The procedure is gruesome, as anyone who has seen it, including Rashbaum, will attest. One of his former interns remembers watching Rashbaum do a D&E on well-developed twins one hot summer day. He intently leaned in closely and methodically pulled piece after piece of the fetuses out of the mother’s uterus, ignoring the attending staff’s whispers of horror — “It’s twins. It’s twins” — to each other. The intern reacted violently, running home, throwing up, and asking herself, “Is this right?