When Republican Rep. Kat Cammack (Fla.) checked into a Florida hospital last year, her goal was to obtain a vital dose of methotrexate, the drug needed to expel the nonviable ectopic pregnancy actively threatening her life. But with the state's six-week abortion ban newly on the books, it took hours before doctors worried about their legal liability would agree to prescribe the medication. Their apprehension, Cammack said to The Wall Street Journal, was the result of "absolute fearmongering at its worst" on the part of pro-choice activists. But with confusion over liability and medical responsibility, care for ectopic pregnancies remains in an uncertain state.
What does the law say? On June 3, the Trump administration rescinded President Joe Biden's 2022 directive to hospitals that ordered them to provide abortion services in instances of extreme medical necessity. However, the Trump administration said it would "continue to enforce" the underlying law that requires treatment for "conditions that place the health of a pregnant woman or her unborn child in serious jeopardy."
The back-and-forth has "thrown into doubt" the government's "oversight of hospitals that deny women emergency abortions," said The Associated Press. Early pregnancy is a "medically complicated space," said American College of Emergency Physicians President Alison Haddock to The Guardian. Doctors now need to worry "whether their clinical judgment will stand should there be any prosecution."
Abortion rights advocates argue Florida's restrictive reproductive laws created the problems faced by Cammack and her physicians. The law doesn't define how doctors should identify ectopic pregnancies, said Molly Duane, a senior attorney at the Center for Reproductive Rights, to the Journal. Blaming health care providers for the confusion, rather than ambiguous policies, comes from the "playbook of anti-abortion extremists."
What's next for doctors and patients? Apprehension surrounding ectopic pregnancy care has already prompted one of the country's largest crisis pregnancy center organizations to advise against prenatal ultrasounds that could confirm the condition. The National Institute of Family and Life Advocates has already fought, and ultimately settled, lawsuits stemming from misdiagnosed ectopic pregnancies in what the group called the "greatest medical and legal risk for clinics," said NBC News.
Some medical health professionals have called for the administration to clear up confusion. Hospitals "need more guidance, not less, to stop them from turning away patients experiencing pregnancy crises," said Nancy Northup, the president and CEO of the Center for Reproductive Rights, in a statement. |