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Abortion



All Reason.com articles with the "Abortion" tag.



Published: Tue, 21 Nov 2017 00:00:00 -0500

Last Build Date: Tue, 21 Nov 2017 00:25:46 -0500

 



Ban on Abortion Because of Down Syndrome Clears Ohio Legislature

Fri, 17 Nov 2017 12:12:00 -0500

(image) Both houses of the Ohio General Assembly have approved making it illegal for women to get abortions because a fetus is found to have Down Syndrome. If the law, as expected, is approved by Republican Gov. John Kasich, Ohio will become the third state to do so.

"Do we want in the state of Ohio to have people making a decision that someone is less valuable because of a chromosomal disorder that they have," state Sen. Frank LaRose (R-Hudson), who recently lost his bid to become Ohio secretary of state, asked during an explanation of his sponsorship of the senate measure for WOSU radio.

Laws like the one LaRose championed are largely symbolic measures (like state bans on sex-selective abortion). Women aren't required to provide a reason to terminate a pregnancy and doctors aren't required to test for Down Syndrome, or anything else, before performing an abortion.

Choosing to abort fetuses found to have genetic abnormalities does not, despite LaRose's grim takeaway, mean that people place less value on the lives of people with these conditions. Many potential parents know they don't have the financial, emotional, or other resources required to raise a special-needs child. And without people lining up to adopt or otherwise take care of these children, that's what we're asking prospective parents of fetuses with Down Syndrome to do.

It's admirable that many families do choose to do it (and of course for many people, religious or moral beliefs mean there's no other option for them). But it's not the state's place to impose this choice on pregnant women and their families. Forcing it on people does not seem likely to produce healthy outcomes or situations in the best interest of the children involved.

Three Ohio Republican senators joined their Democratic colleagues in voting against the Down Syndrome abortion ban. Republican Sen. Matt Dolan (R-Chagrin Falls) told WOSU that he thinks the bill is constitutionally questionable and will also have unintended consequences.

"If we're going to introduce law that says the patient and doctor's conversation with each other could lead to some liability, I think what we're going to see is reduced conversation," Dolan said.

Democrats added two amendments included in the Senate bill: one saying that no public money would go to defending the ban it court should it be challenged and one saying women should not have to say why they are getting an abortion. "It's ironic," said Sen. Charleta Tavares (D-Columbus), "that those who claim they believe in limited government are once again choosing to insert themselves in a relationship that is sacred between that practitioner and their patient."

Disability advocates have had mixed reactions to the bill. Some are opposed because singling out Down Syndrome, but allowing abortions motivated by other genetic conditions or fetal abnormalities, suggests the lives of people with those conditions are less valuable.




Supreme Court to Weigh Rules for Anti-Abortion Pregnancy Centers in California

Tue, 14 Nov 2017 11:45:00 -0500

(image) The U.S. Supreme Court has agreed to hear a case involving California's regulations for "crisis pregnancy centers." These generally religious, always anti-abortion centers have come under fire in the past for misrepresenting themselves as comprehensive reproductive health clinics while providing little in the way of medical services. But in trying to stop some centers from fraudulent advertising, the state of California passed legislation that may violate their First Amendment rights.

According to NARAL ProChoice America, California has around 170 crisis pregnancy centers, with around 40 percent licensed as medical clinics.

Under a law that took effect in January 2016, California pregnancy centers are required to disclose whether they are licensed medical providers or merely offer ancillary services (such as counseling or a clothing bank) to pregnant women. That part isn't controversial. But the law also requires crisis pregnancy centers that are licensed health clinics to notify patients about state programs that can help low-income women pay for prenatal care, contraception...and abortions. Clinics that fail to post the required state notice face civil penalties.

Naturally, the anti-abortion crowd running most of California's crisis pregnancy centers doesn't want to be forced to provide pregnant women with this information. In October 2015, two centers—A Woman's Friend Pregnancy Resource Clinic of Marysville, California, and the Crisis Pregnancy Center of Northern California—filed a suit challenging the law.

The groups, represented by the Pacific Justice Institute, claim the law "unconstitutionally compels [crisis pregnancy centers] to speak messages that they have not chosen, with which they do not agree, and that distract, and detract from, the messages they have chosen to speak." In addition, "disseminating the mandated state message...is inconsistent with plaintiffs' religious convictions." The suit says the regulations violate both freedom of religion and freedom of speech.

Since then, several other groups have brought lawsuits challenging the same law. On Monday, the Supreme Court agreed to hear one of these cases (National Institute of Family & Life Advocates v. Becerra).

The Supreme Court's review will focus on whether "the disclosures required by the California Reproductive FACT Act violate the protections set forth in the Free Speech Clause of the First Amendment, applicable to the States through the Fourteenth Amendment." Previously, both the district court and the U.S. Court of Appeals for the 9th Circuit sided against the National Institute of Family & Life Advocates pregnancy center.




