Idaho hospital to stop delivering babies. One reason? ‘Bills that criminalize physicians’
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Idaho doctor who worked at closed maternity ward says abortion ban harmed recruiting • Colorado Newsline
A hospital in a rural area outside of Idaho’s capital city of Boise closed its labor and delivery and neonatal intensive care units April 1, citing declining birth rates and staffing issues. West Valley Medical Center is the third facility to close its maternity services in Idaho since the state...
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Idaho doctor who worked at closed maternity ward says abortion ban harmed recruiting
BY: KELCIE MOSELEY-MORRIS - APRIL 21, 2024 4:00 AM
West Valley Medical Center in Caldwell, Idaho, closed its labor and delivery unit on April 1 for financial and staffing reasons. A former OBGYN who worked at West Valley for decades said the state’s abortion laws made it difficult to fill vacant OB positions. (Kelcie Moseley-Morris/States Newsroom)
A hospital in a rural area outside of Idaho’s capital city of Boise closed its labor and delivery and neonatal intensive care units April 1, citing declining birth rates and staffing issues.
West Valley Medical Center is the third facility to close its maternity services in Idaho since the state enacted a near-total abortion ban in August 2022. The county where the medical center is located had more than 3,300 births in 2022, and West Valley sees about 45,000 outpatient visitors in a year. The entire medical center has 112 beds.
The law subjects physicians to two to five years in prison, fines and the loss of their medical license for providing an abortion, even in emergency situations, at least until the U.S. Supreme Court makes a definitive ruling on the federal Emergency Medical Treatment and Labor Act’s application in Idaho. Oral arguments in that case will take place April 24.
A February report by a coalition of Idaho physicians found the state lost 22% of practicing OB-GYNs since the ban took effect, and 55% of maternal-fetal medicine specialists. The first closure happened in Sandpoint, at Bonner General Hospital in March 2023. The hospital cited the political climate along with staffing issues in its announcement as the reason for closure.
West Valley did not specifically call out the abortion ban or other politics as a reason for closure, but Dr. Ted Colwell, who worked there full time for many years and as a retiree until the April 1 closure, told States Newsroom he thinks it was a factor. Colwell describes himself as “pro-life,” but he is concerned about the state of medical care in Idaho.
His responses to questions have been edited for clarity and conciseness.
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States Newsroom: What’s your experience with West Valley Medical Center in Caldwell?
Dr. Ted Colwell: I moved here from a residency training and started practicing in 1982 at what was then called the Caldwell Women’s Clinic, which started in 1969. I was the fourth physician in the group, and I’ve been basically in that practice for 36 years, though it has gone through different names and changes of staff. West Valley was always owned by HCA Healthcare, and we had a general OB practice. Someone asked me how many deliveries I’ve done over the years, and it’s around 7,000.
SN: When did you retire?
Colwell: I retired in 2016. Because our group is accredited by the American Institute of Ultrasound Medicine, they needed someone to take on the role of reading ultrasounds for the clinic, so I’ve been doing that since I retired but that’s mostly from home.
SN: What was it like when you were told about the closure?
Colwell: I knew we were struggling, but when the announcement came, I was shocked. Caldwell is kind of a funny hospital in a sense that it’s kind of rural, but we had excellent maternity services and neonatal intensive care there. The hospital serves not only Caldwell, but a lot of the surrounding areas, so it’s not a small rural hospital, it’s a small regional hospital. St. Lukes and Saint Alphonsus (the two major hospital systems in the state) have spread their hospitals west at the same time, so in a way West Valley became surrounded, but that being said, we still have a very loyal patient population. I’m just sorry that something couldn’t be done to keep the services going at West Valley. I think they tried everything they could.
SN: What do you know about the staffing issues that led in part to the closure?
Colwell: I’ve been sort of involved with some of the recruitment efforts and interviewing of some of the potential candidates. Last year, we had five potential candidates, and due to various situations, all five decided to go elsewhere. Idaho used to be a state that attracted OBs for the outdoors, for the family values, the recreation — it’s a good place to live. But I think the overturn of Roe v. Wade had an impact, even though Idaho wasn’t known for large numbers of abortions. I know abortions happened here, and some physicians provided them, but the vast majority of the physicians I knew over the years did not do elective terminations. It didn’t really become an issue for me until this whole issue with the hospital came to a head.
