Dozens of pregnant women, some bleeding or in labor, are turned away from ERs despite federal law

WASHINGTON (AP) — Bleeding and in pain, Kyleigh Thurman didn’t know her doomed pregnancy could kill her.

Emergency room doctors at Ascension Seton Williamson in Texas handed her a pamphlet on miscarriage and told her to “let nature take its course" before discharging her without treatment for her ectopic pregnancy.

When the 25-year-old returned three days later, still bleeding, doctors finally agreed to give her an injection to end the pregnancy. It was too late. The fertilized egg growing on Thurman’s fallopian tube ruptured it, destroying part of her reproductive system.

That’s according to a complaint Thurman and the Center for Reproductive Rights filed last week asking the government to investigate whether the hospital violated federal law when staff failed to treat her initially in February 2023.

“I was left to flail," Thurman said. “It was nothing short of being misled.”

The Biden administration says hospitals must offer abortions when needed to save a woman's life, despite state bans enacted after the Supreme Court overturned the constitutional right to an abortion more than two years ago. Texas is challenging that guidance and, earlier this summer, the Supreme Court declined to resolve the issue.

More than 100 pregnant women in medical distress who sought help from emergency rooms were turned away or negligently treated since 2022, an Associated Press analysis of federal hospital investigations found.

Two women — one in Florida and one in Texas — were left to miscarry in public restrooms. In Arkansas, a woman went into septic shock and her fetus died after an emergency room sent her home. At least four other women with ectopic pregnancies had trouble getting treatment, including one in California who needed a blood transfusion after she sat for nine hours in an emergency waiting room.

In Texas, where doctors face up to 99 years of prison if convicted of performing an illegal abortion, medical and legal experts say the law is complicating decision-making around emergency pregnancy care.

Although the state law says termination of ectopic pregnancies isn't considered abortion, the draconian penalties scare Texas doctors from treating those patients, the Center for Reproductive Rights argues.

“As fearful as hospitals and doctors are of running afoul of these state abortion bans, they also need to be concerned about running afoul of federal law,” said Marc Hearron, a center attorney. Hospitals face a federal investigation, hefty penalties and threats to their Medicare funding if they violate the federal law.

The organization filed complaints last week with the Centers for Medicare and Medicaid Service alleging that different Texas emergency rooms failed to treat two patients, including Thurman, with ectopic pregnancies.

One complaint says Kelsie Norris-De La Cruz, 25, lost a fallopian tube and most of an ovary after an Arlington, Texas, hospital sent her home without treating her ectopic pregnancy, even after a doctor said discharge was “not in her best interest.”

“The doctors knew I needed an abortion, but these bans are making it nearly impossible to get basic emergency healthcare,” she said in a statement. “I’m filing this complaint because women like me deserve justice and accountability from those that hurt us.”

Conclusively diagnosing an ectopic pregnancy can be difficult. Doctors cannot always find the pregnancy’s location on an ultrasound, three doctors consulted for this article explained. Hormone levels, bleeding, a positive pregnancy test and an ultrasound of an empty uterus all indicate an ectopic pregnancy.

“You can't be 100% — that's the tricky part," said Kate Arnold, an OB-GYN in Washington. “They're literally time bombs. It's a pregnancy growing in this thing that can only grow so much."

Texas Right to Life Director John Seago said state law protects doctors from prosecution for terminating ectopic pregnancies, even if a doctor “makes a mistake” in diagnosing it.

“Sending a woman back home is completely unnecessary, completely dangerous," Seago said.

But the state law has “absolutely” made doctors afraid of treating pregnant patients, said Hannah Gordon, an emergency medicine physician who worked in a Dallas hospital until last year.

She recalled a patient with signs of an ectopic pregnancy at her Dallas emergency room. Because OB-GYNs said they couldn't definitively diagnose the problem, they waited to end the pregnancy until she came back the next day.

“It left a bad taste in my mouth," said Gordon, who left Texas hoping to become pregnant and worried about the care she'd receive there.

When Thurman returned to Ascension Seton Williamson a third time, her OB-GYN told her she'd need surgery to remove the fallopian tube, which had ruptured. Thurman, still heavily bleeding, balked. Losing the tube would jeopardize her fertility.

Her doctor told her she risked death if she waited any longer.

“She came in and she’s like, you're either going to have to have a blood transfusion, or you’re going to have to have surgery or you’re going to bleed out,” Thurman said, through tears. “That’s when I just kind of was like, ‘Oh my God, I’m, I’m dying.’”

The hospital declined to comment on Thurman’s case, but said in a statement it “is committed to providing high-quality care to all who seek our services.”

