Willing and Unable

Lori R. Freedman

Description

Willing and Unable explores the social world where abortion politics and mainstream medicine collide. The author interviewed physicians of obstetrics and gynecology around the United States to find out why physicians rarely integrate abortion into their medical practice. While abortion stigma, violence, and political contention provide some explanation, her findings demonstrate that willing physicians are further encumbered by a variety of barriers within their practice environments.
Structural barriers to the mainstream practice of abortion effectively institutionalize the buck-passing of abortion patients to abortion clinics. As the author notes, "Public-health-minded HMOs and physician practices could significantly change the world of abortion care if they stopped outsourcing it."
Drawing from forty in-depth interviews, the book presents a challenge to a commonly held assumption that physicians decide whether or not to provide abortion based on personal ideology. Physician narratives demonstrate how their choices around learning, doing, and even having abortions themselves disrupt the pro-choice/pro-life moral and political binary.

Sujets

• Women's Studies
• Medical
• Médecine
• Sociology
• Medicine
• Ethics
• Health

Informations

• Publié par: Vanderbilt University Press
• Date de parution: 09 août 2010
• Nombre de lectures: 0
• EAN13: 9780826517166
• Langue: English

Extrait

WILLING AND UNABLE Doctors’ Constraints in Abortion Care L O R I F R E E D M A N

WILLING AND UNABLE

WILLING A N D U N A B L E

Doctors’ Constraints in Abortion Care

Lori Freedman

Vàébî Uîéŝî Péŝŝ N a s h v I l l e

© 2010 b Vàébî Uîéŝî Péŝŝ nàŝîé, tééŝŝéé 37235 A îgŝ éŝéé Fîŝ Pîîg 2010

tîŝ bôôk îŝ pîé ô àçî-éé pàpé. Màuàçué î é Uîé Sàéŝ ô Améîçà

Bôôk éŝîg à péŝéîg b Ju Gîàŝ

Lîbà ô côgéŝŝ cààôgîg-î-Pubîçàîô dàà

Féémà, Lôî, 1973– Wîîg à uàbé : ôçôŝ’ çôŝàîŝ î àbôîô çàé / Lôî Féémà. p. çm. ïçuéŝ bîbîôgàpîçà éééçéŝ à îéx. ïSBn 978-0-8265-1714-2 (çô : àk. pàpé) ïSBn 978-0-8265-1715-9 (pbk. : àk. pàpé) 1. Abôîô—Uîé Sàéŝ—Pééîô. 2. Répôuç- îé îgŝ—Uîé Sàéŝ. 3. Hôŝpîàŝ—Méîçà ŝàf— cîîçà pîîégéŝ—Uîé Sàéŝ. ï. tîé. [dnLM: 1. Abôîô, Légà—Uîé Sàéŝ. 2. Héà Séîçéŝ Aççéŝŝîbîî—Uîé Sàéŝ. 3. Pŝîçîàŝ— Uîé Sàéŝ. WQ 440 F853w 2010] HQ767.5.U5.F745 2010 362.19'88802—ç22 2009041258

CONTENTS

 Péàçévii  Açkôwégméŝxi 1 ïôuçîô1 2 Abôîô î Améîçà Méîçîé: A Réçé Hîŝô20 3Wîîg, à W Uwîîg, 37 4Aéŝô’ŝ côîçéŝ: O Léàîg, d. dôîg, à Hàîg Abôîôŝ60 5côŝàîŝ à é Pàçîçé ïŝîuîôàîzéBuçk-Pàŝŝîg ô Abôîô càé91 6 Abôîô Pôîbîîôŝ à Mîŝçàîàgé Mààgémé î càôîç-Owé Héà càé118 7 côçuŝîô138  Appéîx A: Abôîô témîôôg153  Appéîx B: A Méôôôgîçà nôé ô cî Sîzé157  nôéŝ159  Wôkŝ cîé173  ïéx183

PREFACE

Today, in the early twentyfirst century in the United States, health policy màkéŝ, éîçîŝŝ, à àôçàéŝ àé àçîé ébàîg é îgŝ ô éà pàçîîôéŝ ô éîé çàé àççôîg ô éî ôw çôŝçîéçéŝ. té îéà à pàîçuà ôubéŝ Améîçàŝ îŝ à pŝîçîàŝ çôu bé ôçé ô pàîçîpàé î àbôîô çàé (ô ôé épôuçîé éà çàé) wé é ô ô wà ô. ï îŝ bôôk ï ŝôw à, gîé é wà àbôîô çàé îŝ màgîàîzé î Améîçà méîçîé, à gîé à “çôŝçîéçé çàuŝéŝ” éxé ô éà-çàé îŝîuîôŝ à éguàé é pàçîçéŝ ô pŝîçîà émpôééŝ, é pôbém îŝ quîé é ôppôŝîé: pŝîçîàŝ wô wà ô pô- îé àbôîôŝ wîî màîŝéàm Améîçà méîçîé ôé çàô. Wîé ŝuç çàuŝéŝ éŝué à îîîuàŝ àé é îgnot topôîé àbôîô çàé, é îéféçîé éŝué à pŝîçîàŝ àé é îgto pôîé àbôîô çàé. té îàbîî ô pŝîçîàŝ ô îçué àbôîô çàé î Améîçà màî- ŝéàm méîçà pàçîçé îŝ é màî éxpôàîô ô îŝ bôôk. Réàéŝ péômîà îééŝé î ŝuçuà ôbŝàçéŝ ô àbôîô pàçîçé mà wà ô ôçuŝ éî àéîô ô càpéŝ 2, 5, à 6. càpé 2 ôôkŝ à é îŝô ô ôw àbôîô çàé éxîé màîŝéàm méîçîé à ôw àbôîô çîîçŝ çàmé ô pôîé 93 péçé ô àbôîôŝ. càpé 5 pé- ŝéŝ é muîéé bàîéŝ ô àbôîô pàçîçé à pŝîçîàŝ î îŝ ŝu àçé àé éŝîéç. càpé 6 éxàmîéŝ àbôîô pôîbîîôŝ î càôîç-ôwé éà-çàé îŝîuîôŝ à éî éféçŝ ô é méîçà pàçîçé ô pŝîçîàŝ î é ŝu, éŝpéçîà uîg é mààgémé ô mîŝçàîàgéŝ. téé îŝ à ŝéçô împôà ôçuŝ î îŝ bôôk, ô éfléçé î é îé. déŝpîé çôéîôà wîŝôm, îéôôg à pàçîçé àé ô éà

