Pain in the Ass

An bill making its way through the Ohio legislature has attracted a lot of attention lately for proposing that abortions be outlawed after a fetal heartbeat can be detected - which occurs about 6 or 7 weeks after conception.  This law - HB 125 - is not only in direct defiance of Roe v. Wade (which mandates that abortion rights not be violated prior to viability, currently defined at 24 weeks of gestation), but was also recently the subject of a court case in which a pregnant woman was given a ultrasound in the courtroom when her 9-week-old fetus was called to "testify."

Similarly, many states require that a pregnant woman have an ultrasound and listen to her fetus' heartbeat prior to obtaining an abortion.  These ridiculous bills are founded on the sappily sweet "Touched by an Angel" sentiment that a beating heart on an ultrasound could never cause anything but joy and reverence.  Naturally, however, lots of organisms have circulatory organs just as complex as the heart tube found in the 7-week fetus:  the cattle and pigs we don't hesitate to slaughter for meat, for example.  Maybe McDonald's patrons should be legally required to listen to a bovine heartbeat before deciding whether to order a McRib.

As does a major myocardial infarction, fatass

What worries those of a slightly more scientific, less sentimental nature is the issue of embryonic brain development and fetal pain.  After all, no brain, no pain.  The fetal pain argument has recently led five US states (Kansas, Nebraska, Indiana, Oklahoma, and Idaho) to ban abortions after 20 weeks of gestation - once again, in direct opposition to Roe v. Wade.  Now, since I just finished writing a paper on fetal cortical development for my Developmental Biology course, I'll try to reproduce the gist of the argument here to dispel any and all concerns for fetal pain in abortion.

The cerebral cortex, the portion of the brain necessary for thought, language, and pain sensation, begins forming around 8 weeks post conception, when the anterior and posterior regions of the dorsal telencephalon start secreting signals to pattern the cortical layout.  From this point, cortical progenitor cells in the subventricular zone begin differentiating into glial cells and neurons, and neurons begin the process of migrating upward to the cortical plate.  Once they have reached their destination, they will undergo myelination and form synapses with other neurons, in a process which will continue throughout development and even after birth.

http://www.humpath.com/spip.php?article5287&id_document=4056

The brain of a 22-week-old human fetus

According to the Guttmacher Institute, 88% of abortions occur prior to 12 weeks of gestation.  At 12 weeks after conception, the regions of the cortex have been specified, but neuronal migration is just beginning, and will not be completed for at least another month.  The neuronal circuits that are needed for sensory perception will not form until much later, 24 weeks at the earliest.

Neurons beginning their migration

Neurobiologists are and have been in agreement that a fetus cannot feel pain prior to 24 weeks of gestation, since the circuits needed for sensation are simply not present before that time (seriously, no brain, no pain).  Less than 2% of abortions occur after 20 weeks of gestation, and abortions are performed after the 24-week mark only in the most dire of situations.  So, an aborted fetus can not and will not feel pain.  Questions answered?  Problems solved?  If only.

The Shutdown Gets Shut Down

Last week, an epic struggle over abortion rights was waged on the Senate floor, the most dramatic such debate in at least two weeks and the likes of which will only be seen five or six more times before the end of 2011.  With just an hour to go until complete and total anarchy (in the way of closed post offices and a parking free-for-all), the government shutdown was halted when the Republicans conceded defeat in their Game of Chicken and generously agreed to devote 0.008% of the federal budget to Planned Parenthood.

http://thefeministgriote.com/?p=775

Here are just a few things that we learned in the week leading up to the Shutdown:

• "Big Abortion" is something we should be worried about.
• Abortion constitutes over 90% of Planned Parenthood's services.
• You can get a mammogram and a Pap Smear at Walgreens.

http://www.newshounds.us/2011/04/12/brian_kilmeades_misogynistic_mocking_of_planned_parenthood.php

Now, while it is evidently permissible in political discourse to use absolutely any fabricated fact or preferably a bullshitted statistic to support your argument, it still remains the case that abortions constitute only 3% of Planned Parenthood's services, and Section 1008 of Title X already prohibits these abortions from being funded by federal dollars.  Yet, in just the same way that all women entering a PP facility for any reason are harassed indiscriminately, so too were the 97% of PP services that are not abortion-related to be defunded in the right's war of attrition on abortion and women's health.

