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(CNN)A woman turned away with an ectopic pregnancy. A miscarrying mother sent home, where she develops an infection. People with severe pregnancy complications left untreated. Within a month of the Supreme Court's decision overturning Roe v. Wade, abortion bans have thrown emergency care into disarray and put doctors in an impossible bind.

Mary ZeiglerElizabeth SepperFederal law requires physicians to treat pregnant patients in emergencies, providing abortions when necessary, while the law in some states prohibits emergency abortions. A showdown between the federal government and the states is now brewing. The state of Texas is suing the Biden administration to block federal guidance that protects access to emergency abortion care, even in states where abortion is a crime. And on Tuesday, the administration went on the offensive, suing Idaho over its abortion restrictions.
    At the heart of both lawsuits is a nearly 40-year-old federal statute, the Emergency Medical Treatment and Labor Act, known as EMTALA. The law assures that everyone who shows up at the emergency room gets checked out. And if the hospital finds the patient has an "emergency medical condition," it has to stabilize them -- meaning the patient's condition won't worsen when they're discharged. That includes laboring patients, for whom EMTALA guarantees protection.
      After the Supreme Court overturned Roe in Dobbs v. Jackson's Women's Health Organization, the federal government reminded hospitals that emergency care of pregnant people sometimes requires abortion. Stabilizing treatment may call for dilation and curettage (D&C), a common abortion procedure, or methotrexate, a drug used for conditions like pain and inflammation that's also commonly used to end ectopic pregnancy and miscarriage.Doctors could rest easy, the US government said, knowing federal law would protect their clinical judgment: "When a state law prohibits abortion and does not include an exception for the life and health of the pregnant person -- or draws the exception more narrowly than EMTALA's emergency medical condition definition -- that state law is preempted." Read MoreBut the Texas attorney general has asked a federal court to declare this guidance unlawful. Under the US Constitution, federal law is supreme over conflicting state laws. But here, the state argues, EMTALA doesn't require any specific kind of care, so there is no conflict. Abortion, it says, is left to state law.
        Opinion: These are the gray areas for womens privacy now in a post-Roe worldTexas's ban, set to go in effect at the end of August, prohibits all abortions unless a woman "'has a life-threatening physical condition' arising from a pregnancy that places her 'at risk of death or poses a serious risk of substantial impairment of a major bodily function unless the abortion is performed.'" That means in some emergency situations, there won't be a conflict between the federal statute and near-total abortion bans. For example, it may be "reasonably clear" that a pregnant woman critically ill with heart failure has the sort of life-threatening condition that permits abortion under Texas law. Where a woman is at "death's door," then Texas's life exception would apply. But Texas law prohibits abortion in any emergency that falls short of a life-threatening condition that seriously risks a major bodily function. This means that women miscarrying before fetal viability have to be turned away, unless and until their lives are immediately in danger. Patients with preterm premature rupture of membranes have been denied pregnancy termination, and been injured as a result. Hospitals will be stuck between the federal mandate to treat and the vagueness of state law that threatens criminal charges for abortion care. The Texas ban permits doctors to intervene in a narrow range of emergencies, but its language is unclear. When is a risk "serious"? Which bodily functions are "major"? In some cases, the federal mandate and the state ban will collide head-on. EMTALA tells doctors to act to avoid "serious jeopardy" to a pregnant person's health, or potentially face administrative fines or exclusion from Medicare. Texas law warns that doctors might go to prison if they go beyond the narrow exceptions of the criminal ban. Opinion: The Kansas abortion vote should never have happenedThese are not hypotheticals. Some pregnant people develop kidney inflammation or heart enlargement, serious health risks that may not rise to the level of death or substantial impairment of a "major bodily function." Hospitals frequently see patients experiencing premature rupture of membranes or miscarriage. While EMTALA could require that doctors offer to terminate those pregnancies, even if fetal cardiac activity can still be detected, Texas law would demand that doctors wait until the pregnant patient risks death or loss of major bodily function.The conflict between Texas and the Biden administration over emergency care may be just the tip of the iceberg because anti-abortion leaders increasingly argue that there is no such thing as a medically necessary abortion. There had always been some suspicion of health-based exceptions: The more broadly a law protected patient health, the more anti-abortion leaders worried that exceptions would allow people to have abortions for any reason. That's why exceptions from abortion restrictions for health, once commonplace, are not found in many recent bills.And consensus about life-saving exceptions has also collapsed within the anti-abortion movement. In the 1990s, anti-abortion groups developed a deep distrust of leading medical organizations after fighting for statutes warning that abortion increased the risk of breast cancer, infertility and post-traumatic stress disorder. When peer-review research debunked those arguments and mainstream medical groups rejected them, anti-abortion leaders responded that these organizations were simply biased.Battles over global public health led to anti-abortion hostility toward life-saving exceptions. The United Nations Millennium Development Goals, set in 2000, prioritized the reduction of maternal mortality. Seven years later, the World Health Organization established that at least 13% of maternal deaths worldwide were attributable to unsafe abortion, and supporters of reproductive justice argued that access to safe abortion was a crucial step in saving the lives of pregnant people. Opinion: Suddenly a glimmer of hope for DemocratsAnti-abortion groups responded by arguing that expanding abortion access would do nothing to improve maternal mortality. In 2009, the American Association of Pro-Life Obstetricians and Gynecologists began to argue that there was no such thing as a life-saving abortion. Three years later, anti-abortion clinicians issued the Dublin Declaration on Maternal Health, which proclaimed that "direct abortion -- the purposeful destruction of the unborn child -- is not medically necessary to save the life of a woman." The Dublin Declaration spread rapidly in conservative Catholic and evangelical circles in the United States, and anti-abortion groups from Students for Life to Feminists for Life claimed that emergency exceptions were unnecessary. A growing number of politicians followed suit, with Republican platforms and politicians now opposing any exception for abortion whatsoever. While leading anti-abortion organizations increasingly reject life-saving exceptions, EMTALA has remained essentially the same for four decades. Congress moved to pass the act following reports throughout the 1980s that uninsured patients, many of them people of color, were being denied care and dumped onto other hospitals. A patient with a knife in his back was asked to pay $1,000 before anyone would help him. Women in labor were left to sit in waiting rooms for hours and then sent miles away. Transferred patients, many of whom were in unstable condition, were twice as likely to die as those treated at the transferring hospital. EMTALA creates a guarantee of emergency care, especially for patients in labor. The Biden administration reminded hospitals of these obligations and hoped to reassure emergency doctors that they could do what is best for patients.Get our free weekly newsletter

