TAG | contraception
You don’t have to be an anti-natalist, much less some kind of nihilist, to defend the decision on the part of a majority of would-be mothers to abort fetuses showing signs of Down syndrome. But over at The Week, Pascal-Emmanuel Gobry sheds tears over the “ghosts” of Down syndrome babies who never were:
I do not know a single family with a child with trisomy 21 who has not regarded them as a joy, much less regretted their existence. The expression “ray of sunshine” has become such a cliché, but here it is perfectly applicable. It’s always striking how joyous many people with trisomy 21, especially children, appear.
Regardless of how one feels about abortion policy, this is a treachery of unspeakable magnitude that shames our entire society. We go about in the world surrounded by the ghosts we have made, and we do not even have the good taste to be haunted.
If there is a God, we had better all pray that He is merciful.
Whew, powerful words.
Gobry acknowledges the generally observed intellectual disability that comes with DS, though he omits any mention of the increased risk of early dementia and even leukemia, among other ills. In fact here’s what the Alzheimer’s Association has to say about it:
Studies suggest that more than 75 percent of those with Down syndrome aged 65 and older have Alzheimer’s disease, nearly 6 times the percentage of people in this age group who do not have Down syndrome.
One is struck – or at least I am – by Gobry’s seeming embrace of individuals with DS due to their childlike qualities, to the detriment of a perspective taking into account the complete life cycle. And linking the discussion to abortion only strengthens the focus on DS’ early years.
Gobry observes that on average, a person with DS “will have the intelligence of a normal 8 or 9 year old child.” Ah, but of course those are great years for parents, it’s no small thing to point out, sandwiched as they are between the chaotic toddler and rebellious teen phases. I suspect there’s more than a bit of warm, glowing self-interest smuggled into Gobry’s argument.
DS last popped up in the news in mid-2014, when Richard Dawkins was being lambasted for suggesting would-be mothers of fetuses with DS “abort it and try again.” Blunt language to be sure, but as The American Interest’s Walter Mead (I think, there’s no byline) said at the time, most people would seem to agree. At least if we’re judging them by their actual behavior and not what they’d be brave enough to admit to in mixed company:
One of the main reasons why people abort them is the same reason why people support physician assisted suicide and other “mercy killings”—because, the argument goes, one ought to spare someone from living a low quality of life.
This piece is from the Guardian and it comes with some of the paper’s usual irritating baggage, but it is still worth reading as an examination of the factual background to the Little Sisters HHS case:
The ACA has a series of outs for religious employers who say medication like contraception violates their moral beliefs. It’s essentially three-tied: for-profit organizations have to cover contraception in their health plans; explicitly religious organizations like churches don’t have to provide contraception if they believe birth control is morally wrong; and religiously-affiliated non-profits that are neither owned nor controlled by religious groups do not have to provide contraception either, but they have to fill out a form certifying that they are religiously-affiliated, and then a third party administrator makes sure that employees can get contraception if they need it. The third-party administrator, and not the employer, pays for contraception coverage.
In the case that led Sotomayor to issue the injunction, an organization called the Little Sisters of the Poor Home for the Aged objected to the ACA’s contraception requirement. All the Little Sisters have to do is fill out a form and the organization will be under no obligation to pay for birth control for its many employees – which include home health aides, nurses, administrators and a variety of women who may not be Catholic or, like 98% of sexually active Catholic women, may choose to use a birth control method other than natural family planning – but apparently a form is too great an intrusion on their religious liberty….
The Becket Fund [a fund I note named after a priest ‘martyred’ for his belief in religious legal privilege], a conservative organization representing the Little Sisters, claims that the ACA restricts the religious freedom of the Sisters because the Sisters rely on a Catholic insurance company, the Christian Brothers Trust, for their company health insurance. The Christian Brothers Trust doesn’t provide coverage for hormonal birth control, IUDs or sterilization.
According to the Becket Fund, the Sisters are stuck between a rock and a hard place: they could continue to participate in the Christian Brothers Trust insurance coverage and refuse to designate the Christian Brothers as a contraception provider, which the Becket Fund says would result in ACA-related fines, or they could designate the Christian Brothers Trust to provide contraception coverage, violating both groups’ deeply-held religious beliefs. Alternately, they could drop health coverage all together, which would also put them at risk for fines. Or, they could ditch the Christian Brothers Trust and designate new group insurance coverage, which would cover contraception for employees without making the Sisters pay for or negotiate a single thing, but would again require them to fill out a form that supposedly violates their belief that employees shouldn’t be allowed to get contraception.
