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Disability, Prenatal Testing and the Case for a Moral, Compassionate Abortion

11:18 am in Uncategorized by RH Reality Check

Written by Vyckie Garrison for RH Reality Check. This diary is cross-posted; commenters wishing to engage directly with the author should do so at the original post.

by Sierra @No Longer Quivering

Note: If the headline didn’t already clue you in, this is controversial subject matter. If you come away from this article thinking that I advocate genocide of a disabled population or the coercion of women pregnant with disabled fetuses into abortion, that I hate disabled people or think that Down syndrome people don’t deserve to live, you have failed to understand my point. Please walk away from the computer, breathe deeply, and start again from the beginning.

I believe that it is possible and desirable to respect disabled people while still working to eliminate genetic disorders so that children who might have had Down syndrome or cystic fibrosis (or any other disease) have a chance to be born without them. I believe that abortion of a disabled fetus can be a compassionate choice made for morally sound reasons, and does not at all conflict with the respect due to disabled people. I am firmly pro-choice, and I believe strongly that the wellbeing of all born persons in a family is paramount before considering the needs of a fetus. My position is that fetuses are incapable of being self-aware and therefore cannot experience suffering the way born persons do. The prevention of suffering is central to my moral beliefs.

If you’re already angry, please stop reading and go get yourself a nice cappuccino. Have a beautiful day. And then, if you still really want to read this, take frequent breaks to punch a pillow with a "hello, my name is Sierra" badge stuck to it.

Her.meneutics, the "for women" arm of Christianity Today, recently ran an article by Sarah Eekhoff Zylstra on prenatal testing:

What You Need to Know About the Hidden Benefits (and Costs) of New Prenatal Tests

Apparently, science can do something awesome: tell you the genome of your fetus within the second trimester:

Using a blood sample from the mother and saliva from the father, scientists at the University of Washington mapped out the entire genome of a child while he was in the womb. The discovery, which was published June 6 in Science Translational Medicine, makes it possible to spot disorders from sickle cell disease to cystic fibrosis to Down syndrome in the second trimester of pregnancy.

Best of all, at least for those of us who shiver at the thought of an amniocentesis, is that it’s noninvasive.

About 10 percent of the free-floating in a mother’s blood belongs to her baby, and by comparing her blood with her own and the father’s DNA, scientists can pinpoint which DNA belongs to the baby. From there, they can sequence the child’s entire DNA code. Or at least, they can get pretty close. Their accuracy rate was about 98 percent in the infant boy they tested.

Zylstra says that, "at first blush," this information looks "incredible." Yes, it does. Because it is. This kind of technology gives us more control over our own reproduction, which means that we’re better able to make ethical decisions about our parenting. As Zylstra points out, parents who are expecting a special needs child can prepare in advance for what that means.

But there’s a catch, says Zylstra:

You can be emotionally prepared for his birth. You could choose a C-section if that was warranted, or line up services for him, or join a support group.Or abort him.That’s the rub, said Gene Rudd, president of the Christian Medical and Dental Associations.

It’s hard to imagine this test wouldn’t be the instigation of selective abortions, since many women with prenatal diagnoses of Down syndrome currently abort, he said. "It’s search and destroy that we do that now with Downs," he said. "And to what benefit do we do that? If we look at the statistics or surveys that come from families that have raised a Downs individual, 97 percent said it was rewarding."

It’s a life worth living, and many see that, says Amy Julia Becker, who has written extensively about her daughter with Down syndrome. Heart conditions and respiratory troubles often suffered by those with Down syndrome can be treated, life expectancy has risen from 25 to 60, and by all accounts, raising a son or daughter with Down syndrome can be a wonderful gift. The numbers are tricky, but Becker says that about 70 percent of babies prenatally diagnosed with Down syndrome are aborted.

