Medical care in a post-Roe world includes tense legal discussions and tortured delays that are not in the best interests of patients.
By the time a young mother-to-be got to Dr. Tony Ogburn one night in July, the prognosis for the baby was grim.
The post-Roe world that Dr. Ogburn and other clinicians face is one of tense discussions and tortured delays that aren't in the best interest of the patient.
In the new era, it's an open question if they will still have that option—and if not, how sick they need to be before they do. "People have to be on death's door to qualify for maternal exemptions to SB8," one clinician told the authors. The new restrictions are also affecting the ability of patients in Wisconsin and several other states suffering from rheumatoid arthritis to access another drug called methotrexate because doctors sometimes prescribe it for medical abortions. For patients who need medication to treat incomplete miscarriages, Domeyer's own practice has begun administering the drug in the office to avoid"obstruction or delays" from pharmacists.
"It's impacting care, not just for people who are wanting elective terminations," Domeyer says."It's impacting care for people who have very desired pregnancies or people who have other conditions like miscarriage, because there's confusion about the law." In an article sent out to its members after Roe was overturned, the Association of American Medical Colleges predicted that the U.S. Supreme Court decision will make it harder for future OB-GYNs and other providers to get training in how to perform abortions necessary to save patients' lives. Many OB-GYN residents will have to temporarily locate to other states to receive abortion training, putting a strain on the educators in states where abortion remains legal.
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