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Plan B and Minors (Updated!)

Update 5/02/13: The Obama Administration has decided to appeal the judge’s ruling that the age restrictions must be removed completely from Plan B sales.

Because of a ruling by a Court in New York on April 5, 2013 and the April 30, 2013 announcement that the Obama Administration has published its intent to allow 15 year olds to buy Plan B over the counter without a prescription or adult supervision, the news is full of the controversy about whether or not Plan B is an abortifacient because it kills the embryo or blocks implantation.

(How about that: she’s old enough to buy over the counter emergency contraception, but she’s still young enough for her parents to buy her insurance until she’s 26!)

There is quite a lot of evidence that Plan B does not interfere with the embryo if fertilization occurs and none that it does. If, as the evidence supports,  it doesn’t cause the death of the human embryo, before or after implantation, Plan B is not an “abortion pill.”

But it still shouldn’t be sold over the counter to minors.

I don’t know anyone who thinks it’s healthy for 12, 14 or 15 years olds to have sex – whether boys or girls. While Texas does have the “Romeo and Juliet” defense ( when there’s no force, both are over 14 years old, opposite sex and within 3 years of the same age), 15 year olds can’t legally consent to sex. Texas law deems it a “crime of indecency” to have sex with a minor under 17.  Our State has also decided that 15 year olds can’t drink alcohol, can’t buy tobacco or Sudafed, and they usually can’t get a driver’s license.

We do this to protect them, because we know that they are not prepared to make good decisions. Their brains are not mature enough and they don’t have the experience and knowledge to adequately judge the difference between immediate gratification and future benefit. The fact is that most parents are their children’s best protectors and advocates. We are legally responsible for our children, but we are also morally responsible for them. We love them and don’t want them to hurt!

Parents need – and have the right – to know what our dependent children are doing and what medicines they are taking. By changing these regulations, the Federal government is moving between the parent and child — a much more sacred relationship than “a woman and her doctor.”

There is very strong evidence from good scientific experiments published in the last 10 years that Plan B does not interfere with the implantation or development of an embryo.

Plan B only works, when it works, by preventing fertilization for 4-5 days in the middle of the month – before ovulation – it delays ovulation so there is no egg to fertilize and by preventing the sperm from getting to the egg.

Plan B is a high dose of progesterone, the main hormone produced by the ovaries during the second half of a woman’s monthly cycle. Before ovulation, Progesterone or Plan B delays ovulation (the release of the egg from the ovary) and makes it difficult for the sperm to get to the egg.  At or after ovulation,   progesterone appears to slow the sperm’s travel to the egg (prevents fertilization) In nature, this prevents fertilization of an old egg – and its effect is one of the signs used by women who use “Natural Family Planning.”   Progesterone normally encourages the development of the lining of the womb after ovulation. In fact, doctors sometimes give Progesterone to women who have repeated miscarriages.

 It wouldn’t be ethical to conduct experiments on women who are ovulating and having sex, because those women might be carrying a human embryo that hasn’t implanted or who could be harmed. While it is true that there have been no experiments on women who might be pregnant, there are good studies which were done on ovulating women who have their tubes tied or who agree to abstain from sex during the experiment. Then, they were studied by checking repeat exams, blood work, ultrasounds and biopsies of the womb.  No evidence that Plan B interferes with implantation or damages the embryo has been found.

Current evidence is that Plan B decreases the risk of pregnancy for those women who take it properly, Plan B cuts the risk of pregnancy by 50- 70%. At the population level, it does not decrease either the pregnancy rate or the abortion rate. In fact, even women who have the pills in their medicine cabinet – who don’t have to pay $45 when they have unprotected sex – don’t use the pills consistently. This is true in countries like Scotland, the UK and Jamaica where teen girls can obtain the medication without a prescription or are provided the medication in advance of need.

I am a pro-life doctor who, like Texas law, believes that the individual begins at fertilization. I spend much of my time advocating for laws that protect the human right not to be killed and for traditional medical ethics. Yes, I am a Christian , but I prefer to make my arguments from the science side because I’m convinced that science will prove me right in the long run. After all, the “Nature’s Creator “ cited in the Declaration of Independence created science!

For the science, see these articles:

Added 8:00 PM 5/2/13 One of the best and oldest. I can email a copy of the entire article to anyone who needs it http://www.contraceptionjournal.org/article/S0010-7824%2805%2900045-4/abstract

Update on the Texas Advance Directive Act (SB 303)

The Texas Advance Directive Act of 1999 (TADA) describes “Advance Directives to Physicians” (what most people would call a “Living Will”) and contains Section 166.046, an attempt to outline the procedure for resolving a disagreement between a doctor and patients or their surrogates about what is medically appropriate treatment.
The law currently in effect requires the doctor to notify the patient or the surrogate when he or she believes that their request is medically appropriate. If there is still a disagreement, the doctor asks the hospital to convene a meeting of their ethics committee. If the committee agree agrees with the doctor, and no other doctor is willing to take over the care of the patient, the treatment in question can be withheld or withdrawn. TADA doesn’t allow “Physician Assisted Suicide” and certainly doesn’t allow euthanasia, where the patient might be killed on purpose.

