Saturday, May 25, 2013

Abortion- An Unethical Necessity

Complete credit goes to my brother who wrote it:


Abortion results in the loss of life, which makes it a serious and controversial matter. The ramifications have lasting and permeating effects on everyone involved. Denial, anger, anguish, guilt, and depression are some of the emotions felt by those personally involved. It’s an agonizing process. Oftentimes, our actions have more profound effects than we intend or realize. We may not mean to hurt living beings. We, most certainly, have our own interests and future at stake, but whenever our actions impede on another living being’s right to live, we need to take a long hard look on what we plan on doing. I argue that abortion should be legalized, should be made available to the mass, but if the mother of the child is 16 weeks or more into pregnancy, a formal committee must take a long, hard look at the intentions, logistics, and circumstances behind each unique scenario presented to the board to determine the final choice of action. Hence, I’m offering a polarizing viewpoint, in which the pregnant woman will not be making the final call if she is 16 weeks or more into pregnancy. That’s not to say that I believe the pregnant woman’s thoughts and her preferred choice of action should not be explored and are irrelevant, as frankly, the antithesis is how I strongly feel. I do believe that the woman’s motive-driven decision needs to be deeply examined by psychologists, but I also feel that under certain cases, abortion shouldn’t be allowed, in which the ensuing birth of the child will have to be a responsibility the woman has consequentially-incurred into her life. I realize this sounds tantalizing, and this is likely something many people are vehemently against, but I shall explain further in much detail of my viewpoint.

            I feel that it’s important to elaborate the intricacies needed for this committee board that I am proposing. Pregnant woman, who are less than 16 weeks into pregnancy and have their abortion scheduled prior to week 16, have complete volition in deciding the course of action. The only exception to that would be pregnant teenagers below the age of 18, who will require parental consent. The board will only review cases in which the pregnancy is at the minimum, 16 weeks in. With that requisite stated, the board will only review if the pregnancy incurs a serious threat to the woman’s life, and / or has potentially serious conditions in which the fetus will have genetic defects or other life-threatening damage. A fetus as a result of rape, incest, or poor socio-economic status will not be sufficient excuses post 16 weeks in. The board should consist of an impartial amalgamation of unrelated individuals to the client, as they cannot have any previous prior connections to the individual. The board should consist of male and female psychologists, physicians, three judges, and designated women who have gone through similar abortion situations to act as potential advocates when influencing the final decision. The committee needs to gather all information related to the client’s case, including assessments of the client’s history following up to this proposal for abortion. The client will be given sessions to discuss with psychologists their feelings, emotions, and desires behind how they wish to proceed, and this will be discussed at the table privately. Each psychologist will give his or her take on the unique situation at hand and offer what they feel is a reasonable and justifiable course of action. As will all the physicians and designated spokeswomen, each will give their own professional input into the situation at hand. Lastly, the pregnant woman, herself, takes the stage and discusses her own personal preferred course of action and motives to the judges. Judges will then be allowed to ask her questions and converse. Privately, the three judges, upon taking all that into account, shall review all assessments and information at hand, while taking into account the mother’s current pregnancy stage, and draw their own conclusions in a written, clandestine voting. Each judge shall come up with a response of either for abortion or against abortion and will have to list their specific reasons and thoughts behind why they chose that action. Since there are only a total of three judges, the vote that is either unanimous or tallies two will be the vote that stands. Should the pregnant individual feel that the board has been biased and discriminating, an appeal can be filed, in which an independent committee will immediately review if unreasonable, biased arguments were present. Unfortunately, time is of the essence, as a fetus is rapidly developing. Hence, as time goes on, the mother’s current stage of pregnancy will start to largely affect the outcome, and exceptional contentions will be needed to permit an abortion.

