Law reforms


BY JOSEPH RWAGATARE, 27 MARCH 2012

A girl walking from school. (File Photo) (Photo Courtesy Katy Gabel/AllAfrica)

Abortion is an emotive issue anywhere in the world. Few discussions about abortion are ever moderate. They often draw the most extreme, passionate, distorted and even unreasoned views. And so it has been in Rwanda in the last few days.

The debate here has been fueled by two things. First, is government’s intention to amend the law on abortion. This has been interpreted (erroneously as it turns out) to mean that government intends to legalise abortion. It is this misinterpretation of intention that has excited passions.

Now, Rwanda has some of the most enlightened economic and social legislation. But it has not yet got anywhere near legalising some of the more controversial and divisive issues like abortion. In some instances, it has tended to decriminalise them, while in others, it has sought to reduce sentences and allow for extenuating circumstances.

In the present debate, the latter seems to have been the intention. The amendment to the law seeks to reduce sentence given to offenders. As Mr Tharcisse Karugarama, the Minister of Justice, said in a BBC Kinyarwanda programme, Imvo ni Imvano on March 24, offenders should be helped to heal instead of being heavily punished.

Second, was the publication of figures of cases of abortion in Rwanda. It was reported that 60,000 abortions take place in the country every year. Most of these are unsafe, with 40 per cent leading to complications that require treatment.

The number of abortions is probably higher than this because most of them go unreported. We do not even know how many die or whose reproductive capacity is irreparably damaged.

This is the context of the current debate. Most of what I have seen has been wrong. For instance, in all the public discussions, nearly all participants have been men – usually, old men. Most of the men have been religious leaders. You cannot expect a balanced view from this limited group with strongly-held views on the topic.

First of all abortion directly affects women. They are the ones who make the decision whether to terminate a pregnancy or not. It’s their lives that are in danger. And they cannot be said to be less concerned about their pregnancy than the men who pontificate about the sanctity of life from the emotional safety of the pulpit or office. Where are the women? They are markedly absent from the debate. Their views on the subject or reasons that compel them to acts of desperation have not been heard.

Also, where are the voices of young people, who are likely to be entangled in the whole question?

I think it is a waste of time to talk about an issue and seek to prescribe measures regarding it when those directly affected are excluded from the conversation.

Secondly, the views of the men who are brought to discuss abortion are so well known; there is nothing new to learn from them. They cannot be expected to offer any other solutions. All men of the cloth, of whatever faith, are vehemently opposed to abortion. They will not even listen to circumstances where terminating a pregnancy may be the only way to save a life or the sanity of an individual. Can they feel the anguish of a mother taking such a drastic decision? Can they feel the pain – physical and psychological – that may have accompanied conception and continue to dog the woman? They can only take refuge from the real world behind a veneer of smug piety and condemn what they have never felt or are indeed incapable of feeling.

I heard someone from civil society condemn abortion in stronger terms than the bishops did. It was easy to tell where his organisation gets its funding from.

But we have to consider this question. Why do abortions continue to take place despite the legal, moral and religious injunctions? Clearly, there are serious issues to look into, and sanctimonious posturing simply won’t do. The debate should address these issues.

Also consider this. Some of the good men of the cloth are responsible for some unwanted pregnancies. And when the poor girl or woman tells the man of God about the pregnancy, he will either deny it or threaten her with divine retribution for daring to slander the servant of the Most High. He will then proceed to denounce loudly the immorality in our society. He will cry and lament the level of moral decadence.

Think about this as well. How many of the obviously well-to-do men discussing this subject have come up to offer help to starving or traumatised children and mothers – victims of rape, incest, coercion by those who have authority over them or some other form of abuse?

We cannot solve the complex question of abortion through hypocrisy, posturing or pious statements about the sanctity of life because this amounts to hiding our heads in the sand.

The debate is healthy, if it takes the right direction. And obviously it is a complex problem as there are serious ethical and legal issues to weigh. But the debate must not be stilted or left to a bunch of old men to determine. Let those who are most affected have their say.

The right to choose under attack in the parliament of Ukraine! The proposed law would ban abortion and add a penalty for couples who do not have children.

Moreover, the initiative also includes a ban on the act of sex in the missionary position. An initiator of the bill said that the missionary position has been proven ineffective for conceiving children.

However, some activists argue that the inclusion of the anti-missionary law is only a diversion tactic to distract from the initiative’s real anti-choice purpose. Supporters of the proposed law in the Verkhovna Rada say that they support this initiative out of concern for Ukraine’s declining population and low fertility rate. However, it is clear that the initiative also has the intention of controlling women’s choices, for it has support from religious figures.

