Incessant Self-Righteous Ignorance

Thursday afternoon I got a phone call. I had forgotten it was the day before the anniversary of Roe v Wade, immersed as I was in my current writing project. Usually I hang up as soon as the pause-click-click tells me it’s a solicitor.

The woman said her name was Grace. This time I said “Hi, Grace.”

“How are you?”

“I’m fine, how are you?”

“I’m calling on behalf of the Right to Life. We need to stop the killing of unborn babies.”

“Oh,” I said, instantly furious. “Well, you can stop right there. I’m Pro-Choice.”

I hung up.

Then I spent the rest of the evening thinking of what I should have said.

  • Oh really, Grace? Are you referring to an embryo or a fetus? Do know what an embryo looks like or that 67% of abortions occur before eight weeks? So in this image of a human embryo, is this the chicken or egg phase? When you have eggs for breakfast, are you eating a chicken?
  • So are you in favor of government forcing women to have children? Is that part of your ‘smaller government’ plan? Smaller except the part where the Fetus Police want to control what’s going on INSIDE YOUR BODY?
  • Gee, Grace, how exactly would you suggest the government keep women from terminating unwanted pregnancies—should they require them to check in monthly for a pregnancy test? Then if they’re pregnant, the government can keep them in a Safe-For-The-Unborn-Baby Compound until the baby is born, thereby preventing any ‘home remedy’ abortions. Women wouldn’t be allowed to leave, so taking care of other children in the home or providing meals/laundry service for their husbands would have to stop, not to mention finishing school or keeping a job.
  • So you’re in favor of forcing women to produce children they don’t want? Tell me, Grace—do you think those women will be good mothers to those children? Did you know that 70% of abortions are performed on women making 200% or less than the federal poverty line of $11,670? Did you know that this same group of women, without health insurance, are far less likely to have access to birth control? Did you know that children from families with annual incomes below $15,000 were over 22 times more likely to experience maltreatment than children from families whose income exceeded $30,000? Did you know these children were almost 56 times more likely to be educationally neglected and over 22 times more likely to be seriously injured? Did you know that childhood poverty is closely related to the later incidence of crime? Think of prisons, Grace, more and more prisons built to hide away children forced on poor families by the lack of access to birth control.
  • So Grace, since I’ve got you on the phone, maybe you can explain to me how you plan to stop abortion. Ending unwanted pregnancies has been going on for thousands of years. Maybe you didn’t know that. Maybe you thought that it was only after the passage of Roe v Wade that women started having abortions. Maybe you didn’t know that throughout the ages, women have decided who will be born—not men, not governments, not churches. Women are the ones responsible for selecting future generations. I bet everyone alive today came from a woman sometime in the past who terminated other pregnancies. Even you, Grace, probably have a grandmother back in the mists of time who decided to limit the number of children so she could take proper care of the ones she already had.

I’ve got some abortion statistics for you, Grace, showing women’s reasons for obtaining an abortion.

    • 74% felt “having a baby would dramatically change my life” (which includes interrupting education, interfering with job and career, and/or concern over other children or dependents)
    • 73% felt they “can’t afford a baby now” (due to various reasons such as being unmarried, being a student, inability to afford childcare or basic needs of life, etc.)
    • 48% “don’t want to be a single mother or [were] having relationship problem[s]”
    • 38% “have completed [their] childbearing”
    • 32% were “not ready for a(nother) child”
    • 25% “don’t want people to know I had sex or got pregnant”
    • 22% “don’t feel mature enough to raise a(nother) child”
    • 14% felt their “husband or partner wants me to have an abortion”
    • 13% said there were “possible problems affecting the health of the fetus”
    • 12% said there were “physical problems with my health”
    • 6% felt their “parents want me to have an abortion”
    • 1% said they were “a victim of rape”
    • <0.5% “became pregnant as a result of incest”[1]

Shall we discuss some of this data? You’ll notice that almost all the reasons for abortion have to do with lack of birth control. What is your position regarding birth control? Do you agree that birth control and all related information regarding human reproduction should be taught by middle school level? Do you agree that birth control should be freely dispensed at middle school level to any student who requests it? How about churches dispensing free birth control so there aren’t so many precious Unborn Children being aborted?

