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Febuary 13 - 19, 2008
Vol. 15 No. 11
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35 Years Since Roe v. Wade

Dr. Susan Wicklund k nows the moral hazards of her practice and the perils of being targeted by the anti-choice movement.... A doctor who’s risked death to give women a choice.

By CYDNEY GILLIS, Staff Reporter

A Barbara Earl Thomas stands before the Northwest African-American Museum’s gallery,
“Journeys,” which traces the routes by which Blacks were taken to North America and
migrated to the Pacific Northwest.

Photo by Mark Sullo
It’s a good thing Susan Wicklund is rock solid about the work she does. Otherwise, she’d have never put up with a career in which she’s been harassed, stalked, had her driveway blockaded, her home broken into, her life threatened, and had to send her daughter to school in a police car.

Those are just a few of the things that the good doctor has lived through in 20 years of providing abortions — an odyssey that Wicklund shares in This Common Secret: My Journey as an Abortion Doctor (Public Affairs, $25), a riveting new memoir that traverses the moral dilemma of abortion and the hypocrisy of its foes through the eyes of a doctor who’s been there, in more ways than one.

At the age of 22, while still single and juggling three jobs in Portland, Ore., Wicklund became pregnant and made a decision she would never forget — not out of regret, but because of how she was treated. During the abortion, she asked the doctor about the pain she was feeling. He not only barked at her to shut up, but called nurses to hold her down.

Wicklund chose to enter medical school and train in obstetrics and abortion so that other women wouldn’t have to go through what she did. For years, she worked a day here and a day there at clinics that she flew or drove between in the Midwest — sometimes wearing disguises to fool right-to-lifers waiting for her at airports and clinic entrances — then opened her own clinic in Bozeman, Montana. But, from the get-go, she faced a resistance that her book makes grievous in the many facets of its irony.

As a resident, for instance, Wicklund argued with her hospital board to perform abortions, but was told that the community didn’t need them — by men with wives or daughters whom she knew had had abortions. There are also stories of the staunch pro-lifer who came in and demanded an abortion, the fake patient who tried to infiltrate a clinic where Wicklund worked, and the anti-abortion doctor she had to browbeat into giving prenatal care to a woman who didn’t actually want to terminate, but had no money for a doctor.

Through it all, Wicklund has never lost sight of why she provides abortion, something that was only reinforced in 1992, the year she finally told her grandmother what she does for a living. Wicklund was about to appear on “60 Minutes,” a TV program her grandmother never missed, but when she sat her grandmother down to break the news, the old woman had some news for her.

At the age of 16, her grandmother and a girlfriend had gone into the bedroom of a friend who was pregnant and used something sharp to start her bleeding. The girls stuffed rags inside her to no avail: she died right in front of them on the bed — an incident she’d keep secret for 72 years. “I know exactly what kind of work you do,” Wicklund’s grandmother told her, “and it is a good thing. People like you do it safely so that people like me don’t murder their best friends.”

After reading the book, I was shocked by all you’d been through. What do you consider the worst incident with the right-tolife protesters?
The most frightening for me personally, because it was the first time that I came face to face with them, was in a parking garage in the St. Paul/Minneapolis airport. I was alone, it was at night, I walked to an upper floor where my car was parked and was walking towards it and people got out of a van and approached me and started yelling and screaming at me to stop providing abortions and to stop killing babies. It was the first time I’d been directly confronted when I was alone. There was nobody around to help me…. Just like a cornered cat, you know, you kind of come unglued, and I came unglued, out of fear, out of absolute pure fear — and anger, knowing that they’d also been to my home, they’d been to my daughter’s school. It’s like they had violated every part of my life that they could. I felt this just intense anger and intense fear [so] strongly, and just started yelling [and] screaming at them how dare they do all this to us. And then they got to their van — I’d backed them right up back to where they’d come out of, and I went into my car and got my camera and then went back to them and I was like, “Show your face!” because this guy was trying to hide his face, and I was like, “If you’re so damn proud, put your face up!” I was pretty much out of control, quite frankly, as far as just being angry, and then got back in my car and got out of the parking lot, and got out to a safe place away from the airport and pulled the car over and got out and just vomited and cried.

Where did you gather the strength to put up with all of this?
From the patients. I had been providing abortions for almost two years before the severe protesting was directed at me, so I understood what it was like for the patients to have someone who was treating them with respect and helping them leave the clinic feeling empowered instead of beat up.

