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Jeanette DeMain

Jeanette DeMain
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Nashville, Tennessee,
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January 01
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MARCH 21, 2012 11:25AM

The State of Tennessee Needs to Know All About Your Abortion

Rate: 28 Flag

Not content to sit idly by while states like Virginia, Georgia and Texas grab all the headlines about abortion, and since attacking teachers is so last year, the nice folks in the Tennessee legislature have decided to make a splash with the "Life Defense Act of 2012". As I'm sure you can gather from this noble title, Tennessee's Republican Representatives and Senators have once again decided to spend their taxpayer-funded time on abortion, one of the most critical issues facing our state (along with the Ten Commandments, creationism and the gay menace), while letting trivial matters like unemployment and environmental pollution simply take care of themselves.

But because of a 2000 Tennessee Supreme Court decision, our lawmakers have had to take a more circuitous route to "defending life".

In 1992, three groups (Planned Parenthood of Middle Tennessee, the ACLU of Tennessee, and the National ACLU Reproductive Freedom Project) challenged Tennessee's restrictive abortion statute.  After eight long years of litigation, the state's highest court decided that the right to privacy contained in the Tennesseee Constitution was actually greater than that found in the United States Constitution, striking down the prohibition of second trimester abortions outside of a hospital, and the requirement that a woman be given state-mandated information by her physician three days before an abortion.  The court also held that certain emergency exceptions infringed upon a woman's fundamental right to privacy by not permitting an immediate abortion necessary to protect her health.  (Of course, this ruling has chapped the hides of Republicans for the last decade, and now that they're in control of the Governor's office and the legislature, there will be a referendum on the ballot in 2014 to nullify this decision.)

Until that time, though, our esteemed lawmakers have to look like they're doing something to justify their existence (and to deflect attention from allegations of driving drunk with guns and beating their wives), which is how we've ended up with the Life Defense Act making it out of committee to be debated on the House and Senate floors.

The bill has two main provisions, neither of which actually imposes any restrictions on abortion that would be unconstitutional, but which are clearly designed to intimidate both abortion providers and the women who seek out this legal and constitutionally-protected procedure.

The first provision requires any physician performing an abortion to have admitting privileges at a licensed hospital located in the county in which the abortion is performed or in a county adjacent to the county in which the abortion is performed.  This sounds fairly innocuous, but it also serves no real purpose, other than to throw up another hurdle. I suppose the rationale is that, if complications develop after an abortion, the doctor who performed it  should be able to admit his or her patient to the hospital.  But any woman who does develop complications is going to go to the nearest ER anyway, and if it is determined to be necessary, will be admitted to the hospital by the attending ER physician.  This is clearly a roundabout way of prohibiting otherwise qualified physicians from performing a legal medical procedure.

The second provision is the more problematic and potentially dangerous one.  Keep in mind that there is already a requirement to keep a record of any abortion performed in the state of Tennessee.  However, the new proposed law goes further in requiring all of the following information:

(A)  Identification of the physician who performed the abortion and the physician's office, clinic, hospital or other facility where the abortion was performed;

(B) The county and state in which the woman resides;

(C) The woman's age, race and marital status;

(D) The number of prior pregnancies and prior abortions of the woman;

(E) The gestational age in number of weeks of the unborn child at the time of the abortion;

(F) The type of procedure performed or prescribed and the date of the abortion; and

(G) Pre-existing medical conditions of the woman that would complicate pregnancy, if any, and, if known, any medical complications that resulted from the abortion itself.

The bill goes on to state:  The report will be available for public inspection and copying and posted on the health department's website.

The bill also includes this helpful language:  Such report must not lead to the disclosure of the identity of any person filing a report or about whom a report is filed.

Except when it does!

If this law passes, all it will take is is a couple of clicks to find out who is performing abortions in the state of Tennessee, and exactly where they spend the better part of their day. Great, let's just go ahead and do all of Operation Save America's legwork for them. I'm sure their "Wanted" list will grow by leaps and bounds. As a recent article in Jezebel stated, "There's no way this could possibly go wrong!" There is also some question as to whether or not doctors such as obstetricians, who often perform D&Cs in the event of miscarriages or other emergencies, would be subject to this reporting requirement.

