PA Senate to hold hearings on failure of abortion clinic regulation

I just received this statement from Erik Arneson, Communications and Policy Director for Sen Dominic Pileggi, PA Senate Majority Leader, Speaking about the case of Kermit Gosnell and the grand jury report on the atrocities alleged at the Women’s Medical Society in Philadelphis, Arneson said:

The grand jury report shows a massive systematic failure by the state agencies responsible for overseeing this facility. We intend to hold at least one public hearing to examine the problems in detail.

I hope the hearing will be sufficient to cover the “massive systemic failure” as well as any other factors that led to the scandal in Philadelphia. Given the scope of the situation, I suspect one hearing may not be enough.

PA Abortion clinic inspections stopped to avoid barriers to abortion

The grand jury report on Kermit Gosnell’s Women’s Medical Society in Philadelphia carefully details the shocking negligence of many people. From those responsible for regulating health under two administrations to outside certifying agencies, many people knew something was wrong in West Philly and they did little or nothing. Here is a passage (pp.148-149) from the grand jury report that finds a change in policy regarding abortion clinics when Governor Tom Ridge took over from Bob Casey. In essence, the change in regulatory posture was justified by the belief that such negligence would make abortions more accessible.

Since February 2010, Department of Health officials have reinstituted regular inspections of abortion clinics – finding authority in the same statute they used earlier to justify not inspecting.

Staloski blamed the decision to abandon supposedly annual inspections of abortion clinics on DOH lawyers, who, she said, changed their legal opinions and advice to suit the policy preferences of different governors. Under Governor Robert Casey, she said, the department inspected abortion facilities annually. Yet, when Governor Tom Ridge came in, the attorneys interpreted the same regulations that had permitted annual inspections for years to no longer authorize those inspections. Then, only complaint driven inspections supposedly were authorized. Staloski said that DOH’s policy during Governor Ridge’s administration was motivated by a desire not to be “putting a barrier up to women” seeking abortions.

Brody confirmed some of what Staloski told the Grand Jury. He described a meeting of high-level government officials in 1999 at which a decision was made not to accept a recommendation to reinstitute regular inspections of abortion clinics. The reasoning, as Brody recalled, was: “there was a concern that if they did routine inspections, that they may find a lot of these facilities didn’t meet [the standards for getting patients out by stretcher or wheelchair in an emergency], and then there would be less abortion facilities, less access to women to have an abortion.”

Brody testified that he did not consider the “access issue” a legal one. The Abortion Control Act, he told the Grand Jurors, charges DOH with protecting the health and safety of women having abortions and premature infants aborted alive. To carry out this responsibility, he said, DOH should regularly inspect the facilities.

Nevertheless, the position of DOH remained the same after Edward Rendell became governor. Using the legally faulty excuse that the department lacked the authority to inspect abortion clinics, Staloski left them unmonitored, presumably with the knowledge and blessing of her bosses, Deputy Secretary Stacy Mitchell and a succession of Secretaries of Health. The department continued its do-nothing policy until 2010, when media attention surrounding the raid of the Gosnell clinic exposed the results of years of hands-off “oversight.” Now, once again, the regulations, which have never been modified, apparently allow for regular inspections. This is, and always was, the correct position. The state legislature gave DOH the duty to enforce its regulations; the authority and power to do so are implicit in that duty. The department abandoned this responsibility without explanation, and without notice to the public or the legislature.

This is a scandal which requires an investigation. The legislature in PA developed statutes which required clinics to be investigated and the law was not followed. The new chief executive in PA, Tom Corbett, is reportedly upset about this case. I hope he turns his upsetness into action.

I should also mention that I have contacted the DOH’s chief counsel in PA for comment but have not had a reply.

Abortion clinic regulation scandal in PA

Yesterday, I briefly posted a link to an article about Kermit Gosnell, a physician in Philadelphia who has been charged with the murder of a patient and sevenbabies. I knew I recognized the name but couldn’t place it at the time. After looking a bit more, I found several articles on the Gosnell’s background (e.g., this one from LifeNews).

