On the Moral and Legal Status of Abortion Mary Anne Warren
from Biomedical Ethics. 4th ed. T.A. Mappes and D.
DeGrazia, eds. New York: McGraw-Hill, Inc. 1996, pp. 434-440. [notes not
included]
The question which
we must answer in order to produce a satisfactory solution to the problem
of the moral status of abortion is this: How are we to define the moral
community, the set of beings with full and equal moral rights, such that
we can decide whether a human fetus is a member of this community or not?
What sort of entity, exactly, has the inalienable rights to life, liberty,
and the pursuit of happiness? Jefferson attributed these rights to all
men, and it may or may not be fair to suggest that he intended to
attribute them only to men. Perhaps he ought to have attributed
them to all human beings. If so, then we arrive, first, at [John] Noonan's
problem of defining what makes a being human, and, second, at the equally
vital question which Noonan does not consider, namely, What reason is
there for identifying the moral community with the set of all human
beings, in whatever way we have chosen to define that term?
1. ON THE
DEFINITION OF "HUMAN"
One reason why this
vital second question is so frequently overlooked in the debate over the
moral status of abortion is that the term `human' has two distinct, but
not often distinguished, senses. This fact results in a slide of meaning,
which serves to conceal the fallaciousness of the traditional argument
that since (1) it is wrong to kill innocent human beings, and (2) fetuses
are innocent human beings, then (3) it is wrong to kill fetuses. For if
`human' is used in the same sense in both (1) and (2) then, whichever of
the two senses is meant, one of these premises is question-begging. And if
it is used in two different senses then of course the conclusion doesn't
follow.
Thus, (1) is a
self-evident moral truth,' and avoids begging the question about abortion,
only if `human being' is used to mean something like `a full-fledged
member of the moral community.' (It may or may not also be meant to refer
exclusively to members of the species Homo sapiens.) We may call
this the moral sense of `human.' It is not to be confused with what
we call the genetic sense, i.e., the sense in which any
member of the species is a human being, and no member of any other
species could be. If (1) is acceptable only if the moral sense is
intended, (2) is non-question-begging only if what is intended is the
genetic sense.
In "Deciding Who is
Human," Noonan argues for the classification of fetuses with human beings
by pointing to the presence of the full genetic code, and the potential
capacity for rational thought.' It is clear that what he needs to show,
for his version of the traditional argument to be valid, is that fetuses
are human in the moral sense, the sense in which it is analytically true
that all human beings have full moral rights. But, in the absence of any
argument showing that whatever is genetically human is also morally human,
and he gives none, nothing more than genetic humanity can be demonstrated
by the presence of the human genetic code. And, as we will see, the
potential capacity for rational thought can at most show that an
entity has the potential for becoming human in the moral sense.
2. DEFINING THE
MORAL COMMUNITY
Can it be
established that genetic humanity is sufficient for moral humanity? I
think that there are very good reasons for not defining the moral
community in this way. I Would like to suggest an alternative way of
defining the moral community, which I will argue for only to the extent of
explaining why it is, or should be, self-evident. The suggestion is simply
that the moral community consists of all and only people, rather than all
and only human beings,' and probably the best way of demonstrating its
self-evidence is by considering the concept of personhood, to see what
sorts of entity are and are not persons, and what the decision that a
being is or is not a person implies about its moral rights.
What characteristics
entitle an entity to be considered a person? This is obviously not the
place to attempt a complete analysis of the concept of personhood, but we
do not need such a fully adequate analysis just to determine whether and
why a fetus is or isn't a person. All we need is a rough and approximate
list of the most basic criteria of personhood, and some idea of which, or
how many, of these an entity must satisfy in order to properly be
considered a person.
In searching for such criteria, it is useful to look beyond the set of
people with whom we are acquainted, and ask how we would decide whether a
totally alien being was a person or not. (For we have no right to assume
that genetic humanity is necessary for personhood.) Image a space traveler
who lands on an unknown planet and encounters a race of beings utterly
unlike any he has ever seen or heard of. If he wants to be sure of
behaving morally toward these beings, he has to somehow decide whether
they are people, and hence have full moral rights, or whether they are the
sort of thing which he need not feel guilty about treating as, for
example, a source of food.
