[F]rankly, your Honor, I think we sugar coat some of the other options and we share this with patients. They might ask, well can you give intracardiac … injections … or …could we do an induction termination and avoid this? But the honest truth is, how do we know that taking this huge instrument and poking it into the baby’s heart and injecting a poison hurts any less than my rapidly cutting the umbilical cord or transecting the spinal cord with my scissors?