MRT5120 Abortion - Roger Tirazona

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1 The Abortion Debate Pros and Cons By Roger Tirazona B.Psy PGCE PSD – 535279M MA. Bioethics Candidate Semester 2 2012 MRT5120SEM2AE: Public Policy and Ethics at the Edges of Human Life Abstract Though the field of Bioethics is preoccupied with a wide variety of issues, there are none that have been challenged, vehemently argued for and against and raised enough eyebrows as the issue of abortion. This assignment will tersely discuss the principal arguments that are put forward by the lobbies in favour and against abortion. The issue is so historically rooted and so much research has been done about it and so many people have spoken about, that it is impossible to be allencompassing for the purposes of this assignment. Some of the arguments for and against, have reached an intricate stalemate and the rhetoric that has been used by the two lobbies has now become inescapable and turned full circle. If this debate hopes to ever reach any sort of closure, new avenues of thinking and more mature approaches need to be sought and added to the discourse.

Transcript of MRT5120 Abortion - Roger Tirazona

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The  Abortion  Debate  –  Pros  and  Cons  By  Roger  Tirazona  B.Psy  PGCE  PSD  –  535279M  MA.  Bioethics  Candidate  Semester  2  -­‐  2012    

MRT5120-­‐SEM2-­‐AE:  Public  Policy  and  Ethics  at  the  Edges  of  Human  Life      

Abstract  

 

Though  the  field  of  Bioethics  is  preoccupied  with  a  wide  variety  of  issues,  there  are  none  

that   have   been   challenged,   vehemently   argued   for   and   against   and   raised   enough  

eyebrows   as   the   issue   of   abortion.     This   assignment  will   tersely   discuss   the   principal  

arguments  that  are  put  forward  by  the  lobbies  in  favour  and  against  abortion.    The  issue  

is   so   historically   rooted   and   so   much   research   has   been   done   about   it   and   so   many  

people  have  spoken  about,  that  it  is  impossible  to  be  all-­‐encompassing  for  the  purposes  

of   this   assignment.     Some   of   the   arguments   for   and   against,   have   reached   an   intricate  

stalemate   and   the   rhetoric   that   has   been   used   by   the   two   lobbies   has   now   become  

inescapable  and  turned  full  circle.    If  this  debate  hopes  to  ever  reach  any  sort  of  closure,  

new  avenues  of  thinking  and  more  mature  approaches  need  to  be  sought  and  added  to  

the  discourse.    

   

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Table  of  Contents  

Introduction  ........................................................................................................................  3  

The  Hippocratic  Oath  .........................................................................................................................................................  4  Abortion  and  Eugenics  ......................................................................................................................................................  5  Roe  v.  Wade  ............................................................................................................................................................................  6  

Medical  Perspectives  ..........................................................................................................  8  

The  Idea  of  Viability  ............................................................................................................................................................  9  The  Safety  of  Women  .......................................................................................................................................................  10  Post  Abortion  Traumas  ...................................................................................................................................................  11  Late  Term  Abortions  ........................................................................................................................................................  13  

The  Personhood  Debate  ....................................................................................................  15  

Why  is  the  foetus  not  a  person?  ...................................................................................................................................  15  Neurological  reasons?  ......................................................................................................................................................  16  

Feminism,  Rights  and  Reason  ............................................................................................  19  

Beyond  the  rhetoric  of  Personhood  ...........................................................................................................................  19  Father’s  Rights  ....................................................................................................................................................................  21  Consistency  ...........................................................................................................................................................................  22  

Abortion  and  Religion  .......................................................................................................  23  

The  Shaping  of  Society  ......................................................................................................  25  

Disability  issues  ..................................................................................................................................................................  25  Demographics  ......................................................................................................................................................................  26  

Conclusion  ........................................................................................................................  28  

Bibliography  ......................................................................................................................  29  

 

 

   

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Introduction  

 

In  order  to  discuss  the  topic  of  Abortion,  one  must  first  start  by  defining  the  term.    When  

researching,   various   definitions   of   abortion   crop   up   with   varying   jargon   or   varying  

provisos   that   show   both   the   agenda   of   the   information   giver,   or   that   level   of  

permissibility  of  the  abortive  procedure  by  the  institution  or  the  context  where  abortion  

is  being  defined.    This  assignment  will  investigate  tersely,  key  perspectives  and  ethics  of  

abortion  that  will  argue  in  favour  or  against  it.  

 

  The  Catholic  Online  Encyclopaedia  gives  the  Etymological  definition  of  the  word  

“abortion”,  from  Latin  aboriri,  which  means  to  perish;  referring  to  the  perishing  of  foetal  

life.   (Coppens, 1907)     Under   this   etymological   definition,   any   form   of   loss   of   foetal   or  

embryonic   life,   even   under   accidental   circumstances,   would   constitute   an   abortion.    

However  it  is  not  the  case  that  the  modern  use  of  the  word  abortion  encompasses  such  a  

wide   definition.     Nowadays,   the   word   “abortion”   refers   more   to   how   medical  

practitioners   refer   to   abortion;   i.e.   the   termination   of   pregnancy   by   the   removal   or  

expulsion  from  the  uterus  of  a  foetus  or  embryo  prior  to  viability.    An  indefinite  variation  

of  this  definition  can  be  found  in  most  medical,  obstetric  and  gynaecological  textbooks.    

The  word  “viability”  refers  to  the  foetus’  capability  of   independent  survival  outside  the  

Uterus,  which  already  is  implying  certain  ethics  of  abortion  within  this  definition.      

 

  Some   textbooks   also   feel   the   need   to   specify   between   a   spontaneous   abortion  

(what  one  would  usually  call  a  miscarriage)  and  an  intended  abortion,  which  is  the  wilful  

expulsion  or  removal  of  the  foetus.      This  wider  view  of  abortion,  is  perhaps  closer  to  the  

etymology  of  the  word  abortion.    Other  textbooks  do  not  specify  the  difference,  taking  it  

for  granted  that  abortion  refers  to  the  latter  scenario.    However,  since  there  are  certain  

medical  dictionaries  that  consider  abortion  to  also  refer  to  the  spontaneous  abortion,  for  

the  purposes  of  this  assignment,  “abortion”  is  defined  as  the  wilful  induced  expulsion  of  

the   product   of   conception,   embryo   or   foetus.     Viability   is   a   concept   with   ethical  

considerations  that  will  be  discussed  further  in  this  assignment.  

 

When   discussing   the   pro   arguments   of   abortion   and   the   contra   arguments   of  

abortion,  one  has  to  also  start   from  understanding  the  role  that  abortion  has  played   in  

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History.    In  the  case  of  abortion,  Bioethicists  are  not  facing  a  phenomenon  that  is  cutting  

edge,   modern   scientific   or   medical   technology,   but   a   procedure   that   has   deep-­‐seated  

roots  even  in  Ancient  History.    The  need  for  the  termination  of  a  pregnancy  is  something  

that  may  go  back   to   the  dawn  of  humanity,  but   the   first   archaeological   record   that  we  

have  is  from  the  Ancient  Egyptian  Ebers  Papyrus  of  1550  BCE.    Other  records  come  from  

half  a  world  over,  from  515  BCE  China.    Archaeological  discoveries  indicate  early  surgical  

attempts  at  the  extraction  of  a  foetus;  however,  such  procedures  are  not  believed  to  have  

been  common,  given  the  infrequency  with  which  they  are  mentioned  in  ancient  medical  

texts.    (Potts & Campbell, 2009)    There  are  Maltese  records  about  abortion,  dating  back  to  

the   18th   century,   recording   a   Modesta   Bravin   terminating   her   pregnancy   with   an  

abortifacient  potion,  procured  to  her  by  the  chemist  Giovanni  Angelo  Sammut.    (Ciappara,

1988)  

 

Natural  Abortifacients  were   in   fact  widely  used   in   the  Ancient  World   and   some  

are  actually  prescribed  as  herbal  “remedies”  for  unwanted  pregnancies  on  certain  online  

sources   for   alternative   medicine.     Black   Hellebore   (Helleborus   niger)   is   a   known  

abortifacient  and  emmenagogue  that  was  used  in  the  ancient  world  and  is  known  to  be  

used  till  this  day.    (Riddle, 1992, p. 34)  

 

The  Hippocratic  Oath  

 

One   of   the   arguments   brought   forward  by   the   anti-­‐abortion   voices,   is   that  Abortion   is  

against   the   Hippocratic   Oath,   the   oath   that   doctors   take   upon   their   graduation  where  

they   pledge   to   do   no   harm.     This   tradition   dates   back   to   the   ancient   Greek   physician  

Hippocrates  c.  460  –  370  BCE.    The  original  Hippocratic  Oath  contained  the   line   “I  will  

give  no  deadly  medicine  to  any  one  if  asked,  nor  suggest  any  such  counsel;  and  similarly  I  

will  not  give  a  woman  a  pessary  to  cause  an  abortion.”    Some  interpret  this   line  saying  

that  therefore,  Abortion  goes  against  the  oath,  however  others  say  that  Hippocrates  was  

not  against  abortion,  but  against  the  use  of  the  pessary  itself,  which  was  known  to  cause  

fatal  vaginal  ulcers.  

