Extract I am afraid, therefore, that the potential trainee with a conscientious objection to abortion must face the fact that even if he is fortunate enough to obtain trainee posts in units where his conscience can be respected, he will still have to face the fact at the end of his training, that if he does not obtain a post in a large teaching unit, he is likely to have to face the choice of either leaving the specialty or the country.
Extract . . . man’s right to live and work according to the dictates of conscience is an asset precious to him and medicine itself. Because of their religious conviction two senior members of this division of obstetrics and gynaecology do not perform abortions. . . If when they leave . . . they can be replaced by men or women of equal calibre Oxford will be fortunate. The integrity, experience, skill, and potential of applicants for these posts will be more important than their willingness to terminate pregnancy.
Extract One certainty at least about the situation as regards the liberalization of abortion in Canada is that the problem it presents is not going to go away. . . . one cannot but conclude that the dilemma posed by this state of affairs cannot be dismissed by the ingemination of ready-made phrases such as “rights of the fetus” and “reverence for life”, no matter how respectable these may sound. One suspects that sometimes such phrases are used to rationalize inflexible attitudes and spare a probing of deeper motivation. In some instances they may well suffice for individual physicians who wish to dissociate themselves completely from the issue. But they will not satisfy society at large, to whom another set of slogans (“every baby a wanted baby” and “a woman has the right to the control of her own body”) has a stronger appeal. . . Has not the time come, therefore, for society, including the medical profession, to admit the state of affairs that prevails and face up to its obligations? . . . No serious person believes that abortion should be considered as an alternative to the regular practice of birth control. The by-no-means negligible morbidity associated with abortion and the occasional fatality, apart from the demands it makes on hospital and medical staff, make it much too costly when simple means of conception control are readily available. . . the escape from this dilemma is not in saying that birth control should have been used. . . [advocates sex education as described in Brave New World]. . . as long as human beings are sometimes careless and irresponsible, even if they are no longer ignorant, unwanted pregnancy will occur and the question of its termination, if we have the respect for motherhood we profess, will have to be faced.
Extract I would be grateful if readers would let me know if reports we hear about British hospital practice are factual or not. We are told that candidates for obstetrical and gynaecological posts are first asked if they will co-operate in the abortion programme of that hospital, and their selection depends on the answer to this question.. .
Extract . . . Is the fetus entitled to the same protection as the adult human being? . . . I would challenge any reader to define a human being in any other way than in such relational terms as mother, son, wife or neighbour; only as we relate to people in these terms do we come to know who we are. Psychological or biological definitions are singularly inapt for this purpose. . . .
Extract The appearance of the two letters on abortion in sequence in the Journal . . . illustrated the diverging ethics of the members and future members of our profession. Reading the letter by Dr. Heine was indeed like feeling a breath of fresh unpolluted air in the smog of today’s confused thinking. . . .How different was the letter by the President of the Medical Students’ Society of McGill University stating the unanimous opinion of their Executive Council.
Extract I cannot believe that the majority of physicians in Canada really couldn’t care less about such vital problems as the unwanted pregnancy and its reaction on the subsequent mental health of the mother (and unwanted child), not to mention the increasing threat to our way of life from overpopulation. I can only conclude that it is the wish not to be involved which permits major decisions to be swayed by a small but vocal group of religious bigots -sincere, well-meaning, God-fearing people, no doubt, but bigots just the same in that they seek to enforce the attitudes and wishes of a minority upon the majority.
Extract . . . Apart from a difference in maturity, there is no essential difference biologically between the prenatal and the postnatal child. It would appear, however, that those who believe in liberalized abortion ignore completely the most simple biological facts about the prenatal child and assume that life begins at birth and that whatever goes on before this is so mysterious that it can hardly be called life. . . Those who say that a law should be passed making abortion a purely medical question and independent of the law are in fact saying that the prenatal child does not deserve any legal right to life whatsoever. . .
Extract Canadians, including those within the medical profession, range from a truly “liberal” pole, which views abortion within the first 12 weeks of gestation as simply a means of secondary birth control, to a truly “conservative” pole, which views interruption of pregnancy in any circumstances as murder. . . In a just Canadian society in the year 1970 it would seem appropriate that occupants of neither polar position should be allowed to impose their moral attitudes on the rest of the country. . .
Parenthetically one must question why any group requires the assistance of state law to ensure that its members adhere to its ethical, moral or religious code. Certainly proponents of the truly “liberal” position have no intention of trying to force any woman to have an abortion against her will. . .
. . . Doctors should not be obliged to assume the function of gatekeepers to decide which unwanted children should be allowed into this overpopulated world and which ones should not. The moral aspect of this question should reside solely with the patient and not with the physician. His role should be to ensure that the patient really does want the pregnancy terminated and to make sure that the procedure is carried out early and safely. If the doctor’s moral position on this question precludes his providing her with the care required, he is now ethically bound by The Canadian Medical Association’s code of ethics to inform her that this is so, while making it clear that this is his own personal attitude. . .
