Sat, 25 Jun 22 15:50:44 +0000

Opinion: Roe's reversal not only hurt women, but all of us

Dr. Robert Klitzmanis a professor of psychiatry, an online director, anddirectly from the Bioethics Program. Master ofat Columbia University. He said, "Baby Design: How Technology Is Changing the Way We Have Children", "I'm My Gene. In the Age of Genetic Testing, Fate and Family Secrets The author of "Confronting". And "Ethical Police. Struggle to Secure Human Research" The opinions expressed in this commentary are only his own. SeeOther Opinions on CNN.

(CNN)I never forget to take the Hippocratic Oathof the dark and dark wooden panels of my medical school In the room, a line of my graduated medical classmates and I stood in a pristine white coat. We raised our right hand and solemnly pledged to the highest ethical standards possible when treating patients for the rest of our careers.

We provide patients with maximum capacity I promised to keep their confidentiality and not hurt them, in order to put their interests first. The seriousness of our vows impressed us deeply.

Being a doctor is not the same as being an executive, salesperson, or politician. We concentrate on very high moral norms. That doesn't mean that individuals in different work areas can't do the same thing, but for doctors it's part of the job description.

The vow, written about 2,000 years ago, remains our traditional moral compass, the North Star, and I to guide us in the face of conflicting demands. It is deeply rooted in us. -I just want to go home and sleep, but I have a hard time with a sick patient at night.

This allows countless patients to trust us and treat our bodies as strangers, including sexual activity, illegal drug use, and mental health, and hear the deepest secrets. .. You will also learn and devote yourself to the recently recognizedbioethical principles, such as maintaining patient rights and autonomy, justice and protection of vulnerable groups.

However, the Supreme Court'sruling to overturn the Roe v. Wade caseis opposed by most Americansrecent CNN vote.

It is worth noting that patients are discussing the possibility of abortion not only with OB-GYN, but also with medical internists, psychiatrists and others. As a psychiatrist and researcher, I talked about the abortion decisions women faced. I'm fortunate to be able to work in New York, a state that definitely holds the right to abortion, but many of my fellow doctors in other states have fears and serious problems with the court's opinion. .. With Roe's fall, doctors may have to face disturbing decisions about whether to obey the law or keep the Hippocratic Oath.

States are already very different depending on whether a woman is likely to have an abortion, when and in what circumstances. 16 states, including Washington, DC,have laws that protect the right to abortion. According to the Guttmacher Institute, a research organization that supports the right to abortion, another13 has a so-called trigger banthat takes effect in the absence of Roe. Andnine additional stateshave restrictions on abortion that can be reinstated in the light of the Supreme Court's ruling.

For example, in Michigan, Roe replaced 1931 lawforyears, almost unless "necessary to sustain life". All abortions are prohibited. patient. Last month, the judge issued aprovisional injunction, and the Planned Parenthood case, which alleges that the 1931 law violates the State Constitution, is still pending. With the overthrow of

Roe, the situation in Michigan is about how colleagues in different states interpretrestrictive abortion laws-and how high the risk of death is. It shows that you may be forced to face the dilemma of, for example, you need to be there to intervene. Similar questions are facing doctors in Arkansas. In Arkansas,“emergency care” can only save a woman's life through abortion.

I put myself in the position of a colleague in a state where abortion is prohibited or severely restricted, and I am trying to imagine the immense tensions these doctors are currently experiencing.

In some states, the law prohibits doctors from not only performing abortions but also "supporting and betting" on abortions in any way. The terms aid and bet are probably intentionally horribly ambiguous. These doctors can be prosecuted if they tell pregnant women who do not want to have children that they can go to another state for surgery. Texas lawencourages civilians to sue abortion providers and individuals who support and support such procedures. Tatling rewards range fromup to $ 10,000

These laws, for example, state that Texas patients are legal to have an abortion. Recently, a few stateshave begun to pass legislation to protect doctors from such proceedingsthis month, New York Governor Kathy Hokulsaidsexual and reproductive health advocacy. Signed New York Freedom from Interference with. A travel movement law that allows New York doctors to counterclaim abortion proceedings. Connecticuthas passed a similar law, andCalifornia and New Jerseyare considering it.

However, in most states, turbidity is widespread and doctors are worried.

States across the country need to adopt similar protections, but it is unclear if they will and how this patchwork of various state laws works.

Not surprisingly, in states where abortion laws are restricted, my OB-GYN colleague is discussing moving. Medical students tell me they don't want to train in states where they can't discuss abortion. There are far fewer trainees from the best medical schools in our country who want to provide reproductive health care and will want to move to these states. It only compromises the quality of care there.

Now that Roe has overthrown, we are forced to embark on a slippery slope asking which elements of physical autonomy are restricted in a particular state. Follow state law and act in the best interests of the patient. Please keep this in mind as the Legislature and Governor are considering legislation that will prevent quality medical care for the citizens.

Covid-19 already puts doctors at an unprecedented level of mental distressAbolishing the Roe v. Wade case already adds a high level of stress to many. increase.

Whether or not we support abortion, we all need to be aware of these widespread harms to society and the negative impact this ruling has on doctors, hospitals, health systems and patients. .. Understanding these dangers will help state and national policy makers, as well as voters, to carefully rethink whether they support abortion bans.

Overturning the Roe v. Wade case not only hurt women seeking abortion, but also hurt us all.