{"id":1809,"date":"2012-06-02T10:52:15","date_gmt":"2012-06-02T09:52:15","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-ethics\/?p=1809"},"modified":"2012-06-02T10:52:15","modified_gmt":"2012-06-02T09:52:15","slug":"well-consider-my-jaw-dropped","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-ethics\/2012\/06\/02\/well-consider-my-jaw-dropped\/","title":{"rendered":"Well, Consider my Jaw Dropped."},"content":{"rendered":"<p>I know it&#8217;s not long since I last posted about the Christian Medical Fellowship&#8217;s blog, and I would ordinarily leave it a bit longer&#8230; but I&#8217;m about to go off on one. \u00a0Forgive me. \u00a0I&#8217;ve had a hard week marking exam scripts, and I&#8217;m tired and stressed and cranky, and this is just&#8230; well&#8230; \u00a0Look: I hear that ginger is quite a good anti-emetic. \u00a0You might want to go and find some.<\/p>\n<p>You will, of course, be aware of the <a href=\"http:\/\/www.bbc.co.uk\/news\/world-middle-east-18295291\">recent killings in Houla<\/a>: 108 civilians shot at close range or stabbed in what the UN says may amount to a crime against humanity. \u00a0You may also have read about <a href=\"http:\/\/www.bbc.co.uk\/news\/uk-england-derbyshire-18291916\">the arrest of Mick and Mairead Philpott<\/a>, suspected of the murder of their six children in a housefire. \u00a0<a href=\"http:\/\/www.cmfblog.org.uk\/2012\/05\/30\/there-are-few-things-more-horrifying-than-the-slaughter-of-innocent-children\/\">Peter Saunders, on the CMF blog<\/a>, under the title &#8220;There are Few Things More Horrifying than the Slaughter of Innocent Children&#8221;, writes that<\/p>\n<blockquote><p>Every child\u2019s death is a tragedy but there are few things more reprehensible than the killing of children by adults. Children are rightly seen as amongst the most vulnerable and defenceless members of society and deserving of special protection.<\/p>\n<p>It is therefore not surprising that Western governments are acting quickly at the highest level to expel Syrian diplomats and impose sanctions and the police are giving high priority to investigating the Derby fire for which the children\u2019s own parents are now suspects.<\/p>\n<p>Whether or it turns out that the Syrian government was directly involved in the latest atrocities, or whether or not the parents are charged with starting the fire, it is nonetheless deeply ingrained in the human psyche that public authorities have a duty to protect the vulnerable and that the strongest advocates for children should be their own parents.<\/p><\/blockquote>\n<p>As I read that, I had a horrible feeling about what was going to come next. \u00a0I suspect many people reading this now will have the same feeling. \u00a0The same creeping nausea. \u00a0He&#8217;s used the phrase &#8220;slaughter of innocent children&#8221;. \u00a0He&#8217;s not going to say&#8230; is he?<\/p>\n<p>Reader, he is.<!--more--><\/p>\n<blockquote><p>It is for this reason that I find the relatively low prominence given to the\u00a0<a href=\"https:\/\/www.wp.dh.gov.uk\/transparency\/files\/2012\/05\/Commentary1.pdf\">2011 abortion statistics<\/a>\u00a0also published yesterday profoundly bizarre.<\/p>\n<p>[&#8230;]<\/p>\n<p>There is no one more vulnerable, more innocent and being killed in greater numbers than the unborn child. Each year around the world there are\u00a0<a href=\"http:\/\/pjsaunders.blogspot.co.uk\/2011\/09\/who-is-wrong-about-two-major-causes-of.html\">42 million abortions<\/a>, against only 57 million deaths from all other causes except abortion.<\/p>\n<p>And in Britain there have already been over 7 million abortions in the 45 years since the Abortion Act was passed in 1967.<\/p>\n<p>It is understandable that people are shocked and outraged by child deaths in Syria and Derby.<\/p>\n<p>But the fact that we can barely raise an eyebrow at abortion in Britain is a chilling testimony to our astounding spiritual blindness and breath-taking hypocrisy.<\/p>\n<p>189,931 unborn children died in England and Wales last year \u2013 under their mothers\u2019 instructions, at the hands of doctors and paid for by tax payers\u2019 money. And parliament, police and prosecution service did nothing.