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Thorny Issues in the Abortion Debate $5.00 “He Who Acts Against His Conscience Always Sins.” — St

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Thorny Issues in the Abortion Debate $5.00 “He Who Acts Against His Conscience Always Sins.” — St the newsjournal of catholic opinion vol. xxxiii—no. 1 2012 A Case We Can’t Afford Not to Make Regaining Lost Ground on Funding Abortion Care andrea miller A Perspective on Later Abortion … From Someone Who Does Them willie parker, md A Statement on Later Abortion So, Who Has Second- Trimester Abortions? rachel k. jones and lawrence b. finer Why We Need to Choose ‘Choice’ ann furedi also: Book reviews by Thomas P. Doyle, Carole Joffe, Gail Grossman Freyne and Sarah Raleigh-Halsing www.catholicsforchoice.org Thorny Issues in the Abortion Debate $5.00 “He who acts against his Conscience always sins.” — St. Thomas Aquinas “ Conscience is the most sacred of all property; other property depending in part on positive law, the exercise of that being a natural and unalienable right.” — James Madison “A good Conscience is the palace of Christ.” — St. Augustine “ I shall drink—to the Pope, if you please—still to Conscience first and to the Pope afterwards.” — Blessed John Henry Newman “But no man has a monopoly of Conscience.” — Mary A. Ward Great minds think alike. Subscribe to Conscience today $15 for a year’s subscription www.conscience-magazine.org CONSCIENCE editor’s note the newsjournal of catholic opinion Executive Editor jon o’brien Editor david j. nolan [email protected] Contributing Editor sara morello destigmatizing abortion is vitally important Editorial Adviser rosemary radford ruether Editorial Associate for the health and well-being of women around the world. kim puchir Conscience is published by Catholics for Choice. Catholics for Choice shapes and advances sexual In some (too few) places, abortion care is considered to and reproductive ethics that are based on justice, reflect a commitment to women’s well-being and respect and affirm the capacity of women and men be part of the national healthcare framework, is relatively to make moral decisions about their lives. Catholics for Choice easy to access and does not impose undue financial President jon o’brien Executive Vice President burdens on the patient. sara morello Board of Directors susan wysocki, ph.d., b.s.n., n.p., chair Sadly, in too many places, abortion is a thorny issue. It can be unavailable if sheila briggs, m.a. neil corkery not illegal, and stigmatized beyond all reason. At Catholics for Choice, we are barbara deconcini, ph.d. especially concerned with the obstacles that disproportionately affect poorer daniel a. dombrowski, ph.d. susan farrell, ph.d. women. Social justice demands that neither they—nor indeed any woman—face cheryl a. francisconi, m.s.w., m.p.h. ofelia garcia, m.f.a. difficulties when accessing abortion care. john lesch, j.d. The first of the thorny issues we explore is the controversy in the United eileen moran, ph.d. marysa navarro-aranguren, ph.d. States over whether the state should fund abortion care. In “A Case We Can’t anthony padovano, m.a., ph.d., s.t.d. denise shannon Afford Not to Make,” Andrea Miller argues in favor of public funding. Chris- rosemary radford ruether, ph.d. (emerita) tian Fiala also investigates how various European countries deal with funding Católicas por el Derecho a Decidir, Argentina for abortion and contraception. marta alanis Católicas por el Derecho a Decidir, Bolivia Willie Parker, an ob/gyn, describes why his outlook on abortions changed and teresa lanza monje Católicas pelo Direito de Decidir, Brasil why he now provides them. We also include “A Statement on Later Abortion” in maría jose rosado nunes which leading prochoice advocates state that “healthcare that does not include Catholics for Choice, Canada rosemary ganley access to later abortions does not meet what women, and society, need.” Católicas por el Derecho a Decidir, Chile We continue with statistical analysis from our colleagues at the Guttmacher verónica díaz ramos Católicas por el Derecho a Decidir, Colombia Institute. Rachel Jones and Lawrence Finer answer the question, “So, Who Has sandra patricia mazo Católicas por el Derecho a Decidir, El Salvador Second-Trimester Abortions?” And, in “Between a Rock and a Hard Place,” nubia lazo Jane Fisher, the director of Antenatal Results and Choice, discusses what Católicas por el Derecho a Decidir, España mar grandal happens when people receive a prenatal diagnosis of a fatal, life-limiting or Catholics for Choice, Europe disabling condition. henk baars Católicas por el Derecho a Decidir, México Finally, we move on to the political and advocacy worlds, and examine what maría consuelo mejía Católicas por el Derecho a Decidir, Nicaragua we have learned from past battles and how we should gear up for future ones. mayte ochoa, magaly quintana Ann Furedi, the executive director of bpas, the British Pregnancy Advisory Ser- and bertha sanchez Católicas por el Derecho a Decidir, Paraguay