Nightmare at the Philadelphia “Women’s Medical Society”

January 21, 2011

From the Grand Jury report issued 1/17/2011: “This case is about a doctor who killed babies and endangered women. What we mean is that he regularly and illegally delivered live, viable, babies in the third trimesterof pregnancy – and then murdered these newborns by severing their spinal cords withscissors. The medical practice by which he carried out this business was a filthy fraud inwhich he overdosed his patients with dangerous drugs, spread venereal disease among them with infected instruments, perforated their wombs and bowels – and, on at least two occasions, caused their deaths. Over the years, many people came to know that something was going on here. But no one put a stop to it.

Let us say right up front that we realize this case will be used by those on both sides of the abortion debate. We ourselves cover a spectrum of personal beliefs about the morality of abortion. For us as a criminal grand jury, however, the case is not about that controversy; it is about disregard of the law and disdain for the lives and health of mothers and infants. We find common ground in exposing what happened here, and in recommending measures to prevent anything like this from ever happening again.”

From the report:

“The clinic reeked of animal urine, courtesy of the cats that were allowed to roam

(and defecate) freely. Furniture and blankets were stained with blood. Instruments were

not properly sterilized. Disposable medical supplies were not disposed of; they were

reused, over and over again. Medical equipment – such as the defibrillator, the EKG, the

pulse oximeter, the blood pressure cuff – was generally broken; even when it worked, it

wasn’t used. The emergency exit was padlocked shut. And scattered throughout, in

cabinets, in the basement, in a freezer, in jars and bags and plastic jugs, were fetal

remains. It was a baby charnel house.

The people who ran this sham medical practice included no doctors other than

Gosnell himself, and not even a single nurse. Two of his employees had been to medical

school, but neither of them were licensed physicians. They just pretended to be.

Everyone called them “Doctor,” even though they, and Gosnell, knew they weren’t.

Among the rest of the staff, there was no one with any medical licensing or relevant

certification at all. But that didn’t stop them from making diagnoses, performing

procedures, administering drugs.”

Gosnell specialized in illegal late term abortions: “The bigger the baby the more he charged” – as late as seven and a half months, babies over six pounds that squirmed around on the counter for twenty minutes before their spinal cord was “snipped” with scissors and the body dumped into an old orange juice container, or cat food container- (such improvised disposal containers filled with fetal and infant parts were  piled up around the blood splattered “clinic” and filled the employee lunch fridge). There were inexplicably rows of jars containing only the severed feet of fetuses.

From the Grand Jury Report:  “Gosnell’s approach, whenever possible, was to force full labor and delivery of premature infants on ill-informed women. The women would check in during the day, make payment, and take labor-inducing drugs. The doctor wouldn’t appear until evening, often 8:00, 9:00, or 10:00 p.m., and only then deal with any of the women who were ready to deliver. Many of them gave birth before he even got there. By maximizing the pain and danger for his patients, he minimized the work, and cost, for himself and his staff.”

“Gosnell set up his practice to rely entirely on the untrained

actions of his unqualified employees. They administered drugs to induce labor, often

causing rapid and painful dilation and contractions. But Gosnell did not like it when

women screamed or moaned in his clinic, so the staff was under instruction to sedate

them into stupor. Of course his assistants had no idea how to manage the powerful

narcotics they were using. Gosnell prepared a list of preset dosage levels to be

administered in his absence. But no allowances were made for individual patient

variations, or for any monitoring of vital signs. All that mattered was the money. The

more you paid, the more pain relief you received. It was all completely illegal, and

completely unsafe.

Only in one class of cases did Gosnell exercise any real care with these dangerous

sedatives. On those rare occasions when the patient when the patient was a white woman from the

suburbs, Gosnell insisted that he be consulted at every step. When an employee asked him why, he said it

was “the way of the world.””

The clinic run by Kermit B. Gosnell, MD operated for forty years, killing women, perforating bowels, using unsanitized equipment, scarring women for life, and torturing live late term infants to death. You can read 281 pages of the most horrific awful tragic bloody murderous accounts by reading the Grand Jury report yourself. The absolute horror and bizarre goings-on are beyond what the most creative fiction writer could invent. The heinous pain, suffering, murder, torture and abuse of women who sought safe reproductive health care and safe abortions,  that went on for forty years, even though people reported it and knew about it, is indescribable. The sadistic “Doctor” is facing the death penalty. But what about the agencies charged with oversight, such as the Department of Health?

From the report:

“Several different attorneys, representing women injured by Gosnell, contacted the department. A doctor from Children’s Hospital of Philadelphia hand-delivered a complaint, advising the

department that numerous patients he had referred for abortions came back from Gosnell

with the same venereal disease. The medical examiner of Delaware County informed the

department that Gosnell had performed an illegal abortion on a 14-year-old girl carrying

a 30-week-old baby. And the department received official notice that a woman named

Karnamaya Mongar had died at Gosnell’s hands.

