Abortion Centers


Do any of the Presidential candidates give a crapola about abortion?

I watch a lot of television coverage of the campaigns (CNN and Fox) and I have yet to hear either Hillary or Trump even say the word “abortion.”  Remember in years past it was a pretty hot issue?   Well, this year you don’t hear a peep about it.

Well, maybe every once in a while one of them mentions the Supreme Court and I think I heard Trump say he will appoint pro-life judges but it clearly was not the main message of his speech.  Actually, I’m never sure what his main message is, come to think of it.

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Trump

Trump does intrigue me, however.   Billion dollar “playboy,” three wives, the Big Apple.  Are you telling me that he’s never been personally involved someway in the procurement of an abortion?  Now that would be a story, wouldn’t it?  Indeed, out of curiosity I called a doctor friend of mine at a large clinic in Manhattan and I asked him if he ever saw Trump come through his doors.  To his credit, however, he said “well, if I did, I could never tell you.”   Oh yeah, I forgot about that confidentiality thing.

The pro-choice folks know Hillary is clearly on their side and has, in fact, come out in favor of taxpayer funded abortions.  But as for Trump, I know a number of pro-lifers are skeptical of his position on abortion.  Like me, they look at this high-flying jet setter and it spells “I knocked someone up and I took care of it.”

But the pro-lifers have nothing to worry about.   Even if he has some pro-choice in him personally, if he became President here’s what will happen.  First of all, if he becomes President that means the U.S. Senate will remain in Republican hands.  So, he would right off the top have Justice Scalia’s seat to fill – and who do you think he would nominate?  Well, he is going to have to nominate a pro-lifer.  If he doesn’t, if he tries to play games, that person will not be confirmed.  Simple as that.  The Senate Republicans will be in no mood to accept any kind of moderate.  And you know what?  Trump will go along with them because he honestly could give a shit about the Supreme Court.  That’s not his thing.  It takes too much thought to consider the ramifications.  He’ll be busy trying to build his wall and would rather not be spending any time talking about Supreme Court cases.

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Trump

Now, when Hillary wins, the Senate might go back to the Democrats.  But she will not have 60 or more Democrats needed to stop a filibuster of her nomination.  Indeed, the MINUTE she nominates a pro-choice justice, the likes of Ted Cruz, Marco Rubio and other would be candidates will be lining up for the microphone to lead the “historic filibuster” against the nominee.  So she is going to have to be very clever – nominate someone who is pro-choice but whose position on the issue is unknown.  And how she does that is anyone’s guess.

 

Fetal parts are for sale. Yep, the terrible Planned Parenthood abortionists found and tapped into a profitable market for fetal parts, especially intact forms.

This is the basic narrative inserted into the talking points of anti-abortion politicians these days after edited videos between Planned Parenthood representatives and imposter biomedical tissue brokers surfaced. Ignored was the benefit fetal tissue provides to medical research. Disregarded was the selectivity used to decide what was fit for public consumption. Much has been made of interactions that might be suspicious to outsiders of medical and scientific research environments or appeal to the emotions of the uninformed.AR headline

Planned Parenthood can sufficiently respond to the “undercover sting videos” of its medical staff discussing fetal tissue donation. The rest of us need to respond to this attempt by anti-abortion dogmatists to impose their view of the world into public policy.  The states that have initiated investigations based on the videos found Planned Parenthood in compliance with regulations. Even if one state, or several states, unsuccessfully takes action for political value or reject continued contracts with Planned Parenthood for health services, it would be a measurement of success for this false narrative. Planned Parenthood will remain open to provide important health services, but there are other issues of which we should all have concern.

Deception and Ethics

The videos were created by the Center for Medical Progress (CMP), which claims to be “…citizen journalists dedicated to monitoring and reporting on medical ethics and advances.”  Their website appears to be focused only on promoting anti-abortion viewpoints, no other medical ethics issues. End-of-life treatment, organ donation processes, and equality in accessing medical care are among the top ethical issues one would expect to see mentioned.ethics

Why the deception when it would have been perfectly acceptable for CMP to identify itself as abortion opponents with specific, legitimate ethical questions pertaining to abortion and fetal tissue?

