Yep, another day, another Tory and another half-arsed commentary on the subject of abortion.

Abortion Figures Shame This Country

Question: How many babies were born in the UK in 2006?
Answer: 635,679

Wrong, even after the efforts of one of two people in the comments boxes to sort out a proper figure.

The number of birth in England and and Wales in 2006 was 669,531 (source: National Statistical Office), to which we must add the figure for Scotland, the provisional figure for which are 55,690 (source: General Register Office for Scotland) and that for Northern Ireland, which are again provisional (if one can safely use that particular word in respect of Ulster) and which give a figure of 23,272 (source: NISRA)

Total number of births for the UK =  748,493

Question: How many abortions were carried out in 2006?
Answer: 194,000 (up 4% since 2005)

Actually its 193,700 - the 200,000 figure quoted by the Daily Mail includes 7-800o women from the Irish Republic who don’t count towards UK statistics.

This means that nearly one in three four babies conceived in this country is aborted. Let me repeat that. One in three four babies conceived in this country is aborted.

Iain is either channeling Foghorn Leghorn or Fred Elliot here, but regardless of repetition and crossings out, the actual figure is tad over 1 in 5 (20.55% to be precise) and natural miscarriages don’t count towards birth/abortion statistics.

This is a statistic which I found profoundly shocking and at first did not believe.

Why? The National Statistical Office publishes abortion stats annually, you just have to go and look them up - their site even has a search facility.

What on earth does it say about our broken society that so many living beings are aborted? Surely even those who are pro-choice are also shocked at these statistics?

No, Iain. Not really, but then I’m not easily shocked and make a point of keeping myself informed on subjects in which I’ve shown an interest (and blogged) - there are considerably more important things to consider than whether people are ’shocked’ by the UK’s abortion statistics and standing around gawping in horror at a few numbers on a page is fuck all use to anyone.

In an ideal world there would be no abortion, but we do not live in that world and never will.

Well, at last we do agree on something.

Those of us who adopt a pro-life attitude must recognise that we cannot roll back the clock and shouldn’t try to. We have to be pragmatic, but that does not stop us trying to understand why the abortion rate in this country is so much higher than in most others, and then doing something about it. The question is, what.

Actually the ‘higher than most others’ claim is not really true. Britain’s abortion rate is higher than several other European countries, including Norway, Denmark, Italy, Germany, Switzerland, Greece, Eire, Finland, Belgium and the Netherlands - although one has to be careful in relying too heavily on comparisons with Catholic countries in that list, which will show a lower rate of abortions because access to abortion is far more restricted that this country.

Britain’s rate is, however, broadly on a par with France, Japan and the Czech Republic, slightly lower than Canada, Australia, New Zealand, the US, Sweden, Hong Kong, Singapore, and substantially lower than large swathes of Eastern Europe. (source: this page for the table of rates be country and this page for access to a good collection of relevant statistics and maps)

That aside, the real problem with Iain’s position is this:

We have to be pragmatic, but that does not stop us trying to understand why the abortion rate in this country is so much higher than in most others, and then doing something about it. The question is, what.

No, the question is still why -what comes later when you understand why these abortions are taking place, based on reliable evidence and valid research data, of which there is a distinct lack in Iain’s post.

The consequences of this cart before the horse approach are all too evident in Ian’s first update:

UPDATE 2.52pm: As I expected, this has provoked a lot of comments, some insightful, others prejudiced. One describes what I have written as inflammatory. I’d like to know how. Some people don’t seem to actually read what I write before venting their spleens. So let’s be clear. All I was doing with this post is asking why we are in this situation and what we can do about it. Read what I actually said rather than what you think I said. I did not say we should ban abortion. I did not even say we should restrict abortion. All I said was that we need to examine why these figures are so high in comparison with other countries and I then questioned what we should do about it. What on earth is there to object to in that?!

D’oh!

What kind of half-wit asks questions like ‘why are there so many abortions?’ and ‘what can we do about it?’ on a blog and then expects rational answers that make sense?

If you want answers try searching for some proper research on the subject, like this paper on reasons why US women have abortions, or this paper, from the University of Southampton, on second trimester abortions in the UK, both of which answer questions about the why of abortion in considerably more depth and detail than anything one might glean from Dale’s usual collection of comment box trolls.

UPDATE: It has been pointed out to me that there are 250,000 miscarriages a year. So if you add them to the babies born and babies aborted you get 1.1 million conceptions, so the actual ratio of babies aborted to babies conceived is nearer 1 in 5 or 1 in 6.

Well it is about 1 in 5, but as mentioned earlier, miscarriages don’t count for statistical purposes - you’ll actually find them in the general stats for medical conditions, illness and mortality rates, not in births/abortions.

I don’t think that alters to fundamental point though. This ratio is far, far higher than in comparable countries and we ought to understand why that is.

What’s a comparable country in this case?

Do we go by population. in which case we can choose from France, Ethiopia and Thailand for our comparators.

What about economy? Take GDP per capita and the nearest comparators are Sweden and Germany.

What about something a bit more nebulous like culture - broadly speaking that would put us up against Canada, Australia, New Zealand and, at a pinch, the US, all of which have a higher abortion rate than the UK.

I’m not saying we can’t learn lessons from other countries, especially those like Germany and the Netherlands that have liberal abortion laws and low abortion rates, in fact if you look around, the work in respect to taking teenage pregnancy and abortion has already been done for you:

So, if Dutch, German, and French teens have better sexual health outcomes, have fewer sexual partners, and initiate sexual activity at the same age or even later than U.S. youth, what’s the secret? Is there a ’silver bullet’ solution for the United States that will reduce the nearly four million new sexually transmitted infections occurring among U.S. teens each year, or the 20,000 new HIV infections among 13- to 24-year-old youth, or the 900,000 teen pregnancies?

Unfortunately, there is not a single, ’silver bullet’ solution. Yet, the United States can use the experience of the Dutch, Germans, and French to guide its efforts to improve adolescents’ sexual health. Indeed, the United States can overcome obstacles and achieve social and cultural consensus respecting sexuality as a normal and healthy part of being human and of being a teen by using lessons learned from the European study tours.

* Adults in the Netherlands, France, and Germany view young people as assets, not as problems. Adults value and respect adolescents and expect teens to act responsibly. Governments strongly support education and economic self-sufficiency for youth.

* Research is the basis for public policies to reduce unintended pregnancy, abortion, and sexually transmitted infections, including HIV. Political and religious interest groups have little influence on public health policy.

* A national desire to reduce the number of abortions and to prevent sexually transmitted infections, including HIV, provides the major impetus in each country for unimpeded access to contraception, including condoms, consistent sexuality education, and widespread public education campaigns.

* Governments support massive, consistent, long-term public education campaigns utilizing the Internet, television, films, radio, billboards, discos, pharmacies, and health care providers. Media is a partner, not a problem, in these campaigns. Campaigns are far more direct and humorous than in the U.S. and focus on safety and pleasure.

* Youth have convenient access to free or low-cost contraception through national health insurance.

* Sexuality education is not necessarily a separate curriculum and may be integrated across school subjects and at all grade levels. Educators provide accurate and complete information in response to students’ questions.

* Families have open, honest, consistent discussions with teens about sexuality and support the role of educators and health care providers in making sexual health information and services available for teens.

* Adults see intimate sexual relationships as normal and natural for older adolescents, a positive component of emotionally healthy maturation. At the same time, young people believe it is “stupid and irresponsible ” to have sex without protection and use the maxim, “safer sex or no sex.”

* The morality of sexual behavior is weighed through an individual ethic that includes the values of responsibility, respect, tolerance, and equity.

* France, Germany, and the Netherlands work to address issues around cultural diversity in regard to immigrant populations and their values that differ from those of the majority culture.

Awww, would you look at that - says absolutely fuck all about prohibition, religion, abstinence and outdated notions of sexual morality about from noting that these have virtually no influence of public policy.

In fact one of the first and most effective things that government could do is change the present abortion laws and get rid of the outdated business of justifying abortions on mental health grounds and just except that women have abortions because it their fucking choice. Stop hiding behind medical euphemisms and maybe there’s  chance of conducting substantive research in why women choose to have an abortion from which we can then devise public policies to address their needs and not the prejudices of a bunch of fucking god-botherers and armchair moralists who don’t know jack shit about the difficult choices a woman faces in deciding whether or not to have an abortion.

All this takes is a simple understanding on the nature of abortion rights - if you’re pro life then you have the right not to have and abortion…

…now fuck off and keep your morals and beliefs to your fucking self.

14 Comments »

Mad Nad’s back on the subject of abortion and the Catholic Church and no more coherent than last time around…

To add further to yesterday’s blog, I agree with the majority of what the Cardinal said in his homily.

The Abortion Act of 1967 was based on lies and more lies. It was an appallingly drafted piece of legislation which, under intense pressure from the abortion rights lobby, allowed the present day situation of abortion used as a form of contraception to occur.

And these lies were?

Well according to Cardinal Keith O’Brien:

We were told that backstreet abortions were killing women and had to be decriminalised. We were told abortion would only be used in extreme cases. We were told medical scrutiny would be rigorous. We were told a – lies and misinformation masquerading as compassion and truth.

Pre 1967, women did die as a consequence of backstreet abortion so how exactly has that now become a lie - O’Brien is blithely trying to rewrite history and Mad Nad appears to be agreeing with him having written only 24 hours earlier that:

Illegal abortions were costing lives or leaving women with horrific physical consequences and infections. Something had to be done.

Remember Orwell’s ‘doublethink’ - the ability to believe entirely contradictory statements at the same time? Well there it is, first hand.

As for the rest of O’Brien’s ‘we were told’ litany, yes you were told all that…

…forty years ago.

Forty years ago, we were also told by now that we’d all have domestic robots to do the house work, personal light aircraft to travel around in, that we’d would be living a life of leisure while machines did all our work for us and that its was the dawn of the ‘Age of Aquarius’.

Were those lies or has the world simply not changed in the way that people expected at the time.

It’s pure sophistry to claim that something you were told a long time ago was a lie just because the world didn’t turn out how you expected.

I have made it a commitment that throughout my time in Parliament I will do all that I can to reduce the number of abortions which take place each day. My objection to the Cardinal’s statement was that I believe his threat to withhold the Holy sacrament from MPs may actually have had the opposite effect and that he may have in fact given further ammunition to the pro choice lobby, who will describe his actions as extreme and irrational and use that argument to discredit all attempts to amend abortion legislation.

Nadine’s at the false dichotomies again and putting up the pretence that ‘pro-life’ means fewer abortions therefore ‘pro-choice’ means more. I went through this yesterday but to quickly recap no one who supports women’s right of access to abortion services wants to see more abortions. What they do support is better sex education and access to contraception in order to reduce the number of abortions by reducing the number of unwanted pregnancies.

That’s not on the only deliberate falsehood on display here, however. In citing the Cardinal’s threats to withhold the sacrament from Catholic MPs who fail to fully support the Church’s position on abortion as ‘ammunition’ - another combative metaphor than implies a battle or war between opposing sides - that could be used to ‘discredit all attempts to amend abortion legislation’, Nadine is seeking to draw a line between her own efforts to amendment current abortion laws and the position of the Catholic Church in order to conceal her own religiously-inspired motives.

It’s the same rhetorical strategy adopted by creationists - if we call our beliefs something else (concern over abortion rates/intelligent design) then maybe we can fool enough people to sneak our beliefs into law/schools by the back door.

There will be many commentators who will now use the terminology ‘right wing evangelists’ when describing attempts to limit access to abortion as a result of his comments.

Why when, in this instance its the Catholic Church playing at theological blackmail?

Does it make any difference at all whether we’re talking in terms of the Catholic Church or Evangelical Christians of other denominations or anyone one else for that matter - it all amounts to the same thing, a minority religious group attempting to impose their views on morality on the rest of society, whether that’s what the rest of society want or not.

Whoever is behind such attempts it still amounts to social authoritarianism and an infringement on personal liberty.

This is not a difficult question to resolve from a genuinely libertarian point of view. If, as a Christian, or as a follower of another religion or simply as a matter of conscience, you do not agree with the practice of abortion then you have the perfect and inalienable right not to have one.

So far as your moral views relate to other people who don’t share the same view, you can piss off and keep your morality to yourself.

It’s not difficult.

Despite the effect of cultural change, which is a necessary part of legislative change, the law has to be amended, and that is a political process.

Let’s try and follow this one closely, shall we?

Despite the effect of cultural change (the majority of people in the UK support women’s right of access to abortion services), which is a necessary part of legislative change (we live a democracy in which government should, nominally, serve or reflect the will of the people) the law has to be amended (why ‘has’? This is opinion presented as fact yet again), and that is a political process (fuck the people, I’m a politician and I can do what I like).

The majority of politicians are not Christians. In order to persuade them to vote for a change in legislation, the legislation needs to be reasonable and measured.

Reasonable and measured compared to what, exactly? Such terms are meaningless unless you’re clear about the reference points you’re using to define what constitutes ‘reasonable’.

What Nadine is trying to do is put over the suggestion that a cut in the upper time limit for abortions to 20 weeks is ‘reasonable’ because its doesn’t amount the the complete prohibition demanded by the Catholic Church, which is patently unreasonable. By the logic of such arguments one could also legitimately suggest that the Jacobins were moderates by comparison to Pol Pot because they only executed a few thousand people rather than a couple of million.

Terms like ‘reasonable’, ‘moderate’ and ‘measured’ only have meaning in a socio-political context when one is clear as to what the benchmarks are against which that which being described in such a fashion are being measured.

In reality, its immaterial whether Nadine’s preferred amendments are ‘reasonable’ and ‘measured’ because neither alters the fact that there is currently no substantive evidence to support her opinion that changes in the existing law, restricting access to abortions, are required or even that such changes would have any significant impact on the number of abortions taking place each year. Of the 185,000 or so abortions that do currently take place each year, a mere 1-2% take place at or above 20 weeks gestation and half of those are on strictly medical grounds, the greatest proportion of which stem from the discovery of serious foetal abnormality at 18-20 weeks gestation, the earliest such abnormalities can be identified by ultrasound scans.

It is unlikely that MPs will vote for a piece of legislation they think may have been coloured or hi-jacked by the church.

Is should hope, or rather expect, that MPs would not vote for legislation of this kind because it is entirely unsupported by valid evidence, irrespective of whether its also been ‘hijacked’ by any special interest group or not. Not, of course, that this is the case anyway - the suggestion that religious groups might hijack legislation that tries to place restrictions on access to abortion is just more the same window-dressing to create the impression that the motives of those introducing such legislation not one the same thing.

You’ll notice, throughout, that she consistently presents the idea that the ‘opposing’ poles in this debate are the anti-abortion views of the Church (Catholic or Evangelical) and the ‘pro-choice’ views of those who support legal access to abortions.

