Wednesday, February 1, 2012

Cura personalis

Hey guys.  I haven't written in eons, but I had a conversation quite recently that has sent me racing back to my little blog, anxious to share my indignation with anyone who will listen.

This was what transpired:  I had a patient last week, a nice, older male, armed with a full set of nice, older male "family values."  Towards the end of our encounter, he told me happily of a story he had heard on the news.  To be brief, the story centered around a young pregnant woman with cancer, who forewent chemotherapy in order to deliver a healthy baby.  Due to the delay in treatment, she died soon after giving birth, a decision my patient lauded and defended.  Lest I doubt his thoughts on the matter, he added:  "Isn't that just great?  So many women would be selfish and put themselves first, and so many would even throw their babies away and have an abortion!"


Now, who knows what particular instance this man was referencing.  There are countless instances of pregnant women choosing to put the well-being of their fetuses above their own.  Choosing being the operative word.  All well and good.  Yet once this decision becomes expected of women, once we as a society make the Rick Santorum-approved assumption that a woman - endowed with hopes, dreams, life experiences, the abilities to enjoy life an to contemplate death - is worth less than the fetus she is carrying, we have come to a dangerous conclusion.

There is already a disturbing history of Catholic hospitals (which, by the way, comprise 13% of healthcare providers in the U.S.) denying life-saving care to pregnant women.  It is the Church's official policy not to provide therapeutic abortions even in cases of ectopic pregnancy.  Under the auspices of the so-called "Protect Life Act," these hospitals could continue to withhold treatment while still receiving federal dollars!  Catholic hospitals which do perform such procedures may face loss of funding, excommunication, and general Catholic self-righteousness.

Fittingly, just as I had this issue on the brain, I interviewed this morning at Georgetown's (Catholic) School of Medicine.  After a long speech about Georgetown's philosophy of "cura personalis," the "respect for the individual humanity of every patient," we sat in on a class on, of all things, complications of pregnancy.  The descriptions of ectopic and molar pregnancy were not followed by mention of treatment, in good Catholic form.  Question:  Could I really attend this school?

Answer:  Even if I don't, society's views on motherhood and the rights of women extend, alas, far beyond the nunnery walls.

Tuesday, August 30, 2011

First Amendment Madness in Maryland

A few weeks ago, I performed my very first "active" duty as a pro-choice activist and attended the "Summer of Choice" rally in Germantown, Maryland.  Germantown, right in my very backyard, just happens to be the home of Dr. Leroy Carhart, one of the nation's few late-term abortion providers.  Like Dr. George Tiller, Dr. Carhart is on the very vanguard of the abortion debate, often singled out and/or blacklisted by the religious right.  Since Dr. Tiller's assassination, Dr. Carhart's precarious position has been all the more apparent:  there are people, many people, who want this man dead.


Accordingly, the "Summer of Choice" rally was populated with Dr. Carhart's passionate defenders.  Some had had abortions; all were thankful that their reproductive rights were protected should they ever need one.  The pro-life representation was surprisingly small, although there were the customary crucifixes and banners depicting dismembered, bloody fetuses.  One man allegedly told the patrolling cop that he should "turn his gun into the clinic and shoot the Baby Killer."

I was most surprised by the atmosphere of anxiety and even, at times, paranoia:  it definitely served as a harsh reminder of the reality of clinic violence that I will face every day if I do become an "abortionist," as the pro-lifers so lovingly call them.  This violence will become more than mere rhetoric:  it will become my Sword of Damocles.


I will admit, however, that I was somewhat disappointed by the protest.  My primary objection was the strong preponderance of female protestors, and I initially assumed that men were largely absent because they simply did not care.  I very quickly realized, however, that a pro-choice rally is often not a comfortable place for men, with feminist rage and man-hating running rampant.  Reproductive choice, women insist, is synonymous with radical and often divisive feminism.

