[-] shawn1122@lemm.ee 2 points 1 week ago

I'm going to leave it at this: Doctors and lawyers know more about this than you or I do and it borders on conspiracy peddling to think that not saving a life is being done through simple negligence here.

That particular case needs to be fleshed out in court and may well be an anomaly but there's a reason she is not the only one and the source of that is in the legislature.

[-] shawn1122@lemm.ee 2 points 1 week ago* (last edited 1 week ago)

EMTALA does not apply once the patient has been admitted to the hospital. It applies to ER care only.

There is no medicolegal standard for "life-threatening" That determination is, to a degree, subjective.

In many cases, a patient will come to the ER in a non life threatening clinical state and get sicker following admission. EMTALA no longer applies to these patients.

If, in retrospect, a doctor performs an abortion and its decided that the mother's life was not at risk, they face a felony charge.

Per the Texas Supreme Court, exceptions apply only when death or serious physical impairment is imminent (which is probably too late to save the patient and have a good functional outcome, unfortunately)

The problem here is legislation. There is no medical error. Practitioners are making a risk-benefit assessment and choosing not to martyr themselves.

I feel that you're not familiar with medical practice and are oversimplifying a very complex issue.

[-] shawn1122@lemm.ee 2 points 1 week ago* (last edited 1 week ago)

In this case, the legal issue is a felony and potentially life in prison.

[-] shawn1122@lemm.ee 2 points 1 week ago* (last edited 1 week ago)

EMTALA supercedes state law because it is federal law. This is standard legal doctrine.

Texas disagrees. Please see above source.

Nobody has been prosecuted for performing an abortion since the Dobbs decision. Hundreds of abortions have happened in Missouri since Dobbs, and nobody has been prosecuted there.

No one's going to risk their livelihood on precedent. While legal precedent is important, it doesn't provide meaningful reassurance when the stakes are this high.

Do you have any specific examples of such cases?

[-] shawn1122@lemm.ee 2 points 1 week ago* (last edited 1 week ago)

Let's leave aside that a surgeon cannot operate without the infrastructure a hospital makes available to them in most cases. OR space, equipment, scrub nurses etc. If hospital management decides the risk is too high, the surgeon/obstetrician's hand are tied.

Let's say that's not an issue. Would you risk your career and livelihood in this scenario? It's easy to talk a big game but the vast majority of people would not. I can't blame them. I blame the legislators and those that elected them.

[-] shawn1122@lemm.ee 2 points 1 week ago* (last edited 1 week ago)

The HHS secretary can say whatever they want. It doesn't mean they know how things will play out in court. Hospitals employ leagues of lawyers to assess legal risk/exposure and with criminal penalties on the table in all of the 14 states where abortion is banned, it appears that they've determined its better to pay the fine than have many of their doctors and nurses go to jail.

[-] shawn1122@lemm.ee 2 points 1 week ago* (last edited 1 week ago)

Which federal law are you referring to? EMTALA does not supersede state law, nor does it prevent the state from pursuing criminal charges for abortion.

It's unrealistic to expect a significant number of doctors to throw away their livelihoods and go to prison to prove a legal threat. Doctors are being advised by risk management divisions of the hospital to not even consider abortions in these cases (in certain states) because it means saying goodbye to your practice, your savings, and your family.

Texas successfully challenged EMTALA's application to abortion cases through a lawsuit in 2022. The 5th Circuit Court ruled that EMTALA does not mandate abortion care or override state law. Texas became the only state exempt from federal emergency care requirements for pregnant patients. Under Texas law, abortion is only permitted for "risk of death" rather than EMTALA's broader "serious jeopardy" to health standard

Tuesday’s ruling, authored by Judge Kurt D. Engelhardt, said the court “decline[d] to expand the scope of EMTALA.”

“We agree with the district court that EMTALA does not provide an unqualified right for the pregnant mother to abort her child,” Englehardt wrote. “EMTALA does not mandate medical treatments, let alone abortion care, nor does it preempt Texas law.”

https://www.texastribune.org/2024/01/02/texas-abortion-fifth-circuit/

[-] shawn1122@lemm.ee 2 points 1 week ago* (last edited 1 week ago)

It wasn't just getting sued. Your healthcare provider would face a class B felony and likely revocation of their license prior to amendment 3 passing.

Missouri faces the nation's fourth-largest shortage of healthcare professionals, with 111 of 114 counties designated as health professional shortage areas. The state projects a deficit of 3,102 doctors by 2030, including 687 primary care providers. Hospital staffing remains strained, with a 17.4% vacancy rate for registered nurses, representing 6,982 unfilled positions. The crisis is compounded by Missouri exporting one-third of medical students to out-of-state residency programs.

It's not good business for a portion of your workforce to end up in prison when you're already in a shortage area.

[-] shawn1122@lemm.ee 1 points 1 week ago

Can I access it via Eternity app? Is it basically another instance?

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