The inquiry into abortion on
the grounds of disability is seeking solutions to problems that don’t exist –
and ignoring those problems that do
It is customary to welcome Parliamentary inquiries into contentious
issues when one has nothing to hide or be ashamed of.
But I don’t welcome the Parliamentary Inquiry into Abortion on the Grounds of
Disability launched by the MP Fiona Bruce, who wants to
establish whether the law should be reviewed to consider“medical advances and
advances in our attitudes to disability over recent years”. The inquiry will assess the intention of the current law, how it works
in practice, and the prospects for developing the law going forward.
The press announcement shows the inquirers' concerns. The current law
permits an abortion to take place ‘up to birth’ if tests indicate that the
child may be disabled when born, while there is a legal limit of 24 weeks for
abortions on other grounds.
It questions if this is discriminatory following the passing of the
Equality Act 2010. It is concerned with the impact of the current law on
disabled people and their families.
Any proper inquiry into ‘Ground E’ abortions for fetal anomaly should
start from a different point.
Normally we assess the provision of clinical care according to its
effect on the person who needs it, not how others (unrelated to the putative
patient) feel it affects them. So the starting point of any inquiry into the abortion law should be
concern for the woman who requires the abortion and this inquiry should start
from concern for the woman (and her family) who discover a pregnancy is
affected by fetal abnormality.
Were the inquiry to focus on the woman faced with such a diagnosis they
would find themselves with a different scope of issues. Among these would be:
- Fear of stigmatisation if
she opts for abortion
- Concern about the support
services that will be available for her child if she continues the pregnancy
- Shortage of specialist
midwives means a lack of emotional support
- Lack of services available
in hospital because doctors are afraid to perform later abortions
- Lack of choice of method in
how pregnancy can be ended – many women do not want to go through labour
We will all have different views on abortion for fetal abnormality. They
are the most controversial of abortions and arguably the most tragic for often
they involve wanted, planned-for pregnancies.
But we can trust women to make decisions that are right and responsible.
And we can trust doctors to act in ‘good faith’. The last thing doctors, or their patients, need is the scrutiny of an
inquiry concerned, not with the care of women – but with the presumed political
impact of people’s personal decisions.
This article was originally written by our Chief Executive, Ann Furedi, for the Telegraph’s Wonder Women section.
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