"Ultimately, the problem is that we have a society that says it’s okay to kill unborn babies," Rudd told me. "If that weren’t permissible, this information wouldn’t be misused." Prenatal testing in a country with legal abortion lets parents decide if that child is "good enough" to live, he said. But as imperfect, capricious, sinful beings, how do we figure we’re smart enough, or good enough, to judge anybody else’s shot at life?

"Who are we to say that cystic fibrosis is such an overwhelmingly terrible disease that they shouldn’t be allowed to live?" Rudd said. "Do we say that about a one-year-old who is diagnosed? What’s different about a younger child?"

There are a lot of pieces to this pie, so I’m going to address them problem-by-problem. Ready? Here we go. This article:

  1. Fetishizes disability.
  2. Dehumanizes children.
  3. Downplays economic concerns and long-term viability.
  4. Minimizes the suffering of children and caregivers.
  5. Is logically inconsistent.
  6. Conflates fetuses with born children, and therefore
  7. Devalues labor, delivery and motherhood.
Before we go any farther, here is my main point:
 
Having an abortion to prevent a child from being born with Down syndrome or another disability can be a positive moral choice. Okay, now let’s go on (assuming you’re not already plotting my demise).
 
1. Fetishizing disability
 
The disability rights movement is hugely important and I support it. It’s especially vital for individuals with mental illnesses, who are often judged as "not really disabled" because there’s nothing visibly wrong with them. Disabled people have a long history of being medically abused, used as test subjects without consent, being abandoned or forced to live in squalor, and being generally reviled, disrespected and treated like freaks. We need a movement to rectify that and prevent it from ever happening again. I’m glad we have one.
 
Now. Here’s where I depart from Zylstra and other activists.
 

Respecting the rights of disabled people does not mean honoring or celebrating disability itself. Apart from the perspective and political activism that many disabled people have found via their experiences as a discriminated-against class, I’d wager most people who are disabled would rather not be. Just like poor people value their wisdom but would really rather not be poor. I’ve been a poor kid. I’m still pretty poor. I’ve learned a hell of a lot about empathy from being poor. But would I choose to be poor? No. Would I want others to be poor kids? No. Would I jump at the chance to end poverty once and for all? Yes! I want people to listen to what I’ve learned, but I don’t want them all to have to learn it the hard way, like I did. I would wager that at least some disabled people feel the same.

When you argue that children with Down syndrome are "special gifts" or that raising them is a "rewarding experience" for parents, you are appropriating their difficulties and fetishizing their difference. That is the opposite of respecting a disabled person. I get that who we are is shaped by experience and that many disabled people consider disability to be integral to their personalities — just as I see poverty as a formative experience for me — but I doubt they would have chosen to be disabled in the first place. Would they have voluntarily given up able bodies for the wisdom earned from being disabled? Would they refuse treatment, if it were available? Would they choose to suffer disabilities just so that their parents could have the "reward" and "special gift" of raising them?

Amy Julia Becker of Thin Places writes:

I hate the thought that there will be fewer people with Down syndrome in the world as a result of advances in prenatal testing. As I’ve written before, it impoverishes us all when we selectively abort babies based upon particular characteristics (gender, for instance, in China and India… disabilities here in America).

I understand this argument. I do. I get how parents of Downs children learn from their experiences and love their children fiercely and imagine how empty and cold the world would be without children like theirs. But this line of reasoning makes me profoundly uncomfortable. By all means, love your child! By all means, share your hard-earned wisdom! But to wish for Down syndrome to never go away? to never be cured? Why would you wish that?

I can’t help but think that it’s not about the children’s quality of life (wouldn’t you choose a life for your child that didn’t include Downs, if you could?) but about the parents’ inability to distinguish between their love for their kids and the condition from which their kids suffer. By all means, celebrate your child and his or her wonderful uniqueness! (I say this without irony.) But don’t reduce your child to the mere fact of having Downs, as though having Downs makes them a kind of endangered species and that Down syndrome must continue forever because kids like yours would never exist again without it. Your child would be special, you would have that bond, with or without Downs.