To sign petition to urge Mykola Azarov, the Prime Minister of Ukraine, not to support this proposed law go to: http://forcechange.com/17532/urge-ukraine-not-to-prohibit-abortion-and-childlessness/

www.thinkafricapress.com/malawi/battle-legalise-abortion

In spite of new findings, the government continues to deliberate on the best plan of action.

Article | 3 April 2012 – 11:17am | By Lameck Masina

Blantyre, Malawi:

Officially illegal, but by no means uncommon, abortion is a controversial topic in Malawi.

Abortion is outlawed except in cases where pregnancy threatens the life of the mother. Section 149 of Malawi’s penal code condemns any person who administers an abortion to 14 years imprisonment, while Section 156 states that any woman who solicits an abortion is liable to 7 years in prison.

Despite this, abortions still occur, usually performed by untrained personnel.

A report conducted by Malawi’s Ministry of Health in conjunction with Ipas, a reproductive rights organisation headquartered in the US, found that 70,000 women had an illegal abortion in 2009 alone. It further showed that about 17% of maternal deaths in Malawi are the result of unsafe abortions.

The study, therefore, asked government to liberalise abortion laws so that a pregnant woman would have access to trained a medical practitioner if “she has ill health and needs an abortion and if the pregnancy is as a result of sexual coercion or if indeed the woman really feels that she cannot carry on with the pregnancy due to economic reasons”.

A money-saving initiative

The study also showed that Malawi is spending a significant amount of money on treating post-abortion complications. This was reiterated by the 2012 preliminary report on ‘Health System Costs of Providing Post Abortion Care in Malawi’, which estimates that basic post-abortion care costs around $45.

The report states, “Public health facilities in Malawi that provide post-abortion care spend approximately $1.06 million annually to treat women with complications of unsafe abortion”. It continues: “If safe abortion services were made available to women, approximately $435,000 would become available in public health care facilities each year to divert to other health care needs”.

A right for all

Women’s rights campaigners are also sounding the call to change the law with local and international rights organisations such as Women and Law in Southern Africa Research Trust WILSA-Malawi, the Coalition for the Prevention of Unsafe Abortion COPUA, and Ipas all taking part.

Seode White, National Coordinator for WILSA-Malawi, explained to Think Africa Press that their fight is largely for the rights of poor, rural girls and women who do not have money to seek safe abortion services from private hospitals.

“Despite being illegal, the fact is that women from urban areas seek abortion in private health clinics where they get safe abortions while those poor girls in rural areas go to a backstreet clinic and get a very poor service. Some of them die and others end up not being able to have babies ever again,” she said.

“It’s high time Malawi take a leaf from other African countries like Zambia and South Africa where abortion is legal”.

In a sense, campaigners are simply trying to get Malawi to honour their commitment to the Maputo protocol, an agreement supporting greater reproductive rights for women.

Executive Secretary of the Malawi Human Rights Commission, Grace Malera, explained: “The Maputo protocol has an article that is subscribing to liberalisation [not only] when the pregnancy is threatening the life of the mother but as well as pregnancies that are resulting from rape and incest. In terms of the human rights, that is a right to health issue and we need to address it”.

Resistance to change

But not everyone is convinced of the need for more liberal abortion laws. David Odali, Executive Director of local human rights organisation the Umunthu Foundation, told Think Africa Press that liberalising abortion laws would be tantamount to giving people “a license to sleep around”, which would eventually lead to an increase in HIV transmission.

“If we have an open law on abortion, this would be subject to abuse because these women that are willingly getting pregnant will continue doing so knowing that once they are pregnant they have the option to end it”, he argued.

Most traditional and religious leaders in Malawi also consider abortion a sin and reject calls for its legalisation. Macdonald Kadawati, Chairman of the Public Affairs Committee, an umbrella organisation for the major faith communities in the country insisted that abortion was “not good for both the mother and the child”.

“The Bible tells us the point at which life begins…God has designed that one should be born and no one should take that life away because that is murder,” he says.

Sheikh Dinala Chabulika, National Coordinator of the Islamic Information Bureau, claimed that Islam generally regards abortion as murder and that “in Islam, abortion is only allowed when there is proof from a medical doctor that the life of a mother will be in danger during delivery.”

Despite resistance from religious leaders, however, the Ministry of Health has previously found that unsafe abortion isrampant among religious women in the country.

Watching and waiting

Despite research findings that have highlighted the health risks and economic costs incurred due to existing laws on abortion, health authorities have remained reluctant to declare their position on the possible liberalisation of these laws.

