Sunday, May 7, 2017

Abortion Rights Coalition of Canada Deceitful on Crisis Pregnancy Centres (Post 3)

II. Other Erroneous Allegations

Part 1 - Birthright and CAPSS

Arthur's report is replete with words like, "misinformation", "deception", "misleading", and "inaccurate" when she discusses what CPCs do, and the information they provide women. I counted at least 48 occurrences of these words in Arthur's report. Please keep this in mind as you continue to read my report.
Next I'd like to provide you with what some of what CAPSS and Birthright say about themselves on their websites, keeping in mind Arthur's use of these four words mentioned above to describe CPCs.
(These values and services identified below from CAPSS and Birthright are pretty standard across all crisis pregnancy centres. These two groups – CAPSS and Birthright – make up the bulk of the CPCs in Canada.)
This is what CAPSS says about their member centres:
CAPSS has 67 affiliated centres which includes satellite centres.
Affiliation with CAPSS requires that they agree with our statement of faith and our Christian values.
They also commit to the core position that Clients are served without regard to race, colour, religion, creed, national origin, age, disability, gender identity, sexual orientation, lifestyle or other arbitrary circumstances.
We encourage centres to be consistent in all of their communications. How they share their Christian foundation may vary depending on each independent board and governing decision makers.
They [all centres] are advised to be very clear about this [that they are not medical clinics].
If they do offer medical initiatives there is an expectation as per #12 [in our Commitment of Care and Competence, CAPSS Core Documents]:
Medical services are provided in accordance with all applicable laws, and in accordance with pertinent medical standards, under the supervision and direction of a licensed physician.”
All affiliates identify that they do not refer for abortions. This is done as part of signing the CAPSS Commitment of Care and Competence.
See #6, #7 and #8 in our Commitment of Care and Competence:
6. Clients receive accurate information about pregnancy, fetal development, lifestyle issues, and related concerns.
7. We do not offer, recommend or refer for abortions or abortifacients, but are committed to offering accurate information about abortion procedures and risks.
8. All of our advertising and communication are truthful and honest and accurately describe the services we offer.”
(Source: Personal communication with CAPSS and http://www.capss.com/)

This is what Birthright says about their 26 centres on their website:
Birthright services are always free, absolutely confidential, and available to any woman regardless of age, race, religion, marital status, or financial situation.
Our Services include:
  • Love, hope, and encouragement
  • Friendship and emotional support
  • Non-judgmental, confidential help
  • Free pregnancy tests
  • Maternity and baby clothes
  • Referrals to:
    • Medical supports
    • Financial and/or employment resources
    • Housing
    • Legal referrals
    • Education assistance
    • Social assistance
    • Professional counselling
  • Information on:
    • Pregnancy and childbirth
    • Prenatal development and care
    • Parenting skills, child care, and child safety
    • Career development and/or continuing education
    • Community programs and/or social assistance
    • Adoption
(Source: Birthright’s website http://birthright.org/en/our-services)
Birthright will never 
  • ...try to scare or pressure a woman into a decision. 
  • ...show or discuss abortion pictures or videos. 
  • ...evangelize or lecture. 
  • ...picket or harass abortion clinics. 
  • ...lobby for legislative changes or engage in the public debate on abortion.
Honest, forthright, sincere, and transparent.

Part 2 - British Columbia Humanist Association

On July 10, 2016, Arthur spoke to the BCHA about her recent report that is the subject of this analysis.
Here is some of what Arthur told the BCHA (Through her podcast: https://player.fm/series/bc-humanists-podcast/joyce-arthur-crisis-pregnancy-centres-in-canada):
CPCs are anti-choice agencies that present themselves as unbiased medical centres and counseling centres. They claim to provide unbiased information...they’re not medical facilities at all...they are generally run by untrained or very little trained volunteers...they get some biblically trained training...they do provide misleading and inaccurate information, pretty much all of them if not on their website then in their brochures and in person. They use ethically questionable counseling techniques...”
Arthur also said this:
There was very little research in Canada on CPCs...we looked high and low for anything and everything on CPCs in Canada and we didn’t come up with too much. One recent academic study on Ontario CPCs, one I did on CPCs in BC, 2 in Quebec, 4 media investigations exposés, I uncovered one very good unpublished thesis, now published on our website. All show without exception that CPCs tend to mislead.”
So Arthur tells the BCHA that she searched “high and low” for studies on CPCs. She stated similar sentiments in her report:
Only a small number of studies or investigative reports have been done on Canadian CPCs, but with similar results – all showing that CPCs tend to mislead and deceive, and sometimes put women’s health at risk. All known Canadian studies/reports, including media exposés, are listed below by date….” (Source: Page 6 of Arthur’s 2016 report)
What Joyce fails to inform or acknowledge is that in follow-up stories on all the reports below, all of them used limited sources or were retracted, or found fraudulent (e.g. Arthur’s Exposing Crisis Pregnancy Centres in BC, 2009) or penned by pro-choice writers with a partial axe to grind.
Here are those studies she refers to:

