Breaking News: Judge Orders Morning-After Pill to Be Available to All without Prescription

*Read my update on this issue here.

Both CNN and Fox News are reporting this morning that a federal judge will order the FDA to make the morning-after pill available to people of any age without a prescription. This now means that a 14-year-old girl could get Plan B or Ella from the school nurse just like Tylenol. In fact, she could go to the local Walgreens or CVS and get it as well. This demonstrates how pervasive the pro-choice/pro-abortion lobby is. This is sad news indeed.

Use of “Morning-After Pill” on the Rise

Percentage of sexually experienced women aged 15–44 who have ever used emergency contraception: United States, 1995, 2002, and 2006–2010, and frequency of use among women who have ever used emergency contraception, 2006–2010. SOURCES: CDC/NCHS, National Survey of Family Growth, 1995, 2002, and 2006–2010.

The Centers for Disease Control and Prevention released a report last week that flew under the radar of most news organizations. They conducted a five-year study (2006–2010) on the use of the “morning-after pill” (labeled “emergency contraception” in the study—more on that later) and found that 11% of “sexually experienced women aged 15–44 . . . had used emergency contraception, up from 4.2% in 2002.” Thus, in less than ten years, use of this form of birth control has almost tripled.

Other facts released in the study include:

  • Most women who had ever used emergency contraception had done so once (59%) or twice (24%).
  • Young adult women aged 20–24 were most likely to have ever used emergency contraception; about one in four had done so (23%).
  • Almost 1 in 5 never-married women (19%), 1 in 7 cohabiting women (14%), and 1 in 20 currently or formerly married women (5.7%) had ever used emergency contraception.
  • Non-Hispanic white and Hispanic women were more likely to have ever used emergency contraception (11%) compared with non-Hispanic black women (7.9%).
  • Ever-use of emergency contraception increased with educational attainment—12% of women with a bachelor’s degree or higher and 11% of women with some college education had ever used it. This compares with 7.1% of women who had a high school diploma or GED and 5.5% of women with less than a high school education.

We can make a few key observations from this report. First, emergency birth control is on the rise. As this method of eliminating an unplanned pregnancy has become more normalized, the rates of use have gone up significantly.

Second, the use of emergency birth control is especially high in women in their 20’s. As the median age of first marriage gets older (28.7 for men and 26.5 for women as of 2011), the number of unmarried women having a sexual relationship increases. Most of those desire to avoid pregnancy and opt for emergency solutions when other methods fail or are not employed. This trend is likely to continue as marriage and children become less of a norm.

Third, education seems to increase the likelihood of using emergency birth control even though it also increases the likelihood of marriage. Despite the fact that married women are less likely to use the morning-after pill and women with more education tend to get married, the two trends do not track together. It is possible that those with more education using the emergency birth control are moving towards marriage but have not yet arrived at that stage.

So what should we make of this? Does this represent the demise of family and biblical sexuality in American culture? Should the church even be concerned?

In short, the church should be concerned on a few different levels. This issue is not going away any time soon, so we need to be prepared to address it. Let me note a few items for us to consider.

The first issue is a terminology problem. As evidenced in the report, the morning-after pill is labeled as emergency contraception. However, this is inaccurate. Contraception, by its very definition, is something that prevents conception. Plan B, Ella, and other forms of this pill are intended to prevent pregnancy after intercourse; thus, taking into account that fertilization may have already occurred. Therefore, they should be called birth control (preventing birth) rather than contraception.

The second issue is a life problem. The CDC report notes, “Emergency contraception can be used by women after sexual intercourse in an effort to prevent an unintended pregnancy. Roughly one-half of all pregnancies in the United States are unintended.” Intended or unintended, pregnancies represent lives. Innocent human life in the form of a developing baby in the womb is that which is eliminated by emergency birth control. Those who are in favor of protecting unborn life should stand in opposition to the proliferation of these drugs. Unfortunately, our culture views children more as commodities than lives. They are financial investments and burdens rather than blessings (Psalm 127:3–5). We need to return to a biblical perspective on children and life in the womb.

The third problem is the lack of information in the church. Birth control is one of those issues we just don’t talk about. However, nearly a quarter of the women aged 20–24 in the survey had used emergency birth control. It’s a tough issue. You are talking about life, reproduction, medical decisions, and other aspects of the private lives of women all at the same time. Just because it is difficult, though, does not mean we should avoid it. My guess is that many of these women represent churches all across the United States. In fact, there are probably women scattered throughout Southern Baptist congregations who have used this form of birth control.

