Dan Patrick wants to play doctor

Clearly, the man missed his calling.

Before Texas’ abortion sonogram law passed last legislative session, some women seeking to end pregnancies in rural communities relied on telemedicine, with physicians — working in partnership with medical technicians or nurses — administering prescription drugs via videoconference to induce early-stage abortions.

If new legislation filed by Sen. Dan Patrick, R-Houston, passes in 2013, women in remote corners of the state may have even fewer options to get the procedure.

2011’s abortion sonogram law — another measure Patrick championed — requires that a physician, as opposed to a technician or nurse, perform a sonogram on a woman seeking an abortion at least 24 hours ahead of the procedure. That in effect prohibits the use of telemedicine for drug-induced abortions, which opponents of the procedure call a welcome consequence for a little-discussed practice.

SB 97, Patrick’s latest measure, would further increase the in-person requirements for physicians. In addition to the in-person sonogram 24 hours ahead of the abortion, doctors would have to personally administer both of the two medications used for drug-induced abortions, and see the patient again for a follow-up appointment within 14 days, a particular challenge for the roving doctors who treat women in the state’s rural counties.

Amy Hagstrom Miller, CEO of the abortion provider Whole Women’s Health, said that before last session’s sonogram law took effect in February, her clinics in Beaumont, McAllen and Fort Worth relied on telemedicine. A technician would perform the sonogram and a physician based in Austin would review the patient’s medical records, then videoconference with the patient to answer any questions.

“Through telemedicine we were able to serve women in communities, mainly more rural communities, where access to abortion was much more difficult,” she said.

Silly woman. Don’t know you know Dan Patrick knows what’s best for you and your patients? Don’t make him have to pass a bill requiring his express written consent for anyone to get an abortion in this state, because he will if you make him mad enough. This would be a good time for those of you whose Senators are Eddie Lucio, Judith Zaffirini, or Carlos Uresti to start calling their offices and telling them not to vote to bring this travesty to the floor, like they did in 2011 with the sonogram bill. With the defeat of Jeff Wentworth, the last pro-choice Republican in the state, we’ll need at least two and possibly all three of them to stand with their fellow Democrats in opposing this, depending on when the election to succeed the late Mario Gallegos is concluded. This would also be a good time for so-called “moderates” like Sarah Davis to do something to earn that designation and actively oppose this ridiculous intrusion into the doctor-patient relationship, instead of waiting till the bill comes to the floor of the House and casting a token vote against it.

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