Health
Horace Hale Harvey III, a Pioneer in Providing Abortions, Dies at 93
On July 1, 1970, one of the first independent abortion clinics in the country opened on the Upper East Side of Manhattan. New York State had just reformed its laws, allowing a woman to terminate her pregnancy in the first trimester — or at any point, if her life was at risk. All of a sudden, the state had the most liberal abortion laws in the country.
Women’s Services, as the clinic was first known, was overseen by an unusual team: Horace Hale Harvey III, a medical doctor with a Ph.D. in philosophy who had been performing illegal abortions in New Orleans; Barbara Pyle, a 23-year-old doctoral student in philosophy, who had been researching sex education and abortion practices in Europe; and an organization known as Clergy Consultation Service on Abortion, a group of rabbis and Protestant ministers who believed that women deserved access to safe and affordable abortions, and who had created a referral service to find and vet those who would provide them.
What distinguished Women’s Services — a nonprofit that first operated out of a series of offices on East 73rd Street and charged on a sliding scale, starting at $200 — was its counselors. They were not medical professionals, but regular women, many of whom had had abortions themselves. Their role was to shepherd patients through the abortion process, using a model of a pelvis to explain the procedure in detail, accompanying the women into the procedure room and sitting with them afterward. They also reported on the doctor’s performance. It was a model that other clinics would adopt in the months and years to come.
The clinic’s humane approach was in stark contrast to the attitude of many hospital personnel at the time, Jane Brody of The New York Times wrote in 1970. “Don’t make it too easy for the patient,” one administrator put it, summing up the hospital’s philosophy. “If it’s too easy, she’ll be back here in three months for another abortion.”
Women’s Services had some other unique features as well. The waiting areas were cheerfully decorated, with piped-in music, and the operating tables had stirrups cushioned with brightly colored pot holders, a flourish Dr. Harvey, who died on Feb. 14, had brought with him from his days working out of hotel rooms in New Orleans.
Unlike many illegal abortion providers in those pre-Roe v. Wade days, who made the process as bare-bones and speedy as possible in anticipation of a police raid, Dr. Harvey had not only softened the atmosphere of his New Orleans procedure room to make it less terrifying; he had also offered the women cookies and Coca-Cola afterward, to help them recuperate.
“Harvey’s conviction was that even a healthy patient would feel sick, in the face of a cold, sterile hospital environment,” Arlene Carmen and the Rev. Howard Moody, the leaders of Clergy Consultation Service, wrote in their 1973 book about the group, “Abortion Counseling and Social Change From Illegal Act to Medical Practice.” “Since abortion was not a sickness, the atmosphere associated with hospitals needed to be avoided.”
Dr. Harvey was 93 when he died at a hospital in the town of Dorchester, in England, after a fall, his daughter Kate Harvey, said. He had lived in England for many years.
Women’s Services opened with $15,000 in funding from Dr. Harvey. Ms. Pyle, who was the administrator, described in an interview the chaotic early days, as clients poured in from all over the country. The clinic operated from 8 a.m. to midnight, with personnel working two shifts. Ms. Pyle slept on a couch in the building. On average, she said, the clinic performed about 72 abortions a day.
Newspapers wrote glowing reports, singling out Dr. Harvey as an innovator. But after less than a year, Ms. Carmen and Mr. Moody, of the Clergy Consultation Service, discovered to their horror that Dr. Harvey had been operating without a medical license. He had surrendered it in 1969, after the Louisiana authorities learned that he was performing illegal abortions. He had to go, and quickly, before he jeopardized Women’s Services’ legal status.
Dr. Harvey had become an abortion provider to combat what he felt was an epidemic of unsafe abortions at a time when unmarried women were denied access to contraceptives, and when comprehensive sex education was discouraged. Low-income women suffered disproportionally.
As a teenager, raised as a conservative Christian, Dr. Harvey had gone through a period of soul-searching, concluding that he was an atheist. During the Vietnam War, he registered as a conscientious objector; instead of fighting, he worked as a health counselor at a Y.M.C.A. Later, in New Orleans, he set up an independent sex-education program, giving lectures, answering questions by telephone and handing out brochures on college campuses.