No Forced Childbirth for Undocumented Immigrant Teen in Federal Custody

Thu, 26 Oct 2017 00:01:00 -0400

In April, the Trump administration took a stand against the brutal methods used to enforce China's one-child policy. The U.S. Conference of Catholic Bishops denounced China for "acts of violence" against pregnant women, including "coerced sterilizations and forced abortions," and praised the president for cutting off funds for U.N. family planning efforts. This administration does not try to force pregnant women to have abortions. Just the opposite: It tries to forces pregnant women to have babies. And its methods bear an uncanny resemblance to those employed by the Chinese government. The evidence is on view in the case of an unaccompanied 17-year-old from Central America who was detained after entering the country illegally in September. On Wednesday morning, after a furious legal battle, she got an abortion. But that outcome came only after weeks of efforts by the administration to prevent her from doing so. She has been held in a federally funded shelter since she was picked up. After discovering her pregnancy, she went through the process required under Texas law for a minor to get an abortion. A state court ruled she was "mature and sufficiently informed" to decide for herself. The Supreme Court has ruled that the constitutional right to privacy protects the right to abortion. Given those two realities, the case should have been closed. But the administration doesn't like to be constrained by laws or the Constitution. It preferred that "Jane Doe," whose identity is protected, carry her pregnancy to term, and it did all it could to make her comply. The Office of Refugee Resettlement sent her to an anti-abortion "pregnancy crisis center," where she was urged to change her mind. It told her mother about the pregnancy even though the girl said her parents had severely abused her. The government refused to let her leave the shelter to get an abortion—though it offered to let her leave for medical treatment if she agreed to give birth. At each stage, it found ways to block her access. It may be argued that because the teenager is here without authorization, the Constitution doesn't apply to her. But the Supreme Court has never taken such a position. It has ruled that even undocumented immigrants enjoy constitutional protection, including "due process of law." The Justice Department said that because she is a minor and here illegally, it is entitled to impose its own preferences on her. If she wanted to have an abortion, it said, she had the option of returning to her home country—though she said that doing so would expose her to more abuse. The district judge ruled in her favor, and on Tuesday, an appeals court agreed. In her opinion, Judge Patricia Millett concluded that Doe, "like other minors in the United States who satisfy state-approved procedures, is entitled under binding Supreme Court precedent to choose to terminate her pregnancy." The administration said it should not be required to "facilitate" a procedure it finds abhorrent. But that was a bogus claim. The girl was not asking the government to pay for the operation, provide a doctor, or transport her to the clinic. The only thing her lawyers asked of the government was "to stop blocking the door." But the facilitation argument wouldn't stand up regardless. If she were an adult, Doe would be in the custody of Immigration and Customs Enforcement, which permits detainees to get abortions. If she were in federal prison, she would be allowed to get an abortion. Doe asked for far less—and the Trump administration tried to deny her even that. Absent this court ruling, she'd have been confined and required to go to term, even though continuing her pregnancy presented much greater risks to her health than ending it. This was a simple choice: Compel the girl to give birth or let her get an abortion. The fact that she is undocumented doesn't change that reality. As Judge Millett wrote, "Surely the mere act of entry into the United States without documentation does not mean that an immigrant's body is no longe[...]



Christian Cake Bakers and Gay Coffee Shop Owners: Why Freedom of Association Is for Everybody

