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Dr. Kermit Gosnell, 69, is charged with eight counts of murder, including one woman and seven infants

Dr. Kermit Gosnell, 69, is charged with eight counts of murder, including one woman and seven infants

With this week’s arrest of Dr. Kermit Gosnell and the truly gruesome allegations about the conditions and procedures at the Philadelphia abortion clinic he operated, the media has been forced to navigate coverage of a polarizing and inherently politicized topic.

Some outlets and writers, like the Associated Press’ superlative David Crary, used the story to examine late-term providers nationally; how they are regulated, and what the availability of care is. But most ran with disturbing and salacious lines, like the local Fox affiliate’s web coverage, entitled, “Doctor Allegedly Killed Babies With Scissors.”

What is alleged to have happened is unspeakable. However, amid the manic energy that surrounds the abortion debate in our country, the media missed a key part of this story: access to care.

Gosnell’s clinic, the Women’s Medical Society, operated in West Philadelphia, and its clients were mostly poor and immigrant women, especially women of color. Despite 10 malpractice suits, decades of complaints against the clinic from both patients and fellow providers, and at least one patient’s death, the clinic had not been inspected since 1993 – until drug investigators got involved after being tipped off that the clinic was selling illegal prescriptions.

Media outlets as weighty as The Atlantic rounded up coverage of the case, attempting to balance both sides of the choice debate carefully. Missing from their coverage: the story of access to quality care.

Clearly Dr. Gosnell, who was not a board-certified OB/GYN, who employed no nurses or anesthetists at the clinic, and who is alleged to have used an employee’s 15 year-old daughter to administer anesthesia, ran a frightening, filthy clinic with cat litter boxes in patient rooms, and blood and urine stains everywhere, according to the Grand Jury Report.

What kind of situation would any woman have to be in, if she found herself at the Women’s Medical Society and did not immediately seek care elsewhere?

Why does our civic apparatus have the will and ability to respond to illegal drug complaints in a timely way but is unable to monitor health care quality?

As Maryclaire Dale and Patrick Waters wrote for the Associated Press,

“The grand jury suggested the state knew Gosnell and his clinic were offering unacceptable medical care; its report said race, socioeconomic status and politics were among the reasons why no action was taken.

‘We think the reason no one acted is because the women in question were poor and of color…” the report said.’….

White women from the suburbs were ushered into a separate, slightly cleaner area because Gosnell believed they were more likely to file complaints.”

[caption id="attachment_10549" align="alignleft" width="300"] Dr. Kermit Gosnell,

Jennifer De Jesus is a student in the Macaulay Honors College at Hunter and an avid movie watcher. She is also an employee of the Health Professions Education Center, which has one of the largest collection of health films in the New York City area.

Photo credit/Coalition for the Homeless

Photo credit/Coalition for the Homeless

In the 1960s many federal mental institutions were closed, resulting in hundreds of thousands of people with mental illness ending up on the streets. This film centers around a community in Manhattan’s Hell’s Kitchen called Fountain House, the home of people suffering from mental illnesses. Since 1948, Fountain House has been dedicated to the recovery of men and women with mental illness by providing opportunities for members to live, work, and learn, while contributing their talents through a community of mutual support. Their goal is to eliminate the stigma against those with mental illness.

One of the people profiled in this film is Zeinab Wali, a homeless woman diagnosed with schizophrenia. Once in Fountain House, her eager-to-work attitude quickly dispels any misconception that people are homeless because of lethargic reasons.

Currently there are multiple problems, which existing policies do not address nor solve. For example, a common rule in shelters is the lack of storage; no possessions can be left during the daytime. However, a large percentage of the homeless are actually families with children and denying them storage would be limiting them to what they can carry, therefore depriving them of essentials like clean clothing.

Programs such as “Advantage”, a rental subsidy that helps people transition from temporary shelter to self-sufficiency, still have many flaws. Even within the New York City Department of Homeless Service, there is confusion about policies, which results in officials giving out false information. In a recent report conducted by New York City Comptroller, John Liu, it was found that “Advantage” leads to an increased amount of “side deals”; when people in homeless shelters agree to pay additional amounts to landlords “under the table” and “off the record” to ensure they can obtain an apartment and get out of the horrific conditions in the shelter. Department of Homeless Services Commissioner Seth Diamond disputed some of the audit findings and defended itself and its record stating that,. “Over 20,000 Advantage leases have been signed allowing New Yorkers to move from shelter to homes.”