 

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  Hippocrates   himself   is   thought   to   have   advised   abortions   from   his   attributed  

writings.    He  writes  advising  a  prostitute  who  became  pregnant  to  “jump  up  and  down,  

touching  her  buttocks  with  her  heels  at  each  leap  to  induce  a  miscarriage”.    (Lefkowitz &

Fant, 1992, p. 341)     Other   writings   attributed   to   him   describe   instruments   that   were  

fashioned  to  dilate  the  cervix  and  curette  the  Uterus,  a  procedure  that  is  used  till  this  day  

as  a  means  of  procuring  an  abortion.    (Klotz, 1973)    Later  editions  of  the  Hippocratic  oath  

have   removed   the   mention   of   abortion,   which   many   interpret   has   allowed   the  

permissibility   of   abortion   under   the   Hippocratic   Oath.     However   anti-­‐abortion   voices  

argue   “even   without   referencing   abortion   directly,   the   doctors   who   take   this   oath   (if  

they're  honest)  are  still  committing  themselves  to  the  preservation  of  human  life,  which  

can  be  traced  back  all  the  way  to  the  moment  of  conception.”    (Abort73.com, 2010)    Such  a  

statement  however,  is  based  on  the  assumption  that  human  life  begins  from  the  moment  

of  conception;  an  argument  that  deserves  its  own  ethical  considerations  later  on  in  this  

assignment.  

 

Abortion  and  Eugenics  

 

In   the   19th   Century;   Francis   Galton   interpreted   Mendelian   Inheritance,   Darwinian  

Natural  Selection  and  the  idea  of  survival  of  the  fittest,  as  something  that  one  should  base  

his  society  on  (committing  the  Naturalistic  Fallacy,  that  Homo  sapiens  should  repeat  that  

which  is  observed  in  nature  for  the  species  to  flourish).    He  therefore  started  the  Eugenic  

movement,   that   eventually   prescribed   the   “genetic   improvement   of   a   population”   by  

means  of  sterilisation,  contraception  and  abortion  of  the  “unfit”.  

   

20th   Century   Eugenics   in   America   married   the   Feminist   movement;   Margaret  

Sanger   was   the   founder   of   Planned   Parenthood   and   was   also   involved   in   the   “negro  

project”   and   even   gave   talks   at   the   KKK.   Sanger’s   Eugenic   instrument   of   choice   was  

always  contraception  however  and  never  abortion.   It  was  after  Sanger’s  death   that   the  

Eugenics,  Feminist  and  Reproductive  Rights  movement  expanded  to  include  abortion  in  

their  agenda.  (Sanger, Margaret Sanger, An Autobiography, 1938, pp. 366-367)  

 

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Sanger  wrote  in  her  book  Woman  and  the  New  Race,  "while  there  are  cases  where  

even  the  law  recognises  an  abortion  as  justifiable  if  recommended  by  a  physician,  I  assert  

that   the   hundreds   of   thousands   of   abortions   performed   in   America   each   year   are   a  

disgrace  to  civilisation."  (Sanger, Women and the New Race, 1920)    

 

  It   is   therefore   evident,   that   one   of   the  most   vociferous   proponents   of   abortion,  

Planned  Parenthood,  though  not  originally  intended  by  its  founder  to  be  such,  however  

started  off  as  a  racially-­‐motivated  population  control.    It  was  later,  after  Sanger’s  Death  

that  Abortion  and  the  Eugenic  movement  took  over  institutions  like  planned  parenthood  

to  push  their  eugenic  agenda.    C.P.  Blacker  noted  that:  "  The  Society's  activities  in  crypto-­‐

eugenics  should  be  pursued  vigorously,  and  specifically  that  the  Society  should  increase  

its   monetary   support   of   the   FPA   [Family   Planning   Association,   the   English   branch   of  

Planned  Parenthood]  and   the   IPPF   [International  Planned  Parenthood  Federation]  and  

should  make  contact  with  the  Society  for  the  Study  of  Human  Biology,  which  already  has  

a   strong   and   active  membership,   to   find  out   if   any   relevant  projects   are   contemplated  

with  which  the  Eugenics  Society  could  assist".  (all.org, 1999)  

 

  The  fact  that  planned  parenthood  grew  out  of  the  eugenics  movement  and  that  C.  

P.  Blacker  was  the  Chairman  of  IPPF  and  wishing  to  implement  a  surreptitious  eugenics  

agenda,   raises   valid   questions   about   the   agenda   of   the   proliferation   of   abortion   as   a  

means   of   Birth   Control.     It   is   perhaps   one   of   the   major   arguments   against   abortion,  

because   if   there   is   anything   that   is   more   globally   repudiated   than   abortion,   it   is   the  

discriminatory  and   racist   eugenic   agenda.    What   started  as   a   feminist,   though   racially-­‐

motivated   movement,   was   taken   over   by   persons   who   had   an   agenda   to   control   the  

population  of  those  deemed  “less  valid”.  

Roe  v.  Wade  

 

The   1973   milestone   case   where   the   Supreme   Court,   feeling   compelled   to   protect  

women’s  rights  and  the  issue  of  reproductive  health,  granted  the  right  to  abort  in  all  of  

the  Unites  States  of  America  making  the  enforcing  of  anti-­‐abortion  laws  unconstitutional.    

“In  a  7  –  2  vote,  the  Court  said  that  the  Texas  law  violated  the  due  process  clause  of  the  

14th  Constitutional  Amendment.      Justice  Harry  Blackmun,  writing  for  the  majorit,  argued  

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that  a  woman’s  decision  to  end  her  pregnancy  is  protected  by  a  broad  right  of  privacy,  

which  though  not  explicitly  laid  out  in  the  Constitution,  previously  had  been  found  by  the  

court  to  exist  within  the  1st,  4th,  5th,  9th  and  14th  as  well  as  the  penumbras,  or  shadows,  of  

the  Bill  of  Rights.”  (PBS.ORG Broadcast, 2006)  

 

  Roe  v.  Wade  also   failed  to  protect   the  moral  status  of   the   foetus  where   it  stated  

that   the   foetus   is  not  a  person  that   is  protected  by   the  14th  Constitutional  amendment,  

which  says  that  “no  state  shall  deprive  a  person  of   life,   liberty  or  property,  without  the  

due   process   of   law.”     The   foetus   is   not   a   person   and   therefore   unprotected   by   this  

amendment.    However   the  Supreme  court   failed   to  give  a  convincing  argument   to  why  

the  foetus   is  not  a  person,  recognising  the  difficulty  to  do  so.    The  Supreme  Court  said:  

"We  need  not  resolve  the  difficult  question  of  when  life  begins...the  judiciary  at  this  point  

in   the   development   of   man's   knowledge,   is   not   in   a   position   to   speculate   as   to   the  

answer."  (prolifewisconsin.org, 2012)    This  lack  of  a  thesis  for  personhood  is  perhaps  the  

strongest  opposition  there  is  to  the  Roe  v.  Wade  decision.  

 

  Since   Roe   v.   Wade,   many   state-­‐specific   restrictions   have   been   lobbied,   till  

recently,   to   restrict   the   access   of   abortion.     These   include  measures   such   as   parental  

consent,   spousal   notification,   mandatory   ultrasounds   prior   to   abortion,   full   informed  

consent,  etc.    Bioethicist  Richard  McCormick,  in  his  journal  entry  entitled  “Theology  and  

Bioethics”,  discussed  how  Theologians  needed  to  be  more  vocal  in  the  field  of  Bioethics  

in   the  60’s  and  70’s.    Perhaps,   the  public  opinion  and  the  result  of   the  case  could  have  

been  different  if  ethicists  were  more  vociferous.    (McCormick,  1989,  pp.  5-­‐10)      

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Medical  Perspectives  

 

Medicine  and  abortion  were  inextricably  intertwined  since  antiquity,  obviously  because  

abortion  is  a  medical  procedure;  whether   it   is  procured  surgically  or  pharmaceutically.    

