Dr. Spencer, 1889–1969: Last Trip to Ashland
One month, to the date, before his death last Tuesday, I was privileged to meet the legendary Dr. Robert Douglas Spencer. The trip to Ashland, which was more in the nature of a pilgrimage than a quest for an interview, had come about through the good graces of Dr. Nathan H. Rappaport. A chance to meet Spencer, and through the entree of another abortionist, was an unusual opportunity. Arrangements were made and carried out on a day’s notice. Rappaport drove us to the Pennsylvania coal country in his Citroen. The other passengers were Carol Kahn, a reporter for Medical World News, and her husband, Ira.
We were a high-spirited group, Carol, Ira, and I, and we must have sorely taxed the ego of our friend during the four-hour drive to the little town near Pottsville, pumping him as we did for details of Spencer’s life. It was a journey to Ashland that, I expect, was quite different from the more than 30,000 other journeys that travelers had made to this village, travelers with a secret, urgent mission.
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Spencer, I knew, was back in business again, at the age of 79. The justifiedly famous doctor had reopened his clinic on Centre Street and was now charging the incredible sum of $200, a concession, as he later told us, to the higher cost of drugs and supplies. At $200, Spencer’s price was still hard to believe, well under the going rate for such things. He was still unique in American history.
I tried to recall during our journey just when it was that Dr. Spencer of Ashland had first come into my consciousness. It was, I determined, about 12 years ago. A friend, a painter, had called one day to report that she was pregnant and desperate and did I know of anyone. The only abortionist I had heard of was one another friend, a model, had told me about. She had been taken to him blindfolded and he had charged her $1000. The model had not seen her doctor’s face without his mask and she did not know his real name. The painter, however, was able to make better arrangements. She called back to say that she had gotten wind of a Spencer in Ashland, Pennsylvania, who was supposed to be great, kind, and medically responsible, and who did abortions for practically nothing because he believed in them. A week later my painter friend came over to see me. Spencer in Ashland was a reality. He was, she reported with wonder, a kindly old man. His clinic was spotless. He had a nurse and an attendant. She had slept over at the clinic and had met some other girls who were in a similar plight. The next day, when she departed, he had given her an assortment of pills to ward off infection and build up her strength. He seemed concerned about her, downright fatherly. He didn’t make her think she had done something wrong. The operation hadn’t caused her much pain, and, the biggest wonder of all, it was only $50.
And so it was that Spencer went into my telephone book, under “A” for abortionist. I am poor at remembering telephone numbers, but Spencer’s old number is still in my memory. It was Ashland 404. I was an aspiring actress in those days, and much taken with Tennessee Williams. I remember once passing along the Spencer number to another friend and saying in my best “Summer and Smoke” voice, “Really, I think of it as the telephone number of God.” Young acting students are all over-dramatic, but there was good cause for such intense language when talking about Spencer. Spencer meant deliverance, it was as simple as that. Going to Spencer meant taking an alternative that the culture was doing its damnedest to hide or distort. The public image of an abortionist, through books, plays, movies, articles, or whatever, was of an evil, leering, drunken, perverted butcher at worst, and a cold, mysterious, money-hungry Park Avenue price-gouger at best. And then there was Spencer with his clinic on the main street of a small American town, who charged $50, who believed in abortions, and who was kind. Knowing about Spencer in Ashland was one irrefutable piece in the logic which led one to the conclusion that the culture was capable of the big lie.
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As the years passed, Spencer’s name would come up from time to time. The price had gone from $50 to $100. Some people remembered when it had been $25, or even $10. There were long stretches when the doctor in Ashland would go into retirement, and there were stories of treks to Ashland only to find the clinic boarded up and silent. There was, we heard, a death on his operating table from a reaction to the anesthesia. There was a trial and there was, miraculously, an acquittal. We heard misinformation, too. Spencer had become an abortionist, the rumor went, because his own daughter had died on the operating table of an abortionist-butcher. This story was untrue, unfortunately popularized in a bad novel based loosely on the life of Spencer by a lady novelist with one of those awkward three-name combinations. Maybe the lady meant it symbolically. Spencer’s real-life daughter, better information had it, was alive and well, and so was his son. Other information I absorbed about Spencer, I was later to learn, was quite accurate. He was a committed atheist and free-thinker who often pressed his literature into the hands of the girls along with the antibiotics and vitamin pills. He had gotten into abortion work during the ’20s through the supplication of the miners’ wives in the Pennsylvania coal country, and his work for the miners — he was a pioneer in the technique of bronchoscopy — won him a heavy workmen’s compensation caseload, and, some said, the protection of the United Mine Workers during the years when the protection of the mine workers was something that counted.