The Pretenders (CTV 2000; W-Five).
Exposing Crisis Pregnancy Centres in BC (Arthur 2009).
Deception Used in Counselling Women against Abortion (Smith 2010a; Toronto Star).
Are Anti-Choice Crisis Pregnancy Centres Targeting Female Students on Ontario University
Campuses?
(Tilley 2011).
Surrey charity gives dubious abortion advice: investigation (Woodward 2012; CTV).
Phony Abortion Clinics In Canada Are Scaring Women with Lies (Khandaker 2013a; VICE).
Enjeux éthiques de l’intervention auprès de femmes vivant une grossesse imprévue au
Québec
(Gonin et al. 2014).
Mieux comprendre les ressources conseil grossesse anti-choix au Québec (FQPN 2014).
Toll free but not judgment free: evaluating postabortion support services in Ontario (Laroche
and Foster 2015).

Notice how every one of these studies/reports is derogatory towards CPCs, as can easily be seen by their titles. What Arthur doesn’t tell either the BCHA or the readers of her 2016 report is that there are other writings out there that contradict these “known” writings. Arthur doesn’t divulge that piece of information to her listeners of the podcast, or to the readers of her report.
One could say that Arthur is misleading, misinforming and deceiving both her readers and the BCHA.
There is at least one study that Arthur clearly doesn’t want anyone to know about, including the BCHA. This 55-page work titled Crisis Pregnancy Centres in British Columbia: A Respectful Rebuttal to a Disrespectful Report is a very detailed report that thoroughly rebuts allegations Arthur made in her 2009 report, including numerous factual errors in that report.
In the rebuttal, it says:
In 2009, an abortion activist posted online a report titled, Exposing Crisis Pregnancy Centres in British Columbia. The report is replete with inaccuracies and false allegations. (Source: Page 3 of CAPSS rebuttal report: http://christianadvocacy.ca/news-events/crisis-pregnancy-centres-in-british-columbia-a-respectful-rebuttal-to-a-disrespectful-report/)
Here are just a few sample quotes by physicians concerning the accuracy of the medical content in the CAPSS rebuttal report, which was vetted by dozens of Canadian medical ethicists and practitioners nationwide. For example:
I have reviewed ‘A Respectful Rebuttal to a Disrespectful Report’. I find its content to be consistent with the medical literature.” – Dr. Dan Reilly, MD, FRCSC, MHSc (Bioethics)

Women and their partners deserve accurate information when faced with an unplanned pregnancy. This comprehensive rebuttal helps to ensure inaccuracies previously reported [by Joyce Arthur] in ‘Exposing Crisis Pregnancy Centres in British Columbia’ are clarified and corrected.” – Dr. Monica Langer, MD, FRCSC, Pediatric Surgeon

I can assure the reader that Arthur did see this rebuttal report, because CAPSS sent it to her. And just to be sure that Arthur did receive it, CAPSS also sent it to all the leadership people associated with Arthur’s own organization.

I have also written extensively about Arthur’s 2009 report and its allegations on my own blog. Apparently none of my writings showed up either in Arthur’s “high and low” searches either:

Let me tell you some things I learned about that 2009 report Arthur wrote, the one CAPSS rebutted.
In 2004, Arthur received a grant from the federal government to write that 2009 report called Exposing crisis pregnancy centres in BC. I learned of this grant money through an Access to Information (ATIP) request I made to the Status of Women Canada. One of the requirements for receiving that $27,400 grant from Status of Women Canada was to publicly acknowledge the grant. Arthur never did that.
And this was not just an oversight on Arthur’s part. On her application form for the grant money, under the heading called Declaration and Undertaking, the applicant [who was Joyce Arthur] makes the following promise:
"I am authorized by the organization to sign this application. I am taking responsibility to ensure that the organization agrees to the following declaration and undertaking...The organization agrees to publicly acknowledge any financial or other assistance provided by SWC." (emphasis added)
Arthur didn’t publicly acknowledge the money like she promised to do: deceptions and misinformation.

