To have a story start with a SEVENTEEN MINUTE shoulder dystocia and then get worse...

Must've been one of the top surreal moments for his life to then be like. "Oh. No. Yeah."

Förståss - just a way to signal that I'm Swedish, but with family ties to Denmark!

If you're familiar with later abortion care in Denmark, I'm all ears to hear about why an 18 week ban isn't a problem.

But to your point: abortion is such a canary in the coal mine for the problems that emerge when socialized care systems are built on the assumption that improved access/care removes the need for services that - in privatized care systems - are often needed *because of* poor access or poor care.

Is that better or worse than the current American circus? I don't know. But we shouldn't have to choose between the two.

My beef with Swedish abortion care is the absence of procedural abortion availability. I'd personally rather have a PAB than a MAB, especially at, say, 17 weeks. I think patients should have that choice.

Diana and I both work a lot with people travelling for abortion. Europe-to-America abortion travellers are, for sure, exceptional cases. But they exist. They come from health systems that outperform American healthcare for almost everybody... but sometimes fail later abortion seekers.

This is really well-said!

Tjenare, Stig. I'm also very happy with Danish healthcare -- I'm glad my mormor was growing old there and not in America.

But I'd rather have an abortion in Colorado than in Sweden. And if it were past 18 weeks in Denmark, I'd hate to need to get an exception from a doctor.

Everybody*, I should say.

I'm very frustrated by systems that offer everybody abortion but have also decided for everybody that MAB is fine rather than PAB.

I'm not very familiar, but it looks like abortion in Norway is similar to Sweden -- soft GA limit at 18, hard at 22, lots of induction...

There are Norwegians who had to travel to the US for their abortion. Not the other way around.

Last I thought about it was eight years ago in residency, when I was doing deliveries and documenting sex for birth certificates.

Declining to fill it? Just a headache for patients, and imo very cringe.

I'd be 100% down if a patient asked though.

I've thought about this. But it never plays out well when I imagine how it goes!