Then I located the grand jury report on the case which included testimony of lawyers for the PA Dept of Health (beware – the report is not for the faint of heart). There is some confirmation of my suspicion that the reason abortion clinics had not been inspected related to policy. Here is a passage (pp. 161-164) where the report characterizes the testimony of attorneys for the DOH.

It was clear to us after hearing these witnesses testify that the decisions not to inspect abortion clinics or to license them as ASFs were not based on any serious interpretation of statutes or legal research. These lawyers were simply twisting and reinterpreting the law to explain policy decisions that changed with administrations, even though the laws did not. Dutton admitted in her testimony that the decision not to inspect was a policy decision, not one grounded in the law:

Q: Does it surprise you to know that some of the reasons cited for the failure to go out and do these inspections is that they believed that they didn’t have the legal authority to do so?

A: That would surprise me, yes. . . . To me, I would believe that they didn’t go out to do them because some policy had been set in the department at some point in time in the past that we were not going to do regular inspections of abortion facilities.

Dutton’s failure to recognize and treat abortion clinics as ASFs, and her silence as DOH shirked its duty to protect women and infants at abortion clinics, reflect a blatant refusal to enforce the law.

The DOH attorneys offered multiple explanations to attempt to justify why the department does not license abortion clinics in the same manner as any other ASF. None of their explanations comports with the law or with common sense.

Two of their “justifications” are barely worth comment. One lawyer told us that there is always “push-back” from doctors who do not want to be licensed as ASFs. Not only is this argument irrelevant to any legal analysis, it is unpersuasive. We learned that there are fewer than 30 abortion providers in the entire state. These doctors should not be able to exert that much push-back. Moreover, the legitimate abortion providers who testified before the Grand Jury told us that they already comply with standards as demanding as those for ASFs. Abortion rights advocates told us the same thing – that licensing abortion clinics as ASFs would not be burdensome because clinics that are members of NAF, or associated with Planned Parenthood, already comply with the highest standards of care.

A second reason proffered by DOH attorneys for not licensing abortion clinics – that abortion is “controversial” – is just insulting. Abortion is a legal medical procedure. Any controversy surrounding the issue should not affect how the law is enforced or whether the Department of Health protects the safety of women seeking health care.

The DOH lawyers offered up policy based reasons not to regulate abortion providers but the grand jury dismissed these excuses.

I am hoping an investigation of the DOH will now commence to discern who authorized the policy which illegally exempted abortion facilities from inspection. As the rest of the grand jury report makes clear abortion facilities are required to be inspected by state law regulating ambulatory surgical facilities (ASFs). However, apparently for decades, these facilities have not been treated as such and allowed to practice without oversight.

Gruesome abortion/murder case in Philadelphia

Sorry, this is awful.

The health department did not investigate complaints from 1996 until 2010, according to the prosecutor in this case. It is speculation on my part, but I wonder if regulators were protecting him because he was willing to perform abortions, particularly ones that others would not perform. In addition to the prosecution of the physician and his staff, I hope the PA Health Dept is investigated. I think I will look into this tomorrow…

Pro-life Congressman blasts Family Research Council over election attack ads

A pro-life Congressman is speaking out about the decision of the socially conservative Family Research Council to run ads attacking him just prior to last week’s election. The first Vietnamese American to serve in Congress, Rep. Joseph Cao (R-LA) was unseated last week by pro-choice Cedric Richmond. Rep. Cao, who has a solid pro-life voting record, was attacked by the Family Research Council on conservative talk radio due to his votes in favor of including sexual orientation in hate crimes law and his support for repealing the military ban on gays serving openly.

About the ads, Rep. Cao told me late yesterday:

For a conservative Christian organization to attack a Republican pro-life candidate in a general election is as ignorant as it is inexcusable.