The Texas Senate passed Senator Bob Duell’s Senate Bill 303, which significantly improves current law.  SB 303

  • Requires the doctor to notify the patient or his surrogate before writing a “Do Not Attempt Resuscitation” order,
  • Prohibits the withdrawal of artificially administered hydration and nutrition except in extreme circumstances and
  • Gives families 5 days instead of 2 to prepare for the ethics committee meeting and 21 days instead of 10 before the patient must transfer care to another doctor,
  • Outlines the duties of the hospital to  treat all patients the same, regardless of age, disability, or ability to pay, to provide a trained liaison to assist the family, and requires timely copies of the medical records.

Because SB 303 still needs to pass in the House, Texas Alliance for Life asked me to help them make a video explaining how it reforms current law.

If you agree that SB 303 is a pro-life reform Bill please call your State Representative at 512-463-4630 and ask him or her to support SB 303.

My “Ethics 101” on the law: “Back to Basics on Texas Advance Directive Act”

Thank your Texas Senators for a Good Bill!

From Texas Alliance for Life:

 
Texas Senate Passes Pro-Life SB 303 to Help Families
Protect Loved Ones Near the End of Life
 
Lt. Governor David Dewhurst and Sen. Donna Campbell M.D. Deserve Thanks!
 
April 24, 2013
 
Dear Larry and Beverly:
 
Very good news! Last week the Texas Senate passed SB 303, a strong pro-life bill that will change current law to help families protect their loved ones near the end of life. Supported by pro-life Lt. Governor David Dewhurst and authored by Sen. Bob Deuell (R-Greenville), the full Senate passed SB 303 on a decisive 24-6 vote.
Your Texas state senator, Sen. Donna Campbell M.D., voted to support SB 303, a pro-life vote. Please thank Lt. Governor Dewhurst and Sen. Campbell for their support. See sample messages below.
SB 303 is strongly supported by broad coalition of pro-life and provider organizations including Texas Alliance for Life, the Texas Catholic Conference of Bishops, and the Texas Baptist Christian Life Commission. 
 
Voting for SB 303 were: Campbell, Carona, Davis, Deuell, Duncan, Ellis, Eltife, Estes, Fraser, Garcia, Hinojosa, Huffman, Lucio, Nelson, Nichols, Rodriguez, Schwertner, Seliger, Uresti, Van de Putte, Watson, West, Whitmire, and Zaffirini.Voting against SB 303 were: Hancock, Hegar, Patrick, Paxton, Taylor, and Williams. Senator Brian Birdwell was absent.
 

(snip)

Among the many changes to current law that SB 303 will make.

  • Prevents secret DNAR orders (“Do Not Attempt Resuscitation”). Current law allows doctors to order DNARs without even notifying the patient or family.
  • Prevents the involuntary denial of food and water, except in extreme circumstances when the treatment would harm the patient or hasten his or her death.
  • Increases the time of the dispute resolution process from 12 to 28 days when a family and patient disagree about appropriate end of life care.
  • Significantly limits the class of patients to whom the dispute resolution process can be applied.
  • Requires doctors and hospitals to treat all patients “equally without regard to permanent physical or mental disabilities, age, gender, religion, ethnic background, or financial or insurance status.”
  • Preserves conscience protections so physicians are not required to provide futile or harmful procedures indefinitely.

A great deal of false and misleading information about SB 303 has been spread by several groups, especially by one group in particular that is based in Houston. In response, the Texas Catholic Conference of Bishops issued a strongly-worded letter to set the record straight. Please see this: http://txcatholic.org/news/327-misstatements-against-end-of-life-care-reform-corrected-in-letter-to-lawmakers

See my earlier post about the rebuke TRTL received from the Texas Catholic Bishops Conference. – http://wp.me/p1FiCk-XW – and an even earlier explanation (long winded, I’m afraid) – http://wp.me/p1FiCk-Wb

Edited 4/27/13 to add that last paragraph – BBN

 

Texas Catholic Bishops Conference Rebukes “Texas Right to Life”

Using words such as “egregious,” “cynical,” “outrageous,” and “deceive,” the Texas Catholic Bishops Conference have published the letter that they sent to Texas Legislators concerning the actions of Texas Right to Life concerning Senate Bill 303 and its companion, House Bill 1444 on April 15, 2013.

Since employees and representatives of TRL continue to “stoke fear through ridiculous claims,” (and to harass those who support the Bills)  here’s the letter (I’ve reproduced the emphasis is in the original):

The Texas Catholic Conference is compelled to publicly correct the misstatements and fabrications that continue to be perpetuated by the Texas Right to Life organization against legislation to improve end-of-life care by reforming the Texas Advance Directives Act.

It has been said that all is fair in love, war and Texas politics. However, the actions of Texas Right to Life have been so egregious and cynical, especially when comes to misrepresenting the moral and theological doctrine of the Catholic Church, that the TCC cannot stay silent.

