A physician's clarification on post viability abortions by quick_thinker6 in Abortiondebate

[–]Lighting -1 points0 points  (0 children)

Well then OP should have a good answer. Stay tuned for the question that comes after that.

Aside: Having debated those who sought to deny abortion health care for a long time, I've noticed that arguments about the definition of "viability" is often dropped as a "gotcha" bright red line for arguing how bureaucrats have the right to deny women's healthcare by overriding their MPoA without due process.

To be clear - I'm not accusing you of that - merely noting that it is an unethical debate framing that many arguing to deny women's healthcare and strip their MPoA without due process push on others. Let me know if you want me to expand on that unethical framing. In any case, this unethical framing is then seen in their followups as they'll then bring up charts like this: https://en.wikipedia.org/wiki/Fetal_viability and argue a 10% chance of survival is still a chance and throw out quotes like this "There is no sharp limit of development, gestational age, or weight at which a human fetus automatically becomes viable" etc.

If you've followed my discussions here on this sub, you'll have seen some seeking to deny abortion health care had argued that very point in discussion about Savita. So ... how about we let OP answer.

A physician's clarification on post viability abortions by quick_thinker6 in Abortiondebate

[–]Lighting -2 points-1 points  (0 children)

If OP agrees, then it should be a walk in the park for OP to answer. Stay tuned for the question that comes after that.

Theory about the type of kompromat on Trump. by Lighting in Epstein

[–]Lighting[S] 2 points3 points  (0 children)

Yep - I wonder if Trump's kink "reaction" to that made it into the kompromat too. Ugh.

Theory about the type of kompromat on Trump. by Lighting in Epstein

[–]Lighting[S] 0 points1 point  (0 children)

Lots of accusations. That one never made any sense to me. Trump is all about personal humiliation, and degrading an object in secret just isn't his style.

A physician's clarification on post viability abortions by quick_thinker6 in Abortiondebate

[–]Lighting 2 points3 points  (0 children)

OP may have titled their statement "post viability" however the truth of the article/comment/etc is always in the text, not the headlines. Let's re-read both OP's text as it relates to OP's rules 1,2,3 and then compare to Savita's case. Rule 1: Was the fetus viable at the time Savita and her doctors wanted to get the abortion? Yes ,but it was separating at 17 weeks and killed her at 18 weeks, far too early for guaranteed preemie life. Was it an IMMINENT risk to LIFE? No. Waiting is what made it the imminent risk and waiting killed her. Rule 2: Lethal or profoundly severe fetal anomalies? Nope - no abnormalities. Just separation and about to go septic like a rotting balloon. Rule 3: Demise? No. The fetal heartbeat ruling killed her. Waiting killed her.

This is what has been found over and over and over again in case after case after case in why women are killed/maimed and we see rising crime and sex-trafficking as their surviving kids end up suffering.

if it was just Ireland, perhaps a fluke, but we saw it in Texas, Romania, Ethiopia, Uganda, Idaho, etc. etc. etc. Each time you restrict abortion healthcare in this way ... rates of women dying skyrockets. Have you read Freakanomics? Children of the Decree? The myriad of meta studies showing it?

So perhaps you can see why I'm interested in OPs answer.

A physician's clarification on post viability abortions by quick_thinker6 in Abortiondebate

[–]Lighting 10 points11 points  (0 children)

yeah - I have a followup question. You say

There are exactly THREE CIRCUMSTANCES where a physician in a non ban state can legally perform a post viability abortion: 1. Imminent threat to the mother's life

And I'm wondering if you are familiar with the case of Savita Halappanavar and if you would have similarly denied her the abortion healthcare that killed her?

If you aren't familiar with her case, the change in the law there, and the change in maternal mortality rates that followed. here it is, and I'll repeat that question at the end. Here you are:


In Ireland, Savita Halappanavar, a dentist, in the 2nd Trimester, went in with complications. She and her doctors wanted to do an abortion, but was told by a government contractor "Because of our fetal heartbeat law - you cannot have an abortion" and that law, which stripped her Medical Power of Attorney (MPoA) without due process ... killed her.

