(Correspondence) Unwanted pregnancy and abortion

CW Kok

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
. . . A common error made by physicians is that they assume a responsibility that is not theirs. When a healthy woman becomes pregnant it is her responsibility and it is certainly not the duty of the physician to terminate the pregnancy. . . . .

. . . If it is a depression one has to treat the depression, not the pregnancy. We are using the wrong diagnosis to escape from a difficult decision. To justify an abortion one must be sure that health will be permanently damaged, as in a patient with chronic nephritis or one at risk of heart failure. . . .

. . . .The lack of guiding principles has created a very disturbing situation. A most disturbing thought is that those who are unwanted can be disposed of. This happened to the Jews in Nazi Germany and it happens in all totalitarian states. . . .Throughout history, people were first dehumanized, not regarded as people, then used or killed. . .

. . . Physicians’ attention must be focused on preventing the occurrence of those situations in which abortion may be justifiable. . . The Oath of Hippocrates should serve as a means of drawing the members of the medical profession together irrespective of religious or philosophical differences. As it is now, we are the passive onlookers of a debate between fanatically rigid groups.


Kok C. (Correspondence) Unwanted pregnancy and abortion. Can Med Assoc J. 1975 Feb 22;112(4):419-420.

(Correspondence) Wilful exposure to unwanted pregnancy

Carol A Cowell

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
. . . the term unwanted pregnancy . . . I use . . . simply to denote a pregnancy in a patient who does not want a baby. . . If he is implying that some of these patients use pregnancy as a club with which to beat their parents over the head, I would certainly agree. . .The “wilful exposure to unwanted pregnancy” syndrome certainly must be one of psychodynamic origin. . . . when are our psychiatric colleagues going to come forward with positive, practical steps to help alleviate it?


Cowell CA. (Correspondence) Wilful exposure to unwanted pregnancy. Can Med Assoc J. 1975 Feb 08;112(3):274.

(Correspondence) Therapeutic abortion

PG Coffey

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
The country that liberalizes abortion creates an atmosphere that encourages abortion. . . Is abortion really no different than any other operation? The people who see no difference are the same people who see all the difference in the world between feticide and infanticide. . . .Dr. Watters refers derisively to the “pro-life” group as the “Canadian Crusaders for Compulsory Pregnancy. . . Is it so difficult to understand that in certain circumstances principles come before expedients? . . . Killing has always been one of the most tempting ways for man to achieve his immediate ends. The numerous complications that may result from abortion, especially the long-term ones, provide good medical reasons for encouraging a pregnancy to continue.


Coffey PG. (Correspondence) Therapeutic abortion. Can Med Assoc J. 1975 Feb 08;112(3):283.

(Correspondence) The unwanted pregnancy

Kenneth E Scott, Sharon H Stone

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
We were astonished and disturbed to find that in our own hospital 100 infants every year are unwanted during pregnancy and are still unwanted after delivery, and that these are infants of married women with families. There certainly are, then, sufficient numbers of unwanted pregnancies resulting in unwanted infants to presume that they may make up the majority of the beaten and neglected children. We did not prove that they did make up the majority of these children but, as stated in the conclusions, it is a likely possibility.


Scott KE, Stone SH. (Correspondence) The unwanted pregnancy. Can Med Assoc J. 1975 Feb 08;112(3):280.

(Correspondence) Composition of the General Council (Response)

CMAJ

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
The 1974 CMA General Council membership was composed of some 250 members of the association. Over two thirds of General Council, 170 members, were representatives of provincial divisions. Twenty-four were members of the CMA Board of Directors or chairmen of statutory CMA councils or committees. Thirty were representatives of affiliated societies. . . . In addition there were 21 individuals who, by virtue of having held office in the CMA (past-presidents, etc.), were members of General Council. The remaining three members were the surgeon general of the Canadian Armed Forces, the director general of the treatment services branch of the Department of Veteran Affairs and the deputy minister of national health, Health and Welfare Canada.


CMAJ. (Correspondence) Composition of the General Council. Can Med Assoc J. 1975 Jan 11;112(1):27.

(Correspondence) Therapeutic abortion

Bruce Gibbard

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
. . . the CMA is composed of physicians who hold strongly opposing opinions on the morality of therapeutic abortion. Consequently, it will be impossible to find a compromise that will satisfy all members of the association. . . What I believe is wrong is that an important, at times essential, and in some cases lifesaving, medical decision is contaminated by the stigma of the Criminal Code of Canada..


Gibbard B. (Correspondence) Therapeutic abortion. Can Med Assoc J. 1975 January 11;112(1):25-27.

(Correspondence) Therapeutic abortion

Heiko Baunemann

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
The history of the Nazi era reminds us of the tendency in man to abuse and enslave his brothers. . . Canadian doctors have performed approximately 150 000 abortions. They are acting freely and voluntarily. I do not believe that their actions can be defended by moral men. It is true that there are good men among them, men who are motivated by the highest ideals, but as a social group I view them as mass killers.


Baunemann H. (Correspondence) Therapeutic abortion. Can Med Assoc J. 1975;112(1):27.

(Correspondence) Therapeutic abortion

GJ Froese

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
It is with great distress that many of us are watching what is happening to our medical ethics. . . When I was in medical school (early 1950s) students supposedly subscribed to the Hippocratic oath. . . . At that time abortionists were punished. Today it is quite different and the antiabortionists appear to be in the minority. . .


Froese G. (Correspondence) Therapeutic abortion. Can Med Assoc J. 1974 December 21;111(12):1301.

(Correspondence) Therapeutic abortion

WF Baldwin

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
I support Dr. Roseborough’s stand that most therapeutic abortions are essential, remedial and generally humane (Can Med Assoc J 111: 645, 1974) and I see no advantage in debating the issue further. . . . It has been my experience that sympathetic counselling combined with a few days’ delay results in a certain number of unwise or unwanted terminations being avoided. I do not deny (or mind) that some patients suffer anxiety from delay, but if termination of pregnancy in ambivalent patients is avoided, I believe the checks are valuable. . .My personal approach is that we must return to some form of sensible and responsible morality. Sex has now become one of the most discussed subjects of modern times. The Victorians pretended it did not exist at all, whereas the so-called moderns pretend nothing else exists. We have discarded the first attitude as being unrealistic and it is now time that we discarded the second.


Baldwin W. (Correspondence) Therapeutic abortion. Can Med Assoc J. 1974;111(12):1299, 1301.

Hill-Burton Hospitals After Roe and Doe: Can Federally Funded Hospitals Refuse to Perform Abortions?

Eugene L Berl

Review of Law & Social Change
Review of Law & Social Change

Extract
Conclusion

Public hospitals, by reason of the mandate of Roe and Doe, cannot categorically refuse to perform abortions. Similarly, under the state action doctrine, hospitals receiving federal funds pursuant to the Hill-Burton Act cannot refuse to perform abortions, notwithstanding the Health Programs Extension Act of 1973. The inter-relationsip of state and the hospital in the Hill-Burton program, with all the rights, duties and obligations incidental thereto, and the fact that the state and the hospital are joint participants in a state project undertaken for the benefit of the public, support the finding of state action. The Roe prohibition against state interference in a woman’s abortion decision, to be more than a mere cipher, must extend beyond state abortion statutes to the unwarranted refusal to perform abortions by hospitals with which the state is intimately involved.


Berl EL. Hill-Burton Hospitals After Roe and Doe: Can Federally Funded Hospitals Refuse to Perform Abortions? New York U Rev Law & Social Change. 1974;4(1):83-97.