New
York's Reproductive Health Act, which passed
into law earlier this year, authorises abortions within 24 weeks from the start
of pregnancy, or in the absence of fetal viability, "or at any time
when necessary to protect a patient's life or health," liberalising
the previous law which permitted late term
abortions only when needed to protect the mother's life. The act reclassifies
abortion as a matter of reproductive health, having formerly been a criminal
matter, and so removes it from the state's penal code on
homicide. The act also expands the list of professions authorised to
carry out abortions to include nurse practitioners, physician assistants,
and midwives, in addition to medical doctors.
The force of the standard ethical justification of abortion, Judith Thomson's violinist analogy which is outlined in the dialogue below, relies on our identification with the inconvenience that the hostage must feel when she is made to support a stranger's life for up to nine months without having given her consent. But how can this same justification work for late term abortions of viable fetuses to safeguard the health, not the life, of the mother, given that the inconvenience of time is largely removed?
The force of the standard ethical justification of abortion, Judith Thomson's violinist analogy which is outlined in the dialogue below, relies on our identification with the inconvenience that the hostage must feel when she is made to support a stranger's life for up to nine months without having given her consent. But how can this same justification work for late term abortions of viable fetuses to safeguard the health, not the life, of the mother, given that the inconvenience of time is largely removed?
Jack: Abortions are always immoral, except when
there is serious medical problem with a pregnancy that put’s the mother’s life
in immediate danger.
Jill: What makes abortion justified in that
case?
Jack: In
my view the unborn baby is a person who has a right to life, but if a pregnancy
endangers the life of a mother then an abortion would be like killing a person
in self-defence, which would be justified.
Jill: I’m not sure what you mean by the
‘person’ here, but let’s assume the unborn baby is one at whatever stage of
development, it seems that you’re saying that persons have a right to life
except in certain special circumstances.
Jack: Yes.
Jill: OK, what about pregnancies that result from
rape?
Jack: Rape is unfortunate, but the unborn
person isn’t attacking the mother, so the self-defence principle doesn’t apply.
Jill: So there are no other justifications for
not respecting a person’s right to life?
Jack: Go on.
Jill: Well, murderers can be executed in
countries that practice capital punishment. In warfare innocent civilians don’t
have this right, such as those that are the unintended ‘collateral damage’ of
targeted airstrikes. Even the intentional killing of civilians during war has been
justified on utilitarian grounds, such as the nuclear bombing of Hiroshima and
Nagasaki during WWII.
Jack: So the killing of persons is justified in
other situations, but an unborn person isn’t committing a crime or
participating in a war.
Jill: But in a rape case the unborn person is
depending on someone else’s life against that person’s will.
Jack: So? The baby’s right to life
outweighs the concern that it is depending on the mother against her will.
Jill: What about this: imagine you are taken hostage, knocked unconscious and when you wake up you find yourself in a bed
next to another person, and that your circulatory system is plugged into hers.
The other person is unconscious and knows nothing about your predicament. You
are told the person is someone special, a world famous violinist, although you
personally have never heard of her, and that you have been kidnapped so that
your kidneys can be used to filter her blood as well as your own. If she is unplugged from you now, she will
die; but in nine months she will have recovered from her ailment, and can be safely
unplugged from you. In that situation, if you were free to do so, wouldn’t you unplug
the violinist and walk away?
Jack: OK I’m not sure whether ‘unplugging’ here
is exactly like the act of aborting a baby, but assuming that it is, then possibly…..
Jill: Would you not have a sense of
responsibility for the violinist’s life, feel some duty of care toward this
person?
Jack: I would, but not enough perhaps. So yes,
I think I would unplug, although probably with regret that there was no other
way to save her.
Jill: So abortions are morally acceptable in
rape cases.
Jack. Except there’s something fishy about your
analogy.
Jill: What do you mean?
Jack:
The principle at work here, it’s not just applicable to rape cases, is
it?
Jill: How so?
Jack: Well if the principle in this case is
that the rape victim did not consent to her body being used to keep another
person alive for nine months, then that would also permit the abortion of
unintended and unwanted pregnancies arising from consensual sex.
Jill: So the argument justifies abortion in
general - the mother’s autonomy is what matters. Her body, her choice.
Jack: No, I don't agree. There seems to be a moral difference
between abortion in cases of rape and in cases of consensual sex.