Why Do We Have Unsafe Abortion in the United States?

In the most recent issue of The New Yorker, Eyal Press, a Nation contributor and the son of an OB/GYN who provided abortions, has a harrowing and important story about the rogue abortionist Steven Brigham, who has owned substandard clinics all around the country. Brigham has been involved in horrifically botched surgical abortions as well as a number of medical abortions that failed because he used methotrexate, a cheaper, less effective and more dangerous drug than the commonly prescribed mifepristone. In some cases, he began a procedure in New Jersey and then had patients driven to Maryland where he would complete it, so as to circumvent New Jersey law governing late-term abortion. One of his patients, an 18-year-old African-American girl who was twenty-one weeks pregnant, had to be airlifted to Johns Hopkins Hospital after her uterus was perforated and bowel damaged.

There have been complaints and investigations about Brigham going back to the 1990s, but somehow he continues to operate, moving from one state to another and opening new clinics when old ones are shut down. On the surface, his case, like that of gruesome Kermit Gosnell, seems like evidence for the anti-abortion movement’s contention that abortion clinics are under-regulated. “The argument about abortion often centers around the morality of killing the unborn,” writes Jillian Kay Melchior in National Review. “But Press’s story really hammers home the impact on the vulnerable women who often find themselves exploited at sketchy abortion clinics.”

Read on...