Tue, 10 Oct 2017 12:50:00 -0400

A gay coffee shop owner in Seattle is getting viral attention for loudly ejecting a group of aggressive anti-abortion Christian activists from his business. Members of Abolish Human Abortion had been handing out rather vivid posters outside the shop that seem to link gay acceptance to the prevalence of abortion. They then came inside Bedlam Coffee and received service—until shop owner Ben Borgman angrily threw them out, declaring their views and their posters offensive. Watch his profanity-laced tirade below: src="https://www.youtube.com/embed/FRUJmGzV9Ko" allowfullscreen="allowfullscreen" width="560" height="340" frameborder="0"> It's very easy to watch Borgman's rant and decide that, no, his shop shouldn't have to play host to a group of people who were just outside handing out fliers that he found offensive and that he felt attacked him personally. It's also easy to watch it and immediately think about the upcoming Supreme Court case about whether the government can force a baker to prepare wedding cakes for gay couples. And some, like the legal scholar Jonathan Turley, are doing exactly that. If a coffee shop owner doesn't want to serve a group whose positions he finds disagreeable and offensive, is that subtantially different from a baker refusing to do work for a same-sex marriage he finds offensive? Washington State's public accommodation laws prohibit discrimination on the basis of "creed," so Borgman cannot simply boot people out of his coffee shop for having Christian religious beliefs. But over at The Stranger, a Seattle alt-weekly, Katie Herzog argues that this case isn't religious discrimination but a disagreement about political positions: Not believing that woman should have autonomy over their own bodies is not actually a protected class in America, much like...gays. Looks like these folks have more in common than they thought. She's saying that Borgman isn't kicking them out because they're Christians, which would violate the state's laws; he's kicking them out because he finds their extreme anti-abortion positions offensive. The fact that these positions are informed by their religious beliefs is not relevant. What's fascinating about that argument is how it so closely tracks the response from bakers and florists who don't want to offer their services for gay weddings. They say that they're not discriminating against gay people: Gay people are more than welcome to come into their shops and buy cakes and flowers. Rather, they object to the concept of gay marriage and to the position that it should be treated similarly to heterosexual marriage, and they do not want to be forced to produce goods that suggest that they support it. By trying to come up with a justification as to why Borgman should allowed to boot these guys from his coffee shop without running afoul of state antidiscrimination laws, Herzog is essentially making the same argument: that this isn't discrimination against people for their identities, but discrimination against certain views. That's the sort of weird semantic contortions that come when you try to police the circumstances in which people can decline to do business with someone else. People want to preserve their own right to refuse to associate with others while limiting the others' ability to shun them. Using government authority to do this gives people an incentive to look for ways to punish people with whom you have disagreements. But it's more responsible, ethical, and most of all mature to suggest that both the coffee shop owner and the baker should be able to decide for themselves when they'll extend their hospitality. With neither the coffee shop nor the baker does a refusal to do business with these customers cause real, recognizable harms that justify government intervention.[...]



Do Abortion Rules Violate Satanists' Religious Freedom? Missouri Supreme Court to Decide

Tue, 10 Oct 2017 10:35:00 -0400

The Supreme Court of Missouri has agreed to hear an interesting religious and reproductive liberty case. Brought by "Mary Doe," a member of the Satanic Temple, the case challenges an "informed consent" law requiring a 72-hour waiting period, an ultrasound, and support for statements like "life...begins at conception" before a woman can get an abortion. "The case would be the first of its kind to be heard by either the Missouri Supreme Court or U.S. Supreme Court," notes the Kansas City Star. Doe claims the requirements violate her right to religious freedom, as Satanists do not believe that life begins at conception. The first court to hear the case rejected Doe's constitutional claims, but an appeals court last week decided Doe's claims might have merit. It presents "a contested matter of right that involves fair doubt and reasonable room for disagreement," the Western District Court of Appeals ruled unanimously, ordering the case be transferred to the jurisdiction of the Missouri Supreme Court. Missouri regulations require that any woman seeking an abortion must first view an active ultrasound, wait 72 hours after an initial doctor's visit, and sign papers declaring that they have read and understand state-mandated statements that personhood begins at conception and that abortion at any stage terminates "the life of a separate, unique, living human being." "The sole purpose of the law is to indoctrinate pregnant women into the belief held by some, but not all, Christians that a separate and unique human being begins at conception," wrote the appeals court. "Because the law does not recognize or include other beliefs, [Doe] contends that it establishes an official religion and makes clear that the state disapproves of her beliefs." Despite its provocative name, the Satanic Temple doesn't actually worship Satan. There's no ritual sacrifice or other trappings of Satanic lore. It's more of a mischievous and high-concept anti-religion, opposed to the tenets of organized Christianity and their infiltration of American laws. Its description of its mission actually sounds mighty libertarian, as well as steeped in traditional morality: to "encourage benevolence and empathy among all people, reject tyrannical authority, advocate practical common sense and justice, and be directed by the human conscience to undertake noble pursuits guided by the individual will." "The first conception was in response to George W. Bush's creation of the White House Office of Faith-Based and Community Initiatives," one of the Satanic Temple's founders told The New York Times in 2015: "I thought, 'There should be some kind of counter.'" He hit on the idea of starting a faith-based organization that met all the Bush administration's criteria for receiving funds, but was repugnant to them. "Imagine if a Satanic organization applied for funds," he remembered thinking. "It would sink the whole program." Both founders consider themselves "atheistic Satanists," with no more literal belief in Satan than they do in a literal God. To them, Satanism represents "the solidarity of outsiders, those judged and excluded by the mainstream," explains the Times. In addition to challenging religiously motivated abortion regulations, the Satanic Temple has also been active in fighting things like prayer in public schools, prayer at City Council meetings, a biblical statute on Oklahoma statehouse grounds, courthouse Nativity Scenes, and public schools distributing the Bible to their students.[...]