To Dr. Harvey, the importance of abortion was the idea of preventing “the loss of potential for women,” Ms. Harvey, his daughter, said. “It was a matter of principle to him.”
Horace Hale Harvey III was born on Dec. 7, 1931, in New Orleans into a once-prominent family that had developed what is known as the Harvey Canal, which became part of the Intracoastal Waterway in 1924. His father, Horace Hale Harvey Jr., was a gambler, and the family was poor; they moved around a lot as he tried various professions, including setting up a loan company. His mother, Florence (Krueger) Harvey, was a secretary.
Horace studied philosophy at Louisiana State University, earning a bachelor’s degree in 1955, and a medical degree there in 1966. In 1969, he received a master’s degree in public health and a Ph.D. in philosophy, both from Tulane University, in New Orleans.
Dr. Harvey moved to England after leaving the New York abortion clinic — a choice he made, his daughter said, because he approved of Britain’s National Health Service. He settled on the Isle of Wight, another considered choice: According to his research, it had the highest average temperature and received more hours of sunlight than anywhere else in England.
Dr. Harvey worked briefly in public health in his new country, advising on cervical cancer screening procedures, but spent most of his time researching aging — to prepare for his own old age — reading philosophy and attending to his duties as a landlord.
He had bought Puckaster Close, a rambling Victorian house, turning it into apartments that he renovated in a style as “quirky and characterful” as Dr. Harvey himself, his son, Russell, said.
In addition to his daughter and son, Dr. Harvey is survived by three grandchildren. His marriage to Helen Cox, a school headmistress, ended in divorce.
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For women struggling with weight gain after menopause, a new study suggests that adding hormone therapy to a popular obesity drug may lead to greater weight loss.
Postmenopausal women lost about 35% more weight when using menopausal hormone therapy alongside tirzepatide — a GLP-1-based, Food and Drug Administration-approved drug for the overweight and obese — compared to those taking the drug alone, according to a Mayo Clinic study.
The findings, published in February in The Lancet Obstetrics, Gynaecology, & Women’s Health, highlight a possible new strategy for addressing weight gain after menopause, when hormonal shifts can increase the risk of obesity, cardiovascular disease and Type 2 diabetes.
STOPPING OZEMPIC? NEW STUDY REVEALS SURPRISING WEIGHT REGAIN RESULTS AFTER GLP-1S
“This study provides important insights for developing more effective and personalized strategies for managing cardiometabolic risk in postmenopausal women,” Dr. Regina Castaneda, the study’s first author, said in a statement.
A new study found that postmenopausal women lost more weight when combining hormone therapy with a GLP-1-based drug. (iStock)
Researchers analyzed 120 postmenopausal women who were overweight or obese who took tirzepatide for at least 12 months, including 40 who also used hormone therapy and 80 who did not.
Hormone therapy is commonly used to treat menopause symptoms like hot flashes and night sweats, while tirzepatide helps regulate appetite and blood sugar.
WEIGHT LOSS MEDICATIONS COULD IMPACT SEXUAL HEALTH IN UNEXPECTED WAYS
Women in the hormone therapy group lost an average of 19.2% of their body weight, compared to 14.0% in the non-hormone group — about 35% greater relative weight loss — with more women reaching significant weight-loss thresholds, according to the study.
Despite the results, researchers emphasized that the study was observational and cannot prove cause and effect.
Hormonal changes after menopause can increase weight gain and health risks. (iStock)
“Because this was not a randomized trial, we cannot say hormone therapy caused additional weight loss,” said Dr. Maria Daniela Hurtado Andrade, an endocrinologist at Mayo Clinic and senior author of the study.
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Outside experts agree that the findings must be interpreted cautiously.
“As with all observational studies, we need to interpret this study with a grain of salt,” Dr. Gillian Goddard, a board-certified endocrinologist, told Fox News Digital.
