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Abortion. Lawyers’ Christian Fellowship 20 November 2006. Beginning of Life Issues . Abortion Contraception Artificial reproduction Designer babies Embryo research Cloning Gene therapy . Abortion contradictions.
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Abortion Lawyers’ Christian Fellowship 20 November 2006
Beginning of Life Issues • Abortion • Contraception • Artificial reproduction • Designer babies • Embryo research • Cloning • Gene therapy
Abortion contradictions • The healthcare system has departments of fetal medicine, while also providing facilities and staff to perform abortions • The law allows abortion for abnormalities right up to term, but many babies born after only 23 weeks of pregnancy now survive • We encourage people to consider adoption, but abortion is so widely accepted and available that there are few babies to adopt
Abortion contradictions • We pass equal opportunity laws but work hard to ensure that babies with disabilities are screened out before birth • At the same time as we are reducing the status of life before birth, medical technology is literally changing our view of the fetus
Abortion in the UK – The facts • UK law permits abortion of healthy babies up to 24 weeks • Babies suspected of having a disability can be aborted up to birth • 6,231,033 babies have been aborted since the Abortion Act 1967 became law • More than 200,000 babies are aborted in Britain each year; one in every four pregnancies
How many is 6,231,033? • More than 10% of the entire UK population • More than the combined populations of Birmingham, Bradford, Bristol, Cambridge, Cardiff, Chester, Derby, Edinburgh, Leeds, Leicester, Liverpool, Manchester, Newcastle-upon-Tyne, Northampton, Nottingham, Oxford, Sheffield • 5 times the UK casualties in two World Wars
More specifically… • Early abortion figures have tripled since 1967 and continue to rise • More than 600 babies are aborted every day • More than 3,000 a year are killed after 20 weeks • Disabled babies can be aborted up to birth • More than 450 babies were aborted in 2004 for having Downs Syndrome
Abortion worldwide • 55 million abortions per year • Major demographic changes with falling birth-rates in Eastern Europe/ Former USSR • Major changes in sex ratios in India/China
95% of abortions occur between… • Seven weeks
… and 20 weeks • Half way through pregnancy • Four weeks short of viability
Why are abortions done? 95% of abortions are performed on Ground C, which exempts a doctor from prosecution for performing an abortion (before the 24th week) if: ‘…continuance of the pregnancy would involve risk, greater than if the pregnancy were terminated, of injury to the physical or mental health of the pregnant woman…’
Public opinion is changing • Nine out of ten MPs want the abortion law to be under CONTINUOUS review in light of advances in medical science • 63% of MPs support a reduction in the six-month upper age limit • Nearly two-thirds of the public want the six-month upper age limit reduced now
Public opinion is changing • More than three-quarters of women support a reduction in the six-month upper age limit • Public opinion poll finds that 81% of those who expressed an opinion believe that ways should be found of reducing the 200,000 abortions performed each year in Britain • Even some in the abortion industry accept that change must happen
Why is public opinion changing? • Developments in medical science have increased our understanding of how babies develop in the womb • The abortion of a baby at 28 weeks for cleft palate shocked the nation • Newspapers and TV have revealed the abuse of teenagers by a cash-driven abortion industry • Stories of abortion survivors in the media
Why is public opinion changing? • Questions are regularly raised in Parliament concerning abortion clinics that harm women with bad practice • Increasingly, evidence reveals that many women suffer from depression after abortion • Extensive research shows that after abortion a mother has an increased likelihood of subsequent premature births
Late Abortion • 100 late abortions per year since 1991 • Recent case at 26 weeks for cleft palate • Joanna Jepson • Down’s Syndrome
Human development • Six weeks • Twelve weeks • Eighteen weeks
Life before birth on the media • Prof Stuart Campbell’s ultrasounds • Front page news • Walking in the womb • Yawning on video
Abortion survivors • Stories of botched abortions • Stories of babies born alive after abortion • Gianna Jessen
History of abortion • Practised in most societies at some level for many centuries • Legalised abortion on a massive scale a 20th century phenomenon
Hippocratic Oath ‘I will give no deadly medicine to anyone if asked nor suggest such counsel’; nor in like manner will I give a woman a pessary to produce abortion’
Declaration of Geneva • I will maintain the utmost respect for human life from the time of conception, even under threat, I will not use my medical knowledge contrary to the laws of humanity; • I will maintain the utmost respect for human life from its beginning even under threat and I will not use my medical knowledge contrary to the laws of humanity; (Changes 1948-1994)
International Code of Medical Ethics • A doctor must always bear in mind the obligation of preserving human life from conception. (1949) • A doctor must always bear in mind the obligation of preserving human life. (1983)
The Declaration of Oslo (1970) There is a 'diversity of attitudes towards the life of the unborn child' 'Where the law allows therapeutic abortion to be performed... and this is not against the policy of the national medical association' then abortion 'should be performed' in circumstances 'where the vital interests of the mother conflict with those of the unborn child'. This declaration lays the framework for doctors to perform abortions if their 'individual conviction and conscience' allowed it and the law and the national medical association were not in disagreement.