<\/p>\n<p>If the Syrian massacre was the \u2018deliberate mass killing of children\u2019 who \u2019were murdered one by one\u2019 then what was this?<\/p><\/blockquote>\n<p>It&#8217;s hard to know where to start with this. \u00a0 Let&#8217;s pick something nearly randomly. \u00a0Let&#8217;s start with the &#8220;unborn children&#8221; bit. \u00a0Paragraph 2.12 of the NHS report states that 91% of abortions in 2011 were carried out at less than 10 weeks&#8217; gestation. \u00a0There&#8217;re plenty of people who&#8217;d insist that it&#8217;s stretching things to call that an unborn child. \u00a0A sub-10-week foetus is not a child in the everyday sense of the word. \u00a0A child can do things like breathe. \u00a0A sub-10-week foetus may just be developing major internal organs. \u00a0It is not a child. \u00a0It may be important, and valuable, and human, and all the rest of it; but it&#8217;s not a child.<\/p>\n<p>And what about the reasons for the abortion? \u00a0Saunders doesn&#8217;t pay any attention to that: to the stories of the women who choose to end the pregnancy, or to the women themselves. \u00a0Some will be vulnerable; some will be scared. \u00a0Some will terminate because of some congenital deformity. \u00a0Some might make decisions with which we disagree, but it&#8217;s unlikely that they&#8217;ll take the decision lightly. \u00a0And in respect of those women who make disputable moral judgements &#8211; I&#8217;ll allow, for the sake of the argument, that there are some: so what? \u00a0A woman is, in one sense, a gamete machine attached to an incubation machine; but that&#8217;s not the whole story by a long chalk. \u00a0That&#8217;s just the brute biology part. \u00a0She&#8217;s more than brute biology. \u00a0She&#8217;s a person, with a biography as well as a biology. \u00a0Saunders seems not to pay any attention to that &#8211; which is odd, because it&#8217;s the biography part, rather than the biology part, that seems to me to carry the most moral weight. \u00a0Doesn&#8217;t the biography count for <em>anything<\/em>?<\/p>\n<p>The thing with functioning internal organs and a biography is not morally the same as the thing with neither.<\/p>\n<p>(Oh, and by the way &#8211; 98% of abortions were performed on ground C: that<\/p>\n<blockquote><p>the pregnancy has not exceeded its twenty-fourth week and that the continuance of the pregnancy would involve risk, greater than if the pregnancy were terminated, of injury to the physical or mental health of the pregnant woman (section 1(1)(a)).)<\/p><\/blockquote>\n<p>Saunders thinks that a good number of these abortions might actually be illegal:<\/p>\n<blockquote><p>[A]s far as I can see no one has yet commented on the fact that 98% of the total are funded by the NHS through tax revenues and also that 98% were carried out on mental health grounds (see section 2.9 of\u00a0<a href=\"https:\/\/www.wp.dh.gov.uk\/transparency\/files\/2012\/05\/Commentary1.pdf\">report<\/a>).<\/p>\n<p>As I have pointed out before,\u00a0<a href=\"http:\/\/pjsaunders.blogspot.co.uk\/2011\/12\/why-98-of-abortions-in-britain-are-now.html\">this latter 98% are also technically illegal<\/a>\u00a0as there is no evidence that continuing with an unplanned pregnancy poses any greater risk to a mother\u2019s mental health than having an abortion.<\/p><\/blockquote>\n<p>Not being a lawyer, I&#8217;m not going to argue with his legal analysis. \u00a0Someone else can do that. \u00a0And not being an psychiatrist, I can&#8217;t comment on the mental health risks. \u00a0Someone else can do that, too.