in Allgemein

On Abortion: Time, Space, Error and Ethics.

Nobody wants an abortion. No woman wants one, and no man who has thought about the issue wants any woman he cares about to be in a position in which she feels compelled to have one. Sometimes, though, in the service of the greater good, abortions are necessary. In the wake of the announcement of American Supreme Court Justice Kennedy’s imminent retirement, the issue of abortion once again became central in many newsfeeds. It is a topic perennially guaranteed to provoke outrage—all the more politically useful now that former hot-button topics like gay marriage and the legalization of marijuana have slid out of the maelstrom.

In Slate recently, William Saletan argued that, “Most Americans are conflicted about abortion. They don’t like it, but they also don’t like the idea of banning it.” This argument is backed up by poll numbers, but the position itself is not, contrary to what Saletan suggests, a conflicted one. Believing abortion necessary, while not “liking” it, is internally consistent, and both nuanced and moral.

I have friends who have had abortions. Most people probably do, whether they know it or not. One of my friends escaped an abusive home, became addicted to heroin, and got pregnant very young, before aborting the fetus, getting her act together, and becoming a scientist. That part where she got her act together and became a scientist? Far less likely had she been a teenage mother.

Rarely does the discussion of abortion include a consideration of the fate of zygotes absent intervention, or the fate of babies across human cultures. Let’s go there.

Humans Across Developmental Time and Cultural Space

People in WEIRD countries don’t tend to know a lot about pregnancy, despite what many of them will tell you. Here are some facts: most human zygotes throughout history never became children. They were miscarried, without any conscious decision by the mother. In many of those cases, the woman never even knew that she was pregnant—perhaps the fertilized zygote never implanted on the wall of the uterus (in which case, technically, the woman was never pregnant, although sperm and egg had come together in union). In other cases, there were chromosomal abnormalities so severe that development could not proceed past a few days or weeks. In still other cases, some combination of genetic and environmental conditions rendered the zygote non-viable. The majority of zygotes aren’t viable—they are flawed in some way, such that they cannot continue. They are human, by any usual definition of the term, but they cannot survive. This happens to most zygotes that have ever been conceived. This fact leaves me, a biologist, wholly unconvinced by arguments about the sanctity of life.

Furthermore, social norms in other cultures are both highly varied and responsive to their environments, and this truth extends to how humans have approached pregnancy. Just as they have a limited understanding of pregnancy, most WEIRD moderns have little knowledge of the diversity of human behavior and culture. Brace yourself, though, this gets ugly: historically, in many traditional societies, infanticide has been common. When there is not enough to eat, or the next oldest child is still highly dependent on the mother, or a young unpartnered woman has no good prospects for raising a child on her own, newborns are killed at their parent’s hands. Throughout recorded history (and presumably long before that), motherhood has been a matter of compromise—between the subsistence needs of the mother, the needs of her existing children and other commitments, and the time, energy and resources needed to bring a child to adulthood in the world. There is a long list of behaviors and actions historically available to women who are trying to control their own reproductive lives. Infanticide is on that list. I am not arguing that this is good, but it is true.

It is too easy to dismiss women who kill their babies as ill or criminally insane. Instead, we should recognize that maternal responsiveness varies with environment, and some environments are more likely to force women’s hands. This adaptive response, neither desirable nor good, exists in a suite of maternal responses to circumstance, along with abortion, abandonment and neglect.

Policies that provide women with access to education and reproductive services decrease rates of both infanticide and abortion. In the United States, very young mothers, and those with little education and no access to pre-natal care, are the most likely to commit infanticide, and maternal infanticide rates are lower in states in which women do not tend to live in poverty. Similarly, abortion rates have been reliably dropping in Europe and North America as reproductive services, including birth control, have become easier to access.

This debate could be a lot more gruesome: Americans don’t have to worry about whether the harvest will fail, and if it does, which child they will choose to feed as a result. Infanticide is off the table as an accepted practice. Society-wide, we have agreed on this much: once they are born, let us not kill our children.

Evolution responds to circumstance. Most zygotes disappear before even making themselves known to their mothers. In many cultures, in which the environment was variable enough that many children were unlikely to make it to adulthood, infanticide has been acceptable. First, the circumstances of the genetic arrangement, then that of the environment inside the womb, then the environment outside of the womb, have caused fertilized eggs, zygotes, fetuses and babies to die or be killed. Adults across cultures have been making difficult reproductive choices for as long as we have been human. In short, abortion has been one of many ways, across time and space, that humans, with our greatly expanded childhoods compared to all other species on the planet, have managed our reproductive lives.