Texas’ Advance Directives Act needs reform. Current law lacks clarity given the complexity of end-of-life care, contains definitions that could permit the withdrawal of care for patients – including food and water – and permits unilateral Do Not Resuscitate Orders without the permission of, or even consultation with, the family.

Senate Bill 303 and House Bill 1444 are based on Catholic moral principles and reasonable medical standards for defending human life and protecting the conscience of both families and physicians. Both billsprevent unilateral DNRs, improve communication between medical providers and families, ensure a clear and balanced process for resolving differences, and give families the right to challenge Do Not Resuscitate Orders before a medical ethics committee.

In both its materials and communications with legislative offices and staff, Texas Right to Life has tried to stoke fear through ridiculous claims of nonexistent “death panels” and assertions that doctors are “secretly trying to kill patients.” Both claims are absurd. The truth is, many factors are involved in the sausage-grinding process of public policymaking. Some have less to do with making good laws and more about individual personalities and fundraising opportunities of organizations.

It is outrageous that an organization purportedly committed to the rights and dignity of life would resort to such disingenuous tactics that deceive honest and caring people. What is worse is doing so in a way that perpetuates current law and may cause unnecessary patient suffering.

Texas Right to Life has no authority to articulate Catholic moral teaching, and certainly does not have permission to represent the views of the Roman Catholic Bishops of Texas. If you have any questions, please feel free to contact us at the Texas Catholic Conference. We are more than happy to answer any questions or provide the Texas Catholic Bishops’ position on any issue before the Legislature.

 

(Edited for spelling and grammar, 4/25/13 BBN)

NIH funded study: “the tobacco industry and the Tea Party”

Tobacco Control Organizational Chart

How reliable is a US government funded study that uses the term, “astroturf?”

Research using your tax dollars is under scrutiny – once again – and the subject of recent hearings in Congress. The National Cancer Institute, a wing of the National Institutes of Health, paid for this “study.” It was published in a “peer reviewed” journal, Tobacco Control, one of the “BMJ Group” (British Medical Journal) publications.

Discussion

The tobacco companies have refined their astroturf tactics since at least the 1980s and leveraged their resources to support and sustain a network of organisations that have developed into some of the Tea Party organisations of 2012.

***

 

What this paper adds

Rather than being a grassroots movement that spontaneously developed in 2009, the Tea Party organisations have had connections to the tobacco companies since the 1980s. The cigarette companies funded and worked through Citizens for a Sound Economy (CSE), the predecessor of Tea Party organisations, Americans for Prosperity and FreedomWorks, to accomplish their economic and political agenda. There has been continuity of some key players, strategies and messages from these groups to Americans for Prosperity, FreedomWorks and other Tea Party-related organisations.

***

  • Funding This research was funded by National Cancer Institute grants CA-113710 and CA-087472. The funding agency played no role in the selection of the research topic, conduct of the research or preparation of the manuscript. SAG is American Legacy Foundation Distinguished Professor in Tobacco Control.

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.

via ‘To quarterback behind the scenes, third-party efforts’: the tobacco industry and the Tea Party — Fallin et al. — Tobacco Control.

Border Patrol now counts getaways – Beaumont Enterprise

Note the estimated 85,000 who escaped the Border Patrol in 2011. Secure the border, first, then we can talk about how to get a Green Card. (Hint: it begins by getting in line legally and in their own country.)
A recent Government Accountability Office report cites Border Patrol data from fiscal 2011, the latest available, that 61 percent of estimated illegal crossings on the southern border resulted in capture, 23 percent turn back to Mexico and 16 percent got away.

Of the 85,467 who got away, 70,980 (83 percent) were counted by sign-cutting, with nearly all the rest from cameras and plain sightings.

Despite such precise tallies, Border Patrol Chief Mike

via Under pressure, Border Patrol now counts getaways – Beaumont Enterprise.

Dr. Donna Campbell at San Antonio Tea Party

Big crowd!

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Lieutenant Governor David Dewhurst at San Antonio Tea Party

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Dr. Donna Campbell at San Antonio Tea Party

Big crowd!

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Obama Gives $13 Million Grant to Texas Planned Parenthood! @txprolife

We’ve all been hearing about the supposed “War on Women” by Conservative law makers – and, by extension, voters – in Texas. Well, President Obama and Secretary of Health Kathleen Sebellius just fired another shot in the war against Texas and State’s rights.

UPDATE: In an emailed statement, Texas Department of State Health Services spokeswoman Carrie Williams says that the agency just received notice that it will lose the Title X grant and is “reviewing the information to get a sense of the full impact.” The agency hopes the transition is smooth and the provider base remains strong, she wrote.
EARLIER: The federal government has pulled from the state of Texas millions in family planning funding, granting the money instead to a coalition led by the Women’s Health and Family Planning Association of Texas, which says it can serve a greater number of women with the available funds.
For more than four decades, federal Title X funding has been dedicated to funding family planning services and covering clinics’ infrastructure costs. The funds are generally granted to providers (like Planned Parenthood) and/or to state health agencies. In Texas since 1980, the majority of the funding has been administered by the Department of State Health Services — roughly $18 million in 2012, for example; since 2009, DSHS has been the sole grantor of Title X funds.