Medical   Science   and   Ethics   are   therefore   crucial   in   the   abortion   debate.     People  

interested   in   the   ethics   of   abortion   turn   to  medicine   and  medical   practitioners   for   the  

following  sort  of  information  and  perspectives:  

1. whether  medical   knowledge   clarifies   the  moral   status   of   the   foetus   as   a   human  

being;  

2. whether  medical  information  on  abortion  confirms  it  to  be  safe  for  the  woman;  

3. what   the   medical   perspectives   are   on   performing   early   versus   late   abortions,  

particularly  in  light  of  controversies  regarding  partial  birth  abortion;  

4. what  the  public  health  and  international  perspectives  are  on  abortion.  (Post, 2004,

pp. 1-49, 1)  

 

Science,   being   based   on   empiricism   is   referred   to   for   conclusive   answers   to  

questions  such  as  “when  does  human   life  begin?”    But   “what   is   life?”   is  a  question  that  

should  be   asked   first   before  deciding   to   enquire   “when”   is   it   present.     It   is   like   asking  

someone  who  had  a  horse  carriage  all  his  life  and  never  saw  a  car,  to  answer  “when  can  

we  call  a  means  of  transport  a  car?”.  Is  life  something  that  is  measurable  empirically?  Can  

one   really   draw   lines   on  when   is   it   present?     The  Encyclopedia  of  Bioethics   states   that  

“However  much  information  biomedical  investigation  may  provide  regarding  pregnancy,  

foetal  development,  and  abortion,  it  cannot  provide  a  determination  as  to  when  human  

life   begins.   The   answer   to   that   question—which   deals   with   the   moral   status   of   the  

foetus—is  arrived  at  by  a  process  that  entwines  medical  facts  with  experiences,  values,  

religious   and   philosophical   beliefs   and   attitudes,   perceptions   of   meaning,   and   moral  

argument.   Such  a  process   extends  beyond   the   special   competency  of  medicine.”     (Post,

2004, pp. 1-49)    Science  cannot  and  does  not  answer  a  question  that  is  philosophical  and  

metaphysical  in  nature,  and  for  a  medical  scientist  to  say  life  starts  “here”  or  “there”  and  

saying  that  Science  shows  this,  may  be  both  unscientific  and  presumptuous.  

 

  There  are  many  doctors  however  that  see  the  unborn  as  a  full  member  of  society.    

Dr.   Bernard   N.   Nathanson,   who   was   the   co-­‐founder   of   the   National   Abortion   Rights  

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Action  League  (NARAL),  an  abortionist  himself  who  later  turned  into  a  pro-­‐life  activist,  

puts   forward   the  argument,   that  before   the  science  of   “Foetology”,   there  was  doubt  on  

what   was   the   status   of   the   unborn   child.   But   with   modern   scanning   and   diagnostic  

techniques,   there   is  now  no  doubt   that   the  obstetrician  and  gynaecologist,  had   to   treat  

the  unborn  child  as  a  “second  patient”.  (Nathanson, 1984)  

 

The  Idea  of  Viability  

 

Many  medical   practitioners   and   abortion   legislators,   define   the   permissibility,   or   lack  

thereof,  of  abortion  with  respect  to  the  viability  of  the  unborn.    Viability  refers  to  a  point  

in  foetal  development  at  which  the  foetus  may  survive  outside  a  womb.    The  lower  limit  

of   viability   is   approximately   five   months   gestational   age,   and   usually   later.   (Hamalek,

2003)    According  to  Hamalek:  “most  neonatologists  would  agree  that  survival  of  infants  

younger   than   approximately   22   to   23   weeks’   estimated   gestational   age   [i.e.   20   to   21  

weeks'   estimated   fertilization   age]   is   universally   dismal   and   that   resuscitative   efforts  

should  not  be  undertaken  when  a  neonate  is  born  at  this  point  in  pregnancy.” (Hamalek,

2003)    This  statement  is  in  2003,  and  it  is  granted  that  a  foetus  born  at  this  gestation  age  

has  very   little   chance  of   survival,  however  one  would  be   careful   to   judge  whether  one  

ought  or  ought  not  to  offer  resuscitation,  because  as  science  progresses,  the  resuscitation  

and   incubation   techniques   of   pre-­‐term   unborn   foeti   is   improving,   thus   increasing  

survivability.    Therefore,  with   this  consideration  at  hand,  one  should  revise   the   idea  of  

viability  accordingly   rather   than  keep   it   a   static,   ironclad   “24  week”   line   that   is  drawn  

arbitrarily.     Studies   show   that   there   can   be   factors   that   can   improve   pre-­‐term   Birth  

survivability,   even   at   gestation  week   22   or   earlier.     Therefore   definitions   of   abortion,  

both   medical   and   legal,   that   speak   of   permissibility   of   abortion   in   terms   of   foetal  

viability,   could   be   drawing   arbitrary   lines   that   are   not   necessarily   founded   in  medical  

science,   since   preterm   survivability   is   constantly   improving   and   there   is   no   telling  

whether  a  foetus  can  or  cannot  survive  at  a  certain  gestation  age.  

 

 

 

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The  Safety  of  Women  

 

The  notion  of   safety,   is   one   that   is   used  most   vigorously  by  both   the   ones   lobbying   in  

favour   and   against   abortion   and   it   is   a   very   strong   argument   both   for   and   against  

abortion.      

 

  Terminating  a  pregnancy  can  have  a  profound  effect  on  the  female  body,  whether  

it   is   spontaneous   or   induced.     The   induction   of   abortion,   can   be   procured   in   various  

ways,  each  having  their  own  possible  side-­‐effects  that  can  be  potentially  harmful  to  the  

woman.     It   is   however   fair   to   distinguish   between   a   “safe   abortion”   and   an   “unsafe  

abortion”.     Even   though   there   are  many  who  disagree   that   there   could   ever  be   a   “safe  

abortion”,   this   refers   to  whether   the   abortion   is   taking   place   in   a   clinical   setting  with  

trained   medical   staff,   or   if   it   is   happening   as   a  

“backstreet   abortion”,   as   it   usually   happens   where  

abortion   is   illegal   or   highly   restricted.     A   strong  

symbol  of  the  Pro-­‐Choice  movement  is  the  wire  coat  

hanger,  symbolising  the  dangers  of  women  trying  to  

procure   abortions   themselves,   or   illegally,   when  

abortion   is   restricted;   thus   risking   their   lives  

resorting   to   inserting   sharp   objects   in   their   uteri,  

such  as  unfolded  wire  coat  hangers,  knitting  needles  

etc.  

 

“Legal   abortion  performed  under   safe  and  sanitary   conditions   is   generally   safer  

than   pregnancy,   but   in   countries   where   abortion   is   prohibited,   or   access   is   severely  

limited,  the  negative  consequences  of  unsafe  and  self-­‐induced  abortions  include  serious  

complications   such   as   sepsis,   hemorrhage,   genital   and   abdominal   trauma,   perforated  

uterus,  gangrene,  secondary  infertility,  permanent  disability,  and  death.”    “According  to  

the  World   Health   Organization   (WHO),   as  many   as   100,000   or  more  maternal   deaths  

occur  each  year  as  a  result  of  complications  of  an  unsafe,  usually  illegal  abortion.  Even  in  

the   United   States,   some   illegal   abortions   continue   to   be   performed   in   cases   where  

women  are  without  the  resources  to  obtain  a  legal  abortion.  Although  reliable  incidence  

data  are  lacking  as  to  the  number  of  illegal  abortions  performed  worldwide,  there  clearly  

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is  a  strong  demand  for  abortion,  a  demand  that  will  probably  always  exist.  As  evidenced  

by  the  estimated  number  of  women  who  undergo  illegal  abortion,  most  women  who  are  

determined  to  terminate  a  pregnancy  will  attempt  to  do  so  either  by  themselves  or  with  

assistance.”     (World Health Organisation [WHO] in Post, 2004, pp. 1-49, 6, 15) The claim

“Abortion harms women” needs to discriminate between unsafe, unregulated abortions and

their opposite. This argument of safety is the main thesis of the Consequentialist ethics

proponents, who argue that making abortion less accessible or banned even, will only increase

the number of maternal deaths and complications due to unsafe, unregulated abortions. WHO

statistics show that abortion-related deaths in Romania for example, increased sharply after

1966, when the government restricted abortion. The maternal death rate rose from 20 per

100,000 live births in 1965 to 150 per 100,000 in 1983. Abortion-related deaths decreased by

more than 50% in the year after abortion was again legalised in 1989. Statistics on abortion-

related mortality in the abortion-permissive United States, show that with safe, legal abortion,

the death rate is 0.6 per 100,000 procedures, making abortion statistcally as safe as a penicillin

injection. (Post, 2004, pp. 1-49, 15-16) Peter Singer writes that such consequentialist

arguments are not about the ethics of abortion, but rather the consequences of restrictive

abortion law, and though valid, is not a satisfactory argument to those who oppose abortion,

because they argue that it is the murder of innocent human life. (Singer, 1995, p. 143)

“Public-health concerns about the complications of unsafe abortion, coupled with the complex

issues relating to the reproductive and autonomy rights of women versus the rights of the

foetus, suggest the continuing importance that must be given by the field of bioethics to

abortion, particularly to the question of whether and by what means abortion should be made

available equally to all persons requesting it, regardless of national citizenship, ethnic or racial

identity, or economic status.” (Post, 2004)

Post  Abortion  Traumas  

However closely tied are a high successful rate of abortions and safe medical practise, there is

still the fact that certain abortion procedures can have possible side effects on woman, which

can be harmful. Since medical practitioners are bound to “do no harm”, this raises many

ethical questions, particularly when abortion is resorted to as simply a birth control. There are

correlational studies that show relationships between abortion and a variety of ailments,

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however often the mistake is done to assume that a correlation means that abortion is actually

the cause of the problem.