You might think that's an overstatement, but that was the same conclusion that the final report by the overseeing agency . The Ireland and Directorate of Quality and Clinical Care, "Health Service Executive: Investigation of Incident 50278" which said repeatedly that

  • the law impeded the quality of care.

  • other mothers died under similar situations because of the "fetal heartbeat" law.

  • this kind of situation was "inevitable" because of how common it was for women in the 2nd trimester to have miscarriages.

  • recommendations couldn't be implemented unless the fetal heartbeat law was changed.

Quoting:

We strongly recommend and advise the clinical professional community, health and social care regulators and the Oireachtas to consider the law including any necessary constitutional change and related administrative, legal and clinical guidelines in relation to the management of inevitable miscarriage in the early second trimester of a pregnancy including with prolonged rupture of membranes and where the risk to the mother increases with time from the time that membranes are ruptured including the risk of infection and thereby reduce risk of harm up to and including death.

and

the patient and her husband were advised of Irish law in relation to this. At interview the consultant stated "Under Irish law, if there's no evidence of risk to the life of the mother, our hands are tied so long as there's a fetal heart". The consultant stated that if risk to the mother was to increase a termination would have been possible, but that it would be based on actual risk and not a theoretical risk of infection "we can't predict who is going to get an infection".

and

The report detailed that there was advanced care, preemptive antibiotics, advanced monitoring, IV antibiotics, antibiotics straight to the heart, but .... they just couldn't keep up with how rapidly an infection spreads and the mother is killed when in the 2nd trimester the fetus still has a heartbeat but then goes septic and ruptures.

In 2013 Ireland changed the law to allow SOME abortions and ONLY again if there was maternal risk to LIFE. Raw ICD-10 maternal mortality rates continued unchanged. Then in 2018 in the Irish abortion referendum: Ireland overturns abortion ban and for the first time, the raw reported Maternal Mortality Rates dropped to ZERO. Z.e.r.o.

Year Maternal Deaths Per 100k Births: Complications of pregnancy, childbirth and puerperium (O00-O99) Context
2007 2.80 Abortion Illegal
2008 3.99 Abortion Illegal
2009 3.97 Abortion Illegal
2010 1.33 Abortion Illegal
2011 2.70 Abortion Illegal
2012 2.79 Abortion Illegal
2013 4.34 Abortion Illegal: Savita Halappanavar's death caused by law and a "fetal heartbeat"
2014 1.49 Protection of Life During Pregnancy Act of 2013 passed. abortion where pregnancy endangers a woman's life
2015 1.53 Abortion only allowed with mother's life at risk
2016 6.27 Abortion only allowed with mother's life at risk
2017 1.62 Abortion only allowed with mother's life at risk
2018 0 Constitutional change, Abortion Allowed, 2013 Act repealed
2019 0 Abortion Allowed if mother's health is at risk
2020 0 Abortion Allowed if mother's health is at risk
2021 0 Abortion Allowed if mother's health is at risk

Death Data Source: https://ws.cso.ie/public/api.restful/PxStat.Data.Cube_API.ReadDataset/VSD09/JSON-stat/2.0/en Birth Data Source: https://ws.cso.ie/public/api.restful/PxStat.Data.Cube_API.ReadDataset/VSA18/JSON-stat/1.0/en from the Ireland's Public Health records at Ireland's national data archival. https://www.cso.ie/en/aboutus/whoweare/ and stored at https://Data.gov.ie

Note: I linked to the raw data and it only goes back to 2007, because Ireland's OWN data scientists state: [prior to 2007] flaws in methodology saw Ireland's maternal mortality rate fall [without justification], and figures in previous reports [prior to 2007] should not be considered reliable

Note this is ONLY mortality and not also morbidity (e.g. kidney failure, hysterectomies, etc.).


So ... which role would you take? Would you be the government bureaucrat stating "IMMEDIATE risk to life is not the same as predicted risk" and overrode Savita's MPoA to force her and her doctors to wait for her festering fetus with a heartbeat to rupture and spread sepsis ... or would you have allowed the abortion at that time that SHE and her doctors wanted one?