Not only is she trying to convey the false impression that her own position, in trying to effect further restrictions on access to abortion, is the ‘middle-way’ or a compromise position (which it isn’t) but she’s also seeking to imply that differences of opinion on both sides are rooted primarily in attitudes to religious belief, which is also a false premise and one that both implies that those who support legal abortions are also ‘unreasonable’ - by setting them up as being in polar opposition to an unreasonable religious viewpoint - and that this is solely a ‘contest’ of beliefs about abortion rights, when in fact many if not most of the arguments advanced in favour retaining the exist legal position, if not liberalising some aspects of it, are founded in and supported by evidence.

I also do not believe that the Holy Sacrament should be withheld from anyone for any reason. God is, above all things, loving and forgiving.

Well, at least she’s now being honest about her religious views. Banal but honest.

I know that many of my fellow Christians despair at my inability to condemn all abortion at any stage. To them, abortion is the taking of innocent life, based on the argument that if left uninterrupted a foetus at any stage would grow into full life.

These same friends however, all use various forms of contraception, and in an attempt not to be indelicate, some of which allow an egg to be fertilised and wasted.

It is a logical position that if you condemn all abortion, you must condemn various forms of contraception, if you truly believe that life begins at conception - I cannot do that. So I stay as true to my belief as I can, without hypocrisy or slight of word.

Hang on a second - let’s follow the ‘logic’ of this last argument.

If you believe that life begins at the point of conception - i.e. when sperm meets egg - them you must condemn not only all abortion but all forms of contraception which prevent a fertilised egg from implanting in the womb and developing into a foetus. That’s basically how IUD’s (’the coil’) and some contraceptive pills work, they don’t prevent conception they prevent implantation, which means that fertilised eggs, which some believe are already ‘life’ and therefore deserving of their full rights to exist and develop, are ‘wasted’.

But, on average only around 1 in 5 fertilised eggs actually implant successfully in the womb where contraception is NOT used. 80% of fertilised eggs, which some believe already constitute ‘life’, do not implant in the womb and do not, therefore, result in a pregnancy and all without any external intervention whatsoever?

Why does that happen?

Some Christians have a tendency to ascribe anything that doesn’t go quite as expected, especially if it goes badly pear-shaped, as being down to ‘god’s will’ - so if do you believe that then, logically, the fact that 80% of fertilised eggs fail to implant in the womb is also a matter of ‘god’s will’ - god has, somewhere along the line, decided for reasons known only to himself/herself/itself that 80% of all human life will be ‘wasted’ within a matter of a few days of conception via the process of menstruation.

Does that not make god an abortionist? In fact does it not follow that, by that ‘logic’, god is an abortionist (and to some, therefore, a murderer) on a scale unimagined by even the most bloodthirsty and murderous despot?

And another thing that’s just occurred to me. If you’re the kind of Christian who takes the Bible literally, including the whole creation in seven days and Garden of Eden business, then you’d also believe that menstruation is what god cursed Eve with for her part on the whole eating the fruit of the tree of knowledge episode that got her and Adam expelled from paradise.

Which means that all along you’ve probably been thinking that as curses go, menstruation and everything that goes with it, the stomach cramps and PMS stuff, is maybe not such a bad curse compared to some of the other things he could of stuck women with…

…except that now, of course, you’ll have just found out that god neglected to mention one piece of vital information about this curse, the bit about it killing 80% of your children without you even realising it.

Got a bit of a thing about killing kids has this god of yours, hasn’t he? You piss the celestial skyfairy off and he whacks your kids big time - and you though Herod was a bit of fucker for snuffing first-borns.

It is interesting that the Cardinal didn’t mention the Catholic Church’s position on contraception in his homily. Maybe because to do so would have been so obviously counterproductive?

The Catholic Church will never be able to alter its position with regard to contraception and nor should it. It has every right to uphold its beliefs also without hypocrisy. I admire the Church for the brave position it takes.

Why shouldn’t it alter its position on contraception? It’s altered its position on plenty of other things in the Bible - I don’t see many Catholics going in for burning witches, stoning adulteresses and executing people who work on Sundays these days, nor can I recall ever reading the bit that said ‘thou shalt not use condoms’, all it does is tell Christians to ‘be fruitful and multiply and replenish the earth’.

The Bible doesn’t actually specify exactly how much multiplying Christians are expected to do in order to replenish the earth either. Replenish, itself, means to make full or complete again or supply what is lacking, which does suggest that there’s some sort of finite limit on the amount of multiplying Christians are supposed to get up to as the definition of the word itself incorporates the idea of something being ‘full’. That would mean that one could reasonably expect that it will be perfectly fine by god if people stop multiplying at some point, as long as the earth doesn’t need a top up.

Who is to say that we’ve not already hit the point in terms of the fullness of the earth’s population? Maybe all that’s needed now is a direct one for one replacement, or is god’s expectation, instead, that Christians should keep on multiplying until its standing room only?

In fact if we get back to the whole ‘god’s will’ thing then maybe this explains why he’s killing off so many kids in terms of fertilised eggs that don’t implant, miscarriages, etc. Maybe we actually multiplied, as a species, past god’s idea of ‘full’ quite a while back and he’s now bumping off kids left, right and centre to keep the numbers down and muttering to himself about how those bastard humans could never be arsed to listen to him properly when he was giving out his instructions.

In which case, by using contraception you might well be doing the guy a favour and make him feel a bit better about himself by not making quite so many kids who need culling - it is a bit of shitty job to have to do, after all - even if you are god.

Unfortunately, this in itself compromises the abortion message of the church, as without the massive world wide use of various forms of contraception, the abortion rate would, undoubtedly, be much higher.

Ermm, bit of faulty logic there, Nadine.

The Catholic Church’s stance on contraception will impact only on abortion rates if its followers are both minded to follow its precepts on contraception but not on abortion and, of course, if abortions are accessible (legal or otherwise) in places where the Catholic view on contraception holds sway.

It a non-sequiteur - access to contraception will reduce abortion rates be preventing preganancies, but a lack of absence to contraception will not increase abortion rates because countries that restrict or prohibit access to contraception on religious grounds with also tend to prohibit abortion on the same basis.

Don’t you have family in Ireland, Nadine? In which case you should know that perfectly well, because 6-7,000 of the abortions carried out in the UK each year stem from Irish citizens coming to the UK for the procedure, which they cannot get at home.

Of course, it is right that the Cardinal preaches the gospel in and out of season, as one of my bloggers commented. However, at this point in time, in this British society, the message is out of beat with the modern values of today.

I do not advocate changing the message but in educating society in order to bring it to the point whereby the message is heard. I simply believe that is best achieved via methods other than threats issued from a pulpit.

What, methods like propaganda, misrepresentation and using your position in parliament to try to restrict access to abortion, Nadine?

Who says that as a society we don’t hear the Cardinal’s message perfectly well in any case? Is it beyond the bounds of reason to suggest that, perhaps, that the problem here is not that we cannot hear what he has to say but rather that we think its all a load of self-serving bollocks?

You talk about ‘educating society’ so it hears this ‘message’ - educating it in what exactly? Superstition? Ignorance?

Education opens the mind, It fosters and encourages inquiry, questioning and scepticism, qualities that are like Kryptonite to religion.

‘God’ is not an answer to anything.

To ascribe anything to the actions or will of a ‘god’ is a failure to give an answer arising out of a refusal to consider a question. God is a way of saying ‘I’m fucked if I know’ without actually admitting your own ignorance, a way of covering your arse if you’re too dumb or too lazy to figure things out for yourself.

To talk in terms of ‘educating’ society to hear the Catholic Church’s ‘message’ on abortion is, of course, yet another exercise in semantic legerdemain. If society needs to be educated merely to ‘hear’ what the Catholic Church has to say then by implication it is society that is held to ignorant and uneducated, and moreover such ignorance is wilful in character - after all, according to Nadine we need to be educated simply to listen before we can then understand.

Maybe life begins with the first beat of the human heart in the way that it ends with the last?

As we now have 4D scanning and medical science advancing at the rate it is, maybe one day we will know for sure when life begins.

When we truly know that, there will be no argument as to when and what limit abortion law is set, whether suspended in a safe dark womb or lying in a hospital crib, life is life.

You really don’t get any of this do you, Nadine?

When does life begin? In purely biological terms, at the point at which the processes of life start, when the DNA in egg and sperm cells combine, merge and that first cell gears up to divide and replicate itself.

There is no argument about when the biological process of life begins.

What is in dispute here is the question of how one can best balance two incommensurable rights, the right of a woman to self-determination and sovereignty over her own body and the right to a foetus to life, to be be permitted to develop, grow and be born into the world as a baby.

These are philosophical questions for which there is no definitive answer. Questions of ethics and morality and of what it means to be human and to have rights. Questions that cannot be answered in purely deterministic and empirical terms.

These are questions that cannot be answered by advances in medical technology, not unless that technology progresses to a point where it possible to separate those two conflicting sets of rights in a such a way that they cannot come into conflict, which is possible only if medical technology makes it possible to effect a complete bodily separation between the two. If you’re looking to science and to medical technology to provide you with a definitive answer then what you’re looking for is the means to carry out foetal transplantation or conduct the entire gestational process in vitro and in an artificial womb. Anything but that, as the conflict remains and the central questions raised by abortion remain firmly in the moral/ethical domain.

Transplantation of foetuses from one host to another or in-vitro gestation to birth in an artificial womb are the only solutions that provide a definitive answer to the moral and ethical questions raised by abortion, and each option raises its own no less complex set of moral and ethical issues. The only other alternative is a perfect world, a parental utopia in which there are no accidental or unwanted pregnancies.

This is not about life. Its about two (or more) lives bound together by biology for (potentially) up to nine months and about whether and how the rights accorded to those individuals operate in concert or conflict during that period. If you cannot understand that, then quite frankly this a matter in which you have no business involving yourself because you have absolutely nothing of value to contribute to the debate.

5 Comments »

Yes, I know fisking Nadine Dorries is yet another exercise is shooting tuna in a bucket with a 12 gauge, but this nonsense on abortion fully deserves the complete works…

So, the Roman Catholic Church has gone nuclear on abortion.

What, they want to start nuking doctors?

As someone who currently has a bill running in the House of Commons to reduce the upper limit at which an abortion can take place from 24 to 20 weeks and to introduce a period of informed consent or cooling off period - (which is about to come back onto the floor of the House for its third reading in October, the month of the 40th anniversary of the Abortion Act), this is a position I should welcome. However, I have very mixed feelings.

Really? Mixed feelings about what exactly, Nadine?

Where has the Catholic Church, or for that matter, any Christian Church been for the last 40 years?

Well, the Catholic Church has been entirely consistent in its view on abortion over that period, has supported several efforts to place restrictions on availability, including the reduction in the upper time limit from 28 to 24 weeks gestation that did pass into law, and general campaigned against abortion at every available opportunity.

So why is Nadine railing against them all of a sudden? (all will be revealed shortly)

The Abortion Act of 1967 was introduced to legalise abortion in order to end the back street abortion racket.

Ooh, nice bit of ‘unspeak‘ there, Nadine.

Unspeak? Yes. Unspeak - the use of language as a weapon in politics, or if you prefer semantic propaganda.

Think for a moment about the implications of calling back street abortions a ‘racket’. What does the word ‘racket’ imply?

Well, for starters, the involvement of organised crime - racketeer was a commonly used synonym for ‘gangster’.

Of course, that not true, there was never an organised crime element to the provision of abortions prior to 1967, no secret Mafiosi-run clinics and certainly no hint that the Kray’s ever had a hand in the wire coathanger and hot water racket. Back street abortionists were almost always solo operators, sometimes former or failed medical practitioners, more often just a local women who, in earlier times, would have served the community in which she lived as the local midwife cum herbalist/healer.

Calling back street abortions a ‘racket’ does rather more than refer to the fact that they were illegal at the time, it actually seeks to elevate the level of illegality it entailed over and above that or ‘ordinary’ crime by playing on the public’s perception that crime in invariably a more serious matter when its ‘organised’ and carried out systematically by a criminal ‘underworld’.

‘Racket’ has another semantic connotation that’s equally relevant. A ‘racket’, colloquially, can also mean a fraud or deception, something dishonest and based on an element of trickery - think in terms of the classic Phil Silvers’ show and the character of Sgt. Ernie Bilko (or Top Cat, if you’re a bit younger).

Nadine, in choosing to describe back street abortions as a ‘racket’ is seeking to convey a false image of the practice, one that portrays the practice as a form of conscious exploitation of vulnerable women rather than as drastic, and extremely imperfect, response of a social need (or as some would contend, necessity). Women who sought out and used their services - which were the only ones available - are cast in the mould of being unwitting victims of exploitation, in effect they were ‘tricked’ into having abortions by unscrupulous individuals whose sole interest was in profiting from their miserable situation as if to suggest, almost, that its was the availability of of illegal abortions and not the lack of legal ones that was really the problem.

All an entirely false prospectus and a false account of the real social history of the time - if you want an honest picture of period, don’t listen to ‘Mad Nad’, go see Mike Leigh’s ‘Vera Drake‘ instead.

Illegal abortions were costing lives or leaving women with horrific physical consequences and infections. Something had to be done.

Pre 1967, abortion was a last resort, something a woman resorted to in the most desperate of situations. The reason being that the frightening alternative was the back street abortionist. Everyone knew someone who had a horror story to tell. Breaking the law was not something people undertook lightly either.

Today the Act is undoubtedly used as a form of contraception, and the law, as presently drafted, allows for this to be the case.

Abortion is NOT a means of contraception - and as Nadine was a nurse at one point in her life she damn well should know better than to make such a crass and inaccurate remark.

Contraception is specifically the prevention of conception or impregnation by artificial means - once a fertilised has implanted successfully in the womb then impregnation has taken place and the whole idea of contraception becomes meaningless, at least for so long as the pregnancy continue.

An abortion is an abortion. It is not as means of contraception, it is simply the termination of a preganancy.

This is, not to put too fine a point on it, one of the more despicable lines of argument deployed by the anti-abortion lobby. By deliberately conflating abortion with contraception, the intent is to portray the entirely false notion that legal access to abortion services makes abortion an ‘easy’ option, a meaningless lifestyle choice.

It isn’t - the only thing that easy here is the casual manner in which Nadine misrepresents the reality of difficulties that women face in reaching the difficult and heartrending decision to terminate a pregnancy, which she also compounds with a misbegotten eulogy the pre-legalisation days when the horrors of the backstreet abortionist served a useful social purpose in dissuading some women from making such a choice.

It is a fact that the law needs to be amended.

