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IJWL
PHYSICIAN QUESTIONS ASSUMPTION
THAT PREGNANCY IS NORMAL, DESIRABLE
Physicians are ambivalent about birth control, abortion and
sterilization largely because they view the female as essentially a
“reproductive machine,” asserts Warren M. Hern, M.D., in a
recent issue of FAMILY PLANNING PERSPECTIVES, the
quarterly magazine published by national Planned Parenthood.
Dr. Hern maintains that adherence to the view that woman is a
“uterus surrounded by a supporting organism and a directing
personality,” prevents critical examination of the assumption that
pregnancy is not only normal but is an essentially desirable event.
It also prevents an objective look at the premise that failure or
refusal to become pregnant is “pathological.” Dr. Hern is chief of
the Program Development and Evaluation Branch of the Office of
Economic Opportunity’s (OEO) Family Planning Program.
PREGNANCY REQUIRES TREATMENT
Although pregnancy is defined as “normal” by leading medical
specialists, they also acknowledge that the risks of illness and
death associated with it are significantly increased over the
nonpregnant state. Dr. Hern notes the apparent contradiction:
“Pregnancy is a process in which the normal (nonpregnant)
physiology is markedly altered for a period of time and which
carries a significantly higher risk of morbidity and mortality than
nonpregnancy. But if nonpregnancy is normal, how is it possible
that pregnancy is also normal?”
One answer, he says, is that until recently pregnancy was
perceived as essential to the survival of the human species, and
was therefore defined as “normal” and “desirable.” Conditions
have changed, however, the physician points out, making this
particular perception outmoded, an example of cultural lag. More
individuals now survive into adulthood, making continuous
child-bearing unnecessary for preservation of the species. Further,
he maintains, given present “phenomenal” population growth,
“normal (unlimited) reproduction, if anything, endangers survival
of the species.”
WOMEN’S VIEW DIFFERS
Although doctors and society as a whole continue to cling to
this out-dated and illogical view, many women take a different
view. When a woman seeks an abortion, observes Dr. Hern, she is
diagnosing her pregnancy as an illness, for which she needs a
specific treatment, i.e., abortion. By the same token, the woman
who seeks prenatal care also preceives pregnancy as an illness
requiring medical attention. The pregnant woman, the doctor
points out, often suffers unpleasant symptoms associated with
the condition - nausea, vomiting, fatigue, irritability, depression,
fluctuations in libido - which, though widely recognized by the
medical profession, receive only cursory attention in the medical
literature.
When the pregnancy is unwanted, these symptoms are
accentuated and may even adversely affect the fetus, according to
research cited by Dr. Hern. These symptoms are often
dramatically relieved when the woman undergoes abortion. “It
appears that ‘unwantedness’ may be regarded as a major
complication of pregnancy with surgical intervention in the form
of abortion as the indicated treatment, rather than medical
management as would be the case with a wanted pregnancy,” Dr.
Hern believes. He highlights the fact that some 1,000,000
American women a year obviously regard their pregnancies as
‘abnormal’ since they seek to terminate them by abortion, usually
illegal. In addition, U.S. couples who report that between
750,000 and 1,000,000 of their births are unwanted each year,
clearly regard pregnancy as something other than ‘normal’ or
desirable.
PSYCHIATRIC CONSULTATION EXPLORED
Nonetheless, health professionals often adopt the view that it is
not the pregnancy or the physical condition associated with it
which is the ‘illness’ but the thinking about it which is diseased. It
is this interpretation that is responsible for the mandatory
psychiatric consultations written into some liberalized abortion
laws, a requirement which most psychiatrists have come to view
as unnecessary and burdensome to the woman and to the
profession.
Dr. Hern observes that the downward trend in maternal
mortality over the past 50 years is due to improved medical
management of pregnancy, to better living conditions and to the
greater practice of fertility control, the latter reducing the strain
of too frequent, too short intervals between pregnancies.
“Indeed, the greater ‘normality’ of pregnancies in recent years
(that is, fewer complications and risks to the average mother) is
certainly to some extent the result of a greater prevalance of
normal nonpregnancy,” the physician concludes.
Dr. Hern urges adoption of the more logical and reasonable
view that human pregnancy is an “episodic, moderatedly
extended chronic condition with a definable morbidity and
mortality risk to which females are uniquely susceptible” and
which, can be almost entirely prevented through the use of
effective contraception, or treatment by evacuation of the uterine
contents, when desired, or carried to term when this is desired.