There is the notion of a possibility of a harmful effect on subsequent pregnancies. The

Encyclopedia of Bioethics states “Medical evidence has consis- tently shown that a woman

who has one properly performed induced abortion in the first trimester of pregnancy has the

same chance of a normal outcome of a subsequent preg- nancy as a woman who has never had

an abortion. The evidence is less definitive for women who have had more than one induced

abortion or an abortion with complica- tions, although there is no reason to believe that

additional abortion procedures, carried out by well-trained professionals, will have a long-term

adverse effect. Overall, in terms of medical risk, abortion procedures, particularly those

carried out in the first trimester of pregnancy, are among the safest of all surgical procedures.”

(Post, 2004, pp. 1-49, 4)

One correlation that is often quoted by the Pro-Life camp is the link between abortion

and Breast Cancer. It is proposed that Abortion increases the likelihood that women will

develop breast cancer. In early pregnancy, levels of oestrogen increase, leading to breast

growth in preparation for a woman to milk her child. When the process is interrupted by

abortion, immature cells are left in the woman's breasts, resulting in a greater potential risk of

breast cancer. (Russo & Russo, 1980, pp. 497-512) Yet again, cancer information resources

state that there is no research that provides a cause and effect relationship between the two.

(Beral, Bull, Doll, & al, 2004, pp. 1007-1016)

 

  Another  aspect  of  the  harm  to  women  by  abortion,  is  the  aspect  of  Mental  Health  

problems  caused  by  abortion.    Many  even  speak  of  a   “syndrome”  called   “Post-­‐abortion  

trauma”   “does   not   meet   the   American   Psychiatric   association’s   definition   of   trauma.”  

(Post,   2004,   pp.   1-­‐49,   4)     The   Pro-­‐Life   lobby   cites   some   very   famous   studies   and   the  

problem   with   studies   in   this   area   is   that   they   suffer   from   “methodological   problems,  

including   a   lack   of   consensus   about   symptoms,   inadequate   study   design,   and   lack   of  

adequate  follow-­‐up.”  (Post,  2004,  pp.  1-­‐49,  4)    One  of  these  studies  is  by  Fergusson  et  al  

(Fergusson,   Horwood,   &   Ridder,   2006),   which   when   peer   reviewed,   including   by   the  

APA,  which  concluded  that  “several  design  features  limit  conclusions  that  can  be  drawn  

from  this  study.”  (Major,  2008,  p.  90)    One  obvious  design  flaw  for  example,  women  who  

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had  an  abortion,  presumably  because  their  pregnancy  was  unwanted  for  one  reason  or  

other,  were  compared  with  ALL  the  women  who  did  not  have  an  abortion,  whereas  the  

appropriate   comparison   group   would   have   been   all   other   women   who   unintended  

pregnancy  did  not  end  in  abortion.  

 

  Another   famous   study   is   by   Coleman   et   al   (2009)   (Coleman,   Coyle,   Shuping,   &  

Rue,  2009)  which  established  that  abortion  causes  mental  health  problems.    However  it  

is   nowadays   debunked   as   a   flawed   study.     The  APA  pointed   out  many  methodological  

problems,   such   as   inadequate   comparison   groups,   but   one   of   the   most   prominent  

methodological   flaws   is   that   Coleman   considered   women   with   a   lifetime   condition   of  

mental  health   in  her   study,   even   those  who  had  mental  health  problems  BEFORE  ever  

having  an  abortion  which  made  statistical  analysis  completely  irrelevant,  as  pointed  out  

by  (Steinberg  &  Finer,  2010).  

 

  One   can   easily   conclude   that   this   relationship   between   the   abortion   procedure  

and  mental  health   is  not   the  strongest  argument  of   the  Pro-­‐Life   lobby.    However  many  

argue   that   the   jury’s   still   out  on   this  notion.    There  are   still  many   institutions,   such  as  

“Rachel’s  Vineyard  Ministries”  routinely  offering  help  to  women  seeking   it  after  having  

gone   through   an   abortion,   as   well   as   to   their   families.     However   this   is   still   not   an  

argument   that   the  medical  procedure  of   abortion   causes  mental  problems.    Any  of   the  

usual   causes  of   grief  or  depression   could  be  behind   the  experience,   including   the  guilt  

from  resorting   to  what   is  considered  to  be  a   taboo  by  many,  especially   in   the  religious  

worldview.    Nevertheless  “choosing  to  terminate  a  pregnancy  is  a  serious  decision  that  is  

rarely   made   lightly.   In   addition   to   complete   information   about   abortion   procedure  

options,  counseling  should  be  made  available  to  women  faced  with  a  decision  about  an  

unplanned  pregnancy.”  (Post,  2004)  

 

Late  Term  Abortions  

 

Late   term  abortion,  which   is  also  called  partial-­‐birth  abortion  (because   it   is  an  “almost  

birth”   because   of   the   size   of   the   foetus)   is   highly   controversial.     According   to   the  

Encyclopedia   of   Bioethics,   Abortionists   usually   prefer   the   foetus   not   being   viable   and  

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there   are   by   far,   less   abortionists,   who   are   ready   to   perform   abortions   after   viability,  

because   essentially   the   physician   would   be   terminating   a   foetus   that   can   potentially  

survive  out  of  the  uterus.  There  is  another  dilemma  because  late  term  abortions  tend  to  

be  more  dangerous  for  the  woman  and  can  offer  more  complications.    For  the  abortion  to  

be   less   dangerous,   the   procedure   then   has   to   be   become  more   repugnantly   inhumane  

towards   the   foetus.    The  partial  birth  abortion  would   include   the   insertion  of   a   canula  

inside   of   the   viable   foetus’   head   to   exert   a   negative   pressure   internally   and   cause   an  

implosion  of  the  head  of  the  foetus  so  that  it  would  more  easily  come  out  of  the  undilated  

cervix,  without  inflicting  more  stress  on  the  mother.    This  would  explain  why  there  is  a  

wider  repudiation  of  this  procedure  in  the  medical  field  of  abortion.  

 

  Late  term  abortions  are  also  widely  banned  globally,  except  for  countries  like  the  

United  States  where  abortion   law   is  very   liberal   and  where  attempts   to  make   it   illegal  

failed.    Both  President  Clinton  in  1996  and  the  Supreme  court,  denied  the  illegality  of  late  

term   abortion,   on   the   grounds   that   the   reproductive   health   of   the   woman   is   more  

important  and  that  since  this  reproductive  health  could  not  be  guaranteed  after  viability,  

should  the  ban  pass,  the  bans  were  therefore  not  constitutionally  upheld.    (Annas,  1998,  

pp.  279-­‐283)  

 

  Late   term  abortions  are  yet   another  example  of  how   individual  procedures  and  

abortion  methods   provide   a   wider   variety   of   ethical   challenges   and   dilemmas   for   the  

legislator  and  the  physician.  

   

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The  Personhood  Debate  

Why  is  the  foetus  not  a  person?  

 

In  the  Abortion  debate,  no  argument  has  been  more  profoundly  rejected  or  protected  by  

the  pro  and  con  lobbies,  than  the  argument  of  whether  or  not  a  foetus  is  a  person.    The  

moral   status  of   the   foetus  was  given  a  hard  blow   in  Roe  v.  Wade,  without  providing  a  

proper  thesis  for  why  the  foetus  is  not  a  person  and  making  abortion  permissible.    The  

lack  of  personhood  in  the  foetus  denies  the  foetus  of  a  right  to  life  and  it  makes  abortion  

morally   justifiable   under   almost   any   circumstance.     As   mentioned   earlier,   viability   is  

sometimes  used  as  a  barrier  to  stop  abortions  from  happening  after  a  certain  age,  as  was  

the  notion  of  quickening  used.    Quickening  is  when  the  foetus  starts  manifesting  motility  

while   inside   the   uterus.     But   the   question   rises,   should   movement   constitute  

personhood?   Would   therefore   a   paralysed   person   lose   personhood   with   this   logic?    

