Stupak-Pitts: Politics is Tough, Compromises are Miserable, But Required
In preface to what I'm about to say, let me disclose that my opinion on the topic of abortion is complicated. Essentially my position is a big I don't know.
While I do feel like the Stupak-Pitts amendment to the health care bill currently travelling through the senate is in part a sneaky Republican ploy to further their anti-abortion agenda (as well as genuine indignation/moral stand), the Democrats can't win passage of the bill without an amendment like Stupak-Pitts, and I don't think a fight over it is worth derailing health care reform.
The Republicans are not wholly unreasonable in their desire to keep public funds from funding something they find morally objectionable, though they would certainly scoff at the notion of giving the many democrats (and universal pacificists) a similar way out of having their tax dollars used to fund wars they find equally morally objectionable.
The Democrats are not wholly unreasonable in wanting to take a moral stand on this point, in not wanting access (particularly to those in need and most vulnerable) to a legal procedure (abortion) curtailed. They see it as a dangerous concession, to those now in need, and those in the future, this being perhaps the thin end of the wedge.
Perhaps I'm a realist, but I believe health care needs immediate reform, and that universal health care is a right, integral to our ability to pursue life, liberty, and happiness. I believe we have no better chance than now to see universal health care put in place, and that sacrifices must be made to see that happen.
The bottom line is that the Stupak-Pitts ammendment would mean that an abortion would be an out of pocket expense. A little googling suggests an abortion costs $300 - 400 done < 3 months and $400 - 1200 < 5 months (above that prices go up quite a bit). I may be naive, and may not adequately appreciate the likelihood that people would once again resort to back alley abortions, but it doesn't seem like those prices are so high that people who wanted abortions would not pay out of their pocket to get them. I had assumed most abortions were currently out of pocket expenses. Regarding the abortion cost and someone's ability to pay, giving birth would incur a much greater expense (out of pocket) in the first month alone (food, baby supplies, etc.), so if you can work out the financing for the latter, surely you could work it out for the former. And regarding access, I wouldn't expect that this change would impact those concerned about young teens having access to abortions without parental knowledge, since I wouldn't have thought teens could get this done without parental involvement now via health insurance. (I can imagine this legislation and our tendency to take capitalism to its extremes might usher in a new age of multi-momth abortion financing plans. )
I do take the point that this legislation would prevent insurance companies from offering a separate option for abortion insurance coverage if that insurance company is taking federal dollars, and I do find that to be the strongest argument, yet it still comes back to the same thing, will this change significantly change people's access to abortions? I don't see that it would
Admittedly I am used to having a PPO and paying for lots of things that aren't covered (or in full) by my health care plan, and I am fortunate enough to have had the money to pay for those things. And I am neither pro-life nor pro-choice, so I may be missing important realties here.
Abortion & Morality
This is based on a letter I recently wrote to a friend following a discussion we had on the topic of abortion. It's a rough sketch of my position.
I'll start in reverse, stating my conclusion, then explaining it. The short answer is, I think both sides have it very wrong. I think both sides have agendas which have nothing to do with the real issue. At this instant in time, with the technology we have currently available, with the ethical issues as they now exist, I do not believe it can be established that abortion is either moral or immoral. I do not want Roe v. Wade overturned, but neither am I certain it is right. I do not know what the answer is, but I feel that the answers both sides present (pro choice/pro life) are wrong. I would fight for, vote for, protest for alternative solutions which attempted to address the reasonable concerns of both sides, those being (in my estimation) maximizing a woman's equality/options/growth potential while doing everything possible to avoid the destruction of tissue that at some uncertain moment inherits the rights of a human.
The central and only real issue is, of course, when does "life" begin? Specifically, when does do the collection of cells go from having no rights to having the rights of a full person? That is the only issue. That issue is unrelated to religion, unrelated to feminism, unrelated to pre-existing law. If one is going to consider these issues, to try to find the truth, to find what's right (independent of one's desire, convenience, larger goals, etc.), it must be without the color of emotion and without the taint of agendas. It's what all good science strives to be about, avoiding personal bias, ignoring (or compensating for) the blindness of what one inherits culturally/socially, seeing the data only as it is, and discovering reality as it really is.
I do not believe there is any clear moment when a fertilized egg attains the rights of a human. That moment is not conception, not attachment of the zygote to the uterine wall, not formation of the fetal brain stem, not beginning of the heart beat, not viability with medical intervention, not viability without medical intervention, and maybe not even birth. But, at some point in the growth from >= 1 cell to <= 1+ billion cells it becomes universally believed to be morally wrong to destroy. I do not know when that point is. Anyone who says they do is arrogant, a liar, or overly simplifying the issue to satisfy their own personal agendas. The problem is, what does one do when you don't know if something is moral or immoral? To be 100% moral the only option is to err on the side of caution and not do that thing which may or may not be immoral. That is the only "safe" course. And I'm not talking about morals in a religious sense, I'm talking about morals in the sense of the atheist finding a wallet when no one is around and feeling the obligation to return the wallet, despite his own financial difficulties.