How should he go
about making this decision? If he has some anthropological background, he
might look for such things as religion, art, and the manufacturing of
tools, weapons, or shelters, since these factors have been used to
distinguish our human from our prehuman ancestors, in what seems to be
closer to the moral than the genetic sense of `human.' And no doubt he
would be right to consider the presence of such factors as good evidence
that the alien beings were people, and morally human. It would, however,
be overly anthropocentric of him to take the absence of these things as
adequate evidence that they were not, since we can imagine people who have
progressed beyond, or evolved without ever developing, these cultural
characteristics.
I suggest that the traits which are most central to the
concept of personhood, or humanity in the moral sense, are, very roughly,
the following:
-
Consciousness (of objects and events external
and/or internal to the being), and in particular the capacity to feel
pain;
-
Reasoning (the developed capacity to
solve new and relatively complex problems);
-
Self-motivated activity (activity which is
relatively independent of either genetic or direct external control);
-
The capacity to communicate, by whatever
means, messages of an indefinite variety of types, that is, not just
with an indefinite number of possible contents, but on indefinitely many
possible topics;
-
The presence of self-concepts, and
self-awareness, either individual or racial, or both.
Admittedly, there
are apt to be a great many problems involved in formulating precise
definitions of these criteria, let alone in developing universally valid
behavioral criteria for deciding when they apply. But I will assume that
both we and our explorer know approximately what (1)-(5) mean, and that he
is also able to determine whether or not they apply. How, then, should he
use his findings to decide whether or not the alien beings are people? We
needn't suppose that an entity must have all of these attributes to
be properly considered a person; (1) and (2) alone may well be sufficient
for personhood, and quite probably (1)-(3) are sufficient. Neither do we
need to insist that any one of these criteria is necessary for
personhood, although once again (1) and (2) look like fairly good
candidates for necessary conditions, as does (3), if `activity' is
construed so as to include the activity of reasoning.
All we need to
claim, to demonstrate that a fetus is not a person, is that any being
which satisfies none of (1)-(5) is certainly not a person. I
consider this claim to be so obvious that I think anyone who denied it,
and claimed that a being which satisfied none of (1)-(5) was a person all
the same, would thereby demonstrate that he had no notion at all of what a
person is-perhaps because he had confused the concept of a person with
that of genetic humanity. If the opponents of abortion were to deny the
appropriateness of these five criteria, I do not know what further
arguments would convince them. We would probably have to admit that our
conceptual schemes were indeed irreconcilably different, and that our
dispute could not be settled objectively.
I do not expect this
to happen, however, since I think that the concept of a person is one
which is very nearly universal (to people), and that it is common to both
proabortionists and antiabortionists, even though neither group has fully
realized the relevance of this concept to the resolution of their dispute.
Furthermore, I think that on reflection even the antiabortionists ought to
agree not only that (1)-(5) are central to the concept of personhood, but
also that it is a part of this concept that all and only people have full
moral rights. The concept of a person is in part a moral concept; once we
have admitted that x is a person we have recognized, even if we have not
agreed to respect, x's right to be treated as a member of the moral
community. It is true that the claim that x is a human being is
more commonly voiced as part of an appeal to treat x decently than is
the claim that x is a person, but this is either because `human being' is
here used in the sense which implies personhood, or because the genetic
and moral sense of `human' have been confused.
Now if (1)-(5) are indeed the primary criteria of personhood, then it
is clear that genetic humanity is neither necessary nor sufficient for
establishing that an entity is a person. Some human beings are not people,
and there may well be people who are not human beings. A man or woman
whose consciousness has been permanently obliterated but who remains alive
is a human being which is no longer a person; defective human beings, with
no appreciable mental capacity, are not and presumably never will be
people; and a fetus is a human being which is not yet a person, and which
therefore cannot coherently be said to have full moral rights. Citizens of
the next century should be prepared to recognize highly advanced,
self-aware robots or computers, should such be developed, and intelligent
inhabitants of other worlds, should such be found, as people in the
fullest sense, and to respect their moral rights. But to ascribe full
moral rights to an entity which is not a person is as absurd as to ascribe
moral obligations and responsibilities to such an entity.
3. FETAL
DEVELOPMENT AND THE RIGHT TO LIFE
Two problems arise
in the application of these suggestions for the definition of the moral
community to the determination of the precise moral status of a human
fetus. Given that the paradigm example of a person is a normal adult human
being, then (1) How like this paradigm, in particular how far advanced
since conception, does a human being need to be before it begins to have a
right to life by virtue, not of being fully a person as of yet, but of
being like a person? and (2) To what extent, if any, does the fact
that a fetus has the potential for becoming a person endow it with
some of the same rights? Each of these questions requires some comment.