Wanting to eradicate a condition that causes suffering or dependence in a population is not the same as wanting that population to die. Imagine for a moment that we’re not talking about abortion. If it were possible to "cure" Down syndrome prenatally, preserving the same fetus, would you deny your child the treatment because you’d hate to see fewer Down syndrome children in the world?

Which brings me to #2.

2. Dehumanizing children

Focusing on the "rewards" to parents of raising a special needs child means privileging parents’ personal growth over the best interests of their potential child.  If parents choose to bring into this world a child that cannot be reasonably expected to care for himself as an adult, they are gambling with their child’s future. Who will care for him or her when the parents are gone? Do they have the resources to provide for their child’s medical needs? Do they have other children who would be neglected because of their parents’ intense focus on caring for the special needs child?

Now, I understand that many, many Downs people are able to function in the world without immediate care, but others can’t. I think it’s awfully brazen and selfish not to consider one’s potential child’s quality of life for the entire duration of that child’s life before deciding what to do. I think it’s necessary to ask tough questions of yourself, to honestly answer the question of whether or not you can provide that child with everything he or she will need for life.

Special needs children aren’t high-maintenance pets that exist to teach you lessons about fortitude and compassion. They are people. And it’s because a special needs fetus will become a person at birth that abortion should be on the table. Responsible, moral reproductive choices involve doing the hard math and yes, making decisions to either give your child the best possible long, independent life or to terminate the pregnancy early if you know you can’t.

Clinging to a soundbyte belief system that makes your decisions for you ("Abortion is murder!") or abdicating responsibility ("God will provide as long as I don’t get an abortion!") means shirking your fundamental duty as a parent: to make decisions with your child’s best interests at heart until your child can do so herself. That responsibility may lead you to give birth to and raise a disabled child — and more power to you! — as long as you’re doing it with your eyes open and taking every possible precaution to make sure you can deliver on the promise of care you are making your newborn child. But it may also mean having an abortion.

It intrigues me that religious people, the ones who are the first to point out the flaws and fallen nature of the world, are the last to acknowledge the result: that horrible things happen, and those situations require hard decisions. Birth defects and excruciating diseases happen. To refuse to act to minimize suffering (indeed, to prevent it) is at best selfish and at worst abusive. To pretend that there is always a perfect answer to a problem in this imperfect world is to effectively close your eyes and live in your own imagination.

3. Classism

Not every family can afford the medical care of a special needs child. Not every family can afford the time spent caring for a special needs child, especially if they already have multiple children. To demand that families that know they lack these resources nonetheless give up everything to bring a child into a world where it will be neglected, inadequately treated by doctors, and in all likelihood end up in foster care or, as an adult, homeless, is cruelly insane. To focus on mere "life" to the exclusion of the quality thereof is not just stupid, it’s evil. It is deliberately inflicting suffering on others to soothe your own conscience.

And in case you’re wondering, the cost of a lifetime of care for a Down syndrome child has been recently estimated at 2.9 million dollars.

(Though, given that the estimate was made in the context of a lawsuit, it’s probably a little on the high side.)

4. Minimizing the Needs of Others

Parents and caregivers are people, too. They do not forfeit their own needs when they have children; indeed, doing so is actually harmful to children. Recall the many times I’ve said that having a stay-at-home mother made me feel hopeless and guilty about becoming a woman. I was put in the impossible position of either following in her footsteps, thereby ensuring that every female in our line would do nothing but sacrifice for her children and never get to have her own dreams, or not following in her footsteps and feeling guilty that I was (a) rejecting her by rejecting her lifestyle and (b) doing my own potential children some kind of injustice, even though I didn’t want my children facing the quandary I was! I wished my mother had more of a life outside of raising me, because then I would be freer to have a life, too.

