A Doctor Explains Why She Opposes California Prop 4
Sophia-Yen.gifBy Dr. Sophia Yen
Pediatrician and Adolescent Medicine Specialist
Lucile Packard Children’s Hospital at Stanford
As a pediatrician, a specialist in adolescent medicine, and the mother of a two-year-old daughter, I urge everyone to vote no on Proposition 4. Prop. 4 is a threat to public health and teen safety.
As doctors, we encourage our patients to speak with their parents. And we know from research that a majority of adolescents do confide in their parents about the decision to have an abortion.
But as doctors, we need to be there for teens when they can’t talk to their parents. Prop. 4 puts a barrier between us and the teenagers that need our care the most.
Here’s what I know from experience and research:
Desperate teenagers take desperate measures
Some teens when faced with Prop. 4 will seek out unsafe, illegal abortions, which can result in infertility or even death.
In a recent survey of California teens, 37% said they would travel out of state and 12% said they would leave the country to obtain abortion care if parental notification was required.
While working with teenagers in San Francisco, I have seen what some teenagers do when they are desperate—they try to kill themselves. Many times I have been called into the ICU to talk to an adolescent that took a bottle of pills after a disagreement with or from fear of shaming her parents.
I want my patients to seek safe, appropriate medical care—not risk their lives and health in desperation.
Government cannot mandate healthy family communication
Studies show that when young women do not confide in their parents, they have good reason. One in three of these teens has experienced violence in their home, is afraid it will recur, or fears being thrown out of the house. Others are victims of incest, raped by a family member. No law can force these families to start talking.
Laws need to protect teenagers, not put them in harm’s way
The data show that parental involvement laws endanger teen health by delaying medical care for pregnancy and increasing the number of teens that cross state boundaries for abortion.
Imagine the young women in your life—your daughter, granddaughter, niece or your future daughter or future granddaughter. Is your need to know more important than that young woman’s health and life?
If the people who wrote this law really wanted to prevent teenage pregnancy and abortions, they would have focused their time and money on increasing access to contraception and comprehensive sexual education. Instead they chose Prop. 4.
If the people who wrote this law really wanted to increase family communication, they could have focused all the millions spent on Proposition 4 and the two propositions before it on passing a requirement for high schools to teach family communication for one semester. But the authors of Prop 4 did not.
Prop. 4 says it would allow teens to notify another adult family member, but if a young woman chose that option, she would be required to state in writing that her parents are abusing her. That report would be sent to Child Protective Services and result in a policeman coming to the house to investigate. We don’t want the police or government involved in our private family matters.
Prop. 4 is dangerous to the health of young women
This is why all the major medical organizations—including the California Medical Association, the California chapters of the American Academy of Family Physicians, American Academy of Pediatrics and American College of Obstetrics and Gynecology, and the California Nurses Association—all oppose Prop. 4.
The voters have said no to parental notification twice before. Please say no again and vote to protect California’s teenagers. Vote No on Proposition 4.
Dr. Sophia Yen is a pediatrician and adolescent medicine specialist, Lucile Packard Children’s Hospital at Stanford. She is also a member of Physicians for Reproductive Choice and Health.