Price of Abortion

Making Money from Abortion

For as long as I can remember, anti-abortion advocates have screamed about how the owners of the abortion clinics and the doctors who work in them have made tons of money off the “killing of babies.”  I have always found it interesting that these mostly conservative, Republican, business-oriented folks have taken such an anti-capitalist point of view, but that’s beside the point.

What also interested me was how the anti-abortion crowd could make such statements when I am confident that they probably do not know any of the doctors or owners personally, but why should that stop them from taking one (possibly true) anecdote and making such broad generalizations?   On the other hand, my comments are based on my extensive, personal interactions with hundreds of these folks – and when I say “personal” I mean that I have spent times in their homes, have gotten to know their families and, thus, have gotten a very good sense of the kind of money they make.

Years ago, when abortion first became legal, the owners and doctors made a significant amount of money.  And that was because in the very beginning there just weren’t that many clinics.  Women were travelling hundreds of miles to get to a state like New York that had a clinic or two.  There were charter planes bringing women to those facilities in NY, California and Colorado.  So, those clinics were filled with hundreds of women each week.  The average price for a first trimester abortion was $250 in the early days, so you do the math.  They made a lot of money because of the high demand and the relatively few facilities.

Over the years, however, more and more clinics opened up their doors and the patients started to spread out to take advantage of a clinic that was closer to their home.  Thus, the number of patients going to those large clinics in New York and the other states started to shrink.  Then, sometime in the 1980’s or so, the number of clinics exploded in certain states.  In cities like Detroit, Atlanta, Dallas and Los Angeles, they were all over the place.  The competition for the patients became intense.

Now, I will tell you that I have visited some very nice homes over the years, that’s for sure.  But, for the most part the owners of the abortion clinics live in middle-upper middle class neighborhoods, as do the doctors. I have no idea what the salary was (or is) for the average doctor but I can tell you in many cases it was just about what any ob-gyn would get per year.  I mean, after all, they are doctors.

On the other hand, I also stayed on the couches of several owners who had some very modest homes.    After the “old boys” of the early days started to die out or move aside, a new cadre or owners, particularly young women, took over and their life styles were nothing like their predecessors.  Indeed, I recall two or three owners who actually lived in the basement of their clinics.

Today, the average cost of an abortion is about $400.  If inflation were taken into account, the cost should be more like $1,000.  But the price of an abortion has been kept artificially low because there are many owners who want to keep the procedure accessible for those in need and, yes, because of competition.   At the same time, I have seen many instances where the doctor performed an abortion for free or at a reduced priced if the patient was in very dire circumstances.  Remember, while these folks are businesspeople, they are also good bleeding heart liberals who want to help those in need.

I guess for me the bottom line is that abortion is a business that was created because women demanded the services.  And it’s a medical business that requires the purchase of medical equipment, security cameras, malpractice insurance and the payment of staff salaries.  So, I hate to disappoint the anti-abortion crowd but this true medical procedure requires that the doctors charge something to make it available to the next woman.   And, please, before anyone who works at a crisis pregnancy center tells me that they work for free and charge nothing for their “services,” spare me the comparison.  Talking to a woman about abortion in a small room CAN be done for free (which makes me wonder why many of the cpcs need government grants).  When they start having a need for a physician who will perform a medical procedure, then we can compare notes.

New York Times on Abortion

New York Times Abortion Article

In 1997, I told a reporter with the New York Times that I thought abortion was a “form of killing.”  I said it in the context of a story he was writing about the “partial birth abortion” procedure.  The quote wound up at the bottom of the story on page 17.  In other words, it did not create headlines and millions of women who had had abortions in the past did not come forward to demand their money back from the abortion clinics because they were snookered.  I got a total of one email from a clinic owner who was upset at my quote.  Never heard a word from the pro-choice groups.

Of course, we all know that the anti-abortion movement wants to make the procedure illegal because they also believe that abortion is not only killing, but murder.  When that doctor performs that abortion, he or she is “killing a baby,” pure and simple.  That’s where the line is drawn.  Indeed, a few have gone so far as to kill a (already alive with a family) doctor who performs abortions.

