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Nancy Aries, PhD

The author is with the School of Public Affairs, Baruch College, City University of New York, NY.

Correspondence: Requests for reprints should be sent to Nancy Aries, PhD, Box C-301, School of Public Affairs, Baruch College, 17 Lexington Ave, New York, NY 10010 (e-mail: nancy_aries{at}baruch.cuny.edu).

The autonomy granted to physicians is based on the claim that their decisions are grounded in scientific principles. But a case study of the evolution of the American College of Obstetricians and Gynecologists’ abortion policy between 1951 and 1973 shows that decisions were only secondarily determined by science. The principal determinant was the need to preserve physician autonomy over the organization and delivery of services.

As a result, the organization representing physicians who specialized in women’s reproductive health was marginal to the struggle for legalized abortion. But, the profession was central to decisions about whether physicians would perform abortions and how they would be done.

This case study finding has implications for understanding the role that organized medicine might take in the ongoing debates about national health policy.