I have been arguing that there is a strange asymmetricality in the attitudes of some people towards abortion and miscarriage (they are against abortion, but are not particularly troubled by the phenomenon of miscarriage).
Christopher Carr has put forward the following argument which aims to show that given a particular sort of view there might actually be nothing odd about this asymmetricality:
if the value is a potential value, then miscarriage may not mean anything, or it may mean a literal fraction of what it would mean were the fetus further along in development or already born. For example, for a particular individual moral framework perhaps a human fetus is worth “one”, a human infant is worth “two”, a human baby is worth “three”, and thereafter all have reached full personhood of “four”. We would still consider miscarriage to be the destruction of valuable human entities, but we may be allowed to think that an eight-year-old child dying of leukemia represents a greater destruction of value. How we assign respective values depending on cause of death and degree of personhood could give us radically different results as to how we evaluate the medical seriousness of miscarriage in relation to other causes of death.
Okay, so the first thing to say is there is no doubt this is true: we can think the value attached to human life is incremental in this way (though I think Christopher inadvertently switched around baby and infant in his schema). However, the question is how does this view match up against people’s attitudes towards abortion.
There are a number of points to make here.
1. It’s worth starting off by saying that although it is a common view that the value of human life increases as the human entity develops from embryo through to full personhood, it is a very uncommon view amongst people who are opposed to all abortion (the overwhelming majority of whom think an embryo has equal intrinsic value to a human adult just by virtue of being biologically human); indeed, if you read the anti-abortion literature, you’ll find that many people deny that things such as sentience and personhood are the measure of value, precisely because this opens up the possibility that an embryo/foetus does not have the value of a human adult;
2. Setting this point aside, the question remains as to whether it makes sense to see the value of human lives as being incremental, and yet to be resolutely opposed to abortion. This is actually quite a difficult question to answer, since it means weighing up the value attached to the embryo/foetus against the right to self-determination. However, to put Christopher’s argument in its best light, let’s say there isn’t a problem here: that it is possible to think that even the relatively low value attached to the embryo/foetus in the early stages of pregnancy trumps our right to self-determination (this isn’t an incoherent view, by any means, it’s just it runs into difficulties when held up against the way that de facto we tend to treat the right to self-determination);
3. So how should this person view miscarriage? Well, it is true that they should not see any individual miscarriage as being as great a tragedy as the death of a human person (because embryos/foetuses don’t have the value of a fully developed human being). But equally, it is true that they can’t see any individual miscarriage as being morally neutral (even if we’re focussing only on the death of the embryo/foetus): they are required to think that miscarriage is a bad thing, in and of itself, because it means the ending of the life of something of value (albeit relatively low value);
4. More than that, though, given that the right to self-determination is not trivial, and given that they think the value attached to the embryo/foetus trumps our right to self-determination, then it follows that they can’t think the value attached to the embryo/foetus is merely trivial. We can’t quantify this value, obviously, but we know it’s enough to rule out abortion, even though this means denying the right we have to self-determination. (The counter-argument here that the right to self-determination is trivial or unimportant isn’t persuasive because de facto we don’t think it is trivial or unimportant.)
5. At this point, it becomes (partly) a numbers game. The sheer volume of miscarriages has to be factored into the argument. Okay, it’s true that one might think the numbers of people suffering cancer and heart disease means that these diseases/conditions are a more serious issue than miscarriage (given the fact that these conditions affect human persons to whom there is a higher value attached than to embryos/foetuses). But it is much less plausible if we’re talking about conditions such as kidney failure, Parkinson’s, ALS, etc., all of which we do consider to be serious medical issues. (There is a complication here to do with the possibility that one might attach arbitrary levels of value to the foetus, human person, etc., so that it turns out that just one human death is a greater tragedy than the deaths of say a million foetuses even though the value of a foetus is enough to rule out abortion. If this comes up in the comments, I might deal with it in another post.)
So if somebody is opposed to abortion (in all, or nearly all, circumstances), then it remains true that they should consider miscarriage to be a serious medical issue. Christopher’s argument here is relevant in that it does impact on how serious an issue some people should view miscarriage to be. But, of course, as we already noted, the number of people opposed to abortion who have this sort of incremental view of the value of human life is very small (precisely because it does allow the possibility that the value of an embryo/foetus might not be great enough to rule out abortion given that we think the right to self-determination is important).
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