And now here comes Mitt Romney, a Republican candidate for President who years ago used to be pro-choice when he was Governor of (the liberal state of) Massachusetts.  At some magical moment, Romney got “educated” on the issue, coincidentally at the time when he was seeking the nomination in a process that is dominated by pro-life advocates.

Suddenly, Mitt Romney became pro-life!   Today, Romney believes that abortion should be “limited to only instances of rape, incest or to save the life of the mother.”

Mitt Romny and abortion

Mitt Romney and Abortion

Hmmmmm.

First of all, kudos to this compassionate man who cares so much about women that he would grant them the ability of have an abortion as long as they can prove that they would DIE if they didn’t have one.  Good for you, Mitt!  Bravo!

But he would also allow the abortion if the woman were raped or a victim of incest.

So, what am I missing here?   What happened to the focus on that little 7 week “baby?”  Aren’t we supposed to STOP THE KILLING as the posters say outside the abortion facilities?  No matter what you call it, that entity that is inside the woman is alive, right?    And, if not aborted, it will continue to grow, right?  And the woman is going to the doctor to stop that process, right?

So, what’s with the rape and incest exception?    Killing is killing is killing, is it not?   Does it matter how that poor little ole baby, floating around serenely in the uterus, was conceived or by whom?  Doesn’t the anti-abortion movement want to protect that “baby?”

Of course, the answer is politics.  It’s a way for Romney (and other pro-lifers) to try to appear compassionate and moderate.  He’s trying to have it both ways.   And I suggest that it is the height of hypocrisy.

For many years, the Congress, led by the late Congressman Henry Hyde, passed a rider to an annual spending bill prohibiting federal Medicaid dollars from being used for abortions unless the woman’s life was endangered.   Then, in the 1980’s, after an intense lobbying effort, they added the rape and incest exceptions.  To me, that was also a hypocritical vote, a welcome one nonetheless.  While we were lobbying for the additional exception, it was clear that a number of heretofore “pro-life” members of Congress were uncomfortable and it because a very political vote.  Personally, I admired more those pro-life Congressmen who voted against the rape and incest exceptions.  At least they were being consistent.

So, Mitt Romney is trying to have it both ways.  We’ll see if his strategy works.

My last few blogs have generated a lot of interesting discussions. I love a good, hearty debate so I want to thank everyone for chiming in and for keeping it (relatively) civil. Abortion is obviously an emotional and controversial issue that, as far as I am concerned, will never really be “resolved” because it is just not as black and white as some of our national organizations would have us think.

The last post discussed the efforts of some anti-abortion groups to declare the fetus as a “person” from a legal sense and it generated a rather lengthy thread. We got reams of information about the humanity of the fetus-baby, when it starts breathing, how it can feel pain, how it can hear music, when it starts to fart, etc. It was all very fascinating. No, that’s not true. I gotta admit that it was totally boring to me. After a few posts, I stopped reading most of the scientific information that was shared with us, especially the footnotes and citations by supposedly objective authors. At some point, I just started to tune it all out because to me it was just becoming an academic exercise that had no relation to the real world.

Maybe I’m just too simple. Every time I would see the paragraphs going on and on and on, I would just think of that 21 year old girl living in subsidized housing in the South Bronx who made a mistake. She had unprotected sex with that boy who

abortion stress

Abortion "Stressfull Decision"

has been destined for Riker’s Island since he was in elementary school. And she got pregnant. And, instead of playing the poverty card, I would also think of the 45 year old woman in Beverly Hills who thought she was incapable of getting pregnant anymore and whose marriage is a shambles. I just wondered how both of these women would have reacted if they were reading these regurgitations of the scientific literature? C’mon, folks, let’s get real. They wouldn’t have read any of it. Do you really think these women care that the fetus at 8 weeks has fingers, or a lung or whatever they have at 8 weeks?