Part 3 – CAPSS rebuttal to Joyce Arthur’s 2009 report Exposing Crisis Pregnancy Centres in BC

So let’s talk a little bit about the CAPSS rebuttal to Arthur’s first report, the one she doesn’t tell BCHA or her readers about.
There were many things CAPSS could have taken issue with in Arthur’s dishonest 2009 report, but since time is finite, Brian Norton, a board member of CAPSS, decided only to detail and refute eight of what he called “serious allegations” of that report, along with 12 less serious allegations of that report, and a bunch of actual factual errors of that report (I have already covered Abortion Procedures and Risks in section I).
In the CAPSS rebuttal, Brian Norton asked Joyce Arthur a total of 17 times (seventeen):
“We respectfully challenge Ms. Arthur to publicly disclose [the allegation] and to provide any evidence of the same.”

I asked Norton if Arthur ever responded to his many requests for evidence of Arthur’s allegations in her 2009 report. Norton’s response was:
Ms. Arthur did not. Not surprisingly. Knowing this would probably be the case, we also individually forwarded the rebuttal to each of Joyce’s organization’s board members. Not even an acknowledgment of receiving our rebuttal. Not by anyone.”

I suggest that the CAPSS rebuttal to Joyce Arthur’s many false allegations about crisis pregnancy centres did, in fact, add to the “body of knowledge” on CPCs. But Arthur withheld this information from the BCHA and her readers.
In the next section, I will identify only a couple of those allegations. The reader will learn a lot about what CPCs actually do from reading the CAPSS rebuttal in its entirety. I encourage anyone who wants to know the truth about CPCs to do the same.

Saturday, May 6, 2017

Abortion Rights Coalition of Canada Deceitful on Crisis Pregnancy Centres (Post 2)

THE CRUX OF THE MATTER
Due to the necessary fact checks on each of Joyce Arthur’s allegations, I am nervous that some readers may get bogged down by the required and detailed responses.

Accordingly, I have first provided a preliminary chapter on the most critical complaint. That is, according to Ms. Arthur, many or most CPCs in Canada provide misleading and inaccurate information on the subject of abortion.

This most important preliminary chapter is titled: Abortion Procedures and Risks.

For those of you not faint of heart, you can continue on with my report which more extensively responds to Ms. Arthur’s other false claims.

I. Abortion Procedures and Risks

The most critical false complaint by Arthur is that CPCs in Canada provide misleading and inaccurate information on abortion.

What Arthur knows – and yet conceals – is that the actual CPC abortion-related information is sourced from obstetricians, medical ethicists and the abortion providers themselves.

For example, according to Brian Norton, a board member with the Canadian Association of Pregnancy Support Services (CAPSS) (http://www.capss.com/our-board-of-directors/), the physical risks to abortion outlined in the CAPSS client brochure comes directly from, and is not limited to, abortion providers such as BC Women’s Hospital, Brampton Women’s Clinic, Clinique Médicale Fémina (Montréal), Hamilton Health Sciences, Kensington Clinic, Kootenay Boundary Regional Hospital, Women’s College Hospital (Toronto) and Women’s Health Clinic (Winnipeg).

If Ms. Arthur truly believes the content is not accurate, she should conduct her “misinformation” assault not on CPCs but on the primary sources. Namely, Canadian abortion clinics and hospitals providing abortion services.

Further, Ms. Arthur should run a concurrent “misinformation” campaign against pro-choice affirmed peer-reviewed epidemiological studies.

I conducted a fact check of Arthur’s allegations and what written material is available to clients from most, if not all, CAPSS member CPCs. Arthur’s “homework” is found wanting. She is dishonest. Again.
In case you are thinking I am making this up, let me provide you with the precise word-for-word abortion information from the 2017 CAPSS client brochure (available from all member CPCs), titled: Abortion Adoption Parenting: an informational guide for unplanned pregnancy.

On Abortion Procedures (from brochure page 4)

