The Gosnell moment, for that is what it is, presents a clear opportunity for a real change of cultural heart. There are moments when some suppressed or ignored horror comes sharply into focus, and after that, it is not really possible to go back to the way it was before. This is what happened when Solzhenitsyn published his Gulag, for example. Something that had been successfully accommodated became impossible to accommodate any further. It was a conscience moment, which, given the nature of the case, most often come to us unsought. But they do come.