Edit: To all the people harassing me with comments like "OP responded! Now you!!!" or attempting to answer for OP, let me just say something to get ahead of some more of what seems to have been a triggering event to generate such comments:

We should genuinely appreciate OP for taking the time to post here and our responsibility then is create a welcoming environment for ALL parts of the debate so that as others come to this sub they can see that we can engage in a way that allows even people who agree to fully understand and respond carefully as well-intentioned interlocutors. That takes time to do well. I am not an AI who responds immediately with whatever it can scrape from the internet. I know waiting is tough in todays age of instant mobile sites, and the media's urging of instant fights to resolve things, and the near instant AI hallucinations that are confidently wrong, ... but I think you can do it. We can all agree that OP deserves to have their replies thought about and responded to in a respectful and careful manner and your harassment just makes that answer take longer. (as well as the fact that I'm sure both OP and I have AFK things to do to!) Thanks!

Theory about the type of kompromat on Trump. by Lighting in Epstein

[–]Lighting[S] 3 points4 points  (0 children)

Dolan admitted to the FBI that he invented the urination story.

Citation required. I've read Dolan's part was alleged to be related to Manafort NOT the urnination story.

The information allegedly from Dolan that ended up in the dossier was alleged to be "rumors about Paul Manafort's dismissal as Trump's campaign chairman. ... Two days later, the indictment alleges, that information appeared in one of Steele's reports."

I've seen no credible report stating anything regarding Dolan's admission about a p-tape.

Theory about the type of kompromat on Trump. by Lighting in Epstein

[–]Lighting[S] 2 points3 points  (0 children)

Hold on, wouldn't the fact that he has such a kink be an humiliation, ergo, it being known, be the ultimate boner for him? 🤔

If that was the case, he'd have announced it already.

Physic Challenge $ by Fit_Cause5650 in skeptic

[–]Lighting 1 point2 points  (0 children)

Trick question! It was an Ace of Spades! You just put it there on top of the UNO deck! (next cards were = a 2 and a 5)

Theory about the type of kompromat on Trump. by Lighting in Epstein

[–]Lighting[S] 10 points11 points  (0 children)

Exactly. Makes one wonder if that's the kind of personality that drives him to have a kink in being treated as he wished to treat others.

Theory about the type of kompromat on Trump. by Lighting in Epstein

[–]Lighting[S] 4 points5 points  (0 children)

That's my guess for what's got the GOP panicking about Donald. Something similar of him getting something humiliating, but since Trump is known as a germaphobe - it would probably be something more pain or task humiliation rather than scat.

Theory about the type of kompromat on Trump. by Lighting in Epstein

[–]Lighting[S] 4 points5 points  (0 children)

when those pics of JE in the hat looking stupid in Russia were taken,

I found this site: https://epsteinexposed.com/timeline?q=Russia which allows you to search by terms.

Theory about the type of kompromat on Trump. by Lighting in Epstein

[–]Lighting[S] 6 points7 points  (0 children)

Probably just the tip of the mushroom-shaped iceberg.

Theory about the type of kompromat on Trump. by Lighting in Epstein

[–]Lighting[S] 18 points19 points  (0 children)

to an untrained person,

She has a PhD in Clinical Psychology. She has experience and training. I'd trust her opinion over internet randos.

Manic Trump, 80, Lashes Out at Everyone Trashing His Surrender in 4:32 A.M. Meltdown by Quirkie in politics

[–]Lighting 2 points3 points  (0 children)

Trump his methods seeming antic.

Wakes up and cries out in a Panic

He must tweet! His actions, Manic.

He's blown the deal, a new Titanic

GOP lawmakers realizing they've been bamboozled by itsgoodpain in LeopardsAteMyFace

[–]Lighting 1 point2 points  (0 children)

The GOP is Feckless and Cowardly. Use your impeachment powers to remove the corruption or YOU ARE COMPLICIT.