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:
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1.3 million Americans have abortions every year. (source: New York Times
Aug. 8,1996)
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The overall abortion rate in the United Stateshas dropped about 10% in
recent years.(source: New York Times Aug. 8, 1996)
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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)
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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)
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6 in 10 women who have abortions say they were using contraceptives when
they became pregnant. (source: New York Times Aug. 8, 1996)
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99% of all abortions are performed in the first half of a pregnancy's gestation
period.
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.04% of abortions are performed 26 weeks or more into the gestation period.
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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:
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being conscious , e.g. aware of one's surroundings.
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being conscious of itself, i.e. being able to think of oneself as oneself
at least at a rudimentary level.
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being able to reason and know, e.g. plan, understand at least at a rudimentary
level.
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being a sentient being, e.g. feel pain/pleasure.
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being able to have emotions.
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:
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A person in the commonsense use of the notion needsn't have moral duties
insofar as needn't even have a rudimentary moral system. For example,
a normal two year baby is a person under these relaxed criteria, but can
hardly be thought of as having moral duties.
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A person in the moral sense needn't be one in the legal sense (the
latter has legal rights/duties on the basis of positive law and can be
non-living, e.g. a corporation).
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Questions:
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at what point are (1)-(5) so relaxed as to be satisfied by some (many?)
animals?
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Children and animals
3. Proposed extensional equivalents of moral personhood.
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homo sapiens: all and only humans at any stage of their development
are persons.
Problems:
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it's not clear why our species should be singled out. It's possible
that other beings are persons (God, aliens, other species); nor is it clear
why a man who cannot have (1)-(5) at all should be a person.
The position seems guilty of unwarranted homocentrism, i.e. speciesism.
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if zygotes are persons, then we should spend billions to avoid natural
miscarriages (about 65% of cases). There would also be about 15%
of (often) grossly handicapped babies instead of about 2%.
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any procedure preventing implantation of zygote to uterine wall would be
murder. Hence, some drastic steps (monthly tests for women?) might
be justified.
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modified species: all and only members of any species normally having (1)-
(5), whether they have (1)-(5) or not.
Problem: there seems to be no reason to include members not
satisfying (1)-(5).
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strict potentiality: all and only those beings which actually have (1)-(5)
or have within themselves the capacity to develop into beings which
actually have (1)-(5).
NOTES:
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Hence, while spermatozoa and ova don't qualify, the embryo does
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This is the standard position of those who consider abortion murder.
Problems:
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Using the morning-after pill, which flushes the embryo before implantation,
is the moral equivalent of, say, killing a sleeping adult.
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It seems that beings which have (1)-(5) potentially are merely potential
persons, and consequently have at best merely potential rights. But
a potential right is not a right any more than a potential meal is
a meal. A 9-year old citizen has a potential right to vote, but we
don't admit her in the voting booth.
Reply:
having (1)-(5) potentially confers not actual full rights, but
actual weak rights which grow stronger and stronger the closer the
subject comes to having (1)- (5).
Duplication: The argument moves from almost qualification to
a right to a weak version of the right, and the move is illicit.
The day before inauguration the would-be president has no right (not even
a weak one) to command the armed forces.
NOTE: although a potential right is no right at all, and hence not
a weak right, one might argue that the closer the subject is to having
an actual right, the more interest we should have in the preservation of
the subject in the light of the right it almost has.
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:
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in some cases it may be permissible (perhaps even morally required) to
kill severely handicapped babies (i.e. before they become persons).
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care should be taken to avoid, when possible, fetal suffering (apparently,
this is very rarely done).
Problem:
The requirement of actual possession of (1)-(5) seems too strong:
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A normal adult doesn't satisfy (1)-(5) when he's asleep. But certainly
a sleeping adult is a person.
Reply: there are two levels of actuality, first and second.
First actuality consists in actually possessing a capacity (e.g. one knows
French) without exercising it (one is asleep).
Notice that first actuality is different from mere potentiality.
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A neonate does not have (1)-(5). Hence, he's not a person, and consequently
infanticide is justified.
Reply:
Infanticide is wrong not on the basis of right to life, but
on basis of other considerations: infaticide ultimately produces a loss
of respect for adult human life, which utilitarian (or egoistical!) considerations
show must be avoided. The same sort of considerations show
that although abortion is not murder, society may regulate it.
Duplication: There's little evidence that infanticide leads
to a cheapening of adult human life and the consequent corrosion of the
general prescription against killing adults as long as the infanticide
is carried out before the infant is considered a member of the community
, e.g. Japanense town of Nakahara in 18th and 19th century, or some Indian
villages which practice infanticide on baby girls. (This last case, however,
may cut both ways: ask yourself: "What's the status of girls and women
in such villages?")
