One patient, a 41-year-old refugee, died after an overdose of drugs allegedly given to her during a 2009 abortion.
Moton, 35, had lived with Gosnell's family during high school because of problems at home, then went to work for him years later. She earned about $10 an hour — off the books — to administer drugs, perform ultrasounds, help with abortions and dispose of fetal remains from 2005 to 2008.
She once had to kill a baby delivered in a toilet, cutting its neck with scissors, she said. Asked if she knew that was wrong, she said, "At first I didn't."
Abortions are typically performed in utero.
Moton has pleaded guilty to third-degree murder, which carries a 20- to 40-year term, as well as conspiracy and other charges. She has been in prison since early 2011, when Philadelphia prosecutors arrested Gosnell, his third wife, Pearl, and eight other employees. Most of them have pleaded guilty and are expected to testify.
Defense lawyer Jack McMahon told jurors in opening statements Monday that Gosnell, now 72, returned to the impoverished neighborhood after medical school when he could have struck it rich in the suburbs. He called the prosecution of his client, who is black, "a lynching."
But prosecutors believe Gosnell made plenty of money over a 30-year career using cheap, untrained staff, outdated medicines and barbaric techniques to perform abortions on desperate, low-income women.
And they say he made even more on the side running a "pill mill," where addicts and drug dealers could get prescriptions for potent painkillers. Authorities found $250,000 in cash under a mattress when they searched his home in 2010.
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