• shawn1122@lemm.ee
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    28 days ago

    This is not a medical error. EMTALA is not a protective law for healthcare facilities or professionals. The state can still prosecute based on their own laws, and in Texas, for example, performing an abortion can come with a lifetime sentence.

    From the medical provider and hospitals standpoint, you are now stuck between a rock and a hard place. Perform an abortion and face criminal charges from the state or refrain and face civil charges from the fed.

    If you had the choice to face a criminal charge (prison sentence) or a civil charge (fine), which would you pick?

    Texas law imposes severe criminal penalties for performing abortions. Medical professionals who perform abortions face first-degree felony charges punishable by five years to life in prison if the procedure results in fetal death. Attempting or inducing an abortion is a second-degree felony, carrying two to 20 years imprisonment. Additionally, providers face minimum civil penalties of $100,000 per violation and mandatory revocation of their medical license.
    
      • shawn1122@lemm.ee
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        28 days 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
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            28 days 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
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                27 days 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
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                    27 days 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.