People are going to suffer under this law, and it makes me mad that politicians get in the way of evidence-based medicine. I think they should not make it a criminal offense to take good care of women who need medical care and treatment.
– Dr. Ted Colwell
What I heard from others was that those who were interviewed in the last year expressed concerns regarding the legal climate and concerns of prosecution, which led them to not take our offer of employment. These concerns were from those that were relatively fresh out of training. I, on the other hand, wouldn’t care about that, and would do the right thing for the patient regardless. I guess that comes with 40-plus years of experience.
SN: Why do you think closing the labor and delivery unit is cause for concern?
Colwell: I feel that women and mothers bring families to the hospital, children and husbands, and when you lose that, there’s a risk of losing a lot of services at the hospital. People will be starting to drift off to other facilities further away to get their care. And when you come to the emergency room, if you’ve got a condition where it’s gynecological and there’s no one in the hospital who can take care of it, to me it puts the hospital in a bad situation. If a patient halfway through their pregnancy is told, “You’re going to have to find somebody else,” first of all, can they find somebody else? And two, can the other clinics who are still active absorb these patients? It’s going to put stress on the whole system.
SN: You described yourself as “pro-life.” Tell me what the difference is for you when it comes to this kind of medical care.
Colwell: There comes a time when you have to make a medical decision for the life of the mother. It’s taking care of patients. People are going to suffer under this law, and it makes me mad that politicians get in the way of evidence-based medicine. I think they should not make it a criminal offense to take good care of women who need medical care and treatment.
SN: What else do you want to add about the current landscape of maternity care in Idaho?
Colwell: I wish the legislators that push these laws through would think about the consequences of their actions. I think they kind of shoot from the hip, is my feeling, and they’re trying to make a statement, and I have not seen a real push (from organizations) to educate the legislators as to what the heck they’re doing. Why don’t you consult with the people that are involved? I mean, my gosh.
I hope West Valley can survive this. And it probably will. But it’s going to affect a lot of people in the meantime.
If you a real nikka since birth you can deliver yourself
Medical residents are increasingly avoiding states with abortion restrictions
By Julie Rovner and Rachana Pradhan, KFF Health News6 minute read
Updated 1:28 PM EDT, Thu May 16, 2024
Students graduating from medical schools in the US were less likely to apply for residency positions in states with abortion bans and other significant abortion restrictions, according to new statistics from the Association of American Medical Colleges.
Catherine McQueen/Moment RF/Getty Images
KFF Health News —
Isabella Rosario Blum was wrapping up medical school and considering residency programs to become a family practice physician when she got some frank advice: If she wanted to be trained to provide abortions, she shouldn’t stay in Arizona.
Blum turned to programs mostly in states where abortion access — and, by extension, abortion training — is likely to remain protected, like California, Colorado, and New Mexico. Arizona has enacted a law banning most abortions after 15 weeks.
“I would really like to have all the training possible,” she said, “so of course that would have still been a limitation.”
In June, she will start her residency at Swedish Cherry Hill hospital in Seattle.
According to new statistics from the Association of American Medical Colleges, for the second year in a row, students graduating from U.S. medical schools were less likely to apply this year for residency positions in states with abortion bans and other significant abortion restrictions.
https://www.cnn.com/2024/05/14/health/abortion-telehealth-shield-laws-wecount-report
Since the Supreme Court in 2022 overturned the constitutional right to an abortion, state fights over abortion access have created plenty of uncertainty for pregnant patients and their doctors. But that uncertainty has also bled into the world of medical education, forcing some new doctors to factor state abortion laws into their decisions about where to begin their careers.
Fourteen states, primarily in the Midwest and South, have banned nearly all abortions. The new analysis by the AAMC — a preliminary copy of which was exclusively reviewed by KFF Health News before its public release — found that the number of applicants to residency programs in states with near-total abortion bans declined by 4.2%, compared with a 0.6% drop in states where abortion remains legal.
Notably, the AAMC’s findings illuminate the broader problems abortion bans can create for a state’s medical community, particularly in an era of provider shortages: The organization tracked a larger decrease in interest in residencies in states with abortion restrictions not only among those in specialties most likely to treat pregnant patients, like OB-GYNs and emergency room doctors, but also among aspiring doctors in other specialties.
