!t spe'.cialB reprt' the Sunday daily by ii"'1 nIEulbacher'x mber 22 Night Editor: Jim Neubacher February 1, 1970 he classical arguments reviewed A woman's right to an abortion 1N OCTOBER, 1969, a federal judge in the District of Columbia made a decision that might become a major legal. precedent-he refused to uphold the antiquated abortion law.: Federal District Judge Gerhard A. Geseil, son of a pediatrician, threw out an indictment against a local physician charged with violating the district's 68-year old law prohibiting abortion except when "necessary for the preservation of the mother's life or health." He ruled on a technicality: the law was unen- forceable because it is nearly impossible to determine if a mother's "health" is endangered by a pregnancy. But Gesell went further:. "...a woman's liberty and right of privacy extends to family, marriage and sex matters, and may well include the right to remove an unwanted child, at least in the early stages of pregnancy." Although Gesell's action only acquitted one doctor and did not change the law, the judge realized the imiportance of the decision and urged the prosecuting attorney to appeal the decision immediately to the Supreme Court. The appeal has not yet been filed, but it is certain to come, and supporters end op- ponents of abortion reform are awaiting the court's action with a curious mixture of hope and fear. Gesell's decision is a recent display of the rising tide of public sentiment 'favoring the reform of the nation's outdated abortion statutes. (New York's is 86 years old, New Jersey's is 120, and both impose an absolute ban on abortion except when it is- necessary to save the mother's, life.) The attack on these statutes has been mounted before, but this time, it seems as if the pro-abortion forces might succeed in overcoming the resistance to change. The main supporter of the current laws is the Roman Catholic Church; the Second Vatican Council called abortion "an unspeakable crime." But the church is faced with the toughest fight yet. Reputable doctors, lawyers, and housewives have teamed with researchers to strip away many of the myths surrouding abortion, and the possible effects of legalization. For the first time, the emotional, religious and moral arguments are being forced to give way to statistics 'and expert opinion. HEREIN MICHIGAN, where the law also bans abortion unless necessary to save the mother, the State Senate is considering two reform bills, either of which, if passed, would make Michigan's abortion policy the most liberal in the nation. Senate Bill 287, spousored by Ann Arbor's Repub- lican Sen. Gilbert Bursley, would completely liberal- ize abortion, making the decision a private matter between the woman and a licensed physican. Senate Bill 288, introduced by Sen. John Mc- Cauley (D-Wyandotte), would remove from the Mich- igan Criminal Code all penalties against licensed doc- tors performing abortions. This would accomplish the same thing as Bursley's bill, through a "back- door" method., Both of these bills are now before the Senate Health, Social Services and Retirement Committee, chaired by Sen. N. Lorraine Beebe (R-Dearborn), an ardent supporter of abortion reform. Mrs. Beebe says she has promised McCauley and Bursley she will get the bills reported out of her committee and has begun a series of special public'hearings on the bills throughout the state. Mrs. Beebe says she believes that the arguments in favor of abortion liberalization will be iard to combat if the committee can gather enough inforina- tion .and testimony on this emotional topic. ' BETWEEN1 and 1.2 million abortions-most of them illegal-are performed each year in the U.S. This amount to one abortion for every 3.5 at the moment of conception, when the sperm fer- tilizes the egg with the resulting reproduction of hormones signifying that a growth process has be- gun. Abortion is thus no better than murder. The Knights of Columbus, a Roman Catholic educatioinal and service organization, has financed, an advertising campaign designed to remind the public of this uneasy question. In their ads, they equate abortion with genocide: "If the unborn child can be killed, what about the aged, the sick and the handicapped? . . . Just 30 years ago the Nazis preached the same philosophy."' But the persuasiveness of this argument has been undermined by some medical opinions and legis- lation. Since a fetus is incapable of surviving outside the womb in .the early stages of its development, even if cared for, proponents of reform argue that it is embryonic and not true human life. And they point to the fact that most abortions are performed be- fore the twelfth week of pregnancy. The same state legislators that have outlawed abortion have bought this position. In many states, death certificates are not required for a fetus until the major portion of the gestation period has been completed. In Michigan, the fetus is not.recognized as a legal person until after the 26th week of preg- nancy, nearly two-thirds of its unborn life. This line of argument has not convinced the Roman Catholics, however, who say that the fetus' vulnerability is greater reason to protect it. They cite research, which shows measurable mental growth in the fetus after the fourth week of its life and maintain that it "dominates its environment." 