Harvey Weinstein, Tim Murphy, and Political Hypocrisy

Mon, 09 Oct 2017 09:05:00 -0400

Last week saw not one but two disturbing scandals involving powerful men and sex. Movie mogul Harvey Weinstein, a major force in Democratic Party fundraising and activism, has been fired from the company he co-founded in the wake of reports that he serially harassed actresses for decades. Rep. Tim Murphy, a married, eight-term, pro-life Republican from Pennsylvania, resigned after it came out that he wanted his mistress to have an abortion during a pregnancy scare. Each situation underscores the massive hypocrisy liberals and conservatives, Democrats and Republicans, traffic in. Each also helps explain why Americans are right to want the government out of our lives as much as possible. When the people who fund politicians and the politicians themselves are so full of awfulness, who in their right mind would give such figures the right to dictate any part of our lives? It's no wonder that support for a "major third party" is higher than ever, according to Gallup. Weinstein has a long and phenomenal clip reel as a movie man before being fired yesterday from The Weinstein Company. Founded in 1979 with his brother Bob in Buffalo, New York, of all places, Miramax, his original movie company, set out to produce and distribute independent movies at the very moment that Hollywood had seemingly turned all of its attention to blockbusters and tent-pole pictures. Among its offerings were movies that helped create the indie boom of the 1980s and '90s: Sex, Lies, and Videotape; Pulp Fiction; and Clerks. As distributor of Errol Morris' The Thin Blue Line and 1990s's Paris Is Burning, Miramax helped revive theatrical-release documentaries. It didn't stint on Oscar bait either, as films such as Shakespeare in Love, The English Patient, Good Will Hunting, and The Crying Game attest. The mix of critical praise and boffo box office gave Weinstein an immense amount of power in the entertainment industry and, despite a reputation of being a total asshole, he also bought his way into the highest circles of Democratic Party fundraising and access to glamour pols such as Hillary Clinton, John Kerry, Al Franken, Kristen Gillibrand, Chuck Schumer, Cory Booker, and Elizabeth Warren. Even his threatening to "rip" future Virginia Gov. Terry McAuliffe's balls off couldn't hurt his standing as long as the green was flowing. As Jezebel puts it, According to the Center for Responsive Politics, he's shelled out hundreds of thousands of dollars to the Democratic Senatorial Campaign Committee (DSCC) and the Democratic National Committee (DNC), and has also donated to state Democratic parties; in total, his political donations amount to over $1.4 million.... During Obama's 2012 campaign, Weinstein was noted as a top "bundler" from the entertainment industry as Hollywood money swept in to fill the donation gap left by a newly-regulated Wall Street. Shortly before that year's election, Republicans were infuriated by news that the film Seal Team Six: the Raid on Osama bin Laden, premiering just days before the election, was tweaked by Weinstein himself to expand Obama's role. Malia Obama interned for Weinstein this past spring, two years after Weinstein was publicly accused of groping Italian model Ambra Battilana. "Across the years and continents," reports The New York Times, "accounts of Mr. Weinstein's conduct share a common narrative: Women reported to a hotel for what they thought were work reasons, only to discover that Mr. Weinstein, who has been married for most of three decades, sometimes seemed to have different interests." Multiple women said that Weinstein, often clad only in a robe or pajamas, would ask them to massage him or watch him shower. Among the women were actresses such as Ashley Judd, then starting her career, and he paid settlements to others, such as actress Rose McGowan, after an incident in 1997. If Weinstein's behavior calls to mind the worst sort of casting-couch scenarios of Hollywood's suppose[...]



House Passes Bill Making Abortion After 20 Weeks a Federal Crime

Tue, 03 Oct 2017 08:36:00 -0400

(image)

Update: On Tuesday afternoon, the bill passed the House 237 to 189.

Third time's a charm? The U.S. House of Representatives is considering "The Pain-Capable Unborn Child Protection Act," a bill to ban abortion after 20 weeks, for the third time since 2013. But this time, the White House has signaled full support for the bill.

Under the new legislation (H.R. 36), abortion after 20 weeks pregnancy would be a crime except in cases where the life of the mother is at risk or the pregnancy is a product of rape or incest. Pregnant women who find out after the cutoff that they are carrying an nonviable fetus (i.e., one that cannot survive outside the womb) would still be forced to carry the fetus to term.

While women seeking an abortion after 20 weeks would not be criminalized under federal law, anyone who performed or agreed to perform an abortion on someone more than 20 weeks pregnant would face five years in federal prison, a fine, or both. "A woman who undergoes a prohibited abortion may not be prosecuted for violating or conspiring to violate the provisions of this bill," it states.

The failure to directly criminalize women may seem like a bright spot. But in this way the bill not only restricts women's control over their own bodies and reproductive futures but also takes a pass at their agency, declaring us too morally or intellectually inferior to know what we are doing and be held responsible for our decisions. In fact, under Republicans' new proposal, a woman who seeks out an abortion after 20 weeks and finds a doctor to do it may then sue the abortion doctor in civil court.