<\/p>\n<p>What I can do is offer this: suppose the abortions <em>are<\/em>\u00a0technically illegal: so what? \u00a0It doesn&#8217;t follow from that that they&#8217;re wrong; and if that <em>is<\/em>\u00a0the claim, then they&#8217;re easily de-wronged by the expedient of a change in the law. \u00a0I don&#8217;t think that Saunders would admit that that makes any problem go away &#8211; and on that, at least, I agree with him entirely. \u00a0What counts morally isn&#8217;t whether or not something conforms with the law. \u00a0The law tracks morality, not the other way around. \u00a0The killings at Houla were not wrong because they possibly violate the laws of war. \u00a0The killings in Derby weren&#8217;t wrong because of the homicide laws in England and Wales. \u00a0In the end, you still have to confront the moral status of the act in its own right, irrespective of the law; and that means taking into account the reasons of the actors &#8211; which means, to put it in fluffy terms, their stories and narratives. \u00a0Even <em>prima facie<\/em>\u00a0wrong actions might turn out to be justifiable in the circumstances. \u00a0That is, it might be wrong arbitrarily to end the life of a foetus (and while I&#8217;m not sure I&#8217;d subscribe to that view easily, it&#8217;s not crazy); but even if you think that, you still have to ask whether or not any particular instance of abortion <em>is<\/em> arbitrary, and what else is going on in the life of the woman. \u00a0It doesn&#8217;t seem likely to me that many abortions &#8211; if any &#8211; are abitrary. \u00a0There&#8217;s a <em>why<\/em> that makes things (at the very least) complicated, and which might force us to accept certain actions of which, if carried out in isolation (as if any action ever is) we&#8217;d be more wary. \u00a0There&#8217;s more to be said about \u00a0at least a good number of abortions. \u00a0Saunders doesn&#8217;t allow space for that.<\/p>\n<p>It&#8217;s unlikely that it&#8217;ll be possible to come up with a vaguely coherent <em>why<\/em>\u00a0story\u00a0about Houla that forces us to reassess that.<\/p>\n<p>But let&#8217;s put all this to one side. \u00a0Let&#8217;s allow not only that it would be better if there were fewer abortions &#8211; noone, as far as I know, denies that, although it doesn&#8217;t entail that those that do happen are wrong, or anyone else&#8217;s business &#8211; no, let&#8217;s allow for the sake of the argument that abortion is a terrible wrong. \u00a0Even so, there&#8217;s something quite nauseating about Saunders&#8217; post, because what he does is to take\u00a0reports of two undoubted wrongs, and use them to shoehorn in a complaint about abortion: to take two utterly unrelated stories of great wrong and great suffering, and to bend them into the service of \u00a0a particular hobbyhorse. \u00a0What happened in Houla and in Derby seem to fit the word &#8220;slaughter&#8221; perfectly. \u00a0A medical procedure, carried out thoughtfully, and in good faith, is not slaughter. \u00a0These things do not belong together.<\/p>\n<p>If you want to post about abortion statistics, then do so. \u00a0What you say might be right; it might be wrong. \u00a0It can be taken on its merits.<\/p>\n<p>But to tie it to the stories of what happened in Houla and Derby, or to any other of the cascade of very real human misery that fills the headlines every day? \u00a0It debases what happened at Houla, and what happened in Derby, and the women who have abortions up and down the country. \u00a0I don&#8217;t think the word &#8220;vile&#8221; covers it.<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>I know it&#8217;s not long since I last posted about the Christian Medical Fellowship&#8217;s blog, and I would ordinarily leave it a bit longer&#8230; but I&#8217;m about to go off on one. \u00a0Forgive me. \u00a0I&#8217;ve had a hard week marking exam scripts, and I&#8217;m tired and stressed and cranky, and this is just&#8230; well&#8230; \u00a0Look: [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/medical-ethics\/2012\/06\/02\/well-consider-my-jaw-dropped\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1240,591,403,407],"tags":[],"class_list":["post-1809","post","type-post","status-publish","format-standard","hentry","category-blogosphere","category-life-and-death","category-rant","category-wtf"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Well, Consider my Jaw Dropped. - Journal of Medical Ethics blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/medical-ethics\/2012\/06\/02\/well-consider-my-jaw-dropped\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" 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