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          Contrary to Texas's claims, federal government is not using EMTALA to turn every hospital into an abortion clinic. But the federal law does require abortion in some emergency situations where the Texas law would label it a crime. And because of the shift in the anti-abortion movement's approach to exceptions, the stage is set for a showdown between the federal government and the states. At stake is the idea that abortion can be medically necessary health care.And if federal law doesn't prevail, emergency physicians will continue to face the impossible task of navigating between the complexities of medicine and the vagaries of law. They will serve as de facto lawyers. And pregnant patients will pay the ultimate price.

          News Source: CNN

          Tags: life threatening condition emergency medical condition the biden administration the biden administration law prohibits abortion health abortion restrictions health anti abortion groups the federal mandate a life threatening no such thing pregnant people emergency abortion maternal mortality ectopic pregnancy the supreme court pregnant patients federal law argue conflict between federal statute pregnant person texas law emergency care that emergency abortion bans the emergency that abortion abortion care exception its abortion for abortion that doctors the pregnant for patients abortion years later death patients maternal turned away there is no the patient

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          Most valuable state quarters worth up to $788 – see if you have one of them in your spare change

          STATE quarters have been around for a limited amount of time, but they could be quite valuable if you happen to find one. 

          From 1999 to 2008, the US Mint struck the state quarters. 

          6All states feature their own unique design on the reverse

          All 50 states had their own unique design, which all featured George Washington on the obverse. 

          Each year, the coins were released into five groups in order of birthdays until the series was complete nearly a decade later.

          While Americans might be inclined to collect a piece from their native state, the determination in value is no different than other coins. 

          The most important elements you’ll want to look out for are dates, mintages, letter marks, and potential errors. 

          READ MORE ON RARE COINSSILVER LINING Rare dollar coin sells for $12,850 online - how to spot itSILVER LINING Rare 1955 Lincoln penny sells for $2,077 online - how you can find one

          Becoming familiar with these could help you spot a valuable coin. 

          Odds are if you happen to have a coin in your spare change, it is circulated. 

          The term circulated could mean a few things including that it was meant for the use of daily transactions and the grade, which runs from 1-58. 

          They also contain traces of wear. 

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          Uncirculated coins, on the other hand, do not contain traces of wear. 

          Below we reveal some of the most valuable state quarters, most of which are in circulation.

          1. 1999 Georgia State Quarter - $23 6This two pieces feature a clipped planchet errorCredit: Ebay/Brisco144

          The 1999 Georgia State Quarter can be sought out by collectors.