From a philosophical standpoint, it's bullshit—but from a political point, it makes sense. Republicans know that if they start throwing women in jail for terminating their pregnancies, they would lose a lot of centrist support; not so if they can make this about punishing evil "abortionists" that prey on poor pregnant women.

In a statement Monday, the Trump administration said it "strongly supports H.R. 36, the Pain-Capable Unborn Child Protection Act, and applauds the House of Representatives for continuing its efforts to secure critical pro-life protections."

But while conservative representatives and President Trump may be enthused about the proposed abortion ban, the Senate has indicated that now is not the time. On Monday, Republican Sen. John Cornyn (R-Texas) said taking up the abortion bill was "not a near-term priority."




Bullied By the State, Toledo Abortion Clinic Takes Its Fight to Remain Open to the Ohio Supreme Court

Thu, 14 Sep 2017 11:20:00 -0400

A Catch-22 in Ohio abortion law came before the state's Supreme Court this week. The case addresses the attempted shutdown of Toledo's only remaining abortion clinic and a pair of state regulations that make it legally impossible for some clinics to stay open, even if they have done nothing wrong. Ohio has long required all outpatient surgical centers, including abortion clinics, to have a formal transfer agreement with a local hospital. In general, such regulations are pretty pointless, as surgical center patients with complications can be treated at nearby hospitals regardless of whether such an agreement exists. But they didn't post much of a problem for reproductive freedom in Ohio until 2013. That year, as part of the state's budget bill, legislators forbade public hospitals from entering into transfer agreements with any abortion provider. For Toledo's Capital Care Network, the new rule meant losing its transfer agreement with the University of Toledo Medical Center. The clinic proceeded to secure a transfer agreement with the University of Michigan Health System, 50 miles away, but it was told this was too far to qualify as local. In 2014, the Ohio Department of Health ordered the clinic to close. Capital Care Network pushed back with a lawsuit. Two lower courts have sided with the clinic, which has thus far been able to remain open. At the Supreme Court on Tuesday, justices were interested in whether the clinic's closure would pose an "undue burden" on Ohio women seeking to terminate a pregnancy—a standard often used in judging the constitutionality of state abortion restrictions. Capital Care Network is the only remaining abortion provider in the greater Toledo area, after the city's other clinic was forced to close in 2013 upon losing its transfer agreement with a public hospital. Assistant Attorney General Stephen P. Carney told the justices that if the Capital Care Network closed, the closest clinics available to women in the Toledo region would be in Detroit or Ann Arbor, Michigan. "Surely you just didn't just say the undue burden is met if we tell women you can't have an abortion in Ohio but you can certainly go to Michigan?" Justice William M. O'Neill replied. But undue burden isn't really the issue in this case, because Capital Care Network is not challenging the constitutionality of the regulation per se. Rather, it objects to the way it was passed, as part of the state's 2013 budget bill. Under the Ohio Constitution, legislation shall not "contain more than one subject, which shall be clearly expressed in its title." The idea is to ensure transparency and time for public comment and debate. Capital Care Network lawyers told the Court that passing the transfer agreement ban as part of the budget bill violated this rule, because the regulation "has nothing to do with appropriations." The state contended that it didn't violate the rule, because "it involves how we operate government." If the state's argument flies, that would seem to negate the entire point of one-subject rule, since any rulemaking the government undertakes could be said to relate to "how we operate government." And at least one justice wasn't having it: "That's a pretty broad statement to say it pertains to the operation of state government," Justice Maureen O'Connor replied. Publicly funded hospitals in Ohio are not prohibited from contracting with any specific type of outpatient surgical center other than abortion clinics. In 2014, a Cincinnati clinic was forced to close after the new law caused it to lose its transfer agreement with nearby public hospitals and the private Catholic hospitals in the area declined to pick up the slack. The clinic applied for a waiver, which the state denied, leaving the Cincinnati area with only one abortion clinic. The state is currently seeking to shut down the Women's Med Center in Dayton, 45 minutes north of Ci[...]



Brickbat: Important Lesson

Tue, 01 Aug 2017 04:00:00 -0400

(image) In Pennsylvania, Downington Area School District Superintendent Emilie Lonardi has formally apologized to two students and said their rights were violated when an administrator harassed and cursed them during their pro-life protest on public sidewalk outside the Downington STEM Academy. Zach Ruff confronted the two, threatened to call police if they talked to other students, told them to go to hell and told them that fetuses are not children but cells.




Brickbat: I'll Tell You Where You Can Go

Fri, 21 Jul 2017 04:00:00 -0400

(image) The state of Hawaii is now forcing faith-based pregnancy centers to give women information on where they can obtain an abortion. Those who violate the law face a $1,000 fine for each violation.