The Little Sisters aren’t paying for contraception even through a third-party-secured insurance plan; they certainly aren’t being asked to distribute it, and Catholic nuns aren’t being force-fed birth control pills. They simply have to sign a piece of paper saying they’re a religious group, and then turn to a third party to negotiate all the details….
[A]s it turns out, the Christian Brothers Trust insurance group can refuse to provide contraception and will face no fines or consequences. That’s because the Trust is a self-insured “church plan”, which means that the Little Sisters can designate the Christian Brothers as the third-party administrators, and if the Brothers still refuse to provide contraception coverage, the government can’t fine them. In other words: the Little Sisters can continue operating exactly as before, and nothing will happen….
Food for thought.
The court will decide what it decides and (not being too familiar with the constitutional case law) I have no opinion on how that could—or should—spin out, but, as a matter of commonsense and of basic equity (none of which, of course, need be particularly relevant where the law courts are concerned) it remains hard for me to see these rules as an assault on religious freedom. That the Roman Catholic Church has also long been a supporter of universal healthcare only adds irony—and a degree of insult—to the mix.
Cardinal Timothy Dolan, the archbishop of New York, said Sunday the Catholic church remains opposed to ObamaCare in large part because it requires businesses to offer health-insurance plans that include no-cost contraception.
Dolan, the former president of the U.S. Conference of Catholic Bishops, said the church’s position is a difficult one, considering it has supported universal, affordable and comprehensive health care since the early 1990s.
“We bishops have really been in kind of a tough place,” Dolan said on NBC’s “Meet the Press.” “That’s how far we go in this battle. We’re not Johnny-come-latelies.”
He also warned President Obama that the contraception mandate in his signature health care law might “push aside” some of his biggest supporters.
“We want to be with you. We want to be strong, and if you keep doing this, we’re not going to be able to be one of your cheerleaders,” said Dolan, several days after the Supreme Court agreed to hear a challenge to the mandate by the Christian-owned retail chain Hobby Lobby.
So the Roman Catholic Church wants universal healthcare, paid for by taxpayers. That’s a debatable point of view, but far from outlandish. But then the church wants to opt out of those parts of this supposedly universal healthcare that it does not like. Everyone else, of course, has to lump it.
That’s religious privilege, not “religious freedom”.
Washington (CNN) – House Republicans have added a measure aimed at limiting contraceptive coverage to the spending bill coming up for a vote Saturday night, a spokesman for Rep. Tim Huelskamp, R-Kansas, told CNN.
A senior House leadership aide confirmed that development.
The so-called “conscience clause” would allow employers and insurers to opt out of preventative care for women which they find objectionable on moral or religious grounds. That prominently includes birth control, which most insurers are required to provide for free under current Obamacare rules.
With this move, House Republican leaders would give any employer or group health plan the ability to opt out of contraception coverage for the next year. That time frame syncs up with the larger measure in which this is included: a one-year delay of Obamacare provisions not yet in effect.
“This is a big deal for the congressman,” Huelskamp’s spokesman, Paul Nelson, told CNN. “He has been pushing for (the conscience clause) since he entered Congress.”
Democrats say the measure is unnecessary because the administration has granted exemptions to contraceptive coverage to religious nonprofit institutions. But advocates, such as Huelskamp, insist that all institutions should be able to opt out of any preventative coverage for women that they find objectionable.
The addition of the “conscience clause” ties a heated social issue to the already sharp shutdown debate.
PITTSBURGH (KDKA) – Students at Carnegie Mellon say it’s freedom of expression, but the Catholic Diocese of Pittsburgh calls it inappropriate and disrespectful. At an annual art school parade, a female student dressed up as the pope, and was naked from the waist down while she passed out condoms. Even more, witnesses say the woman had shaved her pubic hair in the shape of a cross….
“I think we all know that when we’re growing up we do stupid things but to cross over the line in this instance shouldn’t happen with anybody,” Bishop David Zubik said.
Bishop Zubik says the incident must be addressed. “What I do want to have happen is for this person to learn an important lesson,” Zubik said. The University encourages individual thought and artistic expression but the Diocese believes this student not only crossed the line, but trampled all over it.
They are demanding some action…..
I don’t know whether such a childish display is of a nature to warrant First Amendment protection, but it is somewhat tactless of a Bishop who has recently been doing plenty of complaining about what he sees as a threat to his First Amendment rights, to be quite so insistent that this student be punished for exercising what might be hers.
The decision over what (if anything) should be done about this incident is for the university and—if it came to it—the courts. The bishop was well within his rights to criticize what this lady did—and I don’t blame him for doing just that—but when he calls for disciplinary action he—how shall I put it—not only crossed a line, but trampled all over it.