Well, maybe they do care a little or are at least interested but do pro-lifers really think that all of the scientific “evidence” of “life” is going to make a difference that much of a difference? No way. Indeed, I can prove it. In a number of states the abortion clinics are required to show women pictures of how the fetus will develop, what it has at what stage. And, if you talk to clinics you will learn that it is extremely rare – I mean extremely – when a woman sees the pictures and is so shocked that she cancels the abortion. One clinic owner told me how they had to get extra trash cans because all of the (taxpayer paid) brochures wound up being thrown out.

Sure, it will be sad experience in some way. The woman may think about how, had she not had the abortion, she would have had a child. But, to her, it was the decision that she had to make at that time. It’s the same process that so many pro-lifers went through when they had their abortion. The only difference is now those pro-lifers are admitting that they now “regret” their abortion or that they were snookered, they didn’t know it had fingers or they didn’t know they could have put it up for adoption. And now they are saying that others can’t have the abortion because they know better.

Bolderdash!!

I appreciate how some want to pass on their “wisdom” and share their experiences to help those coming after them. But it is the height of obnoxiousness and somewhat hypocritical to say that, while you had the chance to have your abortion, you now know better so no one else should have one.

I’ve said it before and I’ll say it again – I trust women. I trust that they will talk to whoever they want to talk to, they will process the decision as well as they can, they will try to find a reputable clinic with good counseling and they will do what they think is best for THEM at that moment.

For the most part, none of them will be persuaded by the scientific facts. Women already know that the fetus is alive with, at some point, human characteristics. And they don’t want that fetus to grow into a baby that they will have to raise. That’s why they have the abortion.

Personhood Abortion

Personhood Demonstration

I am now totally convinced that the anti-abortion movement in this country has no idea how to stop abortion and, worse, some of their strategies might actually result in more abortions in this country.

There is now another anti-abortion group out there called “Personhood USA.”  They are led by a young activist by the name of Keith Mason who hails from Colorado.  Personhood USA’s announced goal is to pass amendments to several state constitutions that would recognize someone as a person “exactly at creation.”   As Mason explains, that would be at the moment of “fertilization…when the sperm meets the egg.”

Go ahead, Keith, make our day.

Okay, so I’m not gonna spend any time talking about how only about half of these fertilized eggs actually result in an ongoing pregnancy.  I guess to folks like Keith, it is irrelevant.   I suppose that when fertilization occurs, the parents will go out and get their new little “person” a Social Security but if it never appears, well, we’ll just toss his or her card out.  Despite some possible glitches, Keith is charging full steam ahead.  Indeed, this November voters in Mississippi might vote on a “personhood amendment” to their state Constitution, although it is being challenged by the ACLU.  And Keith has declared that his organization hopes to get proposals like these on the ballot in nearly half the states by 2012.

If Keith and his buddies want to spend all of that time on initiatives like these, I might even send him $5 to encourage him because it is an incredible waste of their time, money and energy.  If you have ever worked on a ballot initiative you know how much work it is and if Keith wants to try to mobilize the anti-abortion folks in that state on a proposal that – even if it passed – would never pass constitutional muster, then I say go for it.   Of course, he is ignoring the fact that a similar measure was defeated in Colorado in 2008 and 2010 but if his crowd wants to spend their time pushing something like this instead of working to defeat President Obama, I applaud their decision.

Kelth Mason Abortion

Keith Mason

Here’s the other kicker.   Let’s say that the measure actually does pass in Mississippi and it starts making its way through the court system.  Let’s say that in the meantime, President Obama has three more appointments to the U.S. Supreme Court and he gets into a pissing match with the pro-choice movement and, seeking revenge, he appoints three ardent, right wing conservatives.  Then this case gets to that Supreme Court and they uphold the law!

The result?

Sorry, Keith, but the result could actually be more (illegal at that point) abortions.

That’s because redefining “personhood” in this fashion will actually end up reclassifying many birth control methods as abortifacients or agents that induce abortions.

Hmmmm…. Less birth control available to women.

Now, I’m no rocket scientist but is it not possible that this scenario might result in more abortions?

Hello, Keith!   Are you out there?