It is not a ‘fact’ that the law needs to be amended. A fact is something real, tangible. Something that actually has a verifiable existence. What Nadine is expressing here is not a fact, but a personal opinion. She calls it a fact simply in order to try an persuade her readers that they have no option but to agree with her - a fact is a fact and cannot be disputed, an opinion is simply a personal view which can be very much open to discussion and debate.

Calling an opinion a fact is simply an attempt to shut down the debate, an indication that Nadine is unwilling to debate her views on abortion with an open mind.

However, it is also the case that the public need to be made more aware of what is actually taking place with regard to abortion within society today.

The graphic 4D images which have been put into the public domain by Professor Campbell have assisted hugely with this process.

There has never been a pregnant woman who has not wished, at some stage of her pregnancy, that she had a window which she could peep through to see her unborn child. Professor Campbell and 4D screening has done just that, a miracle in itself. We can see the foetus at all stages of development to the point where we can watch a smile, a thumb being sucked, a hiccough, or even a little cry.

Now were onto the bad science.

Let’s start with ‘Professor Campbell’, which right from the off is a very basic appeal to authority, i.e. what I’m about to tell you comes from a scientist and scientists, as we all know, know best - not. I’m sure, the view of Professor Campbell, I should say, but rather the manner in Nadine presents, or rather misrepresents, his work.

Then there’s the matter of of his images, which are a ‘4D’ screening because, of course, a ‘4D’ image is much better than a 3D or a 2D one. The term ‘4D’ is, actually completely meaningless, of course, because what you actually see when you look at Campbell’s images is a two-dimensional image of a computer-generated three dimensional model which moves over time (the fourth dimension) - call it what you like, its still a piece of two dimensional video footage.

And is this a ‘miracle’?

Of course not. A miracle is an event in the physical world which cannot be explained in natural terms and is there ascribed to the workings of a supernatural force. Campbell’s images are nothing more than the product of a bit of clever imaging technology about which there is nothing in the least bit miraculous at all; but note, again, the semantic use of ‘miracle’ here. Campbell’s images, his use of technology, are ‘a miracle in itself’, i.e. a miracle alongside the other ‘miracle’ here, that of foetal development.

But then there’s nothing miraculous about that either. Life is an entirely natural process and there is nothing at all supernatural about reproduction - birds do it, bees do it, even single celled amoebas do it, albeit is rather different manner to vertebrates.

Nadine’s oblique reference to reproduction as a ‘miracle’ could be a simply colloquialism, but one suspect rather more that it betrays the theological basis of her thinking on the subject of abortion - and, of course, her efforts to restrict access to it - even if she unwilling to admit to that openly and chooses to conceal her real views out of simple political expediency.

Yes, Campbell’s images do show the exterior development of the foetus right up to the point at which one can see it apparently smile, suck its thumb, hiccough (an entirely a lousy example to cite in any case as even in full grown adults its stems from an entirely involuntary reflex) and even cry…

…and all that at TWENTY SIX WEEKS GESTATION, a full two weeks AFTER the upper limit for elective abortion on non-medical grounds.

What Campbell’s images don’t display, however, is the development of the frontal cortex of the brain, and therefore the capacity for consciousness, rational and abstract thought, understanding, comprehension, communication and control over bodily functions - all of which does not begin until the third trimester; i.e. from 24 weeks gestation onwards. All movements prior to that point are automatic and occur without conscious thought; they are merely reflexive physical movements that may or may not have some basis on autonomic responses to external or internal stimuli.

The anti-abortion lobby (let’s not buy in the whole ‘pro-life’ trope, which is yet more propaganda) actively promote images such as those produced by Professor Campbell in part because it creates a false veneer of scientific ‘respectability’ around their arguments. It creates the appearance that they are trying to argue their case for restrictions on access to abortion from a scientific base when, in reality, nothing could be further from the truth and the argument they are trying to deploy, here, is nothing more than a basic appeal to emotion.

You’re supposed, if not expected, to look at the images and think ‘awww, but its looks like a baby’ - its a hyperreality in which you are supposed to engage, emotionally and intellectual, with the apparent image of a baby exhibiting human and seemingly conscious behaviours and not the reality of foetus exhibiting entirely reflexive and autonomic responses with no conscious intent, feelings or thought whatsoever - because the physical capacity for such things has simply not begun to develop at the point at which the images were taken.

The comparison that the anti-abortion lobby wants people to make on viewing the images is between the apparent physical development and behaviours of the foetus in the image and those of newborn, healthy baby - in reality the correct comparator at that stage would be one between the foetus and a newborn with a condition called anencephaly (literally ‘brainlessness’) in which the baby is born without any capacity for higher brain functions or conscious thought and, in most cases, will die within a few weeks or months of being born.

Of course, when the anti-abortion lobby talk about the public needing to made more aware of the reality of abortion, that last - and far more scientifically valid comparator - is not really what they have in mind when it comes to putting Campbell’s images on public display as, for many, the moral and ethical dimensions of the argument would tend to be seen in a rather differently light were they rather better informed on the matter of the neurological development of the foetus.

Professor Campbell’s images, while fascinating and in some cases even illuminating - and all credit to him for his technical achievements - are being presented in a highly misleading and unscientific manner by those, like Nadine, who are opposed to abortion on purely moral grounds based, largely, in theological belief. They are being used as propaganda.

The idea that Campbell’s images constitute scientific evidence in support of placing restrictions on abortion is no more valid or accurate than the suggestion would be that an image taken at between 4 and 5 months gestation, at which point all foetuses develop a thin covering of hair over their entire bodies (which they then lose fairly rapidly - this, by the way, is yet more evidence for Darwinian evolution) would be proof that the expectant mother can expect to give birth to a baby Chimpanzee - and one would expect that Campbell, himself, is perfectly aware of that, even if ‘Mad Nad’ is not.

The reports which show that women who have abortions are three times more likely to suffer from depression later in life need to be constantly highlighted. It should be incumbent upon every GP who counsels a pregnant woman seeking an abortion to inform her of this fact.

‘The reports’? Which ones, the actual journal papers, such as this one from the BMJ (January 2002), which appears to the basis of this assertion?

No, of course not. Most people simply wouldn’t read such reports, let alone understand them fully because they are written for medical practitioners by medical practitioners and in the language of medical practioners. No, the reports Nadine is taking are the kind one sees in the Daily Mail or Daily Express which ‘report’ the findings of such research studies, typically in grossly oversimplified and sensationalised terms.

Why must these reports be ‘constantly highlighted’? Because they help facilitate informed debate? Don’t be silly.

This is about spreading propaganda and not conducting a rational public debate. The reports in question must be constantly highlighted to drive into the public consciousness the idea that abortion is a bad thing that has nasty side effects (specifically depression) because that supports Nadine’s ideological position on abortion.

Of course, if you prefer a rational public debate founded on the available evidence, then you would also publicise this, more recent, report from the BMJ (December 2005 - ‘rapid response’ discussion worth reading as well), which reassesses and reevaluates the data and methodology of the earlier report and finds that the evidence for a correlation between abortion and the incidence of depression in later life is inconclusive, and then add two further papers from New Zealand by the same research team, this on the mental health aspects (abstract only I’m afraid, due to subscription firewall) and this one on life outcomes post-abortion, from which I’ll quote part of David Ferguson’s discussion on his findings, which amounts to about the most sensible thing I’ve read on the subject of abortion in a very long time.

Debates about the advantages and liabilities of abortion have been dominated by the rhetoric and political ideologies of those holding prolife and prochoice positions. Those holding prolife positions have tended to depict abortion as having few advantages and many disadvantages, whereas those holding prochoice positions have promoted the opposite view. Our findings from this study and related work lead to conclusions that fall between these extremes. In a previous article, we showed that exposure to abortion was associated with a moderate increase in risks of subsequent mental health problems even when due allowance was made for confounding factors. The present analysis suggests that abortion may mitigate some of the educational disadvantages that have been linked to early pregnancy, but that similar benefits are not evident for economic or partnership outcomes. The discrepancies between these findings and the rhetoric of both prolife and prochoice arguments strongly underline the need for further research into the risks and benefits associated with abortion as a means of addressing the issues raised by unwanted or mistimed pregnancies. In general, there is a clear need for further study of the social, educational and related outcomes of the decision to terminate a pregnancy so that women may be properly informed of the potential consequences of this decision for their life course.

There’s two statements worth picking out here:

Debates about the advantages and liabilities of abortion have been dominated by the rhetoric and political ideologies of those holding prolife and prochoice positions.

And

The discrepancies between these findings and the rhetoric of both prolife and prochoice arguments strongly underline the need for further research into the risks and benefits associated with abortion as a means of addressing the issues raised by unwanted or mistimed pregnancies.

You got that?

The evidence DOES NOT fully support the ideological positions adopted on either side of the argument and the current debate is almost entirely dominated by the rhetorical and ideological oppositionalism of each side to the other, in which one very important thing is almost entire forgotten - the woman who actually faces the difficult decision as to whether or not to have an abortion.

600 abortions a day take place in the UK. This is an unacceptably high number within a civilised society.

Why is it ‘unacceptably high’ and of what relevance is the assumption that we live in a ‘civilised society’ to this debate?

How does one decide at which point the number of abortions taking place each year becomes too many, unless one has the entirely fixed view that too many equal any number other than zero or, at best, a figure based on some small concessions to ‘necessity’ derived from a bit of moral salami slicing around issues of rape and severe congenital disability?

(That last one has always rather puzzled me as its not entirely clear to me from where, in opponents of abortion, the justification for permitting abortion in cases of severe disability derives. The simple answer, I suppose, is pure expediency - a desire not to be seen to be complete ‘unreasonably’ but one also suspects that, at time, some of the thinking on this may be coloured by even less noble motives, amongst which may lie an awareness of the economic and social costs of bringing up a severely disabled child).

One could, I suppose, think in terms of considering the proportion of pregnancies that end in termination that might be though ‘avoidable’, i.e. those that are both unplanned and unwanted right from the outset but not all terminations arise from such circumstances. What, for example, of women who become pregnant because initially they do want a baby with their long-term and seemingly committed partner only then to see what they though was their ’stable’ world fall apart around them, as does happen. What about those who fall pregnant because they are amongst the small, and unlucky, percentage of women for whom contraception fails - they clearly had no intention of falling pregnant and took steps to prevent that occurring only to find themselves facing impending motherhood in circumstances entirely outside their control.

How does one factor either of those scenarios into one’s calculations as to how many abortions is too many, or justify removing from those women the choice of an abortion is that is what they consider to be the best, and often only, option that satisfies their needs in such a situation?

As for this idea of a ‘civilised society’, aside from displaying an obvious and outdated, almost Victorian, sense of Eurocentricity - is China not also a civilised society, or India, perhaps - both have a far longer history of civilisation than Britain. In fact one cannot see such remarks without recalling Gandhi’s observation on being asked what he thought of Western Civilisation - ‘That would be a novel idea’.

And is it not also the case that the accessibility of abortion services is actually lowest, if not non-existent, in precisely the kind of societies that Nadine would appear to consider to be ‘uncivilised’, largely because these are the societies in which religious and legal prohibitions against abortion are still in place and hold the greatest sway. From that standpoint, are efforts to place greater restrictions on access to abortion services not, in reality, a retrograde step, a move away from ‘civilisation’, which tends to take a more liberal view of the necessity of such practices.

We have one of the highest rates of abortions within Europe along with the highest rates of teenage pregnancies.

Neither of which is an argument in favour of placing greater restrictions on abortion, although both are strong arguments in favour of improving sex education (including removing the right of parents to withdraw their children from sex education classes and consigning them to ignorance) and widening access to contraception - both of which the Catholic Church and some other religious groups oppose.

Restricting access to abortion does not automatically mean a reduction in the number of teenage pregnancies. What is probably would mean is an increase in both the number of teenage lone parents in receipt of welfare benefits and the number of unwanted children requiring foster care and adoption services, in addition to a wide range of other, hard to quantify, social and economic consequences, none of which I dare say Nadine has even bothered to think through.

Abortion has become a growth industry, facilitated and aided by the law.

Remember, Nadine started out be casting back street abortions after the fashion of a ‘racket’, as a form of organised crime/deception. Having been legalised, abortion is now an ‘industry’ and the ‘growth industry’ at that - yes its yet propaganda.

What does calling abortion an ‘industry’ actually imply?

That abortion has been mechanised and industrialised. That it’s now a production (or rather non-production) line where you just step up on the conveyor belt, open your legs nice and wide and let the machinery do the rest.

It suggests that Abortion services are cold, uncaring, profit-driven businesses interested only in vacuuming up your money as they vacuum away the foetuses. That abortion is quick, efficient, clinical process and requires neither thought or consideration on the part of woman seeking an abortion nor care and compassion on the part of medical practitioners carrying out the procedure.

And this, again, from a woman who used to be a nurse - politics may have raised Nadine’s public profile but its done nothing whatsoever for her sense of ethical standards.

The recent stance the Catholic Church has taken will assist in putting all of these facts into the public domain. I welcome the fact that it will heighten public awareness with regard to the sheer abuse of the Abortion Act and will once again push abortion up the public and political agenda.

And yet more propaganda - ’sheer abuse of Abortion Act’ - whatever can she mean?

Actually its obvious when you think about it - remember in Mad Nad’s world, abortion is an ‘industry’ that is ‘facilitated and aided by the law’ - a law that is also now being ‘abused’.

The implication is a stark as it is both false and entirely despicable, what Nadine is trying to promote as justification for placing restrictions on access to abortion is the idea that the intent of parliament as expressed in the original 1967 Act has been perverted over the last 40 years for nothing more than commercial gain - that’s why the Act is being ‘abused’ and abortion is now and ‘industry’.

Of course this is all just more rhetoric and propaganda.

Public opinion has recently shifted with regard to abortion, but not to the position of the Catholic Church.

Has it?

Who says so and on what basis is the public view changing?

Because of their active participation in an informed and rational debate or because they are being bombarded with propaganda?

And in what sense is it right that public opinion should be the key determinant of access to, and the kind of restrictions placed on abortion services. Who are ‘the public’ to sit in judgement on such matters, what substantive understanding of the issues do they actually have? What capacity is there for ‘the public’ to make informed decisions on such matters?

Arguments based on ‘public opinion’ are inherently logical fallacies because they amount to an argumentum ad populum, an appeal to the people or majority - and yes that does imply that democracy is also rooted in the same basic fallacy, which was most notably explored by Plato who considered it the ‘tyranny of the majority’.

Who is to say on a matter as individual and personal as abortion that the majority public view is the right view - what do they know of the consequences to the individual of placing restrictions and limitations on access to abortion? What can they possibly know?

Little or nothing, of course?

They cannot even, if Ferguson is correct, make a genuinely informed assessment on the generalities of such a question because we simply do not know enough about the implications and long-term effects/impact of abortion to make adequate judgements on the subject.

