The Imaginarium of Doctor Delgado: The Make-Believe Medicine Behind SB 1318

pillDr. George Delgado, a gynecologist based in San Diego, is probably not likely to win the Nobel Prize in Medicine any time soon — or ever. Delgado’s dubious medical claims have been one of the driving forces behind a piece of legislation, Arizona Senate Bill 1318, that pushes what physician and state Rep. Randall Friese calls “fringe medicine.”

Delgado runs a website called Abortion Pill Reversal, offering 24-hour medical advice to women who have taken the abortion drug mifepristone and regret their decision. “There is an effective process for reversing the abortion pill, called ABORTION PILL REVERSAL, so call today!” the website cheers. Most people have probably never heard that a medication abortion — that is, an abortion performed by administering two pills — can be reversed. If this medical breakthrough sounds new, it’s because it doesn’t exist — at least not within any kind of evidence-based, established medical practice.


So-called abortion reversal is untested for safety or effectiveness.


Unsafe abortions have always been the consequence of the anti-abortion movement. Now unsafe abortion reversals can likely be added to that, thanks to the procedure Delgado has performed and promoted — in spite of scant evidence of its safety and effectiveness. In the two-step process of a medication abortion, a provider first administers a dose of mifepristone and then follows it with a dose of misoprostol. Delgado claims he can intervene in a medication abortion so that the patient’s pregnancy can continue. If patients change their minds after the first step, Delgado claims, they can counteract the initial drug with a dose of progesterone.

For published medical literature, Delgado can claim a 2012 article he co-wrote in the Annals of Pharmacotherapy. The article describes six abortion reversal patients, four of whom, he claims, remained pregnant. Though published in a legitimate medical journal, Delgado’s findings were from a small sample of patients, none of whom were compared in a controlled study to patients who did not undergo the progesterone treatment. Moreover, not everything that’s published in medical journals is well received by the medical community. Dr. David A. Grimes, a physician formerly with the Centers for Disease Control and Prevention, calls the article “an incompletely documented collection of anecdotes.” Continue reading

Political Posturing: The Federal 20-Week Abortion Ban

U.S. Representative Trent Franks (R-Arizona) of the 8th congressional district speaking at the Arizona Republican Party 2014 election victory party at the Hyatt Regency in Phoenix, Arizona. Photo: Gage Skidmore

U.S. Rep. Trent Franks of Arizona’s 8th congressional district speaking at the Arizona Republican Party 2014 election victory party in Phoenix. Photo: Gage Skidmore

The idea of a 20-week abortion ban is nothing new for the Grand Canyon State. In 2012, the Arizona Legislature enacted a law prohibiting abortions after 20 weeks, except in cases of narrowly defined medical emergencies. The 9th U.S. Circuit Court of Appeals unanimously struck down the law under clear Supreme Court precedent, and the high court itself later declined to hear Arizona’s appeal.

Even though the Supreme Court refused to uphold Arizona’s initial 20-week ban, the issue remained a central policy concern for Arizona politicians. In June 2013, the U.S. House of Representatives passed a similar bill that would have banned abortions after 20 weeks of gestation. The bill, sponsored by Arizona’s own Rep. Trent Franks, never reached the floor of the Democrat-controlled Senate.


Almost all late-term abortions are due to a life-threatening condition or severe fetal abnormalities.


Yet, despite the outright failure of Arizona politicians to prohibit abortions after 20 weeks, either here in Arizona or at the federal level, they’re back at it again. This year, Rep. Franks successfully spearheaded a bill nearly identical to the one he introduced two years ago. Approved by the House earlier this month, H.R. 36 would severely restrict access to abortion services in the fifth month of pregnancy.

Notably, even Franks’ most recent attack on women’s reproductive rights did not pass the House without controversy; the current edition of H.R. 36 is actually the revised version of a bill introduced in January. A handful of Republicans objected to the original draft because it mandated that women who suffered rape or incest must report all crimes to law enforcement before being eligible to receive a late-term abortion. Continue reading

ACT NOW! Congress to Vote TODAY on 20-Week Abortion Ban

It’s Crunch Time!

Votes on Final Passage of HR 36, the 20-week abortion ban, are expected after 1 p.m. Arizona Time (4 p.m. EST) TODAY!

Please ask your Member of Congress to speak out & vote against HR 36 — the 20-Week Abortion Ban. (Click here to find out what congressional district you live in.)

AZ-01 Ann Kirkpatrick          202-225-3361

AZ-02 Martha McSally          202-225-2542

AZ-03 Raul Grijalva               202-225-2435

AZ-04 Paul Gosar                 202-225-2315

AZ-05 Matt Salmon               202-225-2635

AZ-06 David Schweikert       202-225-2190

AZ-07 Ruben Gallego            202-225-4065

AZ-08  Trent Franks               202-225-4576 (sponsor of HR 36)

AZ-09 Kyrsten Sinema           202-225-9888

Senate Bill 1318: It’s Not Just a Bill

The following post comes to us via Brittany Frew, who is (almost) a graduate of Arizona State University with a degree in marketing. She hopes to go into either advertising or health care, but mostly just hopes to get a job. Tweet @brittanyfrew with your comments!