Yet not one of these alarm bells – not even Mrs. Mongar’s death – prompted the

department to look at Gosnell or the Women’s Medical Society. Only after the raid

occurred, and the story hit the press, did the department choose to act. Suddenly there

were no administrative, legal, or policy barriers; within weeks an order was issued to

close the clinic. And as this grand jury investigation widened, department officials

“lawyered up,” hiring a high-priced law firm to represent them at taxpayer expense. Had

they spent as much effort on inspection as they did on attorneys, none of this would have happened to begin with.

But even this total abdication by the Department of Health might not have been

fatal. Another agency with authority in the health field, the Pennsylvania Department of

State, could have stopped Gosnell single-handedly. While the Department of Health

regulates facilities, the Department of State, through its Board of Medicine, licenses and

oversees individual physicians. Like their colleagues at Health, however, Department of

State officials were repeatedly confronted with evidence about Gosnell, and repeatedly

chose to do nothing.

Indeed, in many ways State had more damning information than anyone else.

Almost a decade ago, a former employee of Gosnell presented the Board of Medicine

with a complaint that laid out the whole scope of his operation: the unclean, unsterile

conditions; the unlicensed workers; the unsupervised sedation; the underage abortion

patients; even the over-prescribing of pain pills with high resale value on the street. The

department assigned an investigator, whose investigation consisted primarily of an offsite

interview with Gosnell. The investigator never inspected the facility, questioned other

employees, or reviewed any records. Department attorneys chose to accept this

incomplete investigation, and dismissed the complaint as unconfirmed.

Shortly thereafter the department received an even more disturbing report – about

a woman, years before Karnamaya Mongar, who died of sepsis after Gosnell perforated

her uterus. The woman was 22 years old. A civil suit against Gosnell was settled for

almost a million dollars, and the insurance company forwarded the information to the

department. That report should have been all the confirmation needed for the complaint

from the former employee that was already in the department’s possession. Instead, the

department attorneys dismissed this complaint too. They concluded that death was just

an “inherent” risk, not something that should jeopardize a doctor’s medical license.

The same thing happened at least twice more: the department received complaints

about lawsuits against Gosnell, but dismissed them as meaningless. A department

attorney said there was no “pattern of conduct.” He never bothered to check a national

litigation database, which would have shown that Gosnell had paid out damages to at

least five different women whose internal organs he had punctured during abortions.

Apparently, the missing piece in the “pattern” was press coverage. Once that began, after

the raid, the department attorney quickly managed to secure a license suspension against

Gosnell.

Similar inaction occurred at the municipal level. The Philadelphia Department of

Public Health does not regulate doctors or medical facilities; but it is supposed to protect

the public’s health. Philadelphia health department employees regularly visited the

Women’s Medical Society to retrieve blood samples for testing purposes, but never

noticed, or more likely never bothered to report, that anything was amiss. Another

employee inspected the clinic in response to a complaint that dead fetuses were being

stored in paper bags in the employees’ lunch refrigerator. The inspection confirmed

numerous violations of protocols for storage and disposal of infectious waste. But no

follow-up was ever done, and the violations continued to the end.

A health department representative also came to the clinic as part of a citywide

vaccination program. She promptly discovered that Gosnell was scamming the program;

more importantly, she was the only employee, city or state, who actually tried to do

something about the appalling things she saw there. By asking questions and poking

around, she was able to file detailed reports identifying many of the most egregious

elements of Gosnell’s practice. It should have been enough to stop him. But instead her

reports went into a black hole, weeks before Karnamaya Mongar walked into the

Woman’s Medical Society.

Ironically, the doctor at CHOP who personally complained to the Pennsylvania

Department of Health about the spread of venereal disease from Gosnell’s clinic, the

doctor who used to refer teenage girls to Gosnell for abortions, became the head of the

city’s health department two years ago. But nothing changed in the time leading up to

Mrs. Mongar’s death. And it wasn’t just government agencies that did nothing. The

Hospital of the University of Pennsylvania and its subsidiary, Penn Presbyterian Medical

Center, are in the same neighborhood as Gosnell’s office. State law requires hospitals to

report complications from abortions. A decade ago, a Gosnell patient died at HUP after a

botched abortion, and the hospital apparently filed the necessary report. But the victims

kept coming in. At least three other Gosnell patients were brought to Penn facilities for

emergency surgery; emergency room personnel said they have treated many others as

well. And at least one additional woman was hospitalized there after Gosnell had begun

a flagrantly illegal abortion of a 29-week-old fetus. Yet, other than the one initial report,

Penn could find not a single case in which it complied with its legal duty to alert

authorities to the danger. Not even when a second woman turned up virtually dead.