We need to talk about it. We need to inform our people. We need to protect life. In and of itself, it may not represent the demise of marriage and family in culture, but it certainly speaks to a trajectory we are currently on.

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Kimberly Daniels, Jo Jones, and Joyce Abma, “Use of Emergency Contraception Among Women Aged 15–44: United States, 2006–2010,” Centers for Disease Control and Prevention, February 2013.

Peter Singer on Abortion

Peter SingerToday is the 40th anniversary of the landmark Supreme Court decision Roe v. Wade. That case and its lesser known counterpart, Doe v. Bolton, opened the door for abortion on demand in the United States. Roe v. Wade deduced a right to privacy from the 14th Amendment that extended to a woman’s decision to have an abortion. Doe v. Bolton defined the health of the mother, the cause by which a woman could legally seek an abortion, to include physical, emotional, psychological, familial, and age issues. Thus, almost any reason could be legally permissible for seeking an abortion. Since January 22, 1973, over 55 million abortions have been performed in the United States.

Part of the abortion debate revolves around the idea of when an embryo/fetus/newborn attains the right to life. Various options have been considered, including conception, viability, birth, and self-awareness. The most common answers for pro-choice proponents have been either viability or birth. The most common response for pro-life proponents has been conception.

In light of this tragic anniversary, I want to go to an unusual source for thoughts on the question of when a new human life attains the right to life. Peter Singer is the Ira W. DeCamp Professor of Bioethics at Princeton University. His views on life, abortion, infanticide, and animal rights have shocked Americans for decades. However, Singer offers a stinging critique of traditional pro-choice arguments and an interesting aid to pro-life proponents.

Singer writes:

The central argument against abortion, put as a formal argument, would go something like this:

First premise: It is wrong to kill an innocent human being.
Second premise: A human fetus is an innocent human being.
Conclusion: Therefore it is wrong to kill a human fetus.

The usual liberal response is to deny the second premise of this argument. So it is on whether the fetus is a human being that the issue is joined, and the dispute about abortion is often taken to be a dispute about when a human life begins.

On this issue the conservative position is difficult to shake. The conservative points to the continuum between the fertilized egg and the child, and challenges the liberal to point to any stage in this gradual process that marks a morally significant dividing line. Unless there is such a line, the conservative says, we must either upgrade the status of the earliest embryo to that of the child, or downgrade the status of the child to that of the embryo; but no one wants to allow children to be dispatched on the request of their parents, and so the only tenable position is to grant the fetus the protection we now grant the child.

After considering various options for a morally significant dividing line, Singer concludes:

The liberal search for a morally crucial dividing line between the newborn baby and the fetus has failed to yield any event or stage of development that can bear the weight of separating those with a right to life from those who lack such a right, in a way that clearly shows fetuses to be in the latter category at the stage of development when most abortions take place. The conservative is on solid ground in insisting that the development from the embryo to the infant is a gradual process.

Unfortunately for those of us who agree with Singer on this particular point, he goes on to make the case that infanticide should be legal. He holds to the position that a child does not have the right to life until he has reached a stage of adequate self-awareness. He contemplates that such an adequate stage may not be reached until the age of two or three years old. However, for the sake of the overwhelming negative reaction he might get, he is willing to legalize infanticide up to about one month after birth. In my opinion, the outrageous conclusions of his own argument actually help to strengthen the pro-life argument even further because it becomes the only plausible position.

Despite the fact that Singer’s ultimate conclusion is just as horrendous as legalized abortion, his critique of the classic pro-choice argument is very helpful. As this debate continues in the public square, it might be useful for pro-lifers to take note of Singer’s critiques and employ them where appropriate.

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Peter Singer, “Taking Life: The Embryo and the Fetus,” (from Practical Ethics) in Writings on an Ethical Life (New York: HarperCollins, 2000), 146-64.

Good Reading: Conscience Clause for Abortion Providers?

Should abortion providers be protected by a conscience clause ensuring they are not “marginalized” for providing abortions? This idea has been proposed by Dr. Lisa Harris of the University of Michigan. Richard Doerflinger responds to this question in a recent article on the Public Discourse. Here are some of the highlights:

[L]et us concede that most other conscience laws, at the state and federal level, speak only of a conscience right not to assist or perform abortions (and sometimes other procedures such as sterilization). Why haven’t Dr. Harris’s allies in Congress also fought over the last four decades to make these laws double-edged?