If parents choose to welcome a special needs child into their family, they must consider how it will affect not only that child, but also themselves and their other children. They must make room for breaks and self-care to preserve their own health, mental and physical. In my own church, there was a woman with two children who got pregnant and found out her child had a fatal defect. She decided against having an abortion, believing that God would honor her and heal her child (or at least provide for it). The child lived 13 years in unspeakable pain, without cognition, undergoing surgery after surgery until she died — and by this time the family had exhausted its resources, the other two children had been practically abandoned. The mother had worked herself to the bone, endured a failed promise from God, and had to mourn the child all over again at the end of it all. That child was not a "blessing." It was not a "rewarding" experience — though the mother might tell you so out of sheer love and the need to justify her situation. The child’s birth destroyed her family, and she was never even aware enough of her own existence to realize she was loved. How is that the hand of God?

5. Logical Inconsistency

First, we get the argument that raising a special needs child is a blessing:

[Says Rudd:] "If we look at the statistics or surveys that come from families that have raised a Downs individual, 97 percent said it was rewarding."

That is abhorrent abuse of statistics. First, your entire sample (people who have chosen not to abort) is already biased toward the belief that what they’re doing is rewarding. Where are the surveys for women who chose to abort Downs fetuses? You’re comparing this 97 percent to an empty page. They might say that their abortion was a blessing, but you can’t print that, can you? Not on a Christian blog.

Second, the parenting discourse in Western culture is so punitive that parents of "typical" children aren’t even free to express that they dislike the drudgery of parenting without being accused of being sociopaths and hating their kids. That’s why such statements as "I hate being a mom" show up anonymously on Secret Confessions and have been called the Greatest American Taboo. How much more pressure is there on parents of special needs kids never to admit that they wish they weren’t?

Then, we get this:

"Who are we to say that cystic fibrosis is such an overwhelmingly terrible disease that they shouldn’t be allowed to live?" Rudd said. "Do we say that about a one-year-old who is diagnosed? What’s different about a younger child?"

Little is different about a younger child. Everything is different about a fetus. A fetus does not have cognition. A fetus lives inside a woman’s body. A fetus has never drawn a breath. A fetus has not lived a life to miss. Those are significant differences.

Also, when did we go from talking about the relative independence of some Downs individuals to the horrible suffering inflicted by cystic fibrosis? Read this description and see if you think it’s an apt comparison: 

Cystic fibrosis is a disease passed down through families that causes thick, sticky mucus to build up in the lungs, digestive tract, and other areas of the body. It is one of the most common chronic lung diseases in children and young adults. It is a life-threatening disorder. Lung disease eventually worsens to the point where the person is disabled. Today, the average life span for people with CF who live to adulthood is approximately 37 years, a dramatic increase over the last three decades. Death is usually caused by lung complications.

Would you utter a sentence like this?: I hate the thought that there will be fewer people with cystic fibrosis in the world as a result of advances in prenatal testing. Would you tell parents how "rewarding" it is to raise a child with cystic fibrosis? Who are we to say that the disease is overwhelmingly terrible? Rudd asks. Well, here’s who we are: Caring parents. Compassionate, educated doctors. People who don’t want to inflict unnecessary suffering by bringing a not-yet-conscious fetus into the world to experience a waking nightmare and die, choking or suffocating, at half the normal life expectancy. That’s who.

There’s also the little problem that the article jumps back and forth between arguing about the intrinsic worth of life and the rewards of being a caregiver. These two competing perspectives make the argument hard to follow.

6 + 7. Erasing Motherhood

It’s a common trope of the pro-life movement that "a moment before birth" a fetus is a baby, and therefore abortion is the same as infanticide. This is not only scientifically inaccurate, it’s misogynistic. It erases the woman, her wellbeing, and her labor from the entire equation. Childbirth is momentous. It matters. It is not just a legal flagpole where personhood is arbitrarily assigned. It is the moment at which a child begins to occupy the world as an independent being.

