Sunday, May 17, 2020

Is it Immoral to Legally Prohibit Abortion?

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Abortion and the Law

Most of the philosophical debate about abortion has been about the morality of this ancient practice, focusing primarily in this century on the question whether women have abortion rights or whether  human fetuses have a right not to be killed and if so, whether these rights are absolute or conditional.[1]
 
In this short post, I would like to look at an argument for the quite different claim that it is immoral to legally prohibit a woman from having an abortion. This argument is about the morality of a legal prohibition not the morality of the action that is legally proscribed.  Whether or not an act is moral or immoral may have nothing to do with the question whether prohibiting it by law is morally wrong. For example, although we might think that breaking a promise or telling a lie to one’s child is morally wrong, it would not be inconsistent to argue that it would be morally wrong to pass legislation that prohibits parents from this kind of behavior.  My abortion question makes an analogous assumption.  Although we might think that abortion is morally wrong, this might be logically consistent with the different claim that it would be morally wrong to legally prohibit abortion.  What are the reasons that would convince us of the latter claim?  

The argument I propose to examine is relatively short.  It starts with the premise that it is morally wrong to intentionally cause harm to others. Second,  laws making it a crime to abort a human fetus are intended to force pregnant women to refrain from aborting the fetus.  Third, refraining from aborting the fetus (maintaining a pregnancy until birth) is sometimes harmful to the pregnant woman.  Therefore, laws making it a crime to abort a fetus are morally wrong.

Let’s start with an examination of the second premisePrior to the 1973 Supreme Court ruling that struck down all criminal laws prohibiting abortion (Rowe v. Wade, 1973), several states in the U.S. made abortion a criminal offense.  But it was the person who performed the abortion who was criminally liable, not the woman who hired this person. This is in stark contrast to  “Murder for Hire” laws in which the person who hires the hit man to murder the target individual is also prosecuted for the killing.  If the hit man is found guilty of murder, then so is the person who hired him, and both will usually suffer the same punishment.  But prior to 1973, no state ever legislated anti-abortion “feticide” laws in which women who hired an abortion doctor would be punished.[2]

The objection to the second premise is this: if the pre-1973 state laws that made it a crime to abort a human fetus did not threaten to punish the woman who had the abortion, then how can it be said that these laws “forced” pregnant women from refraining from having an abortion?  Surely, it might be argued, only the doctors who might otherwise perform abortions would be forced by the threat of legal punishment to desist.  The pregnant woman who wants to abort but decides not to do this cannot complain that she was legally forced not to have an abortion.

The answer to this objection can be found in the distinction between direct and indirect ways of forcing a person to do or refrain from doing an unwanted act, e.g., the act of having an abortion.  The direct method would be to target a particular group of individuals, e.g. pregnant women, by making them liable to punishment.  This method is exemplified by laws prohibiting self-induced abortions.[3] 

The indirect method would be to target for punishment only those who offer their services (usually, for a fee) to the defined group, e.g. doctors willing to perform abortions.  Both methods imply the existence of a force sufficient to deter the unwanted act.  Even if she knows that she will not be punished for the act of having an abortion, the pregnant woman is nonetheless deterred by the possible punishment of the doctor she would otherwise hire to abort the fetus.  Those doctors who  are willing to perform abortions and risk severe punishment will probably be much less skilled than other doctors. If true, this would have the deleterious effect of putting the women who hire an abortion doctor under a much greater risk of injury and even death.  

All of this suggests several women's reasons for abortion -- either maintain the pregnancy and keep the unwanted child; maintain the pregnancy and put the unwanted child up for adoption; travel to and have an abortion in a foreign country that has no anti-abortion laws; or self-induce an abortion and risk serious injury or death.   

Each choice implies a significant loss of liberty. 

Thomas Hobbes defined liberty or freedom as “the absence of opposition—by opposition I mean external impediments of motion…” (Leviathan, ch. 21).  The external impediments to a woman’s having an abortion are the indirect ways in which the pre-1973 laws were used to deter women to refrain from choosing abortion.  In many cases, maintaining the pregnancy would put a heavy burden on single women, on married women who already have several children, on women with pre-existing conditions that would be exacerbated by continuing the pregnancy; and cause emotional strain of giving up an infant for adoption.  