This all leaves me utterly baffled as to what's truly at the root of the debate, because its clearly not the deficit.  I do, however, have my pet theories.  First:  America's religious, corn-fed middle and lower classes care more about fetuses than about women, to put it simply.  Babies have the fortune of being cute and innocent, whereas women have had sufficient time to fuck up in some aspect of life.  I can't tell you how many times I've come across this viewpoint just in perusing other Blogspot blogs and Facebook pages:  babies are sweet, innocent, and "gifts from God," and women who are not interested in producing more of them are whores, murderers, or both.

Second: America is viscerally afraid of and opposed to sex.  We are dedicated to denying that sexuality is a natural and universal aspect of life, whether we are married or single, straight or gay, trying to procreate or not.  Women's health services pertain to STDs, pregnancy, and the general state of having genitals - all of which are matters relate to sex.  Thus, Planned Parenthood falls into the category of "things your parents get awkwardly silent about and hope you don't notice," along with condom commercials and softcore porn mags.  So why devote funds to preventing the byproducts of sex - STDs, pregnancy, and cervical cancer - when these things only happen to bad people who are just getting what they deserve?

Luckily, the joke is on detractors of women's health, because donations to Planned Parenthood have increased 500% since the funding debate first began.  Evidently, there are people other than myself who feel that saving money by not providing condoms to low-income populations may not be the best cost-reduction approach in the long run.

To Those Who Wait

In a grand gesture that infuriated many but shocked no one, the South Dakota legislature this week passed a new law, HB 1217, which will require that women wait a minimum of 72 hours before having an abortion - which, as many have pointed out, is less than the mandatory waiting time to purchase a handgun.  The feigned motive behind the bill is to ensure that the decision to terminate a pregnancy is "voluntary, uncoerced, and informed."  Yet no one believes for a moment that SD has taken women's informed consent and reproductive autonomy to heart.  Governor Dennis Daugaard, who signed the bill, proudly states that he hopes "women will use this three-day period to make good (i.e. correct) decisions."

The law doesn't go into effect until July 1, but it already has many of us reeling.  Twenty-nine states (including my own native Georgia) currently have mandatory waiting periods for abortions, but South Dakota's is by far the longest span of time that a woman is required to "sit and think about what she's done."  I would say that the "third day" idea is some kind of Biblical allusion, but Jesus was actually only dead for 36 hours or so.

http://echealthinsurance.com/wp-content/uploads/2009/11/South-Dakota.jpg

You still have a choice in South Dakota... technically.

The implications of HB 1217 are enormous, even from a merely practical standpoint.  According to the Guttmacher Institute, 76% of South Dakotans live in counties with no abortion provider, so women facing an unwanted pregnancy in SD already have to make a pilgrimage to the state's one and only abortion clinic in Sioux Falls.  Under the new law, that trip will now require at least three nights at a hotel and four days' leave from work.  Alternatively, obtaining an abortion could necessitate driving back and forth from Sioux Falls several times in a week, scheduling multiple appointments with the abortion provider, and arranging for childcare.  Add to that ordeal a nice visit to the friendly neighborhood crisis pregnancy center.  Of course, it is useless to raise such criticisms of the bill, as these complications are precisely what SD lawmakers are hoping for.  Though they cannot overturn Roe v. Wade, they can make obtaining an abortion as difficult and annoying as possible.  I won't be surprised if we begin seeing 8- and 9-month-long waiting periods.

http://www.cafepress.com/+south-dakota-pro-choice+mugs

The waiting period, however, is not the worst part of this legislation.  Far and above more ludicrous is HB 1217's requirement that women undergo "counseling" at a state-funded, medically unlicensed crisis pregnancy center.  Ah, this is where those "good decisions" are to be made.  Furthermore, lest the pro-choice side start getting any ideas about offering counseling, the bill proffers an exact definition of a CPC:

“The pregnancy help center has a facility or office in the state of South Dakota in which it routinely consults with women for the purpose of helping them keep their relationship with their unborn children; that one of its principal missions is to educate, counsel, and otherwise assist women to help them maintain their relationship with their unborn children; that they do not perform abortions at their facility, and have no affiliation with any organization or physician which performs abortions; that they do not now refer pregnant women for abortions, and have not referred any pregnant women for an abortion at any time in the three years immediately preceding July 1, 2011.”

Thus, the establishment required to give women pre-abortion "counseling" must, by definition, be staunchly pro-life.  This clause was introduced under the widespread misconception that Planned Parenthood encourages women to have abortions, that it somehow has something to gain from doing so.  In fact, Planned Parenthood does provide counseling, including information about parenting and adoption, to women who are considering abortion.  The difference is that this counseling does not have an agenda to push, whereas CPCs are all hellfire and medically inaccurate ideology. These centers already outnumber abortion clinics eleven to one in South Dakota.  Now, under HB 1217, their presence and influence will be even more far-reaching, and they will have even more license to guilt, terrify, and bully girls into making "the right choice."

http://www.thedailybeast.com/blogs-and-stories/2010-08-01/crisis-pregnancy-centers-mislead-women-new-laws-fight-back/

One of the many tools that will be used to help you make "good decisions."

