Well, in the sense that obviously, they weren't trying to get pregnant, all of them.
But in the sense that what happened to them could not have been avoided by exercising more care and self restraint, very few of them, as I understand it.
To start with, I'm told that more than half of the people getting abortions are repeat customers. That would seem to be more than random chance at work.
Secondly, the difference between birth control failure rates with "perfect use" and "normal use" is roughly fourfold. Only one in two hundred women will get pregnant while on the pill if she takes it at the same time every day, doesn't vomit, and does not weigh significantly more than normal, or take certain medications that can neutralize the pill's effects. The most common problem is not that women don't realize their antibiotics will knock out the pill; it's that she didn't take one or two or three, then forgot that she forgot--or said "damn the torpedos, full speed ahead".
Condom failure rates are 3% with perfect use, 12% with normal use. "Normal" use includes running out of Trojans and deciding it's worth the risk just this once.
Similar rates apply to diaphragms and so forth. About the only birth control that doesn't fall prey to these sorts of problems are Norplant and IUDs, and these have their own issues that have made them understandably unpopular.
If I don't use my birth control correctly--if I forget a pill, don't notice my patch has fallen off, use a petroleum-based lubricant that dissolves latex, or decide to go without a condom or my diaphragm "just this once"--am I responsible for the pregnancy that results? Damn straight.
If paying attention to really rather simple instructions, which are included right in the box, is truly beyond your abilities, then you need to be in a state home where you can be taken care of like the mental infant you are. This is not to say that everyone who has an accident is a mental infant--it seems like every third morning I forget either my asthma pills, or my inhaler, and yet I have my own apartment and student loans and everything. But if I have an asthma attack because of this, it's my own damn fault. I can't blame anyone else, or the universe, for something that I could easily have prevented with a little more care.
Given those rates, it seems safe to say that at least 80% of couples who got pregnant while "using" birth control are responsible for what happened to them.
Then, of course, there are the people who unintentionally got pregnant while not using birth control--although I don't see how you can call this "unintentional". It's rather like "unintentionally" getting fat while eating supersize McDonalds meals three times a day.
But what about rape and incest? I hear you cry. Well, sexual abuse is really uncommon--people VASTLY overestimate its incidence, because we tend to assume that something we hear about frequently happens frequently. But all those people on Dr. Phil and Oprah and the nightly news are there precisely because what happened to them is rare. Most families have yelling contests where the children claim that the parents are, like, the worst people on the planet, and the parents tell their children that they are ungrateful, snot nosed brats with a potty mouth and a piss-poor attitude who have no idea how much has been given to them--and yet those families do not make it on television, because if we wanted to watch stuff like that, we'd be hanging out with our family instead of relaxing in front of the television.
Rape is more common. But not that common; there were 94,635 rapes reported in the United States in 2004. Assuming that every single one of those women was fertile and not on the pill, and that women are likely to get pregnant roughly 1/5 of the time (four out of twenty-one days), and that none of those women were offered emergency contraception. That would still add only 21,000 abortions to the nation's rate, which was in the 1.2 million range last year. Neither rape nor incest are significant contributions to the national abortion rate, and making public policy around them is silly.
To sum up, the overwhelming majority of women having abortions are doing so because of their own failure to use birth control correctly, or to ensure that their partners are doing so.
The deeper question is "should it matter whether the couple is responsible?" After all, if abortion is the taking of a human life, then it is really irrelevant whether that life is the product of rape or incest, unless you and your relative are carrying some horrible recessive that dooms the child to a short and horrifyingly painful life. And if it's just a bundle of cells, then who cares whether they're responsible for it or not?
First of all, I think that almost no one believes that a fetus is a) morally equivalent to a baby or b) just a bundle of cells -- even people who say they believe this, and even believe that they believe this. More on that later.
But second of all, I think that responsibility does matter. If you knowingly take a risk, and something happens, society rightfully does less to help you avoid those consequences than if you were just touched by the fickle finger of fate. And intuitively, people are, and I believe will remain, far more horrified by the woman who is on her fourth abortion because she just can't be bothered to use birth control consistently, than by that 1-in-200 woman who found out, the hard way, that she's one of those lucky few who just don't respond well to the pill.
Update The number I had on women getting repeat abortions was 53%. It looks like I reversed the numbers: 47% are on their second, third, or more abortion, according to the CDC. I got yelled at in the comments for this.