Even more damaging is the risk some women take of serious injury or death by attempting to self-abort or by hiring persons who are not competent to perform a safe abortion.  It is in these and other indirect ways that women are harmed by the punitive threats of anti-abortion legislation, even though the legislation is directly aimed not at them but at those who perform abortions. 
 
The third premise in the argument for the conclusion that laws prohibiting abortion are immoral says that “refraining from aborting the fetus (maintaining a pregnancy until birth) is sometimes harmful to the pregnant woman”.  This is obvious in those cases in which continuing the pregnancy would pose a threat to the woman’s health or to her life.  

But pregnancy can also be harmful in other ways.  The word ‘harm’ means or implies a ‘setback’ to an interest of the person who claims to be harmed.  There are many more interests that people have than their physical health or their life.  For example, the interest that is setback by pregnancy might be an interest in living a childless life either forever or for a defined period of time.  Suppose that a woman declares that she has ‘no interest’ in having a child, or she declares that although she might want a child at some future time, she has ‘no interest’ in having a child right now.

Another interest might be that of having a child with a partner of one’s own choosing. This interest would suffer a setback if her pregnancy is due to rape, or if it is due to a failure of the artificial means used to prevent pregnancy. 

In each of the preceding situations, a law prohibiting abortion would be a setback to one or more interests of the pregnant woman and consequently, each would signify a harm. 

This leaves us with the first premise (“it is always morally wrong to intentionally cause harm to others”).  This would be immediately challenged by the counterexample of self-defense. If one person harms another in an attempt to prevent the other from injuring or killing her, then we would say that the harm she has caused to the other in her own defense is not only not morally wrong, it is morally right (justified).  

This objection would force a rewording of the first premise to include the exception of self-defense.  The alternative:  it is morally wrong to intentionally cause harm to others except in cases of self-defense.

This exception does not appear to affect the soundness of the original argument.  In fact, it might even strengthen the argument if we conceive of some abortions as an attempt of the woman to defend her life or health from the deleterious effects of her pregnancy.  This is why many of the pre-1973 anti-abortion laws carried a provision that excepted from illegality those abortions necessary to save a woman’s life or to prevent serious injury to her health.

And yet it has been argued that inserting the self-defense provision into the anti-abortion laws was itself an immoral legislative decision because it completely neglects the interests of the fetus in staying alive.  This interest, it might be said, is at least as important as the interest of some biological mothers in not maintaining its life in the womb.  

Moreover, an admission that there is an interest of the fetus in staying alive would dash the entire argument for the immorality of anti-abortion laws.  This becomes clear when we design a new argument that speaks to the interests of the fetus instead of the interests of the woman who bears the fetus.  The new argument uses the premise: “A decision not to abort a human fetus is usually beneficial to the fetus”  ‘Beneficial’ because it protects the interest of the fetus in staying alive, and ‘usually beneficial’ because there are cases in which it would not be in the interest of the fetus to stay alive, for example, the fetus suffers from serious physical or mental defects that would make its life outside the womb painful, short or both painful and short.  Hence, we now have an argument in which the interest of the pregnant woman in terminating her pregnancy must be weighed against the interest of the fetus in staying alive.  

The question now becomes: what interest should prevail:  the interest of the fetus in staying alive or the interest of the pregnant woman in terminating her pregnancy by abortion? 

There is one powerful objection to the claims made about the interest of the fetus in the previous paragraphs. It is this: the fetus has no interest in staying alive because fetuses have no interests at all, Therefore, the fetus (logically) cannot be harmed by being aborted (killed).  It makes no more sense to say that the fetus has an interest in staying alive or having a future life than it has an interest in the color of its skin, the size of its head or the quality of the nourishment it gets from the amniotic fluid in the womb.  These might be interests of its biological mother and father, but they are not the interests of the fetus.  There is no independent interest of the fetus (including an interest in remaining alive) to be weighed against the interest of the pregnant woman in ending her pregnancy by aborting the fetus.[4]

