afternoon, to return home. They told me that I looked good and was ready to go home, even though I had problems maintaining my blood pressure. At this point I refused to leave, because I could not stand without getting dizzy – orthostatic hypotension after an invasive procedure typically raises the suspicion of blood loss. A few hours later they started giving me intravenous fluids because they thought that the anesthesia was causing my low blood pressure. Then I developed pain and difficulty breathing. An ultrasound showed that everything was fine except for fluid in my pelvis, which they said was normal (later, this was documented as “fluid pocket near the right kidney”. During this entire time the doctor and nurse persisted in trying to get me to leave, which would mean hours of traveling by car and plane. The pain in my belly became unbearable and I became convinced that I was bleeding internally; something was irritating and pushing on my diaphragm. When I asked if I could be bleeding internally, they told me that it was unlikely. My blood pressure was even lower at this time, so they gave me medication to raise it. Unfortunately giving pressors in a bleeding patient increases the bleeding rate. At 6pm, after 8 hours of slowly and painfully bleeding out, they FINALLY admitted me to the hospital. To me it seemed like they had done just about everything to get rid of me up until that point. The fertility doctor ordered me to eat something. As soon as I sat up in bed to eat, I developed sudden distress and difficulty breathing. They took my blood pressure and called out “40/20″. At that moment I feared that I was going to die. In my medical records the blood pressure reported was 61/29. At this point they finally began to realize that something was terribly wrong, that I was going into shock from blood loss, so I was taken into the operating room for an emergency exploratory laparotomy to find the source of bleeding. The surgeons flipped through my bowels three times to ensure that no other organs were punctured.

During the harvesting of ~60 eggs, which I assume required 60 passes of the needle through my ovaries, the fertility doctor had punctured a high pressure artery in my right ovary. This tiny bleeder was easily fixed with a touch of electrocautery. I had an emergency blood transfusion to replace the 1.5 liters of blood lost. There is absolutely no reason why they should have waited so long to properly diagnose me, thus turning this into an emergency surgical situation when they could have done a small laparoscopic procedure to diagnose and fix a small bleeding artery. Had I followed their directions and gone home, I would have died. Unfortunately their disregard of the signs of OHSS, low index of clinical suspicion for post surgical complications, and their extremely slow response resulted in a horrific clinical outcome.

After the surgery, I had to be kept on a breathing machine in the intensive care unit (ICU) and treated for acidosis throughout the next day. After I was stabilized enough to move to the regular medical wards, the fertility doctor came to see me. She told me that the bleeding was probably due to a genetic bleeding disorder (i.e. my own fault) and that this has never happened before. Then she proceeded to check me for rare genetic bleeding disorders – nothing. I found the doctor’s reluctance to accept that a simple, clear-cut complication had occurred to be highly disturbing. A few days after I was admitted, the 9/11 attack occurred and all planes were grounded for a week. Despite not being able to walk or tolerate a 10 hour car ride home, the doctor told me I needed to free up medical resources and go home now. She tried to get me to leave by stating that when she had her C-section it only took her 3 days to start walking again. However, she neglected the fact that I had gone into prolonged shock caused by her own negligence, spent time in the ICU, underwent a massive surgical procedure, and had emergency blood transfusions. There were no apologies from beginning to end. I was shocked by this dismissive attitude from a top doctor of a top fertility treatment center, a medical expert who has published many articles on safety evaluation and recommendations for egg harvesting. At the same time, I was afraid to launch any complaints because I was a student in the same hospital system with plans to pursue the same field – Ob/Gyn; years later I decided on another medical specialty for unrelated reasons.

I am thankful to be alive, but I know that it was not because the doctor caught the post surgical complication. It was because I finally took a stand, and refused to go home when I knew that something was wrong. If I had died I would not be here to tell my story. I fear that cases like mine are buried deep by the fertility centers who do not want to lower their reputation. While I was in the hospital the fertility doctor told me that she would write a case report on the complication I had. When I searched the medical literature for all of her publications some years later, I wasn’t surprised to find that there was no such report. I have no way of knowing if this incident even made it into a statistical analysis somewhere in the medical literature. It makes sense that an industry thriving on profits and reputation has little incentive to report adverse events, for fear of driving away potential IVF clients and egg donors.

The $6,500 I was given has long since evaporated into medical treatments for multiple late complications caused by this incident. I developed an infection inside my incision site and required multiple steroid injections into the scar to stop it from growing out of control. I suffered from post traumatic stress for months because of my near-death incident, and was unable to work for two months due to both physical and mental deterioration. When I came off birth control a few years later I discovered that my previously normal menstrual cycles and hormone levels had become irregular. My previously normal ovaries took on a polycystic appearance, with more than 25 small follicles in each ovary. I developed occasional incontinence and pelvic pain likely as a consequence of the emergency surgery causing adhesions (fibrotic bands, analogous to scarring) around my organs.

