Pressure is growing on federal agencies to regulate the abortion drug mifepristone, following publication of a series of alarming reports. The latest report, published last week by the Charlotte Lozier Institute (CLI), analyzed Medicare and Medicaid data and discovered that the vast majority (over 80%) of women who visited an emergency room with complications from the abortion drug had their abortions miscoded as miscarriages.
The study examined nearly 30,000 emergency room visits and found that between 2016 and 2021, a period of five years, miscodes of emergency room visits following surgical abortions increased in prevalence from a rate of 26.8% to 73.9%, while miscodes of ER visits following mifepristone abortions increased in prevalence from a rate of 45.5% to 83.5%. Additionally, acuity — that is, the measure of the severity and complexity of a patient’s condition — was significantly higher (at a rate of 50%) among miscoded cases than correctly-coded cases.
“When abortion-related emergencies are disguised as miscarriages, it impairs a doctor’s ability to make informed, evidence-based decisions. That isn’t just a documentation error — it’s a public health crisis,” said Dr. James Studnicki, vice president and director of data analytics at CLI and one of the authors of the study, in a statement obtained by The Washington Stand. He added, “The abortion industry’s push for concealment is unethical and dangerous. Women deserve honest guidance and proper medical care, not advice that jeopardizes their health.”
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Another of the study’s authors, CLI Vice President and Director of Medical Affairs Dr. Ingrid Skop, told TWS, “As a board-certified OB-GYN practicing in Texas, I’ve seen firsthand the devastating effects abortion drugs have on women, as I have been called to care for them in the ER regularly.” She explained, “This study exposes the abortion industry’s reckless advice for women to hide their abortion drug use from doctors, delaying proper care and risking their health.”
Skop continued, “Doctors are disadvantaged when they are unaware of a patient’s abortion history. They may need to intervene more quickly to remove retained pregnancy tissue and/or the dead baby to prevent serious infection when abortion drugs fail.” The veteran medical practitioner added, “No other area of medicine tolerates such dangerous misinformation — it’s a direct threat to women’s safety.”
Mary Szoch, director of the Center for Human Dignity at Family Research Council, told TWS, “The miscoding of a mifepristone abortion as a miscarriage can lead to a delay in care for a mom whose life may be in danger as the result of the use of the abortion drug mifepristone.” She clarified, “Miscarriage and abortion are not the same thing — and they do not have the same impact on a woman’s body. Planned Parenthood even records miscarriage and abortion as separate occurrences; but, at the same time, Planned Parenthood advises women it’s ‘up to them’ whether they tell their doctor about their use of mifepristone.”
Szoch concluded, “Unfortunately, they leave out that a decision not to tell their doctor they took mifepristone might result in severe bodily harm. Mifepristone is an incredibly dangerous drug. It kills unborn children and maims moms physically and emotionally as it does so.”
Another recent study, this one from the Ethics and Public Policy Center, found that serious complications related to the use of mifepristone are 22 times more common than claimed by the Food and Drug Administration (FDA), prompting widespread calls for the health agency to reexamine mifepristone and restore stringent regulations surrounding its prescription and use.
A subsequent CLI report debunked the “baseless claim that ‘abortion drugs are safer than Tylenol’ because it lacks scientific credibility and evidence.” The report found that the claim must be based on “a controlled, scientifically appropriate study comparing abortion drugs to Tylenol,” which does not exist and “would be impossible to do [conduct] because these drugs are used for entirely different purposes.”
When the FDA first approved mifepristone for use in 2000, three in-person physician visits were required before the drug could be prescribed, the drug could only be prescribed by a physician, it had to be dispensed and consumed in the physician’s office, and a follow-up visit was required, as was reporting of any complications.
In 2016, then-President Barack Obama eliminated many of those provisions, including the requirement that the abortion drug be prescribed by a physician and consumed in-office, as well as the mandatory follow-up visit and reporting of complications. The Obama FDA also lowered the number of required in-person physician visits prior to prescription from three to only one and increased the “maximum gestational age” for prescribing the drug from seven weeks to 10.
In 2023, the Biden administration further weakened the remaining safeguards, requiring no in-person physician visits, no physician to prescribe the drug, no dispensing or consuming the drug in-office, no follow-up visit, and no reporting of complications.
Earlier this week, newly-minted FDA Commissioner Marty Makary pledged to conduct “a review of mifepristone and work … with the professional career scientists at the Agency who review this data.” As TWS documented, his new promise to reassess the abortion drug is a shift from his previous positions on the subject, refusing to commit to reviewing mifepristone.
LifeNews Note: S.A. McCarthy serves as a news writer at The Washington Stand.