July 14, 2004

WHY SHOULD THEIR HUMANITY MATTER TO ME?:

Medical science should not determine limit for abortion (MARINA BENJAMIN, 7/11/04, Scotsman)

Ever since the Abortion Act of 1967 first legalised abortion in Britain, assumptions about foetal viability have determined where the upper limit has been set. In 1967, it was set at 28 weeks, which at the time was as young as a newborn could survive outside the womb. In 1990, the limit was reduced to 24 weeks. Now former Liberal leader Lord Steel is calling for a further reduction in acknowledgement of up-to-the-minute innovations in the care of premature babies which mean that a handful of foetuses survive at 22 weeks gestation.

Compared to the anti-abortionists who have only the Bible and not the arguably more influential medical profession on side, Lord Steel and his ilk sound eminently reasonable. Set the limit at the age when a baby is able (technological aid notwithstanding) to survive outside the womb, they argue, and bingo! You have a moral law.

I can’t help feeling, one: that morality is not that easy to come by. And two: that medical viability is as much a red herring in the debate on abortion as the blatant emotionalism generated by those highly publicised ultrasound images.

Let me elaborate. Imagine that medicine by some unexpected fluke suddenly discovered that it was possible to keep four-week-old foetuses alive in jam jars. Would government then be obliged to legislate against any abortion taking place after four weeks - a time when perhaps only one in a hundred women even knows that she’s pregnant? It’s patently absurd.

For a long time now, medicine has assumed too much importance in the abortion debate. Reading the stream of abortion related articles that appeared in last week’s press, barely any granted "social reasons" for aborting a pregnancy equal legitimacy with "medical reasons", confirming that we live in a society where women aborting a foetus diagnosed with spina bifida, for example, are accorded sympathy and understanding, while those aborting because their husbands have abandoned them mid-gestation are scorned.

The problem is that if medical viability remains the benchmark for setting an upper limit on abortion - and if medical advances keep lowering the bar - we’ll soon be faced with a situation where socially motivated abortions are legally discriminated against. (Medically motivated abortions remain unaffected, since it will always be permissible on medical grounds to abort beyond the official legal limit).


Duh? Killing a fellow human for mere social reasons is murder.

Posted by Orrin Judd at July 14, 2004 3:31 PM
Comments

Now, don't you agree that limits on abortion are not a matter for medical science?

Posted by: David Cohen at July 14, 2004 7:17 PM

No. There can be legitimate medical reasons for abortion, but only medical.

Posted by: oj at July 14, 2004 7:38 PM

For all the wrong reasons, there is a point here. Abortion defies the "reason" and deductive logic of both sides. If you say abortion is murder at any stage, you instantly put yourself outside, not only the mainstream American view, but the attitudes of civilization from the year dot. Buckley wrote a terrific piece on this in the 70's where he mused about Catholic prelates from New York railing against abortion as murder and then happily raising a glass with their political opponents at social funcions. The point was that murder is not a technical issue and we don't break bread with people we truly see as murderers.

The fact is that very few see early abortion as murder or ever have, or are even comfortable seeing it as a public issue. Frankly, most see first trimester abortion as best left to the womenfolk--as long as they don't talk about it

But if you say abortion is just a matter of choice, then ... well, this is brothersjudd and I don't think I need go on.

Posted by: Peter B at July 14, 2004 8:29 PM

I would suggest using accepted medical criteria: anyone with a heartbeat and brain waves is presumed alive, since their absence is conclusive medical evidence of death.

The heartbeat can be detected ultrasonicly at 5 weeks, and audibly at from 9-12 weeks. Detectable brainwaves occur in the 9th or 10th week. Thus, this legal definition would prohibit abortion after late in the first trimester.

Posted by: jd watson at July 14, 2004 8:58 PM

Not all killings are murder. No one considers killing a person in self defense to be murder. One can make a strong case that in instances of rape, incest and true mortal risk to the mother, an abortion isn't a murder, but something less than murder.

It seems to me that this is the position of the vast majority of the American people and it is also the right view of the issue.

Posted by: AML at July 15, 2004 12:26 AM

AML:
IIRC, rape, incest, and mortal danger to the mother account for a **very** small number of abortions (something like 1-2%). This means that you would eliminate almost all abortions -- a position supported by a majority, perhaps, but not the 'vast' majority.

Posted by: jd watson at July 15, 2004 12:47 AM

The phrase is "justifiable homicide". What is unique about abortion is that in all other cases, there is judicial review either before (executions) or after (self-defense). Considering how judges are on their way to running all aspects of our lives, perhaps the goal should be to make sure that abortion be included.