I take issue with this viewpoint because I feel that making reproductive rights a "women's issue" cheapens the cause, making it something that only pertains to 50% of the population, something to be sequestered to the back of the store with tampons and Vagisil.  Reproductive rights and family planning are issues for everyone, not just Women's Studies majors on summer break.  Birth control, population, quality of life - these affect us all, and we should all be invested.   



Saturday, August 6, 2011

Logic & Fallacy


Confronted with any one of the many justifications for abortion, a crisis pregnancy center or other pro-life entity will have some quick, ready-made, and single-minded response at hand.    If a fetus is severely genetically deformed, a clinic protester would proclaim that it is better to suffer as long as "God sees fit" than not to live at all.  If the mother is simply unprepared or unwilling to have a child, the CPC would insist that the "baby" would still prefer to live, regardless of the conditions it would be born into.

 
Obviously, a 2-month-old fetus cannot choose anything, so a fully-developed human can only retroactively make this "choice."  In essence, the pro-life argument is that regardless of the quality of one's life, it is always better to come into existence than not to do so.  Philosophically, the water that this argument holds is pretty likely to break.  Haha. 


If my mother were, by chance, not pro-life - and the fact that she gave birth to me does not automatically negate that possibility - then I would not be conscious to regret that fact.  Now that I already exist, I suppose that I am grateful for the events that made my birth possible, but that in no way implies that the world would somehow be worse off if I had never been conceived or born. Given that a hypothetical person who does not exist is ambivalent of that fact, non-existence cannot really be a negative.  Pain and unfortunate life circumstances, however, are decidedly less neutral states of being.

The absurdity of this line of reasoning was highlighted much more aptly by everyone's favorite atheist, biologist, and sometimes pro-choice philosopher, Richard Dawkins.  Even though I think Dawkins is often unnecessarily confrontational (not to mention overly arrogant for a biologist who has essentially no significant scientific findings to his name) I have included the following fairly brilliant article below, with full rights to Dick.  Enjoy.


The Great Tim Tebow Fallacy

Q: The conservative Christian group Focus on the Family is sponsoring a pro-life ad, featuring football star Tim Tebow, during Sunday's Super Bowl. Should CBS show the ad? Should CBS allow other faith-based groups to buy Super Bowl ads promoting their beliefs on social issues? Is a major sporting event, or a TV ad campaign, an appropriate venue for discussing such vital and divisive culture-war issues like abortion?
I gather that Tim Tebow is extremely good at football. That's just as well, for he certainly isn't very good at thinking. Perhaps the fact that he was home schooled by missionary parents is to blame.
The following is what passes for logic in the Tebow mind. His mother was advised by doctors to abort him, but she refused, which is why Tim is here. So abortion is a bad thing. Masterful conclusion.
It is a version of what, following the great Nobel-Prizewinning biologist Peter Medawar, I have called the Great Beethoven Fallacy.
Versions of the Great Beethoven Fallacy are attributed to various Christian apologists, and the details vary. The following is the version favoured by Norman St John Stevas, a British Conservative Member of Parliament. One doctor to another:
"About the terminating of pregnancy, I want your opinion. The father was syphilitic. The mother tuberculous. Of the four children born, the first was blind, the second died, the third was deaf and dumb, the fourth was also tuberculous. What would you have done?"
"I would have terminated the pregnancy."
"Then you would have murdered Beethoven."
It is amazing how many people are bamboozled by this spectacularly stupid argument. Setting aside the simple falsehood that Ludwig van Beethoven was the fifth child in his family (he was actually the eldest), the falsehood that any of his siblings was born blind, deaf or dumb, and the falsehood that his father was syphilitic, we are left with the 'logic'. As Peter Medawar, writing with his wife, Jean Medawar, said,
"The reasoning behind this odious little argument is breathtakingly fallacious . . . the world is no more likely to be deprived of a Beethoven by abortion than by chaste absence from intercourse."
If you follow the 'pro-life' logic to its conclusion, a fertile woman is guilty of something equivalent to murder every time she refuses an offer of copulation. Incidentally, 'pro life' always means pro human life, never animal life although an adult cow or monkey is obviously far more capable of feeling pain and fear than a human fetus. But the profoundly un-evolutionary nature of this terminology is another story and I'll set it on one side.
The sperm that conceived Tim Tebow was part of an ejaculate of (at an average estimate) 40 million. If any one of them had won the race to Mrs Tebow's ovum instead of the one that did, Tim would not have been born, somebody else would. Probably not such a good quarterback but - we can but hope - a better logician, who might have survived the home schooling and broken free. That is not the point. The point is that every single one of us is lucky to be alive against hyper-astronomical odds. Tim Tebow owes his existence not just to his mother's refusal to have an abortion. He owes his existence to the fact that his parents had intercourse precisely when they did, not a minute sooner or later. Then before that they had to meet and decide to marry. The same is true of all four of his grandparents, all eight of his great grandparents, and so on back.
Religious apologists are unimpressed by this kind of argument because, they say, there is a distinction between snuffing out a life that is already in existence (as in abortion) and failure to bring life into existence in the first place. It's not a distinction that survives analytical thought, however. Look at it from the point of view of Tim's unborn sister (let us say), who would have been conceived two months later if only Tim had been aborted. Admittedly, she is not in a position to complain of her non-existence. But then nor would Tim have been in a position to complain of his non-existence, if he had been aborted. You need a functioning nervous system in order to complain, or regret, or feel wistful, or feel pain, or miss the life that you could have had. Unconceived babies don't have a nervous system. Nor do aborted fetuses. As far as anything that matters is concerned, an aborted fetus has exactly the same mental and moral status as any of the countless trillions of unconceived babies. At least, that is true of early abortions, which means the vast majority.
The fact that the Tim Tebow advertisement is a load of unthought-through nonsense is no reason to ban it. That would infringe our valued principle of free speech. The best that the rest of us can do is point out, to anyone that will listen despite our lack of money to pay for such advertisements, that it is nonsense. As I have just done.