Ashland, Pennsylvania. Principal products: coal, homemade wine, and abortions. The sort of Americana that always evaded the Saturday Evening Post. The town of Ashland is in some parts as narrow as the width of two streets. One of those streets is Centre Street, which is also a state highway. For some romantic reason I’d pictured Spencer’s clinic as a rambling, gabled mansion with a front porch. It was, instead, a very ordinary three-story, brick-face structure, flat, characterless, and attached on both side to similar-looking units. Diagonally across from it was the local movie theatre, which bore the legend, “We Burn Coal.” Most of the private homes and business in Ashland resist installing oil burners, and show their defiance with a printed placard.
Spencer’s home was on South 9th Street, just a few blocks from the clinic. It was a little house with a storm door and no lawn. There was a Christmas wreath in the window. The hour was late when we rang the bell. Spencer’s wife, a tall, big-boned woman, greeted us and led us past the formal parlor to a back room: Spencer’s study.
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And there he was, a tiny wisp of a man, frail, dry as dust, with sharp, thin features and bright eyes. He was wearing a suit of some dark material and it hung on him loosely. Rappaport had told us that Spencer had more or less stopped eating this last year, convinced that his health was irrevocably failing. There were signs of his eating habits about: two opened packages of pistachio nuts. He sat in a rocker, with what looked like a bear rug slung over his knees. He hardly looked capable of the energy required to attend to three or four abortions a day, which was his current schedule. (In his heyday, he had handled 10 to 11 patients.)
We were introduced, and we gravely paid our respects to his reputation, which I think pleased him. The interests of the man were evident in his study. Books of every description, some still in their mail-order wrappings, lined the walls and were stacked on tables, fighting for space with the mementoes of his travels: large chunks of mineral rock, strange and beautiful Indian masks, a blow gun, and a fine collection of rifles. “Douglas likes to go boar hunting. Show them your boar-hunting pictures,” Rappaport said, and Spencer got up and obliged. The snapshots showed the tiny figure with a big, red hunter’s cap on his head, standing in a group with four or five other hunters, towering men, each with his rifle proudly stuck in the ground. Behind the hunting party, 11 large black boars were strung up in a neat row, quite dead. Dr. R. D. Spencer was, he informed us, firmly against gun registration.
Carol or Ira called attention to the microscopes. Several of them were about the room, some with camera attachments and light boxes, and one which Spencer himself had designed. Spencer’s training had been in pathology. Happy to show us the microscopes, he went to one of his cabinets and pulled out some slides. As we took turns at the microscope, intently viewing the various specimens of single-celled life that Spencer had prepared, the man grew increasingly more animated. He was entertaining his guests, and thoroughly enjoying it, and we in turn were thoroughly charmed and engaged, so much so that our friend Rappaport withdrew somewhat testily to the front parlor to converse with Mrs. Spencer.
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Warming to his audience, Spencer brought out further treasures. “This,” he announced of one exhibit, “is the life history of a fly.” And it was, from an insignificant speck to the insect as we know it. “Do you know what this is?” he queried, showing us a small, clear plastic block with something red and curled imprisoned in the center. It was, he told us, the embryo of a pig. We passed it from had to hand, marveling at its tiny perfection, examining it more closely under one of the microscopes. Spencer showed us another red, curled specimen in plastic. “A human embryo,” he announced. “Less than four weeks old.” Unbelievable, but there it was, tiny, more intricate than the pig, with a spot for the eye and the definite tracing of a spinal column. In all, he showed us three tiny human embryos, none more than a thumbnail long, but the third larger and more developed than the first. The only human embryos I had ever seen were those in a big picture layout in Life Magazine. These were in my hand, three-dimensional and real. I took the largest human one and compared it with the pig. A sentence from biology class popped into my head. “Well, ontogeny certainly does recapitulate phylogeny, doesn’t it?”