Did you know that only 1.3% of pregnancies are aborted after 21 weeks and generally only for medical reasons?

≤6 wks 7 wks 8 wks 9 wks 10 wks 11 wks 12 wks 13 wks 14-15 wks 16-17 wks 18-20 wks ≥21 wks
37.2% 16.9% 12.8% 8.3% 5.5% 4.5% 3.5% 2.7% 3.3% 2.0% 1.9% 1.3%

Grace, did you know that President Obama’s Affordable Care Act mandated that all employers were required to provide 100% coverage for all birth control methods? The only exception came after religious groups refused to provide such coverage and took their argument to court where they won the right not to provide coverage.

Maybe you can explain that for me, Grace. If the horror is abortion, why is there such outrage about preventing unwanted pregnancies? Because that really doesn’t make sense.

I mean, yeah, I get it. I know the unspoken thought. People aren’t supposed to have sex unless they want a child because sex isn’t for enjoyment. Sex is a duty to produce another generation—period. Because the only reason we’re on earth is make more of us. So if you’re having sex for fun, to feel good, then you’re doing it wrong and God will smite you.

It’s true that in all this, it’s the woman who suffers. I’m guessing that has to do with eating a forbidden apple. That’s on Eve. So she’s the one who has to suffer, all part of God’s loving plan to make people do what He wants them to do, which is, evidently, to keep having babies.

By the way, Grace, I don’t know how old you are, but if you were around in 1987, that’s the year the world population reached five billion. Now picture where you were and what you were doing in 1987 and imagine twice as many people. Because that’s where we’ll be in another thirty years. Twice as many cars, twice as many houses or twice as many people living in one house, twice as many big cities. Twice as many people grabbing that last loaf of bread.

It’s true that much of that population growth won’t be in the U.S. or Europe. The growth will mostly occur in Africa, you know, that “shithole” place where people already born are starving and killing each other. And Asia, of course. Those are the places where humanitarian agencies bring in food and provide medical care, including birth control. So the moral stance of this ‘Christian’ administration is to cut off financial support for any humanitarian health care group that offers abortion counseling along with birth control. So if a woman wants to obtain birth control, she can’t get it because someone in that same facility is answering questions about or providing an abortion.