By now, you have seen the reports that the World Health Organization (WHO) has determined that cell phones “may” cause cancer.  Of course, those who have been warning against cell phone use and opposing the construction of cell phone towers in residential neighborhoods now have another argument, another sound bite.

What most folks will miss, however, is that the WHO did not conduct its own study.  It simply reviewed all the previous literature and the other studies and, because ONE of those studies suggested that phones MAY cause cancer, the WHO is suggesting that maybe we need to study the issue again!

This whole thing makes me think about how arguments are presented in the abortion debate, how the participants usually cite individual anecdotes to make their point.

Late Dr. Bernard Nathanson

For example, when the pro-choice movement cites how thousands of women died from illegal abortions, the pro-life movement will immediately refer to Doctor Bernard Nathanson.  Doctor Nathanson performed thousands of abortions each year at a clinic in New York City and he was one of the founders of the National Abortion Rights Action League.  At some point, Doctor Nathanson switched over to the pro-life side and he became a national spokesman for their cause.  At one point, he said that, when he was at NARAL, they simply “made up” the number of women who had died from illegal abortions.  He suggested they just exaggerated the numbers to bolster their case for keeping abortion legal.  And today, when a pro-choicer talks about how women died from illegal abortions, they scoff and say that the numbers can’t be trusted because the one and only Bernie Nathanson said those numbers were made up.

What’s missing here is that, since he had converted to the pro-life movement, could his “correction” about the numbers be trusted?  After all, wouldn’t you expect him to come out after his conversion and debunk any of the arguments for legal abortion that he had originally espoused?

What I’m suggesting is that, when debating an issue, shouldn’t one look at the entire scope of the literature, at all of the testimony before the Congress and the state legislatures, at all of the reports from other doctors who saw women entering the emergency rooms after a botched or self-induced abortion?

The same thing occurred with Norma McCorvey, the “Roe” in Roe v. Wade, which made abortion legal in this country in 1973.  Norma was one of thousands of potential plaintiffs in that famous case but, because she signed the paperwork, she was

Norma McCorvey Transition

the one who ultimately became famous.  Ultimately, she became a symbol for the pro-choice movement and specifically for the tens of thousands of women who were being denied access to abortions services at the time.

Then, several years ago Norma McCorvey announced she was pro-life.  She had been lobbied heavily for years by Flip Benham, the head of Operation Rescue, and he successfully convinced her that abortion was wrong.  She made a big public statement announcing her conversion and soon became active in the pro-life movement.   Understandably, the pro-life movement made as much hay out of this “conversion” as possible.  I would have done the same thing.  They suggested that because one of our pro-choicer “leaders” had converted, it was evidence that our arguments were spurious and not credible.

But because one individual like Norma changed her mind, should that reflect on the arguments of the entire pro-choice movement?  Now, if the Pope came out tomorrow and said same-sex marriage was okay, then that would be a big deal and would be taken very, very seriously.  But because one doctor who happened to be on the board of NARAL or one plaintiff in a lawsuit changed their minds, should that be given a lot of weight?

But this is the world we live in.  This happens in all movements, in Congress, on a school board.    Someone finds one thing out of the ordinary, a chink in the armor and they pound away.  President Ronald Reagan learned years ago that some woman who bought vodka with her food stamps and for the next year he insisted that ALL food stamps needed to be cut because people were cheating the system.  We see a politician do a stupid thing, make a mistake and, if they are on the other side, we try to bring ‘em down.  We no longer look at the body of work, at the history of the causes.  We just sit back for the “gotcha” moment and run with it – because it’s the easy thing to do.

But is it the right thing to do?

Anybody?

For many years, my colleagues in the pro-choice movement have made a big deal out of the fact that “87 percent of the counties in the United States do not have an abortion provider.”   They have used that statistic to raise money and to try to raise awareness of the problems posed by the “abortion provider shortage.”

There is no arguing that in some parts of the country, abortion doctors are a scarce commodity.  But let’s delve a little into how bad things really are.

