With Gosnell, the laws worked in the sense that he was ultimately put behind bars, but they failed in the sense that their enforcement was too-long delayed. The abominable conditions at his “clinic” should have shut him down ages earlier but local authorities consistently failed to inspect and failed to act on tips and complaints. There was a huge, systemic failure.
That sort of failure is symptomatic of the widespread inefficiencies and failings in medical oversight across the country, particularly in dealing with obstetric care. The United States has a maternal mortality rate dramatically higher than any other developed nation. To all appearances, we simply do not prioritize the health of women. Gosnell was an extreme case of this.
As numerous experts (including experienced abortion providers) testified, there was nothing remotely routine or common about the practices Gosnell used.
Hurrrrr
That’s the problem. It’s not one or the other. Pregnancy is qualitatively different than any other situation; we don’t have any good analogy. There’s literally no other situation in which we have to face these kinds of complications and challenges and dilemmas. There are no good answers.
Christians, and evangelicals in particular, are uncomfortable with the idea of there being no good answers, because it seems like issues of life and personhood ought to have simple answers. I suspect this is one of the reasons why the dialogue can be so challenging. There’s an urge to have a simple, definite answer, and so “conception” becomes the only fine line drawn.
But that’s not how we practice. We view a miscarriage at 20 weeks as more tragic than a miscarriage at 6 weeks, and we view a term stillbirth as more tragic than a 20-week miscarriage. Almost all pro-life activists agree that an ectopic pregnancy justifies abortion, even though there are documented cases of ectopic pregnancies being successful…yet they balk when the chances of survival are higher or the gestational age is later. No one would deny a woman chemotherapy on the grounds that it would kill an embryo if she happens to get pregnant, and yet countries like the Dominican Republic would stop a woman from getting chemo after she is confirmed pregnant (this resulted in the death of both fetus and the mother, 16-year-old Rosaura Hernandez, in 2012).
As much as we would like to have simple answers, the application in real-life situations is always on a sliding scale. We don’t treat it like a binary situation; we treat pregnancy as a potential person, increasing in estimation right up until birth.
We have demonized sexuality and therefore insist that “our” kids are too “good” to engage in premarital sex, and therefore have no need for birth control.
And then we wonder why religious communities have so many abortions.