The New Orleans Times-Picayune reported last week that FRC bought ads on the conservative talk radio station WRNO, known locally as “Rush Radio” due to the conservative nature of the programming. The ad attacked Cao’s votes on gay issues, saying his record “places your personal liberties at jeopardy.”  

Several pro-life activists I spoke with declined to comment. The National Right to Life Committee did not respond to several requests. However, one pro-life activist denounced FRC’s actions. Psychologist Rachel MacNair, Vice-President of Consistent Life, a pro-life think tank, told me that

FRC sabotaged the pro-life cause — not just in losing a vote in Congress, but in the far deeper matter of public persuasion for the ultimate goal of making abortion unthinkable.

Can you be pro-life and moderate or supportive on gay issues? Public opinion polls show that the public is become more moderate on gay issues while growing more negative toward abortion.  If these trends continue, pro-life political groups may need to decide which social issue is more important to them. In the case of Rep. Cao, FRC’s anti-gay sentiment trumped support for a pro-life Congressman, one FRC endorsed in 2008.

Earlier today, FRC Action president Tony Perkins issued a statement to me defending the move to oppose Cao.

First, FRC Action is not a Republican organization. We are a conservative Christian organization that advocates for the family based upon biblical values and truths.  Many of the problems we face today in America are the result of Republican leadership.

When Cao first ran in 2008, he sought my support and promised to be a conservative, morally based vote for the family.  I endorsed him in that race and because of the unique situation with Jefferson under indictment and no other viable Democrat in the race, Cao won.  In the last two years he has amassed one of the worst voting records of any Republican in Congress on our issues.  By the way, the homosexual community masquerading as Republicans in New Orleans decried our ad against Cao because he was pro-life.  Cao was at best a pro-life vote, under pressure. 

Cao was the lone Republican who voted for the government takeover of healthcare when it first passed the House.  A lot of time and energy was spent on getting him to vote against the measure when it came back to the House from the Senate with taxpayer funding of abortion included.  It he was truly pro-life, he would have been leading the charge against President Obama’s plan; instead he was meeting with him in the White House.  Secondly, we are not a single issue organization that only focuses on the life issue.  We look at where Members stand on life, marriage, family and religious liberty.  Cao’s score on FRC Action’s vote scorecard was 62, lowest of the Louisiana House delegation.  His score was lower than Charlie Melancon, the one Louisiana Democrat in the House.

Cao repeatedly voted for key provisions of the homosexual agenda including: Hate Crimes, the overturning of “Don’t Ask, Don’t Tell,” even though military leaders said don’t do it.  The straw that broke the camel’s back for me was when he recently helped the Log Cabin Republicans (homosexual Republicans) raise money for their political operation.  It was the Log Cabin Republicans that recently filed a lawsuit against the military in an attempt to force them to allow open homosexuality in the military, which military leaders have said could potentially undermine their ability to accomplish their mission.  The Log Cabin Republicans succeeded at the district court level and for one day the military was forced to change their policy and even had to recruit homosexuals.  That case is currently on appeal. 

I also wanted to send a very clear message to Republicans across the country; if you take a stand against the family, we will take a stand against you.  These squishy Republicans need to know that we will come after them, just like the Democrats. 

For his part, Congressman Cao disputes aspects of Perkin’s account. According to Taylor Henry, Communications Director for Rep. Cao, the Congressman “did not personally solicit the endorsement of FRC.” In fact, Henry told me, “Congressman Cao does not recall ever meeting Tony Perkins” and he “did not make any promises to Perkins.” Henry said he cannot speak for the 2008 campaign staff so there may have been some contact at that time but Congressman Cao made no personal commitments to vote with the FRC. 

Regarding his votes on hate crimes and Don’t Ask, Don’t Tell, Henry said Congressman Cao voted in keeping with his views that gay people should receive equal protection under the law.

See also FrumForum on this story.