There  are  other  markers  which  are  referred   to,   such  as   the  ability  of   the   foetus   to   feel  

pain.    Foetuses  are  incapable  of  feeling  pain  when  an  abortion  is  performed  according  to  

Stuart  W.  G.  Derbyshire,  PhD,  Senior  Lecturer  at  the  University  of  Birmingham  (England).  

"Not  only  has   the  biological  development  not  yet  occurred   to  support  pain  experience,  

but  the  environment  after  birth,  so  necessary  to  the  development  of  pain  experience,  is  

also   yet   to   occur."   (Stuart,   2006)     So   if   a   person   has   a   nervous   disorder   or   is   under  

anaesthesia,   is   the   person   no   longer   a   person?     There   are   even   arguments   for  

personhood   like   for   instance,   that   a   “person   is   one   that   can   participate   in   moral  

obligations   and   responsibilities   through   a   capacity   of   reasoning   and   consciousness.”    

(Warren,  1973)    However  this  logic  would  also  deny  personhood  to  a  born  toddler  up  to  

even  3  years  of  age  and  justify  infanticide.  

 

There  are  2  major  paradigms  of  how  the  personhood  of  the  foetus  is  viewed.    The  

first  one  is  the  Developmental  View,  which  is  in  admission  that  there  are  no  clear  lines  to  

pick   out   which   foetus   is   a   person   and  which   is   not.     Foetal   life   becomes   increasingly  

important   as   gestation   progresses   but   it   is   difficult   to   pinpoint   when   exactly   does   it  

become   a   person.     This   offers   little   guidelines   to   how   legislations   should   be   codified;  

however  this  seems  to  be  the  reigning  paradigm  in  law  worldwide.    The  potentiality  view  

however,   advances   that   conception   or   fertilisation   as   the   beginning   of   personhood  

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because  it  is  the  fertilised  ovum,  not  its  constituent  gametes,  that  is  considered  to  have  

the  potential  to  develop  into  a  human  being  with  full  moral  status.    In  this  case  there  is  

another   detail   in   semantics   that   opens   debate   between   the   pro   and   con   lobbies.     The  

potentiality   view   is   criticized   because   even   a   gamete   has   the   potential   to   become   a  

human  person   and   that   this   potential   is   therefore   not   an   argument   in   favour   of   foetal  

personhood,   and   that   a   “potential   person”   is   not   a   person.     Thomson   says,   “a   newly  

fertilized  ovum,  a  newly  implanted  clump  of  cells,  is  no  more  a  person  than  an  acorn  is  an  

oak  tree.”  (Thomson,  A  Defense  of  Abortion,  1971,  pp.  595-­‐604)  

 

The   pro-­‐life’s   response   to   this   is   the   ontological   view   of   the   person,   where  

persons   are   by   definition   ends-­‐in-­‐themselves,   bearers   of   rights,   entitled   to   treatment  

with   dignity   and   not   to   be   used   for   somebody   else’s   purposes.     This   is   above  

psychological   and  physiological   traits.     The  physiological   differences  between  a   zygote  

and  a  newborn  baby  are  not  seen  as  an  argument  to  treat  the  two  differently  and  rather  

than   the  zygote   (or   fertilized  egg)   is   seen  as  a  potential  person,   it   is   seen  as  a   “person  

with  potential.”  

 

Neurological  reasons?  

Regarding  the  developmental  view,  an  interesting  perspective  to  consider  is  the  field  of  

Evolutionary   Psychology.     Steven   Pinker,   in   his   article   on   the   New   York   Times   titled  

“Why  they  kill  their  Newborns”,  points  out  the  fact  that  both  publicly  and  legally,  there  is  

an  increased  leniency  to  the  murder  or  attempted  murder,  the  younger  the  child  is.    In  

fact  he  distinguishes  between  neonaticide  and  infanticide;  he  is  quoted  saying:    

 

“Barbara   Kirwin,   a   forensic   psychologist,   reports   that   in   nearly   300  

cases   of   women   charged   with   neonaticide   in   the   United   States   and  

Britain,  no  woman  spent  more  than  a  night  in  jail.  In  Europe,  the  laws  of  

several  countries  prescribed  less-­‐severe  penalties  for  neonaticide  than  

for  adult  homicides.  The   fascination  with   the  Grossberg-­‐Peterson  case  

comes  from  the  unusual  threat  of  the  death  penalty.  Even  those  in  favor  

of  capital  punishment  might  shudder  at   the   thought  of   two  reportedly  

nice   kids   being   strapped   to   gurneys   and   put   to   death.     But   our  

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compassion  hinges  on  the  child,  not  just  on  the  mother.  Killers  of  older  

children,  no  matter  how  desperate,  evoke  little  mercy.  Susan  Smith,  the  

South  Carolina  woman  who  sent  her  two  sons,  14  months  and  3  years  

old,  to  watery  deaths,  is  in  jail,  unmourned,  serving  a  life  sentence.  The  

leniency   shown   to   neonaticidal   mothers   forces   us   to   think   the  

unthinkable   and   ask   if   we,   like   many   societies   and   like   the   mothers  

themselves,  are  not  completely  sure  whether  a  neonate  is  a  full  person.    

It  seems  obvious  that  we  need  a  clear  boundary  to  confer  personhood  

on  a  human  being  and  grant  it  a  right  to  life.  Otherwise,  we  approach  a  

slippery   slope   that   ends   in   the   disposal   of   inconvenient   people   or   in  

grotesque  deliberations  on  the  value  of  individual  lives.  But  the  endless  

abortion  debate  shows  how  hard  it  is  to  locate  the  boundary.”    (Pinker,  

1997)  

 

  Pinker  makes  a  valid  point  where  it  seems  that  the  repugnance  towards  the  act  of  

intending   harm   towards   a   child   younger   than   a   toddler   diminishes   gradually,   as   if  

neonates  by  default  are  not  full  persons.    Examples  in  Malta  also  illustrate  this  argument.    

The  case  where  a  woman  abandoned  her  neonate  in  a  shoebox  was  termed,  even  by  the  

public  media,  as  an  “unfortunate,  desperate  mother”,  rather  than  a  case  of  an  attempted  

murder.     Even   abortion   in  what   is   called   “Pro-­‐Life  Malta”,   is   not   legally   repudiated   as  

murder  in  the  first  degree.    Article  241  of  the  Maltese  criminal  code  states:  “Whosoever  

by   any   food,   drink,  medicine   or   by   violence   or   by   any   other  means  whatsoever   shall  

cause   the  miscarriage  of  any  woman  with  child,  whether   the  woman  be  consenting  or  

not,  shall,  on  conviction,  be  liable  to  imprisonment  for  a  term  for  18  months  to  3  years”,  

which   is   a   small   fraction   of   the   penalty   of   murder   of   an   adult   person.     So   I   would  

disagree  that  Maltese  law  grants  full  personhood  to  the  foetus.  

 

 The  status,  or  rather  lack  thereof,  of  the  neonate  allowed  for  the  scale  balance  to  

shift   further   to   the  mother’s   concerns,   rather   than   the  actual   act  of   abandonment  of   a  

neonate.    Could  it  be  that  through  evolution,  there  are  individuals  who  do  not  develop  an  

immediate   attachment   to   neonates   or   unborn  perhaps   as   a   protective   remedy   against  

any  problems  that  might  ensue?    A  simple  example  in  nature  is  a  deer  having  to  abandon  

its  slow-­‐to-­‐walk  offspring  and  allow  the  lions  to  feast  on  it,  so  that  it  may  save  its  own  

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life;   the   argument   of   the   lesser   evil.     Could   this   psychological   detachment,   be   an  

inherited   protection   against   this   kind   of   trauma?   Anthropologists   studying   hunter-­‐

gatherer   societies,  whose  way  of   life  makes   the  birth  of  newborns  precarious,  noticed  

that   neonate   abandonment   was   seen   as   an   unavoidable   tragedy.     “Many   cultural  

practices  are  designed  to  distance  people’s  emotions  from  a  newborn  until   its  survival  

seems  probable.”   (Pinker,  1997)    This  argument  could  easily  be   further  applied   to   the  

child  younger  than  the  neonate;  the  unborn.  Could  the  denial  of  personhood  be  that?  The  

desensitizing  of  women  from  their  children?      

