Abortion

Abortion (as humans are concerned) consists in deliberately causing the death of an unborn human.  Usually the death is brought about by direct killing or by causing a miscarriage.
Some facts about abortion in the US:

  1. 1.3 million Americans have abortions every year. (source: New York Times Aug. 8,1996)
  2. The overall abortion rate in the United Stateshas dropped about 10% in recent years.(source: New York Times Aug. 8, 1996)
  3. Based on a 1994-95 study, about half of all U.S. women will have an abortion at some point in their lives.(source: New YorkTimes Aug. 8, 1996)
  4. The proportion of teenage women having abortions dropped from 25.5% in 1987 to 21.5% in 1995. (source: New York Times Aug. 8, 1996)
  5. 6 in 10 women who have abortions say they were using contraceptives when they became pregnant. (source: New York Times Aug. 8, 1996)
  6. 99% of all abortions are performed in the first half of a pregnancy's gestation period.
  7. .04% of abortions are performed 26 weeks or more into the gestation period.
  8. Catholic women have an abortion rate 29% higher than Protestant women. (source: New York Times Aug. 8, 1996)
Medically there are three stages of an unborn human: zygote (from conception to implantation in the uterine wall--one week); embryo (from implantation to first sign of brain waves--eight weeks); fetus (from eight weeks to birth).  However, the term ‘fetus’ can be used to cover all stages.

Two issues are centrally discussed:
 i) is the fetus a person?
 ii) if it is, how do we solve conflicting claims?

A) The status of the fetus.

1. An argument for the immorality of abortion which immediately comes to mind is  this:
 i. the fetus is an innocent human being
 ii. killing an innocent human being is morally wrong
 iii. hence, abortion is morally wrong

Problem:
Premise (ii) fails to distinguish between ‘being genetically human’ and ‘being a  person’.  What's wrong primarily is killing persons (beings with moral rights and  duties), and killing humans is wrong insofar as they are persons.  That is, belonging  to the species homo sapiens is not, per se, morally significant unless it is  connected with being a person.
 

2.  What the necessary and sufficient conditions for personhood are, is a matter of controversy.  It is clear that any individual who is self-conscious and acts autonomously on the basis of a set of moral beliefs, that is, who is a center of autonomous choice and evaluation, qualifies as a person (ask yourself when you would call a being from outer space a person).  Obviously, any normal adult human being qualifies as a person under these criteria.  However, it is perhaps possible to relax the criteria somewhat.  Feinberg claims that five necessary and sufficient conditions are embedded in the commonsense notion of personhood:

  1. being conscious , e.g. aware of one's surroundings.
  2. being conscious of itself, i.e. being able to think of oneself as oneself at least at a rudimentary level.
  3. being able to reason and know, e.g. plan, understand at least at a rudimentary level.
  4. being  a sentient being, e.g. feel pain/pleasure.
  5. being able to have emotions.

  6. NOTE: (1)-(3) are less problematic than (4)-(5). Perhaps (1)-(3) are enough for personhood.
So, a being who actually has (1)-(5) is a person in the moral sense, i.e. has  moral rights.
NOTES:


3. Proposed extensional equivalents of moral personhood.

4. Since the proposed extensions of personhood and rights beyond the actual possession  of (1)-(5) fail, one should accept actual possession of (1)-(5) as the criterion for  personhood and rights.  Hence, abortion is never murder.
NOTE: Utilitarian considerations also show that: Problem:
The requirement of actual possession of (1)-(5) seems too strong:

B) The problem of conflicting claims
Assume, for argument's sake, that the fetus is a person.  Then, abortion is terribly wrong.  However, a pregnant woman has rights of her own which can come into conflict with those of the fetus, in which case there is a conflict of rights.  There are three basic rights on which the right to have an abortion can be based: property rights on one's own body; right to self-defense; right to bodily autonomy.

1. Property rights over one's body.
There are 3 main arguments centering on the property rights a woman has over her  body:

  1. The fetus is like an organ or a growth; since these may be eliminated, so may  the fetus.

  2. Problem: the fetus is not a mere growth, but an independent entity temporarily growing in the mother.
  3. The fetus is a part of the woman's body; hence it's her property, like a watch  or a house.

  4. Problems:
  5. A woman's body as her property; hence she can expel an unwanted fetus in the same way in which one can expel an unwanted guest from one's house.  Problem: one may not throw out a weak guest who was brought unconscious in the house into the freezing cold to certain death.
NOTE: hence, property rights fail to ground a right to abortion because they  can never justify homicide.

2. The right to self defense
The idea here is that the intentional killing of a person is justifiable in cases of  self-defense, e.g. survival, maiming, rape, severe beating, etc. But pregnancy  and/or having an unwanted child can bring severe harm to a woman (think of cases  of rape, much too many children, very difficult pregnancy).
Problem:
the standard cases of self-defense involve killing an aggressor; but the fetus is not an aggressor (not even an innocent one).
Answer:
It's justifiable (though regrettable) to kill the innocent shield of a threat  (Thompson’s case of the tank with the baby).

NOTE: Hence, the right to self-defense allows abortion only if a woman's life is at substantial risk.  However, abortion to have a happy life is not justified because one cannot kill an innocent person in order to be happy.