In answering the first question, we need not attempt a
detailed consideration of the moral rights of organisms which are not
developed enough, aware enough, intelligent enough, etc., to be considered
people, but which resemble people in some respects. It does seem
reasonable to suggest that the more like a person, in the relevant
respects, a being is, the stronger is the case for regarding it as having
a right to life, and indeed the stronger its right to life is. Thus we
ought to take seriously the suggestion that, insofar as "the human
individual develops biologically in a continuous fashion ... the rights of
a human person might develop in the same way." But we must keep in mind
that the attributes which are relevant in determining whether or not an
entity is enough like a person to be regarded as having some of the same
moral rights are no different from those which are relevant to determining
whether or not it is fully a person-i.e., are no different from (1)-(5)and
that being genetically human, or having recognizable human facial and
other physical features, or detectable brain activity, or the capacity to
survive outside the uterus, are simply not among these relevant
attributes.
Thus it is clear that even though a seven- or eight-month
fetus has features which make it apt to arouse in us almost the same
powerful protective instinct as is commonly aroused by a small infant,
nevertheless it is not significantly more personlike than is a very small
embryo. It is somewhat more personlike; it can apparently feel and
respond to pain, and it may even have a rudimentary form of consciousness,
insofar as its brain is quite active. Nevertheless, it seems safe to say
that it is not fully conscious, in the way that an infant of a few months
is, and that it cannot reason, or communicate messages of indefinitely
many sorts, does not engage in self-motivated activity, and has no
self-awareness. Thus, in the relevant respects, a fetus, even a
fully developed one, is considerably less personlike than is the average
mature mammal, indeed the average fish. And I think that a rational person
must conclude that if the right to life of a fetus is to be based upon its
resemblance to a person, then it cannot be said to have any more right to
life than, let us say, a newborn guppy (which also seems to be capable of
feeling pain), and that a right of that magnitude could never override a
woman's right to obtain an abortion, at any stage of her pregnancy.
There may, of course, be other arguments in favor of
placing legal limits upon the stage of pregnancy in which an abortion may
be performed. Given the relative safety of the new techniques of
artificially inducing labor during the third trimester, the danger to the
woman's life or health is no longer such an argument. Neither is the fact
that people tend to respond to the thought of abortion in the later stages
of pregnancy with emotional repulsion, since mere emotional responses
cannot take the place of moral reasoning in determining what ought to be
permitted. Nor, finally, is the frequently heard argument that legalizing
abortion, especially late in the pregnancy, may erode the level of respect
for human life, leading, perhaps, to an increase in unjustified euthanasia
and other crimes. For this threat, if it is a threat, can be better met by
educating people to the kinds of moral distinctions which we are making
here than by limiting access to abortion (which limitation may, in its
disregard for the rights of women, be just as damaging to the level of
respect for human rights).
Thus, since the fact that even a fully developed fetus is
not personlike enough to have any significant right to life on the basis
of its personlikeness shows that no legal restrictions upon the stage of
pregnancy in which an abortion may be performed can be justified on the
grounds that we should protect the rights of the older fetus; and since
there is no other apparent justification for such restrictions, we may
conclude that they are entirely unjustified. Whether or not it would be
indecent (whatever that means) for a woman in her seventh month to
obtain an abortion just to avoid having to postpone a trip to Europe, it
would not, in itself, be immoral, and therefore it ought to be
permitted.
4. POTENTIAL
PERSONHOOD AND THE RIGHT TO LIFE
We have seen that a
fetus does not resemble a person in any way which can support the claim
that it has even some of the same rights. But what about its potential,
the fact that if nurtured and allowed to develop naturally it will
very probably become a person? Doesn't that alone give it at least some
right to life? It is hard to deny that the fact that an entity is a
potential person is a strong prima facie reason for not destroying it; but
we need not conclude from this that a potential person has a right to
life, by virtue of that potential. It may be that our feeling that it is
better, other things being equal, not to destroy a potential person is
better explained by the fact that potential people are still (felt to be)
an invaluable resource, not to be lightly squandered. Surely, if every
speck of dust were a potential person, we would be much less apt to
conclude that every potential person has a right to become actual.
Still, we do not need to insist that a potential person
has no right to life whatever. There may well be something immoral, and
not just imprudent, about wantonly destroying potential people, when doing
so isn't necessary to protect anyone's rights. But even if a potential
person does have some prima facie right to life, such a right could not
possibly outweigh the right of a woman to obtain an abortion, since the
rights of any actual person invariably outweigh those of any potential
person, whenever the two conflict. Since this may not be immediately
obvious in the case of a human fetus, let us look at another case.