To my mind, the difference is immaterial; whether almost half, or more than half, of all women getting abortions have done this before, to me the figures imply that gross irresponsibility is behind at least half of abortions, even before we dig into data about birth control use.
Posted by Jane Galt at November 9, 2005 12:47 PM | TrackBack | $raw=rawurlencode($_SERVER['PHP_SELF']); $technolink="http://www.technorati.com/cosmos/links.html?rank=&url=http%3A%2F%2Fwww.janegalt.net$raw"; echo ("Technorati inbound links"); ?>You are ignoring the perfect users who still get pregnant. Suppose there are 60 million sexually active fertile women. If they all use condoms for birth control that is 1.8 million unwanted pregnancies. Even using the pill it is .3 million.
Posted by: James B. Shearer on November 9, 2005 1:01 PMResponsibility isn't inconsistent with getting an abortion, however. In fact, in many cases, it is the most responsible thing to do. Let's not use "responsibility" as a code word for forcing someone to have a pregnancy that they don't want. If you really want to stop treating people like children, let them be responsible for whatever decision they make and don't allow the government to interfere with it. If a person wants to terminate a pregancy via abortion, let her be responsible for the consquences.
Posted by: Chucky on November 9, 2005 1:05 PMI've read quite a few stat that say that the presence of abortion as viable option has only a miniscule downward effect on fertility. If abortion were made illegal, the pregnancy rate would drop by slightly less than the aborion rate and fertility would rise slightly, if history is any guide, though how much of this is due to more responsible tbirth control or less sex I don't know.
Posted by: j mct on November 9, 2005 1:11 PMWhat I find to be most interesting is that women outside of committed couples are still getting surprised by pregnancy. In this day of AIDS, when sex can be a form of slow Russian Roulette, either the condom barriers are not working or they are not being used. This does indeed beg the question: "What are people thinking?"...obviously not about the right things.
Posted by: American Mother on November 9, 2005 1:19 PMAlso note that not all pregnancies which result from contraceptive failure lead to abortions. Our immediate reaction to the busted condom (due not to petroleum based lubricant but to none at all) was to consider that maybe it was in fact time to start a family. After all that other hippie couple we knew, farther out than we were, had produced a pretty well adjusted child. Twenty seven years later I still figure we made the right choice.
Posted by: triticale on November 9, 2005 1:30 PMIndividual instances do not make a general case, but I do keep bringing up whenever I see this debate my sister, who had an unplanned pregnancy after a tubal ligation (carried the baby to term), and after a second tubal ligation, had a second unplanned pregnancy (also carried the baby to term, at great risk to her life--the reason for the tubals).
Fertility can be stronger than technology.
Posted by: Kai Jones on November 9, 2005 2:23 PMI'm told that more than half of the people getting abortions are repeat customers...
I have a question for Jane about the interpretation of this sentence, because it makes a big difference.
Is it
A) Half of all abortions performed are on women who have had (or will have) multiple abortions.
or
B) Half of all women who have abortions will have multiple abortions.
I ask because if you mean A, then you imply that irresponsible behavior is responsible for about half of the abortions. But if you mean B, then you could mean that much more than half, perhaps 75% or 80%, are caused by irresponsible behavior.
I guess I'm also just a little wary of "I've been told" citations. I've used them before myself, but it smacks of common (but false) wisdom.
Posted by: Dan on November 9, 2005 3:51 PMIf paying attention to really rather simple instructions, which are included right in the box, is truly beyond your abilities, then you need to be in a state home where you can be taken care of like the mental infant you are.
You're ignoring an uncomfortable truth here: a reasonably large fraction of the citizenry cannot read a label, nor even if told what it says, reliably follow the instructions. Illiterate, and stupid people.
Illiterate and stupid women account for a vastly disproportionate share of abortions. Don't believe me? Go check out any study on rates of abortion. It is highly correlated with subgroups of women with low IQ - black, latina, low-income. I.e. this paper : http://www.guttmacher.org/pubs/journals/3422602.html
I don't know of any specific attempt to correlate measured IQ with abortion (it would be highly un-PC), but certainly "freakonomist" Steve Levitt's idea (that legal abortion cut crime) relies on it for its intuitive force.
Abortion rates among college-educated women approach the levels of perfect-use contraceptive failure.
