The Abortion "Onion": Layer 2

This is a continuation of Abortion “Onion”: Layer 1.  By the conclusion of the first diary, two specific points had been identified.  The first point is that abortion is an industry.  The second point is that fetal tissue harvesting is a very lucrative business.

The next step will be to address a few specifics about how the health care industry in general is regulated.

Certification and Accreditation

Organizations who receive federal funding assistance from either Medicare or Medicaid must comply with specific requirements that have been established by the Department of Health and Human Services (DHHS) and administered via Centers for Medicare and Medicaid Services (CMS) to be considered certified as a participating provider and receive reimbursement from these federally-funded programs.

Certification often occurs through the accreditation process conducted by a third party, such as The Joint Commission.  Here’s how it works:

If a national accrediting organization, such as The Joint Commission, has and enforces standards that meet the federal Conditions of Participation, CMS may grant the accrediting organization “deeming” authority and “deem” each accredited health care organization as meeting the Medicare and Medicaid certification requirements. The health care organization would not be subject to routine Medicare survey and certification process.

In other words, TJC provides the oversight and performs the audits that allow an organization to maintain its status as a participating provider.

Type of organizations that are accredited by TJC

Ambulatory Health Care

Behavioral Health Care

Critical Access Hospitals

Home Care


Laboratory Services

Long Term Care

Office-Based Surgery


Eligibility requirements for office-based surgery accreditation(TJC source).

• The organization or practice is composed of four or fewer licensed independent practitioners performing operative or invasive procedures. Multi-site office-based surgery practices are also limited to a combined total of four or fewer LIPs.

• The organization or practice must be physician owned or operated, for example, a professional services corporation, private physician office or small group practice. “Physician” includes dentist or podiatrist.

Invasive services are provided to patients. (Practices only providing procedures such as excisions of skin lesions, moles, warts and abscess drainage limited to the skin and subcutaneous tissue are typically not surveyed under the OBS standards.)

Local anesthesia, minimal sedation, moderate sedation or general anesthesia is administered. (Includes laser eye surgery using topical anesthesia.


Invasive Procedure

According to both of these pro-choice sources, here and here, either dilation and curettage (D&C) or dilation and evacuation (D&E) are the methods of choice for abortions past the date of the abortion “pill”.  And even Planned Parenthood acknowledges the usage of these methods in many cases.  Three separates sites, (here, here, and here) provide information defining both D&C and D&E as invasive procedures.


The Abortion USA site above provides interesting information pertaining to local, conscious or general sedation that may be used during an abortion.



To summarize all of the information that has been provided so far into one comprehensive statement:   Based on the information available, abortion may include performing an invasive procedure that involves local, moderate, or general anesthesia.  As such, abortion providers should be required to meet the standards for office-based surgery accreditation.

Accreditation in and of itself would not eliminate abortion, but it will require practitioners providing abortions to be held accountable, thus preventing continuation of the type back-alley events that were seen in the cases of Dr. Gosnell and Dr. Brigham.

If pro-choice advocates are genuinely concerned about preventing situations where medical negligence and back-alley operations could occur, which would conform perfectly with their contention that abortion is “safe” and “legal”, then by use of simple common sense, they would support accreditation of abortion providers.

Why then have they been opposed to requiring abortion providers to meet accreditation standards?  

We’ll pick up with pro-choice opposition to accreditation standards in Layer 3, so watch for it.


In closing, I’d like to point out a statement currently displayed at the Planned Parenthood website:

In later second-trimester procedures, you may also need a shot through your abdomen to make sure there is fetal demise before the procedure begins.

There’s one word in this statement that pro-life advocates should be drawing attention to over and over again.  Do you know what it is?

Demise!  By definition, the word “demise” pertains to death or termination of existence.

A prerequisite for death is life.  How can death occur without life?