Schoolhouse RockIn the aftermath of Arizona’s Senate Bill 1318, similar legislation is popping up all over the country. In Texas, SB 575 would prohibit the federal exchange and private health insurance from covering elective abortion. Arkansas recently passed HB 1578, which makes them the second state to require doctors to tell their patients that medication abortions can be reversed — a claim that isn’t based in scientific evidence. With a trend of attacks on the freedom of women nationwide, it’s important to be active in your state legislature.


Legislative hearings are the perfect opportunity to voice your opinions.


When I walked into the Arizona Capitol for a committee hearing on SB 1318, I thought I knew what I was in for. I mean, I’ve seen that Schoolhouse Rock! video, I know how laws work. I’m going to sit for a few minutes, the vote will be unanimous, and the bill and I will be on our merry way. However, much like one realizes that most of childhood was a lie, I realized that the beloved classic did not paint an accurate picture. Continue reading

Call the Governor 602-542-4331 to VETO 1318!

After a gallant fight, SB 1318 passed the Senate on final read yesterday afternoon 18-11. The fight is NOT OVER!

The message now is simple:

CALL THE GOVERNOR at 602-542-4331 and ask him to VETO SB 1318. It’s bad medicine for Arizona. #STOP1318 #AZBackward #reprojustice

Please encourage your personal network friends, family, and other contacts to make one call: 602-542-4331 to VETO 1318.

Thank you for making your voice heard!

28 Bills Later: Cathi Herrod’s Horror Show Continues with SB 1318

Gynotician Meme

Image adapted from flazingo.com

In February, Sen. Nancy Barto (R-Phoenix), introduced SB 1318 in the Senate. It is a harmful bill barring abortion services from coverage in Arizona’s health care exchange. SB 1318 is the latest in a long series of legislative attacks on reproductive rights in Arizona — the 28th abortion restriction to be introduced since 2009, according to Dr. Eric Reuss of the American Congress of Obstetrics & Gynecology (Arizona Section), who wrote an editorial for The Arizona Republic expressing his and other doctors’ opposition to the bill.


Ask your senator to vote NO on SB 1318!


A wealth of bad ideas was necessary to produce more than two dozen anti-abortion bills, and this newest bill is the product of some of the worst of those ideas so far. For starters, SB 1318 takes on a problem that is all myth and no reality. The idea behind the bill is to keep people who are opposed to abortion from having to fund it — and, in the process, save them money. But the Affordable Care Act included a payment system to ensure that taxpayer funding of abortion wouldn’t happen. When The Arizona Republic checked Sen. Barto’s claim that “Taxpayers are on the hook for elective abortions,” the paper found the statement unsupported. As the Republic summarized, “Federal law already prevents insurance companies from using tax credits and subsidies to cover elective abortions. And federal funds are not allowed to be used to fund abortions with three exceptions — rape, incest or when the life of the mother is threatened.” Continue reading

ACT TODAY! SB 1318 Is on the HOUSE FLOOR TODAY!

The Trouble with SB 1318

BREAKING: FACT-CHECK on 1318

fact check thumbnailSB 1318 passed the Arizona House Rules committee this afternoon and is headed to the House floor later this week — NOW IS THE TIME to STOP 1318. SB 1318 is too extreme and relies on illegitimate science to prop up an extreme and messy bill. #STOP1318 and contact your 2 Representatives and ask they vote NO when it gets to the floor.

  1. No taxpayer money is used in Arizona to fund abortion. NONE. No taxpayer funds are used at the federal level either since laws exist explicitly averting public funds for paying for abortion. Proponents claim to protect the taxpayer from erroneously paying for an abortion — instead Arizona taxpayers will be on the hook not only for court cases and lawyer fees, but for numerous medical malpractice suits for compelling doctors to misinform patients. SB 1318 is a bad bill.
  1. SB 1318 does NOT redact doctors’ private information from public documents when doctors lawfully comply with ADHS regulations. Under public records laws, doctors’ private information is made public. Doctors should NOT be targeted simply because of the care they provide and SB 1318 targets doctors, plain and simple.
  1. Complete with an amendment that compels doctors to “inform” patients that their medical abortion may be reversed if they change their mind, but SB 1318 relies on illegitimate science. Although medically unsubstantiated, Arizona providers will now be forced by the state to potentially commit medical malpractice by having to misinform patients.
  1. While SB 1318 does have an exception for survivors of rape and incest, the bill does not outline how doctors or insurance adjusters go about determining if an individual was in fact a victim of such a crime. The vagueness of the bill forces doctors and insurance companies to be de facto police detectives to determine if a pregnancy resulted from rape or incest. This is too extreme — even in Arizona.

SB 1318 targets doctors for the care they provide, relies on illegitimate science, and is too extreme. #STOP1318 and contact your 2 Representatives and ask they vote NO when it gets to the floor.