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January 31, 2003

Complexities of abortion

Jewish law acknowledges different statuses of life.
PAT JOHNSON SPECIAL TO THE JEWISH BULLETIN

If you think Judaism gives a yes or no answer to complex issues such as abortion, then you don't know Judaism. That was one of the messages that emerged from a debate on the abortion issue last week, involving an obstetrician/gynecologist and a noted local rabbi.

Rabbi Avraham Feigelstock, spiritual leader of Eitz Chaim Synagogue in Richmond and rosh kollel (head of the Ohel Ya'akov Community Kollel, a community-based Jewish education and outreach institute), said the Jewish tradition is far more nuanced and complex than the traditional, evangelical Christian view that abortion equals the murder of an unborn person.

"Anyone who says that Judaism is pro-life is making a mistake," said Feigelstock. "If anyone says Judaism is pro-choice, they are also making a mistake."

Feigelstock lamented the fact that the debate in the general community has developed into a strict and unbending issue of right and wrong.

"Unfortunately, it became either-or," he said.

The rabbi, who noted he has 13 children, acknowledged that the Jewish concept of when life begins is not fully defined. Unlike the conservative Christian view that life begins at conception, the rabbi said the Jewish perspective states that, while a fetus has a certain sanctity from the very outset, it exists on a continuum, its sanctity and humanity increasing as it approaches the capacity to live outside the womb. Though we use the term "fetus" from conception to birth, Jewish law clearly places a different emphasis of sanctity on the fetus at different periods in the gestation. While Christians tend to argue that life begins at conception and ends at natural death, Feigelstock said the Jewish view sees a fetus in the 40 days after conception as a "future human being" but not as a complete individual equal to a fully functioning living person.

When forced to balance such conflicting priorities as a mother and a fetus, Jewish law reflects different statuses of life. The rabbi said halachah (Jewish law) does not view the murder of a terminally ill person in precisely the same manner as it views the murder of a fully healthy individual. Similarly, a fetus, though human, is of a lesser status than the mother.

There are some aspects of this debate that are fairly clear, Feigelstock said. If a mother's life is in danger, halachah states an abortion is fully acceptable. The other extreme is similarly clear. Aborting a fetus because the pregnancy would interrupt a vacation is not acceptable, he said.

What is far more grey is the area in between, he said. What if a mother argues that an unwanted child will ruin her life? What if she threatens to jump off a bridge in 30 minutes if an abortion is not granted? What if the doctor believes the mother might introduce a child to a life filled with abuse and neglect? What if tests indicate the fetus will be born with a cleft palate, something that will not likely kill a baby, but will put incredible stress and emotional turmoil onto the mother? Feigelstock said halachah cannot predetermine the position a rabbi, a doctor or a pregnant woman might be guided by in such situations.

"Each case is different," Feigelstock asserted.

But he cautioned that there are unintended consequences of abortion, as well. If a woman seeks an abortion because having a child and giving it up for adoption would precipitate a major depression, Feigelstock would remind the doctor and the woman that studies show that many women who have abortions fall into a deep depression. If avoiding depressive crises is the reason for an abortion, it may fail in this goal, he said.

Feigelstock's overall view conflicts with the strictest pro-life interpretation, which is frequently based on conservative Christian interpretations. At its most extreme, the rabbi said, the pro-life view is that two deaths are better than one "murder," which is the way some anti-abortion activists view abortion.

He also expressed concern that many activists who champion the rights of the unborn do not reserve equal energy for protection and care of children after they have been born.

Feigelstock was joined by Dr. Mark Rosengarten, an obstetrician and gynecologist at B.C. Women's and Mount St. Joseph's hospitals, who argued that medical abortions are necessary to prevent women from seeking help in dangerous places. In one period when abortion was illegal in Canada, a study found that 5,000 women died due to botched abortions between 1927 and 1945. (Numbers for other years are apparently untabulated or unknown.) Since the advent of relatively accessible abortions, Rosengarten said, there have been no known deaths due to abortion and a complication rate of about one per cent is comparable to any surgical procedure.

Approximately 100,000 abortions take place in Canada each year. British Columbia sees about 15,000 abortions a year, and about 40,000 live births.

Rosengarten and Feigelstock noted that general principles are shared between medical professionals and halachic scholars. The medical profession generally views the fetus in the first 24 weeks as less than a viable human being but, after the 24th week, a viable human life whose rights can supercede those of its mother.

The discussion on abortion was part of a series of informal gatherings in people's homes. The event, on Jan. 22, was part of the Kollel's Mind, Body, Soul lecture series. Feigelstock was filling in for Joshua Hauser, president of the Institute for the Study of Bioethics, a pro-life bioethics think-tank, who could not attend due to a family health issue.

The discussion coincided with the 30th anniversary of the monumental Roe versus Wade decision by the United States Supreme Court, which decriminalized abortion and introduced a revolution in American thinking and activism on the subject.

Canada's history on the issue has been more statist in development than that in the United States. Abortion was illegal in Canada until the late 1960s and, even after it was removed by Parliament from the Criminal Code, access to abortion remained carefully proscribed and difficult to access in certain parts of the country, particularly rural areas. For two decades, battles raged between pro-life and pro-choice supporters over control of hospital boards, which had influence over the policy of individual hospitals regarding access to abortion. By 1988, Canadian courts effectively struck down legislative barriers to abortion and, because the House of Commons failed to find consensus on the issue, it remains effectively ungoverned by law.

Pat Johnson is a native Vancouverite, a journalist and commentator.

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