The option of abortion – abortion procedures
There are various abortion procedures available during different stages of pregnancy. In Canada, 90% of abortions are done in the first 12 weeks of pregnancy, avoiding the added risks associated with later term abortions. An ultrasound may be given before an abortion to determine the stage of pregnancy and also afterwards to determine if the abortion is complete. Depending on the type of abortion, the procedure may take between 5–30 minutes, with the entire process being generally less than 2 hours.
Medical abortions (typically up to 7 weeks) – There are 2 methods of medical abortion available in Canada. The first is a combination of methotrexate and misoprostol, and the second is a combination of mifepristone (also called mifegymiso) and misoprostol. Methotrexate is usually given by injection while mifepristone is a pill which is swallowed. Misoprostol is a pill which may be self-administered into the vagina or swallowed. Methotrexate is a chemotherapy drug which stops cell growth. Mifepristone blocks two hormones which are necessary for pregnancy to continue. Misoprostol causes the uterus to contract and expel the embryo. Cramping and bleeding will occur as the uterus contracts and as the embryo is expelled. Medical abortion may take several days to complete and require 1 to 3 visits to the abortion provider. If an incomplete abortion occurs then a surgical procedure may be required.
Surgical abortions – With each of the following surgical procedures, the cervix will be dilated (opened) to allow instruments to enter the uterus. Dilation may be done using misoprostol, laminaria (seaweed sticks), an osmotic dilator (expanding sponge) or metal rods. A local anaesthetic, as well as medication to reduce pain, blood loss and risk of infection, may be given. The tissue removed from the uterus may be examined to identify fragments of the embryo or fetus and the placenta.
vacuum aspiration and dilation & curettage: D&C (1st Trimester) – After dilation, abortion is performed by inserting a long tube (cannula) into the uterus. After the contents are removed by suction, a procedure using a loop-shaped instrument (curette) may also be required to scrape the wall of the uterus.
dilation & evacuation: D&E (2nd Trimester) – This method requires 2 appointments. After 24 hours of dilation, this procedure is performed with the use of both suction and scraping used in 1st trimester abortions (above), and the use of forceps to remove fetal parts. For abortions in the late 2nd trimester, prior to the procedure, a needle may be placed into the fetal heart with ultrasound guidance and potassium chloride injected to ensure the fetus is not alive prior to evacuation.
induction of labour (2nd Trimester) In the 2nd trimester, as an alternative to D&E, sometimes labour is induced and the fetus delivered. As above, potassium chloride may also be used prior to induction of labour.
No misinformation on the abortion procedures in Canada. Totally accurate. Totally current. 
It is Ms. Arthur who misinforms her own readers about CPCs in Canada.

On Possible Risks to Abortion (from brochure page 5)

The CAPSS client brochure begins this one-page section with the following introductory statement, in an increased font size and in colour:

Thousands of abortions are performed every year in Canada, and are considered to be a safe medical procedure. However, as with any medical procedure, there are potential risks that you need to consider before making a final decision.
Totally accurate. Unmistakably clear.

The brief CPC information pertaining to emotional risks is attested by abortion providers and pro-choice affirmed epidemiological studies. Though routinely buried by Ms. Arthur and her ARCC political organization, these possible risk factors are in fact acknowledged by other pro-choice organizations in Canada.

On Emotional Risks

Arthur falsely accuses CPCs for frequently using the term “Post Abortion Syndrome”. But more overriding, she has a deep disdain of any term acknowledging abortion-related grief. From her 2016 report:
“many [CPCs] promote misinformation such as the existence of ‘Post-abortion Syndrome,’ which is not a medically recognized condition.”
“48% (79) mentioned negative psychological consequences, primarily in the context of ‘Post-abortion Syndrome’, which is not medically recognized.”
“20% of sites specifically mentioned ‘Post-Abortion Syndrome,’ while 16% did not specifically name ‘Post-Abortion Syndrome’ but listed what many anti-abortion groups believe are its symptoms. 51% of sites offered post-abortion counselling at their centres.”
“Figure 4.1: Group 1: 19.9% (n=33) of websites mention or discuss ‘Post-Abortion Syndrome.’ Group 2: 16.3% (n=27) did not name the fictitious syndrome but instead described symptoms that anti-abortion groups often claim it comprises. Group 3: 50.6% (n=84) offered post-abortion counselling.”
“presenting ‘Post-abortion Syndrome’ as real and common (48% of sites). Neither of these claims are supported by evidence (NARAL 2016).”
“Almost half of centres – 48% (79) – claimed on their websites that abortion results in negative psychological consequences, including depression, suicidal thoughts, or ‘Post-Abortion Syndrome’.”
First, let me first address the fact that Arthur is once again fudging the figures – this time on “Post Abortion Syndrome” being a widespread term on CPC websites. Later, I will speak to the more central issue of abortion and emotional risks.
As we have seen above, Arthur is highly critical of CPCs in Canada for using the designation “post abortion syndrome”. She states in her report that 79 websites use the term “post-abortion syndrome” or use some kind of reference to emotional pain of women after abortion.
Reviewing the 79 websites for myself, this is what I discovered.
When I began my research initially, I discovered that a total of two of these 79 sites had used the word “post-abortion syndrome”:
The Back Porch in Edmonton, Alberta (#9):
“The most common emotional risk is Post-Abortion Syndrome (PAS), which is closely related to Post Traumatic Stress Disorder (PTSD).”
Pregnancy Help Centre Durham also uses the term:
“If you are struggling with guilt, sleep disturbances, depression, intruding thoughts, feelings of despair, and/or thoughts to harm yourself, you may be experiencing symptoms of post-abortion syndrome.”
However recently when I rechecked the two sites I noticed that neither of these sites used the term post-abortion syndrome any longer.
Arthur would have unsuspecting readers believe that 79 CPC sites use the term, when only two in fact did; currently none of the 79 sites use the term.
Deceit? Misinformation? Fabrications? What can we call it?
So I then connected with a CAPSS representative on this subject and I learned that Post Abortion Syndrome (PAS) is not, in fact, a term CAPSS member centres use. For the emotional pain women describe to their centre staff, the common terms used by CPCs are “post abortion stress” or “post abortion grief”.
Further, having reviewed the website used by all Birthright centres, they also do not refer to Post Abortion Syndrome (PAS), as Arthur also dishonestly implies.
Below is the actual “position” of this term for CAPSS member centres, which – wait for it –Arthur knows. She and each of her board members received a written hard copy from CAPSS, years ago.
CAPSS informed Arthur and ARCC that their centres do not use the term PAS, and then gave the following explanation:

