On the Moral and Legal Status of Abortion Mary Anne
Warren
from Biomedical
Ethics. 4th ed. T.A.
Mappes and D. DeGrazia, eds. New York: McGraw-Hill, Inc. 1996, pp.
434-440. [notes not included]
The
question which we must answer in order to produce a satisfactory
solution to the problem of the moral status of abortion is this: How
are we to define the moral community, the set of beings with full and
equal moral rights, such that we can decide whether a human fetus is
a member of this community or not? What sort of entity, exactly, has
the inalienable rights to life, liberty, and the pursuit of
happiness? Jefferson attributed these rights to all men, and
it may or may not be fair to suggest that he intended to attribute
them only to men. Perhaps he ought to have attributed them to
all human beings. If so, then we arrive, first, at [John] Noonan's
problem of defining what makes a being human, and, second, at the
equally vital question which Noonan does not consider, namely, What
reason is there for identifying the moral community with the set of
all human beings, in whatever way we have chosen to define that term?
1. ON THE
DEFINITION OF "HUMAN"
One reason why
this vital second question is so frequently overlooked in the debate
over the moral status of abortion is that the term `human' has two
distinct, but not often distinguished, senses. This fact results in a
slide of meaning, which serves to conceal the fallaciousness of the
traditional argument that since (1) it is wrong to kill innocent
human beings, and (2) fetuses are innocent human beings, then (3) it
is wrong to kill fetuses. For if `human' is used in the same sense in
both (1) and (2) then, whichever of the two senses is meant, one of
these premises is question-begging. And if it is used in two
different senses then of course the conclusion doesn't follow.
Thus, (1) is a
self-evident moral truth,' and avoids begging the question, only if `human being' is used to mean something like `a
full-fledged member of the moral community.' (It may or may not also
be meant to refer exclusively to members of the species Homo
sapiens.) We may call this the moral sense of `human.' It
is not to be confused with what we call the genetic sense,
i.e., the sense in which any member of the species is a human
being, and no member of any other species could be. If (1) is
acceptable only if the moral sense is intended, (2) is
non-question-begging only if what is intended is the genetic sense.
In "Deciding
Who is Human," Noonan argues for the classification of fetuses
with human beings by pointing to the presence of the full genetic
code, and the potential capacity for rational thought.' It is clear
that what he needs to show, for his version of the traditional
argument to be valid, is that fetuses are human in the moral sense,
the sense in which it is analytically true that all human beings have
full moral rights. But, in the absence of any argument showing that
whatever is genetically human is also morally human, and he gives
none, nothing more than genetic humanity can be demonstrated by the
presence of the human genetic code. And, as we will see, the
potential capacity for rational thought can at most show that
an entity has the potential for becoming human in the moral
sense.
2. DEFINING
THE MORAL COMMUNITY
Can it be
established that genetic humanity is sufficient for moral humanity? I
think that there are very good reasons for not defining the moral
community in this way. I would like to suggest an alternative way of
defining the moral community, which I will argue for only to the
extent of explaining why it is, or should be, self-evident. The
suggestion is simply that the moral community consists of all and
only people, rather than all and only human beings, and probably the
best way of demonstrating its self-evidence is by considering the
concept of personhood, to see what sorts of entity are and are not
persons, and what the decision that a being is or is not a person
implies about its moral rights.
What
characteristics entitle an entity to be considered a person? This is
obviously not the place to attempt a complete analysis of the concept
of personhood, but we do not need such a fully adequate analysis just
to determine whether and why a fetus is or isn't a person. All we
need is a rough and approximate list of the most basic criteria of
personhood, and some idea of which, or how many, of these an entity
must satisfy in order to properly be considered a person.
In
searching for such criteria, it is useful to look beyond the set of
people with whom we are acquainted, and ask how we would decide
whether a totally alien being was a person or not. (For we have no
right to assume that genetic humanity is necessary for personhood.)
Image a space traveler who lands on an unknown planet and encounters
a race of beings utterly unlike any he has ever seen or heard of. If
he wants to be sure of behaving morally toward these beings, he has
to somehow decide whether they are people, and hence have full moral
rights, or whether they are the sort of thing which he need not feel
guilty about treating as, for example, a source of food.
