(Correspondence) Abortion debate continues

Linda Spano, Michael Brennan

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
. . . we all – including Reynolds – operate from a biased set of basic assumptions. Is it really antireligious to suggest that the antiabortion forces are largely motivated by fundamental religious views that represent fixed basic assumptions? We think not. . . . Medical intervention includes helping people achieve their potential according to their own objectives as well as many other “appropriate” activities, such as the therapeutic termination of pregnancy. . . .The abortion debate is not entirely about abortion or religion, nor is it even a debate. . . the argument is about the freedom of choice and the access of all Canadian women to safe, competent medical care and about the refusal of most Canadians to submit to the irrational demands of a vociferous minority. . .


Spano L, Brennan M. (Correspondence) Abortion debate continues. Can Med Assoc J. 1993 Jun 15;148(12):2112-2113.

(Correspondence) Physicians and abortion

Lynette E Sutherland

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
After I read the articles on abortion in CMAJ I began to wonder if ready access to abortion is the main issue. Are we faced with a Yes-No decision, or are we looking at a symptom of something deeper? . . . The world is overpopulated, yet more and more children are being born. Despite the efforts of many dedicated people (especially women) to take information on birth con- trol to the most afflicted parts of the world, little progress is being made. All the solutions are “Band-Aid” ones, and almost all – contraceptives, abortifacients and abortion itself – are directed toward women, whose reproductive capacity is certainly the root of so much trouble. To cure these ills, nothing short of a redirection of human nature is necessary. . . .the earth’s mad population increase will surely go on to a cataclysmic end. We can put this off temporarily if we follow the Chinese example (one-child or two-children families) worldwide, with strict supervision of female reproduction.


Sutherland LE. (Correspondence) Physicians and abortion. Can Med Assoc J. 1993;148(8):1276-1277.

(Correspondence) Clinicians who provide abortions: the thinning ranks

Denis Cavanaugh

Obstetrics & Gynecology
Obstetrics & Gynecology

Extract
Dr. Grimes identifies abortion as “the most divisive social issue of our time,” but he is contributing to the divisiveness by raising these issues in those of us who consider elective abortion a social evil as well as a “distasteful chore.” Abortionists don’t have all the altruism, and if elective abortion were not a billiondollar- a-year business, there would be even fewer volunteers. . .the legal entitlement of a woman to elective abortion cannot be absolute to the extent of suppressing the values and conscience of her physician, so there is no reason why a resident should have an obligation to perform such abortions.


Cavanaugh D. (Correspondence) Clinicians who provide abortions: the thinning ranks. Obst Gyn. 1993 February;81(2):318-319

(Correspondence) Readers Advocate Pro-conscience, Not Pro-Choice (Invited response)

Susan Wysocki

The Nurse Practitioner
The Nurse Practitioner

Extract
A nurse practitioner’s personal position on this issue is irrelevant in tem1s of the provision of patient care. Our responsibility as nurse practitioners is to provide our patients with information that helps them to make their own decisions based on the constructs of their own beliefs and needs. This does not mean that nurse practitioners who find a patient’s reproductive-health decisions to be in conflict with their own morals and beliefs should be forced to counsel on those choices. Instead, they have a responsibility to ensure that the patient has her needs met with another provider.


Wysocki S. (Correspondence) Readers Advocate Pro-conscience, Not Pro-Choice (Invited response). Nurse Pract. 1992 Oct;17(10):8-9

(Correspondence) Readers Advocate Pro-conscience, Not Pro-choice

(Author reply)

Lynn C Barnard

The Nurse Practitioner
The Nurse Practitioner

Extract
“Let those nurses who oppose abortion and choice dedicate their energies to the development of a societal system that truly cares for women and will support their decisions – no matter what they are.”


Barnard LC. (Correspondence) Readers Advocate Pro-conscience, Not Pro-choice (Author reply). Nurse Pract. 1992;17(10):8

(Correspondence) Responsibility and abortion

Glenn Jones

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
Termination of pregnancy is the act of a powerful person (the pregnant woman) against a voiceless, innocent and powerless person. How does the misuse of power by women in this situation prove that their androgynous and gynocentric approaches to the use of power are different or better? . . . I agree with McEvoy that we must determine what abortion means over time to those most affected by it – women. However, she has failed to do that analysis.


Jones G. (Correspondence) Responsibility and abortion. Can Med Assoc J. 1992 Sep 15;147(6):840-842.

(Correspondence) Responsibility and abortion

Donald G Jansen

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
Exploring the question of a woman’s responsibility in becoming pregnant in order to decide on the permissibility of terminating that pregnancy is flawed, because the woman does not answer the first question: Am I killing another human being? If the answer is No, then perhaps McEvoy’s exercise of looking at specific examples of women seeking terminations may be useful. . . . If the answer is Yes, then all other considerations, compelling as they may be, will not have any greater value than that of the life of an unborn child. The woman’s degree of responsibility in becoming pregnant should not decide the value or fate of human life, which remains inviolable.


Jansen DG. (Correspondence) Responsibility and abortion. Can Med Assoc J. 1992 Sep 15;147(6):840.

(Correspondence) L’avortement eugénique

Paul de Bellefeuille

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
[Translation] Too bad that by making the distinction between abortion (eugenic or selective) and abortion that is not not, he made at least two readers believe that he approves of the second. Sorry as I am for being one of those readers, I am delighted to be mistaken.


de Bellefeuille P. (Correspondence) L’avortement eugénique. Can. Med. Assoc. J.. 1991;144(6):641. Available from:

(Correspondence) Abortion and the DPG ratio

Brian A Shamess

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
The question he must answer is, If the fetus is a human being (which indeed he or she is), what should he do? If a woman came in telling him that she was going to kill her 2-day-old baby, would he sit back not wanting to play “godlet”?


Shamess BA. (Correspondence) Abortion and the DPG ratio. Can Med Assoc J. 1991 Feb 01;144(3):277.

(Correspondence) Abortion and the DPG ratio

Lee Isaacs

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
Dr. Arsenault’s reasonable and logical protest that abortion is a case of doctor playing God is countered not by reason but by a humorous anecdote: style versus logic.


Isaacs L. (Correspondence) Abortion and the DPG ratio. Can Med Assoc J. 1991 Feb 1;143(3):277.