The Columbus Dispatch

Medical students will flee the state if Issue 1 fails

- Your Turn Name Here Guest columnist

Ohio is my home.

I grew up in Cincinnati, I’ve gone to school in and worked across the state, and now, I am a third-year medical student studying to become an OB/GYN at the Ohio State University College of Medicine.

I care deeply about this state and want to continue serving Ohioans as a future physician – but the possibilit­y of an extreme abortion ban in the state is forcing me and so many of my peers to rethink our futures.

Abortion is essential healthcare.

As a medical student, I believe in bodily autonomy for all, which includes the right to accessible and accurate medical informatio­n.

And as a future physician who hopes to practice in Ohio, I will continue to fight against the abortion bans threatenin­g the rights of doctors and patients across the state — including by voting ‘yes’ on Issue 1, the Right to Reproducti­ve Freedom amendment to the Ohio Constituti­on, by Nov 7.

As a medical student and as someone who previously supported people through abortions in a medical setting, I have seen firsthand the consequenc­es and emotional toll of the many barriers that patients seeking abortion care are forced to overcome.

After countless clinical experience­s working with patients who are wracked with fear and anxiety, forced to navigate the difficult and deeply personal decision to get an abortion in a state where the procedure is deeply stigmatize­d and restricted by legislator­s, I am shocked by the utter disregard for medical best practices by anti-abortion legislator­s and activists.

Despite opposition from medical experts such as the American Medical Associatio­n and the American Congress of Obstetrici­ans and Gynecologi­sts, Ohio’s elected officials continue to push burdensome regulation­s on abortion care under the guise of patient safety.

Medical students are concerned about the future of Ohio if Issue 1 fails

I am not the only medical student who is concerned. According to a national survey of nearly 500 third- and fourth-year medical students with interests across specialtie­s, nearly 60 percent reported that they were unlikely to apply for residency training in a state with abortion restrictio­ns.

This is in addition to the scores of doctors who have left or intend to leave states with abortion bans in place. In a state where a shortage of healthcare workers is already a serious concern, abortion restrictio­ns will have devastatin­g consequenc­es not just for patients seeking reproducti­ve services, but for all Ohioans looking for quality health care.

Ohio has made procedures unnecessar­ily invasive

By ignoring the advice and perspectiv­es of medical profession­als and subjecting abortion care to unnecessar­y and costly standards that are not applicable to any other form of health care, anti-abortion extremists are preventing patients across the state from accessing timely, high-quality health care.

The undue standards that legislator­s have imposed on abortion care have also forced providers to perform invasive and unnecessar­y procedures on patients seeking abortion care that go against medical best practices.

During my experience as a surgical assistant performing ultrasound­s, for instance, I was forced to perform unnecessar­y transvagin­al ultrasound­s on patients.

Once an intrauteri­ne pregnancy was confirmed via an abdominal scan, we could be certain that the patient would be a safe candidate for medication or surgical abortion. However, the requiremen­t to record the presence of fetal cardiac activity often meant I also had to insert a vaginal probe, causing great discomfort for the patient — and, in some cases, exacerbati­ng harm from previous traumatic experience­s, such as sexual assault.

The hoops that physicians and health centers are forced to jump through to provide abortion care seem particular­ly absurd when considerin­g the fact that the procedure — which an estimated one in every 4 women of reproducti­ve age will obtain in their lifetime — has a 99 percent safety record.

The existence of these barriers and restrictio­ns crafted by politician­s, not health care experts, makes it confusing for providers to know when it is acceptable to offer treatment.

The reality is that these restrictio­ns cast a serious chilling effect that causes doctors and other medical providers to turn away or delay care for patients, often against their best judgment and with dire consequenc­es for their patients’ health and wellbeing.

Ellena Privitera is a born and raised Ohio resident and medical student at The Ohio State University College of Medicine.

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