Wednesday, July 27, 2011

A Free Lunch

I have great news for those of us who would like to keep our uteruses vacant for the time being.  This past week, the Institute of Medicine released a much-anticipated report defining contraceptives as "prevention," categorizing birth control along with such services as mammograms or childhood immunizations.  No shit, Sherloch, right?  But the awesome implication of this classification is that, if the federal government accepts the report's findings, birth control, IUDs, and birth control injections will now be offered by insurance companies without copays.  Free at last, free at last.


The IOM now recommends that birth control methods be made available free of charge in order to stem the high number of unintended pregnancies (and yes, abortions) that occur in the US each year.  And shockingly, according to a recent poll, about 71% of Americans agree with this suggestion.


Childhood immunizations are one of the primary intro economics examples of a positive externality:  protecting the majority against infection will lessen the overall population's risk of infection, making us all healthier as a result. Thus, immunizations are offered without copays and are considered to be worth the cost.  Preventing unwanted pregnancies, by comparison, is a positive externality in the same vein.  Fewer unwanted pregnancies spell lower Medicaid costs, better career prospects for women, and fewer kids with shitty childhoods.  According to a 2010 Norwegian study, free birth control greatly decreases the rate of unintended pregnancy, and halves the abortion rate.  If these projections hold true in America as well, then both the pro-life and pro-choice sides should have something to celebrate.  This, America, is compromise.

Now, let's not get too excited just yet:  we are already hearing from the Catholics, and I have no doubt that the chronically pugnacious Republicans will soon be chiming in.  But nevertheless, I am elated, and not only because I might soon be saving around sixty bucks a month.  First, maybe mainstream attitudes towards contraceptives are not as medieval as my Negative Nancy self had believed.  Second, this report forecasts a very positive and palpable shift in women's health.  No-cost birth control will not only save taxpayers an enormous amount in the long run, but will also produce a profoundly positive trickle up, down, and around effect.  Margaret Sanger is smiling.

