Building on What We Have Done

Making Abortion Unwantable

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by John T. Bruchalski, MD, FACOG

OUR PURPOSE

How can OBGYNs and Pregnancy Resource Centers (PRCs) collaborate to build a healthier community where abortions are unwanted? This is the purpose of this presentation. Seeing the benefits of what we have accomplished has been inspiring, but we can do more. Based on Tepeyac Family Center’s work of serving regional pregnancy centers in Northern Virginia for the past two decades, we have a few ideas on how to make abortion unwantable.

Individually, our purpose on Earth is to love God and love our neighbors with all of our heart, mind and soul. Faith and charity go hand in hand. As Tepeyac physicians, we see medicine as an act of mercy where we care for and have compassion for the sick and vulnerable, the “least of our brothers and sisters.” There is no better way to live this vocation as an OBGYN than by serving the local PRCs in our neighborhood, community, and beyond. 

Compassion means to suffer with, and we can suffer with our clients and patients and love enough by working together. Practicing merciful medicine removes the reasons for abortion and does so much more than save a baby. We are working toward Transforming Hearts Through Healthcare™ and mercy shows God’s grace.

Let us elucidate the problems that OBGYNs face today, so we can suggest some practical answers to make abortion unwantable.

OUR PROBLEMS

Everywhere we turn, the world seems to be in crisis. With massive changes to the United States (U.S.) healthcare system, physicians today are more cynical, pessimistic, fearful and tired than I have seen in three decades of practicing medicine. The present government solution to fix healthcare decreases reimbursements to doctors and increases paperwork and overhead costs with complex regulations.

Moreover, the Affordable Care Act (ACA) has ignored the entire issue of malpractice resulting in increases in liability insurance costs. Under the rhetoric of “reproductive rights” and “women’s healthcare”, the current administration has enshrined abortion and contraception as mainstream medical practices despite the stigma, the paucity of providers, and split in public opinion.

Further, the ACA dismisses personal consciences and violates religious freedoms. The American Congress of Obstetricians and Gynecologists (ACOG) has assaulted conscience rights of future doctors and is demanding that their member doctors either refer or perform abortions. ACOG knows that most physicians refuse to perform the procedures because of its barbaric nature and the number of abortionists is dwindling.

Below are my observed problems that OBGYNs face in building relationships with crisis pregnancy centers and making abortion unwantable.

Problem #1: Lukewarmness

The first problem is lukewarmness. Lukewarm is a problem for physicians on both sides of the abortion issue. Sadly, I know this from first hand experience. I spent the first two years of my career as an abortion provider. Thankfully, my faith and prayer life led me to a place where I am no longer forced or required to violate my conscience. By faith and sacrifice, my wife and I founded Tepeyac Family Center in Northern Virginia in 1994, and its parent company Divine Mercy Care (DMC) in 2000.

My Tepeyac colleagues and I have worked alongside and inside pregnancy resource centers as volunteer counselors, advisors, and board members. Despite many excuses, the primary, honest reason most doctors do not perform abortions is the brutality of the procedure. Over one million abortions are performed in the U.S. annually and most doctors are simply not that passionate about abortion to actually perform them. It is easier for doctors to refer abortions out to the local abortionist.

On the pro-life side, most doctors, even those identified in a Christian faith tradition, are really not that passionate about the dignity of human life to take on the added malpractice risk of seeing women with crisis pregnancies, or accept the financial burden of caring for people without insurance. Providing life-taking or life-affirming care is too much of a burden to physicians with so many other problems and responsibilities to deal with on a day to day basis.

Lukewarmness among doctors is a problem for both sides of the abortion issue.

Problem #2: Idolatry

The second problem is chasing idols. My profession has placed idols before the source of happiness and joy. Idols include making money and increasing prestige; believing abortion is an answer to social and medical problems yet being lukewarm in its practice; not searching for the root cause of unplanned pregnancies; accepting rampant promiscuity and the resultant diseases that follow; treating fertility as a disease and children as sexually transmitted infections; pitting mothers and fathers against their unborn children; and working with suffering without seeing the redemptive nature when suffering cannot be relieved.

As doctors who have taken a vow to “do no harm” and care for all who come before us, physicians have moved away from His light and became instruments of evil in the world, subject to the worst of tyrannies. As OBGYNs, we are being asked to hold back from God and to hesitate to answer His call. Because we are fearful of the cost, the pain, the unknown, we no longer trust the Divine Physician nor do we care or serve our neighbors in need. This is the malice found in our soul. 

We have become hollow, filled with emptiness and fear. Rather than turn to Christ, we grasp for more of the same: more abortion, more contraception, more sterilization and more secular, sexual education. When we attempt to follow ways other than willed by God, we find loneliness and sadness. We chase idols.

Physicians have stopped treating two patients; OBGYNs are being taught to treat a patient with a disease in her womb. No mercy and no care. Faith and love have gotten a divorce from each other and from ourselves, yet, we are called to care for women in crisis pregnancies and show her how to care for her unborn child. This is Tepeyac’s model of practicing excellent and merciful medicine. As a consequence of doctors being lukewarm and chasing idols, Heartbeat and your ministries heroically and sacrificially give of your time and expertise in meeting the needs of the woman with an unwanted pregnancy.