Changing Abortion Policy 1948-2000 • 'I will not give to a woman a pessary to produce abortion.' Hippocratic Oath • 'I will maintain the utmost respect for human life from the time of conceptioneven against threat...' The Declaration of Geneva (1948) • 'The spirit of the Hippocratic Oath can be affirmed by the profession. It enjoins... the duty of caring, the greatest crime being destruction in the co-operation of life by murder, suicide and abortion' BMA Statement (1947)
Changing Abortion Policy 1948-2000 • The child deserves 'legal protection before as well as after birth'. The UN Declaration of the Rights of the Child (1959) • 'Therapeutic abortion' (may be performed in circumstances) 'where the vital interests of the mother conflict with those of the unborn child'. Declaration of Oslo (1970) • 'I will maintain the utmost respect for human life from its beginning...' The Declaration of Geneva (amended 1983) • 'Abortion is a basic health care need.' RCOG (2000)
Philosophical Shift C17-C20 • Theism • Humans are created and morals are revealed • Deism • Humans are created and morals are discovered • Atheism • Humans have evolved and morals are discovered • Existentialism • Humans have evolved and morals are chosen
Christian Principles • The Sanctity of Life - Human beings are made in the image of God (Genesis 1:27, 9:6, Exodus 20:13) – abortion involves killing a human being • Marriage is the proper context for sex (Genesis 2:24) – 82% of abortions result from sex outside marriage • The strong should make sacrifices for the weak (John 13:34-45; Galatians 6:2) – abortion is an abuse of the weak by the strong
Sanctity of Life • No discrimination on the basis of sex, race, social standing (Gal 3:28) and age (Mt 19:14) • Protection for the vulnerable: poor (Pr 22:22-23), widows and orphans (Ex 22:22-24), aliens (Ex 22:21), handicapped (Lv 19:14), slaves (Ex 21:2-6) and elderly (Lv 19:32) • Life before birth (Is 49:1; Je 1:5; Jb 10:8-9, 18-19; Gn 25:22-23; Ps 22:9,10, 51:5, 71:6, 119:73; Ec 11:5; Is 44:2,34; Ho 12:3; Mt 1:18; Lk 1:15, 41-44) • Over 60 references to ‘conception’
Psalm 139:13-16 13 For you created my inmost being; you knit me together in my mother's womb. 14 I praise you because I am fearfully and wonderfully made; your works are wonderful, I know that full well. 15 My frame was not hidden from you when I was made in the secret place. When I was woven together in the depths of the earth, 16 your eyes saw my unformed body. All the days ordained for me were written in your book before one of them came to be.
Exodus 21:22-25 22 If men who are fighting hit a pregnant woman and she gives birth prematurely but there is no serious injury, the offender must be fined whatever the woman's husband demands and the court allows. 23 But if there is serious injury, you are to take life for life, 24 eye for eye, tooth for tooth, hand for hand, foot for foot, 25 burn for burn, wound for wound, bruise for bruise (NIV) 22If men strive, and hurt a woman with child, so that her fruit depart from her, and yet no mischief follow: he shall be surely punished, according as the woman's husband will lay upon him; and he shall pay as the judges determine (KJV)
The sixth commandment • ‘You shall not murder’ (Ex 20:13; Dt 5:17; Mt 19:18; Rom 13:9) • ‘Murder’ (Hb ratsach; Gk phoneuo) • ‘The intentional killing of an innocent human being’ (Ex 21:12-14; Lv 24:17-21; Nu 35:16-31; Dt 19:4-13) • Distinguished from the killing of ‘guilty’ human beings in Holy War (Dt 20:10-18), capital punishment (over 20 offences) and self-defence (Ex 22:2,3)
Secular Principles • Quality of life - Taking human life is justified if it is of low quality and constitutes a burden to others • Autonomy - The right to exercise sexual and reproductive freedom and make moral choices according to our own personal values • Compassion – The avoidance of suffering • Relativism – Each person can choose their own values
Christian responses • Quality of life – Human life is precious by virtue of being human and regardless of its quality. The strong should protect the weak • Autonomy – We are not free to make choices which violate the reasonable freedoms of others • Compassion– abortion is a actually potent cause of suffering for both mother and baby • Relativism – There are universally recognised values, like sexual purity and the sanctity of life, which all should respect
The key question What is the unborn child worth and what circumstances justify it being killed?
