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.

Wednesday, May 18, 2011

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.

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.

Sunday, May 8, 2011

Mother's Day

Happy Mother's Day!  As I write this post, I am feeling pretty satisfied about the state of my life:  I sent my mom a homemade card, med school applications are underway, I am not myself a mother, and I might just have put my finger on exactly why the pro-life movement bothers me so much.


It came to me while I was thinking about my own sweet mother.  For years, this woman helped me with infernal science fair projects, drove me to violin lessons and birthday parties, and endured my tantrums with a patience that astounds me more and more the older I am.  She made sure that I ate my vegetables, paid for my braces, and allowed me to host slumber parties that would inevitably result in my giggling and screaming pre-pubescent friends running all over the house in the middle of the night.  Even now, almost a quarter century after giving birth to me, she pays for my education, sends me cute cards and letters "just because," and loses sleep over my well-being.   She does all this in spite of the fact that I am a legal adult.  And it's the same with my dad.  Parenthood really is a life sentence, or at least a binding contract.  

Pro-life protesters trying to deter women from entering clinics often call out helpful incentives to keep their babies, such as offers for a free baby blanket or pacifier.  This is a huge insult, as it implies that the pocket change needed to purchase baby supplies is the biggest obstacle an accidental mother will face.  Leaving aside the enormous financial investment that a baby requires, raising a child demands maturity, patience, stability, and life-long devotion.

Not to be entered into lightly

The crisis pregnancy centers that manipulate women into becoming mothers and the pro-life activists who just succeeded in defunding Indiana's Planned Parenthood are, in essence, grossly undervaluing the enormous commitment that parenthood entails.  Parenthood doesn't end after a 9-month gestation, nor after 18 to 26 years of tax dependency.  While I'm celebrating my mother today for choosing to have me, I fully acknowledge that she didn't have to do so.  Women deserve every chance to decide whether to enter into the biggest (and longest-lasting) commitment of their lives.  And children deserve parents ready and willing to make that commitment.  

Monday, May 2, 2011

"Population," or "The World Is Not Enough"

When the Supreme Court delivered its famous Roe v. Wade ruling in 1973, it upheld a woman's right to choose based on the Constitution's guarantee of a right to privacy.  This makes perfect sense:  the prevention or termination of pregnancy is, and should be, a private matter, and thus the decision to end a pregnancy belongs to the woman alone.  I contend, however, that the opposite does not hold true:  the decision to give birth is not a matter of privacy.  A woman who has an abortion affects only herself; bringing another human being into the world, on the other hand, immediately impacts the mother, the newborn individual, the larger community, and the very fate of the planet.

The concept of a population's carrying capacity is something we all learned about in high school.  The idea is that a population of organisms will increase in size until it reaches a set number, determined by resource availability and competition pressure.  After this point, large scale death will prevent further population growth.  population size will oscillate around the point of the carrying capacity, but increased death rates and reduced reproductive fitness will not allow population size to increase further.


We usually discuss such concepts of population in relation to yeast cells, mice, deer, etc.:  organisms to which we have no particular emotional attachment.  We have to be a lot more careful, though, when talking about the growth of the human population, since most of what we do is already an effort to deny that we are, by definition, animals, constrained by biological precepts.  The notion that we are somehow different from yeast cells, mice, or deer is enforced by the observation that our population's growth curve currently shows no indication of approaching a carrying capacity limit.



The fact that our population's growth curve has so far been uninhibited by starvation or disease seems to be testament to our high level of "success," reproductively speaking.  Nevertheless, though our world population will reach 7 billion this year, hunger, disease, and conflict are still taking their toll, killing millions each year even as new births more than compensate for this loss.  A little less than half of the world's 7 billion people currently live on under 2 USD a day.  And these are the communities whose populations are growing the fastest.

In The Selfish Gene, Richard Dawkins advanced the idea that exercising moderation in reproduction could actually be evolutionarily advantageous.  Producing many more offspring than can survive under certain environmental conditions is, evolutionarily speaking, wasteful.  Likewise, reproducing at an unchecked rate will quickly deplete resources and is also a terrible evolutionary strategy.  For these reasons, the population of a certain organism will stay relatively constant over time, and when population pressure begins to increase, the organism will (unconsciously, of course) curb its rate of reproduction to avoid a dangerous scarcity of resources somewhere down the line.  

Human reproduction, however, has proceeded at an explosive rate, which Dawkins attributes to modern medicine, the welfare state, and complete failure to look to the future.  We may have been reproductively successful during the last five hundred years, but that is small change in the span of evolutionary time.  Our current reproductive strategy is, to say the least, unsustainable, and may prevent us from seeing another five hundred years.  As Dawkins says, "The one thing animal populations do not do is go on increasing indefinitely."



Unfortunately, population discussions are not politically correct, and tend to conjure up dystopian images of calculated killings and mass sterilization programs.  Furthermore, the discomfort with the issue belongs to those at every stage along the entire political spectrum.  Regardless of the environmental or societal impact, argue conservatives and liberals alike, the human right of reproduction is too sacrosanct to curtail.  Thus we talk about population growth in positive, rather than normative terms:  "How will we emend farming techniques and colonize other planets to keep up with the human race's inevitable increase?" Yet the human population has the potential to double in less than a hundred years; we can't afford to be so magnanimous forever.  In a stand-off between biology and political correctness, biology will always prevail in the end.