In Florida, a 15-week pregnant woman leaked amniotic fluid for an hour in Broward Health Coral Springs' emergency wait room, according to federal documents. An ultrasound revealed the patient had no amniotic fluid surrounding the fetus, a dangerous situation that can cause serious infection.

The woman miscarried in a public bathroom that day, after the emergency room doctor listed her condition as “improved” and discharged her, without consulting the hospital's OB-GYN.

Emergency crews rushed her to another hospital, where she was placed on a ventilator and discharged after six days.

Abortions after 15 weeks were banned in Florida at the time. Broward Health Coral Springs’ obstetrics medical director told an investigator that inducing labor for anyone who presents with pre-viable premature rupture of membranes is "the standard of care, has been a while, regardless of heartbeat, due to the risk to the mother.”

The hospital declined comment.

In another Florida case, a doctor admitted state law had complicated emergency pregnancy care.

“Because of the new laws ... staff cannot intervene unless there is a danger to the patient's health," a doctor at Memorial Regional Hospital in Hollywood, Florida, told an investigator who was probing the hospital's failure to offer an abortion to a woman whose water broke at 15 weeks, well before the fetus could survive.

Serious violations that jeopardized a mother or her fetus’ health occurred in states with and without abortion bans, the AP’s review found.

Two short-staffed hospitals — in Idaho and Washington — admitted to investigators they routinely directed pregnant patients to other hospitals.

A pregnant patient at a Bakersfield, California, emergency room was quickly triaged, but staff failed to realize the urgency of her condition, a uterine rupture. The delay, an investigator concluded, may have contributed to the baby's death.

Doctors at emergency rooms in California, Nebraska, Arkansas and South Carolina failed to check for fetal heartbeats or discharged patients who were in active labor, leaving them to deliver at home or in ambulances, according to the documents.

Nursing and doctor shortages, trouble staffing ultrasounds around-the-clock and new abortion laws are making the emergency room a dangerous place for pregnant women, warned Dara Kass, an emergency medicine doctor and former U.S. Health and Human Services official.

“It is increasingly less safe to be pregnant and seeking emergency care in an emergency department,” she said.

Kyleigh Thurman, one of the patients who is filing a federal complaint against an emergency room for not treating her ectopic pregnancy, talks about her experience at her studio, Wednesday, Aug. 7, 2024, in Burnet County, Texas. (AP Photo/Eric Gay)

Kyleigh Thurman, one of the patients who is filing a federal complaint against an emergency room for not treating her ectopic pregnancy, talks about her experience at her studio, Wednesday, Aug. 7, 2024, in Burnet County, Texas. (AP Photo/Eric Gay)

Kyleigh Thurman, one of the patients who is filing a federal complaint against an emergency room for not treating her ectopic pregnancy, talks about her experience at her studio, Wednesday, Aug. 7, 2024, in Burnet County, Texas. (AP Photo/Eric Gay)

Kyleigh Thurman, one of the patients who is filing a federal complaint against an emergency room for not treating her ectopic pregnancy, talks about her experience at her studio, Wednesday, Aug. 7, 2024, in Burnet County, Texas. (AP Photo/Eric Gay)

Kyleigh Thurman, one of the patients who is filing a federal complaint against an emergency room for not treating her ectopic pregnancy, talks about her experience at her studio, Wednesday, Aug. 7, 2024, in Burnet County, Texas. (AP Photo/Eric Gay)

Kyleigh Thurman, one of the patients who is filing a federal complaint against an emergency room for not treating her ectopic pregnancy, talks about her experience at her studio, Wednesday, Aug. 7, 2024, in Burnet County, Texas. (AP Photo/Eric Gay)

WASHINGTON (AP) — With characteristic bravado, Donald Trump has vowed that if voters return him to the White House, “inflation will vanish completely."

It’s a message tailored for Americans who are still exasperated by the jump in consumer prices that began 3 1/2 years ago.

Yet most mainstream economists say Trump’s policy proposals wouldn't vanquish inflation. They’d make it worse. They warn that his plans to impose huge tariffs on imported goods, deport millions of migrant workers and demand a voice in the Federal Reserve's interest rate policies would likely send prices surging.

Sixteen Nobel Prize-winning economists signed a letter in June expressing fear that Trump's proposals would “reignite’’ inflation, which has plummeted since peaking at 9.1% in 2022 and is nearly back to the Fed’s 2% target.

Last month, the Peterson Institute for International Economics predicted that Trump’s policies would drive consumer prices sharply higher two years into his second term. Peterson's analysis concluded that inflation, which would otherwise register 1.9% in 2026, would instead jump to between 6% and 9.3% if Trump's economic proposals were adopted.

