What is the debate about Planned Parenthood really about?

Hint: it’s certainly not about science.

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Since the release of five highly doctored videos of Planned Parenthood executives appearing to sell fetuses, much has been said about Planned Parenthood and the women who use their services. However, few people appear to have asked “Who was buying fetal tissue and why?” Little attention has been paid to the importance of research on fetal tissue and the typically bipartisan support that this research receives. (Even Senator Mitch McConnell, now spearheading the effort to defund Planned Parenthood, voted to support the donation of fetal tissue from abortions in 1993.)

On July 29, 2015, Planned Parenthood President Cecile Richards sent a much-ignored letter to the director of the National Institute of Health. She wrote:

“It has become clear in the ensuing public debate … that there is widespread confusion about fetal tissue research and that government officials, medical researchers, health care providers, and the public could benefit from a review of the research and the procedures surrounding it by an independent expert panel. The last time such a review occurred was in 1988 during the Reagan Administration. We believe it may be time for another expert panel to examine these issues in light of the advancements achieved in medicine over the past 27 years.”

 
The 1988 panel to which Richards refers was overseen by a conservative judge opposed to abortion. Nonetheless, “a decisive majority of the panel found that it was acceptable public policy to support transplant research with fetal tissue.” The panel even concluded that aborted fetuses were acceptable donations to the medical community, so long as the decision to abort a fetus and decisions regarding the time or method of abortion were not interfered with in order to collect the tissue.

Fetal tissue is no longer a central focus of transplant research, but remains important for many other kinds of medical discovery, including the study of birth defects, genetic causes of diseases, and even possible cures for degenerative disease, such as Parkinson’s Disease. Researchers at MIT are even able to use fetal tissue to implant the human immune system into mice, allowing them to study tumors and human responses without using human test subjects.

Fetal tissue has a long history of being incredibly valuable in the medical field, most notably in the development of vaccines. In the mid-1960’s, an aborted fetus allowed researchers to isolate the Rubella virus and develop the vaccine for the deadly disease which is still used today. The researcher central to this discovery, Stanley Plotkin, spoke out:

“Human fetal cell strains, derived from voluntary abortions, have been extremely important for vaccine development, specifically for rabies, rubella, hepatitis A, and chicken pox. It is important to understand that the cell [lines] are stored and no new abortions are done to produce those vaccines.”

 
(The last line is presumably meant to clarify that the fetal cells are used only in the research and development phase, not the actual manufacture of the developed vaccines. –Ed.)

Richards’ letter to the NIH explains the limited, but important role that Planned Parenthood plays in fetal tissue donation. Planned Parenthood exists in all 50 states, but currently, in only five states are women able to donate tissue through Planned Parenthood. She writes:

“We participate in fetal tissue donation and occasionally partner in research not because this research is a core part of our mission, but because we are supporters of medical research and serve women who chose to make donations.”

 
In an editorial published in the New England Journal of Medicine, the influential journal threw their full support behind Planned Parenthood and their work:

“We strongly support Planned Parenthood not only for its efforts to channel fetal tissue into important medical research but also for its other work as one of the country’s largest providers of health care for women, especially poor women. The contraception services that Planned Parenthood delivers may be the single greatest effort to prevent the unwanted pregnancies that result in abortions…We thank the women who made the choice to help improve the human condition through their tissue donation; we applaud the people who make this work possible and those who use these materials to advance human health.”

 
An opinion piece in the Washington Post this week brought into light the similarities between the policies of Planned Parenthood and the donations of fertilized embryos by in vitro fertilization (IVF) clinics. The author, Margo Kaplan, an associate professor at Rutgers Law School, believes that one of the biggest differences between perceptions of the two donations is which women are making the donation.

Women who donate through the IVF clinic are women who want to become mothers and have waited a long time to get the treatment. (Oh, and they are typically white and wealthy.) Those women who decide to end a pregnancy at a Planned Parenthood clinic are admonished by society for their “irresponsible lifestyles” and unwillingness to become mothers at the moment.

It seems to me that if the outrage that has continued to smolder since the public viewing of these doctored videos was truly over the use sale of fertilized embryos and the use of fetal tissue in research, people would be talking about those things. (GOP Presidential candidate Dr. Ben Carson himself used fetal tissue in research, but claims that since the specimen was already dead when he used it, he is in no way in the wrong.) Instead, once again, it appears that the target of the public’s thinly-veiled outcry is actually the women who use the services of Planned Parenthood.

Cherokee Nation to get $1 million grant for health research

According to Grand Lake News, the Cherokee Nation recently received a $1 million health research grant from the National Institute of Health and Indian Health Service to fund four years of research into chronic health conditions in the Cherokee population, as well as to recruit (and mentor) more Native American undergraduates into the health profession and health research. Here’s how it’s going to help:

This award is good news for the Cherokee Nation in a myriad of ways. First, we will offer better relief to our citizens with these debilitating afflictions,” said Cherokee Nation Principal Chief Bill John Baker. “Just as importantly, we have an opportunity to cultivate our brightest young Cherokees who have a passion for biological research. It has been shown time and time again that Native people respond better when their health care is provided by another Native. That is why it is so critical to cultivate our health care providers and researchers. It will improve the health of our people for generations.”

 

Flag of the Cherokee Nation. (Credit: Hosmich - Wikimedia)

Flag of the Cherokee Nation. (Credit: Hosmich – Wikimedia)

July 23, 2014 – Arsenal For Democracy 93

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Topics: Big Ideas in U.S. Reform — Is health care a human right? Central American unaccompanied children. People: Bill, Nate, Greg. Produced: July 20, 2014.

Discussion Points:

– Is health care a fundamental human right? Why or why not?
– What should be done about the wave of unaccompanied children arriving in the United States from Central America without permission?

Part 1 – Health care:
Part 1 – Health care – AFD 92
Part 2 – Unaccompanied children:
Part 2 – Unaccompanied children – AFD 93

To get one file for the whole episode, we recommend using one of the subscribe links at the bottom of the post.

Related links

AFD: Central American toddlers are existential threat to USA, say militias
AFD: Unaccompanied minors forced to defend themselves in court

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Wall Street wants to make money off “urgent care”

If there’s profit involved in some aspect of the human condition, America’s big money investors will try to find a way to inflate the price and take a cut. The latest profit-from-suffering scheme is to try to grab a slice of the revenue stream from urgent care clinics that are not part of hospitals.

But what is happening here is also playing out across the nation, as private equity investment firms, sensing opportunity, invest billions in urgent care and related businesses. Since 2008, these investors have sunk $2.3 billion into urgent care clinics. Commercial insurance companies, regional health systems and local hospitals are also looking to buy urgent care practices or form business relationships with them.

The business model is simple: Treat many patients as quickly as possible. Urgent care is a low-margin, high-volume proposition. At PhysicianOne here, most people are in and out in about 30 minutes. The national average charge runs about $155 per patient visit. Do 30 or 35 exams a day, and the money starts to add up.

Urgent care clinics also have a crucial business advantage over traditional hospital emergency rooms in that they can cherry-pick patients. Most of these centers do not accept Medicaid and turn away the uninsured unless they pay upfront. Hospital E.R.s, by contrast, are legally obligated to treat everyone.

 
I suppose it would be too much to suggest not trying to introduce a profit motive into every single thing — or to treat every citizen as a potential cash cow. Too much to ask that people only be asked to pay the actual cost of their urgent health care without having to pay extra to make billionaires wealthier. Don’t even suggest that this could be made a public function.