How should he
go about making this decision? If he has some anthropological
background, he might look for such things as religion, art, and the
manufacturing of tools, weapons, or shelters, since these factors
have been used to distinguish our human from our prehuman ancestors,
in what seems to be closer to the moral than the genetic sense of
`human.' And no doubt he would be right to consider the presence of
such factors as good evidence that the alien beings were people, and
morally human. It would, however, be overly anthropocentric of him to
take the absence of these things as adequate evidence that they were
not, since we can imagine people who have progressed beyond, or
evolved without ever developing, these cultural characteristics.
I suggest
that the traits which are most central to the concept of personhood,
or humanity in the moral sense, are, very roughly, the following:
-
Consciousness (of objects and
events external and/or internal to the being), and in
particular the capacity to feel pain;
Reasoning (the developed
capacity to solve new and relatively complex problems);
-
Self-motivated activity (activity
which is relatively independent of either genetic or direct
external control);
The capacity to communicate, by
whatever means, messages of an indefinite variety of types,
that is, not just with an indefinite number of possible
contents, but on indefinitely many possible topics;
-
The presence of self-concepts, and
self-awareness, either individual or racial, or both.
Admittedly,
there are apt to be a great many problems involved in formulating
precise definitions of these criteria, let alone in developing
universally valid behavioral criteria for deciding when they apply.
But I will assume that both we and our explorer know approximately
what (1)-(5) mean, and that he is also able to determine whether or
not they apply. How, then, should he use his findings to decide
whether or not the alien beings are people? We needn't suppose that
an entity must have all of these attributes to be properly
considered a person; (1) and (2) alone may well be sufficient for
personhood, and quite probably (1)-(3) are sufficient. Neither do we
need to insist that any one of these criteria is necessary for
personhood, although once again (1) and (2) look like fairly good
candidates for necessary conditions, as does (3), if `activity' is
construed so as to include the activity of reasoning.
All we need to
claim, to demonstrate that a fetus is not a person, is that any being
which satisfies none of (1)-(5) is certainly not a person. I
consider this claim to be so obvious that I think anyone who denied
it, and claimed that a being which satisfied none of (1)-(5) was a
person all the same, would thereby demonstrate that he had no notion
at all of what a person is-perhaps because he had confused the
concept of a person with that of genetic humanity. If the opponents
of abortion were to deny the appropriateness of these five criteria,
I do not know what further arguments would convince them. We would
probably have to admit that our conceptual schemes were indeed
irreconcilably different, and that our dispute could not be settled
objectively.
I do not expect
this to happen, however, since I think that the concept of a person
is one which is very nearly universal (to people), and that it is
common to both proabortionists and antiabortionists, even though
neither group has fully realized the relevance of this concept to the
resolution of their dispute. Furthermore, I think that on reflection
even the antiabortionists ought to agree not only that (1)-(5) are
central to the concept of personhood, but also that it is a part of
this concept that all and only people have full moral rights. The
concept of a person is in part a moral concept; once we have admitted
that x is a person we have recognized, even if we have not agreed to
respect, x's right to be treated as a member of the moral community.
It is true that the claim that x is a human being is more
commonly voiced as part of an appeal to treat x decently than is the
claim that x is a person, but this is either because `human being' is
here used in the sense which implies personhood, or because the
genetic and moral sense of `human' have been confused. Now if
(1)-(5) are indeed the primary criteria of personhood, then it is
clear that genetic humanity is neither necessary nor sufficient for
establishing that an entity is a person. Some human beings are not
people, and there may well be people who are not human beings. A man
or woman whose consciousness has been permanently obliterated but who
remains alive is a human being which is no longer a person; defective
human beings, with no appreciable mental capacity, are not and
presumably never will be people; and a fetus is a human being which
is not yet a person, and which therefore cannot coherently be said to
have full moral rights. Citizens of the next century should be
prepared to recognize highly advanced, self-aware robots or
computers, should such be developed, and intelligent inhabitants of
other worlds, should such be found, as people in the fullest sense,
and to respect their moral rights. But to ascribe full moral rights
to an entity which is not a person is as absurd as to ascribe moral
obligations and responsibilities to such an entity.
3. FETAL
DEVELOPMENT AND THE RIGHT TO LIFE
Two
problems arise in the application of these suggestions for the
definition of the moral community to the determination of the precise
moral status of a human fetus. Given that the paradigm example of a
person is a normal adult human being, then (1) How like this
paradigm, in particular how far advanced since conception, does a
human being need to be before it begins to have a right to life by
virtue, not of being fully a person as of yet, but of being like a
person? and (2) To what extent, if any, does the fact that a fetus
has the potential for becoming a person endow it with some of
the same rights? Each of these questions requires some comment.