(Edit, maybe it’s only half of that.)

A Little History

Before this year, Federal tax dollars came back to Texas in two major funds: the Women’s Health Program and Family Planning, or Title X funds. Texas “matched” a certain amount and the Texas Department of Health and Human Services administered the dispersion of the money. Because the money paid for or freed up other funds for staff, marketing, and “infrastructure” or office overhead, PP was helped to keep their abortion clinics running. The overall effect was that State matching tax dollars helped PP to funnel patients, if not dollars, to their abortion clinics.

Texas was forced to make severe Budget cuts across the board in 2011, including Family Planning funds. This led to prioritizing what little money we had:

“State lawmakers cut funding for family planning services by two-thirds in the last legislative session, dropping the two-year family planning budget from $111 million to $37.9 million for the 2012-13 biennium. They also approved a tiered budget system for family planning funds, which gives funding priority to public health clinics, such as federally qualified health centers and comprehensive clinics that provide primary and preventative care over clinics that only provide family planning services.”

Texas Tribune

Also, the State Legislature passed a law which said no Women’s Health Program funds would go to any affiliate of abortionists. Since PP is not found in rural or under served areas the way that public health clinics are (they are in big cities where there are many other providers of comprehensive care) and, since they are legally “affiliates” of the abortion facilities (often at the same address as their abortion clinics), they did not qualify for Texas tax funds.
Obama retaliated by first shutting down Women’s Health Program. And now, he and his are taking all Federal Family Planning funds out of the control of the Texas Department of Health and Human Services.

Our Texas Senators Cornyn and Cruz at Capitol

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The Senators spoke to a group including Larry Nuckols and I, who were in DC representing the National Pawnbrokers Association.

Trial shows abortion’s ‘coarsening’ impact

http://m.bpnews.net/bpnews.asp?id=40078

Nurses quit Planned Parenthood because of ‘dangerous and dirty work conditions’

Guess what? Virtually no media notice!

Two Planned Parenthood nurses quit their jobs because of dirty and dangerous work conditions and what they called ‘a meat-market style of assembly-line abortions’.

The former employees of the Delaware branch have spoken out about what allegedly takes place behind its closed doors and said that a rush to get patients in and out leaves the operating tables soiled and unclean and that doctors don’t wear gloves.

Jayne Mitchell-Werbrich, former employee said: ‘It was just unsafe. I couldn’t tell you how ridiculously unsafe it was.

‘It’s not washed down, it’s not even cleaned off. It has bloody drainage on it.’

via A meat-market style of assembly line abortions: Nurses quit Planned Parenthood because of ‘dangerous and dirty work conditions’ | Mail Online.

Statistics and “Peer Review”

Typical of the reportingMedline jpeg on the connection between abortion and breast cancer, a blogger at “RhealityCheck,” only reports half a sentence – the half that she likes.

I don’t know how long my comments will stay up, so here’s my part:

The author only quoted half a sentence. The article clearly states, “Induced abortion had no overall effect on the risk of breast cancer, but we found a statistically significant increase in risk among women with a history of second-trimester abortion.”

and

That 89% increased risk is significant to that “small number” of women who developed cancer. The 23% increased risk after ab at 15-18 weeks might seem significant for some.

The authors admit that they probably missed thousands of abortions because the registry wasn’t computerized before 1973, but they started counting cancer cases in 1968. That fact skews any “overall” conclusions.

And here’s the link to the article in question. Please note that even this research must adjust for the age at first pregnancy and for number of pregnancies.

My testimony begins at 1 hour, 12 minutes in on the video of the hearing. I actually focused on the protective effect of pregnancy, especially early pregnancy, according to the National Cancer Institute. This information is only given to women and girls who are already pregnant, after all.

Interestingly, we learned how little the Committee members understood about scientific research and resources. Follow the hours of testimony on HB 2945 and HB 2365 and Rep.Jessica Farrar’s obsession and apparent slow realization about the meaning and significance of “peer review” and “PubMed” and “Medline.“At one point, 1:26, Ms. Farrar, who admits that she “barely got through biology,” asks whether the research was “peer reviewed” by “the Medline or PubMed.”

As the day went on, it seems that Farrar was educated that peer review is conducted by the Journals themselves, and that PubMed and Medline are merely indexes of scientifc literature.

State Rep Farrar: “Choice” to abort babies with spina bifida after 20 weeks

6:05/8:18 Farrar:  “So, so, this diagnosis is missed, they
have a fetal anomaly, the spine’s outside the body or something, you say you would not have an exception for that situation.”

Watch the video at 6:05 (See below ++) of the April 10, 2013 Texas House State Affairs Committee meeting hearing on HB 2364, by Representative Jodi Laubenberg,  as State Representative Jessica Farrar challenges a practicing OB/Gyn about his belief that abortion should not be performed when babies are found to have non-lethal “anomalies” after 20 weeks post-fertilization (or 22 weeks since last period).

 

I wonder how of you have heard of the trial of abortionist Kermit Gosnell* in Philadelphia, Pennsylvania? Most people, whether pro-choice or pro-life, are horrified by the way Dr. Gosnell and his staff treated the babies they delivered both alive and dead.