Over half of homeless women are victims of domestic violence and the majority of homeless people are minorities—obviously there are more aspects involved in homelessness than high rent prices. New York City needs to create more shelters and provide better preventative care to families as well as individuals to avoid this issue in the first place. This could be achieved by funding more places like the Fountain House, which change lives daily by integrating the homeless back into society.

As the title of this film suggests, it is time to not only notice but to act.

Jennifer De Jesus is a student in

Jim Stubenrauch is a writer and editor with 15 years’ experience in medical publishing, health care, and education.

As Republicans in the House of Representatives move this week to repeal the Affordable Care Act, I thought it would be worthwhile to follow up on my previous post about Wendell Potter, author of Deadly Spin: An Insurance Company Insider Speaks Out on How Corporate PR is Killing Health Care and Deceiving Americans. Potter, a whistleblower and former head of corporate communications for insurance giant CIGNA, spoke last week at an event held by the New York Metro Chapter of Physicians for a National Health Program (PNHP). (Potter’s presentation is available on YouTube in four parts, beginning here.)

Addressing about 200 people at CUNY’s Murphy Institute, Potter began by reading from a chapter in Deadly Spin called “The Playbook,” in which he describes the tactics lobbyists use to pressure politicians and mislead the public. The reading focused on recently thwarted proposals in Philadelphia and Washington, D.C., to tax soda and other “sugary beverages,” and their relevance to the struggle over health insurance reform soon became clear. Many tactics the tobacco industry developed to evade regulation and manipulate public opinion have since been adapted, very successfully, by lobbyists for other industries, including oil, banking, foods and beverages, and health insurance.

From “The Playbook,” page 233:

All of the tactics used by the oil, beverage, and banking industries to influence lawmakers at every level of government were pulled straight from the cigarette makers’ playbook: Distract people from the real problem; generate fear; split communities with rhetoric, pitting one group against another; encourage people to doubt scientific conclusions; question whether there really is a problem; and say one thing in public while working secretly to do the opposite.

Sound familiar? Potter describes one of the most powerful weapons in the lobbyist’s arsenal—the false-front grassroots or “astroturf” organization. These lavishly funded coalitions of manufacturers, distributors, wholesalers, retail chains, unions, and industry associations, organized by lobbying firms, pass themselves off as groups of ordinary citizens and small businesses concerned about jobs and the rising cost of living.

One such group is Americans Against Food Taxes (AAFT), originally formed to fight a sweetened-beverage tax proposed as part of an early version of the national health care reform legislation. AAFT also waged campaigns against the proposed soda taxes in Philadelphia and Washington, D.C. The group’s Web site is registered to Goddard Clausen, the public relations firm that produced the infamous “Harry and Louise” commercials that helped defeat the Clinton administration’s health-reform efforts in 1993-94.

According to reporting by Anemona Hartocollis in the New York Times this past July, Goddard Clausen is also behind another astroturf organization, New Yorkers Against Unfair Taxes, that has been working to defeat the soda tax proposed by former New York governor David A. Paterson. Like AAFT, the New York astroturf group set up its own Web site. Both are worth a visit for their folksy rhetoric that’s both instructive and disturbing.

At the PNHP meeting Potter also addressed the concern that the Republicans are planning to undo the health insurance mandate within the Affordable Care Act. He said:

You can rest assured that the lobbyists for the insurance companies have already had meetings with the new members of Congress and said, “Here’s the way things are: you might believe, actually, the talking points we’ve given you, that this is a government takeover of the health care system, but forget that. This is actually legislation that will keep us in business.” The insurance companies cannot go on without this legislation. They needed this, because you cannot continue to shift more and more of the cost of health care to individuals and expect them to continue buying the products. . . . The real objective is to attack the consumer protections. They will try to strip them out one by one, and they will be using language that will try to make us think it’s good for us. They will tell us that what we need is “a common sense, market-based approach to health care reform.” Remember those words, because you’re going to be hearing them more and more.

It will be interesting to see whether Potter’s prediction is accurate.

Jim Stubenrauch is a writer and editor