This is not to deny that most pregnant women do not want to end their pregnancy. They have an interest in sustaining and protecting the life of the fetus they are carrying.  Nor is it to deny that many others (relatives, friends) will also have an interest in the sustained life of the fetus now and in the future.  The society into which the infant child will be born may also have an interest in the health and life of the fetus. This is true of most societies, especially those in which population growth is dwindling.[5]   And yet there are also societies in which it was the declared  interest of the government that some fetuses should be aborted as a means of managing population growth.[6] 

Finally, none of the preceding discussion is relevant to rights-based arguments for or against abortion, whether it is the alleged right to life of a human fetus or the alleged abortion right of a pregnant woman to make her own choice about whether or not to end her pregnancy.  As far as I can tell, rights-based arguments usually end in a stand-off with each declaring victory.  I gladly leave these debates to others.



[1] The most famous example of a rights-based argument justifying some abortions was Judith Jarvis Thomson “A Defense of Abortion,” Philosophy & Public Affairs, Vol. 1, no. 1 (Fall 1971).  There have been many rebuttals.  For useful critical summaries of the current debate, see Kate Greasley, Arguments about Abortion: Personhood. Morality and  Law. Oxford Scholarship Online 2017 https://www.oxfordscholarship.com; Also: Jaworska, Agnieszka and Tannenbaum, Julie, "The Grounds of Moral Status", The Stanford Encyclopedia of Philosophy (Spring 2018 Edition), Edward N. Zalta (ed.), https://plato.stanford.edu/archives/spr2018/entries/grounds-moral-status .

[2] Presidential candidate (now president) Donald Trump declared in March of 2016 that there should be some form of ‘punishment’ for women who have abortions if the procedure is banned. However, “abortion opponents quickly protested that their aim is never to penalize women” and Trump soon reversed course, saying only that this should be a matter for the states to resolve. In recent years, ”state legislatures and courts around the country have increasingly begun to criminally penalize women for abortions…”  (Atina Omara, The American Prospect, 16 June 2016.  https://prospect.org/health/punishing-women-abortion/ )  These laws have yet to be declared constitutional by the U.S. Supreme Court.

[3] In Oklahoma, “the state legislature passed a bill that would make it a crime to perform or induce an abortion.” In Tennessee, “another woman named Anna Yocca was charged with attempted murder for trying without success to self-induce an abortion with a coat hanger. Prosecutors later dropped the attempted murder charge, but said they would still pursue criminal charges against Yocca, most likely for aggravated assault.” (Omara, op. cit.)   
 
[4] This objection has been challenged by those who argue that persons can have an interest that they don’t know they have and so be harmed.  Don Marquis argues that in the abortion debate, the morally relevant interest is having a future like ours that we value or come to value.  For example, many of us are concerned about the environment in which future generations in years to come will be born, even though none of these people exist.    If we acknowledge the legitimacy of this interest, then (Marquis asks) why should we not also acknowledge that the fetus in the womb has an interest now in having a future like ours?  (“Why Abortion is Immoral,” Journal of Philosophy, 1986, vol. 86: 4, pp. 183-202).  There are two responses to this.  First, Marquis is discussing the immorality of abortion not the immorality of failing to legally prohibiting abortions.  As I mentioned at the beginning of this article, conclusions about the former issue do not necessarily dictate a conclusion about the latter.  Second, the fact that future generations of persons will probably have the same interests in staying alive that we now have does not imply that they now have these interests. 
[5] Japan has had a prolonged period of low fertility, resulting in an aging population. The dramatic aging of Japanese society is a result of sub-replacement fertility rates and high life expectancy.  This downward trend of the population is expected to continue unless many more younger Japanese men and women marry and have two or more more children (https://en.wikipedia.org/wiki/Aging_of_Japan ).

[6] China adopted a one-child policy in 1979 to curb a rapidly growing population. At the time it was approximately 970 million. When introduced, the policy mandated that Han Chinese, the ethnic majority, could only have one child..  The one-child policy was rigorously enforced by economic rewards for compliance and sanctions (including forced abortions) for non-compliance (https://www.britannica.com/topic/one-child-policy) . The one-child policy was superseded by a two-child policy that became effective in 2016.

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