 

We also squirm at the intentional killing of children who could otherwise live.

 

The limit of viability for the unborn, using current medical technology, is 20 to 23 weeks gestation.  There have been reports of survivors born before this time. Who will be surprised when the limit moves even farther back? What will history say about us?

 

In fact, here in Texas, we have made it clear with our Prenatal Protection Act of 2003, spurred on by the deaths of Lacy and Connor Peterson, that our definition of individual (or person) includes all humans from fertilization to natural death.

++ Download the free Real Player app, open the video and then pull the timeline cursor out to 6:05. More Committee and Session videos are available at the Texas Legislature Online site.

*(Gosnell is accused of killing the babies who survive, of committing abortions after the legal age limit, and of mutilating the bodies of the babies after they were dead. One gruesome account is here.)

Texas will pay for destructive human embryo cloning at Texas Universities

The Committee Substitute was passed this afternoon with 9 yes votes in the House State Affairs Committee. The Chairman of the Committee, Byron Cook voted “yes,” after assuring the Committee that the Bill (which is not available online or in the Committee) will not outlaw human cloning at Universities.

Voting “no” were four brave Republicans – I’ll list them all as soon as I can verify and make sure I don’t miss anyone. Unfortunately, some of our conservative members weren’t present. I will also name them when I can do so without missing anyone.

I worked with Representative Raymond’s office to come up with good definitions, but I don’t know how much of those definitions made it into the final Bill.

Luckily, in spite of the lies we’ve read over the years, no one has yet been able to clone a human embryo.

What is now encouraged is the purposeful creation of a human embryo by cloning. The embryo may never be implanted, but the Bill declares that the nascent human should be killed and broken up

 

You decide: Physician-Assisted Suicide — NEJM

You can comment, let the New England Journal of Medicine editors and the world know your thoughts.

Do you believe that Mr. Wallace should be able to receive life-terminating drugs from his physician? Which one of the following approaches to the broader issue do you find appropriate? Base your choice on the published literature, your own experience, and other sources of information.

To aid in your decision making, each of these approaches is defended in the following short essays by experts in the field. Given your knowledge of the patient and the points made by the experts, which option would you choose? Make your choice and offer your comments at NEJM.org.

via Physician-Assisted Suicide — NEJM.

My opinion is that poisoning Mr. Wallace, or writing the prescription so that he can attempt to intentionally commit suicide, is a direct infringement of Mr. Wallace’s inalienable right not to be killed.

Lieutenant Governor David Dewhurst

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Talking about Texas’s history of conservative pro-life and pro-family laws.

Back to Basics on Texas Advance Directive Act

Laws relating to ethics debates are generally behind medical advances. This is good because it means that there *are* medical advances.

 

However, the debates often become emotional and heated, and the individuals who are affected face real dilemmas and emergencies. When law-making is controversial, it’s best to go back to the basics of ethics for guidance: the inalienable rights to “Life, Liberty and the Pursuit of Happiness,” the Declaration of Independence, and Constitution.

 
All laws limit our rights, but good laws strike a balance between seemingly conflicting rights: they are meant to prevent one person from harming another. Most laws prohibit or punish harmful actions, they don’t *compel* a desired action against our will. Nor do they prohibit actions based on thoughts and opinion. In other words, laws prohibit harming or taking from another, but they usually don’t make you protect, nurture or give to another.

 
However,since the right to life trumps the right to liberty and property, there are very rare circumstances when it is appropriate for laws to compel individuals to act for the benefit of another. Parents are required to care for and protect their minor children. Doctors and lawyers must be licensed, obtain certain levels of education, and follow specific, positive actions when they wish to withdraw from a professional relationship with a patient or client. These laws should only go so far as to protect the life and safety of the vulnerable, for a limited time with the goal of allowing safe transfer of the obligation of the person with more power to someone else.

 
On Tuesday, March 19, 2013, the Texas Senate Health and Human Services Committee, under Chair Senator Jane Nelson, heard testimony on two Bills that would change TADA: SB 303 from Senator (Dr.) Bob Duell’s  and SB 675 by Senator Kelly Hancock.

 
The Texas Advance Directive Act of 1999 (TADA), in addition to describing “Advance Directives to Physicians” (a “Living Will),  was an attempt to outline the procedure for resolving the disagreement between a doctor and patients or their surrogates regarding end of life care.

 

When I first read the Act, I (naively) thought it was malpractice protection for doctors who did not want to withdraw or withhold care, such as the Houston Methodist Hospital doctors who invoked the act when they repaired Dr. Michael Debakey’s aortic aneurysm against his previously stated wishes – http://www.theheart.org/article/762619.do – in 2006.

 
Most of the time, however, TADA is invoked in cases when the attending physician disagrees with a request to actively administer medical treatment that he or she believes is medically inappropriate. The steps laid out in the law involve the doctor’s notification of the patient or the surrogate, rules for assisting with transfer of care to another doctor who believes the treatment request is appropriate, and convening an ethics committee at the hospital. If there is no other willing doctor can be found and the ethics committee agrees with the doctor, the treatment can be withheld or withdrawn. It does not allow patients to be killed by medicines.