vii

viii WILLING AND UNABLE

àîgé î é çôéx ô àbôîô çàé. Sôméîméŝ “pô-çôîçé” pŝî- çîàŝ àé çômpîçàé ééîgŝ àbôu pôîîg àbôîôŝ. Pŝîçîàŝ’ éàŝôŝ ô ô pôîîg àbôîôŝ ôé éxé béô éî éàŝ ô îôéçé, ŝîgmà, à é pôéŝŝîôà çôŝéquéçéŝ ô îôémé wî àbôîô. A é ŝàmé îmé, ŝômé pŝîçîàŝ wô ôppôŝé àbôîô fi émŝééŝ môé ŝmpàéîç ô é éé ô àbôîô àé é àé éxpôŝé ô à éé uîg éî éŝîéçîéŝ. càpéŝ 3 à 4 é é môà à émôîôà ŝôîéŝ ô pŝîçîàŝ’ çôîçéŝ àôu àbôîô çàé. téŝé çàpéŝ éàŝé àpà ôw pàîçuà àîîg éxpéîéçéŝ à îé- àçîôŝ wî pàîéŝ ŝàpé ôçôŝ’ ôîéàîôŝ ôwà àbôîô çàé î wàŝ é î ô éçéŝŝàî éxpéç. ï àŝ béé ŝômé îmé ŝîçé ŝôçîà ŝçîéîŝŝ égàé Wéŝé méî- çîé àŝ à ôbjéçîé, épôîîçîzé ŝçîéçé. Wîé pŝîçîàŝ mà ŝàé à çéàî ŝé ô ŝkîŝ à kôwégé ôm éî pôéŝŝîôà àîîg, pŝî- çîà pàçîçé îŝ ŝubjéç ô îéŝé fiàçîà à pôîîçà éŝîôŝ î àî- îô ô îîîuà péééçéŝ. nééééŝŝ, àbôîô pôîîçŝ ôé éxé éî éàç îô ŝupîŝîg çôéŝ ô é pŝîçîà éxpéîéçé, ŝéîg îg ô îîîuà à îŝîuîôà îéàŝ àbôu wômé’ŝ ŝéxuà béàîô, wî éà çôŝéquéçéŝ ô wômé’ŝ épôuçîé îéŝ.

ACKNOWLEDGMENTS

I can start nowhere else but with a heartfelt thankyou to my mentor Carole Jôfé. Hé ŝuppô ôé é pàŝ éçàé àŝ béé ŝéààŝ à éŝŝéîà. càôé îŝ à îŝpîàîôà môé ô égàgé àçàémîà, éé ôŝîg ŝîg ô é bîggé pîçué à îŝ çôŝîuéŝ. ï àm gàéu ô déw Hàmà ô îŝ îçîŝîé éébàçk à màŝéu wà ô épîg mé uéŝà wà ï wàŝ îg ô ŝà (à é ŝàîg î bàçk môé béàuîu). Sàô Kàumà àŝ béé à buŝ ô îééçuà ŝîmuàîô ô mé, ôféîg éw éôéîçà çàégéŝ, éxçîîg éàmîg ô îéàŝ, à (wé môŝ çîî- çà) éàîéŝ! Lîz Rôbéŝ, m îé à môŝ îômà méô, àŝ béé éômôuŝ îfluéîà à pîôà môméŝ, éuçîàîg àŝpéçŝ ô pôwé à épé mé pàçé m ààŝéŝ î à bôàé îŝôîçà à çuuà çô- éx. ï àk dàîéé Béŝŝé, Kîà Fôŝé, tàç Wéîz, à àômôuŝ Vàébî éîéwé, à à ô m àmàzîg çôéàguéŝ à AnSïRH à é Bîxb céé ô Gôbà Répôuçîé Héà éé à é Uîéŝî ô càîôîà, Sà Fàçîŝçô, ô épîg mé éfié m îkîg ô îŝ bôôk î îŝ àé ŝàgéŝ. ï àm môŝ éép îébé ô Jô Séîàué, Uà Là, à Pî dà- é ô îéîîg é éé ô îŝ éŝéàç à é ŝuppôîg mé î muîpé wàŝ ô uéàké î. tîŝ éŝéàç wàŝ gééôuŝ ŝuppôé b é Kéé J. Rà Pôgàm, é Mà à Lô Sçwà Féôwŝîp à Uc dàîŝ, à à bôçk gà ôm é dépàmé ô Sôçîôôg à Uc dàîŝ. A î çôu ô àé àppéé wîôu é kîéŝŝ ô é ôu uàmé éŝîéç pôgàmŝ, éî îéçôŝ à àmîîŝàôŝ wô épé çôéç mé wî gàuàéŝ ôm éî pôgàmŝ, à, ô çôuŝé, é pŝîçîàŝ émŝééŝ wôm ï îéîéwé ô îŝ éŝéàç. Aŝô ô çîîçà împôàçé wéé cîà Hàpé, Jôé Spéîé, Jô Séîàué, à

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