So too with the National Abortion Federation. NAF is an association of abortion

providers that upholds the strictest health and legal standards for its members. Gosnell,

bizarrely, applied for admission shortly after Karnamaya Mongar’s death. Despite his

various efforts to fool her, the evaluator from NAF readily noted that records were not

properly kept, that risks were not explained, that patients were not monitored, that

equipment was not available, that anesthesia was misused. It was the worst abortion

clinic she had ever inspected. Of course, she rejected Gosnell’s application. She just

never told anyone in authority about all the horrible, dangerous things she had seen.

Bureaucratic inertia is not exactly news. We understand that. But we think this

was something more. We think the reason no one acted is because the women in

question were poor and of color, because the victims were infants without identities, and

because the subject was the political football of abortion.”

http://media.philly.com/documents/GrandJuryWomensMedical.pdf


DO NOT READ OR LOOK AT THE GRAND JURY DOCUMENT IF YOU ARE SENSITIVE


9 Responses to “Nightmare at the Philadelphia “Women’s Medical Society””

  1. GallusMag Says:

    Sorry I had some formatting problems, hope it’s still readable. Think I fixed most of them- I hope.


  2. Oh my goddess, this is so fucking horrific. And trannies argue that womyn-born-womyn have “cis privilege” – what a fucking terrible joke, except it isn’t a joke, because girls and womyn are still dying from shit like this.

  3. GallusMag Says:

    Damn good point. This is your fucking “cis privilege”. Cis privilege is being shoved into a burka at the age of twelve and being raped by your old man husband/rapist who doesn’t let you read or leave the house or even speak. Cis privilege is being one of the six million females missing from the planet from being aborted for being female.
    This “doctor” Gosnell (who made millions torturing and killing women btw) got away with it for 40 years because NO ONE WOULD LISTEN to these women. Some of these women made dozens of calls to authorities after their nightmare treatment. He was sued 42 times, sometimes for millions. No one would listen to hundreds of women because the victims were women, and especially because they were POOR BLACK women, and immigrant women, and women of color. Some of these women specifically went to this clinic to avoid pro-life protesters who camp out around the downtown (white) planned parenthood clinic but never the neighborhood (black) one. And now these same pro-lifers are ignoring their voices again by using them to make it EVEN HARDER for BLACK WOMEN to have access to SAFE LEGAL abortion.
    You can bet if this had happened to even one MAN, tranny or no, it would have been broadcast across the front pages of every newspaper in the fucking country years ago. This is what the tyrannies consider cis privilege folks.


    • You can bet if this had happened to even one MAN, tranny or no, it would have been broadcast across the front pages of every newspaper in the fucking country years ago. This is what the tyrannies consider cis privilege folks.

      Like how they complain when gynocologist don’t offer services to them (because what they really need are urologists)?

      The mental gymnastics they must do.

      • joy Says:

        If they had ever been to an actual gynecologist, and been forced to endure a “yearly” (as they’re so helpfully euphemistically called), they wouldn’t be such sad pandas when they can’t get one.

      • kurukurushoujo Says:

        MY GOD, what should the obgyn do, exactly? Pretend s/he’s looking at a cervix that doesn’t exist and take a pap-smear that isn’t really a pap smear and doesn’t show anything? Waste time that could be better spent on a bio-woman just because a trans-woman needs her identity validated?

        Man, that Loretta character in Life of Brian begins to look like an accurate portrayal of a trans woman, no kidding.

        And what joy said.

      • Bluetraveler Says:

        Word. Now they pretend that their surgically-constructed holes are vaginas, thus reducing vaginas themselves to “fuckholes”. And when I pointed that out I was called a “misogynistic rapist cisguy”. Yeah.

  4. Bluetraveler Says:

    “Cis privilege is being shoved into a burka at the age of twelve and being raped by your old man husband/rapist who doesn’t let you read or leave the house or even speak. Cis privilege is being one of the six million females missing from the planet from being aborted for being female.”

    Excellently put. Transactivists can focus only on what they find “of interest” though (trans stuff only), and they don’t care at all about women obliged to wear burqa, marrying at 9 or dying in shady clinics, because, you see, they were already born privileged compared to those poor poor souls!

  5. Noanodyne Says:

    If you do a Google search on the exact name of the clinic, Gallus’ post is the 9th hit. I was doing this search to find out when this story broke, because it’s already gone from the pages of the news blogs that I read and I wanted to see how long it took for everyone to move on to something far more important than women’s lives and deaths. Ho hum, another day, another million or so women tortured, mutilated, and/or murdered.

    Thank you, Gallus, for the post, of course, and for at least making it stick in Google when so few others seem to give a shit.


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