Wednesday, July 6, 2011

Doubleplus Terrifying

In sifting through a never-ending deluge of pro-life articles, blogs, and propaganda, I am particularly rankled by a particular sort of rhetoric.  My pro-life counterparts have an uncanny ability to transform seemingly positive words, such as "life" or "family," into creepy code words for what I term "breeding mentality."  That is, when used as pro-life doublespeak, these words refer to the disturbing, but not uncommon, notion that women (and men) exist for the sole purpose of reproduction and child-rearing.  Hash-tagged too are the misogyny, homophobia, and rejection of science typically associated with the "culture of life" movement.  If you don't believe me, just check out Life Site News, Focus on the Family, or Right to Life.

 

Take, for example, the so-called "Heartbeat Bill," which was passed this week by the Ohio House of Reps.  Under this law, abortions could not be performed after the first detection of a fetal heartbeat - at about 6 weeks post conception.  Thus, if ratified, this sweet-sounding bill will essentially override Roe v. Wade and spell an end to abortion rights in that state.  For other such examples, see the Protect Life Act and the unratified Sanctity of Life Act.

Well, at last someone has made a cinematic portrayal of the abject terror the pro-life movement at times elicits from me.  "The Life Zone," a pro-life horror film which premiered June 6 at the Hoboken Film Festival, is essentially a low-budget M. Night Shyamalan flick meets the Left Behind series.  Plus a good dose of Catholic-style afterlife torment.

 

So, I probably won't be lining up in costume for the midnight showing of this one.  But I think that in attempting to make its point artistically, the "The Life Zone" hits a little too close to home.  For many women, the loss of reproductive rights would mean being trapped in a horrifying (virtual) Purgatory, forced to bear and raise an unwanted child.  Pro-life activists:  it may be that while you hide behind your Virgin Marys and Precious Moments dolls, your doublespeak is masking the fact that you place the rights of a fetus before those of a woman, and that you would willingly force a woman to carry a pregnancy to term.  Those are some real family values.

Saturday, June 25, 2011

One in Three

If you know three or more women, then it's fairly likely that one of them has had an abortion.  According to the Guttmacher Institute, 35% of US women have undergone this procedure.  Of those women, 61% already have at least one child.

Yet you're not likely to have a happy hour conversation with your best gal pal about the abortion she had last year.  Thus, comedienne Chelsea Handler, who frequently makes light of alcoholism and celebrities' eating disorders, made some waves last week when she openly admitted to having had an abortion at the age of 16.  "Because that's what I should have done.  Otherwise, I would now have a 20 year old kid."

Chelsea Handler:  One in three.

The stigma surrounding abortion is no secret.  Thus, any woman, famous or not, who "comes out" about her abortion is likely to face some hostility or criticism.  Fortunately, the Safe Abortion Project is an organization dedicated to reversing this trend.  This group  encourages women to speak up about their experiences with abortion in order to keep the procedure safe and legal.  There are also forums, such as the National Abortion Federation's blog, which publish women's abortion stories judgment-free to shed light on the myriad reasons why a woman might choose to have an abortion.  These are steps in the right direction.

This takes balls

The movement to "break the silence" has unfortunately been co-opted by the other side as well, with religiously-affiliated organizations like Project Rachel and Silent No More.  These groups encourage women to tell discuss their (negative) experiences with abortion in order to address the mythical "Post Abortion Syndrome," and to frighten women out of having abortions themselves.  Nevertheless, women of any religious or political leaning are still more likely than not to clam up about undergoing the most common medical procedure performed in America.

While flipping through channels on any given day, you can see around three shows about boob jobs or facelifts or weight loss surgery, and hear the claims subjects give that this procedure will raise their self esteem or better their lives in some way.  You can also choose from an enormous selection of pregnancy- and baby-related programming, including "Birth Day," "Deliver Me," "A Baby Story," and "Sixteen and Pregnant."  

