Abortion is one of the most controversial issues of our time. Like most controversies, there exist two main sides that seem diametrically opposed to each other. However, I believe that in this conflict there is a way for both sides to work together towards a common goal that will benefit both human life and society for the long term. Before continuing it is important to clarify where each side stands. Those on the “pro-life” side assert that abortion is morally wrong. This is usually, but not always, based on the assertion that God (usually the Christian god) has a purpose for all human beings and that the soul enters the zygote at the moment of conception. If one holds these assertions as truth it isn’t difficult to feel some sympathy to for their position. For those who stand on the side of being “pro-choice”, abortion is seen as primarily a medical procedure. Further, most “pro-choicers” would say that it should be a last resort only after all other options and factors such as personal socioeconomic situation and health have been carefully considered. This is because abortion, by its very nature, is intrusive, can lead to irreparable damage to the reproductive abilities of the woman and can have severe emotional side-effects (similar to those of women who have miscarried, ie. natural abortion). Therefore, they see abortion as a choice but one that should be used sparingly.
One side feels it is absolutely wrong while the other sees it as treatment and thus not completely wrong. Most of the “pro-choice” and “pro-life” individuals I have known through the years would generally agree with this summary of their general views on the subject. However, there are extremists on both sides. Carl Sagan[i] said of them, “doubtful arguments are trotted out as certitudes”. Thus, it would appear that there is little possibility of reconciliation between the sides. One side feels it is absolutely wrong while the other sees it as treatment and thus not completely wrong. How then could they be convinced to work together? To what common goal could they possibly work towards? To begin, I point out that both sides can agree that abortion is at minimum, undesirable. With this minor agreement as a foundation let us consider other procedures past and present that have either been eradicated from medical practice or are presently being phased out due to current medical therapies/treatments/advances.
For simplicity, let us consider another undesirable medical practice that is less controversial, at least ethically; amputation. Surgical amputations “date back at least to the time of Hippocrates (c.460-375 B.C.), amputating limbs to save lives did not become widespread until the sixteenth century.”(Source) Obviously, amputations “were performed mainly to remove tissue that was already dead. The reason for this limitation is that early surgical techniques could not control the blood loss.” (Source) Advances were made in surgical practices to prevent this hemorrhaging such as tying off the arteries. (Source) Amputation is an extreme medical practice which, over time given medical advances, decreases in use relative to the population. In a 1998 article in the journal “Diabetes Care”, Andrew D. Morris, MD et.al. found that “rates in the U.S. Amputation rates appear to have decreased significantly since 1980–1982.”(Source) The reason given for the decrease was education about diabetes and advances in care. Another study found that “[t]he frequency of major amputations in the country in 1986-87 of 40.9 per 100,000 per year declined by 25% to 30.9 per 100,000 per year in 1989-90.”(Source), stating further that “vascular surgery reduces the number of major lower limb amputations.”(Source) Given these and many other examples, it is clear that medical advances both in practice and education are responsible for a great deal of the reduction in the use of such an invasive, life-altering, and extreme medical procedure.
How does this relate to abortion? Not only is abortion undesirable, it is also invasive, life-altering and extreme. Thus, just as with the case of amputation; where instead of targeting the practice itself the causes were targeted, we should strive to eliminate the causes of abortions as much as possible. Abortion is obviously necessary in certain cases such as fallopian-tube babies, that if left to go to term, would kill the mother. Furthermore, just as education about diabetes helped in the reduction of amputations, so too can better sex education and the elimination of “abstinence-only” education reduce the need for abortions among ignorant or accident-prone young people. The following quote from Carl Sagani drives this point home: “Shouldn’t opponents of abortion be handing out contraceptives and teaching school children how to use them? That would be an effective way to reduce the number of abortions.” Though it is true that you can’t prevent or solve all amputations, so too will we not be able to end all abortions. That is where technology and research is vital. However, we can, if we work together instead of fighting about who believes what, we can end most abortions by using sound judgment and trusted preventative practices to treat the causes rather than the treatment.
At this point I anticipate some resistance from those extreme pro-lifers who view contraception as evil and won’t have anything to do with it citing that it is God’s will that we end abortion. This argument seems fraught with logical problems. 1) If God chooses when we are born and when we die, then why couldn’t abortion be a tool of God? 2) If it’s God’s will that abortions end then shouldn’t he be offering a solution to us without us asking? 3) If it’s God’s will that we end abortion, could it be that his will includes research as described above and through His divine grace provide us an answer via data collected in such studies? In any case, it would seem to be in the best interest of even the most hardcore pro-lifer to work together with pro-choicers and to utilize sound and moral science to reduce the number of abortions. Instead of killing abortion doctors why not try putting them out of business in a more constructive and less violent way, and donate to an organization or research project that is attacking one of the many causes of abortions. That will accomplish far more than squabbling amongst each other about who’s right and who’s wrong. The truth is, neither group is right by themselves, they are only right together.
In summary, my hope is that I’ve made it clear to pro-choicers that pro-lifers are not all a bunch of scripture-spouting nut-bars that are out to turn the country into a theocracy. Also, pro-lifers are truly concerned about human life, just as much as any pro-choicer. The problem lies in the question of when “human” life begins. This question is not as clear-cut as both sides would like it to be, therefore the concerns of the pro-lifers about ending human life is a painful decision that is not completely baseless from a scientific point of view. Also, I’ve hope I’ve made it clear to pro-lifers that not all pro-choicers are malicious baby killers that care only for the reproductive rights of women and care nothing of potential human beings. There isn’t a single person that is truly for abortion, but one way to rid ourselves of it as much as possible is embracing science and giving medical research a chance to find the cure for the causes of abortion in an effort to greatly reduce the practice.
 ANDREW D. MORRIS, MD; RITCHIE MCALPINE, BSC; DOUGLAS STEINKE, BSC; DOUGLAS I.R. BOYLE, BSC; ABDUL-RAHIM EBRAHIM; NAVEEN VASUDEV; COLIN P.U. STEWART, MD; ROLAND T. JUNG, MD; GRAHAM P. LEESE, MD; THOMAS M. MACDONALD, MD ; RAY W. NEWTON, FRCP.
[i] In an article that first appeared in Parade magazine on April 22, 1990 entitled “The Question of Abortion: A Search for Answers”, quoted here from his book Billions and Billions: Thoughts on Life and Death the Brink of the Millennium (1997). The article appears as Chapter 15 entitled “Abortion: Is it Possible to be both Pro-Life and Pro-Choice?”