 
Unfortunately, the Act has become known as the “Texas Futile Care Law,” and divides even the pro-life community. One side says doctors and hospitals have too much power and are killing people. While I’ve heard horror stories about doctors who have abused or broken the law, I maintain that there is no “Futile Care Law,” only a difference of opinion as to who should decide what is medically appropriate treatment. In the few cases that have come under the Act, patients and their advocates report trouble finding other doctors willing to provide the treatment the first doctor thought was inappropriate. In my opinion, that difficulty is due to physicians’ common education and shared experiences.

 

 

Although TADA lays out requirements for hospitals and hospital medical ethics committees, the fact is that it applies to the “attending physician” who could be forced to act against his conscience. Texas law is clear that only doctors may practice medicine by diagnosing and treating patients directly or “ordering” other medical personnel. These treatments are not one-time events and they aren’t without consequences. They are interventions that must be monitored by observation and tests, and adjustments need to be made so that the treatment is effective and not harmful. Medical judgment is how doctors utilize our education, experience, and consciences as we plan and anticipate the effect of each medical intervention.

 

 

Senator Duell’s Bill, SB 303, significantly improves TADA. Among other things, the Bill would add protection of the patient’s right to artificially administered hydration and nutrition, increased access to assistance, records, and time before and after the ethics committee meeting, and prohibits so-called “secret DNR’s.”

 

 

Senator Hancock’s Bill, SB 675, focuses on the intentions and motives of the doctor, requiring the medical committee to decide whether the disagreement is due to: “(1) the lesser value the physician, facility, or professional places on extending the life of an elderly, disabled, or terminally ill patient compared to the value of extending the life of a patient who is younger, not disabled, or not terminally ill; or “(2) a disagreement between the physician, facility, or professional and the patient, or the person authorized to make a treatment decision for the patient under Section 166.039, over the greater weight the patient or person places on extending the patient ’s life above the risk of disability.”

 

 

Our laws normally prohibit actions and only very rarely compel people to act. Under the conditions laid out in SB 303, the doctor can be forced to act against his conscience and best medical judgment, but only for a limited, stated time. SB 303 improves the Texas Advance Directive Act by protecting the patient’s access to artificially administered hydration and nutrition. It also adds time to prepare for the ethics committee meeting and to transfer care a new doctor. It is an attempt to balance the patient’s wishes for medical intervention with the right of conscience of the doctor. In contrast, SB 675 would attempt to legislate intentions or thoughts, with none of the added protections of SB 303.

 

 

Edited 4/27/13 to fix the link to the article about Dr. Debakey and 4/30/13 for grammar and formatting – BBN.

 

Senate panel OKs abortion bill requiring stricter standards – Houston Chronicle

One woman claimed that the standards shouldn’t be the same as an ambulatory surgical center because they do abortions on 9 year olds!

Minimal standards are considered too much by the abortion industry. They’ve fought every move to keep women and girls safe, and whip out those coat hangers every chance they get.

Women who have D&C’s after a miscarriage have them at a hospital or surgical center, not at in an office setting. But according to the abortionists, healthy mothers having abortions – or 9 year old girls – should be happy with a clinic setting.

AUSTIN – Abortion clinics would be required to meet stricter standards under a bill approved 5-2 by the Senate Health and Human Services Committee Tuesday after emotional testimony over whether the measure would protect women’s health or risk it by causing clinics to close.

“My intent in filing this bill is only to protect Texas women who undergo this procedure,” said Sen. Bob Deuell, R-Greenville, who authored the measure with two fellow doctors, Republican Sens. Donna Campbell of New Braunfels and Charles Schwertner of Georgetown.

Planned Parenthood called the measure, Senate Bill 537, a “back-door abortion ban.”

via Senate panel OKs abortion bill requiring stricter standards – Houston Chronicle.

Panel approves assault weapons ban; Cruz, Feinstein get heated – The Hill’s Video

Be very proud of our Texas Senators Cruz and Cornyn. They are fighting for rights — the right to speak, the right to read books, the right to keep and bear arms.

Watch the video! “Do they need a bazooka?” Senator Feinstein could just as well ask, “Do they need those books? Do they need all those words?”  I say, Ma’am, rights are not to be limited except to save life in the case of immediate threat.

The Senate Judiciary Committee approved a ban on the sale and manufacture of more than 150 types of semi-automatic weapons with military-style features Thursday in a party-line vote.

The 10-8 vote came after a heated exchange between Sen. Dianne Feinstein (D-Calif.) and Sen. Ted Cruz (R-Texas), who Feinstein scolded for giving her a “lecture” on the Constitution.

It’s the fourth piece of gun control legislation to make it out of committee and perhaps the one with the longest odds of becoming law, given opposition from Republicans to a new ban on the weapons.

Committee Democrats first beat back four amendments offered by Sen. John Cornyn (R-Texas) that would have carved out exceptions to the ban. Cornyn asked for exceptions for victims of domestic violence, military veterans and those living on Southwest border states that he said were affected by Mexican gang violence.