With so much talk of late of the supposed attack on religious freedom represented by Obamacare’s contraception mandate, this passage caught my eye:
The U.S. Conference of Catholic Bishops recently renewed their call for measures to address gun violence by echoing their 2000 statement, Responsibility, Rehabilitation and Restoration: A Catholic Perspective on Crime and Criminal Justice. Bishops have called for “measures that control the sale and use of firearms” and “sensible regulations of handguns.” The Vatican’s Pontifical Council for Justice and Peace, in a 1994 document, “The International Arms Trade,” urges political leaders “to impose a strict control on the sale of handguns and small arms” and states that “limiting the purchase of such arms would certainly not infringe on the rights of anyone.”
Well, it’s good to know where people stand.
We’ve heard a lot from the Roman Catholic church of late about how its “religious liberty” is supposedly infringed by the Obamacare “contraception mandate”. It’s a dodgy and unconvincing argument for any number of reasons (and hypocritical too, given the church’s earlier support for universal healthcare), to which one can now add this (via the National Catholic Register):
BATON ROUGE, La. — Louisiana Gov. Bobby Jindal has voiced his support for over-the-counter access to birth control, a position that Church representatives say goes against Catholic teaching on contraception.
“The Archdiocese of New Orleans disagrees with Governor Jindal’s stance on this issue, as the use of birth control and contraceptives are against Catholic Church teaching,” Sarah Comiskey McDonald, communications director for the Archdiocese of New Orleans, told EWTN News Dec. 14. Robert Tasman, associate director of the Louisiana Conference of Catholic Bishops, also echoed the archdiocese’s statement.
Making the pill available OTC is a generally excellent idea, but Jindal is approaching it from the perspective of a (very) devout Roman Catholic. His cannily pragmatic argument is based on the idea that making the pill available OTC will remove much (all?) of the rationale for including it under the HHS rules, but even this still is not, apparently, good enough for the Archdiocese. Note that these clerics’ objection to Gov. Jindal’s proposal is based on religious, not medical grounds. That their opposition to contraception is not shared by many of their coreligionists, let alone by most Americans of other faiths—and none—is, apparently, an irrelevance. Their ideology must be imposed on everyone, and that’s it.
Remind me again why should we pay attention when this church starts talking about “religious liberty”. I must be missing something.
Over at Patheos, Kathy Schiffer is running a series on the “Best 100 Catholic Speakers” and here she is with seminary professor Dr. Janet Smith, author of Contraception: Why Not?
Choice quote from Dr. Smith:
I think contraception is an insult to women…. [W]omen basically apologize for their fertility. “I’m sorry. When I have sex I may get pregnant. Sure, I’ll be glad to mess with my body to correct this humiliating and inconvenient feature of my sex.”
I don’t know what it worse about that, the simpering pastiche of political correctness, or the utter logical breakdown.
And then I note this:
As a seminary professor, Dr. Janet Smith is helping to shape the next generation of priests.
Anthony Davies and Kristina Antolin, writing in the WSJ:
The bishops dance with the devil when they invite government to use its coercive power on their behalf, and there’s no clearer example than the Affordable Care Act. They happily joined their moral authority to the government’s legal authority by supporting mandatory health insurance. They should not have been surprised when the government used its reinforced power to require Catholic institutions to pay for insurance plans that cover abortions and birth control.
No they should not.
The Economist reports here on a paper that only reinforces the case:
[W]hen poor economies start to grow, these disparities widen. The fertility rate of the whole country starts to fall but the families of the richest quintile get smaller faster than the families of the poorest quintile. In other words, the rich lead the process of demographic change, not the poor who have the most to gain and who, you might have thought, would find it easiest to reduce family size (because it seems a smaller step to have six, rather than seven children, than it is to have one, rather than two). The rich presumably find it easiest to control family size because they have the best access to family planning and their daughters are the most likely to be educated. This process goes on while economies have an income per head of between about $2000 and $5000. Between about $5000 and $10,000 a head, the three income quintiles in the middle start to reduce their family size faster. In other words, the middle class starts to catch up with the rich, presumably because they are getting access to family planning and wider female education, too. Then, by $10,000 a head, family size is falling by roughly equal amounts in every quintile: the poor have caught up with the rich and middle class, and fertility is falling across the board.
This paper says something new about demography by showing the relationship between income and fertility. It says something new about inequality by showing that there is a correlation between it and income in poor countries. And it has something interesting to say about public policy, since the findings would support the case for smoothing out the initial increase in inequality by encouraging the two things which help reduce fertility among the poorest quintile: family planning and female education.
Worth remembering the next time you hear the Vatican claiming that it is a force for ‘social justice’.