Categories
Population

Listen to the Complexities of Abortion

Screenshot from Kim Wallach singing “Freedom to Choose”

            Even though I’ve written many essays about aspects of population, a friend mentioned that I’ve never included songs on the subject. Fortunately, she also pointed me in the right direction. “Freedom to Choose” was written by Bob Blue and Kim Wallach. Kim inspired Bob to write the lyrics after she told him the story of a protester at an abortion clinic. The protestor took her daughter to the same clinic ,when she didn’t want the daughter to have a baby. Unfortunately, Bob is singing in heaven.

            Since it is difficult to get much of a tune from this blog, please listen to Kim sing this song at: https://youtu.be/lqPjPOPdgQE

            Freedom to Choose

In a clinic on Main Street in Washingtonville

Lost in thought by a window stood Mary McGill

When her eyes met the eyes of a woman outside

Was it rain on her glasses or tears she had cried?

            Outside on the picket line Rosemary Flynn

            Felt the rain on her face and the anger within

            As she stared at that face inside, gentle and warm

            That seemed almost to beckon her in from the storm.

And the two women found themselves staring awhile

Recognition, awareness, but never a smile

And there seemed to be some kind of truce in that stare

Until Rosemary Flynn recalled why she was there

            Then she held up her sign that said, ”Thou shalt not kill”

            And she pointed directly at Mary McGill

            And Mary McGill, before starting to turn

            Gave a nod to acknowledge Rosemary’s concern

That day Mary counseled a child named Michelle

Who tried hard to seem calm in her personal hell

Mary spoke to Michelle with the tone of a friend

And her gentleness brought Michelle’s calm to an end

            Michelle told her story with pain hard to hide

            Of her mother and John and the new life inside

            She had meant to show love, she had meant no one harm

            But her mother felt anger, and John felt alarm

But the new life inside was a life, it was real

With a brain and a heartbeat she wanted to feel

And she wanted that child, she would love it so well

She would build it a heaven to make up for this hell

            But she’d end the new life for her mother and John

            “I’ll do it,” Michelle said, “for my mother and John.”

            These words had an emptiness Mary saw through

            “If you do it,” said Mary, “Please do it for you.”

Michelle looked at Mary through the pain and the tears

And Mary saw all of Michelle’s sixteen years

And she thought she saw something of several years more

Or perhaps she had seen Michelle’s face once before

            Michelle only murmured the word, “I don’t know”

            And she stood, and she turned and she started to go

            When Mary made one last request of Michelle

            With her parting words, “Take time to think this out well”

That night Michelle’s mother stormed into the place

Not hiding her anger, yet hiding her face

“My daughter came here with a purpose” she said

“Not to have you put foolish ideas in her head

            “She’s too young, she’s a girl and the father’s a boy

            “And she thinks that a baby is some kind of toy

            “Your job was to teacher her, to straighten her out

            “Not confuse her, and send her home riddled with doubt”

“My job,” explained Mary, “was not to confuse

“But to make her aware of her freedom to choose

“My job is to make sure the options are known

“You are right she is young, but her life is her own”

            Then Mary saw something in this woman’s face

            And remembered the person, the time and the place

            This woman had labeled abortion a sin

            The face in the picket line, Rosemary Flynn.

People often accuse and are quick to condemn

When the issue is safe, and does not affect them

I don’t envy the job facing Mary McGill

I don’t know all the meanings of “thou shalt not kill”

            It’s a conflict more simply prevented than solved

            But the choice must belong to the woman involved

            And I think that the answers come, not from above,

            But from us, and our consciences, tempered with love.

Lyrics © Kim Wallach and Bob Blue

Categories
Abortion Reproductive Health

Grasp the Consequences of Making Abortion Illegal

The media have done a good job of describing the implications of the Supreme Court’s abolishment of Roe to individuals. However, I have read little about the effects this regrettable decision will have on society.

First of all, it means that as many as 140,000 people will not have desired abortions. This estimate was published by the Guttmacher Institute and is hopefully too high. People all over the country are working to help refer women to abortion services in states that still allow this important healthcare procedure. However, there are many who cannot afford the time away from home or money to travel that a referral would entail.

Let’s estimate what this might mean to our population growth. Currently there are about 4 million births in the USA. Let’s say that 40,000 women are able to travel to receive abortion services or otherwise end up not giving birth. This would mean that the number of births is increased by 100,000 or almost 3 percent. We need to decrease the number of unintended births, not increase them!

Other than increasing the growth rate of the USA, will these added births have any effect on society? This is difficult to know, but there is reason to believe that many of these new people will not turn out to be the best citizens.

Dr. Henry David studied unintended pregnancies in Czechoslovakia during the 1960s, with the help of Czech researchers. Those researchers did all the detective work to find the mothers, gain their permission to test their children, and continue to follow them for all those 30 years.

Abortion was legal but needed approval by a state agency. A woman could appeal if her request for an abortion was denied —however, some women were denied twice. David’ group looked at these unwilling mothers, their children and controls (mothers with wanted pregnancies), following them for over 30 years. The results are available in “Born Unwanted”, and are summarized: “The overall findings suggest that, in the aggregate, denial of abortion for unwanted pregnancy entails an increased risk for negative psychosocial development and mental well-being in adulthood.” The children of unwanted pregnancies had more brushes with the law, were less satisfied with their lives, had less education and more mental health problems.

Another project, the Turnaway Study, focused on women who wished to abort a pregnancy. These women were refused abortion care because their pregnancies were too far advanced for the clinic they attended. The Study looked at families after the birth of a denied abortion and found that they didn’t thrive well after the unwelcome addition. There was poor maternal bonding, and the mothers’ other children’s development suffered. Furthermore, these families were more likely to live below the federal poverty level than the mothers who received abortion care. I’ll write more about this revealing study in the future.

A possible cause of the decline in crime in the 1990s was popularized by freakonomics.com. Males from age 18 to 24 are most likely to commit crimes, and the theory is that the decrease in crime 18 years after Roe v. Wade in 1972 was due to increased access to abortion. The decrease in the births of unintended children may have resulted in better citizens and less criminal behavior as kids reached adolescence and adulthood.

As a young doctor, I took care of a toddler who had been scalded. I remember his young mother saying “I didn’t want him.” She told me that he was fussy and she thought a bath would help quiet him, but instead he became fussier. Out of desperation she turned up the hot water to punish her son. She deeply resented the baby who prevented her from doing normal teen things. 

The Freakonomics hypothesis is controversial. One analysis of the data suggests that the benefits to society were confined to the decline in teenage mothers. Certainly, my teen patient’s son had suffered from being unwanted. I have no follow up information on how he turned out, however.

Decreased access to safe abortion services will be a tragedy for some people and our society may suffer.

©Richard Grossman MD, 2022