But the topic of abortion will never rear its head without awkward silence and harsh judgement, because we as a society not only do not respect a woman's right to choose, but barely understand or accept that she might not fucking want to have a kid.  We can accept the idea that plastic surgery or weight loss can positively impact a woman's health or self esteem, but can't acknowledge that the prevention or termination of unwanted pregnancy could have even more profound effects on a woman's ability to support herself financially, finish her education, or better care for already existing children.   Successful women like Rep. Jackie Speier or even Chelsea Handler have attained success in part because they were able to delay childbearing in favor of education and career.  Let's see a TLC two-part special about that.

Thursday, June 2, 2011

The Culture of Death

“The Culture of Death” is a phrase that gets tossed around a lot in certain circles.  Very creepy circles, to be fair, so you might not have heard this particular turn of phrase if you don't spend a lot of time researching reproductive rights.  First coined by Pope John Paul II, this emotionally-laden and contrarian saying refers to the prevalence of birth control, abortion, and euthanasia in Western society.  It is also used as the official Root Of All Evil by those who hold to the belief that we somehow desperately need more people in the world.


Last July, during the commemoration of “the Pill’s” 50-year anniversary, a coalition of Evangelicals hosted an enormous conference in San Antonio, TX, called "The Baby Conference:  A Historic Family Summit on the Triumph of Life Over the Culture of Death."  Highlights of the conference included discussion on the Pill’s adverse effects on society, a vigil for the pre-born victims of abortion and miscarriage, a lecture on "not believing the lie of overpopulation," and a speech by Michelle Duggar on accepting God’s gift of children. The convention center was bedecked with images of chubby white babies and of Terry Schiavo, who has become the unofficial “face” of euthanasia (though her actual cause of death was withdrawal of care, not euthanasia or assisted suicide).  At the root of the discussion was the theme that creepy crawly secular culture was diffusing its “fascination with death” throughout America.

This terrifying alternate reality is brought to you by 
Toys R Us & George Orwell

I doubt that attendees ran out of conversation during the conference.  Fifty years after the release of the Pill in America, 88% of sexually active women report having taken hormonal contraception at some point in their lives, and the average fertility rate is 2.04 children per woman.  Ninety-five percent of Americans have had premarital sex, and 43% of women have had at least one abortion.  With all these insults against "pre-born lives," it seems like the "culture of death" may truly be pervading the US.

In the DR Congo, abortion is illegal, contraception essentially unheard of, and the fertility rate 6.7 children born to each woman.  Infant mortality is the second highest in the world, at 7.8%, female literacy is 55%, and about 5% of the adult population is HIV positive.  What lesson are we to take from a culture which really truly knows how to accept God’s precious little gifts?

The "culture of death" conversation is laden with both a flippant disregard for real-world problems and a sinister attack on individual freedom and fulfillment.  There is plenty of inherent misogyny, yes, but even deeper than that is the notion that we, all of us, are nothing more than breeders.  There is an outright rejection of humanity and quality of life, a lack of concern for the planet or for the plight of others, a denial that there are some things worse than death.  Absent is any desire to better the world, to create a world worth living in.  Though this group typically dismisses evolutionary theory, they have nevertheless completely co-opted natural selection by making procreation the greatest possible good.  Furthermore, the proponents of the "culture of life" blatantly ignore the fact that the philosophy is completely untenable.  Being able to stand in a sanitary auditorium in front of your nineteen healthy children would not be possible if everyone followed the calling to reproduce as much as humanly possible.  Barring an actual Rapture occurring within the next 50 years, the problems of unrestrained reproduction are going to have to be addressed by scientists who put education and the pursuit of a greater good ahead of procreation.

Worst of all, the sentiment behind the "culture of death" conversation isn't confined to a few Bible-thumping breeder weirdos in a convention center in Texas.  It's behind the House's latest decision to defund the UNFPA, behind abstinence-only sex education, behind bans on condom advertising:  in short, the religiously-fueled idea that we live to procreate is inherent in everything I've ever discussed on this blog.  Rise up, secular world.  We are more than the sum of our parts, and so too should we be more than the fruit of our loins.