It is also a moment made possible by the bodily work (pain, sweat, blood and tears) of a woman. If we grew children in plastic incubators with green fluid and Classical music playing gently in the background, then the "moment before birth" comparison might be apt. But it isn’t, because children live in their own bodies, and fetuses live in their mothers’. While that fetus is in its mother’s body, she does have sovereignty over the decision whether or not to bring the child into the world. That is her sacred right as a mother. It is her sacred right as a woman not to have her body violated against her will — be it by another adult, a child or a fetus. Alone, a fetus cannot be brought into the world to become a baby. Therefore, you can’t talk about a fetus as though it exists without regard for the woman upon whom its existence depends. To alienate the pregnant woman from a discussion about pregnancy is like having a conversation about the weather on an asteroid.

Zylstra concludes her article:

It’s not that the test is bad. To be able to map a child’s DNA while they’re still in the womb is fascinating. But so is the fact that many mothers believe that it would be worse to live in an imperfect body than not to live at all.

There’s a huge problem here. Cystic fibrosis is a serious disease. Downs syndrome can be serious. Genetic diseases can leave children’s independence stalled, their mobility hampered, their bodies aching, their minds wracked with torturous bouts of depression and anger, their futures uncertain and their families stressed to the breaking point. This isn’t about perfect and imperfect bodies. This is not the difference between passing on genes correlated with overweight and comparing your potential child to fitness models. The perfect/imperfect body dichotomy is a red herring. No body is perfect. It’s disingenuous and manipulative to assert that having a serious genetic disorder is equivalent to having a few pimples and a crooked nose.

If I somehow (metaphysics be damned!) had a choice to be born in a body that would slowly disintegrate on me, like that of Stephen Hawking, or not to be born at all, I’d pick the latter. This does not mean that I think Stephen Hawking shouldn’t be alive. He is a great scientist. He has done marvelous things with his life. But that does not make the pain and horror of his situation any less. If I could prevent my own child from being born into a life like that, I would. I consider it my moral imperative. And if Stephen Hawking and I were hanging out in the metaphysical waiting room before descending to earth, and he told me he didn’t want to be born into all that suffering, it would be unfathomably selfish of me to demand that he endure what he has endured just so that I (and other healthful people) could benefit from his mind.

My Points:

If you made it this far, congratulations. Here’s the rundown:

  1. Respect disabled people for their personhood, but don’t promote the continued existence of disabilities. That doesn’t do anyone any favors.
  2. Don’t treat disabled children as special projects to improve their parents’ character.
  3. Don’t act like everybody can afford to live by your conscience.
  4. Don’t prioritize the wellbeing of a fetus over the entire family.
  5. Don’t force special needs children into families that don’t want them, and will abuse, neglect or abandon them. They have it hard enough in families that want them and have the resources to care for them.
  6. Don’t conflate serious disorders with minor imperfections to guilt parents into a choice to raise a child they don’t want to have.
  7. Don’t abuse statistics to lie about the satisfaction rate of parents with special needs children.
  8. Don’t minimize the labor of mothers or pretend that you can talk about fetuses without women.
It is possible to choose abortion based on a positive screening for genetic disorders because you are morally opposed to inflicting suffering on others. It is possible that women who abort fetuses with Down syndrome or more series disorders do it not because they hate Downs people or like genocide or are Selfish Career Bitches(TM), but because they honestly believe it’s what’s best for their families. The anti-abortion crowd is not the only one with a flagpole stuck in the moral high ground.
 
Now, finally, a thought experiment.


Why is it a "blessing" and a "rewarding" experience to raise a child with Down syndrome, but not one with Fetal Alcohol Syndrome? If there’s something inherently valuable about disabilities themselves that improves the lives of people who have them and whose loved ones have them, why does the origin of the disability make such a difference? Why is taking every precaution to avoid FAS, to the point of making pregnant women neurotic, a worthwhile societal goal? Why does no one hate to imagine a world in which there are no children with FAS?

I suspect the answer has something to do with control. Because if you can control an outcome (or at least think you can), people will be justified in blaming you for an adverse outcome. But if you can’t prevent suffering (or think you can’t), your reputation remains untarnished. If you see suffering in your future and evade it, those who are suffering will attack you for your selfishness and arrogance. ("How dare you have it so easy?") But is that feeling of moral superiority actually moral superiority? I don’t think so. It sounds more like a cry of pain at the unfairness of the world — which is something we should be trying to fix, not perpetuate.