That’s so perfect. So genius. So in keeping with the goal of stopping abortion.

~~~

[1] Finer, Lawrence B. and Lori F. Frohwirth, Lindsay A. Dauphinee, Susheela Singh and Ann F. Moore. “Reasons U.S. Women Have Abortions: Quantitative and Qualitiative Perspectives.”Perspectives on Sexual and Reproductive Health, Guttmacher.org, September 2005.
White, Angela. “Cost of Giving Birth at the Hospital or at Home.” Blisstree.com, 21 September 2008.
“Why It Matters: Teen Pregnancy and Education.” The National Campaign to Prevent Teen Pregnancy, retrieved 19 May 2009.

 

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Newborn Abuse — the latest atrocity in our war on drugs

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Another story of government overreach.

In 2003, the federal government began requiring states to develop strategies to deal with drug-dependent newborns. This came in response to an increasing number of babies born with opioid dependence. The government’s concern directly reflects the rise in opioid addiction nationwide.

“The number of prescriptions for opioids (hydrocodone and oxycodone products) have escalated from around 76 million in 1991 to nearly 207 million in 2013, with the United States their biggest consumer globally, accounting for almost 100 percent of the world total for hydrocodone (e.g., Vicodin) and 81 percent for oxycodone (e.g., Percocet).”[1] Most recently, tightening availability of prescription opioids has shifted abusers to heroin, an early pharmaceutical derived from the opium poppy and grandfather of the modern ‘codone’ products. Heroin is cheaper and in most cases more available than the pharmaceuticals.

No matter what form, opioids pose a real threat of addiction for many users. According to Wikipedia, “opioid addiction and opioid dependence, sometimes classified together as an opioid use disorder, are medical conditions characterized by the compulsive use of opioids (e.g., morphineheroincodeine, oxycodonehydrocodone, etc.) in spite of consequences of continued use and the withdrawal syndrome that occurs when opioid use stops … The opioid dependence-withdrawal syndrome involves both psychological dependence and marked physical dependence upon opioid compounds. Opioid use disorders resulted in 51,000 deaths in 2013 up from 18,000 deaths in 1990.”[2]

It’s not like opioid-dependent pregnant women don’t know they’re sharing their addiction with their fetus. But like all addicts, these women are severely challenged in overcoming their need for the drug not only because of the nature of the drug but also because whatever led them to abuse drugs in the first place has not been addressed. After all, not everyone legitimately prescribed opiate drugs becomes an addict.

Within one to three days after birth, infants born addicted to opioids suffer neonatal abstinence syndrome (NAS). This withdrawal experience may require doctors to administer slowly decreasing doses of morphine or methadone to ease the process. Providing medical protocols to deal with this condition was the intent of the federal law.

Despite this initial specific focus on opioid withdrawal among newborns, states have begun implementing laws that target mothers who test positive for any illegal drug use. The National Institutes of Health agree that “Alcohol and other drugs used during pregnancy can also cause problems in the baby. Babies of mothers who use other addictive drugs (nicotine, amphetamines, barbiturates, cocaine, marijuana) may have long-term problems. However, there is no clear evidence of a neonatal abstinence syndrome for these drugs.”[3]

Notably, millions of American women have used and continue to use alcohol, marijuana, nicotine, and/or prescription drugs during pregnancy with no known ill effect to their offspring. Yet in many states, zealous, usually conservative lawmakers have seized on the situation as yet another way to attack illegal drug use. Newborns and mothers are profiled and drug tested without consent. Infants are separated from their mothers. Mothers are sent to jail.

The State of Arkansas is one of eighteen states which requires health care professionals to profile mothers and newborns to determine who should be drug tested. In 2014, Tennessee became the first state in the nation to pass a law allowing women to be charged with a crime if their babies are born with symptoms of drug withdrawal. Other states, such as Alabama and South Carolina, use interpretations of existing laws to prosecute pregnant women who use drugs.[4]

The potential penalties under Alabama law are especially stiff: one to 10 years in prison if a baby is exposed but suffers no ill effects; 10 to 20 years if a baby shows signs of exposure or harm; and 10 to 99 years if a baby dies.[5]

There is no known law which requires prosecution of fathers for their use of any substance which might have contributed to a newborn’s impairment.

The American College of Obstetricians and Gynecologists guidelines recommend that in cases where substance abuse is suspected, doctors use a separate form to seek consent for drug testing; women can opt out simply by not signing. These guidelines are widely ignored. In Arkansas, for example, if a health care provider or allied professional such as a social worker believe an infant might have been exposed to illegal substances in utero, a claim of probable cause meets the criteria of child abuse and federal laws protecting privacy don’t apply. Mothers are tested without consent and the case is turned over to authorities.

Such professionals employ a widely varying and undocumented set of criteria to identify newborns and mothers to be tested. Conspicuous symptoms such as premature delivery, low birth weight, seizures, fever, hyperactive reflexes, or rapid breathing are among the more obvious reasons to test the newborn. Yet hospitals also single out mothers who obtained little or no prenatal care even though this unfairly targets the poor or those who live far from medical facilities.