The most obvious answer is that they have seen no need to do so, because, as our highest court proclaimed in 1973, those who want to perform abortions already have the freedom to act as they wish. The Supreme Court’s ruling in Roe v. Wade, reaffirmed in cases such as Planned Parenthood v. Casey (1992), has barred government at any level from prohibiting (or as Casey says, imposing an “undue burden” on) a woman’s decision to have an abortion, or a doctor’s decision to perform that abortion, at any time up to fetal viability. Even after viability, the doctor must be free to decide that an abortion is needed for the woman’s “health” (defined to include all factors—including physical, emotional, psychological, familial, and the woman’s age—relevant to her “well-being”), and act accordingly.

Conscience laws have been needed since 1973 precisely because this new “right” of abortion seemed so absolute, so sweeping, that its proponents insisted it should be enforced as a kind of entitlement: When a woman wants an abortion, doctors and hospitals that disagree must abandon their own consciences and serve her wish. Congress and the vast majority of states responded to this claim, in the years following Roe, to affirm that the law’s protection of the woman’s decision does not deprive everyone else of their rights.

Some believe that a doctor’s refusal to perform an abortion forces a woman to act against her will. Doerflinger responds:

By contrast, if government or my employer makes me agree to do something my conscience tells me is gravely wrong, I must directly violate that negative norm—for example, the norm against killing the innocent. I have sacrificed my moral integrity. I have made myself, in my own moral judgment, into a person who kills. It is absurd to say to a pro-life physician: “No problem. You can still refuse to do an abortion next week, or at your medical practice down the road.” Further, if a doctor stands by his or her conscientious refusal, that infringes no one else’s conscience: It simply takes this doctor out of the picture, and forces no one else to do anything at all.

Someone might say: Yes it does. It forces the woman to seek her abortion elsewhere. But that is simply false. The doctor is not making her seek an abortion at all, and may be perfectly willing to offer assistance that in the doctor’s judgment is much better than abortion for the health of her and her child.

Finally, Doerflinger states that the government’s interest is not in maximizing abortions but in protecting life (even though that may not seem to be the case on the surface). He states:

No national governmental body—whether legislative or judicial—has said that government has an interest in maximizing abortions. Nor does public opinion support such a claim, as most Americans (male and female) generally describe themselves as “pro-life,” and few people say there should be more abortions than there already are.

On this point the Supreme Court’s own stance is widely misunderstood. Since 1973 the Court has ruled that government generally may not prohibit abortion. But it also has consistently acknowledged government’s legitimate secular interest in “encouraging childbirth over abortion.” And it has said this interest justifies bans on public funding of abortion, and a variety of regulations and restrictions that fall short of a ban on abortion.

In upholding a ban on federal abortion funding, the Court explained the government’s interest this way: “Abortion is inherently different from other medical procedures, because no other procedure involves the purposeful termination of a potential life” (Harris v. McRae, 1980). This cryptic reference to the unborn as having a “potential life,” a term with no clear meaning, has given way in later cases to a straightforward recognition that by regulating abortion “the State . . . may express profound respect for the life of the unborn” (Planned Parenthood v. Casey, 1992) (emphasis added).

In its most recent abortion decision, Gonzales v. Carhart (2007), the court upheld a federal ban on partial-birth abortion, a law that it said “expresses respect for the dignity of human life.” Here the justices reaffirmed government’s “legitimate interests in regulating the medical profession in order to promote respect for life, including life of the unborn.”

In short, our laws—and even the Supreme Court’s jurisprudence—do not treat performing an abortion as something that is just as good or “conscientious” as delivering a live baby instead. Government has an interest in promoting the latter and discouraging the former. Lawmakers have no constitutional mandate, and the public has no desire, to treat them as morally equivalent.

The entire article is worth your time, especially as we approach the 40th anniversary of the Roe v. Wade decision on January 22.

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Richard M. Doerflinger, “Conscientious Abortions? We Don’t Need Laws Protecting Abortionists,” The Public Discourse, January 16, 2013.

The Inconsistent Logic of Abortion Rights Advocates

During last week’s debate between Vice President Joe Biden and GOP Vice President nominee Paul Ryan, the moderator asked a very interesting question. Basing her question on the fact that both Biden and Ryan are Catholic, Martha Raddatz asked the candidates to explain how their faith impacts their politics, especially related to the issue of abortion. The answers were perhaps surprisingly similar in their foundation but vastly different in their application.