Sierra is a PhD student living in the Midwest. She was raised in a "Message of the Hour" congregation that followed the ministry of William Branham. She left the Message in 2006 and is the author of the blog The Phoenix and the Olive Branch.

Where’s Your Shame, Woman?! Fundamentalist Pastor Takes to YouTube to Fault Women for All Social Ills

12:51 pm in Uncategorized by RH Reality Check

Written by Vyckie Garrison for RH Reality Check. This diary is cross-posted; commenters wishing to engage directly with the author should do so at the original post.

Ever wonder what goes on inside the small minds of fundamentalist Christian men? Want to know how they justify their blatant anti-woman policies and practices? Are they for real? Do they even know how hateful and intolerably ignorant they sound?

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Thanks to Rev. Jesse Lee Peterson, a fundamentalist black pastor and up-and-coming Republican leader, there’s now a YouTube video which perfectly sums up the Religious Right’s core beliefs about women.

“One thing I know for sure, without a doubt, women cannot handle power,” says Peterson, in a 12-minute tirade posted to the “bondinfo” YouTube channel recently as a part of the Reverend’s “Exploring Your Destiny” video series.

“It is not in them to handle power in the right way,” he continues, “they don’t know what to do with it.” Really? That’s some blatant misogyny right there, folks.  Ah – but Rev. Peterson is just getting started …

“It’s not real power anyway … it’s all ego-building. Real, true power come [sic] from God, and God is the one that gave man the power and authority over the wife, and to spiritually guide the world in the right way to go.”

According to the website listed at the end of the video, “BOND, the Brotherhood Organization of A New Destiny, is a nationally-recognized nonprofit organization dedicated to ‘Rebuilding the Family By Rebuilding the Man.’ BOND was Founded by Rev. Jesse Lee Peterson who is also its President.”

Rev. Peterson has been busy lately making himself a reputation for strident religiously-motivated bigotry. In January, the Tea Party leader and author of “Scam: How the Black Leadership Exploits Black America,” caused a stir by suggesting that unemployed African Americans need to be sent “back to the plantation so they would understand the ethic of working.”

Read the rest of this entry →

From Hate to Love: Why “40 Days of Prayer” is Under Attack by the Christian Right

12:37 pm in Uncategorized by RH Reality Check

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Written by Carole Joffe for RH Reality Check. This diary is cross-posted; commenters wishing to engage directly with the author should do so at the original post.

Below is a an interview with Reverend Rebecca Turner of Faith Aloud, conducted by Carole Joffe. Faith Aloud is a pro-choice religious organization which seeks to eliminate the stigma associated with abortion and sexuality, and to provide support to both women and providers.

“Today we pray for women for whom pregnancy is not good news, that they know they have choices.”

“Today we pray for the men in our lives, that they may offer their loving kindness and support for women’s difficult decisions.”

“Today we pray for Christians everywhere to embrace the loving model of Jesus in the way he refused to shame women.”

Above are some of the individual components of the “40 Days of Prayer,” a series composed by the Rev. Rebecca Turner, a United Church of Christ minister, and the head of Faith Aloud, a pro-choice religious organization based in St. Louis, Missouri. Turner originally wrote these prayers to counter religious-based protests against women’s rights to choose abortion.  For some years, the “40 Days of Prayer” were used in various ways by clinics but ignored by the anti-choice movement. However, recently when a clinic in northern California reprinted the prayers in a brochure,  the movement took notice, and Turner’s prayers—and by extension, the concept of a religiously-based prochoice group—drew much attention from the religious right, including interviews by Fox News and Focus on the Family, and follow up stories in various anti-choice publications.

Below is an interview I conducted with Rev. Turner about her organization, the 40 Days of Prayer, and the reactions of opponents of abortion when news of her activities went viral.

