The Supreme Court’s Idaho Decision Lets Me Keep Saving Lives

the Supreme Court has decided to uphold the ability of emergency medicine providers like me to use abortion to stabilize or save a lifeA group of doctors join abortion rights supporters at a rally outside the Supreme Court on in April 2024 in Washington, DC. as the Supreme Court hears oral arguments on Moyle v. United States and Idaho v.

What the highest court has preserved is my ability to fully care for people in cases like this: a pregnant person with a life-threatening infection that may cause what’s known as a septic abortion, a uterine lining so riddled with infection that the only way to save that person is through a hysterectomy.

Take medication abortion, part of the treatment I might prescribe to someone with an ectopic pregnancy that hasn’t ruptured. Under EMTALA I would work with an obstetrician to get that person the care they need. While another recentruling saves access to this drug, Justice Brett Kavanaugh effectively gave antiabortion groups a playbook on how to block access to this drugWhat the new ruling preserves is my ability to help a pregnant person if their ectopic pregnancy ruptures.

What if I’m in a rural hospital and the nearest operative room is an hour away, and now my patient is too unstable to transfer because they need a mass blood transfusion to stay alive long enough to make it to the operating room? What if my patient dies because I couldn’t navigate the uncharted territory fast enough?

And while part of our jobs in emergency medicine is to save people on the brink of death, we just as readily are stabilizing people who are sick, but not lethally so. What this decision helps save are the contingency plans to take care of people with infections from a missed abortion, preeclampsia or premature preterm rupture of membranes. Terminating a pregnancy is the stabilizing care required to avoid severe complications including stroke, kidney failure, sepsis, hemorrhage or death.

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