So, it looks as if the problem remains.
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:
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The fetus is like an organ or a growth; since these may be eliminated,
so may the fetus.
Problem: the fetus is not a mere growth, but an independent
entity temporarily growing in the mother.
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The fetus is a part of the woman's body; hence it's her property, like
a watch or a house.
Problems:
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this is incompatible with the assumption that the fetus is a person;
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fetuses not bought and sold, or used as collateral.
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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:
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rape (totally involuntary).
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faulty contraceptive because of sloppy manufacture.
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contraceptive failure within the advertised margin of error.
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negligence because of unjustifiable ignorance.
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recklessness: swept along by passion.
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indifference (didn't care at the time)
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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:
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a violation of the legitimate use of police powers of the state.
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a violation of Roe’s right to privacy, which had been established in
Griswold v. Connecticut. This was tantamount to violating her right
to due process and equal protection under the law (14th Amendment).
The appellee was the State of Texas. It argued that:
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the anti-abortion statutes represent a legitimate exercise of the
police power of the state
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the fetus is a person and as such is protected under these laws.
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:
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Finding the clear meaning of the statute.
Problem: Some statutes are passed with language which is
intentionally vague in order to satisfy different legislators.
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Determining the legislative intent, i.e. to what end the legislature
enacted the statutes.
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:
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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.)
Response: This is not the proper concern of the state.
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These laws may reflect the state’s interest in protecting citizens from
unsafe medical procedures.
Response: Even if this was the purpose of the laws, today abortions
performed with appropriate medical supervision are safe.
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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.
NOTE: the Court says "human life," but the issue, it seems, is potential
personhood.
Responses:
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There is some scholarly support for the claim that 19th century laws
were not designed to protect prenatal life.
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If the laws were designed to protect prenatal life because it is
a person, the laws do not make sense. If the fetus is a person,
then why is the physician (or person performing the abortion) not
guilty of murder? Why is the mother not an accomplice to murder.
Why is attempted abortion not attempted murder?
C. The argument of the Court
The argument of the Court rests on the idea that there are three important
interests at stake.
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1. The woman's interests
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.
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The interest of the State in Health and Safety of Citizens.
The Court recognized the interest of the state to protect the health
of its citizens by regulating the practice of medicine.
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The interests of the State in protecting potential human life.
The court recognized the interests of the state in protecting potential
human life.
NOTE:
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The Court determined that a fetus is not a person under the Constitution.
The Court revised the use of the word "person" in the Constitution
and in other legislation and never found it used as a reference to
the unborn. It concluded that fetuses legally have not been considered
persons.
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With respect to the claim that human personhood begins at conception
(and therefore legally we should include fetuses as persons) the Court
reviewed the controversy over personhood. It concluded that the woman's
important right to privacy and liberty could not be overridden by
the adoption of a controversial theory of the beginning of personhood.
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
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Laws prohibiting abortions except those intended to save the life of the
mother without regard for the stage of pregnancy and other interests,
violate the Due Process Clause of the 14th Amendment, and are therefore
unconstitutional.
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First trimester: no regulation is allowed during this period of
time. The decision is left to the woman and a qualified physician.
However, the state may regulate the medical practice of abortion.
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Second trimester: the State may regulate abortion in ways reasonably
related to the health of the woman.
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Third trimester (from the point of viability): the State may regulate,
even prohibit, abortion, consistently with its interest in the potentiality
of human life, except where necessary in appropriate medical judgment
for preservation of the life or health of the woman.
NOTES:
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There is a potential conflict between the third trimester and the viability
requirements, since technology pushes the momet of viability earlier
and earlier.
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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.
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Planned Parenthood v. Casey (1992)
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The Pennsylvania legislature amended its abortion control law in 1988 and
1989. Among the new provisions, the law required informed consent anda
24 hour waiting period prior to the procedure. A minor seeking an abortion
required the consent of one parent (the law allows for a judicial bypass
procedure). A married woman seeking an abortion had to indicate that she
notified her husband of her intention to abort the fetus. These provisions
were challenged by several abortion clinics and physicians. A federal appeals
court upheld all the provisions except for the husband notification requirement.
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The Constitutional Question is whether the amendments to the Pennsylvania
law violate a woman's right to abortion as guaranteed by Roe v. Wade. In
1992, in a bitter, 5-to-4 decision, the Court again reaffirmed Roe, but
it upheld most of the Pennsylvania provisions by imposing a new standard,
namely, whether a state abortion regulation has the purpose or effect of
imposing an "undue burden," which is defined as a "substantial obstacle
in the path of a woman seeking an abortion before the fetus attains viability."
Under this standard, the only provision to fail the undue-burden test was
the husband notification requirement.