Fordthought
  • Blog
  • Word of the Week
  • Dig Deeper

Word of the Week: w/c 09/11/15 - Viability

8/11/2015

 

The point at which a foetus could survive outside the womb independent from its mother.

Picture
When students are studying the Sanctity of Life and the issue of Abortion a question that is often asked by teachers and students is “when does life begin?”. This is a very thorny issue and the answer depends upon what one might define by the term "life". There is no doubt that an egg that has just been fertilised is alive, but many disagree that it is yet “a life” as it could not exist independently of its mother. This moment is called viability, and in the UK is a fundamental part of our law on Abortion. Yet many would argue that a foetus is a life before this point and so has rights either from conception or very early in its existence. Some would argue that this point in the development makes no difference to the foetus’ rights and they do not begin until birth. This post looks to examine a few of the points at which it could be argued that a foetus is “a life” and reasons for and against that point being accepted.
PictureImage: Pixabay
 Conception - day 1

Many religious ethicists, for example Roman Catholics, argue that the clearest and most logical point to say that life has begun is at the moment of conception when egg and sperm fuse together. This is when the complete genetic make-up of an individual is in place and thus a unique human has been made. The problem with choosing this moment is that the embryo is likely to never be born (1 in 5 embryos never even implant in the lining of the uterus) and arguably this is only a potential life at this stage. It is just a bundle or rapidly dividing cells with no sentience (ability to feel pleasure or pain) or autonomy.

PictureImage: Wikipedia.en
Blastocyst - day 9

After five days the fertilised egg becomes a blastocyst becomes a cell with differentiated cells - cells that perform different functions - they have a cell wall and an inner cell mass that will become the embryo. By day 9 this blastocyst has become so specialised that it can no longer divide in two and become identical twins. Some therefore at this point argue that the life has begun as before this there could have been monozygotic twins. This is an interesting point in the pregnancy and is the reason why the Church of England argues that it is OK to carry out experiments on embryos before this day - but ultimately it could be argued it is still a potential life and not able to survive independently.

PictureImage: Pixabay
Viability - approximately Week 22

Before week 22 the foetus has all of the organs and structures of the body formed - it is just a case of growing these further. However if the foetus was to be born or removed from the womb at this point it would not survive. The odds start to change at about week 22 there is a 10% chance of survival. This is clearly not much of a chance and would have to brought about with extreme neo-natal care - never-the-less this is the first chance that a foetus has to survive. The chances of survival increase day by day so that by week 25 50% of babies survive and it is 95% by week 35.

Whilst this is the reason why the law governing abortion was set at 24 weeks (unless there is a serious medical reason) it can be argued that at this stage the baby will require such intensive care that it should not be considered as a practical justification

PictureImage: Pixabay
Birth - Weeks 38-42

Most pregnancies result in a natural birth at some point between 38 and 42 weeks. The baby simply becomes too big for the womb and has to be born. Babies that go this far into term have a very good chance of survival independently of their mother (>98%) and certainly most people have no problem with suggesting that they are alive at this point (interestingly Peter Singer has made the case that even when born a baby does not have the right to life as it has so much development still to complete and is still utterly dependent on a carer for its survival).


So?

When is a foetus a life? There are many more potential points that could be considered than I have discussed here - for example when the foundations of the nervous system have developed on day 20; on day 40 when brain waves can be detected; or in week 8 when all of the organs have been formed. The debate will of course continue to rage on.

A final thought is that students I teach are often surprised how developed the foetus is early on in the pregnancy - by week 24 and the point of viability the foetus has been essentially “complete” for 16 weeks. Many are not as happy with 24 weeks being the social abortion limit having learnt this information. I do not know when we should class a foetus as living and independent - but I do think that 24 weeks is too late. What do you think?

Word of the Week: 02/02/15 - Pro-life

31/1/2015

 




The moral position that human life in all forms has Intrinsic value and an absolute right to existence. Most commonly associated with the abortion debate.