            I’d like to elaborate on why I made the cut-off point, week 16. From a strictly fetal developmental viewpoint, week 1 through week 6 is when fertilization occurs and the embryonic period starts (Pregnancy Week by Week, 2012). Week 5 is when the fetus’ primary organs, including the central nervous system- the brain and spinal cord, heart, and the other vital organs begin to form (Pregnancy Week by Week, 2012). Week 6 catalyzes the primitive development of basic facial features, the jaw, the C-shaped curvature of the body, and such (Pregnancy Week by Week, 2012). Week 7 -12 incurs the rapid proliferation of the fetus’ head, eyes, neck, genitals, toes, and fingernails, as this ends the first trimester. From week 13-14, the fetus may be able to put a thumb into its mouth and suck on it, along with an exhibition of constant arm and leg movements, but understand that these movements are reflexes stemming from the spinal cord and are not voluntary movements (Becher, n.d.). By week 15, sensory receptors are augmenting. At Week 16, the cutting off point, the baby can “grasp with his hands, kick, or even somersault” (Baby Development, n.d.). While the child’s earlier muscle movements may be slight and involuntary, the “first voluntary muscle movements occur around week 16” (Baby Development, n.d.). “After this point, awake or asleep, the baby moves 50 ties or more each hour, flexing and extending her body, moving her head, face, and limbs, and exploring her warm, wet compartment by touch. A baby may touch her face, touch one hand to the other hand, clasp her feet, touch her foot to her leg, or her hand to the umbilical cord” (Baby Development, n.d.). To better understand when voluntary movements occur, we need to comprehend that voluntary movements arise from a part of the brain, called the cerebellum. With regard to the development of the cerebellum, the “primary fissure (of the cerebellum) is visible at week 14”, and by week 16, the “prepyramidal fissure, the secondary fissure and the dentate nucleus could be identified” (Liu, 2011). Cerebellum development starts within the second trimester (Liu, 2011), and week 16 is generally when voluntary movements are seen. By week 18, the fetus may have the capability to hear; by week 21, the fetus can swallow, and by week 25, the fetus is able to interact with the mother’s voice and respond with movement (Pregnancy Week by Week, 2012). Hence, I believe that week 16 should be the designated cutting-point, because that is when the inception of interactions and movements within its environment begin to take place on a voluntary level. A cell in a Petri dish is alive, as there are metabolic processes. Cells that make up a fetus in a womb are also alive, as metabolic processes are transpiring, but it is during week 16, in which anthropomorphic qualities are being exhibited on a voluntary level, and that is what I feel should be the distinguisher. The inception of fetus consciousness occurs when there is the realization of one’s own existence and environment as evidenced by visible coordinated movements with the initial and continual development of the cerebellum. Thus, week 16 needs to be the unequivocal cut-off. No abortions should be allowed unless the fetus causes serious harm to the mother or if the fetus will have profound life-threatening impairments.

            Our current abortion system in the United States, and specifically in California, New York, and Nebraska, is significantly different to my proposal. When Roe v. Wade passed, the Supreme Court permitted abortion to go up to 28 weeks (Laws Regarding Abortion, n.d.). However, the general consensus is at 24 weeks now, as they gauge the cut-off date by when the fetus is able to live outside the womb. Current United States abortion law has prohibited partial birth abortions completely, enacted by the Partial-Birth Abortion Ban Act of 2003 and upheld in 2007 in the U.S. Supreme Court case, Gonzales v. Carhart (Partial-Birth Abortion Ban Act, 2013). With the Supreme Court’s decision handed down, each state has slightly different abortion laws regulating the details and circumstances in which a woman may have an abortion. Unfortunately, federal judges in California, New York, and Nebraska deemed the Partial-Birth Abortion Ban law unconstitutional, and three appellate courts concurred (Supreme Court, 2007). Hence, California still has Partial-Birth abortions performed up to week 24. In case you are unaware of how gruesome partial-birth abortion is, I shall describe how they perform this procedure. With the use of ultrasound, the abortionist uses forceps to grab the baby’s leg and pulls the baby into the birth canal. The abortionist removes all of the baby’s body, save the head, in which he will take a scissor and stab it into the baby’s skull. They then use the scissor to make a wide hole, in which the scissors will then be removed, and a suction tube will be inserted into the skull to suck out the brain. Afterwards, the entire dead baby is removed from the birth canal (Whitehead, n.d.). It’s an incredibly gruesome process, and this is not a humane process to be performing on beings that very well have basic voluntary movements. That’s why I am vehemently against the use of partial-birth abortion, and this is why after week 15, abortions should only be done as a last resort if the mother’s life is threatened or if the baby will be born with serious physical damage. And even then, there needs to be other, more humane ways of performing late-term abortions. It’s no wonder why some people are so strongly opposed to abortion. Now in some good news, it’s comforting to know that week 12, the end of the first trimester, is the major cut-off point for most healthcare providers in performing abortions.