Given that these centers are unabashedly religiously-affiliated, I have no idea how this clause can be constitutional; given that they force-feed their "patients" blatant and deliberate medical lies, I feel like we may be moving quickly into a post-medical dystopian society of government-sponsored deception.  Now, before I get ahead of myself spewing conspiracy theories, the absurdity and theocratic implications of this bill have already been duly noted by nearly everyone.  Article links about HB 1217 have been popping up on my Facebook newsfeed almost continuously, and the subject has come up constantly in conversation.  Rachel Maddow has already spoken out strongly against the bill; Planned Parenthood and the American Civil Liberties Union of South Dakota have promised to take it up in court.  We haven't heard the last word on HB 1217.  Yet it's encouraging and even somewhat of a relief to hear some healthy indignation, because this is the only thing that is going to keep abortion rights in America even at a measly status quo. 

Preaching to the Choir

With a little less than half of the U.S. self-identifying as Pro-Choice, it's easy for us to stick together.  When you're young, hip, sexy, and buying quinoa from Trader Joe's, it's even easier.  Sex and Choice are natural conversation points at parties.  Supporting Planned Parenthood is taken as a given.  Some of us may even blog for an intended audience already in agreement.  For people like us, there are rallying points like this great video:

Wesleyan University - "I Have Sex"

And this more cloying one:

Second City - For Those With Vaginas

But preaching to the choir only goes so far to effect actual change.  Eventually, we actually need to mobilize our fervent energy and bring our concerns and our message to the other side, to those who don't already agree with us, to those who are uncomfortable with our position.  Accordingly, today I performed my most futile of civic duties:  I wrote a letter to my Senator, ultra pro-life Saxby Chambliss (R - GA Douchebag).  Note how I pretended that "budget cuts" are really the issue at hand:

"Dear Senator Chambliss,

I am writing to express my concerns about measures currently under consideration regarding reproductive health.  In the ongoing Congressional debates on FY2011 budget cuts, you have voted to defund both the United Nations Population Fund and Planned Parenthood.  I ask that you reconsider your stance on these issues, and lend your support to these vital organizations.  I am one of your constituents, and a citizen concerned both with the nation’s growing deficit, as well as with the impact of unintended pregnancies both at home and worldwide.  I believe not only that these two causes are related, but that they are intricately and inextricably linked.

First, I urge you to vote in support of providing funding to the United Nations Population Fund.  This organization does not fund abortions, but rather provides desperately-needed access to family planning resources and education to millions of young women and men around the world.   In addition, the UNFPA also provides medical care to pregnant women in an effort to decrease the enormous number of maternal deaths and injuries that occur each day.  These measures, which allow women in the developing world to determine the size and spacing of their families, have proven their positive impact.  Nations with fewer unintended pregnancies, smaller family size, and fewer maternal deaths are more stable socially, economically, and politically.  Such improvements would spell positive changes for our global community.

Second, I ask that you support federal funding for Planned Parenthood, an organization which provides family planning and health services to millions of Americans.  The mission of Planned Parenthood is to prevent unwanted pregnancy, allowing women and girls to complete their educations and further their careers, and saving millions of dollars each year in Medicaid and Welfare costs.

I understand the severity of the nation’s current financial situation, but I firmly believe that cutting funding from family planning programs is not the way to save money.  I am sure that you have heard the saying that every dollar spent on family planning measures saves four down the road.  Thus, in this time of economic crisis, it would behoove us as citizens of Georgia, the United States, and the world to invest in women’s future and in fiscally-sound family planning measures.

Thank you."

Naturally, my letter is going to end up being ignored.  Actually, it's not even going to be ignored by Saxby Chambliss; it's going to be ignored by Saxby Chambliss' secretary's intern.  But I'm glad that I finally voiced my dissident opinion to someone who is supposed to be representing me.  And maybe a hundred such letters would be harder to ignore.

Happily, Planned Parenthood is safe for now, but the failure of H.R. 1 bought only about three weeks of time.  The threat of budget cuts is not going anywhere.  So I'm going to go all PSA on ya'll and beg you 1) To donate to Planned Parenthood, and 2) to write to your Senators and Representatives.  Feel free to copy and paste my letter, emend it, or ignore it and write your own.  If you give a shit about this cause, please tell someone.  And don't let me be that someone.  Make it someone who doesn't already know.