Many economists aren’t thrilled with Vice President Kamala Harris’ economic agenda, either. They dismiss, for example, her proposal to combat price gouging as an ineffective tool against high grocery prices. But they don’t regard her policies as particularly inflationary.

Moody’s Analytics has estimated that Harris' policies would leave the inflation outlook virtually unchanged, even if she enjoyed a Democratic majority in both chambers of Congress. An unfettered Trump, by contrast, would leave prices higher by 1.1 percentage points in 2025 and 0.8 percentage points in 2026.

Taxes on imports — tariffs — are Trump’s go-to economic policy. He argues that tariffs protect American factory jobs from foreign competition and deliver a host of other benefits.

While in office, Trump started a trade war with China, imposing high tariffs on most Chinese goods. He also raised import taxes on foreign steel and aluminum, washing machines and solar panels. He has grander plans for a second term: Trump wants to impose a 60% tariff on all Chinese goods and a “universal’’ tariff of 10% or 20% on everything else that enters the United States.

Trump insists that the cost of taxing imported goods is absorbed by the foreign countries. The truth is that U.S. importers pay the tariff — and then typically pass along that cost to consumers in the form of higher prices. Americans themselves end up bearing the cost.

Kimberly Clausing and Mary Lovely of the Peterson Institute have calculated that Trump’s proposed 60% tax on Chinese imports and his high-end 20% tariff on everything else would, in combination, impose an after-tax loss on a typical American household of $2,600 a year.

The Trump campaign notes that U.S. inflation remained low even as Trump aggressively imposed tariffs as president.

But Mark Zandi, chief economist at Moody’s Analytics, said that the magnitude of Trump’s current tariff proposals has vastly changed the calculations. “The Trump tariffs in 2018-19 didn’t have as large an impact as the tariffs were only just over $300 billion in mostly Chinese imports,’’ he said. “The former president is now talking about tariffs on over $3 trillion in imported goods.''

And the inflationary backdrop was different during Trump’s first term when the Fed worried that inflation was too low, not too high.

Trump, who has invoked incendiary rhetoric about immigrants, has promised the “largest deportation operation'' in U.S. history.

Many economists the increased immigration over the past couple years helped tame inflation while avoiding a recession.

The surge in foreign-born workers has made it easier for fill vacancies. That helps cool inflation by easing the pressure on employers to sharply raise pay and to pass on their higher labor costs by increasing prices.

Net immigration — arrivals minus departures — reached 3.3 million in 2023, more than triple what the government had expected. Employers needed the new arrivals. As the economy roared back from pandemic lockdowns, companies struggled to hire enough workers to keep up with customer orders.

Immigrants filled the gap. Over the past four years, the number of people in the United States who either have a job or are looking for one rose by nearly 8.5 million. Roughly 72% of them were foreign born.

Wendy Edelberg and Tara Watson of the Brookings Institution found that by raising the supply of workers. the influx of immigrants allowed the United States to generate jobs without overheating the economy.

In the past, economists estimated that America’s employers could add no more than 100,000 jobs a month without igniting inflation. But when Edelberg and Watson factored in the immigration surge, they found that monthly job growth could reach 160,000 to 200,000 without exerting upward pressure on prices.

Trump's mass deportations, if carried out, would change everything. The Peterson Institute calculates that the U.S. inflation rate would be 3.5 percentage points higher in 2026 if Trump managed to deport all 8.3 million undocumented immigrant workers thought to be working in the United States.

Trump alarmed many economists in August by saying he would seek to have “a say” in the Fed’s interest rate decisions.

The Fed is the government’s chief inflation-fighter. It attacks high inflation by raising interest rates to restrain borrowing and spending, slow the economy and cool the rate of price increases.

Economic research has found that the Fed and other central banks can properly manage inflation only if they're kept independent of political pressure. That’s because raising rates can cause economic pain — perhaps a recession — so it's anathema to politicians seeking reelection.

As president, Trump frequently hounded Jerome Powell, the Fed chair he had chosen, to lower rates to try to juice the economy. For many economists, Trump's public pressure on Powell exceeded even the attempts that Presidents Lyndon Johnson and Richard Nixon made to push previous Fed chairs to keep rates low — moves that were widely blamed for helping spur the chronic inflation of the late 1960s and ’70s.

The Peterson Institute report found that upending the Fed's independence would increase inflation by 2 percentage points a year.

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Trump's economic plans would worsen inflation, experts say

Trump's economic plans would worsen inflation, experts say

FILE - Republican presidential nominee former President Donald Trump speaks along the southern border with Mexico, on Aug. 22, 2024, in Sierra Vista, Ariz. (AP Photo/Evan Vucci, File)