Health ministry spokesperson Henry Chimbali, for example, maintains that the authorities are still assessing the findings before they reach a conclusion. While the government assesses and pro and anti-abortion groups debate, dangerous illegal abortions continue.

Think Africa Press welcomes inquiries regarding the republication of its articles. If you would like to republish this or any other article for re-print, syndication or educational purposes, please contact: editor@thinkafricapress.com

 

23 March 2012

The Health Secretary, Andrew Lansley, yesterday announced to the UK media that the Care Quality Commission (CQC) would be carrying out a series of ‘unannounced inspections’ on abortion clinics throughout the UK to ensure that doctors are complying with the ‘spirit and the letter’ of the 1967 Abortion Act. Jennie Bristow reports.

This action, which Lansley confirmed in a statement to Parliament today, 23 March (reproduced below), is allegedly a response to concerns that doctors are ‘pre-signing’ the HSA1 abortion forms. ‘The process of pre-signing certificates where the doctor does not know who the woman is for whom that certificate may be used in relation to that abortion is in itself illegal. I am not prepared to tolerate a failure to respect the law,’ Lansley said in a press statement yesterday.

He further stated: ‘The CQC has agreed to undertake unannounced inspections to identify the scale of this problem and we will set up a special team comprising of all the necessary regulators… to look at how we stamp out bad practice in abortion clinics.’

The BBC gives a more measured explanation of the law regarding the HSA1 form. ‘Except in emergencies, the law says two doctors must certify an abortion. However, there is no requirement for them to have actually seen the woman – only that they should have seen and assessed the necessary clinical information about her case, which could have been taken by another doctor or nurse.’

Lansley’s concern is that this ‘second signature’ is being provided before the doctor has reviewed the relevant notes. This is not the practice of most abortion providers, including British Pregnancy Advisory Service (BPAS). However, launching a wave of CQC inspections on the basis of forms potentially being pre-signed in some other clinics is a strange and heavy-handed action, for three reasons.

First, the second doctor’s signature has been long understood to be a legal, rather than a clinical, safeguard; arising from attempts in the 1960s to pass a controversial new law in the form of the Abortion Act. As such, many politicians – including Lansley himself – have questioned whether it is necessary to retain this cumbersome and clinically irrelevant requirement in the 21st century.

As the BBC explains, ‘The requirement for two doctors’ signatures was criticised as long ago as 2007, when a report by MPs on the Commons science and technology committee recommended it be removed because of the potential for abortions to be unnecessarily delayed.’ And Andrew Lansley himself, during the debate about the abortion law that took place in 2008, said:

‘If a woman needs an abortion in terms sanctioned by the Abortion Act 1967, it must surely be better for it to be an early, medical abortion than a later, surgical one. I therefore hope that the House will consider whether the requirement for two doctors to consent to an abortion being performed, and the restrictions on nurses providing medical abortions, need to be maintained.’

So it is strange indeed that the Health Secretary, busily engaged as he is in controversial reforms of the entire health service, should now view strict adherence to the ‘two doctors’ requirement as a sudden issue of major clinical concern. His quote in yesterday’s press statement could not be more different from the temperate approach that he took four years ago. On 22 March 2012, Lansley argued:

‘I am shocked and appalled to learn that some clinics – which look after women in what are often difficult circumstances – may be allowing doctors to pre-sign abortion certificates. This is contrary to the spirit of the Abortion Act. The rules in the Abortion Act are there for a reason – to ensure there are safeguards for women before an abortion can be carried out.’

The second peculiarity of this shock wave of inspections is that the ‘evidence’ upon which they have been launched seems remarkably thin. It seems to have come out of police investigations launched on the back on the Daily Telegraph’s investigation into ‘sex selection’ abortions last month, which itself found little evidence that such abortions were carried out.

There may be more basis Lansley’s concerns than a flimsy newspaper investigation – but we do not know. And this is the third and most striking peculiarity of today’s Parliamentary statement: that the media were briefed about it before any of the clinics whose work it might concern.

Ann Furedi, chief executive of BPAS, said: ‘Abortion doctors provide an important service to women who are often in difficult circumstances. Their work is already intensely scrutinised, with clinics regularly inspected by the CQC.

‘Mr Lansley says he is shocked and appalled by the practices he has uncovered. BPAS is shocked and appalled that Mr Lansley has found it necessary to inform journalists of alleged breaches of the abortion law before he has informed those responsible for providing the services that have been investigated, and before the investigation is concluded.’

WRITTEN MINISTERIAL STATEMENT

DEPARTMENT OF HEALTH
Enforcement of the Abortion Act 1967
Friday 23 March 2012

http://www.avaaz.org/en/no_prison_for_contraception/?fp

Honduras is just days away from approving an extremist law that would put women in prison for using the morning-after pill, even after being raped. But we can stop this law and give women back the chance to prevent unwanted pregnancy. 

