The New Abortion Providers

Dr. Rachael Phelps (left), an alumna of the Family Planning Fellowship. Dr. Emily Godfrey (right), whose specialty is family medicine, with a patient undergoing a routine checkup.

By EMILY BAZELON
NYT

On a clear and mild March day in 1993, the Operation Rescue leader Randall Terry spoke at a rally in southern Florida against abortion. “We’ve found the weak link is the doctor,” he told the crowd. “We’re going to expose them. We’re going to humiliate them.” A few days later, Dr. David Gunn, an abortion provider, was shot and killed outside his clinic in Pensacola, Fla., about 500 miles away. It was the first of eight such murders, the extreme edge of what has become an anti-abortion strategy of confrontation.

Terry understood that focusing on abortion providers was possible because they had become increasingly isolated from mainstream medicine. That was not what physicians themselves anticipated after the Supreme Court’s 1973 decision in Roe v. Wade. An open letter signed by 100 professors of obstetrics and gynecology predicted that free-standing clinics would be unnecessary if half of the 20,000 obstetricians in the country would do abortions for their patients, and if hospitals would handle “their proportionate share.” OB-GYNs at the time emphasized that abortion was a surgical procedure and fell under their purview.

But then most of the OB-GYNs left the stage. After Roe, the shadow of the greedy, butchering “abortionist” continued to hover, and many doctors didn’t want to stand in it. As mainstream medicine backed away, feminist activists stepped in. They set up stand-alone clinics to care for women in their moments of crisis. In many ways, the clinics were a rebel-sister success story. Instead of a sterile and expensive hospital operating room, patients could go to a low-cost clinic with pastel walls and sympathetic staff members. At a Planned Parenthood I visited recently in Rochester, while women were having abortions, they could look at photos of a Caribbean beach, taped above them on the ceiling.

But the clinics also truly came to stand alone. In 1973, hospitals made up 80 percent of the country’s abortion facilities. By 1981, however, clinics outnumbered hospitals, and 15 years later, 90 percent of the abortions in the U.S. were performed at clinics. The American Medical Association did not maintain standards of care for the procedure. Hospitals didn’t shelter them in their wings. Being a pro-choice doctor came to mean referring your patients to a clinic rather than doing abortions in your own office.

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