Picture
The Abortion debate is both emotive and tricky to discuss within any environment, let alone at School - yet students are often fascinated by its complexity and implications. As a teacher it is especially difficult as one knows that it is an issue that many will have to deal with in their personal lives as they grow up; either personally, with a partner or a friend. It is therefore an issue that needs to be dealt with carefully whilst also not shying away from the realities of the topic.

Students at Berkhamsted were therefore lucky to have the opportunity to attend a symposium on the subject this week - Anne Scanlan of the charity Life came to address the Philosophy Society about the issue of Abortion. I had the task of replying and giving the pro-choice response. Despite being from a charity that wishes to reduce the number of abortions performed in the UK, Ms Scanlan made a very balanced and compassionate case.
Picture
First of all she set out the facts and figures for Abortion in the UK and examined the reasons why women seek abortion – this is predominantly for reasons of mental health and the potential damage that having a child might cause to the mother. She then examined the logic of when life begins and if, on the basis that a foetus is alive from the moment of conception and the rest of development is a continuum, is it ever right to have that life terminated? She employed a combination of logical arguments, statistics and anecdotes about the negative effects of abortion on a woman’s mental health to make her case. She dealt sensitively with the most difficult of issues in this topic area; including when a woman falls pregnant having been raped; but certainly did not condemn women who make the choice to abort. She also outlined her role as a councillor for Life where she offers support to women, but no advice or pressure. Her conclusion was that abortion on demand is not the solution to women's equality; rather sex and relationship education, a more compassionate maternity and childcare system and a more open society was the only way to get to the root problems of unwanted pregnancies.

Picture
In response I focused initially on the importance of the mother who is often forgotten in the debate,that the foetus did not have a right over the body of the mother and that no one has a duty to have a child against their will. I then discussed the benefits for society that women having control over their reproduction has bought over the past decades. The idea that a foetus is not a person in the truest sense of the word was developed and that even if one accepts that it is “potential life” this does not give it the right to necessarily become an actual life. I also examined what it would be like to be a country, such as Ireland, with anti-abortion laws; the problem of Abortion Tourism and the rise of illegal abortions or the taking of abortifacients in secret. My argument ended with the idea that one cannot escape the fact that a life is terminated during an abortion, but that the moral judgement had to be that the actual life of the mother takes priority over the foetus and that her right to autonomy outweighs any right the foetus might have.

Students and staff asked some excellent questions and interestingly spent more time focusing on the weaknesses of the pro-choice position. The talk was extremely well received by the students and one thanked Ms Scanlan after the talk adding that hers was the most coherent argument he had heard to date for the pro-life position. Whilst he was not persuaded, he thought it was good to have heard a set of arguments that were not predicated purely on religion and the existence of a soul within the foetus – as textbooks so often offer.

The talk was videoed and this will be shared with all Y13 and Y12 students via Google Drive

Surrogacy - what are the issues?

5/8/2014

 
Picture
The news this week of Baby Gammy, a child born with Down’s Syndrome to a surrogate mother in Thailand and allegedly rejected by his intended parents in Australia (whilst they did adopt his healthy twin sister - http://bbc.in/1lwdFaA), has brought into public focus the complex issues that Surrogacy can raise. As ever, I am not trying to give my opinion or offer any answers - I just want to raise the questions.

What is surrogacy?

Picture
Surrogacy is an arrangement whereby another woman carries and gives birth to a baby for a couple who want to have a child. There can be a number of reasons for making such an arrangement such as repeated miscarriages or a malformed/absent womb.

There are a two main ways that surrogacy can work:

  1. Full surrogacy (or Host or Gestational surrogacy) involves the implantation of an embryo created using either the sperm and egg of the intended parents or a donor or donors.
  2. Partial surrogacy (or traditional surrogacy) involves sperm from the intended father and an egg from the surrogate mother. Fertilization is normally achieved by artificial insemination.