What creates that empowerment?
It’s reinforcing for women that, first of all, it’s their decision and not somebody else’s, that nobody can tell them whether they can or can’t have this abortion, or whether they can or can’t have a full-term pregnancy. Not a husband or a mother or a partner or anybody else can decide that, and I think just letting that sink in, first of all, is so strong for women. Sometimes they will come in and say, well, I have to do this because so-and-so says I have to, and just taking the time to sit down with them and making them really realize they have to own it themselves, this is their decision; and then throughout the process giving them information, as much information as they can possibly absorb about their decision process, what abortion is, how it’s done, what to expect afterward, birth control, all of that. Information is power in itself.

If a woman gets the information. If it weren’t for your book, I wouldn’t have known that the so-called “pregnancy crisis centers” run by right-to-life groups have gotten $30 million in federal funding. I was shocked.
It’s atrocious, because these places are not honest. They’re not real medical clinics. [But] the way some of them advertise, some people think they can get an abortion at these clinics, and in fact they don’t get that at all. They just get very inaccurate information and pressured and coerced and oftentimes harassed after they leave because people have given their phone numbers and their addresses. And there are people from these clinics who will go to the homes of the minor and tell the parents that the minor has been in there talking about abortion [or they’re] going to husbands and telling them that their wives have been in there. … It’s very frightening. Basically they’ll do anything they can to delay having an abortion until [the woman is] too far along. And some of these groups promise them help with the baby, [but] once they‘re past the point of not being able to have an abortion, they drop them. It’s not their concern anymore.

But you actually browbeat a right-to-life doctor into providing prenatal care. Talk about that.
There was one physician in Bozeman who always wrote these letters to the editor that were just inflammatory against abortion and against me [saying] anybody who has an abortion is killing a baby. And there was a woman who came in who obviously didn’t want an abortion, but she had had some prenatal care before, with another birth she had at a local OB/GYN, but hadn’t paid her bill. She didn’t have any money; she didn’t have insurance, and they would not even see her for a prenatal visit. … So I said if you really want to have this child, let’s try to find you some prenatal care. And she was game, she wanted to do that. So I called this local crisis pregnancy center and, of course, I’ve been the devil incarnate to them all this time, and the woman who answered said, “Hello,” and I said, “Hi, this is Dr. Wicklund,” and there was this dead silence on the other end, absolute. And I said, “Hello? This is Dr. Wicklund.” Still silent. [I said], “This is Dr. Wicklund. I need your help.” [And the woman said] “Really?” … I finally got to talk to [the doctor] and said, “Well, let’s put your money where your mouth is. If you think it’s so important that women don’t have abortions, then do this. Save a life.” And he ended up doing it. He did the prenatal care and the birth, but [the patient told us] he complained the whole time [about the free care]. I never turn patients away. I mean, I had more tomatoes, car parts and hay for my horses than anybody in the county because I just never turned anyone away, ever.

In Seattle, Aradia Women’s Health Center never turned patients away, either, but now it’s gone because the number of non-paying patients grew so high that it overwhelmed the clinic’s resources. The right-wing spin, of course, is that clinics have been forced out of business. Which is the bigger issue — the economics or the protests?
Many of the smaller feminist women’s health centers have closed because they can’t keep going, because of just what you’re talking about. I think that is definitely an issue around the country ... There’s also a lack of providers. We had 2,200 doctors in the country doing abortions in 1980. It’s about 1,800 last I heard.

Are people retiring or why is that number going down?
Retiring is definitely one part of it … and not enough physicians are being trained and going into it. I mean, it’s not an area of medicine where you are going to make a lot of money, number one. It’s not encouraged by anybody in the medical community. Doctors who provide abortions, especially in the outlying areas, are pretty much marginalized. And [doctors] coming right out of medical school and then residency [have] a lot of student loans to pay back…and are told by the anti-abortion people ahead of time: If you go into this… we will expose you, we will harass you, we will harass your family, we will make your life miserable.

Are they still making lives miserable? What is the level of intensity today?
It depends on where you live and how exposed the clinic. For instance, in my book tour, I’ve talked to physicians all over the country. In San Francisco, a lot of the clinics are within the university system or right in the hospital. There’s a number of doctors who’ve never had a protester because they’re so insulated within the system. Then you get somebody who works in a little clinic in a small town in Northern California, or an outlying place, and it’s just the opposite. They’re more exposed; it’s a free-standing clinic, anybody who comes in and out of that building is associated with abortion care in some way, and the protesters — it’s a ready target for them. And they’re still getting harassed.

Is there still violence?
There hasn’t been a doctor murdered for quite a few years, thank goodness. There’s definitely still violence. We have protesters on a daily basis at some of the clinics that I [work at]…. There was a clinic burned to the ground in New Mexico in December. There were two other clinics that had arson in December. We just don’t hear about it on the news anymore. But it’s going on; it’s definitely going on.

Reprinted with permission from the Street News Service.

 

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