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April 8, 2011

World Health Day: Abortion is Not a Health Issue

April 7th was "World Health Day" and some are using this fact to argue that "abortion is a health issue, not a crime" by way of a "blogswarm". I find this contention a little curious; claiming that abortion is simply a health issue is an assertion which is supposed to mean that abortion is not a moral issue in any way. However, an assertion is not an argument and proves nothing.

If a fetus is a human being then feticide is homicide and this obviously makes abortion more than a health issue. But suppose (contrary to what I think is the case) a fetus is not a human being. How does it follow that abortion is a health issue?

Cutting tissue out of a person's body does not make something into a health issue. Suppose, for example, that a woman has a boob job. Is this a health issue? No, this  is cosmetic surgery. It might be done in a hospital and by a surgeon but this does not make it into a health issue any more than the fact that a chef might kiss his wife in a resurant makes his romance of her a question of diet. Contrary to what some juvenile males may think, having small breasts is not a disease.

Of course, one can imagine situations where a boob job might be a health issue. Suppose a woman has breast cancer and the surgeon surgically removes her breast tissue to prevent the cancer spreading. This would be a health issue because cancer is a disease; it is something that threatens life, limb or bodily function and the surgery is necessary to prevent the body succumbing to the disease.

Pregnancy, however, is not a disease and I find it quite odd that people who claim to be pro-women would suggest that it was.

Of course, there might be some types of abortion which are a health issue; cases where the pregnancy threatens the life of the mother or threatens to cause her serious injury, for example. But these are not the normal cases or reasons women have abortions.

I suppose an obvious rejoinder will be raised here; any time a woman does not want to be pregnant carrying the pregnancy to term will be a source of anguish. Similarly, as the World Health Organisation ("WHO") likes to tell us, health is broader than simply physical integrity like the absence of disease, loss of limb or death. Health is more holistic – it includes economic and emotional well-being, it is the absence of stress and so forth. Hence, abortion is a health issue because women use abortions to gain health in this broader sense.

We can define health the way WHO does if we like; and if we do, abortion is a health issue. But the problem is that on this definition almost anything one does is a "health issue". My choice to take a particular career path, marry a particular woman, live in a certain house all can adversely effect my economic well-being, cause me emotional stress and so on.  We can call abortion a health issue only by calling everything a health issue and once we do this the fact that abortion is a health issue becomes of little significance – there would be little point in observing World Health Day.

So abortion is not a health issue. Moreover, even if it was, it is hard to know what saying it is a health issue is supposed to prove. The whole reason there is a field called medical ethics is because even "health issues" can be subject to moral and ethical critique.  Perhaps instead of chanting slogans about abortion, people should actually examine the moral and ethical issues the abortion procedure raises and engage in some moral reasoning and analysis. Hiding behind "it is a health issue, not a crime" is simply avoidance.

By Matt Flannagan
Source: MandM Blog