After all, the question is not just why the state failed to respond to the complaints of women and advocates who visited the clinic, although that matters hugely. It’s why women kept going there anyway: because they felt they had no alternative. Read this account from Jeff Deeney, a social worker from Philadelphia, who points out that the lack of public funding for abortion is a big factor leading desperate women to Gosnell: “It’s worth noting for outsiders that Health Center #4 which serves the same neighborhood is the best in town, providing quality care for the uninsured poor. But Health Centers don’t do abortions, and Medicaid, where a TANF mom’s insurance coverage would come from, if she had any at all, doesn’t pay for them. And for these women the cost of paying for an abortion out of pocket breaks the budget, leaving mom scrambling to make next month’s rent or possibly wind up on the street.” Cost is also how women often get past the legal gestational limit, as they struggle to save up enough money — and Gosnell’s willingness to break the law was what made him their last chance. To everyone who thinks his case was a reason for more abortion restrictions: What he did was already illegal.