After the birth of the child it is common practice for the baby to be adopted formally by the couple so that they gain legal standing as the child’s parents.

Surrogacy for profit is not legal in the UK (or Australia), although you can do it altruistically and receive expenses from the couple who wish to have a baby. This regulation has led many couples to go abroad to countries where the law is different (such as the USA and Thailand).


What are the issues?

Picture
As seen in the case of baby Gammy, there is the risk of the couple pulling out of the arrangement for one reason or another; they get cold feet; they split up; they become ill or die. This would leave the surrogate in a very difficult position having given birth to a child that may not even be genetically hers. Who will have ultimate responsibility for the child?

On the flip side, the surrogate may want to keep the baby and not allow it to be adopted by the couple - this can be mitigated against by having a very clear contract drawn up in advance, however this would not negate the emotional turmoil a surrogate mother might go through.

The couple may want to have the baby aborted if they discover that it has a disease such as Down’s or Spina Bifida - do they have the right to force the surrogate to undergo the procedure? Is the unborn foetus essentially their property if they have signed contracts and contributed their own genetic material? This leads us to consider whether we want to have the unborn commercialised at all - can a price be realistically be put on a human life?

Is it ethical for a relatively wealthy couple to travel to a less developed nation (as in the Baby Gammy case) to seek a surrogate? Is this a form of human exploitation? Or should we accept that we live in a global environment and this extends to having a child?


As the child grows up, do they have a right to be able to contact the surrogate mother, especially if it was a traditional surrogacy and they have the Surrogate’s genes? Does the surrogate mother have the right to contact the child?

Many will have assumed until now that the “couple” are heterosexual, a man and a woman. What if they are gay or lesbian? Should they be allowed to have a surrogate child? Given that they are allowed to marry in the UK could they be stopped from having a child in this way?

Finally, we might consider if couples have a moral prerogative to adopt children that are already alive and unwanted, rather than creating a whole new life. The urge to have a child that is genetically related to you is a very strong one, but is it more ethical to adopt existing children?


Picture



These are just a few of the issues - I am sure that many of them will be  discussed in tomorrow's Moral Maze on BBC R4 at 20.00 BST. (http://www.bbc.co.uk/programmes/b04cffpz) 


Assisted dying - lessons from the past?

18/7/2014

 
Picture
A debate on assisted dying went on in the House of Lords today and passed it’s second reading - http://www.bbc.co.uk/news/uk-politics-28352680 (follow it’s progress here: http://services.parliament.uk/bills/2013-14/assisteddying.html) however it is unlikely that the bill will pass regardless of the vote today due to the lack of time left in this parliament and a lack of willing by David Cameron. Never-the-less the debate has sparked a huge amount of public interest and 130 lords have requested to speak in the debate - a record number.

Picture
Scholars should always be looking backwards to events of the past to help answer the questions of the present; with this in mind I have decided to compare it to the change in the law in 1967 which legalised Abortion. Although these are not perfect comparisons, I believe there are some illuminating things to think about.


Letting the Genie out of the bottle?

One lesson that should be remembered is that once any such law is past there is almost no way to go back. The Abortion Act, passed 47 years ago, has totally changed british attitudes towards abortion. It has normalised it and made it far less taboo option for women who find themselves pregnant. I am not saying this is a bad thing - arguably thousands of women have been liberated by not having to have an unwanted child.

It could well be the case that a law enabling assisted dying would have the same impact - could dying early become normalised or even expected? This might put extreme pressure on the old and vulnerable. Equally, it might liberate people who feel like a burden and free families from looking after an ill relative for years or decades. Whatever the outcome, just as one could not imagine modern Britain without abortion, so the country would be changed forever, for better or worse, by such a law.


A “Slippery Slope”?