The public agree that the upper limit should be reduced, that we should work to offer women alternatives, help them to think very clearly about what they are doing, and, where possible, help to provide another solution. But it hasn’t shifted so far that the public want to ban abortion altogether.

Nadine keeps going on about what the public think and agree, but on what evidence is she basing these assertions?

Actually, it turns out that her evidence lies in an opinion poll commissioned by the Society for the Protection of the Unborn Child (naturally) from Communicate Research, last year, to coincide with Nadine’s own attempt to introduce legislation restricting access to abortion, a poll that ranks amongst the most poorly constructed and obviously biased I’ve ever seen.

To give you a flavour of what I mean, questions 7 on the poll asks:

Q7 Almost half of the 200,000 yearly abortions in the UK are conducted in private clinics but paid for by the NHS. In light of this, do you agree or disagree with these statements?

- Women attending private clinics probably receive equally good care in private clinics as they would in NHS ones

- The financial relationship between private clinics and the NHS makes it less likely that women attending receive impartial advice

- It is acceptable for the NHS to pay private clinics to conduct abortions

Which leads neatly into question 8.

Q8 Would you support or oppose each of the following possible changes to the law on abortion?

- A compulsory cooling-off period between diagnosis of pregnancy and any abortion

- A woman’s right to be informed of the medical risks associated with abortion

- A legal duty on doctors to provide access to advice both from abortion providers and from organisations offering alternatives such as adoption

- A right for healthcare workers not to have to sign abortion forms or to assist abortions where this would conflict with their ethical views

And thence to question 9 to cap it all off…

Q9 It has been argued that since the government funds abortions in private clinics, it should also make funds available to organisations offering women alternatives to abortion such as adoption. Would you support or oppose this proposal?

Not only is that a blatantly leading sequence of questions, but in some cases the matters on which respondents were asked to give their views were entirely misleading and irrelevant - medical staff are already accorded the right to ‘cry off’ any involvement in the provision of abortion services on grounds of personal ethics and there is no need to legislate for a right to be informed of the medical risks associated with abortion, a doctor who fails to advise a patient of the risks associated with any medical procedure is in serious breach of their own professional ethical code and risking disciplinary action (and even being struck off) if caught.

Of course, the real ‘payload’ in this sequence of leading questions is question nine, in which respondents are asked whether they’d support the provision of funding to organisation offering woman alternatives such as adoption (???) but only after question 7 has been used to implant the idea that the NHS lacks impartiality because it commissions medical services from the private sector.

To give another example of SPUC’s efforts to bias the outcome of this research, one question asks whether respondants agree with the statement that ‘Abortion law hasn’t kept up with our knowledge of early development in the womb’, with which 62% agree - quite how many of this 62% are sufficiently knowledgeable on the subject of foetal development to make an informed judgement is (obviously) not a question that SPUC care to ask, although earlier in the survey they did ask whether respondents agreed with the statement that ‘A baby’s nervous system develops in the womb at around 12 weeks’, this being the only effort made to assess respondent’s understanding of early development.The more observant among you will notice right away that that last question is already ‘loaded’ simply in referring to a foetus of 12 weeks gestation as a ‘baby’ - strictly speaking a foetus does not become a baby until its actually born - but in any case the mere fact that a nervous system begins to develop at around 12 weeks gestation is entirely immaterial. For one thing, mere possession of a nervous system does not qualify one for the appellation ‘human’ - a planaria flatworm has a nervous system, as do all arthropods (insects and crustaceans) and all vertebrates - and as I’ve already noted, the capacity for higher brain functions does not begin to develop until 24 weeks gestation, in fact its only at 26-28 weeks gestation that the nervous system develops sufficient to afford the foetus any control over bodily functions at all.

The time at which the nervous system begins to develop is one of the anti-abortion lobby’s favorite tropes; one that they use to suggest that foetus can ‘feel’ pain if aborted after this point- this complete woolly-minded, unscientific, nonsense. Once the nervous system develops a foetus will respond automatically to external stimuli, including pain, however it cannot ‘feel’ in the sense that we, as conscious beings, understand the term for the simple reason that the act of ‘feeling’ requires a capacity for consciousness that is simply not present until the third trimester.

If, as a matter of principle, one of our objectives in regards to abortion must be to enable women to make ‘informed’ choices and give ‘informed’ consent, then it must surely follow that we should take public opinion into account in making policy only where what is given is ‘informed’ opinion, anything less is to permit ‘the public’ to limit a woman’s freedom of choice, even if fully ‘informed’, on the basis of ignorance

For some, the moral dilemma of subjecting women to become criminals and seek the services of the back street abortionist is as big a moral issue as abortion itself.

This is an interesting shift in emphasis - why, if all that’s being sought are revisions to existing abortion law, should the moral dimensions of back street abortion come back into play?

That is surely only relevant if the ultimate objective here is a return to a position where abortion is, if not completely illegal, at least so heavily restricted to the extent that is inaccessible in all but the most extreme circumstances.

All this will be considered by Roman Catholic MPs when discussing the dictat of the Church.

Personally, I wish the Church had taken in the bigger picture and had tried to see that seismic change isn’t going to happen overnight. I wish they had seen that the process of reducing the daily number of abortions needs to be approached from a number of angles.

Which now explains Nadine’s earlier expression of ‘mixed feelings’ - her problem with the Catholic Church here is that they’ve blown the gaff on her strategy of trying to subject the existing abortion law to ‘death by a thousand cuts’.

What Mad Nad and her supporters want is a return to the pre-1967 position, in which abortion was illegal - or at worst/best (depending on your perspective) to a position in which abortion is available only is extremely limited circumstances (and never on the basis of anything so mundane as social need/necessity).

All this has nothing whatsoever to do with bringing abortion laws into line with current medical/scientific advances or giving women alternatives to abortion, it is a ‘wedge strategy’ whose objective is nothing less than the complete or near complete repeal of the 1967 Abortion Act.

We need to address the fact that the reason why so many unwanted pregnancies occur is due to the fact that so many young people are having unprotected sex. They think it is cool to have sex from a very young age and the majority of teenage boys believe that the consequences of sex are not their responsibility.

Which, again, requires an investment is high quality education and access to contraception, although one has to suspect given Nadine’s evident prejudices on other matters that she perhaps harbours some half-baked notions about American-style ‘abstinence programmes’ none of which have ever been shown to work effectively - like Nancy Reagan’s ‘just say no’ nonsense on drugs, what one finds that the only young people who respond to such messages are the one’s would have said no even without any such ‘education’.

There is one other thing to consider here; something that rarely, if ever, crops up is this debate because it raises a number of rather discomforting sociological questions, and that’s the question of puberty - or rather the effects of improvements in public health and nutrition on the average age at which children go through puberty.

The fact of the matter is - and this is a fact, not an opinion - that the average age at which puberty occurs, particularly in girls, has fallen considerably over the last 160 years. In England, in the 1840’s, the average age of the first menarche (period) was 16.5 years, currently its around 12.5 to 12.75 years and still falling.

Why?

Diet and nutrition is a significant factor. The purpose of puberty, of course, is to ready the body for reproduction and in all mammals, including humans, one of the necessities of reproduction at any age is the availability of the metabolic fuels necessary to sustain the body through pregnancy.

As a society, our perceptions as to the nature of puberty and the transition from childhood to adulthood (and sexual maturity) are largely conditioned by our understanding and perception of children’s intellectual and emotional development - none of which has any real bearing on puberty itself, the triggers for which are purely biochemical - puberty can kick at any time from around 8 years of age onwards depending on whether the body has stored up sufficient metabolic fuel to sustain the reproductive process, and of the main (but not only) triggers is a hormone called ‘leptin’ which is secreted by white fat cells.

In short, as out children become ‘fatter’ (on average) the age at which puberty begins and at which children attain sexual maturity (in the biological sense) falls, even without then getting into the complicated business of factoring in environment oestrogens into our calculations.

It’s not just ‘cool’ for teenage girls to be entering sexual relationships at an earlier age, its also a function of biological imperatives that come into play much sooner in relation to the intellectual and emotional development of young people.

This is something that the anti-abortion lobby, and religion (generally) seems entirely unwilling to address, that in trying to promote a brand of sexual morality based on abstinence they’re not just trying to fight modern social conventions but our species’s most basic and primal biological drives and instincts; the drive to reproduce to the species - or at least engage in behaviours that would serve that function were it not for contraception.

To try to impose rigid and inflexible standards of sexual morality on young people is to fight a somewhat futile battle - you’re not going to beat biology - which means placing all the more of an emphasis on education and contraception - the Netherlands has a legal age of consent of 16, like Britain, but an effective age of consent of 12 as defined by its rape statute and the fact that minors aged between 12 and 16 are not prosecuted for engaging in consensual sexuality activity except where a complaint in made under the Dutch penal code, not even if a pregnancy results from such activity. The Netherlands also has a teenage pregnancy rate of between and a seventh of that of the UK and despite the somewhat laissez faire attitude in law to under age sex (provided that both participants are of a similarly age), Dutch children tend to have their first sexual relationships somewhat later, on average, that their British counterparts.

What makes the difference, here, is the quality of sex and relationship education given to Dutch children and young people and the extent to which Dutch children are empowered to make their informed choices about sex and sexual relationships - its also worth pointing out that teenage pregnancy rates in the Netherlands are less than a tenth those in the United States of America, where the public discourse (and public policy in recent years) on sexual morality and abortion is far more extensively driven by religious interest and religious views on sexual morality.

The morning after pill costs £25 from a chemist and is only free with an appointment from a GP. This can take up to four days, rendering such a solution useless.

Fine, so the answer there is simply to stop charging people £25 a time for it and make it much more widely available.

If you are a 16 year old in full time education or on benefits who realises that you may be pregnant you are faced with spending £25 or chancing your luck, you will probably chance your luck. Addressing the high number of abortions which take place is not just about making statements to ban abortion.

Dramatic gestures such as withholding the holy sacrament from MPs who don’t vote to ban abortion completely will only feed and galvanise the pro choice lobby. The comments made by Cardinal Keith O’Brien make the Roman Catholic Church look extreme and out of step with public opinion.

It is Eye-catching today. However, it is ammunition for the pro choice lobby to use for a long time to come.

See. What did I tell you.

Nadine’s problem with the Catholic Church is that they’ve been basically honest about their position on abortion at a time when other elements of the anti-abortion lobby have decided to try a more subtle and wholly disingenuous approach to achieving much the same basic goals. It amounts to no more that ’shut up, you’re giving the game away.

The pro life lobby has achieved very little since the introduction of the 1967 Act as the rate of abortions continues to increase. It is a fact that the pro choice lobby are winning the battle.

This is another particularly nasty-minded piece of propaganda.

What does referring to the abortion ‘debate’ as a battle imply?

First that there are two opposing sides - ‘pro-life’ and ‘pro-choice’

Second that one can measure the ‘achievements’ (or lack thereof) of one of those sides - ‘pro-life’ - in terms of the rate at which abortions take place in very crude terms. Fewer abortions equals success for the ‘pro-life’ side, more equals failure, thereby implying that success for the ‘pro-choice’ side - ‘winning the battle’ - is the same as there being an increasing abortion rate.

It’s a false dichotomy that tries to present the ‘choice’ between ‘pro-life’ and ‘pro-choice’ as a choice between fewer abortions and more abortions, which is completely untrue. No one who supports women’s right to access abortion services actually wants to see more abortions, they want to see fewer abortions but by a different means.

That actual choice between the two sides is a choice between prohibition (pro-life) and education and widespread access to contraception (pro-choice) but that’s not what Nadine wants you to see because it doesn’t fit the propaganda message on her side. Given the choice between prohibition and education, between being coerced and told what to do and being empowered to make informed decisions and choices, who in Britain, but a religious zealot would choose the former.

I would like to see the debate move away from the argument to ban abortion altogether and to approach the problem from a number of fronts, in a reasonable and considered manner. Free from political and religious dogma.

As I’ve shown, Nadine’s comments throughout this whole article are wrapped up in semantic propaganda and anything but free from political and religious dogma - this is sophistry based on expediency and nothing more.

Unfortunately, I don’t think the Roman Catholic Church has really assisted a great deal in this process.

No, you don’t say…

Maybe the Church could try knocking some big moral stakes into the ground which inform society of its position with regard to sex before marriage.

Or it could drop its dogmatic and entirely counter-productive views on sex education and contraception, which would be considerably more beneficial.

Then again, lets not forget that its only abortion that the Catholic Church are against - pregnancy is less of a problem so long as what you’re producing is more Catholics.

The church could, if it were adventurous enough, once again become a force to set the moral agenda within the communities it serves. But that is much harder work than making a grand statement.Meanwhile another 4200 abortions will take place this week. Maybe if those who wish to ban abortion thought a little harder about the heartache and the tears many of those girls and women will go through this week, not all, I know, but many, then maybe everyone will try just that bit harder to find a realistic solution.

A realistic solution to what, exactly?

You see, if some of the alternatives to abortion were really that much of a better option for women, given adequate information and availability then surely they should stand up on their own without the need for legislation that restricts access to abortion services.

One alternative is certainly better - that’s using contraception and not getting pregnant to begin with - but what of the others?

The only alternatives to abortion, lets not forget, are to have a baby and keep it, or have a baby and give it up for adoption. Neither option is free from long-term consequences and implications - Nadine’s very keen on promoting the idea that abortion leads to an increased risk of depression and mental illness in later life, but how does that compare with, for example, the psychological effects of having given up a child for adoption?

Interestingly, there is a significant amount of literature and official recognition for ‘post adoption depression’ as it affects adoptive parents, but seemingly very little on the effect of adoption on the woman giving up their child and not substantive research, as yet, on either. It seems that its just assumed that both parties get what they want and that’s an end to it.

But is it?

Somehow I doubt it very much, and if we are going to support women to make informed choices and see adoption as a viable alternative to abortion, as some would like, then surely we need to be looking at the effect of adoption on mental health and life outcomes in much the same way as these have been looked at in relation to abortion…

…before we start making changes to the existing law and placing more restrictions on access to abortion of the kind Nadine favours.

If the pro life lobby thought a little more about the pregnant woman, and if the pro choice lobby thought a little more about the baby - if everyone accepted that we don’t live in an ideal world yet, and everyone has to give a little, then maybe we might just begin to get somewhere near a solution that the majority of people who live within this society would like to see. A reduction in the number of abortions carried out each day achieved via a number of measures – a reduction in the upper limit from 24 to 20 weeks and a period of informed consent. Not ideal, I agree, but a massive improvement form where we are today.Whatever way you look at it, it boils down to the Roman Catholic Church blackmailing MPs. Almost as desperate a measure as resorting to a back street abortionist.

And no less desperate than your disingenuous efforts to deploy a wedge strategy to effect restrictions in existing services/rights, Nadine.