There is good scholarly work on the use of botanical abortifacients in other cultures, too.  This originally came to the West’s attention during the Age of Exploration, when the rare female adventurer waded out of her safe sphere and into the cultures and lands of others. In 1705, Maria Sibylla Merian, a German woman traveling on her own, wrote about the use of the abortifacient peacock flower by Indian and African slave populations in Surinam, so that they would not bring children into a life of slavery. Other examples include, for instance, the dozens of plant species used by traditional healers in ancient Persia in medicinal formulations to instigate abortion. Indeed, even non-humans are rumored to seek abortions under certain conditions: I had a friend in Madagascar, a naturalist guide, who pointed out to me the plant that lemurs were said to eat in order to induce abortions.

At its core, this issue comes down to where we draw the line—and whether a line is in fact the right metaphor.

A Line or a Continuum?

The clearest, brightest line is that of conception, when sperm and egg meet. Monty Python and their send-up of the Catholic church notwithstanding, most people do not argue for the sanctity of gametes. Once gametes are combined, however, it is possible to provide legal protection for those fertilized eggs. It is an enforceable goal—it is actionable—but that doesn’t make it the right goal, and what we know from biology assures us that most zygotes are not destined to survive.

Another clear line, with only slightly fuzzier borders, is birth: being inside or outside of the mother’s body is an observable fact. We know, given the prevalence of infanticide in human history, that this line has not always been considered sacrosanct. But, for most moderns, the idea of abortion at nine months gestation, just before a full-term birth would occur, is a bridge too far, except in those rare cases when it is medically necessary for the survival of the mother.

Those are the two obvious lines. Lines are easy, from a governance perspective: the discrete cases on either side are binary, and therefore easier to police than gradients based on probabilities. But ease of governance is neither sufficient justification for, nor a moral response to, such a complex societal issue.

What rubric might we use, then, if not a bright line, a clear moment in time? We have extensive data on the average age at which organ systems are laid down, at which brain development accelerates in utero, and also when a fetus can survive outside of a mother’s body, with and without external life support. If we recognize a trade-off between the positive social impact of keeping abortion available to women, and the problems of providing carte blanche for all abortions up to some very late date, perhaps we should seek a solution that renders barriers to abortion higher the farther along in the pregnancy a woman is, but allows free and easy access early in pregnancy, and so does not sacrifice a woman’s ability to choose her life’s fate.

The polarization over abortion is serving two distinct constituencies—those who would have it banned, and those who would have it broadly expanded in scope. The arguments are often presented as if those are the only two viable positions (anti-abortion under all circumstances, and embracingly, positively, pro-abortion). But somewhere between “every sperm is sacred” and “children can be killed on command” lies every human’s position. It is a continuum.  As is so often the case, that polarization is at odds with a properly nuanced position in this debate.

There is, on the anti-abortion side of this issue, an argument about the sanctity of life. I respect people who hold this position, so long as they’re consistent. Given the fate of most pregnancies, and the remarkable diversity of approaches to unwanted pregnancies across cultures, it’s not my position, but if the reason that you are opposed to abortion is because you believe in the sanctity of life, then, to be consistent, you also need be opposed to the death penalty. I would take it one step further, and suggest that you also need to be interested in increasing funding for those at risk of early death from malnutrition, homelessness, addiction and illness, both physical and mental. And that list is substantively incomplete.

Taking Responsibility for Error

Some will argue, instead, that prioritizing personal responsibility is what drives their anti-abortion position: personal responsibility argues for both an anti-abortion and pro-death-penalty position. To this I respond thusly: an error made by two people—unwanted pregnancy results from two people having sex—in which the responsibility is not just potentially borne by only one of them, but the life of that one will be forever altered and potentially fully derailed—is not reflective of responsibility. It gives half of the would-be parents a free pass, and sentences the other half to a fate that, while wondrous when desired, can be disastrous, for both child and mother, when not.

Furthermore, if you play soccer and break a leg doing so, it is not responsible to remain maimed simply because the playing of soccer brought with it the risk of breaking one’s leg. It is, in fact, responsible to have your leg fixed, not merely so that you can live to play soccer again, but so that you can go on to contribute maximally to society, living up to your potential, not just with regard to soccer, but in other regards as well. If you have sex and end up pregnant, it is not responsible to become a parent out of a sense of moral obligation, if you are not ready to do so. Responsible athletic and sexual behavior both involve a reduction, on the front-end, of the chances of undesirable outcomes. Setting a bone is not identical to aborting a fetus, but there is a moral analogy to be made, with regard to how a person should take responsibility for their actions.

