- Paperback: 200 pages
- Publisher: Vanderbilt University Press; 1 edition (August 9, 2010)
- Language: English
- ISBN-10: 0826517153
- ISBN-13: 978-0826517159
- Product Dimensions: 6 x 0.8 x 9 inches
- Shipping Weight: 10.4 ounces (View shipping rates and policies)
- Average Customer Review: 3 customer reviews
- Amazon Best Sellers Rank: #1,944,497 in Books (See Top 100 in Books)
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Willing and Unable: Doctors' Constraints in Abortion Care 1st Edition
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"...a well written investigation of the reasons behind the shortage of abortion providers and an infomative read for anyone contemplating how to change the current system."
A Choice Outstanding Academic Title of 2011
"Freedman provides an historical context for the relationship between abortion and American medicine and details what she has termed as "the institutional buck-passing" that has marginalized abortion practice and isolated it to free-standing clinics."
"Book of the Week ... Why don't more OB/GYNs do abortions? Lori Freedman's new book, Willing and Unable, is the most thorough answer yet to that question."
--Emily Bazelon, XX Factor, Slate.com
"Whether pro-choice or pro-life, readers will benefit from the authentic face that Freedman provides for this sociopolitically charged topic... Highly recommended."
"This is a finely crafted and emotionally moving study which both documents and provides a persuasive explanation for the precarious nature of abortion provision in the United States today. The book will make an excellent addition to the required reading lists not only for courses in health & medicine and sex & gender, but for courses in work & organizations, social conflict, and social movements as well."
--Lyn H. Lofland, Research Professor of Sociology, University of California, Davis
"It should be of greatest interest to those considering obstetric careers, those involved in medical education, and advocates on either side of the abortion question."
--World Medical & Health Policy
"A shortage of abortion providers is one of the greatest challenges facing the abortion rights movement today. In this well-researched and gracefully written book, Lori Freedman perceptively explores the reasons for this shortage, with the threat of violence being only one of several contributing factors. Willing and Unable is a must-read for anyone who wants to understand the complex status of abortion provision in contemporary American medicine"
.--Carole Joffe, author, Dispatches from the Abortion Wars: The Costs of Fanaticism to Doctors, Patients and the Rest of Us
"Lori Freedman's qualitative research is critical to understanding why only half of ob-gyns who intend to do elective abortions when starting residency actually offer them for patients once in practice. The depth and sophistication of her analyses make her findings especially profound and will shake this area of research, abortion training and provision, to its core. What she has uncovered--the complex ways stigmatization affects ob-gyns in practice--will inform many people and programs in reproductive health research, medical training, and the reproductive rights movement. With these insights, we will be better able to help ob-gyns overcome obstacles to provision in practice. We will also better understand where in medicine and medical practice we can focus our efforts of mainstreaming abortion."
--Jody Steinauer, MD, Research Director, Kenneth J. Ryan Residency Training Program in Abortion and Family Planning, University of California, San Francisco, and Founder of Medical Students for Choice
From the Inside Flap
The limited choices of pro-choice physicians in their practices
Author interviews, book reviews, editors picks, and more. Read it now
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Excerpts from physicians’ frank conversations with Ms. Freedman put readers in their shoes when, as no longer sovereign professionals, they made difficult value judgments. Many physicians told her they felt providing abortion is a professional responsibility. Yet, they were prevented from providing abortions by barriers created by group practices and larger institutions. These feared financial loss because of alienated referral sources and stigma from the community.
So, mainstream medicine has marginalized abortion care. Ms. Freedman calls for the professional American medical institutions to use their power to counter the institutional buck-passing. She expects non-physician providers may have a greater role in abortion provision in the future. Physicians nearing retirement are more likely to have established reputations and financial stability. They have grown children and do not have to worry about abortion provision taking over their practice. She recommends abortion activists target this less vulnerable population to create a new provider base.Clear analysis, insiders’ views, and elegant writing make this book a new landmark in the literature of women’s reproductive care. Jeff Duffey MD, Exploring Your Unplanned Pregnancy