(Correspondence) The abortion issue

Patrick G Coffey

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
Having read the well-written article by Laura Eggertson, I feel that her thrust (and that of Planned Parenthood, the Canadian Abortion Rights Action League, Health Minister Allan Rock, etc.) is that it is a scandal and surprise that a “medically necessary” operation — abortion — is not universally accepted like other procedures You do not hear most of the old debating arguments about abortion any more, but the one that will not go away concerns whether abortion is a medically necessary operation. . . .Abortion is both a moral and a medical issue, and we should not be surprised if people do not regard it as a necessary procedure in the same way they view other operations.


Coffey PG. (Correspondence) The abortion issue. Can Med Assoc J. 2001 Jul 10;165(1):14-15.

(Correspondence) The fetus as a person

Patrick G Coffey

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
Some people, however, would argue that an early human being does not become a “person” till sometime after birth, and others would argue that this time has arrived when fetal brain waves are recordable (about 6 weeks). Obviously, any point along the way, including the 23-week mark, is arbitrary and depends on each person’s perspective. . . surely it is not just or scientific to choose some arbitrary time.


Coffey PG. (Correspondence) The fetus as a person. Can Med Assoc J. 1990 Dec 01;143(11):1156.

(Correspondence) Induced abortion

PG Coffey

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
If a mother decided to kill her newborn baby everyone would be shocked, but if she decides to kill the fetus before birth, say at 20 weeks, half of the country cheers.


Coffey PG. (Correspondence) Induced abortion. Can Med Assoc J. 1989 Nov 01;141(9):869-870.

(Correspondence) The CMA abortion survey

PG Coffey

Extract
The CMA should have asked prolife physicians “Do you believe that the threat to a woman’s life should be the only indication for abortion?” In my experience most pro-life advocates believe not that there is absolutely no indication for abortion, but that abortion is indicated only in serious circumstances.


Coffey PG. (Correspondence) The CMA abortion survey. Can Med Assoc J. 1983 Dec 15;129(12):1260.

(Correspondence) The Canadian abortion law

PG Coffey

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
Dr. Loveridge states that the examples I quoted in my previous letter “are just not correct”. On the contrary, all the facts and figures I have given are correct and come from respectable sources [Gives details] . . .The reason that illegal abortions are not necessarily reduced in number and that the total number of abortions in- creases when a government legalizes abortion (and seemingly condones it) is that there are always a large number of women who prefer to have an abortion privately and a climate of abortion is created wherein large numbers of women consider abortion who would not otherwise have done so.


Coffey PG. (Correspondence) The Canadian abortion law. Can Med Assoc J. 1977 Feb 05;116(3):238.

(Correspondence) The Canadian abortion law

PG Coffey

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
. . . papers are continually being published pointing out the hazards in subsequent childbirth after an induced abortion. . . .There is a great deal of woolly thinking about the viability of the fetus. . . One can think of several other situations where humans are totally dependent on others for their continuing existence but are not considered expendable. . . I honestly think we tend to salve our consciences far too carelessly when we use the vague term “nonviability” as a reason for condoning the termination of lives that are far from inanimate.


Coffey PG. (Correspondence) The Canadian abortion law. Can Med Assoc J. 1977 Feb 05;116(3):238.

(Correspondence) The Canadian abortion law

Margaret Wynn, Arthur Wynn

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
Your correspondents Dr. Coffey and Drs. Cohen, Rapson and Watters (ibid, page 213) all refer to our review, published over 4 years ago,1 of the consequences of induced abortion to children born subsequently. Much progress has since been made in Europe in preventing these consequences . . .

The main conclusions of our 1972 review have, indeed, been confirmed in many subsequent studies and more
recent reviews. It may reasonably be inferred from the Bristol study and from other European studies that between 20 and 25% of women who have had an induced abortion need a cerclage operation to be able to carry a subsequent pregnancy to term. The percentage may well be lower in Canada if a higher percentage of abortions are undertaken earlier in pregnancy. . .

It is important for any woman who hopes to have a child subsequent to an induced abortion to accept that she will then be in a high-risk category and must report a subsequent pregnancy early, and that she will need specialist obstetric care. . . .

Cohen and her colleagues describe us as “two crusaders for compulsory pregnancy”. This is untruthful abuse. Your correspondence columns might better be used to discuss the many steps that might be taken in Canada to reduce the unfortunate consequences of induced abortion, including the careful counselling of women and the wider use of the cerclage operation early enough in a subsequent pregnancy.


Wynn M, Wynn A. (Correspondence) The Canadian abortion law. Can Med Assoc J. 1977 Feb 05;116(3):241-243.

(Correspondence) The Canadian abortion law

PG Coffey

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
The main thrust of the letter by Drs. Cohen, Rapson and Watters (Can Med Assoc J 114: 593, 1976) is that abortion is good medicine and should not be denied to certain groups of citizens. I think, on the other hand, that liberalized abortion is bad medicine and should be curtailed rather than encouraged. . . . It is becoming increasingly clear that abortion is a hazardous operation with far-reaching effects. . . . After some years abortion tends to be used as a birth control measure. Many women have more than one abortion. Legalizing abortion may not reduce greatly the illegal practice of it and some reports have shown that it has increased this practice.


Coffey PG. (Correspondence) The Canadian abortion law. Can Med Assoc J. 1976 Aug 07;115(3):213, 216.

(Correspondence) The Canadian abortion law (authors’ reply)

Wendell W Watters, May Cohen,Linda Rapson

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
On the issue of complications following legal abortion, Dr. Coffey quotes Jeffcoate, whose antiabortion views are widely known, and the Wynn report, a document compiled by two crusaders for “compulsory pregnancy’s who used data inappropriately in an attempt to substantiate their personal beliefs. . . Results of studies in Aberdeen, England and Sweden suggested that women denied a safe legal abortion – that is, the victims of compulsory pregnancy – were more likely to experience emotional distress than women who were allowed to exercise reproductive responsibility by the use of the option of legal abortion. In other words, compulsory pregnancy is bad medicine. Dr. Coffey makes another statement that is contradicted by modern evidence. The notion that abortion tends to be used as a method of primary birth control does not square with the evidence from the Population Council . . . .We can trace the enactment of antiabortion laws throughout history to policies of demographic aggression. . . .the Quebec government, in a state of demographic panic over its low birth rate, harassing our colleague Dr. Henry Morgentaler; and Canada competing demographically with the United States: all such irresponsible behaviour is potentially more lethal than nuclear holocaust. For almost a decade the United Nations has granted people the world over the right to plan their families without any interference from the state. This is a paper right until it extends, de facto as well as de jure, beyond conception to the point of potential viability.


Watters WW, Cohen M, Rapson L. (Correspondence) The Canadian abortion law (authors’ reply). Can Med Assoc J. 1976 Aug 07;115(3).

(Correspondence) Therapeutic abortion

PG Coffey

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
The country that liberalizes abortion creates an atmosphere that encourages abortion. . . Is abortion really no different than any other operation? The people who see no difference are the same people who see all the difference in the world between feticide and infanticide. . . .Dr. Watters refers derisively to the “pro-life” group as the “Canadian Crusaders for Compulsory Pregnancy. . . Is it so difficult to understand that in certain circumstances principles come before expedients? . . . Killing has always been one of the most tempting ways for man to achieve his immediate ends. The numerous complications that may result from abortion, especially the long-term ones, provide good medical reasons for encouraging a pregnancy to continue.


Coffey PG. (Correspondence) Therapeutic abortion. Can Med Assoc J. 1975 Feb 08;112(3):283.