The bill may not run afoul of HIPAA regulations, as it doesn't disclose the name of any woman having an abortion, but with all of that demographic information, it certainly comes close.  And in a place like Lake County, Tennessee, with a population of about 8,000, it wouldn't be that difficult for someone who was really interested to be able to figure out if that "slut" who works in the local diner has had an abortion.

Brian Hill, president of Tennessee Right to Life, who suggested the bill to its sponsor, Republican Representative Matthew Hill, has said that, "I think it's fair to folks on both sides to see how prevalent abortion is in our counties and in our communities."  Well, isn't that nice of him.  He's doing this for "both sides"!  I would refer Representative Hill to the Guttmacher Institute, which has been compiling abortion statistics for years, if he really wants to know how prevalent abortion is.

It is also worth noting that even some abortion opponents seem to be skeptical of the motivation behind this bill. I think that any rational person understands that, even if you don't agree that there is a right to privacy that makes abortion legal, you know that, as long as it is legal, the privacy of the people involved needs to be protected, just like it is for any other medical procedure.

You know, every law that is passed in the state of Tennessee ends with the following statement:  This act shall take effect upon becoming a law, the public welfare requiring it.

I am having a hard time understanding what aspect of the public welfare is going to be served by this legislation.


UPDATE:  3/22/12

The bill's sponsor, Rep. Matthew Hill, has withdrawn the reporting and online posting provisions of the bill. The section regarding admitting privileges remains in the bill. Hill has reported receiving death threats, which any sane person would condemn. On the other hand, I believe Rep. Hill now knows what his proposed law may have done to other people.

This appears to be another case of overwhelming attention, generated by the internet, causing a legislator to back down. One hopes that this power will always be used responsibly and reasonably.

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Public welfare, shmelfare. I was listening to NPR on the drive to work yesterday, and a woman researcher/writer was talking about how at present, 60% of women either earn more than their spouses or are the sole family breadwinner, and how radically this has changed marriage since the sixties. 60% of college students are also women, so the stats are still rising. One of the contributing factors has been available birth control, which allows women to plan their families. Not too hard to connect the dots. No birth control, fewer bossy women ceos and politicians who don't recognize their place. These asinine proposals are going to bite some boys in their bums.
It never ends, does it, Jeanette? Perhaps a new commandment needs to be added to the 10: "Thou shalt not control thy own body, woman." Sickening.
And these are the same people who want government out of their lives...
This just pisses me off. My body and thoughts do not belong to anyone and of course the headline yesterday was:

If you have an abortion because you were raped. well we wnat to make sure you were raped.
I am really getting ready to pack my bags as we are reversing back to the Victorian era.
HUGGGGGGGGGGG
What could go wrong, indeed! With all this focus on regulating women's bodies, you'd think we were at peacetime and enjoying a remarkably healthy economy.
When did women's reproductive organs become public enemy #1?
War, poverty, homelessness, anyone? ~r
It seems like every few days the Tennessean has an article about some new terrible bill that some Republican state legislator has introduced, whether it is to fight the supposed communist plot called "agenda 21" that is coming to take our property rights, or bills to allow creationism to be discussed in classrooms, and now this outrageous "abortion list" bill. The worst thing is, our state is so red that I don't think those politicians will pay for their idiocy at election time. Most Tennesseans are too busy watching "Hillbilly Handfishing" to even be aware of what is going on in our state government. Good post!
This once again confirms that Republicans are a bunch of "VAGINA VIGILANTES" aka "GOP VAGINALANTES" for short.
P.S. Congratulations on the well-deserved Editor's Pick!
As I have commented here multiple times, this legislature is attempting to circumvent the right to privacy as articulated by both federal and state courts. The manner in which it is being done is insidious and poses a threat and risk to all of us in the effort to erode this basic freedom (privacy). It is the hope of members of this legislature to have this bill serve as a deterrent. "Yes, you have this right," the legislature is saying, "but we are going to make you jump through a whole bunch of hoops to exercise it."
And that is scary, scary stuff which potentially goes far beyond this aspect of the right to privacy.
I grow more scared of living in this country everday. When did we return to the Middle Ages?
i was quite surprised at what you reported about the tennessee supreme court's earlier decision outlawing the ban on second trimester abortions, etc. there must be some quite enlightened (read:liberal) legal scholars on the court, and i hate to sound like a pompous westerner, but in a red southern state? that's amazing. and good.

