Wednesday, April 25, 2007

On democracy

This was in the New York Times letters on Wednesday, April 24:

To the Editor:

Re “A Sharp Turn for the Supreme Court on Abortion” (letters, April 20):

I am a rheumatologist caring for a patient whose lupus nephritis is flaring. Her creatinine is rising as her platelet count falls, and she has failed to improve with pulse methylprednisolone and intravenous cyclophosphamide. I am contemplating using rituximab. I would like to refer this case to the United States Supreme Court for its guidance.

Richard Zweig, M.D.Santa Rosa, Calif., April 20, 2007

A humorous method of pointing out a serious flaw in our legislative process. The Supreme Court, were judges are appointed for life, is armed with the right to strike down only laws which are unconstitutional - not laws which are foolish. Congress, where elections (i.e. public opinion) dictate the membership, can implement any legislation they like as long as it doesn't infringe on a few basic constitutional rights. So despite our forefather's best efforts, a loophole exists for emotion and dogma rather than reason and logic to govern.

As Churchill so famously said, "Democracy is the worst form of government, except for all those other forms that have been tried from time to time."

Monday, April 23, 2007

Men (and women) in tights

This weekend was the Houston Repertoire Ballet's annual spring show. I got to dance one of my favorite variations (the Pas de Trois from the first act of Swan Lake):

Here I am with Nicole and Jenna before the opening dance:

Here I am with Nicole at end of the opening dance:

Here I am in the air during my variation:
(photos by N. Simpson - click on photo for larger version)

Nicole and Jenna are fantastic dancers - too bad they had to dance with a mediocre partner :-p If you want to see what a truly great dancer looks like doing this variation, click here to watch Herman Cornejo perform it for American Ballet Theatre (ladies - if you want more motivation to watch, Herman is considered to be one of the "hotties" of the ballet scene).

This week was a downer in so many ways - I find myself watching this clip over and over again in an effort to remember that the same race capable of creating horrendous atrocities is capable of creating stunning beauty like this music and choreography.

P.S. Neil just answered another question in our Christianity Interview - have a look here or at Neil's blog (comments are better left on his blog).

Wednesday, April 18, 2007

It begins...

This morning, the Supreme Court upheld the Partial Birth Abortion Ban Act signed into law in 2003. The bill states that any procedure in which the fetus is mostly removed from the vaginal cavity before being euthanized is illegal. Sounds good on the surface, right? After all, why would we allow the doctor to mostly remove a fetus before killing it?

Here lies the difference between an emotional argument and a logical one. When applied to fetuses at the, for example, the eighth month of gestation, this makes perfect sense. If a woman's right to abortion springs from her right to privacy, once a viable fetus is out of her body, what happens to it no longer infringes on that privacy. The problem is that the law makes no reference to viability...in fact it makes no reference to a time line of any type - only to the procedure. So if a woman decides at four months gestation, when the fetus is nowhere close to being viable, that she wants an abortion - this procedure is no longer available to the doctor even when the doctor decides it is the safest procedure. If abortion is murder (as held by pro-life groups), why does it matter where this "murder" takes place?

By passing this law, what pro-life groups have done is not restrict when abortion can take place but rather by what methods an abortion can take place. So now doctors will have to say to a woman who wants an abortion "well, the safest thing to do would be a dilation and extraction - but that's now illegal, so I'm going to have to perform this less safe procedure - are you sure you want to do this?"

I don't doubt that some women will chose to forgo abortion because of the added risk - I also don't doubt that some women who are having an abortion for health related reasons will have more complications because of this law. So to the pro-life groups who are celebrating this "victory" - you have succeeded in two things:

1) Scaring women into continuing their pregnancies by tying the hands of the doctor
2) Taking away an option that is sometimes the safest for a woman who is having an abortion to save her life.

Is this really the way you want to forward your cause? If you think abortion is murder, fight to make abortion illegal - don't use scare tactics and medical restrictions to chip away at the law. Honestly, do you consider these to be noble acts?

Think that congress should stick to making legal and not medical decisions? Take action - sign the Planned Parenthood Pledge to make sure the Supreme Court's reckless decision doesn't result in federal or state laws that take away women's rights or threaten women's health and safety!

Friday, April 13, 2007

Black and white, wrong and right

For the past year and a half, I have spent Saturday mornings escorting clientele past the protesters at a Houston Planned Parenthood clinic. Texas being the state in which Roe vs. Wade originated, it seems only appropriate that I should observe here the passions which the debate over abortion inflames. I have heard countless arguments for and against a woman’s right to abortion, and while my pro-choice* stance has only solidified, I can’t help but notice the prevalence of flawed arguments on both sides of the debate. While both the pro-life and pro-choice movements often insist their views are self-evident, any examination of the prevailing argument quickly shows abortion rights to be anything but a black and white issue.

The standard pro-life argument is some version of “it is immoral to kill an innocent human being - abortion kills an innocent human being - therefore, abortion is immoral.”[1] This argument makes two implicit assumptions – that a zygote, an embryo and a fetus are all human beings privy to the same rights as you and I, and that it is always immoral to kill a human being. As easy as it is to confidently make these statements, neither is indisputable.

The claim ‘zygote equals human being’ assumes life begins at conception – an opinion often paraded as biological fact. Clearly the zygote has the potential of becoming a fully functioning person, but to use this as evidence of life beginning at conception is scientifically invalid. Any biologist will assure you life begins long before conception. A zygote is alive not because of its future potential but because it meets the basic definition of life.[2] Then again, so do sperm, an egg and for that matter most cells in my body. I have a feeling what the pro-life side means is that a zygote is alive and a potential new person. But in the same way that sperm and egg represent this potential after they join, so too do they represent it as a distinguishable pair. The idea that the zygotic stage definitively represents the beginning of a new person is a philosophical opinion – not a medical fact.[3] The same definitions used to argue this threshold is crossed at conception because of the zygote’s unique genetic code could be used to define viability or birth as the critical point due to the fetus’ self-sustainability.

