Criminalizing Abortion Dosn’t Stop Abortion

This is a point I make just about every time I blog about reproductive rights, but here it is again. The BBC reports that a Guttmacher Institute survey of abortion in 197 countries shows clearly that making abortion illegal not only doesn’t stop abortion, it doesn’t even seem to slow it down.

The Guttmacher Institute’s survey found abortion occurs at roughly equal rates in regions where it is legal and regions where it is highly restricted. …

…On some continents this is particularly pronounced: well over 90% of women in South America and Africa live in areas with strict abortion laws, proportions which have barely shifted in a decade.

Where abortions are illegal, abortions go underground. Women abort themselves or find underground networks of providers. This in turn creates all manner of bad outcomes with broad impact.

The costs of unsafe abortions, which can include inserting pouches containing arsenic to back street surgery, can be high: the healthcare bill to deal with conditions from sepsis to organ failure can be four times what it costs to provide family planning services.

Every year, an estimated 70,000 women die as a result of unsafe abortions – leaving nearly a quarter of a million children without a mother – and 5m develop complications.

Anti-reproductive rights activists sometimes make the argument that abortions should be illegal because they are dangerous for women, and I’ve actually seen them cite the 70,000 annual deaths figure in support of their argument without mentioning that nearly all of those deaths occur in places where abortion is illegal.

This is not really news. It’s been obvious from the data for some time that there is no correlation between abortion rate and abortion law, and that some of the highest abortion rates in the world are in nations in which abortion is banned. What is baffling to me is why pro-reproductive rights advocates are not highlighting this fact, posting it on billboards, shouting it from rooftops. If there is any one fact that ought to shut up any argument in favor of criminalizing abortion (not that the crazies will shut up, of course) it’s this.

I realize that many reproductive-rights advocates don’t want to talk about reducing abortion rates, because this amounts to an admission that abortion is something that needs to be reduced. However, I suspect the majority of people who favor keeping abortion entirely or mostly legal feel some ambivalence about it. IMO I’m not interested in arguing whether abortion is “good” or “bad,” because as a moral choice it depends on myriad factors that are unique to every woman who considers it. The question for me is purely whether there is any reason for the government stepping in and criminalizing it, in particular a reason that somehow benefits civil order and societal good. And it’s obvious that there isn’t.

Yet, for some reason, you only find the fact that criminalizing abortion doesn’t stop it buried very deeply in pro-rights arguments. Instead, they favor arguments that women have rights, which is not persuasive to people who think that women are cows.

There is one thing that really does reduce the number of abortions, and that is access to birth control.

Western Europe is held up as an example of what access to contraceptive services can achieve, and the Netherlands – with just 10 abortions per 1,000 women compared to the world’s 29 per 1,000 – is held up as the gold standard.

In the Netherlands, abortions can be performed at any point before viability in a certified hospital or clinic.

Even the UK, which has a relatively high rate, fares well in comparison to the US, where the number of abortions is among the highest in the developed world. The institute says this rate is in part explained by inconsistencies in insurance coverage of contraceptive supplies.

In much of eastern Europe, where abortion was treated as a form of birth control, abortion rates have dropped by 50% in the past decade as contraceptives have become more widely available.

The data that contraceptive use is the one factor that really does reduce abortion rates — far more so than criminalization — could not be clearer. Data is never clear enough for idiots, of course. But an overwhelming majority of Americans are in favor of birth control use, and the connection between birth control use and abortion rate also needs to be broadcast far and wide.

Update: More from Lynn Harris:

In other words: Bans do nothing. Except kill women. (Making their success rate, and irony factor, analogous to that of a virginity pledge.) Specifically: about 70,000 women die each year of complications from unsafe abortion, an estimate that — should it sound familiar — has hardly changed in 10 years. An estimated 8 million women per year experience complications requiring medical treatment. (Only 5 million receive that treatment. Even when quality post-abortion care is available, the study says, “distance, cost and the stigma often associated with Abortion can discourage women from seeking treatment.”) Another new Guttmacher study also found that “the costs of treating medical complications from unsafe abortion constitute a significant financial burden on public health care systems in the developing world.” (Treating complications from unsafe abortion costs Africa and Latin America alone up to $280 million each year.)