 

This   unfortunate   debate   has   unhinged  many   things,  where  we   live   in   a   society  

where  animal  welfare  activists  march  in  streets  to  protect  endangered  animals,  who  are  

busy   resorting   to   reproductive   technologies   to   boost   the   populations   of   endangered  

animals   and   yet   there   is   no   problem   at   all   to   terminate   the   reproductive   process   of   a  

human   being,   and   stopping   the   gestational   development   of   a   member   of   our   species,  

without  dwelling   too  much   about   it.     There   is   a   need   to  dwell   a   lot   about   this   but   the  

answers  cannot  be  found  in  the  sophistry  of  personhood  or  the  lack  thereof,  but  rather  in  

greater  understanding  of  ourselves,  our  societies  and  our  actions.    There  is  no  apparent  

reason   to  deny  any   living  organism  a  moral   status,  whether  born  or  unborn,  except   to  

justify  actions  done  to  it,  such  as  its  manipulation  or  termination.    The  world  saw  what  

happened  when  personhood  was  denied  to  a  whole  race  of  people  in  World  War  2  and  it  

seems  that  not  enough  lessons  have  been  learnt.  

   

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Feminism,  Rights  and  Reason  

 

Beyond  the  rhetoric  of  Personhood  

  As   mentioned   in   a   previous   section,   the   American   feminist   movement   were  

largely   pro   life   (British   Broadcasting   Corporation,   2012),   including   the   founder   of  

Planned  Parenthood,  albeit  being  in  favour  of  eugenics.    The  feminist  case  can  therefore  

be   argued   from   both   sides   of   the   issue.     The   women’s   rights   arguments   for   abortion  

involve  not   only  placing   an   appropriate   value  on   the   lives   and   freedom  of  women  but  

also  accepting  that  it  may  sometimes  be  permissible  to  sacrifice  the  life  of  a  foetus.    On  

the   other   hand,   many   of   the   women’s   right   arguments   against   abortion   claim   that  

abortion  does  not  improve  women’s  overall  position  in  society,  or  that  abortion  provides  

an  excuse  not   to  solver  or  other  problems   faced  by  pregnant  women.    Once  again,   it   is  

seen  how  the  issue  of  abortion  brings  also  division  within  a  movement  and  it  would  be  a  

crass  statement  to  assume  that  feminism  is  an  automatic  implication  in  favour  or  against  

the   issue.     Betsy   Hartmann   is   quoted   “Denying   women   the   right   to   abortion   makes  

women  bear  all  the  hardship  and  blame  for  unwanted  pregnancies,  ignoring  the  fact  that  

men  bear  responsibility  too,  and  that  many  unwanted  pregnancies  result  from  unwanted  

intercourse.”  Justice  Harry  A.  Blackmun,  speaking  of  the  reaffirmation  of  Roe  v.  Wade:  “I  

think   it's   a   step   that   had   to   be   taken   as   we   go   down   the   road   toward   the   full  

emancipation  of  women.”  (British  Broadcasting  Corporation,  2012)  

 

  Thomson  makes  a  very  compelling  argument   in  her  defence  of  abortion.    Firstly  

she   argues   on   feminist   grounds   that   abortion   affects  women   disproportionately  when  

compared  to  men,  because  it  is  women  who  get  pregnant  and  likewise,  the  availability  of  

abortion  affects  women  directly  and  not  the  male  gender.  “a  great  deal  turns  for  women  

on  whether  abortion  is  or  is  not  available.  If  abortion  rights  are  denied,  then  a  constraint  

is  imposed  on  women's  freedom  to  act  in  a  way  that  is  of  great  importance  to  them,  both  

for  its  own  sake  and  for  the  sake  of  their  achievement  of  equality;  and  if  the  constraint  is  

imposed  on  the  ground  that  the  foetus  has  a  right  to  life  from  the  moment  of  conception,  

then   it   is   imposed   on   a   ground   that   neither   reason   nor   the   rest   of   morality   requires  

women  to  accept,  or  even  to  give  any  weight  at  all.  (Thomson,  Abortion,  1995)    However  

Thomson   is  more  widely  known   for  her  Violinist   thought  experiment.    Thomson  notes  

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that   much   of   the   inadequate   debate   on   abortion   was   getting   lost   within   the   issue   of  

whether   the   fetus   is   a  person   or   a  mass   of   tissue.     She   then   grants   the   foetus  moral  

personhood  since  conception  for  her  argument.    Then  she  asks  a  person  to  consider  the  

ethics   of   a   scenario   where   they   wake   to   find   themselves   in   a   hospital   serving   as   life  

support   to   a   famous   violinist.   The   person   is   asked   to   consider   that   they   were   not  

consulted  prior  to  this  arrangement,  but  that  if  they  detach  from  the  violinist  he  will  die.  

Thomson  wrote,   "If   you   stay   in   the   hospital   bed,   connected   to   the   violinist,   he  will   be  

totally  cured  in  nine  months.  You  are  unlikely  to  suffer  harm.  No  one  else  can  save  him.  

Do  you  have  an  obligation  to  stay  connected?"    (Thomson,  A  Defense  of  Abortion,  1971)  

 

  This  model  has  brought  a  lot  of  criticism,  ironically  also  from  the  feminist  lobby,  

because   it   limits   itself   to   justifying   abortion   only   in   the   case   of   an   unjust,   unwanted  

pregnancy,   such  as   in   the   case  of   rape;  where   simple  empathy  with   the  mother  victim  

outweighs  the  right  to  life  of  the  dependent  foetus  (the  violinist).    In  fact  all  this  notion  is  

based  on   the  rights   theoretical   stance,   that   the   right   to   life   is   the   right  not   to  be  killed  

unjustly  and  that  should  enough  argument   is   found   in   favour  to  make  one’s  death   just,  

then  the  denial  of  life  is  permissible.    What  could  be  positive  about  this  approach  is  that  

it’s   an  attempt   to  go  beyond   the  personhood  argument,  which  has   reached  a   complete  

stalemate.     The   same,   and   opposite   to   the   pro-­‐argument   from   Thomson,   is   Marquis’  

rationalization.    Marquis  does  away  with  the  argument  of  personhood  (which  he  calls  a  

rhetorical   onslaught)   and   claims   that   his   beliefs   are   not   “a   symptom   of   irrational  

religious   dogma.”     His   thesis   is   supported   by  Kant’s   Categorical   Imperative   and   states  

that   once   conception   takes   place   there   is   an   “identifiable   subject”   that  would   have   its  

future  denied,  should  the  pregnancy  be  terminated.    The  same  way  we  feel  more  sorry  

when   someone   dies   young   because   s/he   is   deprived   of   a   future,   the   same   argument  

applies  to  the  foetus.    (Marquis,  1989,  pp.  183-­‐202)  

 

  Pro   life   feminists   on   the   other   hand   argue,   as   stated   earlier,   that   Abortion   is  

inconsistent  with  the  goals  and  ideals  of  Feminism.    Women  are  treated  unfairly  by  being  

given  a  non-­‐choice.    Abortion  offers  a  way  out  of  what  really  is  a  social  problem,  instead  

of   addressing   the   problem   itself   to   truly   emancipate   the   status   of   women   in   Society.    

Sidney   Callahan   argues   that   abortion   does   not   allow   feminists   to   reach   their   goals.    

(Callahan,  1986)  

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Bottom  line,  the  idea  of  Women’s  rights  clashing  against  Foetus’  rights  to  life,  has  

created   a   legal   antagonism   between   two   entities   that   have   no   quarrel   between   them.    

Perhaps,   like  personhood,  Rights  approaches  are  shaky,  particularly  with   justifying   the  

foetal   right   to   life,  when  personhood   is  debatable.    Perhaps   the  only  solid  argument   to  

denying   the   foetal   right   to   life   is   Thomson’s   argument,   but   in   no  way   does   it   justify   a  

liberal   abortion   law,   where   abortion   can   be   prescribed   as   a   simple   method   of   birth  

control.  

 

Father’s  Rights  

 

Philosopher   George   W.   Harris   is   quoted   “There   are   circumstances   under   which   a  

woman’s   decision   to   have   an   abortion   would   be   morally   wrong   because   it   would   do  

harm  to  the  father.”  