3. The right to bodily autonomy
In the case of Thompson's plugged-in-violinist, it would be supererogatory to  remain plugged.  Hence, in cases of unwanted pregnancy, it would be supererogatory, though not morally obligatory, to bring the fetus to term (to remain plugged).
Problem:
There's a deep disanalogy between abortion and the violinist case, for the woman, by  voluntarily having sex, is often co-responsible for the existence of the fetus.  But  voluntariness entails responsibility, and therefore the woman's responsibility  toward the fetus will be proportional to the degree of voluntariness.  One can  distinguish several cases:

  1. rape (totally involuntary).
  2. faulty contraceptive because of sloppy manufacture.
  3. contraceptive failure within the advertised margin of error.
  4. negligence because of unjustifiable ignorance.
  5. recklessness: swept along by passion.
  6. indifference (didn't care at the time)
  7. deliberate decision to have pregnancy (totally voluntary).
Presumably, in cases (4)-(7) a woman has no right to abort, while in cases (1)-(2)  she does have that right since she took reasonable precautions.  Case (3) is  borderline.
Problem: She could have abstained.  However, it's reasonable to think that some degree of sex is necessary for the happiness of most people, and consequently the requirement of abstinence seems extreme.

NOTE: bodily autonomy guarantees only a limited right to abortion.


ROE v. WADE

A. The principals

The appellant was Jane Roe (a pseudonym), who challenged the constitutionality of Texas Statutes Articles 1191, 1192, 1193,1194 and 1196 concerning abortion.  Her lawyer argued that the interference of the State of Texas in Roe’s private life was:

The appellee was the State of Texas.  It argued that:

B. The Texas anti-abortion statutes

When called upon judging the constitutionality of a statute, courts must interpret it.  They try to do this in two ways:

  1. Finding the clear meaning of the statute.

  2. Problem: Some statutes are passed with language which is  intentionally vague in order to satisfy different legislators.
  3. Determining the legislative intent, i.e. to what end the legislature  enacted the statutes.

  4. Problem: Legislators may have had a number of different goals in mind  in voting for statutes.  Moreover, in many states there are few records of the old debates over statutes.
In Roe v. Wade, the Court addressed the Texas Statutes and attempted to determine why these statutes had been passed, and whether there were good reasons behind them consistent with the state interest in the police powers.  The Court came up with three possible reasons for the statutes:
 
  1. These laws may be the product of Victorian social concern to discourage illicit sex. (This reason was not used by Texas, but it is a possible one.)

  2. Response: This is not the proper concern of the state.
     
  3. These laws may reflect the state’s interest in protecting citizens from unsafe medical procedures.

  4. Response: Even if this was the purpose of the laws, today abortions performed with appropriate medical supervision are safe.
     
  5. These laws reflect the state’s interest in protection of prenatal life.    Some argue that the fetus is a person from conception and therefore  the state has a right to prohibit killing fetuses (persons).  Others do not make this claim but claim that the state has an interest  in the protection of potential human life.

  6. NOTE: the Court says "human life," but the issue, it seems, is potential personhood.
    Responses:
C. The argument of the Court

The argument of the Court rests on the idea that there are three important interests at stake.
 

  1. 1. The woman's interests

  2. The woman has an interest in (a right to) privacy. (This was  established in Griswold v. Conn. and in other cases).  She has a right to liberty. She has a right to due process and equal protection under the law (14th Amendment).
    NOTE: However, the Court argued that no rights or interests are  absolute.  The issue, then, was to determine when other interests are  sufficiently strong to override the woman's interest in privacy and  liberty.
     
  3. The interest of the State in Health and Safety of Citizens.

  4. The Court recognized the interest of the state to protect the health of  its citizens by regulating the practice of medicine.
     
  5. The interests of the State in protecting potential human life.

  6. The court recognized the interests of the state in protecting potential  human life.
     NOTE:

D. Conflicting interests and the stages of pregnancy

1. First trimester

Since abortions at this early stage are extremely safe, the state has no  compelling interest to regulate beyond its normal interest in  protecting health.  Because of the nature of the fetus at this early  stage, the State's interest in protecting potential life is also very  minimal.  Consequently, these other interests are not sufficiently  strong to interfere in the privacy and liberty of the woman.

2. Second trimester

Since abortions become more risky at this stage, the state's interest in  regulating them is stronger.  Hence, it can regulate, provided the  regulation is reasonably related to the health of the woman.  The  state's interest in protecting potential human life is also stronger,  since the potential human is closer to becoming an actual human  person.  However, that interest is not yet sufficiently strong to allow  the state to interfere in the woman's privacy and liberty.

3. Third trimester

The woman's interest in privacy and liberty are as strong as before.  However, once the fetus is viable, the Court believes that the State  may choose to regulate, even prohibit, abortion, as long as the life and  health of the mother are not threatened.

E. The decision of the Court
 

NOTES:
  1. There is a potential conflict between the third trimester and the viability requirements, since technology  pushes the momet of viability earlier and earlier.
  2. In a related decision, the Court made clear that by "health" it meant both physical and psychological health.   Opponents claim that this amounts to allowing abortion on demand.
  3. Planned Parenthood v. Casey (1992)