            Abortion needs to be addressed in terms of consequentialist ethics, rather than deontological ethics. Granted, abortion is a controversial topic, and there is no “correct” answer to go with, but I would like to address the two principal forms of ethical thinking to gauge which style is more appropriate. Consequentialist ethics stresses the importance in the relationship between the “action” and the “consequences.” In other words, a good action is based off the beneficial results for those affected, while a bad action is based off antagonistic results for those affected. Oftentimes, there is a combination of positive effects for some individuals, and negative effects for others, but it is the virtue of doing the greater good for the vast majority. On the other hand, deontological ethics emphasize that a right action is correct in itself because of pragmatic, logical reasoning, without the exploration into the genuine consequences. Deontological ethics is principle-based ethics that focuses on the intent behind the choices and actions. It’s the classic consequence versus intent debate. Well, I argue that many times in life, we are much more strongly affected by the actual consequences of one’s actions rather than by one’s intentions. Hence, consequentialist ethics is more appropriate. Say in sports, an opposing player may not have vindictive intentions, but if you tear your ACL tendon because of him, you are likely furious for all that he will put you through now. He can apologize and walk off, but who is the one left in pain, medical bills, and mobility restraints? You are. So, with regards to abortion, we can come to understand that a pregnant mother living in a dangerous, poverty-stricken neighborhood won’t want to keep an unexpected baby, because there won’t be sufficient money or resources to give her child a quality, safe life. However, the end result of abortion is the loss of the baby’s future and experiences. One could easily argue that the child wouldn’t have had a decent life anyways, so why bring the child into this world? Well, that’s something the pregnant mother should have contemplated over before having sex. Now if she was raped, that would be a different story. But when you choose the action, you are responsible for the consequences. You might be saying, “Well, what if she was on birth control, and the man was wearing a condom?!” Well, I’m sorry. I don’t mean to sound aloof, callous, and unsympathetic towards them, but both partners could be on every prevention technique out there in the modern world, and the mother could still become pregnant. There are no guarantees in life. Some couples may take no preventions whatsoever when having sex, and the woman doesn’t become pregnant. I’m not saying that is fair. Couples putting in all the extra effort to prevent pregnancies shouldn’t have to get pregnant. Others are seemingly asking for an unexpected pregnancy to occur. Such is life though, and no one ever said life wasn’t meant to be fair. All we can simply do is attempt to ameliorate our conditions and chances, but a utopia will never be. These were the cards that were dealt; this was the way the dices rolled, and ultimately, each of us has to be responsible for that.