Persons who fit certain cultural stereotypes may also be at risk of greater scrutiny: compare the likelihood for suspicion of drug use in a young woman with dreadlocks and reeking of patchouli compared to that of a well-to-do woman with no counterculture identifiers. Racial profiling is also widespread in these cases as is suspicion of women who have engaged a midwife.

Aside from all the outrages involved in these policies, the fact is that they close the barn door after the horses are out. Once the child is born, whatever fetal harm might have occurred is already done. The rational approach would recognize that a few newborns may need intervention treatment and their mothers need access to counseling. End of story.

Instead, state lawmakers take whatever injury might have occurred to a fetus and explode that into the worst case scenario for the newborn infant by separating it from the mother—no cuddling at the breast for milk (one of NIH’s recommended treatments of NAS is breastfeeding), no mother’s heartbeat, no familiar voices. If we wanted to ensure that an already-challenged newborn suffer the greatest possible harm, we can rest assured that arrest of the mother fits the bill.

[I concede that in a very few cases, the mother’s behavior is so out of control that the infant is better off not in her custody. Very few.]

Legislators eager to punish mothers ignore the fact that the damage is already done. They justify punitive action in the belief that punishment serves as a deterrent. But—point of fact—if threat of punishment served as a deterrent, no one would use illegal drugs.

Marijuana use is not known to result in birth defects or NAS. One study even shows benefits to infants born to marijuana-using mothers.[6], [7] But according to a 12/18/15 report in the Arkansas Democrat-Gazette, of the 970 new Arkansas mothers referred to social services in 2014, 65% were for marijuana use.

Lawmakers also skim past the obvious hypocrisy in screening mothers only for illegal drugs when fetal alcohol syndrome has long been identified as a common cause of birth defects. Many of the distress symptoms in newborns can also result from the mother’s use of tobacco.

If punishment for theorized harm to the child is the state’s objective, then why aren’t alcohol and tobacco included in the screening? Why aren’t those mothers arrested and separated from the child?

I’ll tell you why. Because a driving purpose behind such laws is to punish mothers for illegal drug use.

If the real goal is to reduce the number of impaired newborns, a bureaucracy will need to be established which monitors all women of childbearing age with monthly testing for evidence of pregnancy. Once pregnant, women would be placed on 24-hour watch to ensure proper nutrition and adequate exercise. Prospective parents will undergo genetic testing  and embryos will be screened for congenital defects and aborted when appropriate. Controlled environments for gestating women will need to eliminate potential stressors such as spousal abuse and financial troubles. Any possibly harmful substances such as alcohol, tobacco, or illegal drugs would not be allowed.

Ah, brave new world with our Alphas and Epsilons.[8]

There’s nothing wrong with states supporting protocols by which medical professionals can more adequately address NAS in compromised newborns. But compromised newborns should not be used to indict the mothers for real or imagined crimes. There’s no proof that illegal substance abuse alone is the cause of a particular newborn’s problems. A majority of distressed and/or premature newborns come from poor mothers and/or mother who use alcohol and nicotine and/or mothers who don’t exercise or eat properly.

Keep in mind there’s no scientific evidence that an addicted newborn suffers subsequent permanent damage.[9], [10]

The rush to prosecute illegal substance-using mothers of newborns does not assure that their future pregnancies will produce perfect children. Nor, in most cases, does it provide any benefit to the child.

Are women now fetus delivery systems answerable to the state?

Proactive encouragement toward good health and responsible behavior is as far as a free society can go to ensure the best possible outcome in any life pursuit of its citizenry, including parenthood. This approach involves all those abhorrent liberal ideas like sex education in the public schools and easy access to birth control. Access to abortion. Clean air and water. Greater public understanding of proper nutrition. Excellent education. Good job training and job opportunities. Community clinics with affordable, high quality mental and physical health care.

If we want to decrease the American trend toward ever greater substance abuse, we need to take immediate steps to stop commercial advertising of prescription drugs. There is not and never will be a magic pill for most of life’s troubles even if these ads insinuate otherwise.

We need to reorient our medical community toward prevention instead of pharmaceuticals.

We need to devote more resources toward understanding the factors that contribute to substance abuse and addiction and address these problems at their roots: disenfranchisement, poverty, lack of opportunity, low self-worth, racism, mental illness.

Have we done this before rushing to prosecute mothers?

No.

 

Learn more and offer your help at http://www.advocatesforpregnantwomen.org/ 

[1] http://www.drugabuse.gov/about-nida/legislative-activities/testimony-to-congress/2015/americas-addiction-to-opioids-heroin-prescription-drug-abuse

[2] https://en.wikipedia.org/wiki/Opioid_addiction_and_dependence

[3] https://www.nlm.nih.gov/medlineplus/ency/article/007313.htm

[4] http://www.huffingtonpost.com/entry/pregnant-drugs-crime_5692ea9ee4b0cad15e653dd0?section=politics

[5] http://www.al.com/news/index.ssf/2015/09/covert_drug_tests_child_abuse.html

[6] http://www.ncbi.nlm.nih.gov/pubmed/1957518

[7] http://www.druglibrary.org/schaffer/hemp/medical/can-babies.htm

[8] https://en.wikipedia.org/wiki/Brave_New_World

[9] http://healthland.time.com/2012/05/01/number-of-babies-born-suffering-drug-withdrawal-triples/

[10] http://www.adoptivefamiliescircle.com/groups/topic/Baby_born_opiate_addicted&#8230;.terrified/