Embarrassing Moments in History: Joycelyn Elders

I firmly believe that the first step in bettering life both at home and abroad would be drastically lowering the rate of unintended and unwanted pregnancies, while simultaneously cultivating healthier attitudes about sex.  Thus, I blog.  Yet my views really aren't all that radical.  They sound basic and intuitive enough, and completely in line with Whole Foods-shopping, NPR-listening liberal ideas.  Yet in practice, in the real world, we are still far away from realizing these standards.  To emphasize this point, I'd like to tell a sad story from (recent) history.

In 1993, Joycelyn Elders, pediatric endocrinologist and expert in childhood sexual development, was appointed the 15th Surgeon General by Bill Clinton.  At that time, the teen pregnancy rate was 11.1%, HIV rates were on the rise, and accordingly, the nation turned to the new Surgeon General for insight and solutions. From the start, however, she was unpopular with conservatives and the Democratic Clinton administration alike, and incited controversy through her support of abortion rights, marijuana legalization, and distribution of contraception in high schools.    

http://en.wikipedia.org/wiki/Joycelyn_Elders

Unfortunately, Dr. Elders offended polite sensibilities one too many times when she suggested in December 1994 that masturbation be taught to students as a form of "safe sex," in order to prevent HIV infections and teenage pregnancies.  Her exact words on this topic were "I think that it is a part of human sexuality, and perhaps it should be taught."  These comments fomented considerable  following day, she was sacked by Clinton, who stated that this most recent indecency was "the last straw."  This was approximately one year before he stuck a cigar into an intern's vagina.

http://www.mediabistro.com/fishbowldc/monica-lewinksys-drudge-anniversary_b28876

Claiming that "masturbation is bad" depends on what the definition of "is" is.

In 1996, following Dr. Elders' removal from office, the U.S. famously instituted a nation-wide program of "abstinence-only education," which invested $1.5 billion of taxpayer dollars in attempting to terrify American students out of having premarital sex.  Years later, the rate of pre-marital sex remains steady at 95%, teen pregnancy rates are back on the rise, and millions of American students are still being told not to touch themselves or anyone else in a "special way."

http://spendmoneyonline.net/2008/02/01/anti-masturbation-device-french-c1880/

Anti-masturbation device.  Sin-proof, Clinton-proof.

I myself was one of these students who came up in an abstinence-only sex education curriculum in Georgia.  The majority of our education consisted of horrifying images of STDs, greatly exaggerated statistics about the inefficiency of condoms, and exhortations to "resist peer pressure" - since, naturally, teenagers only want to have sex when pressured to do so by other teenagers, not because it actually feels good or is encouraged by millions of years of evolution.  Masturbation came up exactly once in the discussion, surrounded with plenty of Georgia-variety hellfire and brimstone.  

Given that realization of the futility of such programs has led to some budget cuts, however, I wondered if the Richmond County Board of Education had changed its stance on abstinence-only education.  Having found no relevant information online, I called the Richmond County School Board's office last week to inquire about its current sex education policies.  After the nice lady on the phone offered to transfer me, I was promptly disconnected.  Now, given my familiarity with this particular office, I attribute this carelessness to general ineptitude rather than to some kind of grand conspiracy.  Nevertheless, further inquiry revealed that Georgia is one of 27 states still required by law to focus primarily on abstinence in sex education, and that its abstinence-only-until-marriage programs received almost $10 million in 2009.

http://community.babycenter.com/post/a25578437/featured_debate_teen_pregnancy_and_religion

Georgia ranks 13th in the nation for teenage pregnancy.  Ooops.

In the nation with the highest teen pregnancy rates in the developed world, we inexplicably still pretend that abstinence until marriage is somehow a realistic goal.  Abstinence without masturbation, however, is about as realistic as trying to get America to actually follow the guidelines of the Food Pyramid.  While the importance of contraceptives needs to be emphasized over and over again ad infinitum to middle and high schoolers, the safest place for teenage semen is still in a sock, and the most effective and comprehensive sex education programs should acknowledge that.  Alas, Joycelyn Elders' suggestion was, and still is, far ahead of its time.  This is because for much of the nation, the priority remains not decreasing the overall rate of teenage birth, but promoting some kind of unattainable, Old Testament standard of sexual purity of which even Sarah Palin's children fall short.  We can only hope that a few more decades of these results may change our attitudes.  

Until then, Joycelyn, our hats (and our panties) go off to you!