The reality is that abortion is a very specialized form of medicine.  Contrary to what the pro-life moment thinks, women who suddenly find themselves pregnant just don’t run down to the ole abortion clinic and – wham bam thank you m’am – have an abortion..  In several states, they have to go to the clinic and check in to start that absurd 24 hour waiting period clock that does absolutely nothing to enhance the decision making process.  Sorry folks, but they’ve already thought about it prior to their visit.  In rural areas, this waiting period does one thing – it makes the process more expensive and, thus, might be a deterrent which, of course, is the real purpose of these laws.  When they are ultimately ready to begin the abortion process, they undergo some form of counseling, oftentimes they have to listen to some gobblygook mandated by the state, they may ultimately get the abortion.  If it is a late term abortion, the process could be three days.  After the abortion, they may have either physical or emotional issues afterwards that the clinic will try to address.  And if the woman is using the abortion pill, there are other factors to consider.

The point is that, unless you are dealing with a sleaze ball abortion doctor, the process is more complicated than getting a root canal or even knee surgery.   And that’s why I would suggest abortion is a “specialized” form of medicine that needs specially trained staff.

So, the fact that abortion doctors are not on every corner in the country is no surprise to me.  Indeed, I am not sure if I would want too many out there because it might lower the standard of care.  Also, I can say from the experience that there are a number of doctors or clinic owners who at times were not thrilled if another doctor moved into their neighborhood.  After all, this is – YES I’LL SAY IT – a profit making venture so who in their right minds would want someone to move in who will take away some of your business?

Now, when we get to states like North Dakota and Idaho, getting an abortion might be more of a chore because of the distances one has to travel.  But a woman seeking an abortion will find that clinic and, yes, she will have to travel a great distance.  And, if there is a 24 hour waiting period, that makes the process all that more difficult.  But when you are seeking some “rare” kind of surgery, you often have to travel great distances to find that specialist.  Just look at how many people fly to the Mayo clinic to treat a rare form of cancer or some other disease.

I remember years ago when the feminist movement was so excited that the “abortion pill” was coming onto the market.   They predicted that doctors would come out of the woodwork to offer this “simple” alternative to surgical abortions.  And while the doctors already practicing publicly applauded its introduction, privately they were very nervous that all of these new doctors would be competing with them.

So, when the pro-choice movement starts talking how so many counties don’t have abortion doctors, I have an interesting reaction.  Sure, in North Dakota we could use another clinic on the western part of the state.  But, then, on the other hand, in places like New York or Detroit, there is practically an abortion provider on almost every corner…

The Wichita Divide

Hyperbole.

I always liked that word, although it was years before I understood its meaning.  And, of course, like most Americans I always mispronounced it by saying “Hyper Bowl.”

Speaking of…yesterday, a friend of mine told me about yet another book on abortion called “The Wichita Divide: The Murder of Dr. George Tiller and the Battle over Abortion” by one Stephen Singular.  I will admit right up front that I have not read the book in its entirety and probably never will.   Immersed in the issue for years, I never read any of the books about abortion except – to be honest – to go to the index to see if I was mentioned.

So, I may be totally misrepresenting Mr. Singular’s thesis but the gist is that the city of Wichita and the state of Kansas are now hotbeds in the battle over abortion rights.  Actually, he refers to these spots as the hosts in a new “war.”  Other authors and columnists also commonly refer to the current state of the battle over abortion rights as a “war.”

Hyperbole.

I will admit that there may have been some semblance of a “war” in the 1980’s and 1990’s when abortion clinics were being bombed and abortion doctors were being stalked, threatened, attacked and killed.  It was domestic terrorism, pure and simple – and I was in the middle of it.  But I put the word “war” in quotes because, to me, a war is when two sides are engaged in the battle.  In that case, the bombs were being planted and the shots were being fired by one side only.  Yes, to be fair, the attacks were coming from a violent fringe of the anti-abortion movement, but it was a one-sided assault nonetheless.   We never shot back.

