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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]This is the first of what are likely many similar cases that will end up coming to light.
Investigation into maternal deaths takes time.  Some states (i.e., TX) now have a vested interest in not actively pursuing investigations and studies in maternal mortality rates.  And some families will be hesitant to come forward publicly about their losses.
Already, there are multiple stories of women who have suffered permanent loss of fertility due to lack of appropriate medical care.  At least one or 2 of the women involved in the lawsuit down in TX ended up needing hysterectomies due to hemorrhage and/or sepsis.[/quote]
This is what is so confusing and infuriating in these cases. Why exactly is the care being delayed? Is it because the fetus still has a heartbeat? Sepsis and hemorrhage are both medical emergencies and time is of the essence. The mother's life is potentially on the line so why would a doctor not take immediate action? Even if the fetus has a heartbeat it won't have one for much longer is no care is provided resulting in the mother's death. [/quote]

I wonder this too. How can someone who swore an oath actually let a patient die, knowingly? It should be considered homicide.[/quote]
[b]
This is where providers are screwed either way.[/b] Once again, the DA who reviews abortion cases that hospitals are required to report, is not a medical expert. So a doctor must weigh how sick a woman is becoming vs. their own risk of losing their license. Red states have made it very clear that they are ready to prosecute any perceived misstep by a physician.[/quote]

Which is why younger doctors and med students are simply bypassing these states on their match process, and others have left, or are leaving. The net impact will be reduced medical care across the board in these states, not just women's health.[/quote]

Interestingly ER docs are also leaving at a high rate post Dobbs.  I have not seen an explanation as to why, but assume it’s because they triage and offer initial care for medical emergencies related to pregnancies coming into the ER  and can be put in the same positions as OBs.

And quit getting angry at doctors. I’m a lawyer.  If the MD in one of these states is my client in one of these states, my ethical obligation to to keep the from being fined, jailed or from losing their license. I have no attorney-client relationship with their patient.  And, I would tell them it must be 100% certain this woman will die unless they act immediately and that documented 7 ways to Sunday with every possible tests, even if added tests slow them down and aren’t really necessary. If they think the woman will live if they wait two hours, they wait.

Doctors can’t they can’t win here. No one goes into OB/Gyn care to let omen and babies die preventable deaths. No one. On one side they have losing their medical license, huge fines and in some states being charged with first degree murder. On the other side is a malpractice claim. And they have insurance for malpractice.  So when weighing risks, it’s safer to risk malpractice than jail.  That’s what the attorney tells the doctor. Anything else is malpractice by the attorney.

What the doctor does with that advice is up to them.  But, doctor is a person with a career and a family too.  Why is he under an obligation to commit an illegal act and go to jail?  If that’s where he is at morally, okay. But there are career and even life as a free person ending consequences. And the person going behind him and reviewing the file isn’t the medical board or an MD.  It’s a lawyer.

So yeah, essential decisions on standard of care have been handed over to hospital and private lawyers advising doctors in the red states. That should terrify you. Unless you think I’m in some way qualified to make that decision with my English major and one year of high school Bio.

But quit blasting MDs and start blasting state legislatures that have laws that prevent MDs from saving dying women because the state decides to punish them for self managing an abortion. [/quote]

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