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  On another distressing workday, the Houston doctor saw a thirty-eight-year-old woman who’d just discovered she was pregnant. The woman explained that she had already had three Cesareans in the past, and the physician who had delivered her children had warned her that a fourth pregnancy could be fatal. In tears, the woman begged for an abortion. “I don’t know what I’m going to do,” the ob-gyn recalled her patient saying. “I can’t die. I have three kids to take care of.”