But much of what's documented in the Philadelphia report—unsanitary conditions, sloppy anesthesia, unlicensed practitioners, busted emergency equipment, lax record-keeping, and a patient's death—was found in the Florida clinics, too. And when legislators tried to step in, abortion rights advocates stopped them.......
Providers varied considerably in motives and quality. Insiders divided them evenly into two categories: mission clinics and entrepreneurs. Mission clinics often operated in rural areas, especially in central and north Florida. The only people willing to perform abortions in the face of the hostility common to such regions were those driven by moral commitment. Most were maverick feminists. Where nobody else would meet women's needs, they would. Entrepreneurs favored more profitable, tolerant, and anonymous urban areas. If business went bad, they would pack up and turn to other trades. But the mission clinics would find a way to stay open......
Twenty-three clinics in Florida belonged neither to NAF nor to FLAC. Some had failed to meet the requisite standards. Others hadn't bothered to apply. Nearly all were entrepreneurial. Most were owned by doctors. Many were concentrated in a stretch of south Florida, around Miami, that was foreign to leaders of the clinic associations. These clinics didn't cooperate with the associations on peer review. They enjoyed the legal protections hard won by activist providers but shared none of the work or expense. And stories about them, involving dissatisfied patients and substandard care, circulated among the more responsible clinics.
In south Florida, conscientious providers privately blacklisted the bad clinics and avoided referring women to them. Many referred patients only to NAF or FLAC members. But making this private rating system public seemed unthinkable. As little as the good providers trusted the bad ones, they trusted the government less. Nothing would make them break their silence. Not even a woman's death.
Thursday, February 17, 2011
How pro-choicers keep dangerous abortion clinics open
William Saletan has a piece at Slate, part of which was originally intended for his book, regarding the factions in the abortion industry on how pro-choice organizations refused to speak up against subpar abortion clinics.