The Utility of Choice

As a matter of reason, good taste, and, well, the entire principle of separation of church and state, Bible verses have no place in political discourse.  However, it's unsurprisingly difficult, if not impossible, to disentangle the abortion debate from religion.  The Bible apparently has a lot to say on the matter, since most pro-life websites are headed with quotes from the Book of Proverbs, images of a pained and sorrowful-looking Virgin Mary, and (the ultimate trump card) the question "What if Jesus had been aborted?"

What you don't hear much of are utilitarian arguments against abortion.  In a nation faced with a growing deficit and heinous unemployment, the far right still doesn't seem interested in forming logical social and economic justifications for its endless effort to overturn Roe v. Wade.  Now, I am fully on board with decreasing the national deficit and bettering overall quality of life, so I think we would do well to transfer the abortion debate from the religious to the practical sphere.  From a small-government, fiscally-responsible standpoint, are there any positive external effects of legally requiring a woman to carry an unwanted pregnancy to term?

http://intenseproductions.blogspot.com/2010/08/practicing-your-scales-effectively.html

Weighing pro-life against pro-quality of life.

The term "utilitarianism" scares us, or at least makes us uncomfortable.  We like to fancy ourselves ethical, to think that we don't "cut our losses" when it comes to issues of morality.  Yet we make a utilitarian bargain every time we eat meat or wage war.  So how do we apply these calculations to issues of reproductive choice?

First, there is the issue of population.  In a matter of months, the world's population will hit 7 billion; by 2030, it will be over 8 billion.  Needless to say, this "population bomb" will have far-reaching implications on the environment, politics, economics, and general quality of life.  Basically, everything.

http://www.blogiseverything.com/general/worlds-population-graphs/

This graph should scare the shit out of you, and if it doesn't, you probably lack basic abilities of projection.  Now add to this stunning rate of growth the fact that even in the United States, where contraception is readily available, half of pregnancies are unintended or unwanted.  This leaves us with a rapidly exploding world population of 7 billion people, at least one half of whom were born to parents who didn't want them, or didn't have the maturity or resources necessary to raise them.  Would illegalizing abortion impact these statistics positively?

Then there are the social effects of abortion.  As we learned from Freakonomics, the legalization of abortion in America corresponded with a decrease in the crime rate.  Similarly, there are indications that abortion lowers the incidence of child abuse.  Correlation doesn't imply causation, of course, and both these claims are surrounded with controversy based on statistical approachs to the questions.  Nevertheless, we can imagine how unwilling parents would be more likely to lash out at an unwanted child, and unwanted children more likely to last out at society.  And then there is the fact that abortion actually saves money:  by conservative estimates, each dollar spent on family planning saves us almost four down the road, in Medicaid and welfare costs.  Would defunding Planned Parenthood or overturning Roe v. Wade better financial stability and quality of life?

Finally, there are the effects of abortion on women themselves.  The pro-life side loves this argument, because it is a perfect opportunity for them to rail against abortion while pretending to care about women's rights and health.  From this ostensible concern has arisen the concept of "Post Abortion Syndrome," a mental-health condition which supposedly causes flashbacks, depression, and suicidal thoughts in 50% of women who have abortions.  

But alas, as much as the pro-life camp wishes that it existed, it turns out that studies which supported "PAS" were fraught with statistical errors, and it's actually just a load of shit.  When compared to women of similar socio-economic backgrounds who decided to carry their pregnancies to term, women who have had abortions actually fare the same, and often better, in terms of mental health.  Not surprisingly, being able to finish an education or further a career, remaining financially stable, and not having to bear and raise an unwanted child actually has positive effects on a woman's well-being.  And this isn't even touching the fact that Roe v. Wade ended the bloody era of coat-hanger abortions.

I haven't said a single thing here that hasn't been regurgitated time and time again.  That doesn't, however, dilute its significance.  Allowing women to take charge of their own reproduction has far-reaching positive implications, and I know not of any non-religious, practical justifications for the other side.

A fetus does not have a fully developed nervous system, lacks self-awareness, and cannot feel pain until at least 24 weeks of gestation.  In these regards, it ranks somewhere between a jellyfish and a salamander.  Thus, any concern felt for a fetus in another person's body can only be for its nebulous "soul," and thus can only be religious.  Naturally, this realization isn't likely to send shockwaves through a country of which 90% self-identifies as religious, and I would have to be fairly naive to pretend that the barrier between church and state is impermeable.  But let's make that barrier a latex barrier, and keep the pro-life separate from the pro-quality of life.