The worst part of this is my current struggle with infertility, requiring continued exposure to the very same types of fertility drugs that I had already been overexposed to in the past – exposure whose link to cancer has not been adequately studied and may take decades to emerge.1 I may need more surgeries in the future to determine if the emergency surgery that was done had damaged my reproductive organs. I fear that the procedure may have harmed the quality of my eggs, even if the fertility experts are certain (at least theoretically) that quantity of eggs remains unaffected. Because of the high hormonal exposure during my egg donation cycle and multiple anecdotes from other egg donors, the development of early cancer is always in the back of my mind. Though a large study has found no evidence linking IVF to ovarian cancer, there is a generalized, undeniable causal relationship between transient exposure to female hormones and transient risk of rapid-growth gynecologic cancer.2 I believe that is absolutely necessary for egg donors to be followed and studied, especially if they had experienced hyperstimulation during the process. No follow up has ever been offered to me. Nobody from the egg donation agency, fertility clinics, or hospital has contacted me since, except to obtain my insurance information so that they could pass my hospital bill to my own health insurance company.

Summary and Conclusion:

1) Ethical considerations:

Financial compensation for eggs disproportionately targets college women with financial hardships. These women usually have long academic careers ahead of them and have not considered childbearing yet, so any infertility caused by the procedure would cause more psychological and physical damage to these women. Docked pay for failure to produce a target number of eggs and escalating pay scales for subsequent cycles are factors that may encourage underreporting of adverse side effects by the egg donor.

2) Subject safety:

Subject safety is variable, being highly dependent on the individual clinician’s practice. This is why there needs to be standardized safety practices and mandatory reporting of complications. In the article “Assessing the Medical Risks of Human Oocyte Donation for Stem Cell Research: Workshop Report (2007)”, one fertility expert advocated the following:3

By working from such information as a patient’s age, weight, and follicle count… a doctor can begin with an FSH dose based on those factors and then modify it as necessary. We monitor during the course of the stimulation to further decrease the dose if too many follicles are developing or the estradiol levels are too high.

To reduce risk of hyperstimulation, these actions were also recommended:

  • •Modify stimulation protocol
    • ◦Decrease gonadotropin dosage
    • ◦OCP/Lupron/Low dose gonadotropins
  • •Reduce the ovulatory dose of hCG
  • •Delay administration of hCG: “Coast”
  • •Cancellation of cycle eliminates the risk of OHSS
  • •Withhold hCG administration

Basically the safety recommendations for egg donors include determining the initial dosing of these powerful drugs on the weight and age of the patient. If there is any evidence of producing more eggs or hormones than expected during routine monitoring, then the drug dosage should be reduced, the administration of stimulating medications delayed, or the cycle cancelled. None of these recommendations were followed in my case. In fact, it was one of my own egg donation doctors who was consulted and quoted in the above article.

Regarding the risk during surgical retrieval of the eggs, the perceived negligible risk of complications is likely due to incomplete data:2

It is difficult to know, however, exactly how often such complications occur . . . Although excellent statistics are kept on such things as how many viable eggs each procedure produces, the statistics are not so complete on the complications that ensue during and after.

As my case illustrates, this perceived near-zero risk is inherently dangerous because it will not raise red flags when complications do occur, resulting in delayed intervention and a poorer-than-expected outcome. When a complication does occur, the denial of medical responsibility based on statistical rarity is a faulty and circular argument. This denial of responsibility would also prevent egg donors from obtaining monetary compensation for treatment of complications and appropriate follow-up. As my case illustrates, poor management of retrieval complications can be a problem even in the hands of the most experienced clinician.

Lastly, I received no follow up after my procedure. It is the ethical duty of the fertility industry to conduct timely follow-up and research studies in order to promote safety. This is true of any other industry especially pharmaceutical – so why make fertility an exception?

3) Informed consent:

Many are improperly informed about the risks of the egg harvesting process. Verbally I was told that risk was virtually non-existent and that studies have not linked the procedure to cancer and infertility. I should have been told that there were not enough studies or long-term follow up to determine risk.

It should be made abundantly clear if embryos or stem cells may potentially be secondarily sold, traded, or gifted. The amount of profit potentially generated from each transaction and the purpose of each transaction should be transparent to everyone involved, especially the donor. Without this information, the egg donor cannot possibly make an informed decision.

4) Patient autonomy:

I was hyperstimulated with approximately 60 eggs retrieved. During the procedure I expressed concerns about not using weight-based dosing of fertility medication, the excessive number of follicles produced, and skyrocketing estradiol levels. Nothing was done to personalize my procedure based on clinical findings, which is clearly incongruent with the standard of care. After the procedure my concerns about internal bleeding were not adequately acknowledged until I went into shock and had to undergo an emergency laparotomy. In my experience, the pressure to complete a successful cycle became stronger as I became more invested in the process, and thus I progressively lost my right to make decisions regarding my own body.

Final thoughts:

Even the tiniest risk of complication needs to be taken seriously especially when dealing with perfectly healthy young women, who have no need to undergo a potentially life-threatening procedure. Procedures with risk are performed on sick patients with the understanding is that the benefits of the procedure outweigh the risks or the consequences of doing nothing. In egg donation there is no medical benefit, only risk. It represents a conflict of interest when the physician does not perceive the egg donor as a patient for whom they have the responsibility to minimize risk. This aspect must be considered when treating healthy young women with everything to lose.

References:

1. Nature. 2006 Sep 7;443(7107):26. Health effects of egg donation may take decades to emerge.

2. American Journal of Epidemiology Vol. 153, No. 11 : 1079-1084.

3. Assessing the Medical Risks of Human Oocyte Donation for Stem Cell Research: Workshop Report (2007).


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