We were gripped by the human embryos and would have liked to see more, if there were any, but Spencer was digging in his cabinet for other exhibits. He showed us something pitch-black ad vaguely cloth-like in a glass slide. “I’ll give you a hint about this one,” he said, playing a game. “It’s animal and mineral and indigenous to the region.” We were stumped. “Carbon?” I ventured. “That’s the mineral part of it,” he admitted. “Well, a fossilized animal in coal?” I tried again. “This is a piece of a miner’s lung,” he stated simply. “The miner died, obviously.”
We didn’t leave Spencer’s house until close to 1 a.m., and we returned the next day. “He’s been expecting you all morning,” his wife said as she brought us to the rear study. We had thought, Carol and I, that we had better make a stab at a proper interview this time, particularly since Carol’s magazine was paying for her part of the trip. She set up her tape recorder and I reluctantly brought out my notebook. It seemed unfair to ruin a social visit. Spencer apparently though so, too. It was hard to keep him to the subject and several exasperated looks were exchanged among us as our host got involved in anecdote after anecdote, complex stories involving his diagnostic skills, but not at all about abortion.
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Trying our best to pin him down to his very first abortion, we discovered that there really was no such thing as a first abortion, a conscious decision to break the law, with trumpets. He had gotten requests from some local women, and he had obliged. “But why,” I persisted, “did you oblige? Most other doctors don’t. Why were you different? Why did you do abortions for women?” He rocked back and forth in his chair. “Because,” he said slowly, “I could see their point of view.”
For Carol, he attempted to describe his medical procedure. After using the packing method for a couple of years, one day he got a circular in the mail for Leunbach paste, manufactured in Germany. “By golly, it worked,” he told us. Later, when the Leunbach was taken off the market, he began manufacturing his own product in his laboratory, a mild soft-soap solution, which he used to dilate the cervix and loosen the conceptus in the first stage of his procedure. The following day he would complete the curettage. Spencer refined his own technique and he stuck with it for 40 years. The newer methods didn’t interest him.
Spencer told us that he was following with keen interest the recent attempts to liberalize abortion laws in several states. He himself had written Governor Shafer of Pennsylvania. “I told him that most of our laws are from the English,” he said spiritedly, “so why don’t we go to work and copy the one they just passed?” He talked about his letter-writing with the righteousness of an American Legionnaire or a Rotarian, which was not surprising, since he later told us that he was a founder of the Pennsylvania Legion and had been an active Rotarian all his life. His father had been the district attorney of the neighboring country. Did that explain his remarkable record of longevity in a career which is usually marked by the law crashing down on the practitioner’s head? “No,” he said thoughtfully. “I’ve been here since 1919. I daresay I’ve helped out half the town. Even on the abortion end, there is probably one of my patients related to a family in half of the town. I think most of the town would stand up for me.”
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It was 4 p.m. and beginning to snow, and Rappaport was urging us to get going. We said our goodbyes reluctantly. “Please come back and visit again soon,” Spencer urged. I had noticed that among his vast collection of books was a Writer’s Market ’69. Had he been thinking of publishing something, I inquired. Spencer smiled wistfully. Did he want an article about him in a major magazine, with a picture, I pushed. He allowed as how once the New York Times had been interested, but his lawyer had thought that the time wasn’t right. He still had an indictment hanging over his head. References to Spencer had appeared in print, but usually he was “the legendary Dr. S.” Time Magazine, as far as I knew, was the only mass circulation magazine to print his name in full. I told him I thought the time couldn’t be more right for publicity. The idea seemed to appeal to him. Punctiliously he gave me the address and telephone number of his lawyer in Pottsville, and then, special privilege, his own private unlisted number at the house. “We’ll do it for your 80th birthday,” I promised. He had told us that his birth date was March 16, and he was going to celebrate by shutting the clinic for a month and taking his wife on a trip around the world.
Last week I got a call from Dr. Rappaport. Spencer had died that morning at 5 a.m. ❖