Suppose that our space explorer falls into the hands of an
alien culture, whose scientists decide to create a few hundred thousand or
more human beings, by breaking his body into its component cells, and
using these to create fully developed human beings, with, of course, his
genetic code. We may imagine that each of these newly created men will
have all of the original man's abilities, skills, knowledge, and so on,
and also have an individual self-concept, in short that each of them will
be a bona fide (though hardly unique) person. Imagine that the whole
project will take only seconds, and that its chances of success are
extremely high, and that our explorer knows all of this, and also knows
that these people will be treated fairly. I maintain that in such a
situation he would have every right to escape if he could, and thus to
deprive all of these potential people of their potential lives; for his
right to life outweighs all of theirs together, in spite of the fact that
they are all genetically human, all innocent, and all have a very high
probability of becoming people very soon, if only he refrains from acting.
Indeed, I think he would have a right to escape even if it
were not his life which the alien scientists planned to take, but only a
year of his freedom, or, indeed, only a day. Nor would he be obligated to
stay if he had gotten captured (thus bringing all these people-potentials
into existence) because of his own carelessness, or even if he had done so
deliberately, knowing the consequences. Regardless of how he got captured,
he is not morally obligated to remain in captivity for any period
of time for the sake of permitting any number of potential people to come
into actuality, so great is the margin by which one actual person's right
to liberty outweighs whatever right to life even a hundred thousand
potential people have. And it seems reasonable to conclude that the rights
of a woman will outweigh by a similar margin whatever right to life a
fetus may have by virtue of its potential personhood.
Thus, neither a fetus's resemblance to a person, nor its
potential for becoming a person provides any basis whatever for the claim
that it has any significant right to life. Consequently, a woman's right
to protect her health, happiness, freedom, and even her life,' by
terminating an unwanted pregnancy, will always override whatever right to
life it may be appropriate to ascribe to a fetus, even a fully developed
one. And thus, in the absence of any overwhelming social need for every
possible child, the laws which restrict the right to obtain an abortion,
or limit the period of pregnancy during which an abortion may be
performed, are a wholly unjustified violation of a woman's most basic
moral and constitutional rights .
POSTSCRIPT ON
INFANTICIDE, FEBRUARY 26, 1982
One of the most
troubling objections to the argument presented in this article is that it
may appear to justify not only abortion but infanticide as well. A newborn
infant is not a great deal more personlike than a ninemonth fetus, and
thus it might seem that if late-term abortion is sometimes justified, then
infanticide must also be sometimes justified. Yet most people consider
that infanticide is a form of murder, and thus never justified. While
it is important to appreciate the emotional force of this objection, its
logical force is far less than it may seem at first glance. There are many
reasons why infanticide is much more difficult to justify than abortion,
even though if my argument is correct neither constitutes the killing of a
person. In this country, and in this period of history, the deliberate
killing of viable newborns is virtually never justified. This is in part
because neonates are so very close to being persons that to kill them
requires a very strong moral justification as does the killing of
dolphins, whales, chimpanzees, and other highly personlike creatures. It
is certainly wrong to kill such beings just for the sake of convenience,
or financial profit, or "sport."
Another reason why infanticide is usually wrong, in our
society, is that if the newborn's parents do not want it, or are unable to
care for it, there are (in most cases) people who are able and eager to
adopt it and to provide a good home for it. Many people wait years for the
opportunity to adopt a child, and some are unable to do so even though
there is every reason to believe that they would be good parents. The
needless destruction of a viable infant inevitably deprives some person or
persons of a source of great pleasure and satisfaction, perhaps severely
impoverishing their lives. Furthermore, even if an infant is considered to
be adoptable (e.g., because of some extremely severe mental or physical
handicap) it is still wrong in most cases to kill it. For most of us value
the lives of infants, and would prefer to pay taxes to support orphanages
and state institutions for the handicapped rather than to allow unwanted
infants to be killed. So long as most people feel this way, and so long as
our society can afford to provide care for infants which are unwanted or
which have special needs that preclude home care, it is wrong to destroy
any infant which has a chance of living a reasonably satisfactory life.