Congressman Ryan stated that he believed life begins at conception, which is in keeping with Catholic doctrine. He declared that he cannot separate his faith from his politics on the issue of abortion. Therefore, Ryan concluded that the policies of a Romney-Ryan administration would oppose abortion except in cases of rape and incest. It should be noted, however, that Ryan had stated previously his personal beliefs even oppose abortion in cases of rape and incest.

Vice President Biden offered a very similar response regarding the beginning of life. He acknowledged agreement that life begins at conception as a de fide doctrine of the Catholic Church. However, he went on to declare that he cannot force his morality on someone else and that a woman has the right to do as she wishes with her own body.

I doubt many people were shocked by the answers that Biden and Ryan offered. Some may have been surprised that Vice President Biden believes life begins at conception, and others may have been intrigued that Ryan did not espouse his personal views on abortion in cases of rape and incest. However, the general tenor of the answers held to firmly established party platforms for each candidate.

In the midst of this debate, I find it interesting that little evaluation has been offered of the inconsistency of Mr. Biden’s argument. There are two key elements of his answer that contradict many of his other political goals—absolute autonomy and the refusal to impose his own morality.

The argument for autonomy is common in the abortion debate. It generally takes the following form. A woman has the right to do with her body as she pleases. Her right to privacy and free choice trumps any other right. No one can tell her what she can and cannot do. Thus, a woman should have the right to have an abortion for any reason. This is the effect of the collective Supreme Court rulings of Roe v. Wade and Doe v. Bolton in 1973.

There is logical and political inconsistency in this position, however, for Mr. Biden. This argument is libertarian in nature and begs the question of complete autonomy in every aspect of life. For example, Mr. Biden (and pro-choice advocates in general) desire to see abortion on demand with no questions asked of the woman involved. She should be completely free to choose abortion for herself. Yet, there are a number of “choices” limited by government restrictions that contradict the logic of this argument. In most states, a young woman under the age of 18 cannot get a tattoo. Even if she has parental consent, states like California, Illinois, New Hampshire, New York, Rhode Island, Tennessee, Texas, and Washington make the tattooing of a minor a crime. In these states, parental consent cannot even trump the law to allow a minor to receive a tattoo.

By contrast, New York City is piloting a program in 13 of their public schools to make Plan B, the “morning-after pill,” available to young women without parental consent. Therefore, a fifteen-year-old girl cannot get a tattoo, but she can get an abortion-inducing drug. I ask the question, is she completely autonomous? Is the government telling her that she cannot do with her body as she chooses? Why does it apply to tattoos but not abortion?

This libertarian argument can be extended to several other areas that are restricted or outlawed by the government. You cannot buy a non-diet soda larger than 16 ounces in New York City. A host of drugs are illegal, not only to buy or sell but even to possess. Marriage laws forbid a person from marrying his/her siblings and first cousins. Government even restricts the number of people one can marry. In each of these cases, government has said that you are not free to do with your body as you wish. If Mr. Biden and other abortion rights advocates want to be consistent, they must disavow laws like these as well. However, I imagine that government officials could make a reasonable case for such laws to be on the books. Thus, their inconsistency is exposed.

The other part of Mr. Biden’s response relates to the idea that he is unwilling to impose his morality on someone else. This is egregiously inconsistent for anyone involved in government. The role of laws established by government is the imposition of morality on others. Laws that prohibit murder, theft, fraud, and slander impose someone’s morality on the rest of society. In fact all laws impose morality. For the argument of abortion rights advocates to be consistent, one has to accept moral anarchy. Everyone should be able to do what is right in his own eyes.

Abortion rights advocates claim that they do not want morality imposed on them, but they are willing accept the imposition of their own morality on others. The recent birth control mandate added to the Affordable Care Act (ObamaCare) imposes abortion rights morality on everyone by requiring that insurance companies supply birth control to all individuals covered at no charge to the patient. This mandate includes abortion-inducing drugs, such as Plan B and Ella. If abortion rights advocates are so opposed to the imposition of morality on others, they should oppose this mandate as well.

As seen in the examples above, the logic of abortion rights advocates in inconsistent. Without even considering the merit of their arguments, one can see that they are unable to apply their logic universally.

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Kiran Khalid and Greg Botelho, “New York program allowing teens to get Plan B pill draws critics, defenders,” CNN, September 25, 2012.