'Free' Abortions for Everyone in Oregon

Thu, 06 Jul 2017 16:55:00 -0400

A measure on its way to Gov. Kate Brown requiring health-insurance plans to include "free" coverage for elective abortions and an array of other pregnancy-related services for all insured, regardless of their gender identity, is certain to reverberate far beyond the state of Oregon. The bill, sponsored by state Rep. Julie Fahey (D-West Eugene), is a response to Republican shenanigans in Washington, which could soon end Obamacare's provision that health insurers cover a list of preventative services with no deductibles or co-pays. Fahey's measure would ensure that many of these services—such as cervical and breast cancer screenings and birth control—remain mandatory benefits under Oregon insurance plans and add abortion and vasectomies to the list. It would also set up a fund for covering abortion procedures for undocumented immigrant women, who are not eligible for state-funded health coverage otherwise. "In some states such as New York, abortions are cost-free if they're deemed medically necessary," ABC News reports. "The Oregon bill is unique, however, in that patients would have access to the procedure for virtually any reason, at any time." The Hill called the bill "a rare bright spot for abortion rights advocates at a time when opponents have advanced restrictions in other states." I disagree. The goal of the reproductive-freedom movement is ensuring safe, widespread access to things like contraception, abortion, and maternity care. And, in theory, the Oregon measure does that. But it does so by acting on the same authoritarian impulses abortion foes are so fond of, guaranteeing inevitable and lengthy legal battles from folks who feel their conscience rights are being abridged. The bill contains some exemptions for churches and religious non-profits as required by federal law. Insurance companies with religious objections can also apply for a waiver. But the category of people who oppose abortion for religious reasons extends far beyond religious institutions and insurance-company execs. As with Hobby Lobby and the Obamacare contraception mandate, there will certainly be owners of private, for-profit companies who object to providing employee health-care coverage that funds something they find morally abhorrent. I don't find abortion morally abhorrent. I share in the liberal fight to not just keep abortion legal and clinics open but also to ensure that anyone who needs to terminate a pregnancy can afford to do so. But we have got to get beyond this idea that securing this access must involve mandates and government funding. Inevitably, such requirements will interfere with civil liberties, stymie innovation that could bring better and cheapter care to more people, and drive up the cost of care for everyone. If we are securing abortion access even for those who can't afford it, why not go at it directly, instead of through sixteen layers of bureacracy? Making every health-care plan include abortion coverage doesn't just rile religious objectors and raise insurance costs (which will be passed on to plan recipients indirectly), it ignores some of the most vulnerable populations. Not only undocumented immigrants who may lack health insurance coverage altogether. Homeless women, women fleeing violent partners, teen runaways, drug addicts, and others who are unlikely to be insured are also likely to be targets of sexual violence and to have unintended pregnancies. How is a health-insurance mandate going to help them? Abortion providers will no longer have an incentive to keep costs as low as possible or find innovative models for care because they can count on insurance reimbursement and don't need to deal directly with patients about the expense. Rather than requiring one-size-fits-all insurance plans, we'd do better to look to places like Carafem,[...]



5 Thoughts on the St. Louis 'Abortion Sanctuary City' Mess

Mon, 12 Jun 2017 15:10:00 -0400

Should municipalities be able to set themselves up as "abortion sanctuary cities," where anyone who has had the procedure or is considering do so is given special legal protections? St. Louis tried to do just that earlier this year, when the board of aldermen passed an ordinance making it illegal for an employer or housing provider to discriminate against women for their "reproductive choices." The state House responded with a bill to override the local law, but it stalled in the state Senate. Now, Republican Gov. Eric Greitens has called an emergency session, bringing lawmakers back to the capital to try again. What should libertarians make of this hullaballoo? Below are five points worth considering. 1. The St. Louis ordinance is troubling from a libertarian perspective. Whatever your feelings about the right to terminate a pregnancy, "abortion sanctuary cities" ought to be opposed on libertarian grounds. This law creates a new protected class in the form of women who have gotten an abortion or are thinking about doing so, opening up countless private organizations to the threat of lawsuits. More to the point, it infringes on the associational liberty of individuals and groups by saying that lawmakers' values trump their own. I've written (not once but twice) that religious employees also should not get special legal protections, and for the same reason: In a free country, people have to be allowed to make decisions for themselves about whom to enter into business relationships with, and whom not to—even when they make choices the rest of us don't like. 2. The St. Louis ordinance threatens the existence of crisis pregnancy centers and other pro-life groups. Ask yourself whether the state of Missouri would be a better or a worse place if Our Lady's Inn were driven out of business. The network of maternity homes has for 35 years given support and resources to pregnant women and new mothers who opted not to abort their babies. The St. Louis Review reports: "The ordinance prevents me from hiring only individuals who support our alternatives to abortion mission," said president and executive director Peggy Forrest. "It also requires Our Lady's Inn to house women who intend to have an abortion. ... This forces us to be complicit in that decision." Since the ordinance's passage, the agency has had a couple of instances in which women have called inquiring about services, but seemed to have questionable motives, Forrest said. "The potential is really large, since the passage of this ordinance, that women either pretending to need services or knowing full well they don't want the services that we provide will engage us just to see if they can catch us in violating the ordinance," Forrest said. "It's insincere and takes up time for women who really are interested in our services. Pro-choicers often accuse pro-lifers of caring about unborn children to the exclusion of the well-being of their moms. Abortion opponents are denounced for not doing enough to aid women who face difficult circumstances such as poverty, homelessness, lack of health insurance, or abusive relationships. Our Lady's Inn, like scores of crisis pregnancy centers around the country, put their money and their man-hours where their mouths are by offering needed services to women so they won't feel so much pressure to choose abortion. As thanks, St. Louis passed an ordinance that undermines these groups' ability to operate. 3. There is no bright line between discrimination based on a choice and discrimination based on a category of person. Back in January, some liberal fashion designers announced a boycott of incoming first lady Melania Trump, even though they had happily created custom apparel for Michelle Obama. "The Sophie Theallet brand stands against all discr[...]



