With a few notable exceptions, state and local government officials had completely failed to do their jobs. Official incompetence, bureaucratic inertia, neglect, and the desire to protect abortion from a harsh spotlight whatever the cost caused needless deaths and injuries. The grand jury's conclusion was damning: Kermit Gospel murdered and maimed with impunity for thirty years because virtually no one did his job properly.

Gosnell: The Untold Story of America’s Most Prolific Serial Killer