 

Likewise,  Armin  A.  Brott  states  “A  woman  can  legally  deprive  a  man  of  his  right  to  

become  a  parent  or   force  him  to  become  one  against  his  will.”     In  2002,  a  Chinese   law  

amendment  put  a  man’s  right  to  have  a  child  on  an  equal  footing  with  the  right  of  his  wife  

and  a  man  has  sued  his  wife  for  infringing  that  right  by  having  an  abortion.    In  the  USA,  it  

is  consistently  decided  that  spousal  objection  cannot  veto  a  woman’s  right  to  abortion.  A  

woman  does  not  have  to  notify  the  father  if  she  wants  to  procure  an  abortion.  In  the  UK,  

in   1987   and   2001,   men   attempted   to   prevent   former   partners   having   abortions   and  

failed.  

 

Most  legal  systems  don’t  allow  a  father  to  escape  the  responsibility  of  fatherhood.  

But  on  the  other  hand.  a  man  cannot  deny  child  support  on  the  argument  that  he  wanted  

his  partner  to  have  an  abortion  and  she  refused.    So  it  is  clear  that  the  feminist  view  of  

disproportionate   effect   of   pregnancy   and   abortion   on   women,   is   not   allowing   much  

rights  to  the  father  in  such  legal  jurisdictions.    (British  Broadcasting  Corporation,  2012)  

 

 

 

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Consistency  

 

Some   writers   argue   that   it   is   inconsistent   to   support   abortion   if   you   oppose   capital  

punishment,  weapons  of  mass  destruction,  and  so  on.  Respect  for  the  dignity  of  life,  they  

say,  should  apply  to  all  life  -­‐  the  right  to  life  can't  be  divided  up,  but  should  be  presented  

as  'a  consistent  ethic  of  life.'  

 

Mary  Meehan   (1980)  writes   “We   are  moved   by  what   pro-­‐life   feminists   call   the  

"consistency   thing"   -­‐   the   belief   that   respect   for   human   life   demands   opposition   to  

abortion,   capital   punishment,   euthanasia,   and  war...It   is   out   of   character   for   the   left   to  

neglect  the  weak  and  helpless.  The  traditional  mark  of  the  left  has  been  its  protection  of  

the   underdog,   the   weak   and   the   poor.   The   unborn   child   is   the  most   helpless   form   of  

humanity,   even  more   in  need  of  protection   than   the  poor   tenant   farmer  or   the  mental  

patient.  The  basic  instinct  of  the  left  is  to  aid  those  who  cannot  aid  themselves.  And  that  

instinct  is  absolutely  sound.  It's  what  keeps  the  human  proposition  going.”  

 

Similarly   pro-­‐life   movements   have   also   been   accused   of   inconsistencies,  

particularly  with  being  silent  on  other  issues,  such  as  capital  punishment,  apart  from  the  

moral  status  of  the  foetus.      

   

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Abortion  and  Religion  

 

Most  major  religions  bolster  the  idea  of  the  sanctity  of  life,  where  life  being  a  gift  from  a  

supreme   being   cannot   be   tampered   with   or   taken   away.     Religions   are   therefore  

generally  pro-­‐life,  and  there  probably  is  no  movement  more  vociferous  against  abortion,  

that   the  Roman  Apostolic  Catholic  Church.     In   the  Catholic  Evangelium  Vitae,   one   finds  

“All   human   beings,   from   their  mother’s  womb,   belong   to   God  who   searches   them   and  

knows  them,  who  forms  them  and  knits  them  together  with  his  own  hands,  who  gazes  on  

them   when   they   are   tiny   shapeless   embryos   and   already   sees   in   them   the   adults   of  

tomorrow..."  (Evangelium  Vitae  #61)  

 

  The  Catholic  Church  argues  vehemently  against  abortion,  even  as  a  lesser  evil  or  

in   the  case  of   rape  or   in   the  case  of  danger  of   the  mother’s   life.    Under   the  doctrine  of  

double  effect,   an   “indirect”  abortion  can  be  procured,   i.e.   if   a  mother’s   life   is   in  danger  

and   in   need   of   treatment,   resulting   in   the   side   effect   of   the   loss   of   the   foetus,   that   is  

morally   permissible,   however   the   good   treatment   cannot   be   procured   by   a   direct  

abortion,  since  the  foetus  is  worthy  of  an  inviolable  human  right  and  dignity.  

 

  A  major  religious  consequence  in  the  Catholic  Church  for  someone  procuring  an  

abortion  or  in  formal  cooperation  in  the  procurement  of  one,   is  excommunication  from  

the  Church  for  the  perpetrators,  according  to  Canon  law.    Abortion  is  therefore  a  major  

issue  for  members  of  the  Catholic  Church,  particularly  with  spiritual  deterrents  such  as  

these.  

 

  Not   all   Christian   denominations   agree   with   the   Catholic   Church,   for   example  

Church  of  England  would  allow  abortion  for  self-­‐defence,  as  a  lesser  evil,  yet  it  scorns  the  

high  instance  of  abortion  in  the  UK  since  the  1967  UK  Abortion  act.  

 

  Islam   is   generally   against   abortion   (considered   to   be  Haram)   “Whosoever   has  

spared  the  life  of  a  soul,  it  is  as  though  he  has  spared  the  life  of  all  people.  Whosoever  has  

killed  a  soul,  it  is  as  though  he  has  murdered  all  of  mankind.”  Qur’an  5:32    However  Islam  

does  not  have  a  centralised  Magisterium  of  doctrine.  The  way  the  Qur’an   is  written  (in  

Arabic)  is  open  to  interpretation.  There  are  schisms  and  different  interpretations  of  the  

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Qur’an   depending   on   denomination   and   on   the   individual   scholar.     Some   scholars   for  

instance,  justify  abortion  in  the  case  of  the  lesser  of  two  evils;  The  prophet  said:  “When  

two  forbidden  things  come  together,  then  the  lesser  will  be  sacrificed  for  the  greater.”  

 

  Muslim  women  raped  by  non-­‐believers  (Kuffar)  will  be  subject  to  social  ostracism  

with   the   risk   of   not   finding   a   husband.   The   illegitimate   child   (walad   zina)  or   “child   of  

lust”   or   “bastard”   because   such   a   child   in   this   context,   is   considered   to   be   the   lowest  

member   of   society.     In   the   ex-­‐Yugoslavian   Civil   War,   Fatwas   were   issued   to   allow  

Bosnian  women  that  were  raped  by  Serb  (Christian)  men  to  resort  to  abortion  as  soon  as  

possible  or  within  40  days.  (Fatwas  were  issued  by  Sheikh  Bin  Baz  of  Saudi  Arabia  and  

Sheikh  Tantawi,  who  was  the  grand  Mufti  of  Egypt.)  Ikrima  Sabri,  the  Mufti  of  Palestinian  

Authority  also  issued  a  Fatwa  in  1999  for  these  women  to  use  abortive  pills  in  order  “not  

to  strengthen  the  Serbs  in  Kosovo.”    (Atigetchi,  2007)  

 

  So  it  can  be  argued  that  abortion  poses  a  great  challenge  to  religions  and  different  

theologies.     It   brings   further   disagreements   in   the   religious   or   theistic  worldview   and  

could  potentially  put  believers  in  a  dilemma.    Should  one  follow  or  not  follow  the  tenets  

of  the  beliefs  he  or  she  follows?  And  which  beliefs  are  right?    What  is  certain  is  that  the  

Pro-­‐Life  arguments  are  not,  as  many  misconceptions  proclaim,  strictly  religious  in  origin.    

Religious  deontology  further  adds  to  the  debate,  but  taking  the  whole  sphere  of  religions,  

particularly   the   Abrahamic   religions,   they   both   add   to   the   Pro-­‐life,   and   as   seen   in  

religions  other  than  the  Catholic  Church,  offer  considerations  in  favour  of  the  Pro-­‐choice  

lobby  as  well.  

   

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The  Shaping  of  Society  

 

Disability  issues  

Abortion  has  a  profound  effect  on  the  way  we  see  our  society  and  the  way  we  decide  on  

the   foundations   of   our   society.     For   instance,   Human   Rights   have   secured   to   rights   of  

every  person,  giving  dignity  and  respect  even   to  persons  with  disabilities  where   today  

we  strive  to  build   inclusive  societies,  where  persons  with  disability  do  not  need  to   feel  

like  outcasts  or  “lesser.”    The  values  of  inclusion  are  enshrined  in  the  rights  we  cherish  

today.      

