Abortion Politics Twist Facts in Fetal Pain Laws
Art Caplan's MSNBC column today addresses the fetal pain legislation:As it so often does in America, the drive to restrict abortion produces bad legislation. The Unborn Child Pain Awareness Act is no exception.This fall the Wisconsin state Senate passed the Unborn Child Pain Awareness Act. The bill has passed the key committee in the Wisconsin House and it seems likely to pass there before the end of the year as well.
Wisconsin is not alone. The states of Arkansas and Minnesota have passed versions of this law. And Congress is taking a hard look at the same legislation as well. The House of Representatives recently completed a committee hearing on the law.The proposed law requires doctors to read a script to women who are considering having abortions telling them that Congress has determined that an unborn child feels pain by 20 weeks of age. The express purpose of the bill is to diminish the suffering that a fetus must endure as part of a post-20-week abortion. But, the real purpose of the bill is to discourage woman from choosing an abortion by stressing that a 20-week-old fetus feels pain.
The script that doctors are supposed to read tells every woman that Congress has determined that “…at least 20 weeks after fertilization, every unborn child has the physical structures necessary to experience pain.” The woman would also have to be told that there is substantial evidence that the abortion methods most commonly used 20 weeks after fertilization cause substantial pain to an unborn child.
Those in the House who favor the bill, and there are many, want to be sure that women considering an abortion have the option of choosing to have anesthesia or other pain-reducing drugs administered directly to the “pain-capable unborn child.” The purpose of administering such drug or drugs would be to reduce or eliminate the capacity of the unborn child to experience pain during the abortion procedure.
The law warns that, “in some cases, there may be some additional risk to you associated with administering such a drug.”
Why is this such bad legislation? There are a lot of reasons. None of them are getting much attention because of abortion politics.
The bill insists on calling a fetus an unborn child, something medicine would never do. The bill goes far beyond what medical science believes to be true about when a fetus feels pain. The bill treats every fetus as the same in terms of capabilities if they reach 20 weeks of age or more, which they are not. And, most troubling, it reduces the process of informed consent to the reading of a fixed script created and mandated by politicians not doctors.
If, as this bill purports, Congress is concerned about what medicine believes to be true about the capacity to feel pain felt by a human fetus then why does it consistently refer to a fetus as an unborn child — a phrase never used in any medical textbook or medical school lecture?
The answer is simple — abortion politics.
Do doctors agree that fetuses have the ability to feel pain at 20 weeks in utero? Some doctors do. But, some do not. A quick search of the medical literature reveals no consensus at all among physicians and scientists about when a fetus can feel pain. Estimates range from 16 weeks to 28 weeks. How is it then that Congress can legislate a 20-week line in the sand as the date when a fetus can feel pain despite a lack of consensus on the part of actual doctors and scientists?
The answer is simple — abortion politics.
The proposed law says that doctors can administer anesthesia or pain relieving drugs to the "pain-capable unborn child." It also says this sort of treatment may result in “some additional risk to you” meaning the mother.
How does Congress or a state legislator know whether doctors can truly relieve pain by in utero anesthesia? And how can an obviously inadequate disclosure of risk to a mother considering an abortion — "some additional risk to you" — pass legislative muster.
The answer is simple — abortion politics.And how is it possible that Congress or a state legislature could decide that a one-size-fits-all script constitutes an acceptable way to achieve informed consent when they would never accept such oversimplified, rhetoric-laden boilerplate as adequate from their own doctors?
The answer is simple — abortion politics.
Abortion politics continues to rip at the social fabric of America. That is a fact. When abortion politics are permitted to twist, obscure and ignore the facts about fetal development, fetal pain and the nature of informed consent in medicine that is a fact that those who are pro-life and pro-choice should not tolerate.
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Shouldn't legal standards of medical practice be set by state medical licensing boards? ..Maurice.
- by Maurice Bernstein, M.D. on Nov 29, 2005 at 2:20 AM | link
Excerted from a post at Bioethics.com:
The facts about fetal development are that babies are viable and survive the birth process at 18 weeks. Yet Caplan expects us to believe that they do not feel pain? Is he really that naïve and uninformed? More likely the answer for his obscuring the facts is, as he says, simple -- abortion politics.
- by Joe Carter on Nov 29, 2005 at 3:13 PM | link
joe, i think the point made here is much broader. why don't you engage the argument in its totality?
- by on Nov 29, 2005 at 3:31 PM | link
First, here's hoping this will become an issue of federalism. To elaborate: just because Congress passes legislation stipulating that this script must be read does not mean that it will be read automatically. In many locations it may be simply "posted", or may be offered to be read, or may not be read at all. States' rights, despite the musings of an ill-informed Congress, still have some potency. Again, here's hoping that our history of federalism, not absolutism, will save us from this silly bit of legislative moralizing.
- by Sara Jordan on Nov 29, 2005 at 3:38 PM | link
Statistically the woman is better off carrying the child to term if she's past 15 weeks.
- by Beverly on Nov 30, 2005 at 1:42 AM | link
Maurice, you may not be aware of this, but in most states, informed consent is regulated by courts, not by doctors.
The article is a bit odd, as is usual from these guys. I know that, when my wife has been pregnant, her doctors never referred to our unborn babies as anything but "the baby". Now, these doctors were just doctors, so it can't be said that "medicine" said any such thing. (Who writes that way anyway?)
The statement that "the bill goes far beyond what medical science believes to be true about when a fetus feels pain" is just confused. As before, there is no "medical science" (or "medicine") to believe anything or call anything by any name. There are simply doctors and scientists, and they disagree. So what? Some--many--agree with the facts as set out in the legislation. If Art wants to say they're wrong, he should say it.
Art pretends to be troubled by the "fixed script created and mandated by politicians, not doctors."
It's a little late. Art may not know this, but the practice isn't unprecedented. Many states--including such states as California and Texas--has disclosures for particular procedures set out in statute. But, until now, these haven't raised Art's ire.
Why not? Abortion politics.
Finally, I'm not sure why Art believes that the proposed disclosure regarding additional risk to the mother is inadequate. The adequacy of the disclosure, from the federal point of view, goes only to the narrow question of whether the statute has been satisifed. It is possible that a more fulsome disclosure regarding those risks could be required under state law. It is also possible--even likely--that a more fulsome disclosure regarding the risks isn't possible at this time, and wouldn't, in any event, be meaningful.
- by Thomas on Nov 30, 2005 at 2:12 AM | link