The “Heartbeat bill” is an exercise in hypocrisy on the part of the Republican party that shows both how unconcerned with human life, and out of touch with their constituents, they are. I think I speak for the vast majority of Iowans when I say this bill manifests extremism. Contrary to what state legislators seem to believe, not everyone who opposes this ban is a “woke” radical who believes in all abortions on demand all the way through the ninth month.
Abortion is morally wrong. I believe that and I believe that strongly. Which is why I would never get one. But I don’t have the right to make what I consider to be good moral choices for other people. Living in a democracy means living with people who do and think things I consider wrong. Do I think adultery is wrong? Yes. It is one of the ten commandments. Do I want to live in a society that slaps handcuffs on every husband who is unfaithful to his wife? No! Sometimes there are things that are wrong that the government just can’t legislate–they are too personal, too intimate, and more than anything, they are things that cannot be rectified by laws. That doesn’t mean we don’t address them, it means we acknowledge that taking away people’s rights isn’t the answer. Abortion is one of those times when someone has the right to do something even when I think it’s very wrong.
Making abortion illegal will not make the problem go away. Worldwide there is no correlation between abortion bans and fewer abortions. In fact, countries like Mexico have legal abortion and some of the lowest abortion rates in the world. Countries like the Dominican Republic have draconian laws but higher rates of unintended pregnancies that end in abortion because so many illegal abortions occur. Over the long term, banning abortions is an exercise in futility. All that comes from making abortion illegal is unsafe abortions and women with intended pregnancies experiencing life threatening complications not getting the care they need. “Heartbeat bills” may sound righteous and may play well politically, but they solve no real problem in the real world. This “Heartbeat bill” is nothing but a distraction designed to take attention away from what this legislature isn’t doing to support women and children.
The way to stop abortion is not to demonize the women who seek them or the doctors who fear that if they fail to provide that care, their society will begin to slip backward into a time when unsafe abortion was a common cause of maternal death. Now, in America, it is taken for granted that women desperate to end a pregnancy do not end up dead. I don’t want to see this state, or any other part of the nation, return to those days.
We need common sense abortion laws that find a middle path through polarization. Find a term limit that gives women enough time to make a real decision and still addresses the state’s interest in the unborn. Viability was a standard for 50 years. If you ask me, that worked. Fetal pain would be another potential common sense gestational restriction. At 24 weeks is a fetus a living thing that should have legal protection. A case can be made for having the gestational limit sooner than that. The vast majority of abortions are already happening in the first 13 weeks. The world over most abortions happen within the first 10 weeks. But 6 weeks is disingenuous. The vast majority of women don’t know they are pregnant, much less have they had time to come to a decision. And for the record the fetus doesn’t have a heart.
We’re talking about something the size of a pea. Yes, it is still a life, but you have to balance that life with the real world impacts on the life of a mother, not to mention what an unintended pregnancy can mean for the people who surround the mother–like the children she already has and the father of the baby. Lost in the abortion battle is what an unintended pregnancy can really do to a woman’s life. We need to strike a balance. It is a moment to find common ground.
And, then, we can begin the real work of preventing abortions–the things that we know do work to stop abortions. Instead of shaming women and their doctors, address the reasons women seek abortions. Most women don’t see abortion as their first option. Often it is a last resort. They seek abortion only when other things have failed. Helping women with unintended pregnancies may not have immediate political benefits. Nor is it sexy. Nor is it easy. But it will work.
For starters, ensure every woman has access to quality health care insurance from conception through the first year of life for her and her baby. This will take not only lengthening Medicaid’s maternal health benefit (a small step forward) but strengthening it, expanding eligibility, and raising reimbursement rates and lowering red tape to make sure women can find a provider willing to work with Medicaid. Transportation systems for low-income people would have to be improved, particularly in small towns with little or no mass transit, so pregnant women would be able to access health care. In many areas of the state we don’t have enough OBGYN’s. With fewer abortions being performed, this problem will worsen. The state will need to actively recruit more OBGYN’s. That means facing the fact that doctors won’t want to work in a state where they can’t be sure they will be able to care for their patients. Paid leave during pregnancy for working women who have to be addressed. Find ways to create no questions asked prenatal care, to ensure no woman is slipping through the cracks. Parenting and prenatal health classes will be necessary, especially for younger mothers, to give them confidence and support in dealing with pregnancy. The state could make available prenatal medications and invest in education efforts such as the benefits of breastfeeding for would-be mothers. Alternative high schools designed to help young mothers are often underfunded and don’t present a path toward college. Stigma is a big issue here, as well. Making adoption easier is a good way to start, but it is not a panacea, and won’t work for a lot of mothers. It goes without saying that we need to strengthen workplace protections and maternity leave for new mothers. The state would have to act to find ways to lower the incidence of high risk pregnancy. That is an entire initiative in and of itself. We will have to do something about access to labor and delivery services in rural areas. Women Infants and Children would have to be expanded to ensure working women qualify and benefit money could be used for a wide variety of non-food items. The state will have to ensure that low-income mothers have access to the basic needs of having a baby–things like clothing and strollers, and that they are provided these things through the state, not solely through charity. Efforts to prevent and address workplace discrimination against pregnant women would have to be stepped up, particularly for women in jobs where they are sexually objectified or exploited. Work requirements would have to be waived permanently for pregnant women. If the governor is serious about preventing abortion she could spearhead an initiative to heavily invest in solving the state’s child care crisis, ensuring that all families have access to quality child care no questions asked, as they do in other developed nations. The state could create a tax credit for pregnant women regardless of income. Job programs specifically designed to meet the needs of pregnant women entering the workplace would go a long way, as women with unintended pregnancies who are unemployed now face having to look for a job while pregnant so they can support their baby–this includes the costs associated with bringing the baby to term. And efforts to address those specific costs would be crucial–not only are children expensive, having a child can be expensive and incredibly logistically difficult. A TANF benefit specifically for working pregnant women could be created. The state would have to address the way in which fathers are often delinquent in supporting their children, which would mean, for starters, increased efforts to crack down on men who don’t pay child support, so pregnant women can be sure they will get the assistance from the father they need once the baby is born. The state would have to ensure that all working poor pregnant women have access to subsidized housing, so no mother has to choose between having a baby and sleeping on the streets.
We know that the majority of women who seek abortions already have other children, so efforts would have to be made not solely for the pregnant woman, but for other young children she already has. That means things like universal pre-K and expanded SNAP and free and reduced school lunch. TANF is woefully inadequate.
I could continue. Any one of these is a good place to begin. There are a myriad of ways to end abortion. This bill isn’t one of them. Abortion is just one more symptom of a broken system that doesn’t care for and value children and women. To truly end abortion, we will have to reform that system. I speak as someone truly interested in ending abortion. I think it is wrong to take the life of the unborn. And at one time I considered myself staunchly “pro-life.” But the so-called “pro-life” Republican radicals talk out of both sides of their mouths–railing against the evil women who are desperate and doctors who don’t want to see their patients act from that desperation, and disinvesting in the things that give women with unintended pregnancies good options. Truly ending abortion would take a sustained public health initiative, one that values the lives of pregnant women just as much as it does the unborn. When the governor is prepared to do this, she will be qualified to pass judgment on women seeking abortions and the doctors who perform them.