So you are left with two groups here. One is, women who really did just get unlucky. The condom broke. The other are women who didn't use a condom because, in the heat of passion, they were willing to believe their boyfriend when he told them that they don't need protection if they do it with the female superior.
Now, perhaps you do believe that women that dumb should be institutionalized. But I should hope not. For one thing, it's very expensive to institutionalize people. For another, we just don't do that - stupid people have rights just as much as you or I.
Jane, there's a huge gap between "mental infant" and you. Just because you are perfectly capable of running your life without unintended pregnancy doesn't mean every woman is. People make mistakes.
Posted by: Leonard on November 9, 2005 5:04 PMDan - if you read the link I posted above on the Guttmacher site, you'll see that as of 2000 they estimate 48% of American women who have an abortion have had one or more previously. Guttmacher is, IMO, pretty objective, but if anything they are pro-choice; since that stat is fairly damning to women who abort I'd guess it's on the level.
Posted by: Leonard on November 9, 2005 5:07 PMI personally believe that, except in special circumstances where the life of the mother is threatened, abortion is a despicable process. Now, before anyone starts throwing stones at me on the misunderstanding that I am a religious bigot, that is far from the truth. I have very little respect for religiousity and its fellow travellers. I believe that abortion is a violation of the natural order of life.
So, my suggestions are these:
1. Ban all abortions, except in the case of REAL medical issued which could threaten the life of the mother.
2. Force people to accept the results of their actions. Abortion should not be used as an insurance policy against the negative results of not keeping your legs closed or junior in your pants.
3. If the parents do not want the child, put it up for adoption. There are many people who are longing to adopt babies.
4. Do not financially support any organization providing abortions. Abortions provided for medical reasons could be covered by insurance or Medicare.
Leonard: I think the CDC would be even more evenhanded than any cite you can think of, and their stats for the same year are as follows:
In 2000, of women who obtained an abortion and whose number of previous abortions was adequately reported, 53% were reported to have obtained an abortion for the first time. Eighteen percent of women were reported to have had two or more previous abortions (Table 13).
Let us remember that information is not required to be given.
"I'm told" is not my idea of a good cite, Megan, and you should know better than to use it.
Posted by: Meryl Yourish on November 10, 2005 11:36 PMI'm afraid talking about the numbers is ultiamtely neither here nor there. The fact that relatively few are affected by a rule can be spun either way: since its so few, screw 'em, vs if it's so few, why not let 'em slide? Assuming it has to be all or nothing wrt abortion, that is -- in fact that is precisely why people talk about making exceptions (widely supported ones) in the first place.
You mentioned emergency contraception. I want to point out that it is a misnomer and Planned Parenthood's distinction on their website between it and "medical abortion" is very deceptive. What they are calling medical contraception also works by preventing an already fertilized egg (zygote) from implanting. They make a fine distinction that that is not an "abortion" since the woman is not "pregnant" (apparently not implanted). For women perusing their site who would use birth control to prevent fertilization but would draw a line at interfering afterward, the deliberate deception is particularly disturbing.
I'd also add that on their site you will not find ANY drawings or pictures showing even a fetus in the uterus -- not doing anything to risk a potential customer (and future $$ donor?) changin g their mind is top priority over providing women with truly complete information to help them make a difficult decision.
Posted by: newscaper on November 10, 2005 11:42 PMMeryl Yourish, it looks like your data agree with Leonards: you say that "53% were reported to have obtained an abortion for the first time," while he says that 48% have had one or more previously. Off by 1% isn't bad at all.
Posted by: jadagul on November 11, 2005 2:22 AMRe: Responsibility
This is highly relevant to AIDS as well. In this day and age there is very little chance of getting AIDS (in America) and not having it be your own fault.
AIDS organizations are suffering from compassion fatigue, rightly in my view, because people get this.
How much effort and money should one/society devote to people who make bad choices?
(Chickenhawk meme preemption: I'm a gay male)
Posted by: mrsizer on November 11, 2005 8:48 AMIf we call the bulk of women having abortions "mental children" (and their partners as bad or worse), who wants such folks going through a pregnancy then and raising a child then?
Certainly it makes more sense to let them grow a bit into mental adults and then have and raise the child, yes?
Too many of the abortion debates under-weight the supreme (or near supreme) interest of the potential child in competent adult care while in utero and thereafter.