the other part, not so good. it's odd - the more i read about what's going on recently - your abortion law post, that ridiculous thing deborah young posted about sandra fluke, the statistics heron quotes in her comment, just the general news of santorum and romney and the rest of the wingnut men and their shrill denunciation of women and sex and health care for women - it sounds more and more (to me) like these men are terrified of women and our power. and that's good too.
Oh for God's sake! This is ugly stupidity taken to all new levels. How much money do these idiots want to throw away defending these completely unconstitutional bills? Thanks, I think, for posting this.
r./
It violates HIPAA. It's going to be challenged in court successfully. Sadly, there will be people hurt by this law first.
There's nothing left to say anymore. I just get more discouraged and disbelieving by the day. I want to say "What is this country coming to," like an outraged old lady. But really, what is this country coming to. Depressing but excellent piece.
Oh it's ugly, ugly, but maybe good news in the end. More women than men. And they vote.
More women than men- wow -is it about equality? These men are raised by you women "doncha know".
There is an assumption here that a tremendous majority of women support your extreme views but, the facts do not support this.
Maybe if you gave men reproductive rights you would have more vocal support. Right know those knuckledraggers have the responsibility of fighting their natural urges pre-ciotus while the more evolved better half gets to decide his fate and the fate of the potential feminist fetus ever the next 6 months. Once she decided she wants it then, it is a wonderful viable human with all the unalienable rights bestowed on it by "Super Mom". The seedspreader is either on the hook for 23 years or a deadbeat -even if he is one of the biggest supporters of abortion rights on the planet.
The issues never go away when the are totally one-sided and many here are guilty of all that they rail against.
This from the party of the big lie. They saw they want less government, to get the government off of our backs! Well, know we know just where they want to put the government!
Oops! I meant "...now we know..."
The state of Tennessee needs to stop worrying about abortion and start worrying about education.
There's madness about the land. Why not just cut to the chase and require women who have abortions to have their pics up on a Baby-Murderers Facebook page? Addresses too of course so fan mail can be properly directed. And maybe before and after pics of the aborted fetus.
Jeanette - Not saying I support this law. But for the first part, who are these doctors performing abortions that don't have hospital privileges? I have had more in an out patient procedures that I care to have had, but I would never have one preformed by a doc without very nearby hospital privileges.
Even my GPs that does not do any procedures I know of has admission privileges.

If there are docs out there doing pretty much nothing but abortions/women's care with privileges I would question there qualifications. Do women really want doc A to do it and then be nowhere to be found if they land in the ER? Yes the ER will admit and then what?

I have never had a procedure go wrong, but every doc I have had, I know for fact, would be seeing me ASAP upon learning I was admitted. And they would take control of my treatment. Not some doc I don't know.
Correction - I meant "women's care without privileges "
The HIPPA laws where I work are so strict you cannot even show the top of the chart with a name, sign in patients by their full name or have a computer screen with names on it in view yet because woman are not fully human they are immune to HIPPA protection and their private lives are fully on display for the world.. this is beyond angering and hopefully will go nowhere however after the other states have mandated probes to be inserted without medical need, where does it all end ? Good post glad to see EP.
I have obviously waited too long to get back here, and I'm pretty sure I won't be able to respond to everyone individually. But let me say thanks for sharing my sense of outrage about this. Your comments all flesh out exactly why this is so troubling.

I do feel it necessary to respond to Joseph, though, because he asks some legitimate questions.

Joseph, unless I see a law on the books which specifies that a doctor performing ANY and ALL medical procedures/surgeries has to have admitting privileges at a hospital in that county or an adjacent county, I have to believe that this legislation is singling out the procedure of abortion. Why else would we have this language? These legislators are not stupid. Misguided? Yes. But not stupid.