When the Abortion Act was debated in the 1960’s there was little expectation that so many abortions would be performed and yet a huge number has been the reality - 189,931 in 2013. In a debate on the issue on the Today Programme this morning (http://www.bbc.co.uk/programmes/b0499n5z - 1hr 56 mins) Lord Falconer tentatively predicted that the figure in the UK, if it matched the statistics from the State of Oregon, would be about 1,600 people every year. Indeed he said “there would be no slippery slope”. Does the Abortion comparison show us that such a prediction is rather dangerous? Or are the two not comparable?


Two doctors providing a safeguard?

Another striking similarity between the two cases is that two doctors are required by law to authorise an abortion and the Assisted Dying Bill would demand the same safeguard. The intention of the “two doctor rule” was a good one, to protect doctors from prosecution and ensure that the process would only go on legitimately.

However, the reality 47 years on is that in many cases the doctors work for the same clinic whose sole income and raison d'etre is to perform abortions. There is no way in reality that one is going to prevent the other from going ahead. Indeed, some are now calling for the removal of this provision (Hall, p6). Would we see the same eventually in assisted dying? Would this safeguard become defunct?


Preserve of the rich?

A final comparison is the similarity in availability of assisted dying today in Britain and Abortion pre-1967. Before the abortion act it was the preserve of wealthy to hire private doctors (Hall, p4) whilst the poor had to resort to risky “backstreet” abortions. The act made this much more egalitarian and gave access to many more people - this resulted in fewer unnecessary deaths.

Similarly, the wealthy can still travel to countries such as Switzerland if they wish to die; Dignitas alone claim that 694 people traveled from the UK in 2009 (The Guardian). Those not wealthy enough to enlist the help of such organisations have to risk prosecution here at home and only have amatuer skills to perform the act. Legalising it might have the same egalitarian effect and arguably be more compassionate?


The Weakness of any analogy

As I said at the start of this post - this analogy may not be a good one, but I hope it has highlighted some interesting debates.


References:

Memorandum submitted to the House of Commons Science and Technology Select Committee inquiry: Scientific developments relating to the Abortion Act 1967 September 2007, Lesley A. Hall http://www.historyandpolicy.org/docs/abortion_act_1967.pdf

Assisted suicide statistics: the numbers Dignitas helps to die, by country, Simon Rodgers, 2010 http://www.theguardian.com/news/datablog/2010/feb/25/assisted-suicide-dignitas-statistics



    Archives

    January 2016
    December 2015
    November 2015
    October 2015
    September 2015
    July 2015
    June 2015
    May 2015
    April 2015
    March 2015
    February 2015
    January 2015
    December 2014
    November 2014
    October 2014
    September 2014
    August 2014
    July 2014

    Categories

    All
    Abortion
    Absolutism
    Agnostic
    Analogy
    Apophatic
    A Priori
    Aquinas
    Article
    Assisted Dying
    Banking
    Bertrand Russell
    Book Review
    Buddhism
    Christianity
    Covenant
    Dawkins
    Design
    Diaspora
    Dig Deeper
    Epiphany
    Equality
    Euthanasia
    Existentialism
    Fallacies
    False Dichotomy
    Family
    Fertility
    Genesis
    Hajj
    Higher Education
    Holocaust
    Hospice
    Human Rights
    Human-rights
    Hume
    Islam
    ISRSA
    Justice
    JWT
    Life After Death
    Love
    Martyr
    Messiah
    MOOC
    Narnia
    NDE
    News
    Nirvana
    Ontological
    Plato
    PPE
    Pro Choice
    Pro-Choice
    Pro Life
    Pro-Life
    Prophet
    Reformation
    Relativism
    Religion
    Rights
    Science Vs Religion
    Secularisation
    Sport
    Stewardship
    Surrogacy
    Teleological
    Temple
    Ten Commandments
    Theology
    Viability
    Via Negativa
    Warfare
    Wittgenstein
    Word
    Word Of The Week
    Word-of-the-week

    RSS Feed

Powered by Create your own unique website with customizable templates.