          This particular coin features a clipped planchet error, which happens when a blanking die overlaps a previously punched hole in a coin metal strip.

          The result of the malfunction leaves a concave fail.

          According to error-ref.com, there are five characteristics to look for in a clipped planchet.

        • A pole opposite the clip shows a fragile or absent rim. This is considered the "Blakesley" effect. The "Blakesley" effect is not always seen on coins with original curved clips.
        • The design elements bordering the clip always show the flow of the metal – which usually indicates the smeared and stretched-out style.
        • The uncovered edge of the clip usually shows a "belly line" or "breakaway zone." A portion of the exposed edge will be grainy, and the other half will be smooth.
        • The rim should fade out and taper toward the clip.
        • The copper core is asymmetrically uncovered in a clad coin along the edge. The position of the exposed copper core “flips” when you transition from a standard edge to a curved edge.
        • The Philidelphia minted quarter is marked with the letter "P."

          The Denver coin is marked with the letter "D."

          Both combined sold for $23 online in a recent eBay listing.

          That means they are worth about $11.50 each.

          2. 2008 Alaska state quarter - $81 6The coin features a ragged clip error

          Sometimes errors could be tough to spot - but not on an Alaskan 2008 state quarter that sold online for $81 recently. 

          Very clearly you could see that there is a piece to the coin missing on the right side, which the seller describes as an “end of sheet straight clip error”.

          These are also known as “ragged clips” or end of strip” clips. 

          “The shape of a ragged clip is highly variable,” numismatics website Error-Ref wrote. 

          “Many are straight, some form “ragged notches” and some turn into “ragged fissures.

          “The edge texture of a ragged clip is invariably rough and shows some graininess.”

          The error should not be mistaken for broken coins or planchet errors. 

          3. 2004 Wisconsin state quarter - $95 6The variety of the Wisconsin quarter features an extra-low leaf

          If you happen to find a Wisconsin quarter, you’ll want to be on the lookout for a couple of varieties.

          The 2004-dated state quarter features a cow next to a leaf of corn and a round of cheese. 

          There is also the text of “forward” (beneath the images) and the state’s birth date of 1848 (above the images).

          In particular, you’ll want to look out for an extra leaf, in which there are two varieties. 

          “Immediately, the discovery of the coins broke out in the news and people all over the country were out searching for them,” Jamie Hernandez, former President of Professional Coin Grading Service wrote.

          “There were some reports that some individuals found up to hundreds of them at once from bank wrapped rolls, making it seem as if they were very easy to find.”

          According to coin online database CoinTrackers, the extra high leaf variety of the Wisconsin quarter is worth up to $300.

          The extra low leaf is worth up to $250.

          One variety with the extra low leaf that was ungraded sold for $95 in an eBay auction. 

          4. 2000 New Hampshire state quarter - $216 6The seller claims that the quarter was struck on a Jefferson nickel

          Another state quarter has sold for hundreds online due to an error. 

          The text in the listing features the birthdate of 1788 with the text “Old man of the mountain” on the reverse.

          Although “New Hampshire” does not show on the top of the reverse of the Washington quarter in the listing, this is clearly the design of that particular state coin.

          According to the seller, the quarter was struck on a Jefferson nickel with a planchet mint error, which is also known as a double denomination. 

          “Planchet errors encompass all mistakes resulting from a defective blank, whether or not it has passed through the upsetting mill,” coin service website Fleur de Coin wrote.

          The New Hampshire error quarter wound up selling for $215.50 after 13 bids. 

          5. 1999 Delware state quarter - $788 6This Delaware quarter has a proof grade

          This last coin is unlike the others on this list because it is in a proof grade.

          That means it could be tougher to find since they were minted mainly for the purpose of collecting. 

          It is said that proof coins are struck twice at the beginning of the minting process. 

          The Delaware quarter was the first one struck by the Mint that kicked off the state series. 

          The design features the text “The First State” and “Caesar Rodney,” who was one of the country’s founding fathers. 

          The quarter honors the former Delaware governor’s horseback ride in 1776.

          The coin in the listing features an S mintmark, which stands for San Fransico.

          But most importantly, the coin has a grade of 70, which is the highest on Professional Coin Grading Services’ scale. 

          The coin grader describes coins in the grade as “fully struck and lustrous”.

          The proof Delaware piece sold for a total of $787.77 after 86 bids. 

          It was certified by Numismatic Guaranty Company.

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          For more coin stories, check out the most valuable pieces featuring US Presidents. 

          We also explain the Lincoln VDB, 1992, and 1914 pennies and why they are so valuable.

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          • Money US
          • Rare coins and valuable notes
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