Should the Government Limit What Women Can Learn from Non-Invasive Prenatal Testing?

Fri, 26 May 2017 13:15:00 -0400

(image) As they develop, fetuses shed their DNA into the bloodstreams of pregnant women. Several companies now offer a blood test that can provide genetic information about a fetus nine weeks into a pregnancy, when it is the size of a grape. The process is called non-invasive prenatal testing (NIPT) because—unlike earlier tests, such as chorionic villus sampling or amniocentesis—cells are not taken directly from the placenta or the amniotic fluid surrounding the fetus.

NIPT is used to identify genetic abnormalities, such as those involved with Downs Syndrome and Klinefelter Syndrome. The test can also identify the sex of a fetus. Researchers are now working on ways to sequence entire fetal genomes, so in the future NIPT will be able to identify genetic variations, such as those that confer a greater risk for cancers and neurological diseases.

Whenever a new fetal test technology comes along, bioethicists always feel compelled to call for restrictions on women's access to information about their fetuses. Take the Nuffield Council on Bioethics, which in March issued a report called Non-invasive prenatal testing: ethical issues.

To its credit, the report states that women should be able to access testing for "significant" medical conditions or impairments in the fetus. But it also concludes that NIPT "should not be used to reveal information about a fetus relating to less significant medical conditions or impairments, adult onset conditions, carrier status, sex or other non-medical traits, and [that] whole genome or exome sequencing normally should not be offered. Any restrictions on access to information about the fetus would also need to apply to whole genome or exome sequencing, otherwise these restrictions could be by-passed."

Consequently, the council urged the British government to put a moratorium on whole genome NIPT. It also recommended that the government prohibit NIPT providers from telling women the sex of their fetuses. Why? Because it worried that women might then be tempted to have sex-selective abortions.

Unfortunately, attempts to limit what women are allowed to learn from advanced prenatal testing are not confined to Britain. In January, Rep. Trent Franks (R-Arizona) introduced the Prenatal Nondiscrimination Act, which aims to outlaw "discrimination against the unborn on the basis of race or sex." During a congressional hearing last year on an earlier version of the bill, Miriam Yeung of the National Asian Pacific American Women's Forum called that "duplicitous," because it frames itself as an "attempt to address racial and gender discrimination while actually intending to chip away at abortion rights."

For now the U.S. has no legal restrictions on what women can learn about their fetuses from genetic testing. Let's keep it that way.