vice, explains why “choice” is an important part of our lexicon. Tracy Weitz then monín carrizo examines the political battles over access to abortion services. In “Lessons for Católicas por el Derecho a Decidir, Perú eliana cano seminario the Prochoice Movement from the ‘Partial Birth Abortion’ Fight,” she argues Design and Production letterforms typography & graphic design that we must not shy away from difficult issues, but rather embrace them as Design Consultants opportunities for educating both those who support us and those who do not. point five, ny A lot of thought and planning goes into every issue of Conscience. We would Catholics for Choice 1436 U St., NW • Suite 301 • Washington, DC like to ensure that those who should be reading it get the opportunity to do so. 20009-3997 • USA • +1 (202) 986-6093 If you know of somebody who should subscribe, or would like us to send them a www.CatholicsForChoice.org [email protected] sample copy, please let us know via e-mail at [email protected]. issn 0740-6835 david j. nolan Editor vol. xxxiii—no. 1 2012 1 table of contents “What if we started to create new rules … where we proudly declare support for abortion coverage as a matter of fairness and justice?” —andrea miller, p12 departments 1 Editor’s Note 43 Body Building: Intervention 4 Letters in Evolution 5 In Catholic Circles Thomas Banchoff’s 39 In Spite of the Embryo Politics: Hierarchy: Ethics and Policy in Understanding Clergy Atlantic Democracies Sexual Abuse gail grossman freyne Brendan Geary and 46 The Ties that Bind: Joanne Marie Greer Religious Communities (eds.), The Dark Night of and Political Change the Catholic Church Timothy A. Byrnes’ thomas p. doyle, jcd, cadc Reverse Mission: 41 Politics and Science: Transnational Religious The Tortuous Road Communities and for Emergency the Making of US Contraception in Foreign Policy the US sarah raleigh-halsing Conscience offers in-depth, cutting-edge coverage Heather Munro 42 Bookshelf of vital contemporary issues, including reproductive Prescott’s The Morning 44 Reports Worth Reading rights, sexuality and gender, feminism, the religious After: A History of right, church and state issues and US politics. Emergency Contraception 48 Postscript Our readership includes national and international in the United States Back Cover opinion leaders and policymakers, members of the carole joffe Index: Abortion Law press and leaders in the fields of theology, ethics and Women’s Health and women’s studies. Worldwide 2 conscience volume xxxiii—no. 1 2012 p12 features 12 A Case We Can’t Afford Not to Make 26 Lessons for the Prochoice Movement from the Regaining Lost Ground on Funding Abortion Care ‘Partial Birth Abortion’ Fight andrea miller tracy a. weitz 17 A Perspective on Later Abortion … From Someone 30 Between a Rock and a Hard Place Who Does Them Deciding about a Pregnancy after a Prenatal willie parker, md, mph, msc Diagnosis of Fetal Anomaly jane fisher 20 A Statement on Later Abortion 34 Who Pays the Piper? 22 So, Who Has Second-Trimester Abortions? Funding for Contraception and Abortion rachel k. jones and lawrence b. finer christian fiala, md, phd 24 Why We Need to Choose ‘Choice’ 36 Contraception: My Health, My Conscience, ann furedi Our Freedom jennifer becker-landsberger cover: © corbis / inspirestock above: © shutterstock / coolr vol. xxxiii—no. 1 2012 3 letters Argentina Lacks Catholic Healthcare approach in their latest Should Be Guided by campaign to insist that Accountability for Women’s Medical Standards, Catholic hospitals and Not Church Politics social services agencies Reproductive Health when phoenix bishop should be allowed to deny Thomas Olmsted revoked contraceptive coverage to the Catholic status of their employees. They seem St. Joseph’s Hospital and to have conveniently Medical Center for forgotten that these hospi- providing a life-saving tals and agencies are not abortion in 2010, he did the churches, but rather arta alanis and Systems exist in Argentina hospital a huge favor. nonprofit entities that Jacqueline Nolley to ensure that public offi- He effectively took that receive millions in tax MEchegaray cials and medical providers hospital out of the line of dollars every year through (“Fighting for Women’s comply with the law—but fire in the “Nuns vs. Medicaid, Medicare and Lives in Argentina,” Vol. they are rarely used to safe- Bishops” battle your recent government grants. xxxii No. 3), provide a guard access to reproductive issue so effectively The struggle over who has hopeful overview of how health services. In our 2010 described (Vol. xxxii the final say on Catholic the decriminalization of report, we documented how No. 3). healthcare policies—the abortion has emerged as a women pay the price—with Is it any wonder that the nuns who founded most human rights issue in their suffering or even with health system to which Catholic hospitals or the Argentina. This is an their death—for the failure St. Joseph’s Hospital bishops who outrank them important connection for to enforce the law.
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