You are present at the time of crisis and need. But this is not enough. PRCs have to provide ultrasounds because doctors in your communities cannot meet this need.

The medical model of a pregnancy resource center was born out of necessity because we in the medical profession, for the most part, have turned our backs on caring for two patients by eliminating the humanity of the fetus and violating the dignity of the woman. Most doctors, even those of Christian faiths, only see the poor on sabbaticals and not during their daily work, when in truth, there are poor people living in our very own community that need our help. We allowed abortion to become a valid medical practice in the Affordable Care Act because we did not uniformly stand together voicing our outrage.

We abdicated the intellectual and scientific truth of when life begins.

With almost twenty years of experience, Divine Mercy Care (DMC) and Tepeyac Family Center offer a solution.

OUR SOLUTION

Abortion and healthcare are NOT political footballs at Divine Mercy Care and Tepeyac Family Center. DMC’s solution has seven practical principles resting on a solid three-pillar foundation of serving, inspiring and unifying when collaborating with PRCs. Nearly two decades of being on the front lines has taught Tepeyac doctors much about combating “lukewarmness” and “idols”.

#1. SEE PATIENTS

Tepeyac’s doctors have found a method through sacrifice, hard work and tithing for medical practices to see all patients; those insured and those not insured or under-insured by outreaching to all pregnancy resource centers in our region. Charity, not entitlement, is at the heart of serving our community. Every PRC is different, so we do not force anything on anyone. We offer our obstetrical expertise to care for the woman and the child in the hopes of helping her see the blessing of the child. We introduce her to resources intended to build a stable and strong family and/or support system. Our fiscal approach is called the MERCY Program where we financially cover medical services that the patient cannot afford. We want to be able to do more than save a baby; we introduce them to community services for a continuum of support; we work toward turning around a life and transforming hearts. 

#2. HELP WITH ULTRASOUNDS

We recognize the great work many PRCs do with their medical model of providing ultrasounds to women in crisis pregnancies. Further, Tepeyac provides immediate ultrasounds and doctor visits for PRC patients. We are applying to open Tepeyac School of Sonography (TSS) Certification Program. If approved by the Commonwealth of Virginia, State Council of Higher Education, TSS will offer a 13-week curriculum designed to train your ultrasound technicians and ready them for the American Registry for Diagnostic Medical Sonography testing.

Medical care is more than a technical skill. Ultrasound technicians must meet the rigorous professional and safety standards while loving the patients, both mother and baby. This can be taught. Tepeyac shows students how to love and treat patients while fully complying with radiology standards. Additionally, Tepeyac’s standard of providing high quality ultrasound services in a supportive, life-affirming environment ensures that staff respond lovingly to patients who have an abnormal scan. 

#3. CARE FOR THE LEAST

Our Kristen Anderson Perinatal Hospice Program is Tepeyac’s medical, spiritual and community approach to a woman carrying a terminally sick child. The hospice approach maximizes the time a mother spends with her preborn child and enhances the love available for the family as a whole. 

#4. OFFER A MEDICAL DIRECTOR

By having a pro-life radiologist and OBGYNs at Tepeyac, we are able to electronically connect PRCs to a medical expert to read and interpret sonographic information. With the internet and open hearts, no distance is too far to provide excellent medicine and excellent resources.

#5. EDUCATING STUDENTS, RESIDENTS AND OTHER PROFESSIONALS

Leading by example, DMC, through Tepeyac, can help doctors in your area realize the critical importance of not simply sitting on boards, or counseling, but actually seeing the client in need as a patient and building relationships. To transform hearts and minds, we actively attract men and women who are pursuing healthcare degrees and help them understand the importance of working with PRCs once they enter private practice. This is not on top of what we do, this is what we do. Collaborating with PRCs is a way to give back to the community in your own neighborhood. 

#6. INVOLVED IN RAISING MONEY

This is not a “zero sum” game. We cannot continue to the “turf wars.” We serve a generous God. DMC can speak at annual banquets to help inspire those in the audience to give generously to this most urgent of causes. When donors and financially savvy people see the cooperative nature of PRC with a medical practice and other services, they are apt to give more generously knowing that they are not duplicating life-affirming services.

#7. BREAKING DOWN WALLS

It is clear the prolife community needs to be more unified. This is easier said than done. Thankfully, Tepeyac’s approach seems to bring together doctors, PRCs, emergency rooms, maternity homes, social services, specialists, and even churches of various faith traditions. There is a way to live by example the axiom that we can love enough together to make abortion unwantable, children welcomed and families stronger.

Faith and charity is the goal of living. We can overcome the “lukewarmness” and the “idols” by working more closely together. OBGYNs and PRCs need to collaborate. The great work that Heartbeat International and Tepeyac Family Center have accomplished can be improved on, building on what we have done and making abortion unwantable. The above steps are the practical ways this can happen.


Please contact us for a conversation that can lead to the continuing transformation of hearts for our patients, clients and ourselves.

John T. Bruchalski, MD, FACOG Founder, Tepeyac Family Center 
Chairman, Divine Mercy Care 
11096-A Lee Highway, Suite 101 
Fairfax, Virginia 22030 -5039 
703-934-5552 
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