Feinstein, the sponsor of the underlying bill, called the amendments “an effort to nip it and tuck it and create exceptions.”

Cornyn said it would Feinstein’s bill would leave citizens with “peashooters” and outgunned by criminals.

via Panel approves assault weapons ban; Cruz, Feinstein get heated – The Hill’s Video.

Florida Senate panel rejects Medicaid expansion | Modern Healthcare

Good for the Florida Legislature!

A Florida Senate committee has essentially killed Gov. Rick Scott’s plan to expand Medicaid coverage to roughly 1 million of Florida’s poorest residents.

Instead, the committee proposed Monday that the state adopt a managed care system that requires patients have a copayment.

*****

A House panel last week also rejected expanding Medicaid.

via Florida Senate panel rejects Medicaid expansion | Modern Healthcare.

Rick Perry Slams McCain, Romney At CPAC, Says They Aren’t Conservative – Patriot Update

Y’all have got to watch @GovernorPerry at CPAC this afternoon!

“The popular media narrative is that this country has shifted away from conservative ideals, as evidenced by the last two presidential elections. That’s what they say. That might be true if Republicans had actually nominated conservative candidates in 2008 and 2012,” Gov. Rick Perry (R-Texas) said in his address at CPAC this afternoon.

via Rick Perry Slams McCain, Romney At CPAC, Says They Aren’t Conservative – Patriot Update.

Connecting the Dots on Healthcare – Hal Scherz – Page 2

Just one reason that Medicaid expansion is a bad idea. (There are more at the source.)

 

The GOP Governors who are expanding Medicaid at the behest of the federal government are helping to facilitate and accelerate this process, paving the way for full government run healthcare. Insurance companies will be unable to compete with the federal government, which is acting as both a player in the insurance market and also as the referee in the system, until private insurance companies cease to exist in healthcare.

via Connecting the Dots on Healthcare – Hal Scherz – Page 2.

Intrusive “Census” questionnaire

A friend asked us what to do about the latest “American Community Survey,” received from the US Census Bureau. There is a possibility of a $100 to $5000 fine for not filling out the questionnaire, although I can’t find a record of anyone ever being prosecuted.

Seriously, I don’t care what sort of security or  “confidentiality” the Bureau promises, do you want to tell any stranger what time you leave your house to go to work?  And isn’t it bad enough that we already have to tell the IRS exactly how much your income was last year and exactly where it came from?

If, like me, you think these are too many questions, questions that are too personal and invasive, take the time to call your Congressman and our Texas Senators.

Representative Lamar Smith – Congressional District 21                 Washington Office  (202)225-4236       San Antonio Office  (210)821-5024

Senator John Cornyn  Washington Office (202)224-2934      San Antonio Office  (210)224-7485                                       Austin Office  (512)469-6034

Senator Ted Cruz     Washington Office (202)224-5922    San Antonio Office (210)340-2885                                                            Austin Office (512)916-5834

 

 

 

Cloned “Clone and Kill” Bill

I testified in front of the Texas House State Affairs Committee on Tuesday. The video is here, House State Affairs 2/20/13 (Free RealPlayer program required.) Mr. Raymond comes up at about 3:30 minutes in, and my effort starts at 8 minutes in. It’s short and sweet.)

HB 142, authored by Representative Richard Raymond of Texas’ House District 42 in Laredo, looks a lot like his HB 1829 from 2007. These are “clone and kill bills, which nominally ban cloning, but actually redefine cloning, and would force the killing of any human embryo intentionally killed by nuclear transplantation. HB 142 ignores the history of the last 6 years, and uses inaccurate terminology.

Watch this space for alternative language that would actually ban human cloning.

Shooter Used Southern Poverty Law Center’s Website to Identify FRC as Target

By the way, the victim’s name is Leo Johnson.

FRC’s Tony Perkins again calls on SPLC to Stop Reckless Labeling of Christian Organizations

WASHINGTON, D.C. – Earlier today, Floyd Lee Corkins, II, pleaded guilty to three charges including a District of Columbia charge of committing an act of terrorism. The charges stem from the August 15, 2012 shooting at the Family Research Council’s headquarters.

Today’s hearing also revealed that in the interview with the FBI right after the shooting, the shooter admitted his guilt, which was captured on video. He said he intended to “kill as many as possible and smear the Chick-Fil-A sandwiches in victims’ faces, and kill the guard.” The prosecutor said they reviewed the family computer and found that he identified his targets on the Southern Poverty Law Center’s web site.

read more via Shooter Used Southern Poverty Law Center’s Website to Identify FRC as Target.

NY Newspaper Draws Flak for Map of Gun Owners – Updated

The purpose of the Second Amendment is not the delivery of bullets, knife blades, or the force of blunt objects. Its purpose is to prohibit Congress – the Government – from infringing on “the right to keep and bear arms.” Those arms are for the purpose of ensuring a “free state,” wherein we the people live freely without fear of the government or other bullies threatening our inalienable rights.