But, to define today’s situation in Wichita or the nation as a “war” is laughable.  Nationally, although there are some exceptions, the average abortion clinic no longer has to deal with anti-abortion protestors.  If they do, it’s usually a handful of octogenarians who barely have enough energy to yell “Don’t Kill Your Baby!”   After taking their morning medication, these “warriors” will grab their twenty year old sign, take the bus out to the clinic and, depending on the weather, stand out front in a pathetic effort to “save babies.”  Of course, the

y rarely succeed.  It’s actually a sorry scene compared to years ago when anti-abortion groups like Operation Rescue could conger up hundreds of people at a moment’s notice to block access to a clinic.  Protestors were regularly arrested and sent to jail.  On the other hand, I’ll bet you that not more than 10 people have been arrested in the last few years for blocking access to an abortion clinic.  At the same time, folks like Randall Terry, the founder of Operation Rescue, Joe Scheidler and Pat Mahoney have virtually disappeared.  In fact, here is a question for you:   can you name one national anti-abortion leader?

On the other side of the coin, the abortion clinic escort movement, which helped many women get through the crowds of pro-lifers, has also virtually disappeared.  Of course, that is good news in that there is no great need for these courageous folks who volunteered their time to help women obtain an abortion.

I have no doubt that another doctor will ultimately get killed, a clinic will be vandalized, and some staffer will one night get a death threat.  But – and I don’t mean to sound cavalier about this – this is part of the territory.  When a person signs up to work in an abortion clinic, they understand the risks.  It’s the same for a firefighter or a policeman.

But, despite the occasional incident carried out by some bored pro-lifer, for the life of me I cannot fathom how anyone can suggest that there is some kind of “war” in Wichita or anywhere else over the abortion issue.    It might sell a book or two, but it’s a totally silly suggestion.

Hyperbole.

“What the hell is a partial birth abortion?”

Sitting at my desk at the National Coalition of Abortion Providers, I looked at my staff person quizzically, not understanding what she was talking about.  She had just told me about legislation that had been recently introduced in the Congress called “The Partial Birth Abortion Ban Act.”  She then proceeded to tell me about this abortion procedure.

According to the legislation and the accompanying statements, the abortion doctor would enter the pregnant woman’s birth canal and use forceps drag down the still-alive baby to the point where it’s torso was hanging outside the woman, the head still inside.  He would then inject a suction-like instrument into the head of the fetus and take out the contents of the brain.  The head would then shrink and the doctor would slide out the dead fetus.

I looked at my staff person as if she were from outer space, not comprehending what she had just described.  Now, I had seen a number of late term abortions and, believe me, they are not pretty.  But this sounded downright bizarre.  We later learned that this abortion technique had been “pioneered” by Doctor Martin Haskell of Ohio who used it because he thought it would cause less trauma to a woman with a tight cervix and small birth canal.  Indeed, Haskell apparently had attended a meeting of the National Abortion Federation and presented a “white paper” on the technique to an audience of doctors.  He referred to the procedure as an “Intact D&X.”

Partial Birth Abortion

Then – and don’t ask me how – someone in the pro-life movement got hold of this paper and it went global.  And somewhere along the line some incredibly clever person, who no doubt had a background in public relations, re-named the procedure a “partial birth abortion.”  I always thought that person deserved some kind of bonus for being so imaginative.

The pro-choice movement, on the other hand, was flabbergasted.  It was always pretty obvious to me that the pro-choice leadership had always been uncomfortable with the actual abortion procedure and those who performed them.  In fact, when I lobbied for the National Abortion Rights Action League I remember several conversations to that effect.  They all knew that abortions were not pretty and always tried to steer the conversation back to “choice,” but when word got out about this legislation, they were stunned.  Their first calls were to the National Abortion Federation, Planned Parenthood and our organization.  Suddenly, they had to talk about abortion.

My first response was to call a number of our doctors who did later abortions to see if they knew about this procedure.  I quickly learned that several of them actually used a variation of the procedure where the fetus was first injected with a drug called digoxin, thus killing it.  Then, the fetus was dragged down, the contents of the brain were removed and then it was pulled

out.

After collecting and sharing information on the procedure, the pro-choice groups had a strategic decision to make:  should they fight the bill?