 

  Abortion   of   people  with   disability   is   argued   that   it   gives   couples   the   option   to  

choose  not  to  birth  babies  with  severe  and  life-­‐threatening  medical  conditions.  Fragile  X  

syndrome,  the  most  common  genetic  form  of  mental  retardation,  affects  about  1  in  4,000  

males  and  1  in  8,000  females.  One  in  800  babies  have  Down  Syndrome,  and  one  in  3,500  

babies  are  born  with  Cystic  Fibrosis.  It  is  not  right  to  sentence  a  child  to  life  with  an  acute  

handicap.    (March  Of  Dimes,  2010)  

 

  Yet   it   could   be   argued   that   legislating   abortion   in   the   case   of   a   child   being  

diagnosed  as  disabled,   is   inconsistent  with   this  view  of   inclusion.     Section  1(1)d  of   the  

UK's  1967  Abortion  Act  (still  enforced  till  this  day)  allowed  termination  of  a  pregnancy  

at   any   time   if   there   was   a   significant   risk   of   the   baby   being   born   seriously   disabled.  

Under  other   circumstances  abortion  has   to   take  place  during   the   first  6  months  of   the  

pregnancy.  

 

The   Disability   Rights   Commission   reacts   that   “the   Section   is   offensive   to  many  

people;   it   reinforces  negative   stereotypes  of  disability  and   there   is   substantial   support  

for  the  view  that  to  permit  terminations  at  any  point  during  a  pregnancy  on  the  ground  

of  risk  of  disability,  while  time  limits  apply  to  other  grounds  set  out  in  the  Abortion  Act,  

is  incompatible  with  valuing  disability  and  non-­‐disability  equally.”    Abortion  of  disabled  

foetuses  is  an  implication  that  the  lives  of  persons  with  disability  are  less  worthwhile.  

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Most   people   with   disabilities   say   that   they   would   much   rather   be   alive.   Allowing  

abortion  on  the  grounds  of  disability,  preempts   the  choice  of   the   individual  concerned.    

(British  Broadcasting  Corporation,  2012)  

 

Demographics  

 

  Abortion  is  a  sure  population  control.    Considering  that  over  40  Million  abortions  

occur  worldwide  every  year,  it  is  a  means  of  controlling  an  exploding  population  that  is  

also   draining   more   and   more   natural   resources,   making   the   human   population  

unsustainable.     The   antinatalist  worldview   is   particularly   prescriptive   of   abortion   as   a  

means   of   birth   control   for   such   environmental   purposes.   Not   only   is   a   growing  

population   an   ecological   burden,   but   pro-­‐choice   arguments   also   go   on   to   say   that  

abortion   reduces   the   rate  of   crime.   “Abortion   lowers   crime.   Some  estimates   claim   that  

legalised  abortion  accounted  for  as  much  as  50%  of  the  drop  in  murder,  property  crime,  

and  violent  crime  between  1973  and  2001.  Teenage  girls,  unmarried  women,  and  poor  

women   are   more   likely   to   have   unintended   pregnancies.   Unwanted   babies   are   often  

raised  poor,  increasing  their  chances  of  leading  criminal  lives  in  adulthood.”  (Donohue  &  

Levitt,  2001)    However,  Economists  at  the  Federal  Reserve  Bank  of  Boston  found  coding  

errors  in  Levitt’s  research.  In  response  to  their  revelation,  Levitt  apologised  and  said  on  

Nov.  28,  2005  that  he  was  "personally  embarrassed"  about  his  errors.     (Foote  &  Goetz,  

2008)  

 

  However,   dwindling   populations   in   countries   where   abortion   was   legalised  

liberally,  are   in  an  effort   to  restrict   the  access   to  abortion  to  help   increase   fertility  and  

the  live  birth  rate.  For  example  in  Russia,  there  is  the  world’s  highest  rate  of  abortion  -­‐In  

2003,   they   had   13   terminations   for   every   10   births.   Now   it   went   down   to   73  

terminations  for  every  100  births  in  2009.  Russia’s  population  is  still   in  severe  decline,  

even   if   under   the   former  Putin   legislature   and   in  Medvedev’s   there  have  been   a   lot   of  

fertility  incentives  for  mothers  and  working  mothers.  The  Russian  Orthodox  church  and  

Demographic  problems  have  pushed  Dmitri  Medvedev  and  the  current  re-­‐elected  Putin  

to   bring   new   changes   to   Abortion   Law.     Medvedev   signed   other   restrictions   which  

include   requiring   abortion   providers   to   devote   10%  of   advertising   costs   to   describing  

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the  dangers  of  abortion  to  a  woman's  health  and  make  it  illegal  to  describe  abortion  as  a  

safe   medical   procedure.     Putin   in   February   2012,   stopped   all   funding   of   late   term  

abortions  by  National  Healthcare  for  “social”  reasons.  Previously,  Russians  could  receive  

government-­‐funded  abortions  after  the  first  twelve  weeks  of  pregnancy  in  cases  of  rape,  

when   a  woman   had   been   deprived   of   parental   rights   by   a   court,   imprisonment   of   the  

woman,   or   death   or   disability   of   her   husband.   The   only   “social”   condition   that   now  

remains  is  rape,  according  to  Russian  media  sources.  Women  may  also  still  obtain  late-­‐

term   abortions   if   they   suffer   from   a   life-­‐threatening   illness   during   the   pregnancy.  

Although  the  rule  applies  only  to  government-­‐provided  abortions,  it  represents  another  

step   towards   restrictions   on   abortion   that   have   long   been   sought   by   the   current  

government.  (Lifesitenews.com,  2012)  

 

  Another   abortive   issue   that   is   causing   long-­‐term   harm   in   Demographics   is   sex  

selective   abortion.     Taiwan’s   abortion   law   stipulates   that   a   woman   can   undergo   an  

induced  abortion  “if  the  pregnancy  adversely  affects  the  psychological  or  physical  health  

of  the  woman  or  her  family  life.”  However,  sex-­‐selective  abortion  is  illegal.  A  report  from  

Taiwanese   health   authorities   says   that   a   crackdown   on   illegal   sex-­‐selective   abortions  

prevented   the   deaths   of   nearly   1,000   female   unborn   babies   in   2011.     Department   of  

Health   figures  showed  Taiwan’s  gender  ratio  at  birth   from  2004   to  2010  was  between  

109   and   112  males   for   every   100   females,   compared   to   a   natural   ratio   of   about   106  

males  to  100  females.  The  government  agency  estimated  that  this  has  resulted  in  up  to  

3,000   missing   female   babies   each   year.   (Lifesitenews.com,   2012)   For   economic   and  

cultural   reasons,   late   term   abortions   after   the   diagnosis   of   the   foetus’   sex   with   an  

ultrasound  scan,  were  being  done.  This  raises  questions  on  the  role  of  ultrasound  scans  

in  pregnancy;  a  tool  that  is  beneficial  for  foetology  can  have  a  discriminatory  role  against  

women.  

   

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Conclusion  

 

The  debate  of  abortion  is  still  rampant  and  not  only  in  the  world  of  Bioethics,  but  as  this  

assignment   has   proven,   it   is   an   issue   that   penetrates   various   strata   of   society.     With  

regards   to   who   is   right   or   wrong,   the   jury   is   still   out   and   it   is   unsure   whether   any  

answers  will  be  given  any   time  soon;   if   answers  will  be  given  at  all.    There  could  be  a  

possibility   of   stances   towards   abortion   pendulating   from   one   side   to   the   other   across  

History.    There  is  however  also  a  possibility  that  a  closure  to  the  abortion  debate  can  be  

found.    There  was  a   time  when  slavery  was  widely  accepted,  until   it  became  debatable  

until   it   became   abolished   globally.     There   could   be   a   time   when   such   a   definite  

conclusion  can  be   found  about  abortion,  however   it   is  possible   that   it   goes  both  ways;  

one  can  either  conclude  that  the  termination  of  pregnancies  and  foetal  development  is  as  

inhumane  as   slavery,   if  not  more,  or   conclude   that   the  denial  of   reproductive   rights   to  

women,   is   tantamount   to   the   same   horror.     Perhaps,   history   will   one   day   reveal   our  

destiny  in  this  regard.  

 

  What  is  sure  is  that  in  the  abortion  debate,  it  is  important  that  a  spade  is  called  a  

spade  rather  than  dwelling  on  very  sophist  rhetoric.    If  we  ever  hope  to  attain  the  closure  

that   this   overdue   debate   so   needs,   we   need   to   cast   off   first   the   arguments   that   have  

reached  a  complete  stalemate  and  to  stop  dwelling  on  myths  coming  from  both  the  pro  

and   con   lobbies   of   abortion   and   start   question  what   can   be   done   to   both   emancipate  

women   and   at   the   same   time   avoid   that  which   is  morally   repudiating   and   potentially  

harmful.     In   the  words  of  Daniel  Dennett   “We  must  cast  off   the  myths   that  make   these  

old-­‐fashioned  solutions  seem  inevitable.  We  need  to  grow  up,  in  other  words.”  

 

 

 

   

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