There is confusion, too, I think, about what drives many of us to be pro-choice. We are not anti-life. Our reasons for supporting a woman’s right to choose may not, in fact, hinge on how we view what is human and what is not. My position on the death penalty, for instance—I am opposed—is based on the fact that some convictions are in error, and I would far rather have murderers living behind bars than have any innocent executed. I do not oppose the death penalty because I am under the impression that human life is sacred. Facilitating choices that allow people to live their highest and best lives is consistent with both a pro-choice and an anti-death-penalty position—in part because it recognizes that we are flawed. We make errors, all of us—as individuals and as society—and forgiving those errors, learning from them, and moving forward, is a humane response.

A Humane and Reasoned Response

There is a question of which of two lives we, as a society, prefer. Do we prefer the life of an adult who can make decisions for herself, and who has found herself in an unfortunate position? Or do we prefer the life of her unborn child—a child who has not yet had the opportunity to make decisions for itself, good or bad? The implicit moralizing that prefers the fetus to the woman has judged the woman guilty for needing an abortion in the first place. But think of it this way: every baby needs someone to love him completely, to sacrifice in ways that they have probably never sacrificed before. By contrast, some adults may want such a person in their lives, but no fully functional adult needs it to survive. By preferring the future baby—who will need love and sacrifice, and lots of it—over the adult—who does not need that kind of support—you guarantee that our shared social fabric will be stretched ever thinner.

Finally, there is the issue of the fundamental difference between the two sexes, with regard to how this issue has the potential to affect individuals. There are several experiences that are borne exclusively by women, on behalf of humanity: menstruation, gestation, lactation, miscarriage and, yes, abortion. Some are positive, all are at least somewhat, or sometimes, negative. Because menstruation is both involuntary and universal among women, it is hard to politicize in the way that abortion is politicized. But everything on that list above is, to some degree, analogous to the other things on the list. Regarding menstruation: men mocking it is a dick move, and women amplifying discussion of it, working to normalize it in what used to be called water-cooler conversations, is solipsistic—or, if you will, also a dick move, just without the dick. Similarly, regarding abortion: it makes no more sense to ban it than to celebrate it. Sometimes abortion will be the best choice. Because women get pregnant and men do not, it seems like a women’s issue. But it is no more a women’s issue than is the production of life. We are obligate sexual creatures. We all bear the costs of that.

Mostly, Americans and other WEIRD moderns are in agreement: we do not want abortions to be common, but we understand that they are sometimes necessary, and that making them available to women is important if we are to value the lives of those already alive and breathing on their own. Between two extreme positions—“abortion is murder” and “abortion is no big deal”—there is a vast middle ground. Most of us live in that middle ground, and can handle the grey area.

References Cited

Gauthier, D. K., Chaudoir, N. K., & Forsyth, C. J. (2003.) A sociological analysis of maternal infanticide in the United States, 1984-1996. Deviant Behavior, 24(4), 393-404.

Hrdy, S. B. (1992). Fitness tradeoffs in the history and evolution of delegated mothering with special reference to wet-nursing, abandonment, and infanticide. Ethology and Sociobiology13(5-6), 409-442.

Hrdy, S. B. (1999). Mother nature: A history of mothers, infants, and natural selection. New York: Pantheon. 723 p.

Lycett, J. E., & Dunbar, R. I. M. (1999). Abortion rates reflect the optimization of parental investment strategies. Proceedings of the Royal Society of London B: Biological Sciences266(1436), 2355-2358.

Madari, H., & Jacobs, R. S. (2004). An analysis of cytotoxic botanical formulations used in the traditional medicine of ancient Persia as abortifacients. Journal of natural products67(8), 1204-1210.

Overpeck, M. D., Brenner, R. A., Trumble, A. C., Trifiletti, L. B., & Berendes, H. W. (1998). Risk factors for infant homicide in the United States. New England Journal of Medicine339(17), 1211-1216.

Schiebinger, L. (2000). Exotic abortifacients: the global politics of plants in the 18th century. Endeavour24(3), 117-121.

Sedgh, G., Bearak, J., Singh, S., Bankole, A., Popinchalk, A., Ganatra, B., … & Johnston, H. B. (2016). Abortion incidence between 1990 and 2014: global, regional, and subregional levels and trends. The Lancet388(10041), 258-267.

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