Erin Hawley Wants ER Doctors Like Me to Do What, Now?
SlateListening to oral arguments on Tuesday in the Supreme Court’s medication abortion case as an emergency room physician who has seen my share of miscarriage management, it was hard to escape a feeling of rage and disequilibrium. On almost every one of my emergency department shifts, I care for a patient who is having vaginal bleeding while pregnant or being evaluated for a possible ectopic pregnancy. But given my experience and expertise in women’s reproductive health care, specifically in the care of pregnant patients in emergency departments, I felt it was important to listen to every word. She claimed, and, I believe, with a straight face, that her clients couldn’t deliver standard miscarriage care because of the possibility that the patient had taken medication prior to the termination of the pregnancy. By arguing that her clients could refuse care to any patient during a course of care because of the possibility that they may have taken a medication that already definitively ended the pregnancy, she opened a Pandora’s box of ways physicians, and other providers, could refuse care to patients, including at least one that is entirely inconsistent with the practice of medicine as I know it.