In answering
the first question, we need not attempt a detailed consideration of
the moral rights of organisms which are not developed enough, aware
enough, intelligent enough, etc., to be considered people, but which
resemble people in some respects. It does seem reasonable to suggest
that the more like a person, in the relevant respects, a being is,
the stronger is the case for regarding it as having a right to life,
and indeed the stronger its right to life is. Thus we ought to take
seriously the suggestion that, insofar as "the human individual
develops biologically in a continuous fashion ... the rights of a
human person might develop in the same way." But we must keep in
mind that the attributes which are relevant in determining whether or
not an entity is enough like a person to be regarded as having some
of the same moral rights are no different from those which are
relevant to determining whether or not it is fully a person-i.e., are
no different from (1)-(5)and that being genetically human, or having
recognizable human facial and other physical features, or detectable
brain activity, or the capacity to survive outside the uterus, are
simply not among these relevant attributes.
Thus it is
clear that even though a seven- or eight-month fetus has features
which make it apt to arouse in us almost the same powerful protective
instinct as is commonly aroused by a small infant, nevertheless it is
not significantly more personlike than is a very small embryo. It is
somewhat more personlike; it can apparently feel and respond to
pain, and it may even have a rudimentary form of consciousness,
insofar as its brain is quite active. Nevertheless, it seems safe to
say that it is not fully conscious, in the way that an infant of a
few months is, and that it cannot reason, or communicate messages of
indefinitely many sorts, does not engage in self-motivated activity,
and has no self-awareness. Thus, in the relevant respects, a
fetus, even a fully developed one, is considerably less personlike
than is the average mature mammal, indeed the average fish. And I
think that a rational person must conclude that if the right to life
of a fetus is to be based upon its resemblance to a person, then it
cannot be said to have any more right to life than, let us say, a
newborn guppy (which also seems to be capable of feeling pain), and
that a right of that magnitude could never override a woman's right
to obtain an abortion, at any stage of her pregnancy.
There may,
of course, be other arguments in favor of placing legal limits upon
the stage of pregnancy in which an abortion may be performed. Given
the relative safety of the new techniques of artificially inducing
labor during the third trimester, the danger to the woman's life or
health is no longer such an argument. Neither is the fact that people
tend to respond to the thought of abortion in the later stages of
pregnancy with emotional repulsion, since mere emotional responses
cannot take the place of moral reasoning in determining what ought to
be permitted. Nor, finally, is the frequently heard argument that
legalizing abortion, especially late in the pregnancy, may erode the
level of respect for human life, leading, perhaps, to an increase in
unjustified euthanasia and other crimes. For this threat, if it is a
threat, can be better met by educating people to the kinds of moral
distinctions which we are making here than by limiting access to
abortion (which limitation may, in its disregard for the rights of
women, be just as damaging to the level of respect for human rights).
Thus, since the
fact that even a fully developed fetus is not personlike enough to
have any significant right to life on the basis of its personlikeness
shows that no legal restrictions upon the stage of pregnancy in which
an abortion may be performed can be justified on the grounds that we
should protect the rights of the older fetus; and since there is no
other apparent justification for such restrictions, we may conclude
that they are entirely unjustified. Whether or not it would be
indecent (whatever that means) for a woman in her seventh
month to obtain an abortion just to avoid having to postpone a trip
to Europe, it would not, in itself, be immoral, and therefore
it ought to be permitted.
4. POTENTIAL
PERSONHOOD AND THE RIGHT TO LIFE
We have
seen that a fetus does not resemble a person in any way which can
support the claim that it has even some of the same rights. But what
about its potential, the fact that if nurtured and allowed to
develop naturally it will very probably become a person? Doesn't that
alone give it at least some right to life? It is hard to deny that
the fact that an entity is a potential person is a strong prima facie
reason for not destroying it; but we need not conclude from this that
a potential person has a right to life, by virtue of that potential.
It may be that our feeling that it is better, other things being
equal, not to destroy a potential person is better explained by the
fact that potential people are still (felt to be) an invaluable
resource, not to be lightly squandered. Surely, if every speck of
dust were a potential person, we would be much less apt to conclude
that every potential person has a right to become actual.
Still, we do
not need to insist that a potential person has no right to life
whatever. There may well be something immoral, and not just
imprudent, about wantonly destroying potential people, when doing so
isn't necessary to protect anyone's rights. But even if a potential
person does have some prima facie right to life, such a right could
not possibly outweigh the right of a woman to obtain an abortion,
since the rights of any actual person invariably outweigh those of
any potential person, whenever the two conflict. Since this may not
be immediately obvious in the case of a human fetus, let us look at
another case.