Anti-Abortion Activists Face Dubious Eavesdropping Charges in California

Wed, 29 Mar 2017 09:15:00 -0400

Yesterday California Attorney General Xavier Becerra announced 15 felony charges against two anti-abortion activists, David Daleiden and Sandra Merritt, in connection with their hidden-camera recordings of conversations with Planned Parenthood employees they sought to implicate in the illegal sale of fetal tissue. "The right to privacy is a cornerstone of California's Constitution, and a right that is foundational in a free democratic society," Becerra declared. "We will not tolerate the criminal recording of confidential conversations." The right to freedom of the press, which Daleiden and Merritt claim they were exercising, is also foundational in a free democratic society, and it conflicts with California's dubious definition of the right to privacy. That conflict is especially troubling when law enforcement officials use privacy as a pretext to attack political opponents, which is what seems to be happening in this case. Federal law and the laws of 38 states (as well as the District of Columbia) allow any participant in a conversation to record it, with or without the consent of the other parties. California, by contrast, requires the consent of all parties. Recording a "confidential communication" without the consent of all parties is a crime that can be charged as a misdemeanor punishable by up to a year in jail or as a felony punishable by up to three years in prison. The felony charges against Daleiden and Merritt include 14 secretly recorded conversations, plus a conspiracy charge. Daleiden told The Washington Post he plans to argue that the conversations did not qualify as "confidential" because no party had a reasonable expectation that the discussion would not be overheard. On July 25, 2014, for instance, Daleiden and Merritt, posing as representatives of the fictitious Fetal Tissue Procurement Company, met with Deborah Nucatola, Planned Parenthood's senior director of medical services, over lunch at a Los Angeles restaurant. While testifying before the House Oversight and Government Reform Committee in September 2015, Planned Parenthood's president, Cecile Richards, said she had told Nucatola "it was inappropriate to have a clinical discussion in a nonconfidential, nonclinical setting." Other Planned Parenthood videos posted by Daleiden's Center for Medical Progress were also recorded in public settings, such as restaurants and conferences. In 1999 a California appeals court ruled that NBC News producers did not violate California's wiretapping law when they secretly recorded a lunch meeting at a Malibu restaurant, since the targets, executives of a company that allegedly sold fraudulent toll-free numbers, "had no objective expectation of privacy in their business lunch meeting." The court noted that one of the executives conceded he "did not say anything he thought was a secret," that the meeting involved a standard sales pitch, and that the executives showed no reticence around the restaurant's staff. According to the Digital Media Law Project's explanation of California's law, however, the setting of a conversation is not necessarily dispositive. "If you are recording someone without their knowledge in a public or semi-public place like a street or restaurant," it says, "the person whom you're recording may or may not have 'an objectively reasonable expectation that no one is listening in or overhearing the conversation,' and the reasonableness of the expectation would depend on the particular factual circumstances. Therefore, you cannot necessarily assume that you are in the clear simply because you are in a public place." Daleiden suggested another possible defense in an email to the Associated Press. "The public knows the real criminals are Planned Paren[...]



Why Is Planned Parenthood So Popular? Because Government Thwarts Alternatives

Tue, 21 Mar 2017 15:30:00 -0400

A provision in the Republican health care bill would bar Medicaid patients from choosing Planned Parenthood clinics for covered care. The idea, ostensibly, is to curtail abortion by driving Planned Parenthood out of business. Some folks also argue that the move is fiscally responsible. But contrary to conservative talking points, terminating Medicaid's relationship with Planned Parenthood would neither drive down costs for the publicly-funded health insurance program nor reduce dependence on abortion, as I note in today's Los Angeles Times. If, as Republicans insist, patients can seek all the same services elsewhere, Medicaid costs will remain unchanged. The move won't necessarily affect Planned Parenthood's ability to provide abortions, since it doesn't rely on Medicaid reimbursements for this service. At the same time, less access to contraception and family-planning services could lead to greater demand to terminate pregnancies. Presently, the U.S. health care scene is totally ill-equipped to handle the influx of low-income, reproductive- and sexual-health care patients we would see if we simply strip Planned Parenthood from patient options. America is already experiencing a shortage of obstetricians and gynecologists, many private providers won't see Medicaid patients, and community health centers are stretched thin as it is. Meanwhile, more than half of the approximately 2.8 million patients Planned Parenthood sees annually cover their visits via Medicaid. Like it or not, Planned Parenthood—which provides everything from cervical cancer screenings and urinary tract infection treatment to emergency contraception, prenatal care, and vasectomies—is currently a crucial part of the medical care and family-planning ecosystem. Want to reduce dependence on Planned Parenthood? Look at why it's so popular among Medicaid patients in the first place, what alternatives currently exist (not a lot), and how we can remedy this dearth of alternatives. In many cases, government rules are to blame. But simple changes—allowing birth control pills to be sold over-the-counter; clearing the regulatory way for telemedicine; rethinking scope-of-practice rules that prevent nurse practitioners, pharmacists, and midwives from performing tasks they're perfectly capable of; and repealing regulations that prevent non-traditional providers (like mobile or retail health care clinics) from setting up shop in medically underserved areas, for starters—could go a long way toward making it so Planned Parenthood isn't the only OB-GYN option for many. And as I argue in the Times, Helping bring more medical options to marginalized populations is a worthy goal for even the most ardent Planned Parenthood supporter. Whether one's underlying goal is ensuring access to vital reproductive and sexual healthcare, reducing women's need for abortions, or reducing publicly funded healthcare expenditures, focusing on breaking down barriers to innovative, independent and cost-effective care in underserved areas will make a world more difference than micromanaging where poor women can get birth control pills. Read the whole thing here.[...]