            As you can likely tell, I’m staunchly against abortion, but I believe having it available is a necessary service that society needs. I feel that way because for one, the world is already overpopulated, and mentally-competent adults, ultimately, have the capacity and the right to make their own decisions with abortion. But more importantly, I believe that women and men who are not physically, mentally, and financially ready to become parents, cannot possibly provide in a sufficient, healthy manner of that which will help this infant (who is 100% dependent on their parents) to develop prosperously if the surrounding environment and context is not opportune as to those of a “planned child”. Having a child is a life-long “career”, one that will never end until the day you die. Theoretically, it’s only until the age of 18, but for many children, it’s a life-long support that parents strive to give. Again, as I stated earlier, I would argue to set up a committee to review the two specific abortion cases. The birth of the child which threatens the life of the mother is the first case. The significant compromise of a child’s life due to genetic defects or malformations and damage is the second case. These two are the only cases to be reviewed 16 weeks into pregnancy because these overlap into the ethical debate of whose life is more important and if a life riddled with pain and suffering is necessary. These two ethical dilemmas, along with becoming impregnated by rape, are what I’ll call, the “Big 3 Exceptions”. In an abortion-utopia, as awkward and ironic as that sounds, all other cases save the “Big 3”, really have no place in abortion. If one is poor and is struggling to feed herself, you don’t have kids. That is not a difficult idea to entrain. If it means to abstain from sex, you must abstain to ad nauseam, because whatever consequences arise as a result of your volition is your responsibility. A potential life should not be taken away because of a momentary lapse in responsibility for the urge of gratification. It is no better than if a child steals candy so he can taste the sugary, delicious chocolate melt in his mouth. In fact, I would argue that it is worse. Nonetheless, if a full-time career is what you value most during the meantime and the birth of a child will be a huge obstacle, you don’t have kids. This goes both ways for women and men. You do whatever it takes so that doesn’t happen. If not, be prepared to accept any possibility of the whole array of consequences. All the cards in a deck exist, but only one will be dealt into your hands. It’s all a probability game. Taking a life is no trivial matter, and it’s my conclusion that save the “Big 3 Exceptions”, abortion is the route soon-to-be mothers and fathers feel compelled to take because this unexpected child has become a potential inconvenience in life and doesn’t want to take subsequent responsibilities. With that said, I want to make this exceedingly clear that I’m not singling out the mother in this. The father of the child is just as responsible for what has incurred, as it had to take two, one female & one male, to create the fetus. To recapitulate, for both men and women, be the driver in the car of your life. Don’t be the one in which you’re driving late at night, when suddenly a deer swerves into your headlights. The moment to appropriately react is gone before you can blink, and the resulting indelible damage has been done. Be responsible for what you do, and be responsible for the entailed result.


Bibliography

Becher, Julie-Claire (n.d.). Insights into Early Fetal Development. [ONLINE] Available at: http://pregnancyarchive.com/articles/insights-into-early-fetal-development/. [Last Accessed May 9, 2013].

Liu, F., Zhang, Z., Lin, X., Teng, G., Meng, H., Yu, T., Fang, F., Zang, F., Li, Z. and Liu, S. (2011), Development of the human fetal cerebellum in the second trimester: a post mortem magnetic resonance imaging evaluation. Journal of Anatomy, 219: 582–588. doi: 10.1111/j.1469-7580.2011.01418.x

Whitehead, Kenneth D. (n.d.). Everything You Need to Know About Partial-Birth Abortion. [ONLINE] Available at: http://www.culturewars.com/CultureWars/Archives/cw_recent/pbabort2.htm. [Last Accessed May 9, 2013].

(n.d.). Baby Development. [ONLINE] Available at: http://www.deathroe.com/baby_development/index2.cfm. [Last Accessed May 9, 2013].

(n.d.). Laws Regarding Abortion. [ONLINE] Available at: http://pregnancy.adoption.com/pregnant/laws-regarding-abortion.html. [Last Accessed May 9, 2013].

(2013). Partial-Birth Abortion Ban Act. [ONLINE] Available at: http://en.wikipedia.org/wiki/Partial-Birth_Abortion_Ban_Act. [Last Accessed May 9, 2013].

(2012). Pregnancy Week by Week. [ONLINE] Available at: http://www.mayoclinic.com/health/prenatal-care/PR00112. [Last Accessed May 9, 2013].

(2007). Supreme Court Upholds Partial Birth Abortion Ban Act. [ONLINE] Available at: http://www.foxnews.com/story/0,2933,266724,00.html. [Last Accessed May 9, 2013].


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