My immediate reaction was that there was no way we could ultimately win this battle.  I got that sense after talking to a friend of mine, Congressman Jim Moran, who was very pro-choice and who told me he could not defend this kind of procedure.  If we were going to lose Jim, we could not win.  So, I argued that we should lie down and let this bill pass on a unanimous vote.  I gave two reasons.  The first was that as far as I could tell, if this bill became law it would affect only ONE doctor in the entire nation – Doctor Haskell.   That’s because the legislation prohibited using this procedure on a “live” fetus.   All of the other doctors killed the fetus first then they performed the procedure.  The legislation (as confirmed by the Center for Reproductive Rights) would not have affected those doctors.  The second reason I suggested we roll over was that I could see that it would be a public relations nightmare.  If we opposed the bill, it would engender a furious national debate – and there was no way we would win it.  I mean, how the hell could we go on television and justify this procedure to the American public?  Now, don’t get me wrong, I always felt that this procedure was very legitimate and, in some ways, I thought it was more “humane” than a regular D&E where the doctor uses forceps to extract the parts of the fetus.  But how the heck do you talk to the media about this procedure?

Ultimately, the pro-choice groups decided to fight the legislation.  Honestly, I never heard a real good reason given internally.   Then, on the public front, they started to argue that there were “only” a small amount of the procedures performed in the first place and that, when performed, they were used only in very extreme circumstances, such as when a woman’s life was in danger.  That started the pro-choice movement on a very slippery slope which ultimately resulted in disaster.

More about that later.

Dr. Finkel

After a while, we simply referred to him as “Finkel.”

I am referring to Doctor Brian Finkel who for many years owned an abortion facility in Phoenix, Arizona. He was an outspoken Ob-Gyn who performed abortions with a gun on his hip. He was one of the few doctors who would talk openly and honestly about his work. Check that, he never saw a microphone or television camera that he didn’t love. And today he is serving time in a county jail for sexually assaulting and molesting a number of his abortion patients. He will probably be there for the rest of his life.

I can’t remember when I first heard of Doctor Finkel, but I think it was when he called our office to inquire about how he could join the National Coalition of Abortion Providers. At that point, we had only three staff people, including me, so it was impossible to run a complete check to determine if he was a good doctor who was running a respectable clinic. Still, I did call a few people on my board but no one had ever heard of him. When I called him to talk about membership, I was impressed by his candor and his articulateness. And, truth be told, he was one of the funniest guys I had ever met.

We ultimately allowed him to join. What appealed to me was Finkel’s willingness to talk about his work. Around that time, the anti-abortion violence was really hitting the fan and our doctors were running in the opposite direction. They were either quitting their job altogether or at least going underground. But I needed doctors to talk, to share with the world their horror stories, to testify before the Congress, to tell the real story. And Finkel, who employed a professional speech writer, fit that bill.

Shortly after he joined NCAP, I visited him at this clinic. It was one of the more beautiful facilities I had ever seen, all decorated in a southwest motif. I quickly learned that he had an Elvis fixation, as his walls were adorned with all sorts of pictures and tapestries featuring The King. Indeed, Finkel referred to himself as “The Elvis of the Pelvis.” In person, I started to get a different perspective. He was rather short with his staff, often referring to them as “honey” or “sugar lips.” And in private conversations, he would regularly refer to “the bitches” who needed abortions. When he had to go into the surgery room, he would say he was going to “the vaginal vault.” He would refer to the “niggers” or “spics” who “didn’t know how to keep their legs closed.” The invectives flowed so smoothly out of his mouth that it stunned me to the point where at first I literally could not respond. I would ultimately admonish him and he would cool it for a while. Of course, being a total slob did not disqualify him from performing abortions and, again, I needed a doctor who had the balls to speak to the American public. I was very torn.