The idea that ‘everyone has to give a little’ sounds so seductive doesn’t it. It sounds ‘reasonable’ and ‘moderate’ but it is really?

If parliament does impose a reduction on the upper limit for abortions to 20 weeks, then what have opponents of abortion actually given? Nothing at all - after all they had no realistic prospect of getting the complete or near complete ban on abortions they want in the first place. Such a suggestion appears reasonable - or rather has been contrived to appear reasonable - on because it is presented as an alternative to a position that is entirely unreasonable, i.e. complete prohibition of abortion.

Its a con, just like the suggestion that the ‘pro-life’ lobby have achieved nothing in the last 40 years, even though in that time the upper limit for elective abortions has actually been reduced from the 28 week limit, set in 1967, to the present 24 weeks by the Human Fertilisation and Embryology Act in 1990.

And what about this business of ‘informed consent’, the mandatory ‘cooling off period’ that Nadine wants to impose so women can consider the alternatives to abortion. Will that also apply to adoption services as well? Will they be required to give advice on the availability and accessibility of abortion services so that women can, similarly, make an informed choice having been given information on all the alternatives?

What do you think?

Nadine claims that reducing the upper limit for abortions to 20 weeks gestation will reduce the number of abortions. On what basis does she make that claim? Where is the evidence to support such an assertion?

Reducing the upper limit for abortions to 20 weeks is actually unlikely to have any real impact on the number of abortions carried out for social reasons simply because reducing the upper limit does nothing whatsoever to reduce the need for such abortions, it merely give those who feel that they need an abortion on such grounds a bit less time to make their decision and go ahead with the procedure - and in any case 98% of all abortions in the UK take place before twenty weeks gestation.

If we look at the actual statistics for abortions that take place in the 20-23 week period, two things leap out at you immediately.

First, more than 70% of abortions carried out at this stage of pregnancy are for women aged 20 years and over, with most in the 20-34 age group.

Second, well over half the abortions that take place after 20 weeks gestation are classified under ground (E) of the 1967 Abortion Act, i.e. on grounds that the child would be born with a serious disability; and very few abortions take place, at all, after 24 weeks (around 250 in 2004). In the same year, the number of abortions carried on on women under 20, after 20 weeks gestation, was 824 out of 185,000 legal abortions.

So far as the statistics go, there seems little sign of any substantive evidence to support the idea that such a reduction will automatically lead to a reduction in the number of abortions, so is there, perhaps, any scientific evidence from data on premature births that might support an argument for a reduction in this upper limit?

The current position vis-a-vis survival in premature births is that a foetus born at 25 weeks gestation has a 50% chance of survival - which is fair odds.

At 24 weeks, that falls to 39% - at the current limit for abortions nearly two of every three foetuses born that that stage will die even if you throw even last piece of available medical technology you have to hand at trying to sustain their lives.

At 23 weeks, that figure falls again to 17% and the current record for survival - set last year, is 21 weeks. That one child, by the way, just one - and she suffered both digestive and respiratory problems and a brain haemorrage.

So any argument based on the notion that medical technology is pushing back the boundaries of survival in premature birth amounts to the suggestion that we should limit abortions to 20 weeks gestation just because just one foetus born a week’s gestation later has thus far survived with the assistance of everything within our society’s current medical capabilities.

Is that really a viable basis on which to make policy and legislate for restrictions in access to abortions -because one desperately wanted child beat the odds at 21 weeks?

No, of course it isn’t. It’s an absurd suggestion. Its like suggesting that we should ban air travel because of a single plane crash or ban the motor car because of a single car crash.

So what the actual evidence tells us is that, at best, a reduction in the upper limit on abortions will provide a cut in abortion rates of around 1% and that there’s little or no evidence on what is usually termed ‘viability’ i.e. survival rates in very early premature births to support the contention that we should lower the upper limit because some premature babies survive such early birth with the help of medical technology.

Hardly the ‘massive improvement’ that Nadine claims.

In my limited experience MPs don’t take well to being backed into a corner or having their independence challenged. Not a good move.

Oddly enough, I find that the public doesn’t much appreciate being fed bullshit either.

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Wahey, it’s arrived! The Blog Digest 2007, I mean - and bloody good stuff it is, too (and I’m not just saying that because I’m in it).

Like his predecessor, Tim Worstall, Justin McKeating of the inspirational* Chicken Yoghurt, has done a fine job of collecting together a worthy selection of the year’s finest missives from the blogosphere, some familiar, some new and well worth keeping an eye on (damn, more blogs to add to the RSS reader) and one, at least (World Weary Detective), sadly missed.

*Inspirational is an adjective well deserved, to my mind, as the name of Justin’s blog helped to inspire the best wind-up I managed to pull on my 14 year old son all year, in which I managed to convince him that the hastily scrawled phrase ‘Rooster Pots’ (meaning a variety of potato marketed under the brand name ‘Rooster’), on a shopping list supplied by my partner, referred, instead, to a newly released brand of chicken-flavoured yoghurt. The little sod spent 15 minutes scouring the aisles of Asda for this non-product before realising that I was having him on - I do deadpan pretty well when the need arises.

As for the ‘why’ of this wind-up? Well let’s just say it does teenagers a power of good to be reminded, from time to time, of the virtues of experience and an agile mind; especially by their old man. Call it a form of social darwinism, if you like, much like the old joke about the two bulls in field, where the young bull spots that the gate to an adjoining field fill of cows has been left open and suggests to his older companion that they run over quickly and shag a few of them, only for the older and much wiser, bull to reply, ‘No. We’ll walk over and shag the lot of ‘em’.

‘Best’ is a subjective thing, at best - if you get what I mean - and it can be no easy task to compile a ‘year’s best’ anthology of writing from Britain’s 7 million blogs, yet its perhaps a sign of how far blogging has come in such a short space of time that many of the blog (and blogger) names one encounters as one sifts through the book and not only instantly recognisable but provide a clear and comforting reassurance that whatever it is you’re about to read is going to be well worth the effort. Justin, Tim Worstall, Tim Ireland, Rachel North, Jim Bliss, John Band, DK, Mr Eugenides, Daniel Davies (D-Squared), Chris Dillow, the esteemed blogging physician Dr Crippen, Jarndyce, Nosemonkey, Curious Hamster; the names keep coming and every one a “good ‘un”. It’s both gratifying and not just a little humbling to find one’s own work amongst such fine company.

That’s more than enough lionising of one’s (blogging) peers for the time-being; suffice to say that you should go out and buy the book, if only because, as Larry Teabag points out, with all his usual joie d’vivre, ‘it’s truly excellent, and would make an ideal stocking-filler for anyone with 6.1 x 9.2 inch feet.’

Moving swiftly on (sort of), the one thing that shines through most clearly from the book is the sheer quality of the material emerging from Britain’s bloggers, not simply in terms of how well written many of the articles are but - and I do recall saying this of last year’s anthology as well - in terms of the ideas and arguments being advanced by bloggers across a whole range of different topics and themes. There could well be a lot of dross out there in blogland, the kind of ‘verbal diarrhoea of the under-educated and banal’ that Janet Street-Porter railed against, in a column in the Indy, before going on to discuss the joys of porridge (? - go figure…), but I have to say I rarely run across it - which doesn’t prove that its not out there, just that one doesn’t have to look too hard to find the good stuff.

On a few occasions throughout the year, the always thorny topic of abortion and abortion rights has cropped up - there’s at least two ‘debates’ going at present on Comment Is Free, courtesy of Zoe ‘it shouldn’t be stigmatised’ Williams and Mary ‘of course it should’ Kenny - Kenny is, of course, a Catholic, so stigma and guilt are not so much an issue as a way of life.

I’ll come back to the Graun’s contribution to the debate in a moment, but abortion, as one might expect, is an issue that has taxed the minds of bloggers over the course of the last year or two and spawned not only some excellent commentaries, such as these from Dr Crippen, Emily at Doing It All Again (read the comments and this follow-up as well) and even my own humble offering, which I include here only because because the good Doctor liked it. There were also several posts that spawned quite extensive debates, the longest of which was at the Sharpener, this being revisited fairly recently (and at the same venue) by Jarndyce, with other excellent debates having been sparked off by Tim Worstall and Owen Barder.

What makes all these articles worth reading is that they afford the reader a genuine debate, a proper argument. Opinions differ from participant to participant but pretty all  those involved in the discussions share a common understanding that no matter what one’s views on abortion might be are, this is a complex and difficult issue in which there are no easy answers.

This, as I see it, is blogging at its best - a real debate in which, as it ranges from personal experience and opinion to science and on to to philosophy and morality and even the question of what it is to be human, the participants understand that one must do more that simply state ones position, one must also back up that position with real argument and take the time to explain not only how you see this issue but also why see it that way.

That the debate remains unresolved at the point it leaves off and no single consensus of opinion is formed does not really matter, as in any debate where there are strong, opposing and even incommensuable views on display, the most one can ever hope for is that people will agree to disagree. But that does not mean that readers leave the debate having gained nothing from it. Far from it, if just one person reads these articles and comes away from the debate feeling that they understand just little bit more about the many and varied views that different people hold on the subject of abortion, and more importantly, why they those views, then the debate has served its purpose, their understanding of world has increased just a little and they are just that bit better informed for the experience.

By way of contrast, the most notable thing about the two debates on CiF, aside from the generally poor overall ’signal to noise ratio’ of the discussion, is just how poor much of the argument is, on both sides of the debate, and this has, sadly, long been a facet of the wider public debate surrounding abortion.

Even if one can wrestle one’s way past the inevitable and vitriolic slanging matches that break out at the drop of a hat - abortion is well known to experienced internet trolls as being precisely the kind of lightning rod issue that provides a whole cornucopia of malicious entertainment on online forums - one find that with rare exceptions, the vast majority of the arguments put forward are such debates are, not to put too fine a point on it, crap.

Before going any further I should, perhaps state my own position on this issue.

I am pro-choice, to a point, that point being 24 weeks gestation, after which I consider it right an proper that abortion be restricted to situations in which there are clear extenuating circumstance, be they medical necessity, serious disability or a genuine risk to the mental health and well-being of a pregnant woman.

That I choose 24 weeks gestation as the cut-off point at which I consider an absolute right to abortion on demand to be acceptable is, for me, based on a rational transaction that is derived from my knowledge and understanding of foetal development and, in particular, neurological development.

As an atheist and a humanist. my view of the nature of what it is to be human is bound up in the concept of the mind. That which makes us definably human, in my estimation, is our capacity for thought, reason, emotion, empathy, compassion, love, hate, aggression and so many other things besides, subjective qualities that derive primarily from high brain function and our capacity for conscious thought.

A foetus, prior to 24 weeks gestation, has no such capacity, for that portion of the brain from which it stems has not yet begun to develop. A foetus to that point in time has no capacity for understanding and those facets of its development that are most often portrayed as being ‘human’, images of a foetus seemingly walking, the capacity to experience pain, etc. are no more than autonomic responses deviod of consciousness, understanding or meaning. This I know to be a biological fact, at least inasmuch as we currently understand the process of foetal development, and, as such, it affords me a point from which I can make a value judgment as to my opinion of the moral and ethical acceptability of abortion. It is not perfect, by any means, but it is the best that I can do in terms of reconciling my own views on this complex issue.
I do not agree with the concept of an unfettered and absolute right to abortion right up until the point of birth. I feel that this fails to take into account the moral questions that arise from the point at which a foetus begins to develop the capacity for consciousness upon which I based my personal assessment of the nature of humanity, but I understand why it is that some take that view.

And I certainly do not accept the views of those who would seek to restrict access to abortion below 24 weeks gestation or prohibit it entirely, whether those views are expressed in terms of moral objections founded on religious belief or by way of any number of a trojan horse arguments that purport to be based on science, biology or the advancement of medical technology. This, again, ignores important moral, ethical and practical  questions, not least of which being that of the restriction of personal liberty and the unilateral imposition of the beliefs of a particular social group on those who do not share those beliefs, which I consider unethical unless one can show both clear benefit to the common good and a democratic acceptance of such a position by the majority. Arguments for prohibition in the case of abortion, to my mind, demonstrate neither when properly assessed against the ramifications of prohibition.
To tackle head on, one of the most popular of these trojan horse, that of the presumed ‘viability’ of the foetus, this is a view that I do not like at all as it amounts to nothing more than a definition of humanity based on the viccisitudes of medical technology - that which makes one human does not depend on the quality or availability of an incubator. The concept of viability is not merely weak, but is wielded most often by those whose real intentions are merely to restrict or prohibit abortion in line their moral/religious beliefs and to chip away at our current abortion laws to a point where they are rendered near worthless. Such tactics are both disingenuous and hypocritical, not least as, for the most part, those who cite viability and the advancement of medical technology as grounds for restricting abortion are, equally, those who would throw up their hands in absolute horror at the prospect of following this argument to its logical conclusion, which would lead one inevitably to foetal transplantation and to forms of mechanical gestation that take place entirely outside the human body, after the fashion of Huxley’s ‘Brave New World’.

And so, for me, 24 weeks it is and it will stay until and unless clear evidence of earlier neural development persuades me to reconsider my position - and I should, perhaps, also add that in concert with this position I also support the provision of high quality sex education in schools and ready access to contraception and take the view that abortion services in the NHS should be geared towards ensuring that those who seek an abortion are dealt with as speedily and as early in their pregnancy as possible. 24 weeks may be my preferred upper limit, but I would still prefer to see the vast majority of abortions taking place before 9 weeks, at which point the procedure afford the least degree of (physical) trauma to the patient. I would also like to see considerable and wide-ranging improvements in after-care including ready access to counselling and support services.
That, is what I consider an argument - a commodity in desperately short supply in the comments in both Guardian articles and, more often than not, in the debate in general.

Tempting as it is, I won’t spend time picking apart some the arguments advanced in these threads, suffice to say that one does not need to look very far or very hard to find stellar examples of bad science and piss-poor logic, themes than run inexorably through both threads.

I will, however, address one final point to Mary Kenny.

You may, because of your background and beliefs, be entirely comfortable with the use of guilt and stigma as whips to goad the faithful, and not-so-faithful, down the path of (self) righteousness. I, most certainly am, not.

Anyone who suggests that the decision to have an abortion or the process of reconciling one’s feelings after having an abortion is somehow easy, comfortable or guilt-free is a complete and utter idiot. An abortion is always a difficult and traumatic experience, for all that individuals surface reactions may vary considerable and create impressions to the contrary. No one who has an abortion has it easy and there is no justification for seeking to compound their personal trauma by heaping one’s own sense of guilt and stigma upon them.

Which reminds me of yet another reason why I dislike religion and religious orthodoxy.

I never could stomach the sight of those who profess to follow a credo of compassion and forgiveness  treating others with such abject inhumanity and poverty of feeling simply to bolster their own feeling of self-righteous superiority.