Let’s put it this way: Because of death — wholly preventable death — by unsafe abortion, an estimated quarter million children grow up without a mother. “Restrictive abortion laws are an unacceptable infringement of women’s human rights and of medical ethics,” says the study. “Eliminating unsafe abortion and providing access to safe abortion would reduce ill health, death and lost years of productivity among women, and avert the financial burden of treating related health complications. Achieving these goals would lead to enormous individual and societal benefits — for women, their families and countries as a whole.” File all that under What More Data Could You Possibly Need? (Or, depending on your mood, under “How Dare You Call Abortion a ‘Convenience'”?)

14 thoughts on “Criminalizing Abortion Dosn’t Stop Abortion

  1. As we know, there’s no arguing with wingnuts. For the right, improving the availability of contraception means that people will have more sex OUTSIDE of holy matrimony and enjoy it! That would be bad.

    Great post. Thanks.

  2. But … but … Maha, slutty women MUST be punished! If we can’t force them into childbirth, then they deserve the complications or death that results from an illegal abortion. Jesus wants it that way.

    /snark

  3. Amen, Maha. I am a progressive Catholic (and a man) and I am generally opposed to abortion, except in the case of rape or incest, but I recognize the answer is not the criminalization of abortion. The answer is education and the ready availability of contraception AND government support of well-managed adoption services. However, at least I am morally consistent, unlike many conservatives, and also strongly oppose war and the death penalty. I like Bill Clinton’s formulation that abortion should be safe, legal and RARE!

    Thanks for a thoughtful post on a very divisive topic and some good facts and links with which to refute our conservative brethren.

  4. Facts be dammed, I don’t think the wing-nut opposition to abortion has anything to do with saving lives, or preventing abortion. It is nothing more than their inability to accept the fact that their religious beliefs have absolutely no bearing or relevance on the law in this country.

  5. A surprisging (maybe tragic) statistic from the past when abortion was illegal in this country was that the majority of woman having abortions were married Catholic women. Somebody else can analyze that disturbing phenomenon.

    In talking to young, single, unconveniently pregnant women years ago in my job, if a woman said she was going to have a baby, she would not have an abortion. If she said she was pregnant, she would. What that indicated to me then, and I include the statistic on Catholic women, they still hold, is that a pregnant woman is always the sole determiner of the eventual outcome of her pregnancy. Her self-inflicted privacy is impenetrable.

  6. Pingback: ShortWoman» Blog Archive » This is Not a Halloween Post

  7. My wife was a floor nurse many years ago in a major St. Louis hospital, when they abortions were still illegal; and the staff used to call the early morning hours “coathanger time” because it was usually when the women who failed to use coathangers to abort came into Emergency. Some lived; many didn’t. But try telling that to the anti-abortionists who use the shield of self-righteousness to keep reality at bay.

  8. One last observation – have you noticed how the right-wingers only portray the abortion provider (i.e. the doctor) as the criminal? As if the doctor sought out pregnant women, held them down and ripped the fetus from their womb against their will! Why don’t they criminalize the women who seek out an abortion? The answer is obvious – there are hundreds of thousands of women, some of whom are Republicans, who would be criminals and subject to arrest. There would be such an outcry you would never hear from the likes of Randall Terry again. Instead, they focus on a much smaller population who it is safe to attack and demonize them. In shorthand, it is a bullying tactic.

  9. Sam, if you ever had to enter a clinic, pretty much anywhere in the U.S., you’d see the women being bullied to a great degree. Not only are they screamed at, shoved, and accused of being killers, but a common tactic is to write down vehicle license plates to identify the women and then anonymously “advise” her family (and even her employer!) that she was seen entering the clinic.

    All this does is prove that these people have no concept of other people’s privacy or dignity.

    But you make an interesting point; some cultures do charge the woman with a crime, but it seems to me that the U.S. and Britain have always leaned toward criminalizing the person who performs the abortion.

  10. Hey, Barbara. Do you know that Google is placing pro-life ads on your site? One says “The Evils of Abortion and how the Bible proves the Teachings of the Catholic Church.”

  11. The conservative desire to de-legalize abortion is driven by the same impulse that drives them to desire so many other things to be illegal. They are all about control and punishing the people who do not think, act, or look like they do. They have to marginalize them in order to safely denounce them, and making people into criminals is the easiest route toward accomplishing this. It’s a strategy used by fascists whenever and wherever they appear.

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