The Hidden Work of Abortion Providers: Laverne’s Story
Unlike their counterparts in other industrialized countries, abortion providers in the United States dont simply perform abortions. Because of all the ramifications of the abortion wars in this countrythe restrictions on the use of public funds, the scarcity of facilities that are able (or, in the case of hospitals, willing) to perform abortions for sicker women, and, most crucially, the overrepresentation of the poorest women in America in the population of abortion recipientsU.S. providers have become de facto social workers, fundraisers, and travel agents, to name just a few of their ancillary roles.
Take the case of Laverne (not her real name), a patient who recently came to a clinic in the South. She has numerous medical problems, some quite serious, including a history of hemorrhaging after the deliveries of her children. At the time of her contact with the clinic, she was just under 23 weeks pregnanta condition she was late to discover because her periods had stopped due to one of her medical treatments. Given her fragile health status and her history of difficult births, her obstetrician strongly advised an abortion.
Given her health problems, stage of pregnancy, and high risk for catastrophic bleeding, the abortion clinics medical director felt it was safest for her abortion to be done in a hospital. The clinic staff did locate a nearby hospital that was able to do this abortion, but the cost would be $7,000an utter impossibility for Laverne. Her family was financially destitute. She had recently lost her job due to her health problems, and her husband had been fired for leaving work and rushing home when one of their children called to say she had fainted. Her household included several other dependent relatives. There simply was no way to come up with $7,000.
The clinic director sprang into action. She put out a message on a listserv of abortion-providing colleagues and asked for help. Several people responded immediately, including the medical director of an abortion clinic in a West Coast hospital. The director offered that her facility would provide the abortion at considerably less than the $7,000 figure that had been quoted earlier. A staff person of the Southern clinic then called the National Abortion Federation (NAF), which was able through several of its funds to cover the cost of both the procedure and her travel to the West Coast. Lavernes medical records were faxed to the hospital.
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