Posted by: Raoul Ortega at July 15, 2004 1:13 AM

Medical science has nothing of import to say about abortion policy, or what it should be. Science cannot answer what makes us human or when we become human. Logic pushes us to say that life begins at conception. The policy question then becomes under what circumstances should we allow that human life to be ended. There is no medical reason to terminate pregnancies following rape or incest, nor is it science that would lead us to prefer the mother's life to the child's. There is a line to be drawn here, and it should be drawn by the people, acting through the legislature.

The focus on medical science comes from Roe, in which Justice Blackmun outsourced his decision to the Mayo Clinic. Blackmun was, surprise, wrong about that.

Posted by: David Cohen at July 15, 2004 7:50 AM

David:

That's just silly. A pregnancy that's likely to end in death or catastrophic damage to both mother and child should obviously be dealt with differently than a normal pregnancy.

Posted by: oj at July 15, 2004 8:01 AM

I'm not saying it shouldn't. I'm saying that we can't outsource that policy decision to doctors. Roes treats the people as imbeciles who need expert guardians; the fight is to take back the right and duty to make the hard decisions.

Posted by: David Cohen at July 15, 2004 8:15 AM

But isn't the medical consequence of carrying the fetus to term a necessary component of any policy decision?

Posted by: oj at July 15, 2004 8:23 AM

No, it is a necessary part of implementation.

Posted by: David Cohen at July 15, 2004 9:02 AM

David:

"Roes treats the people as imbeciles who need expert guardians; the fight is to take back the right and duty to make the hard decisions."

So how does that not argue for leaving the choice with individual women?

Posted by: Jeff Guinn at July 15, 2004 1:10 PM

Jeff:

If law were strictly about power, your question would have meaning. But law is about more than power.

Posted by: jim hamlen at July 15, 2004 3:28 PM

Jeff:

It does, in so far as it goes, but it doesn't go very far. There are two seperate questions that get collapsed in the abortion debate: what should the policy be, and who should decide. At the moment, I think the second question is more important, as our current answer is bad theory, contemptuous of democracy and incompatible with our written constitution -- and we can't even begin to discuss the first question until we change the answer to the second question.

Conservatives and libertarians would mostly agree that, if possible, decisions affecting citizens should be left to the citizen or to that level of government closest and most responsive to the citizen. Where libertarians and conservatives differ is in what "possible" means, with libertarians generally understanding it to mean "conceivable" and conservatives meaning "consonent with maintaining a decent society."

So, should citizens be able to decide, with their doctors, to have medical procedures? Yes, and generally speaking the state has no business butting in. But when the procedure effects (that is, ends) another human life and particularly where that human life is unable to choose for itself, the state must get involved. (Though, moving to the question of what the policy should be, it does strike me as odd that we allow the abortion of healthy fetuses, where we might hesitate at the removal of a healthy kidney or the pulling of a healthy tooth.)

Because there is no interest in banning all abortions and a consensus against allowing all abortions, a line must be drawn. Line-drawing is the business of the political branches of government. In our federal system, the proper political branch to draw this line is the state legislature.

Posted by: David Cohen at July 15, 2004 4:29 PM

How likely, Orrin?

And who do you go to to find that out?

Your theologian?

Posted by: Harry Eagar at July 15, 2004 7:23 PM

The citizenry.

Posted by: oj at July 15, 2004 7:27 PM

David:

Excellent response--thanks. Clearly I take the libertarian view on this, but the conservative position is not without merit.

Posted by: Jeff Guinn at July 16, 2004 7:02 AM

I'm a citizen, and my opinion on the likelihood of the progress of a pregancy is worth exactly nothing.

Posted by: Harry Eagar at July 16, 2004 2:14 PM

"Medical science has nothing of import to say about abortion policy, or what it should be. Science cannot answer what makes us human or when we become human. Logic pushes us to say that life begins at conception. The policy question then becomes under what circumstances should we allow that human life to be ended."

I totally agree with David on this point. Introducing science as a decision criteria avoids the central issue that such a decision is a moral decision.

"Though, moving to the question of what the policy should be, it does strike me as odd that we allow the abortion of healthy fetuses, where we might hesitate at the removal of a healthy kidney or the pulling of a healthy tooth."

This is a good point, and it argues against the contention of choice advocates that it is a decision about what a woman does with her own body. Do women routinely have healthy parts of their own body removed?

Posted by: Robert Duquette at July 16, 2004 5:21 PM
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