Philadelphia Case Exposes Deep Rift In Abortion Debate : Shots - Health News Abortion opponents say the case of Dr. Kermit Gosnell, who is charged with five counts of murder, shows the need for more and stricter regulation of abortion clinics. But abortion rights backers say more restrictions give women few choices besides substandard facilities.
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Philadelphia Case Exposes Deep Rift In Abortion Debate

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Philadelphia Case Exposes Deep Rift In Abortion Debate

Philadelphia Case Exposes Deep Rift In Abortion Debate

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In Philadelphia today, the defense rested in the murder trial of Kermit Gosnell. The abortion clinic owner has been charged in the deaths of a patient and several infants allegedly born alive, then killed after botched abortions.

As NPR's Julie Rovner reports, both sides in the abortion debate are now using this case and its grisly details to make very different points.

JULIE ROVNER, BYLINE: There is one thing those on both sides of the abortion debate agree on: What happened at the Women's Medical Society in West Philadelphia was unforgiveable.

CHARMAINE YOEST: It's such a horrific case.

ROVNER: Charmaine Yoest is president and CEO of the anti-abortion group Americans United for Life.

YOEST: You see both the horrific destruction of innocent human life with the babies, but it also helps to illustrate our concern over how women are being treated in abortion clinics. You know, as just terrible commodities to increase the bottom line financially.

ROVNER: Carole Joffe, a professor at the University of California San Francisco, who has studied reproductive health issues since the 1970s, doesn't dispute that Gosnell was doing terrible things in his clinic and putting patients at risk.

CAROLE JOFFE: What Dr. Gosnell was doing was completely against the law and had there been an inspection, he would have been shut down a long time ago.

ROVNER: But where the two sides disagree, they disagree in the strongest of terms. Abortion opponents like Yoest, for example, say Gosnell is hardly the outlier those in the abortion-provider community say he is.

YOEST: This is a very dramatic case compared to what happens in some other clinics. But in all honesty, it doesn't completely surprise us because we've been trying to get attention to low-grade conditions in abortion clinics across the country for many, many years.

ROVNER: That's the kind of rhetoric that makes Joffe and her allies furious.

JOFFE: Those opposed to abortion are trying to make the argument that all abortion providers are like Gosnell, which, of course, is absurd.

ROVNER: Joffe says a key reason Gosnell had patients in the first place is because the government doesn't pay for abortion for poor women. And because, even with its reputation for substandard care, Gosnell's clinic was all many poor women could afford.

JOFFE: His prices were way under other prices in the area. So, for example, he charged $330 for a first-trimester procedure. The prevailing rate at that time was approximately $450.

ROVNER: Meanwhile, in the years since the Gosnell case first came to light, the anti-abortion movement has invoked it to push legislation in Pennsylvania and other states to impose new regulations on abortion clinics. Yoest, whose organization has drafted the model legislation adopted in some of the states, says it's long past time.

YOEST: I mean, really the fact that we regulate veterinary clinics and beauty parlors more than you do abortion clinics in this country, that's inexcusable, absolutely inexcusable. And what it leads to is this kind of situation with Kermit Gosnell.

ROVNER: But backers of abortion rights say it's the increasing restrictions on the procedure that drive women to clinics like Gosnell's. Joffe says the new Pennsylvania law has resulted in many abortion clinics that were providing perfectly safe care having to shut their doors.

JOFFE: Pennsylvania used to have 22 facilities; now they have 13. The city of Pittsburgh used to have four clinics, now they're down to two.

ROVNER: There is one more thing both sides agree on. In 2013, abortion remains, if anything, even more political than ever. Carole Joffe says that's hurting women who need access to safe and affordable abortions and can't get them.

JOFFE: Real women in the real world are suffering, you know, as this health care procedure becomes so incredibly politicized.

ROVNER: Charmaine Yoest, meanwhile, says the power of what she calls big abortion is preventing common sense regulations.

YOEST: You create a political environment where politicians are unwilling to come anywhere near abortion clinics and that's untenable.

ROVNER: Meanwhile, back in Philadelphia, the judge in the Gosnell trial this week dropped three of the eight murder charges. The trial is expected to wrap up next week. Julie Rovner, NPR News, Washington.

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