I am not downplaying adoption, which has happened 3 times in my immediate family, but I do not see it as a realistic substitute for typical birth-timing abortions.
The Roberts-type adoptions are not going to soak up more than a limited percentage of the births to mental children. Too many adoptions will not happen or will work out badly, if we outlaw birth-timing abortion.
Support from me for birth-timing abortion does not change, in my view, if we consider the fetus an animal or 90% human.
If we put the life needs of the potential child first, birth-timing abortion passes muster.
Would I want to be born to a mental child and raised by a mental child? Of course not. A lifetime of neglect, poor care, and pain from a bad fit between mental child parent and me outweighs pain in the womb from abortion (assuming pain is felt).
Does having a child turn the mental child mom or mental child dad into responsible adults? If I were a fetus, I sure would not want to bet on it.
As a fetus, would I want to be born to punish the child mom and child dad for being careless? No, thanks.
Spend some time reading social and medical history evidence relating to folks on death row (or folks in prison generally), almost all of whom show scars of being born and raised by mental children, and the need for avoiding "mental child" pregnancy and child raising becomes crystal clear.
Nice job posting about abortion in a civilized tone!
Posted by: cfw on November 11, 2005 9:04 AMWhen they say mutiple abortions are they only talking about abortions that are not medically necessary?
Many times during a miscarriage a woman has an abortion in order to reduce her risk (I am sure someone here can elucidate more on this). I can't remember the exact number but I think the CDC has the number of medically necessary abortions at around 10%.
If a woman needs an abortion because of a miscarriage then X months later the same thing occurs, does she ends up in the 'repeat customer' category?
Posted by: Lee on November 11, 2005 9:30 AMI have for some time felt the age-old rape, incest and poverty arguments often used by the pro-choice crowd are largely using extreme cases to justify the normal. The ~50% statistic supports my impression that abortion "rights" is more a matter of preserving the prerogative of convenience for the woman over the life potential of the fetus.
I see an often overlooked (but for me essential) question in the abortion debate is to what degree does the life potential of the fetus confer rights and to what degree does the woman's convenience trump those rights? I think any reasonable person would conclude that the right to an expectation of life on behalf of a six-month fetus is great than that for a two-week embryo. Likewise, I think a reasonable person would agree that that a woman's right to life (e.g. severe medical conditions) has greater moral authority than a woman's right to a really good job offer. I think the fact that legally there is no difference in a sick woman aborting her two-week embryo out of concern for her life and a healty woman aborting a six-month fetus in order to get a good start on a new job demonstrates pretty well that there is something wrong in the law.
Posted by: submandave on November 11, 2005 1:01 PMI like your idea about state homes for the incompetent.
More than one abortion and you are the responsibility of the state for life.
===================================
The moral case against abortion is at least 2,500 years old. Passing laws is not going to end the practice.
As in the case of immoral drugs (those not sold in a drugstore) we should,at least, try. Sure it enriches criminals and creates a black market. However, what would the good old USA be with out some touch of the old USSR?
You can never have too much socialism I always say.
Fortunately in America you have choices.
Republican (moral) Socialism or Democrat (economic) socialism.
America will be the greatest socialist country on earth.
========================
I think the whole thing is an abortion doctors plot to raise prices. I mean look what the drug war has done for the price of certain vegetables.
=======================
However, in the spirit of making this work I volunteer to be Chief Inspector of the VIPs. Which stands for Vagina Inspection Police.
America can be the standard for the world. The shining city on the mons - so to speak.
Posted by: M. Simon on November 11, 2005 4:57 PMJust a suggestion:
People who use birth control perfectly, and happen to be among the (whatever - depends on the method) tiny percentage of people who conceive despite their perfect use of the contraceptive ----
Are still responsible for the pregnancy.
Reality: While birth control lowers the chances of conception, sex is the proximate cause of babies.
Illusion: The proximate cause of babies is someone's making a mistake somewhere in the production, packaging, prescribing, selling, purchasing, or implementation of a contraceptive product. Sex has nothing to do with it.
Posted by: bearing on November 11, 2005 10:48 PMWell, I'm proud to be in the minority then. A human life is a human life, the more frail and vulnerable, the more precious.
Posted by: Kyle on November 14, 2005 10:19 AMComments are Closed.