Can We Break the Abortion Impasse? The following is a philosophical experiment, an attempt to create a forum for discussion between the Pro-Choice and Pro-Life movements. It is not meant to be a complete solution to the debate, only a point of departure for constructive dialogue. I am, in part, challenging the assumption that the central goals of the two groups are mutually exclusive. I am not asking the reader, "Does this theoretical model give you everything you want?" but rather, "For the sake of peace between you, could you live with this?" Introduction The abortion debate has long been so polarized, so emotionally charged that no end is in sight to the legal wrangling, the protests, or the abortions themselves. In such an atmosphere the only way one side can get what it wants is by the other side's losing. Americans have never been particularly fond of losers. What if we could construct a hypothetical resolution to the issue to which both sides could agree? Getting both sides on this issue to agree to even a hypothetical solution would be a major accomplishment and perhaps point us in the direction of a real-world resolution to this debate. Common Denominator Certainly Pro-Choice advocates do not want abortions. They do not want to have to bear or bear the lifetime responsibility for children who are the products of an unplanned pregnancy. Enduring pregnancy only to place the child up for adoption seems to them too heavy a burden. They see abortion as their only recourse. Pro-Life proponents view the fetus as a complete, although still- developing, human being deserving protection under the law. For them, abortion is murder. They want it abolished. Unplanned pregnancy here is the common denominator. Eliminate that and the abortion problem blows away like so much chaff in the wind. I believe it may be at least theoretically possible to develop a solution which will address the concerns of both Pro-Life and Pro-Choice camps. One caveat here is that there is no perfect solution. As long as both sides are determined they must get everything they want, just the way they want it and right now, no progress is possible. However, there may be a way to give each side essentially, if not entirely, what it wants. For this next trick I will require the assistance of a philosophical device: a drug. A Modest Proposal *There is a drug which when taken will turn off a person's fertility indefinitely, and another drug to counteract the first.* The problems of unplanned pregnancy, teenage pregnancy, and abortion are major health issues in this country. Other such problems have been addressed already in this century: smallpox, polio, tuberculosis and others. In this model, unplanned pregnancy will be treated in a similar fashion. At entry into school at age five, children will be required to present proof of inoculation against fertility, just as they must now present inoculation records for smallpox, polio, etc. Like these others, the anti-fertility drug will be freely available through the public health department or through a family physician. Both boys and girls will be required to have the inoculation. Anytime after reaching the age of eighteen, upon request, a person could receive the counteractive vaccine and be free to pursue reproductive activities as she or he sees fit. Afterwards, the original inoculation would again be available to prevent further pregnancies. Since this compulsory program would begin with five year-olds, people older than five would be allowed a lag-time period (say, eighteen months) to get theirs voluntarily. After that time, abortions, except in specific cases (rape, incest, health of the mother, etc.) would become illegal. Since traditionally many men have assigned to women the task of birth control, financial responsibility for children they father should be more strictly enforced at the federal level (with child support withholding and, perhaps, a penalty) as an incentive to be inoculated. Age Restrictions Age restrictions on specific activities are nothing new in our culture. We as a people recognize that certain developmental and educational milestones must be reached before a person is ready to take on particular adult responsibilities. We do not let people drive until the age of sixteen. We do not let people vote until the age of eighteen. We do not let people purchase and consume alcoholic beverages until they are twenty-one. Why, then, do we assume a person is prepared and has a right to become a parent as soon as he or she reaches puberty? (Note: The average age for the onset of menses has dropped from about thirteen in the fifties and early sixties to nearly ten, and in some cases nine, now. Does a nine year-old have a constitutional right to become a parent?) Rationale behind some of these age restrictions include protecting the public from the effects of accidents caused by the irresponsible behavior of persons too immature to handle those particular proscribed adult responsibilities. The poverty, inadequate education, and hopelessness represented by teenage pregnancies weighs on the mother, the parents, the child, and the entire community. Do under-age parents have a right to burden their children and the community in this way simply because they are biologically able to conceive? Responsibility One feature of this model is that both sexes bear responsibility for birth control. The woman does not carry that burden alone by default. She