Some Congress members agree that this law — which would also jail doctors or anyone who sells the pills — is excessive, but they are bowing to the powerful religious lobby that wrongly claims the morning-after pill constitutes an abortion. The head of the Congress, who wants to run for President of Honduras and cares about his reputation abroad, can stop this. If we pressure him now we can shelve this reactionary law. 

The vote could happen any day now — let’s show Honduras that the world will not stand by as it jails women for preventing pregnancy even after sexual violence. Sign the urgent petition on the right calling on the President of Congress Juan Orlando Hernández to stand up for women’s rights. If we reach 400,000 signatures, local women’s groups will personally deliver our outcry to Hernández.

www.abc.net.au/unleashed/3889266.html

by Rachel Watts

Whatever happens inside a person, is that person’s business. It’s a fairly straightforward concept.

A WA proposal to introduce foetal homicide laws, indirectly sets up a competing set of rights that patronise women.

In response to the assault of a woman in Western Australia, which ended her eight-month pregnancy, WA Attorney General Christian Porter announced last month he would pursue legislation to strengthen penalties available in cases of assault of a pregnant woman that causes the death of a foetus. While violence against women should be treated as a serious criminal matter, Mr Porter said, should that violence result in the loss of a pregnancy the law should recognise the emotional trauma that would cause.

Mr Porter also said it would not be intended to use such laws to restrict access to abortion by stealth.

“The proposed legislation will be drafted to require an unlawful act to be done to the mother before any penalty can apply,” he said.

By contrast, a WA Opposition discussion paper released last week demanded greater steps be taken to enforce Apprehended Violence Orders, with electronic monitoring, among a range of other proposals to prevent, punish and limit the damage of domestic violence.

If a woman is beaten so severely that a foetus dies, that is a serious assault upon that woman. We live in a society in which domestic violence is still shockingly commonplace. Too many women are failed by the systems in place to protect them. Too many women are faced with the choice between staying in a violent relationship and homelessness. Introducing new laws specifically to better punish those who harm women enough to cause a pregnancy to end is further failing those women. While the heartbreak is beyond imagining, legislation covering what happens inside a woman’s body will do precisely nothing to prevent violence inflicted upon her.

Even if it did, if we can’t protect existing humans, what hope do we have protecting something as difficult to define as preborn life?

By restricting the legislation to cases of an “unlawful act”, Mr Porter said the legislation did not propose to limit women’s right to make her own choices. But everyone tries to affect a woman’s right to make decisions regarding her pregnancy. Colleagues, doctors and complete strangers in the street reserve the right to – at a glance – assess a woman’s decisions, behaviours and capacity to be a parent.

So it should surprise no-one that the aims of the legislation as explained by Porter didn’t stop the immediate band-wagoning of organisations like the Right to Life Association and the Australian Medical Association.

The former, fairly predictably, demands that since we’re discussing foetal personhood, surely we should acknowledge abortion as being the death of a person. The latter demands we also consider punishing pregnant women who are “reckless” or who choose the circumstances under which they give birth, in the same way as for neglecting if not endangering a person.

Talk about affecting a woman’s right to make decisions regarding her pregnancy. Every available option is damned including soft cheese. Which for some is life’s only solace.

Defining a foetus as a person whose life is valued at the same order of magnitude as the woman carrying it opens up a balancing act of rights. That anyone advocates charging women with a criminal offence should they choose to give birth at home, drink alcohol, or eat something ill-advised reveals the lack of trust society has in the judgement of women. It isn’t respecting women to value their uterus above everything else.

The question of when life begins will not be solved by laws or consensus. The way to give the best and most individual care for both women and babies is simple, trust women. Any attempt to punish “reckless mums” or to limit access to abortion prejudicially targets the most marginalised women. Because based on attributes like race, relative wealth and education, society has already decided it can’t trust them. If, as the AMA suggests, this law is extended to “reckless mums”, where does it stop? Will she be turned away from a delicatessen counter for her own good? Will a woman’s decisions after birth, when or if she goes back to work or how long she breastfeeds for also be grounds for charges? What about before pregnancy? Will a woman’s behaviour leading up to conception be considered inadequate to offer the very best in-utero accommodation for the foetus? In which case what about contraception? Will women, already subject to hurdles should they decide to terminate a pregnancy, be charged should they pursue that right enshrined by WA law? If doctors can’t all agree, who will be the arbiter? Shouldn’t it be the woman whose body we are discussing?