Also, I can envision several scenarios where this language would be problematic, keeping in mind that approximately 1/3 of Tennessee's residents live in rural areas, the state is politically and religiously conservative, we share a border with 10 other states, and it is approximately a 9-10 hour drive from the easternmost tip of the state to the westernmost tip, with large stretches of rural area punctuated by infrequent large urban areas.

First, there may or may not even be a hospital in the county where the abortion was performed, or in an adjacent county. Second, there may be doctors who drive in from one of the larger urban areas (or even from another state) to work in rural clinics, and they may not have admitting privileges in a nearby hospital. I would think that they would refer the patient for follow-up care to a local physician who may have admitting privileges. Third, this could very well give hospitals with conservative staff and boards in extremely conservative areas a reason to revoke a physician's admitting privileges. If they know that it would make that doctor unable to perform abortions, I could certainly see this happening.

And, as I said, this isn't even the most problematic part of the bill. It is the second part, with its reporting requirements and posting of information online, that is the most troubling and potentially dangerous. Still, they wouldn't have crafted the language in the first part if it didn't serve any purpose.

Also, to odette, I'm not sure that it would violate HIPAA. I hope it does, of course. Because if it becomes law, that would surely be the most straightforward path to having it overturned.
Joseph - the point of requiring admitting privileges is to prevent out of state physicians from coming into Tennessee to perform abortions. The point of the other provision is to scare any in-state physicians out of performing abortions. Hence, no abortion providers = no abortion.

Well, except the back alley kind, but as far as the right-wingers are concerned that's not a problem. If a woman suffers complications from a back-alley abortion, well, the slut had it coming for getting herself knocked up in the first place and then trying to reject God's gift/punishment.
I live in Tennessee and would like to see a published list of all men who have prescriptions for Viagra and Cialis. I could not be more embarrassed to live here right now.
"The bill may not run afoul of HIPAA regulations, as it doesn't disclose the name of any woman having an abortion,"

It absolutely does violate HIPAA. The language of HIPAA proscribes the exposure of PHI - personally-identifiable health information. If you publish my age, my race, my marital status, the number of children I have, and the county in which I live you can, as you note, deduce quite easily who I am. That is a violation of HIPAA disclosure laws.
So close and yet so far...Reminded me of a neat interview with author Judy Blume for seeing the long thread of women's issues: http://www.makers.com/judy-blume/moments/misfit-cul-de-sac?icid=maing-grid7%7Cmain5%7Cdl7%7Csec3_lnk1%26pLid%3D145607
Jeanette/Dienne - I think I was not thinking. I am assuming now that abortions are not insured unless the doc can make a medical justification. Is the what's going on? When a woman's ObGyn cannot get it covered the woman has to find a doc to do it cheaper, therefore they may go to docs without hospital privilege that work cheaper?

Does this mean that a lot of Planned Parenthood or other non profit type clinics are serviced a little, or even a lot, by docs without hospital privy?

Did I just realize something I did not know or am I just totally wrong?
i say have abortion clinics in walmart. you can have an abortion, and do a little shopping. what could be more american.
Go for it... keep their feet to the fire and maybe these pinheads will start to figure it out... but then again Tennessee is where they held "The Scopes Trial."
Who knows, by the way why is there no proposed laws to publicly post information about men who seek vasectomies or prescriptions for Viagra?
And the state of Arizona wants to know all about your birth control. From a story published on the Huffington Post about a month ago:

"Under current law, health plans in Arizona that cover other prescription medications must also cover contraception. House Bill 2625, which the state House of Representatives passed earlier this month and the Senate Judiciary Committee endorsed on Monday, repeals that law and allows any employer to refuse to cover contraception that will be used "for contraceptive, abortifacient, abortion or sterilization purposes." If a woman wants the cost of her contraception covered, she has to "submit a claim" to her employer providing evidence of a medical condition, such as endometriosis or polycystic ovarian syndrome, that can be treated with birth control."

"Moreover, according to the American Civil Liberties Union, the law would give Arizona employers the green light to fire a woman upon finding out that she took birth control for the purpose of preventing pregnancy."

So you're a hard working woman, trying to hold down a decent job, and the creepy Religious Right nutjob you work for not only has the right to demand a note from your doctor describing the state of your reproductive system but can fire you if it turns out you're using birth control pills for, you know, birth control.