Suppose
that our space explorer falls into the hands of an alien culture,
whose scientists decide to create a few hundred thousand or more
human beings, by breaking his body into its component cells, and
using these to create fully developed human beings, with, of course,
his genetic code. We may imagine that each of these newly created men
will have all of the original man's abilities, skills, knowledge, and
so on, and also have an individual self-concept, in short that each
of them will be a bona fide (though hardly unique) person. Imagine
that the whole project will take only seconds, and that its chances
of success are extremely high, and that our explorer knows all of
this, and also knows that these people will be treated fairly. I
maintain that in such a situation he would have every right to escape
if he could, and thus to deprive all of these potential people of
their potential lives; for his right to life outweighs all of theirs
together, in spite of the fact that they are all genetically human,
all innocent, and all have a very high probability of becoming people
very soon, if only he refrains from acting.
Indeed, I think
he would have a right to escape even if it were not his life which
the alien scientists planned to take, but only a year of his freedom,
or, indeed, only a day. Nor would he be obligated to stay if he had
gotten captured (thus bringing all these people-potentials into
existence) because of his own carelessness, or even if he had done so
deliberately, knowing the consequences. Regardless of how he got
captured, he is not morally obligated to remain in captivity for any
period of time for the sake of permitting any number of potential
people to come into actuality, so great is the margin by which one
actual person's right to liberty outweighs whatever right to life
even a hundred thousand potential people have. And it seems
reasonable to conclude that the rights of a woman will outweigh by a
similar margin whatever right to life a fetus may have by virtue of
its potential personhood.
Thus,
neither a fetus's resemblance to a person, nor its potential for
becoming a person provides any basis whatever for the claim that it
has any significant right to life. Consequently, a woman's right to
protect her health, happiness, freedom, and even her life,' by
terminating an unwanted pregnancy, will always override whatever
right to life it may be appropriate to ascribe to a fetus, even a
fully developed one. And thus, in the absence of any overwhelming
social need for every possible child, the laws which restrict the
right to obtain an abortion, or limit the period of pregnancy during
which an abortion may be performed, are a wholly unjustified
violation of a woman's most basic moral and constitutional rights .
POSTSCRIPT
ON INFANTICIDE, FEBRUARY 26, 1982
One of the
most troubling objections to the argument presented in this article
is that it may appear to justify not only abortion but infanticide as
well. A newborn infant is not a great deal more personlike than a
ninemonth fetus, and thus it might seem that if late-term abortion is
sometimes justified, then infanticide must also be sometimes
justified. Yet most people consider that infanticide is a form of
murder, and thus never justified. While it is important to
appreciate the emotional force of this objection, its logical force
is far less than it may seem at first glance. There are many reasons
why infanticide is much more difficult to justify than abortion, even
though if my argument is correct neither constitutes the killing of a
person. In this country, and in this period of history, the
deliberate killing of viable newborns is virtually never justified.
This is in part because neonates are so very close to being persons
that to kill them requires a very strong moral justification as does
the killing of dolphins, whales, chimpanzees, and other highly
personlike creatures. It is certainly wrong to kill such beings just
for the sake of convenience, or financial profit, or "sport."
Another
reason why infanticide is usually wrong, in our society, is that if
the newborn's parents do not want it, or are unable to care for it,
there are (in most cases) people who are able and eager to adopt it
and to provide a good home for it. Many people wait years for the
opportunity to adopt a child, and some are unable to do so even
though there is every reason to believe that they would be good
parents. The needless destruction of a viable infant inevitably
deprives some person or persons of a source of great pleasure and
satisfaction, perhaps severely impoverishing their lives.
Furthermore, even if an infant is considered to be adoptable (e.g.,
because of some extremely severe mental or physical handicap) it is
still wrong in most cases to kill it. For most of us value the lives
of infants, and would prefer to pay taxes to support orphanages and
state institutions for the handicapped rather than to allow unwanted
infants to be killed. So long as most people feel this way, and so
long as our society can afford to provide care for infants which are
unwanted or which have special needs that preclude home care, it is
wrong to destroy any infant which has a chance of living a reasonably
satisfactory life.