Assault on a woman is the result of someone else’s choice to be violent. Defining a foetus as a person does not address that choice. Women should not have to be deferential to society about the functions of their bodies. Women should know that should someone inflict violence upon her, pregnant or not, they will be dealt with seriously not because of a foetus within her, but because she has the same right as anyone else to live in peace and without fear.

Rachel Watts is a Perth journalist, the editor of a suburban newspaper and social media editor. Follow her on Twitter @wattsuppussycat

Sign Petition: Women imprisoned for murder of her fetus after suicide attempt:

http://www.change.org/petitions/protect-pregnant-women-free-bei-bei

 

Numerous organizations and leaders who identify themselves as “pro-life” have assured the public that state murder and feticide laws that create special penalties for harming fetuses would not result in the arrests of pregnant women. Terry Curry, the Marion County Prosecutor, however is using these laws as the basis for arresting pregnant women who take any intentional action that could harm the fertilized eggs, embryos, or fetuses inside of them.

In 2010, Bei Bei Shuai, a pregnant woman living in Indiana became so depressed that she attempted to end her own life. With help from friends who intervened, however, she survived. Although Ms. Shuai did everything she could, including undergoing cesarean surgery, to ensure that her baby survived, her newborn died shortly after birth.

Ms. Shuai was arrested for the crime of murder (defined to include viable fetuses) and feticide (defined to include ending a human pregnancy at any stage). The sentence for murder can be the death penalty or 45 years-to-life. The sentence for attempted feticide is up to 20 years. Both of these kinds of laws are promoted and supported by “pro-life” organizations.

Father Frank Pavone of Priests for Life has said that the “pro-life movement is not out to punish women.” Yet, as of March 14th Ms. Shuai, will have been imprisoned and punished for an entire year. (Bail is not allowed when the charge is murder).

Indiana’s murder and feticide statutes were passed in response to violent attacks on pregnant women and with the promise that they would be used to protect pregnant women and the fetuses they carry from such assaults. Instead, in a blatant bait and switch maneuver these laws are being used to lock-up pregnant women.

If this prosecution is allowed to go forward, the law will not just apply to one desperate pregnant woman who attempted suicide — it will:

• Create legal precedent that makes every woman criminally liable for the outcome of her pregnancy.
• Empower police officers to decide which of the twenty to thirty percent of pregnant women who suffer miscarriage and stillbirths each year will be subjected to bedside interrogations, arrests, prosecutions, and imprisonment.
• Leave no doubt that women who intentionally end their pregnancies may be charged with murder if Roe is ever overturned.

By continuing this prosecution, Mr. Curry is making clear that the “Pro-Life” position is really the “Pro Life-Sentences-For-Pregnant-Women” position. Please join this petition to the Marion County Prosecutor to drop all charges and to free Bei Bei Shuai now.

http://www.addictinginfo.org/2012/03/07/arizona-senate-passes-bill-allowing-doctors-to-not-inform-women-of-prenatal-issues-to-prevent-abortions/

It’s called a “wrongful birth” bill and it’s all about preventing women from having an abortion, even if it kills them. The Arizona Senate passed a bill this week that gives doctors a free pass to not inform pregnant women of prenatal problems because such information could lead to an abortion.

In other words, doctors can intentionally keep critical health information from pregnant women and can’t be sued for it. According to the Arizona Capitol Times, “the bill’s sponsor is Republican Nancy Barto of Phoenix. She says allowing the medical malpractice lawsuits endorses the idea that if a child is born with a disability, someone is to blame.” So Republicans are banning lawsuits against doctors who keep information from pregnant women so as to prevent them from choosing to have an abortion.

This bill is actually more disturbing than the Republicans seem to realize. Giving doctors such a free pass risks the lives of both the expectant mother and the fetus she carries. Prenatal care isn’t just for discovering birth defects and disabilities. It is also for discovering life threatening issues such as an ectopic pregnancy which often requires an abortion to save the life of the mother. With rare exceptions, ectopic pregnancies are not viable anyway, but Republicans are allowing anti-abortion doctors to keep life threatening information from pregnant women all because they are obsessed with stopping any and all abortions. Women may not know they have a life threatening condition until they die on the emergency room table. And the doctor couldn’t be sued.

This is an egregious bill that will lead to higher mortality rates for infants and mothers. Doctors should be held accountable for not disclosing information learned from prenatal examinations. Pregnant women have the right to know if their future child is going to have a disability or if the pregnancy may require an induced abortion to save their lives. Any decision that is made as a result of the information is the mothers own. Doctors should not be allowed to make decisions for pregnant women as a way to prevent abortions. Women have the right to make their own health decisions and hiding critical information is irresponsible, unconscionable, and risks lives. In the end, Republicans are only putting more lives in jeopardy. They might as well call this the ‘let women die’ bill.