'UBTHE DEBATE over when life begins is a stalemate and does little to resolve any con- troversy. But if the powerful Catholic lobbies have managed to subdue the persistent civil liberties ones, the tide of public opinion seems to be shifting toward reform. A poll conducted by Modern Medicine magazines revealed that 63 per cent of American doctors favor- ed providing an abortion to any woman who asks for one. (Of the 63 per cent backing liberalization, how- ever, 12 per cent qualified their response by saying they would allow abortion only when necessary to protect the mental or physical health of the mother or when the pregnancy comes as a result of rape or incest.) A smaller survey conducted at the University by Public Health Dr. John Eliot showed that 90 per cent of the women on campus favor some liberal- ization of the current law.. And almost all of those who did not believe the law should be eased asked for better birth control instruction. Interestingly enough, the Catholic women inter- viewed responded almost the same as the non- Catholics. BUT WHILE the tide of public opinion begins to change, those who oppose the law now have no recoprse other than to openly oppose it and secretly defy it. Headlines were made three weeks ago when police broke up a ring of lawbreakers, including several rabbis and Protestant clergymen from Detroit and Chicago. Their business had been securing illegal abortions for women who needed them and their work had gone on-half above and half underground-with the cooperation of reputable doctors, ministers and housewives. And their conviction that what they were doing had to be done drove them to defy the law with impunity. One spokesman for this position is the Rev. Harry T. Cook, minister of the Emmanuel Epis- and 288. All the whiie, everyone involved will be watching the Supreme Court with a careful, eye. Its decision will be significant in determining the future of abortion statutes. But should the court reverse Judge Gesell's District of Columbia decision, it certainly will not rule out change of the law through the legal process, and the State Senate will certainly be asked to con- sider reform bills, if not during this session, then next session and the session after that, until one passes. "I think we can pass a liberalization bill in the Senate this term," one legislator says, "but the House will be tougher. It has a large number of RC's." Re- ports of 'pressure by the church during the last Senate debate of a reform bill, in June, 1969, are true according to this legislator. "The night before the vote, a number of the senators received direct calls from the parishes in their districts, telling them that they would not get support for re-election if they voted for that bill." The bill, introduced by Sen. Beebe, would have allowed abortions when the physical or mental health of the mother was threatened by continuation of pregnancy, or if the pregnancy resulted from raps or incest. It was defeated 17-16, despite a dramatic. plea for support from Sen. Beebe, in which she re- vealed that she had once had an abortion. The defeat of that measure may have been a pyrrhic victory for the church, as the measures now before the Senate are far more liberal and stand some chance of passage. The pressure against reform will come again, no doubt, and the pro-reform forces don't know at this point 'whether they can effectively combat it. They will attempt to fight it however, with facts and testi- mony in order to present the case for individual fe- male liberties, the right to control one's own body, and the necessity for safe, supervised abortions in place of the many illegal operations now performed. 'S. What you can get for $500 down in advance: The agony of undergoing an illegal abortion 'p Between 1 and 1.2 million abortions-most of them illegal-are perform- ed each year in the United States. This amounts to one abortion for every 3.5 successfully completed pregnancies. Of these arbortions only about .2 per cent take place within the law. . Statistics indicate that most abortions are performed illegally and at gr'eat expense by butcers or the women themselves. .L 5%?.;:} .. r'"^ { "'"{ v' { . {:.. . . ..r.....:?v::".s..L.... .:.a.....n..:":vv.rs. s.}r...:::v.........v 4s. .s.s ........ BARBARA LEFT home to come to the Univer- sity when she was 17 and has been self-support- ing since then. Home life was not pleasant. She recalls that her sex education was virtually non-existent. "I started menstruating before I knew what it meant. I was really a confused kid about that time," she says. Before she left home, her father told her only one thing-don't get pregnant. "It's not that great," he said. But Barbara, who at the age of 20 began to live. with the man she still loves, did get pregnant. Con- traceptives were 'available, she says, but "sometimes we used them, and sometimes we didn't. This time, for one or another stupid reason, we didn't use them." She was 22 and a graduate student when she found herself pregnant. "My first reaction on getting pregnant was 'Wow! I'm a woman.' But then all the practicalities of the world descended upon me," she says. "My man is still in school," she explains, "and if we had a kid it would mean one or the other of us would have to quit school. I'm in a doctoral program, and we're both living on stipends." With the guidance of an Ann Arbor doctor and the help of two local psychiatrists, Barbara was able to obtain a legal abortion in Maryland, where the law allows doctors to perform the operation if there is significant danger that a continuation of the preg- nancy would be a threat to the mother's physical or mental health. A panel of psychiatrists in a Baltimore hospital had to review the recommendations by the Ann Arbor psychiatrists, Barbara says. She describes "getting herself up" for the 'interview, puting on the emotional facade. "They questioned me and tried to make me feel guilty for wanting an abortion. I guess they just wanted to make sure I wasn't going to regret it af- terwards and kill myself or something." The psychiatrists believed Barbara when she told them that if she could't get an abortion from them, she would do it herself. "I told them there was no way I was going to have a kid, and acted belligerant and moody," she said. "I was really performing." But the performance was not play acting, Bar- bara realizes now. She knew she had to have the abortion. "Probably all the things I said were things I would really have considered doing if they hadn't given me the abortion, but I didn't even consider that possibility. They just had to okay it. They had to." Barbara's abortion was approved and was even- tually performed by a doctor in the clean, clinical surroundings of a major hospital. She stresses the comforting effect of knowing that the abortion was being done by a physician under sterile conditions. "It was painless, safe, and my Blue Cross even paid for it," she says. "I feel no regrets at all. My experience was a good one." she say. "Maybe if everything hadn't gone so well, I might not feel this way. It's a very emotional experience, and I imagine that a lot of uplucky girls n~n p az=A a nt .. lcrc .o r n Susan's confusion is apparent. She is not really clear about what she wants or what she did. "I really didn't want a kid," says said later. "I don't know how to take care of a kid I'm just 18. I mean, what do I want with a kid?" So, fearing that her parents would find out, facing a future of complication and frustration- she knew she could not come to the University with a child-Susan put the moral considerations out of her mind. "I didn't think about morality before the abor- tion," she confessed, "because I didn't want to think about it. Deep inside, I knew there were too many reasons to have the abortions. I had to." She paused for a minutes. ."I still think there wasn't any other way." She became pregnant last summer. Neither she "It would have been far more 'immorL'ifa I had had the baby," she now says. "After it was born, well, there you are . . . I would have been all that it' had in the world, and that isn't fair." -..:. .;:: ...:..e w.+dir'.:::;.}. {.:;{::i{:?5::iY.:^:: . ::v'i: ":;:y':i}i:{:}Si: : . rs:"1: 'C$'r'."::i:^:.. .. .................... .. ......r. ,, successfully completed pregnancies. Of these abor- tions, only about .2 per cent are performed within the law. In all but a few of the 50 states, abortion is per- mitted only when continuation of pregnancy would cause harm to the physical or mental health of the mother, or when the pregnancy resulted from rape or incest. Few women qualify under these stringent limita- tions, however, and most abortions are performed illegally and at great expense by butchers or the women themselves. Dr. Leslie Corsa, director cif the Center for Population Planning at the University, estimates that one-fourth to one-third of all maternal deaths are due to illegal abortions performed by hacks. Legalization could solve this problem he con- tends. A safe, sterile abortion performed in a hos- pital by a licensed physicians is not costly and is statistically safer than nine months of normal pregnancy and delivery of a child.. Dr. John Hanlon, public health association presi- dent, writes "The association's governing council feels every woman should be entitled to make the copal Church in Detroit and'a member of the Michi- gan Clergy for Problem Pregnancy Counseling, a group of ministers who have, since September, been openly counseling women with "problem pregnan- cies." Although the service can do no more than give advice to women, Rev. Cooke expresses