Honesty and integrity are critical to discussions about ethical issues.  Would abortion clinic representatives talk openly with abortion opponents? I and many others certainly have on many occasions in our roles as reproductive healthcare professionals. Did the CMP even attempt to arrange a discussion? If the intent of the “undercover” effort was to learn about the involvement of some Planned Parenthood affiliates with fetal tissue procurement, it was not necessary for CMP to engage people by misrepresenting themselves as biomedical professionals. Why just Planned Parenthood and no other providers of elective, therapeutic, and emergency abortions? Hospitals and other medical facilities play a significant role in tissue procurement, which can seem quite unsavory to outsiders.

abortion safeApparently deception and fabrication are a preferred method of operation within anti-abortion activism. Deception and fabrication are the hallmarks of Crisis Pregnancy Centers, also known as fake abortion clinics because of the their strategy to appear as if they are abortion clinics and use misinformation to dissuade women from abortion once they arrive for their “abortion appointment.”  Anti-abortion literature distributed to Congress, the media, and the public also contains incorrect, distorted, and often manufactured information. This is how the public at times believes that most abortions are late term. Or have murky ideas about parental consent for abortion in which it is compared to unrelated issues that are often guided by business policies, not laws.

It is no surprise that deceptive tactics were used to generate the storyline about fetal tissue procurement. It is nonetheless striking that there is not outrage about the deception, especially when ethics is the alleged target. Clearly, acquiring and providing information about fetal tissue procurement would not generate outrage if done without the theatrics of imposter biomedical professionals and video editing skills. Do we really want topics of importance to be introduced to public discourse in this manner? Of course not. The media would serve the public well to fully investigate the “investigators” and bring political balance to that part of the story. The notion that an organization like CMP, with a Postal Annex rented address no record of prior work as a nonprofit in the medical ethics arena, and leadership comprised of people connected to anti-abortion groups like Operation Rescue, can have traction in promoting political ideology as if it was credible news or journalism is frightening. The media failed by not scrutinizing the source before doing the reporting, especially since another group, Life Dynamics, attempted to do the same in the late nineties.

For the record, pro-choice people resorted to deception to “out” the Crisis Pregnancy Center’s fake abortion clinic charades. Why? Because CPCs claimed that they informed women that they did not perform abortions, provided factual information, and other practices did not square with what women had shared with actual medical professionals.  A hidden camera sent in by the media with a young woman proved that the experiences of other women were accurately presented.

Using the Mistruths as Truths to Further the Mistruths

Talk radio stars Laura Ingraham, Sean Hannity, and Rush Limbaugh all regularly speak of the CMP as if it is a credible nonprofit out there doing good work.  Politicians, including U.S. Speaker of the House John Boehner and those running for president, refer to the videos time and again as if they were part of a documentary. Absolutely nothing revealed in the videos is evidence of anything sinister. At worst, the videos illustrate the seeming insensitivities that can develop when people work in medical settings. wd

Right wing websites are having a great time exaggerating the video content and piling on more false or misleading information. Red State claims that Planned Parenthood was “…caught…appearing to haggle over the sale of aborted baby parts.” Haggling? Not hardly. The videos revealed explanations, in clinical and business tones, about how tissues and parts are procured. Bear in mind that CMP presented themselves as biomedical professionals interested in obtaining fetal tissue. Would it have somehow been acceptable for responses to exclude information about quality of parts and associated costs?

Comments made by elected officials can be perceived as the truth. Thus, when Senate newcomer Joni Ernst (R-Iowa) states, “Planned Parenthood is harvesting the body parts of unborn babies,” to explain her sponsorship of a bill to defund Planned Parenthood, perceptions are broadly formed and shared throughout every possible medium. The tone of Ernst’s statement can conjure so many images that only perpetuate incorrect information. When Breitbart News quotes a Ted Cruz comment that the videos show Planned Parenthood representatives “confessing to multiple felonies,” it misleads, misinforms, and further polarizes people on the basis of ideology as opposed to facts. Shame on all who have made, and are continuing to make, comments implying that the videos exposed evidence of crime. Shame on all who are giving the CMP credibility, so much credibility that there are threats to shut down the government if Planned Parenthood is not defunded.