 

Take action:

Tell Gov. Brownback: Don’t let doctors lie to women

https://secure.aclu.org/site/Advocacy?cmd=display&page=UserAction&id=4209&s_subsrc=120313_ks_women_eml

Ireland has produced many brave and influential women whose lives have helped change Irish society, but it’s a tragic irony that one of those who’s had the biggest impact – and sparked the longest-running controversy – is someone whose name we don’t know, who was only 14 when she came to our (and the world’s) attention and who you can bet would have given anything to have never been heard from in the first place.

She’s known as Miss X, and 20 years ago she was raped and impregnated by a much older family “friend”. Ireland is still governed by 1861 (!) legislation which makes abortion a crime punishable by life imprisonment, so her parents took her to England. When they contacted Irish police to ask if the embryonic remains might be useful as evidence, the police contacted the Attorney General, who promptly sought an injunction to compel her to return to Ireland and remain for the next nine months.

This astonishingly cruel and repressive act was “justified”, according to the Attorney General, by Article 40.3.3 of the Constitution. Passed by referendum in 1983, the Article reads:

The State acknowledges the right to life of the unborn and, with due regard to the equal right to life of the mother, guarantees in its laws to respect, and, as far as practicable, by its laws to defend and vindicate that right.

Miss X, however, was threatening suicide if she was forced to bear her rapist’s child and so her lawyers argued that her own right to life – also protected by Article 40.3.3 – was engaged. In the High Court, Justice Declan Costello (who was eulogised on his death last year for his commitment to social justice) applied a crude balancing test to reach his decision: if Miss X was forced to continue the pregnancy, she might die, but if she was allowed an abortion the foetus would die. He thus granted the injunction barring her from travel.

On appeal, the Supreme Court took a different approach: a majority deemed abortion permissible under Article 40.3.3 where it is established, as a matter of probability, that there is a real and substantial risk (not necessarily an immediate or inevitable one) to the woman’s life. The risk of suicide, it held, fell within these exceptional grounds.

The government responded to the decision – and the controversy engulfing Irish society – by putting three more referenda to the people (the Irish Constitution can only be changed by referendum). One would have overturned the X decision to the extent that it deemed suicide a risk entitling a woman to an abortion. The second would clarify that Article 40.3.3 did not impinge on the freedom to travel outside the state – a necessity since a majority of the Supreme Court had also felt that the rights of the “unborn” would supersede the right to travel where there was no risk to the pregnant woman’s life. The third aimed at resolving another ongoing controversy, allowing information to be made available about legal abortion services outside the State.

The Irish people voted sensibly, around two-thirds defeating the first referendum and slightly smaller majorities passing the other two. This still left the State with one of the most restrictive abortion laws in Europe, however – and the cowardice of successive governments, in refusing to legislate for the decision, means that 20 years on we still don’t know exactly what it means in real terms. How is it to be determined whether a pregnancy poses a real and substantial risk to life? Who gets to decide? And what remedies are available to a woman denied an abortion despite believing she falls within the criteria set out in X?

There are no answers to these questions – and the consequences for some women are dire. In 2010, a woman named Michelle Harte from County Wexford, a cancer patient, was advised by her doctors at Cork University Hospital that she should have an abortion because of the threat posed by her pregnancy. However, the hospital ethics committee – which apparently did not read the X judgment very carefully – overruled this advice, deeming the risk to her life insufficiently “immediate”. The identity of those on this “ethics committee” is unclear, but it is stated to include a number of non-medical people, including some with “theology and philosophy backgrounds”. What kind of bullshit policy allows theologians to overrule doctors’ decisions about the medical risk to someone’s life?

Another woman harmed by the lack of legislation in this area is known to us as “C”. She was one of three plaintiffs who challenged Ireland’s abortion laws before the European Court of Human Rights, which found in her favour (although not in the other two’s) in December 2010. In a ruling that was entirely predictable after the 2007 Tysiac v Poland case, the ECHR held that Ms C’s Article 8 (private and family life) rights had been breached by the State’s failure to make abortion actually available in the extremely limited circumstances where it is legal. (Ms C, like Michelle Harte, was a cancer patient; she testified that she could not even get medical advice on the risks posed by her pregnancy, such was the chilling effect of the anti-abortion criminal law.)

The State is obliged to abide by the rulings of the ECHR (although there is little in the way of enforcement mechanisms) and so, as a practical matter, it has one of two options. It can either amend the Constitution to remove the “due regard to the equal right to the life of the mother” clause – thereby making abortion illegal even to save a woman’s life – or it can set out a clear and transparent mechanism, with a proper appeals procedure, for women who believe they meet the X criteria.