Arguments against abortion • Isn't the fetus only a potential human being? • How can a non-sentient being have value? • Don't women have a right to choose? • Won't refusing abortion simply mean that women and children suffer?
Arguments against abortion • Surely we can't return to the days of back street abortionists and abortion tourism? • What about abortion for rape? • What about abortion for fetal handicap? • What about abortion to save the life of the mother?
Isn’t the fetus only a potential human being? • Isn’t it rather a human being with potential – or a potential adult? • The fetus is both human and alive and therefore a human being • The key question is what value we give that being
How can a non-sentient being have value? • Human value is not based on human characteristics such as consciousness, awareness, age, size or ability to communicate but simply on being human • To kill a child in the womb is to discriminate on the basis of non-morally relevant characteristics like age, location or degree of consciousness
Don't women have a right to choose? • Autonomy has limits and we cannot make choices which limit the reasonable freedoms of others • The fetus is not part of a woman’s body but a genetically distinct human being
Won't refusing abortion simply mean that women suffer? • Women who abort are 3.5 times more likely to die within the year than women who have normal births; this includes deaths from suicide (seven times), accidents (4x) and natural causes (1.6x) (Finnish study 1987-1994) • Mental illness is a contraindication to abortion (Royal College of Psychiatrists) and depression and psychiatric admissions are higher after abortion than normal birth • There is an acknowledged link between abortion of the first pregnancy and breast cancer (Brind, 2005) • Abortion increases the risk of subsequent pelvic infection and infertility
Post-abortion syndrome Much more common if previous mental illness, religious background and ambiguity about abortion. ‘Abortion does not end all the problems; it often just exchanges one set for another’(Francis Schaeffer)
Won’t refusing abortion simply mean the children suffer through abuse and deprivation? • Most abused children come from wanted pregnancies • The incidence of child abuse has doubled since the Abortion Act came into force • Most unwanted pregnancies, if not aborted, result in wanted children. • Adoption is always an option and there is lots of support for unmarried mothers
Surely we can't return to the days of back street abortionists and abortion tourism? • Claims of thousands of deaths before the 1967 Abortion Act were wildly exaggerated • Most ‘back-street’ abortions before the Abortion Act were performed by doctors • UK maternal deaths from abortion had fallen to less than 20 per year by the time of the Abortion Act • In Poland following a 1993 change in the law abortions fell dramatically from 180,000 a year to 150 without any increase in maternal deaths
What about abortion for rape? • Rape is an extremely serious crime but… • Pregnancy following rape is extremely rare and far less than 1% of abortions are performed following alleged rape • Rape sacrifices a second innocent victim (Should the baby die for the crime of its father?) • In the only major study of pregnant rape victims ever done, 75 to 85% chose against abortion
What about abortion for fetal handicap? • Fetal handicap accounts for far less than 1% of all UK abortions • It now extends to viable children with remediable conditions (eg cleft palate) • Over 450 Down’s syndrome children (over half the total) are now aborted annually • Why do we tolerate destruction of children with special needs before but not after birth?
What about abortion to save the life of the mother? • Only 0.013% of UK abortions are performed 'to save the life of the mother' • there are no medical circumstances justifying direct abortion, that is, no circumstances in which the life of the mother may only be saved by directly terminating the life of her unborn child'. (Irish obstetricians, 1992) • Of 21 maternal deaths among 74,317 pregnancies at the National Maternity Hospital in Dublin from 1970-1979, abortion wouldn't have saved the mother's life in a single case
The middle way (John 8:1-11) • Prevention of unplanned pregnancy • Legal protection for the baby • Care for the mother (CARE Centres Network) • Promotion of adoption
Legal protection for the baby • Dangers of making things worse (1991) • Problems with a change solely aimed at bringing down upper limit • Impossibility of an all or nothing approach (Poland and South Dakota)
Bringing about legal change • Broad coalitions (Alive and Kicking) • Prime focus on changing public opinion • Specific legal interventions (upper limit for handicap, separating psych and physical indications, accurate recording of complications) • Changing medical opinion – guidance of RCOG and RCPsych on psychological effects of abortion and resuscitation guidelines