Years ago, various prolife professional counsellors and physicians in the USA used the term “post abortion syndrome” when describing the very severe cases of abortion grief. That was, and still is today in medical circles, a labeling misnomer. Post abortion syndrome – i.e. as a “post-traumatic stress disorder” – is not recognized in the Diagnostic and Statistical Manual of Mental Disorders. When describing the emotional pain of abortion, CAPSS centres in Canada use “post abortion stress” or “post abortion grief”. In fact, since the very inception of CAPSS in 1997, “post abortion syndrome” has never been used in any CAPSS publication – whether in membership documents, volunteer training manuals, or brochures.

Having said that, there are excellent US produced publications on abortion grief and recovery which have used (and some still do use) this term. This is regrettable. The misnomer becomes fodder for unhelpful politicization (whether ‘prochoice’ or ‘prolife’), thus hijacking an important conversation on abortion grief and methodologies of care and healing.

Is there any integrity left within the ARCC organization?

Moving on from Arthur’s word games, I now will discuss the matter of emotional risks to abortion.
Here’s the thing. There are all kinds of organizations (including abortion clinics) other than CPCs who also discuss the emotional risks of abortion.

(Also note that Arthur’s percentages and numbers of clinics detailed above who are “guilty” of identifying these emotional consequences of abortion are also wrong since Arthur’s CPC counts in her report are wrong. More on this later.)
Here is the CAPSS client brochure’s content on possible emotional risks along with references of which organizations identify these risks:
Emotional

After an abortion many women feel some relief, while others have negative emotions. Reactions may be immediate, or feelings may arise years later. Responses vary. They depend on a woman’s age, stage of pregnancy, religious or cultural beliefs, previous mental health, or whether she is being pressured by others into having an abortion.

Women who experience negative emotions after an abortion have reported the following reactions: 4

Sadness
Guilt or shame
Emotional numbing
Depression
Nightmares or flashbacks of the abortion
Alcohol and drug abuse
   • Having thoughts of suicide

As an endnote source, the CAPSS client brochure states (on page 8):

4. Sources: Canadian abortion providers (references available on request). Also see BC Women’s Hospital, “Coping with Ending a Pregnancy,” http://www.bcwomens.ca/health-info/sexual-reproductive-health/abortion-services (accessed March 2017). Also see P.K. Coleman, “Abortion and mental health: quantitative synthesis and analysis of research published 1995-2009,” British Journal of Psychiatry 199, (2011): 180-86; D.M. Fergusson, J.L. Horwood and J.M. Broden, “Abortion and mental health disorders: Evidence from a 30-year longitudinal study,” British Journal of Psychiatry 193 (2008): 444-451; N.P. Mota, M. Burnett and J. Sareen, “Associations between abortion, mental disorders, and suicidal behaviour in a nationally representative sample,” Canadian Journal of Psychiatry 55, no. 4 (2010): 239-247.