Fetal Tissue Research is Ethical and Beneficial

There has always been a market for anatomical and biological goods, including human fetal tissue and parts.  Specific companies respond to the demand for human and animal parts. College psychology departments buy brains to teach students. Medical and scientific researchers need specimens in order to learn more about genetics or real and prospective treatment options for a range of diseases, for example. Fetal tissue/parts obtained from miscarriages and abortions have been used for decades and have led to a number of medical breakthroughs, including rubella and polio vaccines. Kimberly Leonard wrote an excellent article in the August 4, 2015 online issue of US News about the contributions of fetal tissue research. Many of us are grateful for those contributions. In the August 12, 2015 New England Journal of Medicine, lawyer R. Alta Charo stated, “A closer look at the ethics of fetal tissue research…reveals a duty to use this precious resource in the hope of finding new preventive and therapeutic interventions for devastating diseases. Virtually every person in the [United States} has benefited from research using fetal tissue.”  Quite simply, it would be unethical for medical researchers to suddenly discontinue use of fetal tissue due to politically extreme ideology.

research petri dishFetal parts are not allowed to be sold – they can only be donated with consent from pregnant women after they are removed.  If profit for fetal parts is the actual concern of CMP, their time would be better spent honestly working with regulatory agencies to determine with certainty if any inappropriate financial transactions between abortion providers and biomedical tissue businesses exist. It is certain that people of all political views on the issue would abhor such a practice.

As the dribble of videos continues, no evidence of illegal activities will be presented. Instead, ideology will be promoted with the intent to cause some to rethink their views about abortion and try to stop an organization that serves the healthcare needs of so many low-income women. The effort will fail, but in the meantime, we will all have to witness the nonsense and speak up about reality when we can.

texasBy now, any person who reads this blog is aware that the State of Texas has ruled that their very unnecessary anti-abortion law, designed to make it impossible for current abortion providers to comply, can be immediately enforced.  The Facebook page of Abortion.com just posted the link to an essay by Damon Linker in The Week (10-3-14) that raises critical questions that all pro-choice voters must hold their anti-choice elected officials accountable to answering:

If you believe abortion is murder, what specific punishment should be meted out against women who seek abortions, those who assist in the procurement and practice of abortion, and those who provide abortions?

In your view, Ms./Mr. Elected Official, since you think abortion is murder, will you be sponsoring legislation asking for the death penalty if your state has laws restricting abortion?

Damon Linker wrote: “If abortion really is murder, then everyone involved deserves to be punished, and punished severely…If, on the other hand, such punishment sounds wildly, almost absurdly disproportionate, then maybe it’s a sign that abortion really isn’t murder after all.” His point is excellent and one that has been raised here as well as the Abortion.com Facebook page. Politicians have never really been forced to reveal the actual penalties they believe should be imposed on those who participate in an abortion, should it become illegal or severely restricted and prompt women to resort to whatever is feasible and providers to resort to underground practices. At the moment, it is arguable that Texas ought to start expanding their correctional facilities. We know that women have already been obtaining drugs from Mexico and international mail for medical abortions or to cause a miscarriage. Yep, Texas better get their death row lodging in good order, not to mention make sure that all lethal injection protocol training is thorough and an ample inventory of execution drugs.Lethal injection

This ruling will undoubtedly energize the most whacko, zealous of the anti-abortion groups to pattern the Texas laws into initiatives in other states. Therefore, it is sensible and important for pro-choice voters to get their pols to answer the questions raised here.