What is Faith Aloud? Read the rest of this entry →

Why the Iowa Caucus Is About Abortion

11:32 am in Uncategorized by RH Reality Check

Written by Amanda Marcotte for RH Reality Check. This diary is cross-posted; commenters wishing to engage directly with the author should do so at the original post.

After what is the most protracted, ridiculous run-up to a primary season I’ve seen in the couple of decades I’ve closely followed politics, we’re finally going to actually begin the Republican primaries, a mere three months after everyone is completely exhausted of them. The entire situation is particularly frustrating, because the majority of the focus, from the media and the candidates, has been on Iowa, even though the state has been known repeatedly to give far more weight—and even victories—to candidates that have literally no chance of winning the Republican nomination, because these candidates hit a bunch of buttons for Christian conservatives but have little appeal outside of those circles. The 2008 win for Mike Huckabee, who was quickly wiped out when a more diverse group of Republicans got a crack at primary voting, is a perfect example of this.

To make the entire situation even more frustrating, for all the hundreds of cable news hours and column inches dedicated to the Iowa caucus, abortion is rarely mentioned.  The narrative this year is that voters are mainly concerned with the economy, which translates for conservatives into vague concerns about the deficit, even though there’s no reason to think that lowering the deficit through spending cuts would do anything but exacerbate the recession. The problem with applying that logic to Iowa is that it utterly fails to explain the voting choices of the Christian right which rules the caucus in the state. The differences in economic policies between the Republicans simply aren’t dramatic enough to explain Mitt Romney’s inability to get more than a quarter of voters behind him, for one thing. For another, just because the voters say they care mostly about economic issues to a pollster doesn’t mean that they don’t vote their gut when it actually comes time to make a decision.

To really understand Iowa, you need to understand the primacy of abortion as an issue to the Christian right. It’s baffling how little attention this gets, considering the tendency of all the candidates—and especially those whose numbers in Iowa, like Rick Santorum and Ron Paul, eclipse what they can get in most other states—to make frequent statements about how they consider banning abortion to be a number one priority and the big issue of our time. Economic issues are confusing and the difference between candidates is too hazy to matter to the Republican base. Foreign policy doesn’t seem to matter that much at all to voters this year. But abortion is a nice, simple issue, and the candidates by and large seem to get what the media doesn’t: The more you pound the table and stereotype women who get abortions as heartless slatterns, the better you do in the polls.

The inability of the Beltway media to grasp this creates situations like the one described at Talking Points Memo, where it’s deemed some kind of mystery as to why Ron Paul has surged in the polls, nearly gaining on Romney and truly threatening to beat him on Tuesday. Paul calls himself a “libertarian,” and this is seen by the punditry as somehow in opposition to the evangelical right, a belief that seems to be based on the questionable notion that libertarianism is a separate philosophy instead of just an extremely cranky version of the same old conservatism. Read the rest of this entry →

The Trench Warfare of the HHS Rules

8:44 am in Uncategorized by RH Reality Check

Few reproductive rights stories caught the public’s imagination in 2008 like the conflict over the Bush administration’s attempt to rewrite HHS regulations to expand the powers of anyone working in the health industry to interfere with a woman seeking reproductive health care by claiming religious disagreement. By niftily claiming that health care workers can "believe" that hormonal birth control is abortion—which has the same scientific basis as believing unicorns are real—a wide range of health care workers can interfere with a woman’s access to birth control, as well as abortion. The proposed rule change caught the public’s imagination in part because of the petty, vindictive nature of it. Here is the Bush administration, openly encouraging health care workers to sit in judgment of female patients on a case-by-case basis and, should some women not suit their tastes, interfere with their health care on an individual level that would surely come across as nasty and vindictive in person. As, I would argue, it’s meant to do.

This rule change is nothing short of overriding the wishes and expectations of the larger population to cater to a fanatical religious right. The rule change not only reflects the values of Read the rest of this entry →