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As spineless capitulations go the recent efforts of Cardinal Cormac Murphy-O’Connor to reignite the debate on abortion on the back the technical arguments about foetal viability is up there with the best of them, whether that be the pseudo-science of the so-called ‘intelligent design theory – which manages to be neither intelligent nor a scientific theory – and the late Pope John Paul’s acceptance of Big Bang Theory, but only so long as cosmologists steer clear of investigating the actual Big Bang itself – he actually admonished a group of physicists, including Stephen Hawking, to that effect, as Hawking notes in ‘A Brief History of Time’.

The position of the Catholic Church on abortion, as with numerous other religious groups, is the same as it ever was. They oppose abortion outright on moral/doctrinal grounds, which makes their adoption of lines of argument based on the advance of medical science fundamentally disingenuous as their real aim is not to seek an appropriate balance between the rights of women and those nominally ascribed to a gestating embryo/foetus but rather to manipulate the public perception of medical technology in an effort to subject current abortion laws to an regime that amounts to no more than ‘death by a thousand cuts’. Such an approach, which is still, typically, based more on unscientific appeals to emotion/perception than actual hard scientific evidence, is perhaps best characterised as ‘if you can’t beat ‘em, subvert ‘em’, which makes it all the more gratifying that despite his having secured an audience with Health Secretary, Patricia Hewitt, Murphy-O’Connor seems to have largely failed, as yet, to spark off the kind of wide-ranging public debate he was, no doubt, hoping for and where discussions have sprung up, their general tone has been something less than that which the Catholic Prelate might have hoped for.

Before going too much further I should point you in the general direction of a couple of discussions that are well worth checking out – if you read nothing else then take a look at this debate between Owen Barder and Rob of Consider Phlebas, which is certainly a cut above the usual standard one finds whenever this issue crops up. Tim Worstall (and comments) also offers up much food for thought as does this article from the archives of Dr Crippen, which should also be considered required reading - even if I do take the Bill Hicks view of the term ‘pro-life’…

You know who ís really bugging me these days. These pro-lifers …

You ever look at their faces? "I’m pro-life!"

"I’m pro-life!"… Boy, they look it don’t they? They just exude joie de vie. You just want to hang with them and play Trivial Pursuit all night long.

You know what bugs me about them? If you’re so pro-life, do me a favour - don’t lock arms and block medical clinics. If you’re so pro-life, lock arms and block cemeteries… Let’s see how committed you are to this idea.

(Bill mimes the pursed lipped pro-lifers locking arms.)

Bill: (as pro-lifer) She can’t come in!

Bill: (as confused member of funeral procession) She was 98. She was hit by a bus!

Bill: (as pro-lifer) There’s options!

Bill: (as confused member of funeral procession) What else can we do? Have her stuffed?

I want to see pro-lifers with crowbars at funerals opening caskets - "get out!" Then I’d be really impressed by their mission.

Finally, on the links front, Emily,  who blogs at Second Child Syndrome, offers up a personal perspective which should also be considered essential reading in a post that will also be getting a nomination for the next of Tim’s Britblog Reviews.

Having said that, my own interest, like Tim’s, has been piqued by Roy Hattersley’s column for the Guardian, which makes some very good points and yet, for all that, remains deeply flawed in one of its central arguments, on the question of how one might define precisely when an embryo/foetus acquires the right to life in its own distinct right, in which Hattersley makes the grievous, if understandable, error of concentrating on the question of viability to the exclusion of other considerations…

The rules that should govern an ethically acceptable policy on abortion are not difficult to define. Metaphysics aside, it is reasonable to conclude that the new human being begins when the foetus is capable of independent life. Before that, an abortion is undesirable but tolerable. After that, it is only acceptable in the most extreme cases. They do not include the psychological trauma of the expectant mother. A civilised society does not kill one person in order to alleviate the distress of another, no matter how traumatic it may be.

This idea, that the moral and ethical value of the embryo/foetus is bound up in its capacity to exist independently of it’s mother’s womb is seductive, even compelling, in its simplicity – which is precisely why it is wrong, maybe not quite so wrong as the argument that life, and therefore the notional rights of the embryo, begins at conception, but wrong nonetheless.

Part of the problem here lies in the mutability of the notion of independence, as Dr Crippen notes in the comment on Tim’s piece is his usual forthright manner:

Dear me, no.

Capable of independent life?

If that is the criterion for abortion, it would be acceptable until the child is about 4 years old.

Sorry to be pedantic, but you (or Hattersley) cannot slip that one through.

Even if one is not quite so deliberately literal in interpreting the phrase ‘capable of independent life’ and confines one’s view only to that point at which the foetus, as it would be at that stage, is capable of survival on the basis only of that care which the mother might reasonably provide then the boundaries of ‘independent life’ are still to be found at a very late stage in gestation, considerably later than the current 24-week legal limit on abortions other than where there is evidence of foetal abnormality.

What Hattersley is, in fact, doing here is defining the parameters of ‘independent life’ not in terms of the actual capacity of the foetus for independent life but in terms of the capacity of medical technology to sustain the life of the foetus outside the mother’s womb until such time as it becomes capable of independent life, which is altogether a very different thing as, by extension, what he is doing is ascribing moral value to the foetus on the basis of the present state of medical technology not on the inherent qualities of the foetus itself. Superficially this may appear to provide a rational and objective basis for making such a determination but, in truth, such decisions are entirely mechanistic and give no consideration to what must the central moral and ethical question that underpins this debate, that of when the foetus becomes sufficiently human in nature to acquire a notional set of rights distinct from those of its mother.

That one question is, for most people, the crux of the matter – when does life begin – or rather when does human life begin, as for all but the strictest adherents to certain religions (Jainism and some strands of Buddhism, in the main) and the most ardent supporters of animal rights, such a question simply does not arise in respect of other species.

To accept that life begins at the point of conception requires, first, that one accepts some notional concept of the existence of a soul or similar life-force whose existence cannot be verified in scientific terms – the starting point for this is therefore a matter of belief (or superstition, depending on your personal view of the nature of religion). Moreover, and in much more mundane terms, such a view ignores a simple and extremely inconvenient biological fact; a large proportion, if not the majority, of conceptions do not result in pregnancy; for various reasons, many not always apparent, fertilised eggs simply fail to implant in the womb and are, consequently, expelled from the body during the normal course of menstruation with the woman being none the wiser as to the fact that a conception occurred. The believer may attempt to rationalise this by the usual, some might say obligatory, appeal to ‘God’s Will’ but, logically, if one does believe that a notional soul is present from the point of conception then one must also except that god, in whatever form you believe such an entity (or entities) to exist, also has a hell of discard pile, a view which flies in the face of the orthodox position in monotheistic religions, although if one’s beliefs also encompass reincarnation you position is rather more secure as your deity at least has the option of recycling to cover such a scenario.

And as noted earlier, the humanist view, in which judgements are based on the notions of viability, fails to address the underlying moral/ethical questions as to the nature of humanity and where, in the biological process of life, such a concept become meaningful and, in effect, places a value of human life that is based on its own characteristics but, more or less, on the capabilities of medical science.

Neither view, therefore, really addresses, in any meaningful sense, the central question of what is human life and when does it actually begin - the answer to which, I would certainly contend, is the only genuinely meaningful basis upon which one can rationally begin to consider the wider moral and ethical questions raised by abortion.

- - -

I gave this piece the title ‘Schrödinger’s Baby’ because while thinking things through I stated to see parallels between some of the moral and ethical question posed by abortion and Erwin Schrödinger’s classic thought experiment, which is usually referred to as the ‘Schrödinger’s Cat’ experiment, in which the eponymous (and entirely hypothetical) cat is used an analogy to explore the paradoxical nature of quantum indeterminacy predicted by Heisenburg’s Uncertainty Principle.

The experiment, itself, is described as follows:

A cat is placed in a sealed box. Attached to the box is an apparatus containing a radioactive atomic nucleus and a canister of poison gas. This apparatus is separated from the cat in such a way that the cat can in no way interfere with it. The experiment is set up so that there is exactly a 50% chance of the nucleus decaying in one hour. If the nucleus decays, it will emit a particle that triggers the apparatus, which opens the canister and kills the cat. If the nucleus does not decay, then the cat remains alive. According to quantum mechanics, the unobserved nucleus is described as a superposition (meaning it exists partly as each simultaneously) of "decayed nucleus" and "undecayed nucleus". However, when the box is opened the experimenter sees only a "decayed nucleus/dead cat" or an "undecayed nucleus/living cat.

The question that Schrödinger posed was simply that of when does the system cease to be a mixture of states and become either one or the other, his intent being to illustrate the view that quantum mechanics, at the time, was incomplete as it lacked the rules necessary to relate the quantum description of events to those described in terms of classical physics.

The relevance of this to abortion lies in what has become the mainstream view of how the paradox set out by Schrödinger should be interpreted, which takes the view that the act of observation (i.e. opening the box to see if the cat is dead or alive) which serves to determine its state – while the box remains closed, the state of the cat is considered to be indeterminate.

To some extent, this also describes the historical status of the embryo/foetus, certainly up to the point in time where medical science began both to understand the process of foetal development and to develop the various tools necessary to monitor that development as it took place. The parallel has, of course, never been exact, in the sense from 15-18 weeks gestation right up to the point of birth a women can feel the foetus moving inside her and therefore has a means of measuring the ’state’ of the foetus that does not rely on the equivalent of actually opening the box – i.e. birth and has become less exact as medical technology, such as ultrasound scanning, has developed.

What we have, therefore, is an analogy based on variation of a theme by Schrödinger, one in which the cat is still in the box, except that now the lid is made of semi-transparent perspex, but the box is also subject to a time-switch which prevents it being opened until a fixed point in time, one which is randomly set within a range around a median point (analogous to the full gestation period of forty week in pregnancy) with which the observer cannot tamper would there being some measurable risk that trying to open the box at any time up to and including the time at which the box is due to open might trigger the poison gas and kill the cat before it can be safely removed from the box.

The question posed by this variation is also slightly different from that proposed by Schrödinger in the sense that what we are concern with, primarily, is not the state of the cat at a defined point in time, buts it likely state at the conclusion of the experiment – knowing that there is a 50% chance that the trigger particle will decay and release the poison gas at any given time can we make any definite prediction as to the state of the cat at the conclusion of the experiment based on an observation of its state and a particular point in time?

In fact, if one thinks logically, we can – but only if the poison gas has been triggered and the cat is dead. If however, the cat is still alive at the point the observation is made, the best we can say given that there is a fixed probability of particle decay of 50% at any given moment is that the cat as a 50% chance of still being alive at the conclusion of the experiment – the cat’s state at a particular time may be determined by observation but its state at the conclusion of the experiment remains indeterminate right to the very end.

What I am trying to illustrate here is one of the more complex moral and ethical conundrums of abortion, that of seeking to balance the rights of the pregnant women with those accorded to the foetus.

Unless one takes an absolutist view that holds that the rights of the woman remain pre-eminent throughout pregnancy, irrespective of any notional rights accorded to the foetus then as some point in the gestational process it is assumed that foetus becomes sufficiently human, by whatever means one chooses to make a determination, to be accorded certain rights, particularly the right to life, independently of the right of the woman. From that point onwards, the decisions as to whether an abortion may be morally and ethically justified, tolerated and, in law, permissible, entails a value judgement in which one takes into account and seek to balance the presumed rights of both parties.

To complicate matters further, in reaching such a judgement one must take into account both the relative merits of each parties claim to certain rights - i.e. should both the woman and the foetus be considered equal in overall status or do rights accorded to one take precedence over those accorded to the other? - and the relative merits of the specific right (or rights) at issue - i.e. does the foetus’s right to life override the woman’s right to choice?

Depending on one’s general perspective on abortion, one which place a different emphasis on the importance of these two questions. The religious view is that the right to life trumps almost any other consideration, such that with the occasional exemption (i.e. that usually included in relation to conceptions arising out an act of rape) one need consider the balance of rights only where there is significant risk of the woman dying should she continue with the pregnancy, and therefore only where conflict exists between the right to life accorded to both parties. By complete contrast, the strongest form of pro-choice view hold that the rights of the woman are pre-eminent over those of the foetus, irrespective of which particular right (or rights) might be at stake.

By and large, the mainstream view is somewhere in between these two positions and will seek to balance both elements of the equation, however, the is a strong general tendency to take the view that once the foetus has developed to the point at which rights are conferred upon it, those rights should be considered to generally equal to those of the woman, leaving only the balance of specific rights to be considered.

But is this necessarily a rational view to take? Not, if one considers the implications raised by the analogy with Schrödinger’s Cat, in its variant form, that I set out earlier.

Assuming one is dealing with circumstances in which both woman and foetus are considered to have rights independent of the other, the question arises as to whether those rights should be though, in general, to be equal in status, i.e. should both the woman and the foetus be thought to be equal is status as human beings?

Conventional wisdom might appear suggest that the answer is yes, and yet the fact remains that until such time as the foetus exists independently of its mother, i.e. outside the womb, it’s actual status is more akin to that of Schrödinger’s hypothetical cat in the sense that even with modern medical technology giving us the ability to assess and determine the status of the foetus at a given time point in time, its overall status remains to some degree indeterminate until such time as it is born and exists independently of its mother’s womb. In the case of the women we are dealing with an individual who is unmistakeably a human being, however in the case of the foetus, until such time as it is born, its status remains open to question and we are dealing not in absolute certainties but in probabilities, not least of which being the probability of the foetus surviving until (and past) the point of birth.

Unlike the hypothetical cat, however, these probabilities are not fixed by vary over time – all things being equal, the probability of survival increases over the period of gestation such that, logically, the status of the foetus become less indeterminate as time progresses, and this remains valid whether gestation proceeds in the womb as normal or interrupted before the foetus reaches full term and superseded by artificial incubation and until such time as the, by then, baby, is capable to sustaining its existence without intensive medical intervention.

When it comes to premature births, matters become even more complicated because while the fact of the foetus/baby’s existence outside the womb would be considered by near enough all to conclusively determine its status as a human being and therefore its right to be accorded rights independently of its mother, this affects only its metaphysical status and not its probability of survival, which, depending on exactly when birth occurs, may easily be substantially reduced in the process.

Here we have the uncomfortable paradox that lies at the heart of the question of foetal viability as a basis for judgements are to the moral, ethical and legal permissibility of abortion. While the foetus remains in the mother’s womb, its existence as a human being can only rationally (and scientifically) be measured in terms of its potential for survival and one is, therefore, dealing not in absolutes but in probabilities.

In seeking to set an upper limit on the time at which abortions may be permitted by law from such a reference point one must both assess the general probability of a foetus surviving premature birth at a particular stage in gestation and also, critically, whether that probability is sufficiently high to justify placing a restriction or prohibition on abortions beyond that point.