“It should be concerning for states with severe restrictions on reproductive rights that so many new physicians — across specialties — are choosing to apply to other states for training instead,” wrote Atul Grover, executive director of the AAMC’s Research and Action Institute.
The AAMC analysis found the number of applicants to OB-GYN residency programs in abortion ban states dropped by 6.7%, compared with a 0.4% increase in states where abortion remains legal. For internal medicine, the drop observed in abortion ban states was over five times as much as in states where abortion is legal.
In its analysis, the AAMC said an ongoing decline in interest in ban states among new doctors ultimately “may negatively affect access to care in those states.”
Jack Resneck Jr., immediate past president of the American Medical Association, said the data demonstrates yet another consequence of the post-Roe v. Wade era.
The AAMC analysis notes that even in states with abortion bans, residency programs are filling their positions — mostly because there are more graduating medical students in the U.S. and abroad than there are residency slots.
Still, Resneck said, “we’re extraordinarily worried.” For example, physicians without adequate abortion training may not be able to manage miscarriages, ectopic pregnancies, or potential complications such as infection or hemorrhaging that could stem from pregnancy loss.
Those who work with students and residents say their observations support the AAMC’s findings. “People don’t want to go to a place where evidence-based practice and human rights in general are curtailed,” said Beverly Gray, an associate professor of obstetrics and gynecology at Duke University School of Medicine.
Abortion in North Carolina is banned in nearly all cases after 12 weeks. Women who experience unexpected complications or discover their baby has potentially fatal birth defects later in pregnancy may not be able to receive care there.
RELATED ARTICLELouisiana bill would classify abortion drugs as controlled dangerous substances
Gray said she worries that even though Duke is a highly sought training destination for medical residents, the abortion ban “impacts whether we have the best and brightest coming to North Carolina.”
Rohini Kousalya Siva will start her obstetrics and gynecology residency at MedStar Washington Hospital Center in Washington, D.C., this year. She said she did not consider programs in states that have banned or severely restricted abortion, applying instead to programs in Maryland, New Hampshire, New York, and Washington, D.C.
“We’re physicians,” said Kousalya Siva, who attended medical school in Virginia and was previously president of the American Medical Student Association. “We’re supposed to be giving the best evidence-based care to our patients, and we can’t do that if we haven’t been given abortion training.”
Another consideration: Most graduating medical students are in their 20s, “the age when people are starting to think about putting down roots and starting families,” said Gray, who added that she is noticing many more students ask about politics during their residency interviews.
And because most young doctors make their careers in the state where they do their residencies, “people don’t feel safe potentially having their own pregnancies living in those states” with severe restrictions, said Debra Stulberg, chair of the Department of Family Medicine at the University of Chicago.
Stulberg and others worry that this self-selection away from states with abortion restrictions will exacerbate the shortages of physicians in rural and underserved areas.
“The geographic misalignment between where the needs are and where people are choosing to go is really problematic,” she said. “We don’t need people further concentrating in urban areas where there’s already good access.”
After attending medical school in Tennessee, which has adopted one of the most sweeping abortion bans in the nation, Hannah Light-Olson will start her OB-GYN residency at the University of California-San Francisco this summer.
It was not an easy decision, she said. “I feel some guilt and sadness leaving a situation where I feel like I could be of some help,” she said. “I feel deeply indebted to the program that trained me, and to the patients of Tennessee.”
Light-Olson said some of her fellow students applied to programs in abortion ban states “because they think we need pro-choice providers in restrictive states now more than ever.” In fact, she said, she also applied to programs in ban states when she was confident the program had a way to provide abortion training.
“I felt like there was no perfect, 100% guarantee; we’ve seen how fast things can change,” she said. “I don’t feel particularly confident that California and New York aren’t going to be under threat, too.”
As a condition of a scholarship she received for medical school, Blum said, she will have to return to Arizona to practice, and it is unclear what abortion access will look like then. But she is worried about long-term impacts.
“Residents, if they can’t get the training in the state, then they’re probably less likely to settle down and work in the state as well,” she said.
KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF — the independent source for health policy research, polling, and journalism.
This will be blamed on liberals.
"They'd rather kill babies than deliver them!"
Nah, they just want to do their job without theocratic busybodies charging them with a felony.