To readers outside Ireland, the fact that this even poses a dilemma for the government must seem indescribably bizarre – something you might expect to find in the Taliban’s Afghanistan or Khomeini’s Iran, but not in an ostensibly modern, advanced OCSE country in northwestern Europe. And in fact, it’s pretty bizarre to us too. A referendum to remove the right to a life-saving abortion hasn’t a hope of getting past an Irish public that believes by almost nine-to-one that such abortions should be legal. It’s notable that in the two referenda that have attempted to roll back the X decision – the one immediately following the judgment in 1992, and a second one a decade later – it was only the eligibility of potential suicides that was at issue; the possibility of taking the right away from women facing other risks to their lives, women like Michelle Harte and Ms C, wasn’t even contemplated. Why on earth would it be contemplated now?

And so, as Choice Ireland noted several months before that predictable ECHR decision, the Irish anti-abortion movement have taken a different tack: they’re now picking a fight with the English language. In regular ludicrous press releases and columns like this one, they’re trying to convince a (not-buying-it) public that there is no need to protect the right to a life-saving abortion, because there is no such thing as a life-saving abortion, because – wait for it – it isn’t really an “abortion” if the purpose is to save the woman’s life. It’s a “necessary medical procedure”, or something to this effect. Which just happens to end in the death of the foetus or embryo. Got that?

Now you know, and I know, and anyone who’s ever opened a dictionary knows, that that’s a load of rubbish and there’s not a chance of the law being changed to reflect it. But what the hardcore anti-abortion movement lacks in logic and public support, they more than make up for in political power. Quite simply, the major political parties in this country are scared shitless of them – and I mean all the major political parties, not just the two right-wing ones (Fianna Fáil and Fine Gael) that have consistently pledged not to legislate for the X case. The two next-largest parties, Labour and Sinn Féin, both support the right to abortion in life-saving and a couple other scenarios, but neither trusts a woman to make up her own mind about the decision. In fact, prior to the last election (which returned five members of the United Left Alliance), there was not a single pro-choice party in the Irish parliament. And even the ULA declined to campaign on the issue during the election, although to their credit they’re starting to make up for that now.

A consequence of this hold that the foetalists have over politicians is that more than a year after the ECHR decision (and, of course, twenty after the X case) we’re still waiting for implementation. And we’ll be waiting a while more. The government “met” its obligation to tell the ECHR how it was going to implement the decision by stating that it would establish an “expert group” to consider how to implement it. Just telling that to the ECHR took six months. It took another seven to announce who was being appointed to the group and the group’s terms of reference. The group’s conclusions are to be reported back to the government in a further six months. What happens then is anyone’s guess.

There are a lot of aspects of this story that I find sickening, but perhaps none more so than this: we in Ireland are in the midst of several years of austerity budgets, which this and the last government have justified by saying they need to make “hard decisions”. So they have made the hard decision to cut income supports for working and unemployed people, lone parents and those in need of extra assistance to care for the children they have. They have the made the hard decision to impose new stealth taxes and increase VAT, all of which will have a disproportionate negative impact on those already struggling to cope. They have made the hard decision to cut funding for community and support services for low-income women and families, and to combine the Equality Authority and Human Rights Commission into a single (and even weaker) body at precisely the time when discrimination against pregnant women and new mothers is increasing. So, the Irish government has no problem making the hard decisions that hurt women and families, and the hard decisions that make it more likely that some pregnant women will seek abortions. But legislating to ensure that a woman who might die without an abortion can get one in Ireland?

It seems that’s a hard decision too far.

Please go here for information on the Action On X campaign, or email actiononx at gmail dot com

January 17, 2012 – 10:23pm

It’s been almost three years since President Obama repealed the global gag rule, one of the most ludicrous and paternalistic U.S. foreign policies in history. But as we celebrate the anniversary of its repeal, just one day after the anniversary of Roe v. Wade on January 22nd, another matter deserves our attention.

The last stronghold of America’s oppressive overseas reproductive health policies, the Helms Amendment, is still alive and well. The 1973 amendment to the Foreign Assistance Act restricts U.S. funding for abortion overseas – even in countries where abortion is legal. Specifically, it states:

“No foreign assistance funds may be used to pay for the performance of abortion as a method of family planning or to motivate or coerce any person to practice abortions.”