Also on this topic of post abortion grief is the fact that there are organizations whose entire reason for existence is to help women heal and recover from their abortion grief. See:
Another source which you may find of interest is the Canadian publication, Complications: Abortion’s Impact on Women (2013), by the deVeber Institute for Bioethics and Social Research. I draw your attention to Section III “The Psychological and Social Impact” and Section IV “Women’s Voices: Narratives of the abortion experience.”
If you doubt that some women experience pain, loss, grief – call it whatever you like – from abortion, I suggest you Google “recovering from abortion grief” and see the resources that come up.
For those women who experience no grief from their abortions, that is wonderful and they are fortunate. But for those who do experience something other than relief, why would Arthur insist that the emotional pain these women experience after abortion isn’t real? And that CPCs, in providing help to these women, are “deceitful and misleading” women, and that CPCs provide “direct misinformation” to these women?
By making these false allegations Arthur belittles and marginalizes women who do experience these very real feelings and emotional suffering after abortion. PostAbortion Community Services (PACS) is one of many abortion recovery outreaches, nationwide, collaborating with CPCs. Program director Doreen Yung informs me that PACS has been helping women seeking healing from abortion grief for 25 years. PACS offers peer counselling, support groups and recovery retreats.
In addition to self-referrals, Yung says clients are referred to them by (pro-choice and pro-life) physicians and agencies. Perhaps to Arthur’s chagrin, PACS has also received referrals from abortion providers.

Abortion Breast Cancer link – truth or fiction?

Regarding informed consent on physical risks to abortion, with only one exception, CPCs note the same risks conveyed by abortion providers and pro-choice medical researchers. In fact, abortion clinics have a much longer and detailed list of the physical risks. Here is the CAPSS client brochure’s entire content on possible physical risks: 
Physical

Heavy bleeding
Infection
Increased risk of premature births in subsequent pregnancies1
Damage to cervix or uterus, including a small risk of infection or scarring2
that can be associated with infertility or miscarriage
Possible link to breast cancer *  
* controversial; see endnote 3
For endnote #1 (above), the following source is noted on page 8: P. Shah and J. Zao, “Induced termination of pregnancy and low birthweight and preterm birth: a systematic review and meta-analyses,” British Journal of Obstetrics and Gynaecology 116, (2009): 1425-42; H.M. Swingle, T.T. Colaizy, M.B. Zimmerman and F.H. Morriss, Jr., “Abortion and the risk of subsequent preterm birth: a systematic review with meta-analyses,” Journal of Reproductive Medicine 54, no. 2 (2009): 95-108.

For endnote #2, the following detail is noted on page 8: Asherman syndrome, or intrauterine adhesions/scarring or synechiae.

As mentioned, there is only one risk factor that the medical community is in disagreement about. This concerns the worldwide epidemiological research on a possible link to breast cancer. Many studies reveal a link. Many studies do not.

From endnote #3, on page 8 of the brochure: The association between abortion and breast cancer is controversial. “Out of 73 published worldwide studies done to date, 56 show a positive association, of which 35 are statistically significant, while a total of seventeen studies show no link.” From I. Gentles, A. Lanfranchi and E. Ring-Cassidy, Complications: Abortion’s Impact on Women (Toronto: The deVeber Institute for Bioethics and Social Research, 2013), 125. The 3 most recent studies (2014) conclude a link. For example: Y. Huang, X. Zhang, W. Li, F. Song, H. Dai, J. Wang et al., “A meta-analysis of the association between induced abortion and breast cancer risk among Chinese females,” Cancer Causes & Control 25, no. 2 (2014): 227-236. More research is needed.

The two other most recent studies also reveal a possible ABC link (not noted in the above endnote due to space):
U. Takalkar et al, “Hormone Related Risk Factors and Breast Cancer: Hospital Based Case Control Study from India,” Research in Endocrinology 2014, (April 2014) Article ID 872124, DOI: 10.5171/2014.872124; and A. E. Lanfranchi and P. Fagan, “Breast Cancer and Induced Abortion: A Comprehensive Review of Breast Development and Pathophysiology, the Epidemiologic Literature, and Proposal for Creation of Databanks to Elucidate All Breast Cancer Risk Factors,” Issues in Law and Medicine 29, no. 1 (Spring 2014): 3-133.

If of interest, here I lift some commentary on this ABC subject from CAPSS rebuttal publication (pages 17, 21-22):

[Eight] years ago, a committee of the American College of Obstetricians and Gynecologists said: “More rigorous, recent studies demonstrate no causal relationship between induced abortion and a subsequent increase in breast cancer risk.” Committee on Gynecologic Practice, “Induced Abortion and Breast Cancer Risk,” ACOG Committee Opinion No. 434 (Washington: American College of Obstetricians and Gynecologists, 2009).

And from another recent publication is the following (puzzling) observation: “As for the
epidemiological evidence, most scientists worldwide, except in the US, agree that induced
abortion is a known risk for breast cancer” (emphasis added). Gentles, Lanfranchi, and Ring-Cassidy, Complications, 90. This publication cites and discusses the various worldwide studies.