If these arguments show that infanticide is wrong, at
least in this society, then why don't they also show that late-term
abortion is wrong? After all, third trimester fetuses are also highly
personlike, and many people value them and would much prefer that they be
preserved; even at some cost to themselves. As a potential source of
pleasure to some family, a viable fetus is just as valuable as a viable
infant. But there is an obvious and crucial difference between the two
cases: once the infant is born, its continued life cannot (except,
perhaps, in very exceptional cases) pose any serious threat to the woman's
life or health, since she is free to put it up for adoption, or, where
this is impossible, to place it in a state-supported institution. While
she might prefer that it die, rather than being raised by others, it is
not clear that such a preference would constitute a right on her part.
True, she may suffer greatly from the knowledge that her child will be
thrown into the lottery of the adoption system, and that she will be
unable to ensure its well-being, or even to know whether it is healthy,
happy, doing well in school, etc.: for the law generally does not permit
natural parents to remain in contact with their children, once they are
adopted by another family. But there are surely better ways of dealing
with these problems than by permitting infanticide in such cases. (It
might help, for instance, if the natural parents of adopted children could
at least receive some information about their progress, without
necessarily being informed of the identity of the adopting family.)
In contrast, a pregnant woman's right to protect her own
life and health clearly outweighs other people's desire that the fetus be
preserved-just as, when a person's life or limb is threatened by some wild
animal, and when the threat cannot be removed without killing the animal,
the person's right to self-protection outweighs the desires of those who
would prefer that the animal not be harmed. Thus, while the moment of
birth may not mark any sharp discontinuity in the degree to which an
infant possesses a right to life, it does mark the end of the mother's
absolute right to determine its fate. Indeed, if and when a late-term
abortion could be safely performed without killing the fetus, she would
have no absolute right to insist on its death (e.g., if others wish to
adopt it or pay for its care), for the same reason that she does not have
a right to insist that a viable infant be killed.
It remains true that according to my argument neither abortion nor the
killing of neonates is properly considered a form of murder. Perhaps it is
understandable that the law should classify infanticide as murder or
homicide, since there is no other existing legal category which adequately
or conveniently expresses the force of our society's disapproval of this
action. But the moral distinction remains, and it has several important
consequences.
In the first place, it implies that when an infant is born
into a society which-unlike ours-is so impoverished that it simply cannot
care for it adequately without endangering the survival of existing
persons, killing it or allowing it to die is not necessarily
wrong-provided that there is no other society which is willing and
able to provide such care. Most human societies, from those at the hunting
and gathering stage of economic development to the highly civilized Greeks
and Romans, have permitted the practice of infanticide under such
unfortunate circumstances, and I would argue that it shows a serious lack
of understanding to condemn them as morally backward for this reason
alone.
In the second place, the argument implies that when an
infant is born with such severe physical anomalies that its life would
predictably be a very short and/or very miserable one, even with the most
heroic of medical treatment, and where its parents do not choose to bear
the often crushing emotional, financial and other burdens attendant upon
the artificial prolongation of such a tragic life, it is not morally wrong
to cease or withhold treatment, thus allowing the infant a painless death.
It is wrong (and sometimes a form of murder) to practice involuntary
euthanasia on persons, since they have the right to decide for themselves
whether or not they wish to continue to live. But terminally ill neonates
cannot make this decision for themselves, and thus it is incumbent upon
responsible persons to make the decision for them, as best they can. The
mistaken belief that infanticide is always tantamount to murder is
responsible for a great deal of unnecessary suffering, not just on the
part of infants which are made to endure needlessly prolonged and painful
deaths, but also on the part of parents, nurses, and other involved
persons, who must watch infants suffering needlessly, helpless to end that
suffering in the most humane way.
I am well aware that these conclusions, however modest and
reasonable they may seem to some people, strike other people as morally
monstrous, and that some people might even prefer to abandon their
previous support for women's right to abortion rather than accept a theory
which leads to such conclusions about infanticide. But all that these
facts show is that abortion is not an isolated moral issue; to fully
understand the moral status of abortion we may have to reconsider other
moral issues as well, issues not just about infanticide and euthanasia,
but also about the moral rights of women and of nonhuman animals. It is a
philosopher's task to criticize mistaken beliefs which stand in the way of
moral understanding, even when-perhaps especially when-those beliefs are
popular and widespread. The belief that moral strictures against killing
should apply equally to all genetically human entities, and only
to genetically human entities, is such an error. The overcoming of
this error will undoubtedly require long and often painful struggle; but
it must be done.
Questions or comments about the WVC Philosophy
Department? sandy_lafave@wvmccd.cc.ca.us
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