The Helms Amendment invented what the global gag rule caricatured: a foreign policy that explicitly intrudes on the lives of women in developing countries, singling out and stigmatizing ‘abortion’ from the continuum of reproductive care necessary for a healthy life. Yet we’ve heard relatively little of this “grandfather” of anti-choice policies over the past 40 years, and all the while its colonial specter has continued to haunt the United State’s legacy of global reproductive rights.

Some are now aruging publicly for change. In late-December, 12 Members of Congress, including Representatives Lois Capps, Pete Stark, and Jan Schakowsky,  sent a letter to President Obama  asking for a formal review of the policy for the first time in history.

“We are concerned that the Helms Amendment – which restricts but does not prohibit abortion funding – is being implemented as though it were an absolute ban,” the letter stated.

The letter is a first step toward addressing a policy that has undermine the rights and health of women throughout the world for far too long.

Although Helms prohibits U.S. aid from directly supporting abortion services, it is supposed to allow for the provision of abortion counseling and referrals, post-abortion care, and abortion in cases of rape, incest, and danger to the life of the woman. Years of careful tracking and documentation work on the part of reproductive rights groups, spearheaded by Ipas and the Center for Reproductive Rights (CRR) have produced clear evidence that in reality, these exceptions exist in theory but not in practice.

“Despite provisions allowing foreign-assistance funding for abortion services under certain circumstances, for almost 40 years the Helms Amendment has been implemented improperly as a total ban on all abortions,” CRR said in a statement released last month.

If this sounds eerily familiar, it should. While the gag rule has been officially rescinded, it seems the Helms Amendment has continued to function in effectively the same way. Primarily due to the clumsy wording of the amendment (what constitutes “abortion as a method of family planning” and what counts as “motivating” abortion?), and the long history of the use of women’s rights to full reproductive health care as a political football, application of the policy in-country among aid workers and recipients has veered drastically toward banning and self-censorship. Ipas and CRR, along with a small group of legislators, are asking President Obama to issue clarifying guidance to ensure the proper implementation of the policy.

The groups suggest that the Helms Amendment has contributed to an overall environment of censorship, stigma, and misinformation around abortion, resulting in barriers to services and consequent deaths and injuries. For example, Nepal’s abortion law was liberalized in 2002. Yet Ipas found that despite this, and even after the repeal of the global gag rule, abortion was omitted entirely from formal USAID trainings, discussions, and manuals, and abortion groups were informally excluded from partner meetings on national reproductive health strategies.

As abortion is singled out, reproductive health services become fragmented, drastically reducing the likelihood that women will receive these services at all even under “legal” circumstances. The situation is not likely to be much better in any other country receiving U.S. international assistance, including countries where rape is being regularly employed as a weapon of war. This is disturbing when you consider that global aid funding is supposed to “help” in the most fundamental way, not harm. Unsafe abortion remains a leading cause of maternal mortality in the developing world, and that is clearly thanks in part to the Helms Amendment.

This seems to be something that everyone should care about. That the Helms Amendment exists in the first place should incite reproductive (and human) rights advocates – it is ties assistance to an ideology that flouts medical and scientific evidence and the reality of women’s lives. It should further incite us that this policy is being twisted to create additional obstacles for women in some of the most vulnerable places in the world. Yet the Helms Amendment remains a policy largely un-touched by pro-choice groups and rarely covered in the media.

The Hyde Amendment, which is basically the domestic version of the Helms Amendment, turned 35 just months ago, an anniversary that provided an opportunity to highlight the unjust, classist, and oppressive nature of a policy that most deeply affects low-income women in the United States. The coverage was terrific and widespread, delving into the history and implications of the policy, and even providing a helpful framework of lessons for activists.  Yet in all this, Helms was barely mentioned.

This is disappointing and problematic, because the two are so intimately connected. The Congressional letter to President Obama begins, “We are Members of Congress committed to reproductive rights at home and abroad…”. That line, at home and abroad, is pivotal. These policies do not exist in a vacuum, and neither do the anti-woman ideologies propelling them and keeping them in place. Their inceptions were related and if advocates are to successfully repeal them, those efforts, too, may have to be related.

Recent efforts to drag the Helms Amendment into the light come at a critical time.  Last month, the administration announced an historic National Plan of Action on Women, Peace, and Security, an executive order that puts women at the center of U.S. foreign policy. President Obama has talked the talk, now he is being asked to walk the walk. The president can ask the relevant agencies to review their policies and make guidance on the Helms Amendment and its exceptions crystal clear. He can issue an executive order ensuring that funding streams are not burdened by overly broad interpretations of an already-heninous law. The decision is in the Administration’s hands.  It is too soon to know what the outcome will be, but it seems at least the wheels may be starting to turn.

Follow Jessica Mack on Twitter, @fleetwoodjmack

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