Should one reduce the upper limit for abortions to 20 or 22 weeks simply because a single foetus has survived successfully outside its mother’s womb from that point – is that sufficient proof of life to justify a limit on abortions at that point. Or does the survival rate need to be 1%, or 10%, or the 30-40% rate (at 24 weeks) currently being quoted by those who either oppose abortion outright or favour further restrictions – or maybe we should be ‘democratic’ about this and insist on at least a simple majority.

How does one rationally assess questions of this kind?

What I’ve tried to achieve here is to demonstrate that for all that arguments based on notions of ‘viability’ appear both persuasive, rational, and, crucially for many people, founded on medical science, in reality the concept of viability fails more or less entirely to provide a coherent and rational framework from which one can arrive at a rational judgement on setting an upper limit on access to abortions even without considering some of the many other ethical dilemmas that advances medical technology may eventually raise, not least of which is the possibility of developing an artificial womb that would allow gestation to take place entirely outside the human body or the development of foetal transplantation - both of which have explored at length by science fiction authors. It is a fundamentally flawed approach, as flawed, subjective and, in its own way, irrational as that which believes that life begins at conception on the back of the presumed but unverifiable existence of the human soul.

- - -

Getting back to the question of life, itself, or rather human life – as distinct from other species – if one is seeking a rational approach to questions raised by the issue of abortion then it would seem that one’s starting point must lie in the question of precisely when, and how, a foetus becomes definably human in nature and, therefore, acquires rights as an individual as distinct from its mother.

Perhaps the clearest possible indication of the failure of the anti-abortion lobby to sway public opinion by means of a purely moral argument based on the belief that life begins at conception is to found in the the extent to which anti-abortion campaigners have sought to use both shock tactics, i.e. images of aborted foetuses, in their campaign literature, while at the same time making assiduous use of any and all medical evidence that appears in any way to suggest that the embryo/foetus, even at an early stage in development, possesses identifiably human characteristics.

Hattersley, in his article, picks up one fairly typical example of such tactics, in noting that:

…the Most Reverend Peter Smith, Archbishop of Cardiff, claimed that pictures of a foetus apparently "walking in the womb" had "touched people’s hearts".

Propaganda of this kind invariably follows the same basic form, in which some physical characteristic present in foetus is held up as evidence of its ‘humanity’ in an effort to elicit a purely subjective and emotional response – albeit that the underlying science rarely, if ever, backs up such claims.

So it is with the apparent ‘walking’ foetus – at 15-18 weeks gestation a foetus certainly moves in the womb and may well move in a fashion which suggests ‘walking’, yet the fact remains that the foetus is actually walking – to walk implies conscious effort on the part of the foetus, effort which is entirely impossible at that stage of development as the foetus’s brain has not developed any actual capacity for higher cognitive functions at that point. The movements that the Archbishop of Cardiff is pointing to as evidence of the humanity of the foetus are, in fact, entirely automatic and without the merest shred of conscious intent.

Much the same problem – bad science – arises in another common myth promoted by the anti-abortion lobby, which claims that at around 12 weeks gestation, by which point the core central nervous system has developed, the foetus is then capable of ‘feeling’ pain. While it may certainly be true that once the central nervous system is in place, a foetus may experience and even physically respond to such stimuli, such responses are, again, entirely automatic. To actual ‘feel’ pain, in the sense understood by most people, again requires a degree of consciousness and higher cognitive function that is simply not present at such an early stage of development, such capacity does not, in fact, begin to develop until the third trimester (from 24 -26 weeks gestation) 24 weeks being the current upper limit on the general availability of abortion.

Central to these, and other related, issues is that most basic of all questions – what is the nature of humanity and how and when does it manifest itself during foetal development.

This is a more complicated question than might first be apparent as to be human, in a physical/biological sense does not necessarily equate to humanity in the metaphysical sense – a corpse is physically, biologically and genetically human and yet, being dead, could not be said to possess those qualities that, collectively, we would consider to be the defining characteristics of humanity. Other than a notional right to a decent and undisturbed burial/cremation, a corpse is accorded no particular rights at all, quite rationally, and even the right to burial/cremation has more to do with the sensibilities of living family and friends than the status of the corpse itself – which is entirely beyond caring what happens to it.

As sentient beings, our sense of humanity is not bound up in physical characteristics or even in the human genome. As a matter of routine we anthropomorphisise animals and even inanimate objects, vesting in them notional human qualities, and yet most of us would not even think of according them anything approaching human rights. Conversely as a society, for the most part, we have come to look beyond disability and deformity, physical differences from the norm that, historically, have often been held to compromise the status of the individual as a human being, and recognise that, at the very least, there is more to being human than appearance or physical capacity. Humanity – that which makes us definably human – if it rests anywhere rests in the mind, in cognition and consciousness, in our capacity to think, to reason, to feel, to communicate and in whole host of other abstract qualities…

…none of which are even capable of being present in a foetus before 24 weeks gestation, simply because that portion of the brain in which such higher functions ‘reside’ does not being to develop and function until that point in time.

This, in turn, raises another interesting metaphysical question – in ascribing to human beings a package of notional rights, to what element or aspect of being human do those rights attach?

Does one acquire these notional rights by virtue of one’s physical (i.e. genetic) characteristics or is the acquisition of rights based on more abstract notions of ‘humanity’, of the sum total of cognition and consciousness, of thought and emotion?

The answer to such a question has massive bearing on how one approaches the question of abortion as if one attaches right to the abstract rather than the physical notion of being human then the idea that a foetus possesses certain rights independent of and, at least, equal to that of its mother becomes, to a significant degree, moot until such time as the foetus begins to develop the physical capacity to ‘host’ those abstract qualities. While it is certainly not the case that one would argue that foetus does not become human until it starts to develop the capacity for higher cognitive functions, one can legitimately argue that until such point its capacity for humanity is sufficient indeterminate and undefined so as not to give rise to any notional right that might conflict with the rights accorded to the mother, including the right to undergo an abortion.

Viewed from this perspective, access to abortion up to the present 24 week limit on general availability is not only eminently reasonable but also in no way contingent on the capacity of medical science to sustain the life of a foetus ‘born’ prior to this point in gestation by artificial means – a rational, scientifically-founded argument in favour of reducing this upper limit would have to be based not on the perceived ‘viability’ of the foetus prior to this point or its presumed ‘capacity for independent life’ but on science demonstrating that basic cognition, and therefore, the clear capacity to develop those abstract qualities that we consider to constitute ‘humanity’, starts before this point.

Such an existentialist perspective on abortion – which incidentally also happens to be pretty much the way I see things – is not without it moral and ethical complexities both in terms of the question of what value one places on the potential that exists in the foetus prior to 24 weeks gestation, nor indeed does it resolve the complex issues arising out of late abortions on grounds of disability, although it does give added weight in support of permitting such abortions where the disability would impact significantly on cognitive function.

It does, however, have the twin virtues of being pretty much consistent with the established scientific understanding of foetal development and of seeking to establish parameters for debate that remain rooted in considerations of the nature of humanity and the moral value one ascribes to human beings and not in considerations of the technical prowess of medical science.

If it were genuinely as simple a matter as Hattersley suggests in stating that:

That incontrovertible imperative leaves parliament and government with only one task to perform: discovering when independent life is viable.

…then what need is there for parliament to investigate and consider this matter – if viability is genuinely to be the sole measure upon which legal access to abortion is founded, then parliament need only enact whatever recommendations may be put forward from time to time by the National Institute for Clinical Excellence or an ethics committee operating under the aegis of the General Medical Council, either of which would be far better qualified to make such assessments in terms of clinical evidence than the vast majority of parliamentarians.

But then there’s much more to be considered here than simply the matter of foetal viability, which is precisely why there must be an open public debate, if and when the current abortion laws are to be reviewed, why this is very much a matter for parliament and why, as has been the case certainly since the original Abortion Act of 1967, this remains and must remain subject to a free vote in parliament.

Discovering when ‘independent life is viable’ is most definitely not the sole task of parliament and government in this matter, it is not even its most important task, which is to ensure that full consideration is given to the multiplicity of views and opinions that exist in British society on the subject of abortion before make a determination on whether there is, indeed, a case for changes in existing law.

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Abortion is back in the news, courtesy of Cardinal Cormac Murphy-O’Connor - excellent commentary here by Owen Barder, by the way -  so it should come as no particular surprise to note that while researching the Lawyers’ Christian Fellowship’s campaign on the draft Sexual Equality Regulations, I discovered that one of the other group’s supported by its Public Policy Officer, Andrea Minichiello Williams, Christian Concern for Our Nation has a few things to say on this subject as well.

In fact, only this week is published a press release on behalf of what looks to be another spin-off group ‘Choose Life’ with the following headline:

VAST MAJORITY OF WOMEN BELIEVE ABORTION IS CRUEL AND LAW SHOULD BE CHANGED

The press release, which I’ll analyse in a moment, trumpets the results of an opinion poll carried out by CommunicateResearch on their behalf into attitures towards abortion, the results of which, so this group claim, support their calls for changes in the present abortion law - but does it really do that and does the spin put on these results by this group genuine match up with the results of the poll?

The problems with Choose Life’s interpretation of the results of this opinion poll begin right from the very headling of the press release which makes two clear statements, that the ‘vast majority’ of women believe that abortion is cruel (full stop) and also beleive that the law should be changed.

In actual fact, the poll does not ask whether women believe abortion is cruel, in general, what is asks, instead, is whether respondents (not all of whom were women) agree or disagree with the statement that ‘aborting a baby at six month is cruel’ - to which 76% of all respondents agreed.

Not only does this group misrepresent the actual question asked in the poll but the question, itself, if both unreliable and biased, if the objective of the poll is to assess the level of support for current abortion laws. The question of whether one perceives abortion at six months is cruel is entirely subjective and limited in scope; the poll does not ask whether respondents consider an abortion to be ‘cruel’ to the foetus; to the pregnant mother or both, nor are respondents asked to consider whether, even if they perceive abortion at this stage to be cruel, whether it could also be justified or even considered necessary in certain circumstances.

As such, it is not possible to make any assertions as to the degree of public support for current abortion laws or changes in the current law based on this one question, not least as nowhere in the poll are respondents asked explicit whether they would wish to see or support changes in existing law - the headline states that women believe the law should be changed, but nowhere in the poll is that actual question asked.

The full text of the press release is given below with my own annotations, based on the actual results of the poll as published by CommunicateResearch, including a number of questions/responses that the Choose Life group have chosen to omit from their press release for what you will see are very obvious reasons.

The vast majority of women believe that abortion is “cruel” and that the existing law should be changed, according to the biggest ever professional survey of female opinion.

The assertions made int he press releases headlines, and restated here, I’ve already dealt with and shown to be unreliable. As for the ‘biggest ever professional survey of female opinion’, the research results show a total sample size of 1503, of whom 1046 were women, which means it is certainly not the biggest ever professional survey of female opinion on this subject, a 2002 survey into women’s’ perceptions of abortion law and practice (pdf) conducted by Marie Stopes International, used a sample size of 1,222 women aged 16-49 and included attitudinal data.

I’m pretty sure if one looks around, you’ll find even larger studies have been carried out in the past - a sample size of 1046 women is not that big and nothing in particular to crow about.

The survey also shows that most people – men and women – believe that too many abortions are being carried out each year and want to see the 200,000 a year toll reduced.

The survey does indeed show that ‘most people’ agreed with the proposition that 200,000 abortions a year is too many in total and should be reduced, although the actual figure for those who agreed with this statement was only 53% - 29% disagreed with the proposition (the survey did not ask why) and 18% chose ‘don’t know’ or refused to comment.

The survey does not, however, ask respondents to indicate by what methods they would prefer to see the number of abortions reduced and the simple fact is that any reasonable individual, even the most ardent pro-choice supporters, would prefer to see fewer abortions being carried out, albeit that their preferred means of achieving such a goal - better sex education and access to contraception - differs fundamentally from Pro-Lifers who favour a complete ot near complete ban on abortion.

The mere fact that a majority of people would like to see fewer abortions carried out each year, again, tells us nothing about attitudes toward current abortion law or any denabd for change.

Another key finding is that women overwhelmingly want Government money spent on charities offering alternatives to abortion, such as adoption. Eighty five per cent want to see more help given to women who want to keep their baby rather than further moves to make abortion easier.

This is, again, wholly misleading.

The actual questions asked in the survey were:

If you were forced to choose between the following outcomes, which ONE would you select?

Easier Access to Abortion – 10%

More support for women who wish to keep their baby – 84%

And

It has been argued that since the government funds abortions in private clinics, it should also make funds available to organisations offering women alternatives to abortion such as adoption. Would you support or oppose this proposal?

Support - 85%

Oppose - 11%

In neither case do these questions demonstrate a lack of support for the current abortion laws or servie provision - one can easily reach the conclusion that the government should prioritise greater support for alternatives to abortion simply on the basis of believeing that existing provision is already adequate and that women should have every available option open to them when choosing what’s best for them.

Pro-choice means exactly that, enabling women to choose according to their needs and their personal circumstances, whether than means abortion, adoption or motherhood.

The poll, carried out by CommunicateResearch for the campaigning group Choose Life, will add to the mounting pressure for a change in the abortion law and a reduction in the current upper limit.

But the poll suggests that women will not be satisfied with a simple reduction in the upper time limit of 24 weeks if that simply results in an increase in early abortions. Most want to see fewer terminations overall and wider availability of alternatives to abortion.

The poll, in actual fact, does nothing of the sort as none of conclusions cited so far in anyway conclusively supports this group’s claims - what they giving here are the results they wanted to see, not the results they actually obtained.

It comes shortly before a major public debate in London between doctors and lawyers on opposing sides of the abortion argument. Barrister Charles Foster and Professor Patricia Casey will declare that the the number of UK abortions is too high and that the Abortion Act, last revised in 1990, should be reviewed. They will be opposed by barrister Nick Toms and Dr Wendy Savage.

As noted previously, it does not follow that the perception that there are currently too many abortions being carried out should necessarily lead to either a review of the Abortion Act or greater restrictions on access to abortion, nor that such such restrictions would even reduce the total number of abortions carried out each year on UK citizens. As the experience of the Irish Republic clearly demonstrates, prohibitive restrictions on access to abortion, these days, only lead to those seeking abortion going elsewhere - mainly the UK.

The net effect of restricting access to abortion in the UK would be simply to encourage women seeking an abortion to go abroad, most likely to Eastern Europe to get the procedure done.

Tory leader David Cameron and his predecessor Michael Howard have both backed calls for a lower limit and the leader of Britain’s Roman Catholics Cardinal Cormac Murphy-O’Connor is to meet Health Secretary Patricia Hewitt next week to press for a tightening of the law.