“This discussion must not be ideological nor fall into the trap of epistemic closure,” the CAPSS rebuttal contends. “We must go where the evidence leads.” The author continues, “Debates on this controversial risk most often concern whether methodologies of particular studies are flawed. But politically predetermined editorial biases are far worse and do much more harm. Women deserve better.”

For the sake and safety of women’s health, CPCs recommend more research. I most certainly concur. I trust you, the reader, do as well.

With this preliminary chapter “Abortion Procedures and Risks” concluded, now to the other erroneous allegations by Ms. Arthur. 

Tomorrow: Other Erroneous Allegations

Friday, May 5, 2017

Abortion Rights Coalition of Canada Deceitful on Crisis Pregnancy Centres (Post 1)

SUMMARY

The purpose of this report is to critique Joyce Arthur’s recent 2016 report called Review of Crisis Pregnancy Centre Websites in Canada. In June 2016, Arthur made a presentation to the BC Humanist Association regarding this report.
Further back, in 2009, Arthur wrote another report called Exposing Crisis Pregnancy Centres in BC. The title gives the reader a clue as to what Arthur’s view is of crisis pregnancy centres: she spends a lot of time unfairly and obsessively discrediting them.
It is unfortunate that there is a continual need to counter Arthur’s allegations about crisis pregnancy centres, but I believe it is necessary to do so. The “truth” as Arthur sees it, is harmful to these centres, not only because what she says is distorted and false, but also because there are writers, news outlets, government-funded organizations, and others, who refer to her work as if it were accurate and credible.
I bring the reader’s attention to the title of Arthur’s current 2016 report, Review of Crisis Pregnancy Centre Websites in Canada. One would assume that a “review” of websites would be quite limited, since what a website says or doesn’t say, provides a very limited picture of what an organization does.
However a quick look at Arthur’s observations and conclusions would astound the reader that so much can be gleaned from a website.
In any event, I hope to provide the reader with a more accurate, evidence-based perspective to Arthur’s flawed and disingenuous work.

