"Who wants to be at the very bottom of the food chain of medical profession?" Akin continued. "And what sort of places do these bottom-of-the-food-chain doctors work in? Places that are really a pit. You find that along with the culture of death go all kinds of other law-breaking: not following good sanitary procedure, giving abortions to women who are not actually pregnant, cheating on taxes, all these kinds of things, misuse of anesthetics so that people die or almost die."