The organizations that have fervently advocated reproductive rights over the years, specifically Planned Parenthood, NARAL, and National Organization for Women, opposed grassroots efforts to propose legislation to support reproductive justice in states like Arkansas in 1989. Their reasoning was that it was somehow better to work with legislatures to oppose restrictive laws, which, at the time, were focused primarily on parental notification or consent. Creating law is easier than trying to undo law. I sure hope those organizations – that raised a lot of money on the issue – kept the contact information on the many that supported the pro-choice legislation efforts. They will need it now for more than donations.

The one silver lining in this outrageous ruling in Texas is that it may well motivate voters to show up in the upcoming mid-term elections. Texas indeed does things big – that does not mean any other state is interested in Texas sharing any of their “big.” There is not one excuse for a pro-choice person to not vote this November.

Slide1News stories about investigations into Crisis Pregnancy Centers (CPCs) misleading women through deceptive advertising, malevolent counseling and egregious misinformation are pretty common. But one CPC wolf in sheep’s clothing is Real Alternatives. It’s a Pennsylvania state-funded program that claims it “exists to provide life-affirming alternatives to abortion” to women who are financially qualified. Real Alternatives (henceforth abbreviated as RA) boasts that their program has been helping women since 1996 while also abiding by stringent accountability to the state. Even though Real Alternatives claims that they do not use deception to attract clients, in actuality, they use what  Heiss, Monge, & Fulk, (2012) call predatory practices that resemble legitimate reproductive health providers (RHPs).  In their attempts to appear as a legitimate RHP, Heiss, Monge & Fulk found that CPCs rely on ambiguity in their values and program offerings to elicit positive responses from potential clients and the public. Applying the concept of predatory practices, I argue that while RA’s textual and visual communication practices uses woman-centered advocacy language like “we’re here for you” and “your alternatives to abortion” and “forced abortion and your right to choose” and more, they promote, instead, distorted interpretations of the scientific literature and prescriptive counseling that can be misleading and even dangerous to a woman’s health if she makes a decision based on false information. To that end, I will turn to RAs home page where there is an array of text, images, and hypertext links to videos and where I will focus my attention on the video The Miracle of Life. But first, I want to tour the home page because it provides evidence that pregnancy and women’s sexuality are framed as problematic territory. The tabs in the uppermost section of the page attest to this problematic with labels such as Pregnant? Being Forced to Abort? Worried about STDs? Caring for Your Baby? In the center of the page, are images of young women in poses, arguably framed as pensive and frightened, with the eye-catching, continuous loop of flashing yellow text that underscores what RA frames as the problematic of women’s sexuality with the words: Pregnant? Scared? Concerned about STDs & Sexual Health? Below the flashing text, the offer of services reads:

Whatever the reason, we can help. Call us at 1-888-LIFE AID for free, caring and completely confidential pregnancy and parenting support services. We can educate you about reproductive health concerns, and we can assist you in finding appropriate medical help. You’ll speak to women who will be on your side every step of the way. We’re here for YOU.

Featured in the lower third of the web page are two videos that, again, use woman-centered language to invite viewers to click and watch. One video, View a Short Film about the Help We Provide, offers personal testimonials from counselors and tearful women who allegedly used RA’s services. As emotionally moving as the testimonials may seem, their authenticity is questionable. Particularly if you read the small print in RA’s terms of use which states “Unless otherwise stated, the persons shown in the photographs posted on this site are models and their photos were chosen based solely for aesthetic reasons. Other than that, the persons shown in these photographs have no connection to Real Alternatives or any of the topics addressed on this site.” In fact, dig a bit deeper to reveal how RA assumes no liability for decisions taken by persons based on information they provide on the site. The juxtaposition between the “we can help” mantra liberally advertised throughout the web site and the “we won’t assume any responsibility” suggests a deeper truth about the organization’s mission to promote an antiabortion agenda through the politicization of a woman’s private reproductive life that symbolically separates the ideal woman who dutifully embraces family and motherhood from the flawed woman who willfully chooses her own needs (and those of her existing children) above the need of a fetus.

