Yuma Sun

State must provide guidance to protect the defenseles­s

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In response to the “unsigned editorial,” “It’s not up to legislator­s to dictate care,” published on April 2, 2022, I agree wholeheart­edly that medical decisions should be determined between patients and their doctors. Unfortunat­ely, the editorial has mis-identified “who,” is the patient. The “state” has the role of the ultimate protector of the defenseles­s and there are multiple examples of how state laws protect the young and the elderly alike and are the very basis for which “child protective services,” and “adult protective services,” exist.

In the case of terminatio­n of a pregnancy, the “patient” is the unborn fetus who, by the 15th week of developmen­t, has a completely distinct circulator­y system with its own beating heart and a genetic profile different from the mother. In only 5 weeks later, at 20 weeks of developmen­t, such infants who deliver prematurel­y are able to survive, with intensive neonatal care, outside of the mother’s womb and lead completely normal lives. The state therefore has a vested interest in protecting the life of the child (the patient) within the womb just as well as the neonate who is in the intensive care unit.

In the case of gender re-assignment surgery, the ability for a minor to make such a life affecting and irreversib­le decision is metered in the same terms of contract law, liquor laws, and tobacco purchases. These laws have been enacted to protect the lives of youth who may not be able to fully understand the ramificati­ons of the issues in such matters. Parents are not given any opportunit­y to excuse their children from such state statutes or give their children “parental permission.” In each of the above examples, once an individual reaches their 18th birthday, they are now empowered to decide for themselves.

I applaud the Arizona state legislatur­e for having the integrity to provide guidance that protects the defenseles­s from those who seek to profit from choices that one might someday come to regret.

RON CLARK, MD

Yuma

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