INTRODUCTION

Last year, Joyce Arthur presented her latest study on crisis pregnancy centres Review of Crisis Pregnancy Centre Websites in Canada to the BC Humanist Association. This 2016 study is Arthur’s latest work disparaging and trashing crisis pregnancy centres, this time by reviewing CPC websites.
A question I have asked myself more than a few times is, why does Arthur hate crisis pregnancy centres so much? Why does she feel compelled, even obsessed, with attacking these groups? She tells us it’s because she believes that crisis pregnancy centres lie to women; that they mislead women; that they pretend to be fake clinics.
But none of this is true. Unfortunately, it doesn’t stop her from her relentless damaging attacks.
So what is the real reason Arthur continues to spread untruths about CPCs? It’s that CPCs won’t refer women for abortions. Which is ironic, since a woman in Canada doesn’t require a referral to have an abortion. All of Arthur’s writings about CPCs seem to be her way of being vindictive towards those who don’t share her abortion beliefs. Therefore CPCs must be persecuted.
It seems Arthur doesn’t want women to become informed about the other choices from CPCs and that, after learning about these other choices, women might choose not to have an abortion.
Simply put, Arthur wants CPCs to cease operating. She is doing everything she can to that end. CPCs are targeted by Arthur and other abortion advocates on a continual relentless basis; they have become their target of choice.
But there is one thing I must honestly thank Joyce Arthur for as I read her writings on CPCs. If she didn’t spend so much time trashing them, I would probably never have known about the wonderful work they do. And I mean wonderful. Like Arthur, I have learned a lot by reviewing CPC websites and from talking to the people who work at these centres. But unlike Arthur, nothing I learned remotely resembles Arthur’s false allegations about these places. The help and support they give women in unexpected pregnancy situations is truly amazing. I thank God that these centres do exist.
In her current report, Arthur only reviews the websites of CPCs; she conducted no in-person visits or examinations of their counselling practices:
An important caveat of this study is that we examined only the websites of CPCs, which may not necessarily reflect their practices or counselling when they speak to clients in person or on the phone.” (Page 6 of Arthur’s 2016 report)
Arthur tells us there were 166 crisis pregnancy centres reviewed, with 100 unique websites for those centres. She tells us her “study” consisted of a review of these 100 websites, and “a few phone calls.” All of her allegations are based on these reviews of the websites and not on actual use of or visits to CPCs.
Something you won’t glean from Arthur’s study is the kinds of work CPCs do. Here is a partial list of a few of the services CPCs offer women:
  • pregnancy tests
  • information on all pregnancy-related options
  • peer counselling and advocacy
  • practical support services including maternity/baby clothes
  • accommodation search assistance
  • referrals to community services
  • prenatal classes
  • parenting classes
  • life skills classes
  • adoption support (pre & post)
  • post abortion grief recovery
In other words, anyone who is capable of looking objectively at CPCs can easily see the good work they do.
Arthur’s current “study” was researched using 20 volunteers. She believes the study will “add to the body of knowledge” on CPCs. (She said this to the BC Humanist Association). She also told the BCHA that she hopes to submit her latest “study” to a scientific journal and that her study was done in a
scientific way.” Even though she said, “None of us are scientists, well maybe one or two of us are,” and that her “research was not done through an academic institution or formally peer-reviewed. It was entirely unfunded and done on a volunteer basis.” (Source: Page 31 of Arthur’s 2016 report)
We ignore Arthur’s CPC writings to our own peril. I understand why someone would want to ignore these writings since they are replete with misinformation. The problem is that Arthur’s writings are out there on the Internet for everyone to read, and the danger is that people may believe that what they are reading is the truth. Organizations refer to Arthur’s 2009 report assuming it is credible.
For instance, one of the Quebec articles Arthur references in her latest report, makes extensive reference back to Arthur’s 2009 report. And this Quebec report received funding from the Department of Health and Social Services of Quebec. In other words, the Quebec government funded research that uses Arthur’s “research” as something credible. This is cause for concern.
So it’s important to shine the light of truth onto the false allegations in Arthur’s writings.
I reviewed all the websites listed in Arthur’s Appendix 1.
Arthur begins with incorrect or fudged numbers. She identifies 56 Birthright CPCs in her 180 CPCs. There are actually only 26 Birthright centres in Canada. I confirmed this by contacting Birthright. I must assume Arthur did not contact Birthright since she erroneously believes that there are more than double the number of Birthright centres that actually exist in Canada. (Source: Page 8 of Arthur’s 2016 report).
Not very “scientific”.
Here are the actual Birthright centres in Canada:
Lethbridge, AB; Delta, BC; Vancouver, BC; Victoria, BC; Fredericton, NB; Moncton, NB; Halifax, NS; Barrie, ON; Belleville, ON; Brampton, ON; Brantford, ON; Concord, ON; Hamilton, ON; Kingston, ON; Kitchener, ON; London, ON; Milton, ON; Mississauga, ON; Orangeville, ON; Ottawa, ON; Sudbury, ON; Toronto, ON; Windsor, ON; Charlottetown, PE; Drummondville, QC; Regina, SK.
I also corresponded with the Canadian Association of Pregnancy Support Services. CAPSS is the national best practice association for member CPCs and has 67 centres. Arthur states there are 60 CAPSS CPCs in Canada. (Source: Page 27 of Arthur’s 2016 report)
With Birthright having 30 centres less than Arthur states, and CAPSS having 7 more than Arthur states, a more correct number of CPCs in Canada would be closer to 157 and not 180 as Arthur misinforms her readers (180-30+7=157).
An error on Arthur’s part? A deception on Arthur’s part? In any event this means that Arthur’s facts, figures and percentages in her conclusions are also incorrect. 

Monday, May 1, 2017

Dr. Eric Hoskins - fifth request for abortion information

Dear Dr. Hoskins,

It has now been two months since I first started asking you for abortion information outside of FIPPA. I've already made four requests for this information (my last request was actually number three, not two as I stated). 

And I still haven't heard back from you.

I was assured by your lawyer Dan Guttman, in front of a judge in the Superior Court of Justice of Ontario, that I only needed to ask for this information and I would receive it:

"today we are saying publicly both in our factum and in court here today before you that if we are asked, our position will if we are asked, we will give generalized abortion statistics out."

Yet I still find myself having to ask you for information that the judge was assured would be provided for the asking. And still I haven't heard back from you.


"Ontario’s Open Government Initiative is about creating a more open and transparent government for the people of Ontario. We are aiming to make Ontario the most open and transparent jurisdiction in Canada by creating increased opportunities for civic dialogue, sharing government data, and providing citizens with the information they need to better understand how their government works." 

Were these just empty words?

Will you please let me know when I can expect to receive this information? 

Sincerely,
Patricia Maloney

Request for abortion information (10 weeks and counting)

April 17, 2017

Dear Dr. Eric Hoskins,

I have now sent you two requests asking for abortion information for 2014/2015, on Feb 2, 2017 and on March 24 2017.

That's more than 10 (ten) weeks ago.

I still haven't heard back from you. Can you please tell me when I can expect an answer?

Sincerely,
Patricia Maloney