I'm not suggesting that doing something which may be immoral is the same as doing something which is immoral. This highlights our need to add punctuation or notation to the English language which can capture multi-state conditions seeing in the realms of logic and quantum mechanics. But neither can I explain how it's exactly different. Because it may or may not be. We cannot know. It's a subtle but important distinction. In a similar way, my vegetarianism is not based in my belief that eating animals is absolutely immoral (though I personally suspect it is, and have reason to logically believe that mankind's morals evolve as our environment evolves, and I can no longer morally justify my eating meat). I choose not eat meat because I believe it *may* be immoral, not because I believe it absolutely is; and my decision is therefore the only truly moral option for me in that situation, to play it safe, and not do the possibly immoral thing. All I can personally do is try to act out of an abundance of caution, and avoid doing something which may be immoral.
Now, if the only truly moral thing to do is avoid something which may be immoral does that mean I do not believe abortion is ever ok? The short answer is that I don't know. And since I don't feel I can have a strong opinion on that, given that I don't know, I'm not of a mind to tell people what they should do, try to legislate what they should do, judge them. (Technology and social progress/change will provide good alternative solutions in the future, which will alter the awkward ambiguity which now exists.) While I have no strong opinions now in general on this topic, I do have some in specific situations. If someone is using abortion as a method of birth control (as opposed to as a last resort when birth control fails), that position disappoints me and feels very wrong. If someone is getting an abortion and has thought about doing so with no more gravity (introspection/philosophizing) than they would having a wart removed, that position disappoints me and feels ignorant; I do not like people oversimplifying, ignoring inconvenient complexities, etc. I do not believe I have the right to stop even those people, but I will quietly (in my own head) strongly disagree with them.
I believe very much in the value of the thought experiment to get at the heart of what is really motivating people, what the issue really is, and what we can really do about it. And because many thought experiments show us what we'll have to confront and decide in the future. So here are some thought experiments which I think are interesting on this topic, and may reveal some people's real agendas.
- Imagine they could teleport an undesired fetus out of pregnant woman and teleport it into another woman; and that there were enough women who wanted impregnation. Would this be acceptable as the only alternative to abortion (excluding incest)?
- Imagine they could teleport an undesired fetus into a frozen/suspended state for future re-implantation into the same woman when/if she is prepared to re-receive it? Would this be an acceptable alternative to abortion?
- Imagine they could transfer the fetus to another woman or freeze it but only after developing for 3 months. Would this change reaction to the above?
- Imagine this teleportation to another woman or to a freezer existed, and that the pro choice movement accepted that. Would it be acceptable in the cases of rape/incest? (Is part of the issue the eradication of the physical trace/dna of the event/crime?)
- Imagine a future where everyone wears a device that monitors their body. This device could detect pregnancy instantly (the moment the egg implants itself). If the woman was then given 24 hours to decide if she wants the pregnancy or not, would that be accepted as the only solution? (What if the time was 36 hours, or 7 days. Would it be acceptable to severely restrict the decision time?)
- Imagine that babies were in demand (no need for foster homes, orphanages, etc.), that all babies placed up for adoption would quickly go to good homes. Further, let's imagine that there was no social stigma attached to a) early/unmarried/etc. sexual activity, b) no stigma attached to carrying and then giving a baby up for adoption (whether in high school, in a career, etc.). Would the pro choice movement accept carrying a child to term as the only solution? (Let's assume an exception for rape/incest.)
- Imagine a new drug comes out, Plan 0. It has no side effects, it has no risks associated with it, and once taken it is 100% impossible to become pregnant until one takes the antidote for it. It can be given to children as young as 10. The antidote would be freely available to all above the age of 18. The antidote require 3 free injections, once a month, to reverse the sterility. (To avoid anti-government concerns, you can assume the antidote's formula is widely known, and can be reproduced easily with commonly available, harmless and unrestrictable ingredients. Just inconvenient and difficult enough for most people to not be able to make.) Would the pro choice movement support giving this to all children at age 10?
Anyway, those are just a few... I could insert lots of others including some trying to establish the relative value of lives based on cell counts, intelligence, rights (and lack thereof) over one's body, etc.
I do not mean the above as merely idle and un-testable thought experiments, this isn't "You're driving at light speed and you turn on your headlights" stuff. My point with the above is that all of the above items could happen, the technological/medical options above will all be possible at some point in the future. And what will be our position when they are? Because how we react to them then says a lot about what the different groups truly believe now. And it's hard to have discussions now, come to solutions now, when people are making one argument, while secretly motivated by another argument. And that's what frustrates me about the way abortion is typically discussed, it's two irate and deeply entrenched groups with partially obscured agendas and grossly over-simplified arguments uselessly attacking each other and largely failing to unite and focus on what is a shared goal (reducing unwanted pregnancies); there's a place and a way to have the other arguments, but even those can be constructively done looking towards and trying to build a future in which both sides are satisfied.