“The open recognition and legitimation of pregnancy as an
illness,” Dr. Hern writes, “would be consistent with individual
self-interest of those experiencing pregnancy, good standards of
medical practice, and the continued survival of thq species.”
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FROM
THE
PILL BOX
by Father David C. Streett
The f SCENe\
HEALTH
WE SPEAK... JIfWL/y
HEALTH CARE AND
ITS DELIVERY. . .
by Willis J. Walker, Jr.
HEALTH CARE DELIVERY CRISIS LOOMS
The practice of medicine is a very lively art and science, and it
seeks to find the solution to many of the problems that have been
harassing mankind since time began. However, today even though
perhaps America leads in the technical area of health care delivery
it does not lead in delivering that same possible care to its
populace. A crisis now looms for Americans. A crisis which is
headlined with a shortage of some 50,000 physicians. The
American population is expanding at a incredible pace; more
people are living longer and more babies survive which is directly
attributable to medical achievement. But another fact remains;
and that is, the very success of medicine that adds more years to
our lives also creates the problem of finding more talented and
dedicated young doctors—to care for these people.
Not only is our population expanding, but generally speaking
our prosperity and increasing health awareness create-and if it
does not it should create-a larger demand for more preventive and
corrective medical care. Hence, there is no question that a
doctor’s talents and knowledge will be needed even more in the
years to come.
Perhaps it was these thoughts that prompted some
Congressmen to demand a timetable for solving the pending crisis.
Rep. Paul G. Rogers (D-Fla.) head of the Subcommittee on Public
Health and Environment warned his constituents in the House of
Representatives that they are going to have people in Washington
marching on health instead of the Vietnam War if some quick
action is not taken to help alleviate the growing “national
cancer”.
The question is will Nixon’s health proposals produce the
needed manpower. The way it looks now his proposal would
produce about a 50-percent increase in the size of Medical
Schools’ graduating classes by 1975. It has been estimated that
graduating classes would grow from 9,000 in 1970 to 14,000 in
1975.
Black Augustans who attempt to crowd themselves into
physicians’ office here are feeling the pinch of the need to have
more doctors and more efficient delivery of health care. Within
the next few weeks this column will address itself to health care
and delivery here in Augusta. We Speak Health Care and its
Delivery and will begin with a brief look at the black physicians
in Augusta.
/
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You and Your Dollar
by the Georgia Consumer Services Program
BORROWING MONEY
Can you give us some advice
on borrowing money?
If you are eligible for
membership in a credit union,
it will probably be the best
place for you to borrow
money. As a rule, credit
unions charge the lowest
interest rates (not more than
one per cent per month on the
unpaid balance, or 12 per cent
a year). There may be an
employee’s credit union where
you work. Some churches, and
even some communities have
credit unions. Check with the
treasurer of your company,
your minister, or your city
representative to find out if
credit union membership is
available.
Usually, the next best place
to borrow is a bank, as they
charge the next lowest
interest. Banks, however, do
not accept so-called bad risks
people who don’t always
pay their bills, or have bad
credit ratings. Finance or loan
companies charge a higher rate
of interest, but, in some cases,
they will make loans to people
who cannot borrow elsewhere.
Also, they may add extra fees
to the total bill.
There are basically two
kinds of loans, signature loans
and secured loans. On a
signature loan, you can
borrow money without
collateral, while on a secured
loan, you must put up some
property, like a car, that can
be taken away from you if
you fail to meet your
payments. Signature loans are
usually for a limited amount,
while for a larger loan you
must have collateral or
security.
Also, there are a number of
special loans for special
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2047 Milledgeville Rd.
USRY’S SEAFOOD MARKET
“Eat the fish today
that was sleeping in the Gulf last night"
2005 OLD SAVANNAH ROAD
I (North)
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Open Thurs., Fri., & Sat 9 A.M. to 6:30 P.M.
CLEANERS, Inc.
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Fast Pick-Up, and Delivery
purposes like education. Your
local bank can probably help
you to find out more about
them.
Remember, compare
interest rates and contract
requirements before signing a
loan.
SUMMER GYPS
This morning, two men
came to the door, and said
they could mend our roof
cheap with materials left over
from another job. I turned
them down, and now I wonder
if 1 should have let them go
ahead.
You probably did the right
thing. There are a number of
frauds that are common in the
spring and summer, and home
repair gyps are at the top of
the list.