In 1994 NCAP decided to hold a press conference in Washington D.C. to urge the (Clinton) Administration to help protect abortion providers from the terrorism that was raging across the country and, with a gulp, I invited Finkel. He was a big hit. That night, our event was the first story on each of the network news shows and Finkel was the star because he was smart enough to know about props. At one point, he bent down behind his podium and held up his bullet proof vest to the cameras. “Mr. President, I need protection. I am just an Ob-Gyn in Phoenix Arizona, not an American ranger in Mogodishu.” After that, Finkel became a star. He and I were both on Good Morning America a few days after John Salvi killed several abortion clinic workers in Boston. He debated everyone, he was even on the Howard Stern show.

Behind the scenes, however, he kept telling me that the local District Attorney was out to “get him.” He even asked me to talk to the D.A., which I didn’t do. That’s because deep down I started to suspect that Finkel was a little wackier than I really thought. Then, in September 2001 everything hit the fan. That’s when a woman told a Phoenix newspaper that after undergoing an abortion in Finkel’s clinic she had woken up from sedation to find the doctor lying against her with his hands on her breasts. In the weeks and months that followed, more than 100 women reported similar allegations against Finkel to the Maricopa County Attorney’s Office, which charged him with more than 60 counts of sexual misconduct involving 35 different women and he was convicted on most of those charges. Finkel called me asking me to intervene on his behalf but I couldn’t do it. Of course, I couldn’t prove anything but I had just seen or heard too much over the years. To this day, I wonder if there was anything I could have done to prevent those women from being harmed.

Today, on Father’s Day, I get a letter from Finkel adorned with lots of wild doodling and numerous exclamation points. He tells me how he was “railroaded” and how “justice will soon be served.” His only remaining option is the U.S. Supreme Court. So Finkel, who is now in his sixties and has about 20 years on his sentence left, will probably die in prison.

Good riddance.

Planned Parenthood Rally

Sorry I haven’t posted anything in the last few days.  Actually, I’ve been stuck at Planned Parenthood’s national convention which was just a few miles from my stately mansion here in Mount Vernon, Virginia.

Of course, the buzz at the convention was how that nasty U.S. Congress was gonna halt all federal funding for PPFA.  Everywhere you went throughout the very large hotel, there were signs with big exclamation points, videos of speeches of some woman pounding her fist on a way-too-tall podium, buttons with clever slogans, pink tee shirts.  You couldn’t escape the hysteria.  Surely, it is the apocalypse!

All right now, let’s all calm down here for a second.  The bottom line is there ain’t no way in hell this is going to happen.

The Congress of the United States does not have the votes to stop this pernicious attack on abortion.  Oops, did I use the “a” word?   I’m sorry if I slipped because using that word is verboten because, as we know, most of the pro-choice groups cannot say the nasty “a” word because it’s way too sensitive.  Instead, we have to say these attacks are about women’s health, about their mammograms, their pap smears and all of those other socially acceptable tests that women must perform.

But I digress.

Nothing is going to happen because we’ve got Barack Obama sitting in the White House, ready to veto any legislation that denies PPFA any funding.  And that’s because he is a true champion of abortion….uh….I mean reproductive rights!  All hail Obama!

The pro-choice lobbyists in Washington, D.C. know that at the end of the day, PPFA will be fine.  They will continue to get their money.  Sure, those lobbyists have to be vigilant and earn their money but they know damn well PPFA will live to see another day.  But that doesn’t stop their fundraisers down the hall from cranking out the pleas for money.  I think once a week I get a letter or a postcard screaming at me to give money TODAY to stop the RIGHT WING CONGRESS from denying women their right to BASIC HEALTH CARE!

The problem is that, if you send ten dollars, the letter you get next week is not a simple thank you  – it’s another request for a contribution.  So, you send another ten dollars but, before you know it, you’re getting a phone from some twenty year old begging for more money.   Okay, okay, I’ll send you $20 but please stop asking me!   The next morning, as I’m sipping my coffee, there’s a knock on the door.  It’s a special fed ex package from the PRESIDENT of PPFA herself begging…..

Well, you get the picture.

Yes, the organizations need to raise money for fixed expenses but this “battle” is a sham and, honestly, I think some people really get into it.  It’s almost as if they enjoy being on the defensive.  But we’re gonna win this one, folks.  And I’m gonna miss my daily talks with those PPFA folks!