Confusing the Maternal Health Debate
- First Posted: Mar 22 2010 07:28 AM
- Updated: 3 months
Are Opposition politicians willing to risk sabotaging the Conservatives' important maternal health initiative in order to pursue their pro-choice agenda?
The appalling statistics about the number of women and children around the world that suffer and die because of lack of access to the necessities of life, including even the most basic level of health care, should make even the hardest-to-reach consciences feel guilty and touch the hardest hearts. Consequently, one could have hoped that it was not naïve to believe that making maternal and child health a major focus of the upcoming G8 meeting would be welcomed by all. As the debates in Parliament and the media have shown, however, that hope was indeed naïve.
As soon as the initiative was announced, Michael Ignatieff called for abortion to be made part of the maternal health pledge. As reported initially (although this was later clarified), Mr. Ignatieff seemed to believe that contraception and abortion were morally equivalent and that abortion was an acceptable method of “contraception.” Most people, whether they are pro-choice or pro-life regarding abortion, would disagree with both those beliefs.
The vast majority of Canadians, whatever their own personal views and values with respect to contraception, believe that this should be a private decision left to individuals. It’s also the case that for some women the use of contraception is a medical decision and, sometimes, spacing out pregnancies can help to avoid health problems for future children. The announcement by the Canadian government that it will not oppose funding for contraception supports this position.
It’s necessary, however, to define contraception, because sometimes interventions called contraception are not that – the clearest example is abortion being labeled as such. Contraception involves providing the means to prevent fertilization of an ovum by a sperm, that is, preventing the formation of a human embryo, the starting point of every new human life.
Such confusion is not surprising in light of the language used by pro-choice advocates and their parliamentary allies, indeed, it is probably intentionally generated. Reasons could include to avoid facing the facts of what abortion involves in practice or to persuade others, who might have ethical misgivings about abortion, to join their cause. In any case, they studiously avoid use of the word “abortion.”
For instance, in the motion to be tabled in Parliament jointly by the opposition parties on Tuesday, they call for funding of “the full range of family planning, sexual and reproductive health options, including contraception,” without mentioning abortion, although that is the central issue in this debate. Likewise, they refer to the George W. Bush administration’s ban on federal funding of non-governmental organizations that promoted abortion, as a funding ban on “organizations promoting medically sound family planning.” That sounds much more benign than abortion and it seems much more unreasonable to ban it. In the same vein, pro-choice advocates speak only in terms of fetuses, not unborn children.
But, while we can find a shared position on contraception, where we will continue to disagree is whether or not we should support or facilitate abortion. In other words, should the lives we try to save with this maternal and child health initiative include unborn babies or, at the very least, should we avoid funding their destruction through abortion? The Canadian government’s position, one with which I agree, is that we should not fund abortion. I would allow for an exceedingly rare exception where a woman’s life was in danger or there was a very serious threat to her health in continuing a pregnancy, early delivery of the child was not possible, and the only reasonable way to avoid those harms or risks would be to offer her an abortion. This exception deals with the argument commonly made by pro-choice advocates, an argument that can be strongly challenged on the facts in the vast majority of cases, that abortion is needed to protect women’s lives and health. But certainly we should not be funding organizations, such as International Planned Parenthood, that promote abortion as the norm.
Abortion is a highly sensitive issue politically. It’s one of hot spots in the current “values and culture wars.” That means who “wins” and who “loses” on such an issue has impact on values well beyond the issue itself. Sometimes we fight these battles with those wider values in mind. But everyone, especially politicians, has to exercise wise ethical restraint when the harm they will do outweighs any good they hope to achieve. I suggest that Mr. Ignatieff, and members of the Opposition parties who joined him, did such harm in instantly politicizing this praiseworthy initiative and in continuing to do so. One can only assume that, in order to gain political points, they are willing to risk sabotaging this extraordinarily important humanitarian initiative that would benefit some of the world’s weakest, most in need, most vulnerable and desperate people. As a spokesperson for the Prime Minister’s Office said, “saving lives of mothers and children should not be a political football.” We should all act accordingly. There’s an unlimited amount of good we can do in this regard that we can all agree should be done. We should all focus on that to start this essential humanitarian work.
Finally, in arguing for funding for abortion, Mr. Ignatieff was also reported as saying, “Let’s keep the ideology [he meant the pro-life stance] out of this and move forward.” But that’s impossible, because the pro-choice stance is just as much ideologically based – that is, promotes a certain set of values and beliefs – as the pro-life one. Mr. Ignatieff was saying, therefore, that his pro-choice values should not only prevail, but not be opposed. That’s not how democracy works.