The second video and the focus of this article, The Miracle of Life, is introduced with the text, View a Short Film about Your Baby’s Development. It provides an emotionally manipulative and factually deceptive video about fetal development. In the 3.33 minute long video, a Miracle of Life is visually appealing, yet problematic in that it symbolically annihilates the complexities of a woman’s private life while it visually and textually offers one solution. In general, the Caucasian-centric video uses a problem-solution format beginning with a series of questions and answers about a pregnancy and the fetus with the invocation at the end to choose life. Through the use of computer-generated graphics, soulful music and emotionally manipulative juxtapositions of imagery, the producers at Catholic Media House drive home the fact that the fetus is a living human entity. In what is arguably an artifact of Catholic propaganda, The Miracle of Life intentionally blurs the lines between fact and fiction about fetal development in an ethically compromised production. While it purports to be truthful, to hold claim to reality and to the authority of science, the video exists as a tool of the Catholic Church to support their religious power structure and their privileged forms of communication within their church and the state of Pennsylvania. While a deconstruction of the video could extend for pages, I’ll give a few highlights to illustrate how the lines between fact and fiction work.

The beginning of the video opens with a black screen and piano music that dissolves to an image of a gestationally-advanced abdomen of a pregnant woman with text floating on and off the screen What should I do? “Is this a fetus or a baby? “When does life really begin? Then the question to the audience “Do you know about the miracle of life?” with the word miracle in enlarged red text that flashes and expands, as if “breathing” in and out on the screen then transitions to an image of a zygote with text that reads “at the moment of conception, a unique human being’s DNA is created, then a flash of the DNA helix and the text “human DNA that never existed before and will never be repeated again.” Thus, the fetal-centric tone of the video is established.

As the video continues, gestational milestones are offered as scientific facts. For example, the video, using the female pronomial reference, claims that at six weeks, “she has fingers and toes” while sources such as the National Institute of Health (NIH) claim that at eight weeks the arms and legs have grown longer and that while the foot and hand areas may be distinguished, the digits are still webbed.

In an emotional framing, the video erroneously claims that at 11 weeks, she can smile and frown, wiggle her fingers and toes and even suck her thumb. And while it’s a charming thought to consider such animation and agency of the fetus, the science provides a more sober response. Piontelli (2010) found that an immature suck-swallow pattern is observed at 32-34 weeks while other sources (Mayo, NIH) note non-directed sucking motions at 26 weeks. It’s a far cry from the Hallmark card version of hegemonic parenting and the preferred reading of pregnancy and infancy.

At 16 weeks, the Miracle of Life video claims that she can open and close her eyes and that she has her own fingerprints while the NIH states that around 11-14 weeks the eyelids close and will not reopen until around 28 weeks. It further states that finger and foot prints do not begin to form until around week 30.

WolfSheep

While I’ve provided only a few examples of how the producers blurred the lines between fact and fiction, the overall pattern of enthusiastic support for the fetus in exuberant applications of artistry over reality can easily be discerned.  The concern I want to point out is how potentially  problematic the video can be for a distraught woman faced with an unplanned pregnancy. Regardless of circumstances, all women deserve honest and accurate information when faced with a pregnancy. Real Alternatives, is, instead, a wolf in sheep’s clothing. Posed to appear as a legitimate reproductive health care facility, RA, instead, disseminates misleading and false information. Like the thousands of CPCs across the United States, I find that RA’s predatory textual and visual communication practices, as illustrated in this very short video, clearly violate ethical guidelines about truthfulness and the admonition to do no harm. It’s a miracle that their work is considered legal.

References

Heiss, B. M., Monge, P. and Fulk, J. , 2012-05-24 “Predatory Mimicry in the Crisis Pregnancy Center Movement: Ambiguous Form Communication as an Evolutionary Strategy” Paper presented at the annual meeting of the International Communication Association, Sheraton Phoenix Downtown, Phoenix, AZ Online <APPLICATION/PDF>. 2013-08-16 from http://citation.allacademic.com/meta/p552613_index.html

Piontelli, A. (2010). Development of Normal Fetal Movements: The First 25 Weeks of Gestation. Milan, Italy:Springer Verlag.

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