still retains the right to choose when and how many times she will become pregnant. As prospective parents, both must make a conscious decision to get the counteractive vaccine if the woman is to get pregnant at all. If either chooses not to conceive, he or she can remain infertile. No real vaccine is 100 percent effective. Some small percentage of the population will get the vaccine and yet remain fertile. This can easily be tested and effected individuals alerted. Even so, given the fact that both sexes have been inoculated as children, the probability that two unprotected, unsuspecting people from this small population will mate and conceive is minimal. Having a child, under this model, becomes a matter of conscious choice, of accepting personal responsibility, and not an accident. Human history has demonstrated that as responsibly as one might try and act, unplanned pregnancies still occur. Sexual desire can cloud the judgement of even the most conscientious. And expecting self-control alone to do the job has proven itself an unreliable solution in the real world. In this country we do not demand an exceptional degree of personal responsibility from our people. Still, if somone wants to get a driver's license, once or twice in life he or she may be required to memorize the driver's handbook, pass a written test, and pass a driving skills test. If one wishes to vote, once or twice in life he or she must be responsible enough to bother to register. To purchase alcohol (through your twenties, at least), you must be responsible enough to get a valid picture ID to prove your age. I do not believe it is requiring too great a degree of responsibility from people to have to visit the health department once or twice in life to manage one's reproduction. Pros and Cons Certainly there will be some religious groups and others who will object to having themselves or their children inoculated. They can apply for and get their five year-old children exempted. Beyond that, their own participation would be voluntary. As these groups typically oppose abortion anyway, nothing will change for them. The fact both male and female must be unprotected for a pregnancy to occur will still provide their children of both sexes with significant protection. Any responsibility for inculcating sexual morality remains, as it should, in the parents' hands. Some women may still object on principle to having the abortion choice eliminated, even though the vaccine will eliminate the very necessity of ever having to make such a choice. But while abortion is perceived as a woman's only recourse, demand for the service will continue, and the political will to abolish it will never materialize. With the introduction of this type of program, however, an abortion will become a rare occurrence and demand will wither, making a ban politically practical. With this level of universal birth control, the Pro-Choice camp gets essentially what it wants. Women will not have to bear or bear the responsibility for children who are the products of unplanned pregnancies. Those pregnancies simply will not occur. The Pro-Life camp has long had a secondary goal of promoting its view of sexual morality in public policy. The teaching of sexual morality, however, is properly the purview of parents, not of the federal government. Objections will be raised that making them infertile (temporarily) will send the wrong message to children and foster promiscuity. But then, what political or moral message did you get as a child when you had your smallpox vaccination? Still, for the foreseeable future, AIDS should provide as effective a curb on promiscuous behavior as Pro-Life groups could wish. And when Pro-Life groups appear in public at rallies, at marches, or at abortion clinic protests, the signs and slogans they use say things like, "Save the Babies," "Abortion is Murder," "Ban Abortion Now," or "Stop the Genocide." Rarely in such a public forum have I heard the issue of sexual morality raised. I treat it here as they do in public, as a separate issue. This model, then, gives the Pro-Life camp what it publicly says it wants: a ban on abortions. Again, there is no perfect solution to this issue. Everyone may not get everything she or he wants. But if accepted, this model might reduce the number of annual legal abortions from about 1.5 million to from a few hundred to a few thousand, those being the legal exceptions which even many from the Pro-Life camp approve, a reduction of over 99 percent. Accepting this model could prevent the deaths of over one million babies a year in this country, an achievement Pro-Life forces would be reckless to reject out of hand. Conclusion This theoretical model gives each side in the divisive abortion debate essentially what it demands, though perhaps not everything it might wish. Clearly, no such drug now exists, but if debate over the framework of this model can create some areas of agreement and opportunities for constructive dialogue between the Pro-Life and the Pro-Choice camps, that is, in itself, significant progress over where we now stand. Perhaps we may promote the discovery of workable alternate modalities for achieving the same results. Then, hopefully, we can reach some modus vivendi and put this painful controversy behind us. Other social problems now go wanting for the vigor and commitment of people of conscience on both sides of the abortion debate. -Thomas M. Sullivan 4/2/91