In the same way, the First Amendment doesn’t guarantee that anyone else will receive your speech. It does, however prohibit limits on your speech by Congress, as long as you don’t harm someone else.

None of our inalienable rights trump the inalienable rights of others. No one may freely use their gun to infringe on the life, liberty or property of another person — it’s only to be used in defense of rights. The same thing goes for the right to free speech and press. If your expression causes harm to another person who is not threatening you or anyone else, then you should be liable, whether you are guilty of yelling “fire!” in a crowded theater, or of publishing names and addresses of law abiding people who are minding their own business.

Unfortunately, members of the Press don’t understand the harm their speech can cause others:

The Monday article in The Journal News was headlined “The gun owner next door: What you don’t know about the weapons in your neighborhood,” and was in response to the Dec. 14 school shooting in Newtown, Conn.

“Do you fools realize that you also made a map for criminals to use to find homes to rob that have no guns in them to protect themselves? What a bunch of liberal boobs you all are,” wrote one reader.

The sentiments were echoed by another, who wrote, “How dare you guys. You have just destroyed the privacy of these law-abiding citizens and by releasing this list, you have equated them to that of sex offenders and murders. These are law-abiding gun owners, they are no danger to anyone except for criminals. And with this information you have made them targets for both criminals and anti-gun lobbyist who I am sure are going to treat them like monsters. I hope you are sued for infringing on the privacy rights of every single one of these citizens you have just put in harm’s way.”

One reader, in an attempt to “turn the tables on the Journal and see how they like it,” posted the home addresses of the newspaper’s president, top editors, and the reporter who wrote the story.

The gun registration information, which is available to the public, was obtained by The Journal News through a through a Freedom of Information Act request.

On Tuesday, in an article written by Journal News Reporter Randi Weiner, the paper defended its decision to post the addresses of handgun permit holders across Westchester, Rockland, and Putnam Counties, the northern suburbs of New York City where the paper is read.

“We knew publication of the database would be controversial, but we felt sharing as much information as we could about gun ownership in our area was important in the aftermath of the Newtown shootings,” Weiner quoted CynDee Royle, editor and vice president of the newspaper. “People are concerned about who owns guns and how many of them there are in their neighborhoods.”

Royle said that a freedom of information request seeking the specifics on how many and what types of weapons were owned by people in the above mentioned counties was denied.

via NY Newspaper Draws Flak for Map of Gun Owners.

Note: I’ve added the links to the NewsMax article, which didn’t have what I consider important information. A thank you “Hat Tip” to the blog, “For What It’s Worth,” for one of the links and for being resourceful!

It’s Time for Media Control – Derek Hunter

Remind anyone that claims that the Second Amendment is no longer valid that the press didn’t have the ability to instantaneously publish all over the world. There was no sound recording and certainly no video recording. Will they accept the same limitations to the First Amendment that they want to place on the Second?

Be sure and read the first comment at the site of this article!

Was there anything about the Sandy Hook massacre the media got right on the day it happened? In their rush to be first, they ignored their obligation to be right. Nearly every detail they disseminated Friday was wrong, even down to the name of the killer. Their desire to sensationalize had them shoving microphones in the faces of children who couldn’t possibly comprehend the events of the day. This was just the latest example of how out of control and dangerous the media has become, and it’s time government did something to protect us.

You’re probably asking yourself, “What about the First Amendment? Freedom of the press means we can’t regulate them, right?” Technically, yes. But since they, en masse, want to ignore the Second Amendment, to claim since it was written in a time of muskets, it is outdated and doesn’t apply to new guns, let’s apply the same to the First.

The First Amendment was written in a time of movable type printing presses and quills, not 24-hour cable news channels and the Internet. Using the media’s logic, the First Amendment doesn’t apply.

I’m not suggesting we should simply outlaw any media outside of print, but if we can limit the Second Amendment however we like, we can do the same to the First.

via It’s Time for Media Control – Derek Hunter.

Ad guru reveals why he sold Hamptons estate – m.NYPOST.com

Jerry Della Femina says what so many of us have been thinking:

I made the investment while Obama might have been in high school or smoking dope in college or whatever he was doing. He didn’t make the investment; I did. He didn’t take the risk; I did. He didn’t improve the house; I did. And then in the end, he’s saying I must pay him more.

I always was happy to pay my fair share of taxes. I’m careful to pay every single penny on my taxes. I don’t have any money offshore. But the fact is that at this stage the general feeling in the country is, “You have it, give it to us.”

And I worked too hard to get it. I spent too much time, working too hard, to get it. Where was President Obama when I was working until 1, 2 in the morning and basically not spending as much time with my kids as I would have liked to? Where was he when I worked on Saturdays and Sundays?

Well, he’s here now. And what he’s saying is: “OK, you made the money, now you have to pay your fair share.”

I think my fair share can be what it’s been all along.

I work hard and I pay my taxes. No matter what the administration.

This is an administration that is spending more money than any administration in history. To spend more money, they need more money.

That’s where I object.

It’s a case of a president who really wants to redistribute wealth.

via Ad guru reveals why he sold Hamptons estate – m.NYPOST.com.

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