As tempting as it is to oversimplify the debate to biological definitions of life and arguments for and against its binary nature, this would be to miss the point entirely. The issue at hand is whether or not a future-person is privy to the same rights and protections as you and I. Pro-choicers are of the opinion that preserving a single-celled organism which is neither aware nor capable of living outside of its host does not justify forcing a woman to endure an unwanted pregnancy, regardless of its potential. As to when that critical threshold is crossed (quickening? viability? birth?), the opinions are as varied as those who hold them[4]. The pro-life side needs to stop insisting on something with which we all agree (that a zygote is alive) and begin trying to convince us that it is equal in significance to a baby.

I am curious to know the pro-life position on some of the issues which declaring a zygote to be a human being would yield. Would each miscarriage be investigated to ensure it wasn’t the result of some (accidental?) action taken by the woman? If it turns out that it was the result of such an action, would the woman be indicted for manslaughter/murder? Will birth control (which through secondary effects ensures that the small percentage of eggs which are ovulated and potentially fertilized are flushed from the body[5]) become illegal? What about IUDs, the world’s most common form of reversible birth control[6], which make no effort to stop fertilization – only implantation?[7] How about in vitro fertilization - if I extract and fertilize six eggs in a Petri dish and only one implants itself in the uterus[8], have I committed five murders? Every pro-lifer to whom I’ve ever spoken has insisted on an exception in cases in which one must chose between the life of the fetus and that of the woman...if they are to be protected equally, why allow that exception?

Please note – I am not suggesting that abortion be legal because of regulatory complications (this constitutes the weakest rationale for any argument) – I am stating that there is more to the issue than meets most eyes. Using a formal definition of life is insufficient – the question is not one of biology (at what point does life begin?) but rather one of philosophy (at what point has a person been created?)

The first part of the argument (“abortion kills a human being”) is plenty disputable, but shocking as it may seem, so is the second (“killing an innocent human being is immoral”). Let’s not pretend that we live in a society in which we don’t sacrifice the innocent on a regular basis in the name of what we perceive to be a greater good. Have we ever gone to war thinking the innocent would not die? Is anyone actually naive enough to believe that capital punishment executes only the guilty? Would you support a tripling of your taxes to ensure fewer people died for a lack of health care?

We go to war knowing innocent people will die because we believe their death will serve a larger purpose. So too do we sentence to death those we consider guilty knowing a certain percentage will be later exonerated[9]. We prefer financial freedom to a horrendously inefficient system designed to reduce deaths. Each of these are passively justified examples of the innocent being sacrificed in the name of a perceived greater good. We don’t like to think of the lost life as being that of an innocent fetus, but if all life is equally valid, what is the difference? What the pro-life side should argue is why freeing a woman from her unwanted pregnancy is not enough of a justification to warrant what they perceive as murder. Again – shades of grey creep into the conversation.

Of course, refuting the simplified arguments of the opposition doesn’t justify abortion – so why am I pro-choice? To me, this philosophical question comes down to one of privacy. At no point have I ever said I think a woman should have the right to extinguish that which grows within her – only the right to remove it. As an example, I see no legal rational for post-viability abortion, only for early delivery at which point the future of the baby is no longer a burden to the woman’s privacy. I cannot justify forcing someone to serve as host to any being – living or otherwise. Find a way to nurse an embryo to “birth” or to perform fetal transplantation and abortion can slip into the recycling bin of history.

In the same way that declaring a zygote to be a human being requires a rethinking of laws, so too will insisting that once removed, the state assumes its responsibility. Can a woman who insisted on the removal of a viable fetus be held responsible for its care? Can she request the euthanasia of a viable fetus with an ailment which will render its life short and painful? In the same way that the simplified claims of the pro-life side yield shades of grey upon closer inspection, so too do those of pro-choicers.

If there is one thing of which we can be certain, it is that the controversy surrounding abortion rights is one of a series of ethical debates which will emerge as science continues to blur the distinction between alive and inanimate. Stem-cell research, animal-human hybrids and cloning are all windows into what the future debates will be. Much as this one, they are touted as discreet subjects[10][11][12], - much as this one, further inspection shows that they are not. Life is full of black-and-white issues, but despite endless efforts, I have yet to hear a coherent explanation as to why abortion is one of them.

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* The labels pro-life, pro-choice, anti-choice and pro-abortion are classic examples of political framing. In the same way that I object to the term pro-life, I realize that those opposed to abortion-rights object to the term pro-choice. For ease of writing, I have decided to use the terms pro-life and pro-choice with the understanding that just like the issue at hand, they are controversial.

Thursday, April 05, 2007

The joys of wikipedia

When I was in grade school, on those occasions when I became very upset, I would don gardening gloves, earplugs and protective goggles and take a baseball bat to a tree stump in our backyard. It was very therapeutic, especially since whacking a tree stump with a baseball bat turns out to be quite exhausting, and it is harder to be upset when tired.

Now I work for the government at a desk in an air-conditioned building surrounded by middle-aged calm men - no baseball bats and no tree-stumps to be had. So instead, I read Wikipedia when upset. It is marvelous collection of information on just about anything.


Today's interesting fact:

In Texas, there is no mile marker for I-10 milepost 666 between San Antonio and Houston. The mile marker sign and its pole are missing on the westbound and eastbound sides, and due to recurring theft most likely the sign will not be replaced.