Over five weeks of testimony, Philadelphia prosecutors have painted Dr. Kermit Gosnell as an eccentric, detached boss who relied on untrained staff to perform abortions at his outdated, inner-city clinic.
But have they proven he murdered a woman and seven babies born alive? Or that the self-proclaimed do-gooder morphed into a greedy, criminally reckless businessman after returning to his downtrodden West Philadelphia neighborhood?
“There has been an incredible rush to judgment like I have never seen before,” defense lawyer Jack McMahon told jurors in opening statements last month.
The defense begins its case Monday, and the most intriguing question is whether the 72-year-old Gosnell will testify.
He may want to give jurors a self-portrait similar to the one he gave the Philadelphia Daily News just after the 2010 FBI raid that shut down his 30-year practice.
“I wanted to be an effective, positive force in the minority community,” Gosnell told the newspaper, explaining how he was an early supporter of therapeutic abortions and drug treatment in the late 1960s.
Trial witnesses have described an abortion clinic, and perhaps a man, growing increasingly chaotic over the years.
One staffer said Gosnell performed mostly first-trimester abortions when she arrived in 2000, and a few second-term procedures. But the breakdown started to flip, perhaps because first-trimester patients had other choices, while second-trimester patients did not.
The woman who died after a 2009 abortion had gone to several clinics near her Virginia home, starting when she was about 15 weeks pregnant. But each time, she was referred elsewhere, until she arrived at Gosnell’s clinic in her 19th week. Bhutanese refugee Karnamaya Mongar, 41, died of a Demerol overdose the next day.
Gosnell’s “nursing” staff included several women who were trained at a career school to be medical assistants, but were quickly shown how to perform ultrasounds and give anesthesia. To make the latter job easier, a 15-year-old worker used markers to draw up a color-coded chart that showed which drug cocktails should be given to which patients. Sometimes, it depended on how much they could pay, witnesses have said.
Prosecutors have filled the courtroom with Gosnell’s office equipment, including a seemingly ancient ultrasound machine, a busted defibrillator and a ripped, aging examining table.
The 546 exhibits also include dozens of patient files, one of which was handled with latex gloves because of a still-odorous stain. And an FBI agent recalled Gosnell, on the night of the 2010 law enforcement raid, eating dinner while they interviewed him.
“He was still wearing his bloody latex gloves. They had some holes in them,” Agent Jason Huff testified.
At the time of the raid, Gosnell had 47 fetuses stored in the freezer, authorities said, apparently because of a billing dispute with his medical waste company. The recovered bodies gave investigators a wealth of evidence to test, and prosecutors said in opening statements they could prove that at least seven babies were born alive.
Unlicensed doctor Stephen Massof and other staff members testified that Gosnell taught them to “snip” babies in the top of the spine after the abortion procedure.
“If you cut off
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