Professor Casey said: “For years abortion has been cast as a central tenet of feminism and as essential to women’s empowerment. But recent developments in pro-life feminism give the lie to this thesis and abortion has devastating effects on the psychological well-being of many women.

"There have been several influential studies published recently that show an increased risk for psychiatric disorder and psychiatric hospitalisation among women who have abortions.

“So, contrary to the early feminist rhetoric promoting abortion as a positive choice for women with crisis pregnancies, women deserve better and we cannot and should not act as oppressors of our unborn children as we were once oppressed by the structures within society.“

Professor Casey, quoted here, is Professor of Psychiatry at University College Dublin and Consultant Psychiatrist in the Mater Hospital, Dublin, and from what little biographical information I can find appears to something akin to the Irish equivalent of Raj Persaud.

Abortion is undoubtedly a traumatic experience for any woman and in some case may result in psychiatric problems, but the same can be said for both adoption and motherhood. In talking about ‘pro-life feminism’, Prof. Casey is talking about abortion in a political and a professional context, one which I would certain hope would not carry through in her work as a consultant psychiatrist as such a biased view of this issue, if applied in therapy, would create severe ethical problems and compromise her objectivity within the doctor/client relationship.

Andrea Williams, public policy officer for the Lawyers’ Christian Fellowship, which is organising Monday’s debate, said: “This poll confirms that women in this country are deeply unhappy with the existing abortion laws and want them tightened up. It also suggests many women fear that too often abortions are carried out because of social pressures and not because the women concerned want a termination. Above all women want to see fewer abortions in this country. It would be disastrous if the move towards a lower time limit for abortion were to lead to more early abortions. That would achieve very little”

Again, it is worth restating that the questions asked in the survey and the response received do not support the view put forward here - in fact the single most telling question in the survey is one that the press release omits from consideration, thus far:

Q5 Do you agree or disagree with each of the following statements about abortion?

A woman’s right to choose always outweighs the rights of the unborn

Agree – 65%, Disagree – 26%

In fact the survey also include this question, for which the response is equally revealing:

Q.4 If a candidate in a general election in your constituency publicly said they believed that abortion should be made less easily available would yoube more likely or less likely to vote for them, or would it make no difference?

More Likely – 19%

No Difference – 56%

Less Likely – 22%

65% of those surveyed consider a woman’s right to choice in the matter of abortion to be paramount, which is altogether a kick in the teeth for the pro-life lobby as is the abject their failure to find any evidence support for greater restrictions on abortion has a significant impact on voting intentions.

The latest survey reveals mounting disquiet among women at the scale of abortions in Britain and the laxity of the existing law. It is based on interviews with 1046 women and 457 men.

Having read the survey results that’s not, as you might have already gathered, the impression I’ve gained, but then as a trained psychologist what do I know about attitude surveys… still, lets take a closer look at the evidence.

The key findings are:

More than eight in ten women believe that aborting a baby at the current upper age limit is cruel.

That’s the third occasion that this statistic is quoted - see my earlier comments and contrast with the 65% support for the pre-eminence of a women’s right to choice.

A massive 95 per cent of Britons agree that the abortion law should be kept under regular review and fewer than one in twenty disagrees.

It’s only reasonable for any law to be kept under periodic review, so support for this proposition tells us nothing at all about any level of support for actual change, it just means that people think it prudent to keep an eye on how the law is working in practice.

Two-thirds of Britons believe that abortion law hasn’t kept pace with our knowledge of early development in the womb. Only one-quarter disagree.

Does this indicate actual support for a reduction in the time limit for elective abortion on grounds other than disability or not? The one question that the survey avoids asking is whether the current time limit should actually be reduced - quite why is unclear as it’s a simple enough question.

The most one can legitimately infer from this statement is a belief that abortion law should take into account current medical practice and clinical evidence on the viability of the foetus at certain stages of development and nothing more - it indicates support for evidence-based law-making not necessarily for further restrictions in access to abortion.

The survey also finds widespread dissatisfaction with the way the current law operates.

78 per cent of women want a compulsory cooling-off period between diagnosis of pregnancy and any abortion.

So what? Women want time to think things through properly before making a major decision about their life - nothing unreasonable in that.

That the law does not explicitly provide for a ‘cooling-off period’ between diagnosis of pregnancy and abortion is not a deficiency in law - most pregnancies, today, are self-diagnosed using home tests, follwing which, even if a women’s immediate view is that she wants abortion, she still has to obtain an appointment with a medical practitioner, which takes a couple of days at least, then undergo a counselling session and then be given an appointment for the actual procedure. Unless someone is badly ‘on the clock’, having discovered their pregnancy or decided on a termination at a very late stage in relation to the current 24 week limit, even going private with result in a delay of about a week between the initial decision to have a termination and the actual procedure, allowing time to think things over.

Why is there no statutory cooling off period - most likely because giving a patient time to think things through adn come to an informed decision is simple matter of medical ethics and, therefore, one that does not require legislation. If anyone feels that a doctor has rushed or pushed them into a decision on abortion without giving them time to reach an informed decision then their recourse is a complaint of professional misconduct to the GMC.

A massive 96 per cent of women want a right to be fully informed of the medical risks associated with abortion.

Well who in their right mind wouldn’t want to be fully informed of the medical risks before any medical procedure, If a doctor prescribes medication you’re not familar with then the second question you ask is generally going to be whether there are any side-effect - the first is always, "is this going to help?", obviously.

Again, the right to be fully informed of medical risks is a matter of medical ethics and not one that requires legislation.

The most common reason for abortion is perceived to be on grounds of disability (66 per cent), and this proportion is even higher among women than among men. But this is far from correct. In 2004 only one per cent of abortions in England & Wales took place for this reason.

Public understanding of the grounds on which abortion is sought is certainly out of kilter with reality in the matter of disability, however this was not the only thing that this particular question looked at - the actual question was:

Q6 As far as you can tell, what would you say are the most common reasons for abortion?

And the full results were:

The baby’s father is unsupportive - 45%

A girl’s parents don’t agree with her having a baby - 55%

It would be difficult to combine a baby with a full time job - 48%

Having a baby would interfere with education - 52%

The unborn baby has a disability - 66%

Note the obvious bias here, in so far as the answers given seem to relate primarily to abortions in teenagers, particularly those who are still living with parents and in full-time education.

In actual fact, one the most recent complete statistics (2004) only 2% of abortions were carried out on under 16s and teenagers, in total, account for only 20% of all abortions. The largest number of abortions by single age group - 27% - occurs in the 20-24 age group, while women over 30 account, in total, for nearly 29% of all abortions.

The vast majority of women seeking abortions in the UK are mature adults - more that half of all abortions occur in women over the age of 24 - so its not just in the matter of disability that there is a degree if general ignorance about abortion, but equally a significant degree of ignorance as to just who might be having all these abortions and, in fact, the majority of women who do seek an abortion or more than capable of making and informed adult decision as to what they believe to be in their best interests.

Two-thirds of Britons support, and one-quarter oppose, a right for healthcare workers not to have to sign abortion forms or assist abortions where this would conflict with their ethical views.

As far as I’m aware, medical practioners are under no legal requirement to sign abortion forms or assist in abortion procedures if they have a personal moral objection to abortion - should this arise the would simply be under a duty to refer the individual to medical practioner who will deal with them.

Okay, I could be wrong, in which case I would expect a fellow blogger such as the excellent Dr Crippen to correct any misconceptions I might have on this matter…

84 per cent of Britons, including the same proportion of women, believe parents of girls under 16 have the right to know if their daughter has been referred for abortion. This rises to 90 per cent among women in social groups DE, often regarded as the most prolific client group for abortion.

Again, this is a matter of natural parental concern - of course parents of girls under 16 want to know if their child is considering having an abortion. Whether some parents should know is a very different matter and I suspect that a majority of people, if asked, would take the view that it is only right to withhold such information from parents where, at the very least, it may put the teenager in question at risk of harm.

Once parent’s get over the initial shock of finding out that their teenage daughter is pregnant, many and probably most are supportive and concerned only with the best interests and well-being of their child - sadly there are some who aren’t and who may either pressure their child into having (or not having) the baby againsther wishes, or in the worst case scenarios, may abuse, assault and even kill their daughter.

The question is misleading simply because it fair to ask respondents to give an informed response on consideration of the full issues.

More than seven in ten Britons, including two-thirds of women, agree that fathers should be given a say over whether their child is aborted. Among women aged 18-24 this rises to 79 per cent.

Again, the question itself is ambiguous and therefore misleading - all this demonstrates is the view that a majority of people think that a woman who is considering having an abortion should make some effort to discuss the matter with the father of the child and seek their opinion. What this question does not address is whether peopel believe that fathers should somehow be given a veto over the decision to abort a foetus and, therefore, override the woman’s wishes. Ask that question and I suspect that the outcome would look much more like that given in relation to the question of a woman’s right to choose, at least amongst women, which is what actually matters most in this case.

More people agree than disagree with the statement ‘most abortions are carried out for purely social reasons’ (49 per cent:41 per cent). This rises to 56 per cent agreement among Labour voters.

The question is simply ambiguous once again - what does the survey mean by social reasons?

Does this include decisions based on personal economic and financial circumstances or not, for example, and if so was this clearly communicated to respondents or not. One can infer nothing from this question due to its poor framing.

The phrase “a woman’s right to choose” clearly carries enormous emotional weight, as 65 per cent of Britons (both genders) agree that it ‘always outweighs the rights of the unborn’. This however conflicts with the earlier statements about, for instance, abortion for disability.

The supposed ‘conflict’ actually comes later in this press release, not earlier, but never mind - it’s up next so I’ll deal with it there.

Disability

Only around one-third of people are aware that abortion is legal up to birth if the baby is disabled, and men are more ignorant than women of this. The youngest age group, 18-24 yrs, are the least likely to be aware of this fact.

Most Britons regard it as unacceptable that under existing law abortion is legal up to birth on grounds of disability. Opinion runs strongest among the 18-24 yr age group, 73 per cent of whom regard it as unacceptable – perhaps because disability rights legislation is a more recent development. Interestingly, among both men and women those who voted Labour in the 2005 General Election are more likely to regard this law as unacceptable than those who voted for any other party.

The reference to a woman’s right to choose carrying emotional weight seem clearly intended to devalue the results of that question - 65% support - as does the allusion to a conflict with the response to the question of abortion on grounds of disability being available right up to birth.

In fact the two are only in conflict to a limited extent based, primarily, on perceptions as to the viability of the foetus - in fact , if one takes the two set of responses together, the issue of viability is absolutely central to this whole issue.

What one can quite reasonably infer here is that mainstream public opinion is broadly of the view that a woman’s right to choice in abortion should be supported, but only to the point at which foetal development is such that the child has a reasonable chance of survival outside the womb - this is perceived by many as a pragmatic view of pregnancy which holds that the notional right to life begins for foetus at that point where it is capable of surviving independently of the mother.

That’s not the absolute right to choice that some favour but its also certainly not the absolute prohibition of all abortions that pro-lifers are after either - it’s a compromise position and one which relies largely of medical practice and technology.

The apparent conflict with views on abortion and disability is, therefore, not quite so straightforward as this group are trying to suggest and certainly does not negate or mitigate entirely against a woman’s right to choice - in simple terms how one views the rights and wrongs of abortion up to birth in cases of foetal disability is entirely contingent on the nature of disability at issue and its affect of on the viability of the foetus.

Public opinion, it would seem, would not support such late abortions for disabilities where the foetus in question has a good chance of survival and is likely to experience a decent quality of life, even allowing for their disability, but this would almost certain not carry over to severe disabilities that are likely to result in very early mortality or in the child, once born, having little or not quality of life whatsoever.

All this really tells us that abortion raises a series of complex ethical debates in which, by and large, the public view is that its interests are best served by a reliance on medical evidence - the viability argument carries considerable weight in the public eye and, for those without strong moral/ethical views on the subject is perceived to be a valid position, albeit as both Owen (linked earlier) and Brian Barder note, its adoption by the pro-life lobby is entirely hypocritical - the best response to this new particular tactic, by the way, is to turn the moral/ethical argument on its head by questioning the pro-life as to the extent to which it would be prepared to accept medical intervention in pregnancy at ever earlier stages. How would, for example, this largely, if not entirely, religiously motivated lobby respond to Huxley’s ‘Brave New World’ scenario in which conception and incubation to ‘birth’ takes place entirely outside the womb? One suspect, not very well, which is precisely why the question should be asked.

Support for alternatives to abortion

87 per cent of women (and 83 per cent of men) agree that government funds should also be available to organisations offering alternatives to abortion such as adoption, in light of the funding given to private abortion clinics.

Well quite - so what? It’s entirely reasonable and laudable to provide women with alternatives to abortion, should they choose to take up such options - of course by far the best alternative is always high quality sex education and access to effective contraception, which, curiously enough, this survey neglects to mention at all.

89 per cent of women support a legal duty on doctors to provide access to advice both from abortion providers and from organisations offering alternatives such as adoption.

Again, a balanced spread of information on the options available to women in order to support them in making an informed decision as to what’s best for them is, quite obviously, a good thing - provided that there is adequate quality control as to the nature and content of the information provided.

If any organisation wishes to promote adoption as an alternative to abortion, then that’s fine by mean, as long as its done properly and with the intent to inform - however, its also perfectly clear that any group whose approach is try and moralise or scare women into taking such an option, as some pro-life groups seem to think is acceptable, have no business receiving public money or being given access to women who may be considering abortion as an option - which is probably not what the pro-lifers would really want.

And finally…

85 per cent of women would rather see more support for women who wish to keep their baby than easier access to abortion – and support for this is particularly strong among the 18-24 age group and Labour voters.

Well yes, but the actual question, as noted earlier, is:

If you were forced to choose between the following outcomes, which ONE would you select?

Easier Access to Abortion – 10%

More support for women who wish to keep their baby – 84%

And the fact that a large number of women would like to see more support for women who wish to keep their baby in no way indicates support for any increased limitations in access to abortions nor, indeed, should it come as any great surprise to find that Labour voters strongly support this idea - the survey does not ask the question that needs to be asked here, which is what kinds of additional support should be provided, but as a Labour Party member I think I can safely predict that the kind of additional support that most Labour voters would have in mind would come in terms of economic/financial support, access to high quality affordable child care, strong employment rights and an equitable labour market that does not unduly penalise women for taking time out to have a baby - all things which serve to minimise the impact of financial/career considerations in the decision-making process undertaken by women which find themselves, usually unexpected, pregnant.

If Labour voters, and particularly socialists, have a clear and long-standing moral and ethical position on abortion it is is that no woman should - in an ideal world - be deprived or unduly limited and constrianed in her right to choice on the basis of purely, or largely, economic/financial considerations.

That, I suspect, is something that this particular group simply do not understand - and probably never will.

 

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