Comments
Re:Marks
“ As usual, Margaret Somerville is losing her mind here over abortion. Look; as she well knows, the initial brou-ha-ha was over the Conservatives going out of their way to exclude contraception from their definition of maternal health. That served to highlight - once again - the religious values that are driving this government's policies regarding all kinds of social issues, both in Canada and abroad. As anyone who has any knowledge of development and health issues in the developing world knows, one of the main problems with maternal health is that many women are constantly pregnant, are frequently dying of complications arising from childbirth and what amounts to forced pregnancy, and are constantly bringing forth children they can't properly care for - therefore leading to a high infant mortality rate, continuing poverty, etc. etc. If the Harper government was so concerned about the health of women and children they would not have hesitated to include reproductive health in what they were proposing. But they proposed measures that were shockingly inadequate, partly because of the religious values informing their policies, and partly because of the appalling ignorance behind them (it's hard to imagine a Canadian government more out of touch with the realities of the lives of the poor in developing nations than this one). It's clear that if you're going to offer aid related to reproductive health, then it makes sense to include abortion services. Not only because sometimes contraception fails, or that many women in war-torn areas especially are vulnerable to rape (just look at the horrifying example of the women and girls repeatedly subject to rape in the Eastern DRC), but also out of a basic sense of respect for them. Somerville sees abortion - terminating the development of the fetus - as the issue. But the real issue is acknowledging that women are persons deserving respect. As adults and autonomous human beings they must be afforded the right to manage their own lives, and make their own choices. A pro-choice outlook is not about trying to cause as many abortions as possible; it is about allowing people to have a full range of choices and to make those choices, unimpeded, for themselves. This isn’t just a secular argument; Judeo-Christian-Islamic tradition is founded upon this very concept, that the deity has conferred upon all human beings the ability and right to make their own moral choices. Well, Ms. Somerville, Mr. Harper – will you afford women that basic respect? Or will you as usual insist your own private religious beliefs be forced upon women who have enough – more than enough – on their plate already?
Nick Van der Graaf
“ Ms Somerville does a great job of framing the debate, barely acknowledging the health concerns that drive the people calling on the government to include the entire range of options that should be available to women. This should be a debate about health and science, and government shouldn't pick and choose which health solutions will be available to women.
Brenton Walters
“ Somerville's opinion piece sits in stark contrast to Nobel Prize winner A. K. Sen's call for reasoned public debate on social issues, as argued in his recent book "The Idea of Justice". Summerville seems to believe that one can win an argument by framing the question to one's own advantage, and then carrying out the analysis within that context, independent of evidence or other factors. This piece ignores, for example, the fact that Canada's government had to be forced back into accepting contraception, after its first statements on maternal and child health ruled out any form of contraception (possibly other than abstinence). This suggests that the government started from an ideological position independent of evidence or reasoned thought. As well, the government’s approach and Somerville’s analysis also devalue any differences of opinion that women elsewhere in the world might have with regard to their own health, with regard to where to draw line on what is acceptable, and with regard to what is not acceptable. Rather than welcoming a debate on the real issues, this strategy of trying to pre-determine the outcome by insisting that the question be framed to support a predetermined outcome, and using a claim of sabotage as a subterfuge , is ethically embarrassing.
Sam Lanfranco
“ Margaret Somerville rightly observes that the line between contraception and abortion is often blurred in the debate regarding contraception. She is simply stating a biological fact when she says "Contraception involves providing the means to prevent fertilization of an ovum by a sperm, that is, preventing the formation of a human embryo, the starting point of every new human life." Abortion clearly falls outside of this category. Interestingly, so do many so called contraceptives. The birth control pill, as well as all other hormonal methods of contraception, create a hormonal imbalance in the woman's body. One of the effects of this imbalance is to render the lining of the uterus, hostile to implantation. A human being, in the early stages of her existence, can therefore be expulsed from the woman's body, if the truly contraceptive features of the hormones haven't succeeded in preventing fertilization. As for the IUD, it works exclusively by rendering the uterine lining hostile to implantation. It should not be surprising to find such a link between contraception and abortion. Abortion is simply the logical extension of the contraceptive mentality, having at its source the rejection of a new human life.
Glen Gagnon