Goddard, who is also an adjunct assistant professor of medicine at the NYU Grossman School of Medicine, noted that the findings show a link but do not prove that hormone therapy, which usually includes estrogen, directly caused the additional weight loss.
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“There may be important differences between the two groups,” she added. “For one thing, the group taking estrogen may be healthier than the groups that didn’t take estrogen. … Healthier people are more likely to eat a healthy diet and exercise in addition to taking tirzepatide. That could lead to more weight loss.”
Tirzepatide, a GLP-1-based drug, may be more effective for weight loss when paired with hormone therapy, according to researchers. (iStock)
Symptom relief from the therapy may have also improved sleep and well-being, making it easier for the group to maintain diet and exercise routines, Hurtado Andrade noted.
Researchers also pointed to a possible biological explanation. Preclinical data suggest estrogen may enhance the appetite-suppressing effects of GLP-1-based medications like tirzepatide, according to the study.
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Goddard said that theory is plausible but unproven.
Hormone therapy may ease menopause symptoms and help women stay on track with diet and exercise. (iStock)
“The other possibility is that estrogen interacts with tirzepatide in some way that makes it more potent,” she said. “We will need randomized studies to get a better handle on that.”
As for safety, experts say using the two together appears safe for most women. However, hormone therapy is not recommended for all patients, especially those with a history of certain cancers, blood clots or other underlying health risks, according to the Mayo Clinic.
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Researchers say future randomized trials will aim to confirm the findings and explore whether the combination also improves broader cardiometabolic health outcomes, according to the study.
Experts say more research is needed to confirm whether hormone therapy directly boosts weight loss results with GLP-1 drugs. (iStock)
“If confirmed, this work could speed the development and adoption of new, evidence-based strategies to reduce this risk for millions of postmenopausal women navigating this life stage,” Hurtado Andrade said.
Fox News Digital has reached out to the study authors for comment.
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If you’re not sleeping well, there could be a variety of reasons, but one habit stands out as the biggest culprit.
Dr. Wendy Troxel, a licensed clinical psychologist and senior behavioral scientist at RAND based in Utah, revealed that phone use at night is the activity that is most likely to have a negative effect on slumber.
“Most people are aware of this, but probably the No. 1 habit that’s contributing to interrupted sleep and poor-quality sleep in Americans is the use of phones at night, particularly in bed,” she said in an interview with Fox News Digital.
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“About 90% of Americans are using their phones in bed, and as much as I would like to tell everybody to remove the phone entirely from the bedroom, I realize that ship has probably sailed by now.”
About 90% of Americans use their phones in bed, the sleep expert said. (iStock)
This disruption is driven by both blue light exposure and the stimulating content on phones, according to Troxel.
“There is blue light emitted from our devices, and blue light can suppress the hormone melatonin, which is the hormone of darkness.”
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“But it’s not just the blue light that is causing sleep disruptions from our phones. It’s really the stimulating content that we’re consuming … (on) social media, which is designed to be addictive, so that you can’t put that phone down,” she added.
The combination of blue light and stimulating content keeps the mind alert and interrupts quality sleep. (iStock)
This content is also “very emotionally activating,” Troxel noted, which is “antithetical to the state we want to be in as we approach sleep.”
To counteract attachment to phones, the sleep expert recommends setting a boundary with one simple rule.
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“I recommend that you try to keep your phone more than arms’ distance away from you while in bed,” she advised. “And set a rule for yourself. If you’re going to use the phone, don’t do it in bed. In fact, make your feet be on the floor if you’re going to use that phone.”
“I recommend that you try to keep your phone more than arms’ distance away from you while in bed,” the sleep expert recommended. (iStock)
Setting this boundary creates “behavioral friction,” according to Troxel.
“As a clinical psychologist, I work with people to help them … break habits that aren’t serving them,” she said. “Having that little bit of behavioral friction makes the habit of immediately grabbing for the phone and scrolling while in bed a little more difficult.
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“And when that automatic behavior is a little more difficult, it’s less likely to occur.”
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