• shawn1122@lemm.ee
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    4 hours 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.
    
    • the_toast_is_gone@lemmy.world
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      4 hours ago

      If a state tried to convinct someone of providing an emergency abortion, the federal government’s law would supercede the law prohibiting emergency abortions (which doesn’t exist). Your statement about legal threats would only make sense if a significant number of doctors had been convicted, or even just charged, of an unlawful abortion despite claiming it was an emergency. So far, nobody has.

      As it stands, there is no risk of criminal charges. Your choice doesn’t exist.

      • shawn1122@lemm.ee
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        2 hours 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/

        • the_toast_is_gone@lemmy.world
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          2 hours ago

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

          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.

          There’s literally less legal danger in performing an emergency abortion/premature delivery in a ban state than in shoplifting $500 of merchandise in San Francisco. The doctors who have done the post-Dobbs abortions have clearly done the calculus and found this to be the case. Nobody has been or needs to be “sacrificed.”

          • shawn1122@lemm.ee
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            32 minutes 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?

            • the_toast_is_gone@lemmy.world
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              20 minutes ago

              Texas disagrees.

              Texas abortion law protects emergency abortions. The lawsuit was about an expansion of the definition of “emergency” justified by EMTALA. From the decision, quoted from the article:

              Judge Leslie Southwick said there were several “extraordinary things, it seems to me, about this guidance,” and said it seemed HHS was trying to use EMTALA to expand abortion access in Texas to include “broader categories of things, mental health or whatever else HHS would say an abortion is required for.” 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.”

              Nobody is risking their livelihood by performing abortions because there is no legal risk for performing them in emergencies. How many prosecutions of emergency abortions since Dobbs - not threats of prosecution, because those have no teeth - can you find? Or any prosecutions at all? And here is my source for the hundreds of abortions figure.