If these
arguments show that infanticide is wrong, at least in this society,
then why don't they also show that late-term abortion is wrong? After
all, third trimester fetuses are also highly personlike, and many
people value them and would much prefer that they be preserved; even
at some cost to themselves. As a potential source of pleasure to some
family, a viable fetus is just as valuable as a viable infant. But
there is an obvious and crucial difference between the two cases:
once the infant is born, its continued life cannot (except, perhaps,
in very exceptional cases) pose any serious threat to the woman's
life or health, since she is free to put it up for adoption, or,
where this is impossible, to place it in a state-supported
institution. While she might prefer that it die, rather than being
raised by others, it is not clear that such a preference would
constitute a right on her part. True, she may suffer greatly from the
knowledge that her child will be thrown into the lottery of the
adoption system, and that she will be unable to ensure its
well-being, or even to know whether it is healthy, happy, doing well
in school, etc.: for the law generally does not permit natural
parents to remain in contact with their children, once they are
adopted by another family. But there are surely better ways of
dealing with these problems than by permitting infanticide in such
cases. (It might help, for instance, if the natural parents of
adopted children could at least receive some information about their
progress, without necessarily being informed of the identity of the
adopting family.)
In
contrast, a pregnant woman's right to protect her own life and health
clearly outweighs other people's desire that the fetus be
preserved-just as, when a person's life or limb is threatened by some
wild animal, and when the threat cannot be removed without killing
the animal, the person's right to self-protection outweighs the
desires of those who would prefer that the animal not be harmed.
Thus, while the moment of birth may not mark any sharp discontinuity
in the degree to which an infant possesses a right to life, it does
mark the end of the mother's absolute right to determine its fate.
Indeed, if and when a late-term abortion could be safely performed
without killing the fetus, she would have no absolute right to insist
on its death (e.g., if others wish to adopt it or pay for its care),
for the same reason that she does not have a right to insist that a
viable infant be killed.
It remains true that according to my
argument neither abortion nor the killing of neonates is properly
considered a form of murder. Perhaps it is understandable that the
law should classify infanticide as murder or homicide, since there is
no other existing legal category which adequately or conveniently
expresses the force of our society's disapproval of this action. But
the moral distinction remains, and it has several important
consequences.
In the
first place, it implies that when an infant is born into a society
which-unlike ours-is so impoverished that it simply cannot care for
it adequately without endangering the survival of existing persons,
killing it or allowing it to die is not necessarily wrong-provided
that there is no other society which is willing and able to
provide such care. Most human societies, from those at the hunting
and gathering stage of economic development to the highly civilized
Greeks and Romans, have permitted the practice of infanticide under
such unfortunate circumstances, and I would argue that it shows a
serious lack of understanding to condemn them as morally backward for
this reason alone.
In the second
place, the argument implies that when an infant is born with such
severe physical anomalies that its life would predictably be a very
short and/or very miserable one, even with the most heroic of medical
treatment, and where its parents do not choose to bear the often
crushing emotional, financial and other burdens attendant upon the
artificial prolongation of such a tragic life, it is not morally
wrong to cease or withhold treatment, thus allowing the infant a
painless death. It is wrong (and sometimes a form of murder) to
practice involuntary euthanasia on persons, since they have the right
to decide for themselves whether or not they wish to continue to
live. But terminally ill neonates cannot make this decision for
themselves, and thus it is incumbent upon responsible persons to make
the decision for them, as best they can. The mistaken belief that
infanticide is always tantamount to murder is responsible for a great
deal of unnecessary suffering, not just on the part of infants which
are made to endure needlessly prolonged and painful deaths, but also
on the part of parents, nurses, and other involved persons, who must
watch infants suffering needlessly, helpless to end that suffering in
the most humane way.
I am well aware
that these conclusions, however modest and reasonable they may seem
to some people, strike other people as morally monstrous, and that
some people might even prefer to abandon their previous support for
women's right to abortion rather than accept a theory which leads to
such conclusions about infanticide. But all that these facts show is
that abortion is not an isolated moral issue; to fully understand the
moral status of abortion we may have to reconsider other moral issues
as well, issues not just about infanticide and euthanasia, but also
about the moral rights of women and of nonhuman animals. It is a
philosopher's task to criticize mistaken beliefs which stand in the
way of moral understanding, even when-perhaps especially when-those
beliefs are popular and widespread. The belief that moral strictures
against killing should apply equally to all genetically human
entities, and only to genetically human entities, is such an
error. The overcoming of this error will undoubtedly require long and
often painful struggle; but it must be done.
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