If a stranger offers to repair
your roof, put up lightening
rods, pave your drive,
waterproof the roof, put
siding on the house, or spread
special fertilizer on your lawn,
think twice. In many cases,
the work they do lasts just
long enough for them to get
out of town. At the first rain,
you may find they used more
sand than cement and more
cardboard than shingles. The
“miracle” fertilizer may turn
out to be plain dirt.
Some sales pitches to watch
out for are, “We just finished a
job up the street, and have
extra materials,” or “We just
happened to be in the
neighborhood,” and, “We
were passing by and
noticed .. .” some allegedly
needed repair.
In another summer gyp
recently reported to the
GCSP, two boys who claimed
to be college students went
around offering to trim hedges
and lawns without saying how
much they charged. When
they finished, the horrified
homeowner was presented
with a bill for $50.00!
It is often unwise, and
A MR. MERCHANT A
I WE PUBLISH
A 5,000 PAPERS. A
I NATIONAL
J SURVEYS SAY IT
I WILL BE I
’ READ BY OVER ’
1 20,000 READERS. 1
| YOU COULD I
A HAVE A
REACHED
’ THESE "
120.000 READERS A
J IN THIS I
" SPACE. |
NEWS—REVIEW - MAY 13, 1971
Eggeellent Ideas
GEORGIA EGG COMMISSION
MISS MILDRED HUFF, HOME ECONOMIST
ATLANTA (PRN) - Crabs are the only animals colored red,
white and blue. Therefore they were an appropriate hors
d’oeuvres selection for our American Women in Radio—TV
Convention held in Washington, D.C. last week. Food and
festivities followed political and Presidential themes. Being
patriotic, I naturally participated in everything, particularity the
parties.
One of the most original was the dinner party given by the
Western Iceberg Lettuce Growers and Hellmann’s/Best Foods.
While Presidental food favorites were served, we were quizzed
on food facts.
For example who were the “gourmet” presidents? (Jefferson
and Arthur). Who considered himself a “meat and potatoes
man”? (Truman).
Because of the dockside location of Washington, D.C.,
Atlantic blue crabs have always been as much a part of the
White House scene as the spring Cherry Blossoms. We were told
that Jefferson frequently served deviled crab as a first course to
his celebrated dinners. President Grant’s daughter’s wedding
breakfast included soft shelled crabs on toast and when
President Cleveland married Frances Folson, soft shell crabs
were on the wedding lunch menu.
Crab cakes made Capital-Hill news in 1963 when Senator Jay
Beall, Republican from Maryland charged that the Maryland
Crab Cakes served in the Senate dining room were an insult to
his state. Our own state, Georgia, is famed for it’s supply of
delicate crab meat. The following recipe is guaranteed to please
both Presidents and coastal dwellers who visit in your home and
sample your fare.
Maryland (or Georgia)
Crab Cakes
Hors d’Oeuvres
1 pound blue crab meat teaspoon white pepper
!4 cup real mayonaise *4 cup flour
3 eggs, beaten I '2 cup fine dry bread crumbs
1 teaspoon dry mustard 1 quart (about) com oil
Vi teaspoon salt
Remove any shell or cartilage from crab meat. Mix together
crab meat, real mayonnaise, 1 beaten egg, mustard, salt and
pepper. Shape into 30 (1-inch) balls. Dip into flour, then into
the remaining 2 eggs, then into bread crumbs. Pour corn oil into
heavy, sturdy, flat-bottomed (3-quart) saucepan or deep fryer,
filling utensil no more than 1/3 full. Heat over medium heat to
375 degrees F. Carefully add cr?b meat balls, a few at a time.
Fry about 2 minutes or until golden brown. Drain on absorbent
paper. Makes 30 hors d’oeuvres.
If you have questions or recipes you would like to share write
to me: Georgia Egg Commission, 1687 Tullie Circle N.E.,Suite
118, Atlanta, Georgia 30329.
possibly even dangerous to let
strangers work in your home
or yard. When you need work
done, you should call a
company with a known
reputation, or hire an
individual recommended by
someone you trust.
T/ffe GEORGIA CONSUMER
SER VICES PROGRAM is a
division of the State Department
of Family and Children Services,
and is funded by the United
States Department of Health,
Education and Welfare. If you
have Questions concerning
product quality, credit and
contract terms or how to spend
your money wisely, call
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PAGE 5
M00.252-S9OO free from
anywhere in Georgia. If you have
trouble reaching the number ask
vour local operator for help.
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