Monday, February 27, 2012

It's Not Your Decision

SNL’s Weekend Update aired an episode last week that highlighted one aspect of our nation’s health policy that has much room for reform: women’s reproductive health. A few days earlier, the House Oversight and Government Reform Committee had held a hearing on the Obama administration’s legislation requiring that women receiving health insurance through religiously affiliated employers are still provided with contraception. Amy Poehler and Seth Meyers pointed out one glaring flaw with this hearing: there were no women on this panel.
They took a crass approach (in the format of one of my favorite segments – Really?! With Seth and Amy), poking fun at the failures of the “contraceptive” measures espoused by some politicians (specifically two certain Republican primary candidates). But the side opposed to this policy, and similar ones, isn’t backing down, and candidate Rick Santorum recently argued that employers also shouldn’t be “forced” to provide prenatal tests for pregnant women.
This ongoing debate largely surrounding abortion and “life” is generally seen as a religious issue, but both sides of the debate have potentially valid ethical points. One the one hand, there is the question of whether or not the government has a right to prevent certain personal decisions women may want to make, and whether it is right for these decision to be made by a group consisting only of men. On the other hand, there is the question of what “life” is defined as and, as Santorum’s objections bring up, whether or not it is right to abort fetuses who are known to have conditions like Down syndrome.
This last question is the one that interests me the most, as it is currently the least political and religious. I see it as a very real ethical dilemma – is it better to prevent a child who will have to suffer their whole life from being born in the first place? Or is this eugenics? Does it matter if the parents’ motivations were economic, as Tucker Carlson argues is generally the case?
It’s a tricky question, one that can be analyzed through many different lenses. If we start thinking about it as eugenics – a genetic weeding out of society – then it’s hard to support. But is aborting a Down syndrome fetus the same as killing a Down syndrome child? And, is aborting a Down syndrome fetus the same as having an abortion for any other reason? I think prenatal tests like amniocentesis are vital to the health of all infants, especially those who have conditions that can be treated if caught early on, and if caregivers are prepared at birth with the necessary treatments. As for children who are aborted early on because of their health, I think parents have the right to make the decision for their own well-being and for that of their future child. We have no ethical problem with women with AIDS aborting children who would also have aids – in fact it can be considered ethically responsible to do so. Such abortions are not out of disdain for a sickly child, but are intended to prevent unnecessary suffering. While a fetus determined to have Down syndrome is slightly different, it still should not be considered eugenics. It is not a system-wide policy to terminate all such pregnancies. It remains, as it should, a personal decision made by individual parents based on their values and resources. The decision is always a difficult one, and while the majority of women who do become aware their child would have Down syndrome do choose to end their pregnancy, we cannot condemn them as unethical, callous, or murderous. Abortion is always a decision, influenced by countless factors specific and unique to every woman, and the right to make this decision should not be restricted to certain extreme situations. No woman would take this decision lightheartedly, and no government should prevent a woman from doing all she can to have a healthy pregnancy and a healthy child just because there is a chance she may choose to have an abortion.



1 comment:

Unknown said...

Good post. If you mention a source (Tucker Carlson) then give some details/quote on what he said. Same for comparing to children born with HIV. Be specific