the growing need for abortion reform. "There are no theological issues involved. The assumption that the fertilized egg is life is unsup- portable and grows out of an ancient philosophy that is losing validity today. I don't know when life begins and I don't really think any else does, either." Besides, the reverend argues, it is a cruel com- bination of law and theology which often leads women to destroy their own lives rather than bear unwanted children. And many children are unwanted. In a survey of 5600 married couples, Dr. Charles F. Westoff of Princeton University's Office of Population ,Re- search, found that 22 per cent of all pregnancies were unwanted by husband, wife or both. Moreover, nearly 42 per cent of the pregnancies ...,,,...... ........ ,, ., . ;,, ,,,,, .,~,.. ,,,,,+.a , ,, . pregnant," Marilyn says. "Well society can afford to be moral at a time like that; we can't." Marilyn became pregnant last spring, just after she returned home from the University. She was confused, dazed, unwilling to. believe she was really pregnant. "I cried every night," she said. "And I cried when I got up in the morning." Her boyfriend was unable to help her; another girlfriend of his was also pregnant and he intended to marry her. . But Marilyn's mother, realizing hsr daughter's problem, sought the aid of Marilyn's uncle, a doctor in the neighboring state of Pennsylvania. Although unsure about whether or not to bear a child, Marilyn was convinced by her uncle that she should not. "It would have been far more 'immoral' if I had nor her boyfriend had used a contraceptive. "I really hadn't planned on doing it," she says. "About a week afterwards, my parents forbade me to see him again. A few weeks after that I found out I was pregnant." But she did see her boyfriend again. Both Susan and her boyfriend, Bill, afraid to go to the family doctor for advice, took the only channel they found open. Bill's neighbor had under- gone more than one abortion, he knew. They asked her for help, and she told them where she got her abortions-from an M.D. in Philadelphia, a city near Susan's home in an Eastern seaboard state. Susan arranged to have an abortion by the same M.D. "He wasn't even a gynecologist, but I didn't know of anywhere else to go," she explained. So, for $500, Susan got a chance to go through an abortion mill. "When I got there, well, there were 18 other girls in the waiting room of his clinic. Everybody knew why everybody else was there. He must have paid off the police. The people in the waiting room were making jokes about it." The doctor, with a clinic in what Susan described as a "poor section" of Philadelphia, used a method of abortion that is most dangerous, and very pain- ful, emotionally as well as physically. It was a two-day operation.. On the beginning of the first day, he inserted a tube into Susan's uterus. "It stayed there for two whole days," she says. She lived overnight in the house that the doctor called his "clinic," the tube in her uterus. "It was very painful, and he didn't give me any sedative. It was very painful." The following afternoon, the doctor called her back down to his "operating room," a card table in the basement of the house. Susan thought that. the baby," she now says. "After it was born, well, there you are . . . I would have been all that it had in the world, and that isn't fair." Marilyn's uncle put her in touch with a gynecol- ogist in Philadelphia, hoping he would help her secure an abortion under the terms of the state law which permits them when there is dahger that a continuation of pregnancy will harm the mother's health. The doctor couldn't help her: she had to be a resident of the state to qualify under the law. But the doctor did suggest that she consider going to Puerto Rico where a safe abortion could be secured- at great expense. He arranged for Marilyn to see the Clergy Consultation Service in New Jersey. Marilyn and her mother left for Puerto Rico on a plane on a Thursday morning, checked into a hotel, and, following instructions, were in. the- hotel lobby Friday morning at 8 sharp to make a contact. "When we got to the lobby, there were about eight or ten other mothers with their daughters and it didn't take much to figure out why they were there." Marilyn was taken to a clinic in San Juan where the doctor demanded $400 in advance. "They asked a few routine questions. They asked me if I was sure I knew what I was doing. Mostly, though, they weren't very concerned. They were just in it for the money, that was - apparent." Marilyn, about six weeks pregnant, underwent a routine operation involving the scraping of her uterus. She was given a local anesthetic, but she says it didn't work. . "It was the first time I ever had an internal examination, and I was in agony. The doctor cursed at me and threatened not to perform the operation if I didn't stop screaming," Marilyn says. Although terrified and in pain she did stop sreaming and the drtor went on with the onera-