Reports state that state officials had failed to visit or inspect Gosnell's practices since 1993.[SUP]
[43][/SUP] The grand jury report noted that the medical examiner of Delaware County alerted the Pennsylvania Department of Health that Gosnell had performed an illegal abortion on a 14-year-old who was thirty weeks pregnant;[SUP]
[53][/SUP] it is also claimed the Pennsylvania Department of Health did not act when they became aware of Gosnell's involvement in the death of Karnamaya Mongar.[SUP]
[53][/SUP]
Brenda Green, executive director of CHOICE, a nonprofit that connects the underinsured and uninsured with health services, told
Katha Pollitt of
The Nation that "it tried to report complaints from clients, but the department wouldn’t accept them from a third party. Instead, the patients had to fill out a daunting five-page form, available only in English, that required them to reveal their identities upfront and be available to testify in Harrisburg. Even with CHOICE staffers there to help, only two women agreed to fill out the form, and both decided not to submit it. The Department of State and the Philadelphia Public Health Department also had ample warning of dire conditions and took no action."[SUP]
[53][/SUP]
In 2011, it was reported that none of Pennsylvania's 22 abortion clinics had been inspected by the government for more than 15 years.[SUP]
[54][/SUP]
Inspections (other than those triggered by complaints) had ceased under Ridge's governorship, as they were perceived to create a barrier to women seeking abortion services
