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Posts Tagged “health”

Unsafe, Illegal, and Rare

Only a month late (when I originally wrote the bulk of this - now it's more like 8 months late), this is the 8th annual “Sanctity of Human Life” post. It's going to be a long one; please don't TL;DR it. There's too much to this topic to do it justice in 5 paragraphs, and putting it out in parts would invite debate and assumptions about the parts I'd left out. This post is free of my typical snark, and also free of (atypical for me) hyperbole; I am completely serious, and have reviewed my words to ensure they are the ones I intended to use. The premise is simply this - abortion is morally wrong (which we now know, given advances in medical science), and as such, should not be legal nor easy to obtain.

Let's start with the framework within which I view the issue. I believe that man was created by God and placed here on this planet to live for His glory, and that He has given us the earth for our pleasure and enjoyment. I believe that evil exists in this world, that bad things happen, and that actions have consequences. I generally believe (though not always) in erring on the side of caution. I believe that, as God's creation, all life is sacred. I believe that God has enabled man to discover many beneficial things in the area of medicine and health care, and I believe that He expects us to use this knowledge within the framework and principles laid out in His Word.

(I fully realize that many of you reading this may not agree with that framework. Feel free to debate about what appears below, but the above paragraph contains things that, for me, are past debate. I've heard the arguments against it, and I'm simply unconvinced.)

In looking back through my archives, the post entitled “Abortion: A Bad Idea Whose Time Has Passed” was my 5th post on this blog. In this post from 2003, I mentioned (without citing) the medical advances that had happened since 1973's Roe v. Wade decision. This page has a good description of what happens day-by-day. At 21 days (3 weeks), the heart begins beating. With ovulation occurring 14 days after menstruation starts, and another 14 until it's due to start again, a woman would likely not even realize she's late before her baby's heart is beating. 9 days later, at 30 days, this heart is circulating its own blood supply, completely separate from the mother's, thanks to the placenta. Day 35, we've got a 5-fingered hand, and on day 40, we have brain waves. By one and one-half menstrual cycles, we've gone from nothing to a beating heart and brain waves.

Let's look at what happens up to 12 weeks, which is when pretty much anyone who approves of abortion thinks it's OK. The liver starts making blood cells, and the brain is controlling the limbs in week 6. Week 7 brings the jaw, tooth buds, and eyelids. Week 8, and I quote, “the fetus has everything found in a fully developed adult,” including stomach acid and a complete nervous system. Fingerprints, fingernails, and hair appear in week 9. In week 10, “the fetus can bend, stretch, make fists, open hands, lift its head, squint, swallow and wrinkle its forehead.” Week 11 brings urination, and in week 12, the baby is breathing amniotic fluid, has sleep/awake cycles, and does exercises. All this knowledge has been gained due to ultrasound technology and other study.

Now, God, morality, and everything else aside - read those descriptions again. Does that sound like an unviable tissue mass? Sure, it's dependent upon its mother for sustenance, but how is that different from a newborn baby? It isn't - and that's what we've learned. It's not a blob of cells that represent an inconvenience, it's a new creation that has been entrusted to the mother. Even without counting abortion, an estimated 25-33% of pregnancies end in miscarriage or stillbirth (according to HopeXchange, an organization that help people cope with these types of losses). With numbers that high, it would seem to me that the tissue masses that are unviable are taking care of things themselves.

Respect for life is one of this country's core principles; “life, liberty, and the pursuit of happiness” are inalienable rights enumerated in the Declaration of Independence. Laws against murder are nearly universal, even in countries that cannot claim the God-seeking history that ours can. It is simple human nature that reasonable humans understand - it is wrong to take the life of another without cause. (This is not to imply that I am anti-death penalty or anti-military; there are limited times when life-taking can happen in a moral way.) With science again backing up Scripture, we see that the developing fetus is simply a pre-born baby that is being knit together in its mother's womb.

So now, let's look at the whole “safe, legal, and rare” thing, a phrase used by many pro-choice supporters to describe their desired state of abortion. It's a given that “safe” doesn't apply to the unborn baby - they suffer near 100% fatalities. (Yes, near.) But is abortion as we know it today safe for the mother?

  • A recent study in the British Journal of Psychiatry found that abortion accounts one in ten of every adverse mental health issue women face as a whole, correlating to greater-than-double risks for alcohol abuse and suicide, and triple risks for marijuana use. Melissa Clouthier has a great summary of this study, as well as some commentary.
  • Recent medial studies have found that there is an increase in breast cancer risk for those who have had abortions, similar to those who have given birth prematurely (before 32 weeks). The reason is that the cells that the body produces during the early stages of pregnancy are immature, cancer-prone cells, which mature during the final two months of pregnancy.
  • There are many risks to the uterus as well. Risks of uterine perforation, cervical lacerations, and placenta previa all increase due to the trauma on the internal lining of the uterus.

Now, childbirth brings its own complications, to be sure; I don't mean to imply that birth is completely safe. However, birth does have the advantage of being how our bodies are designed to work. Given the risks, I believe abortion is unsafe for both mother and baby.

We've established unsafe; how about legal? We know that Roe v. Wade “legalized” abortion, but there are still laws regarding its practice. Different states have different laws; nearly all states permit abortion through the first trimester, and some allow it through the second trimester. Few permit it in the third trimester, and there is now a Federal law against “partial-birth abortion,” a practice so abhorrent I'm not even going to describe it here. But, do its practitioners follow these laws? Some do; others, like Kermit Gosnell (link gone) do not, and Lila Rose has made a career exposing the unethical and often illegal practices at the nation's #1 abortion provider, Planned Parenthood.

Hmm - we're 0 for 2.

How about rare? Well, let's look at the statistics. In 2008, there were 1.2M, down a little from the previous year; however, births were also down 2%, to 4.2M births. So, we prevented 22% of the pregnancies from resulting in births. I would not consider something that happens between a fifth and a quarter of the time rare, and I don't think anyone else would define it that way either. What it comes down to is this: if it's safe and legal (as we've been told, and those who question are ridiculed), it won't be rare.

Now, let's contrast this with the opening paragraphs. Abortion is not safe; it kills the baby, and causes health problems from the ex-mother. It's not rare; it occurs in over 1 out of 5 conceptions. As a person with the beliefs I laid out above, this is an absolute no-brainer. God created our bodies to reproduce; it's a natural consequence of the act that leads to conception. The easiest way to avoid conception is to avoid intercourse (also advocated in Scripture for those who are not married), and the fruits of that intercourse are, time and time again, referred to as gifts from God.

As an American, I see 20% of two generations now cut down before they breathed their first breath. I see counselors having a very easy time convincing people not to have abortions, simply by using ultrasound to show these ladies the life that is living inside them. I hear of post-abortion counseling groups with waiting lists. Have we aborted the person who was to find the cure for cancer? The scientist who was to determine how to produce food in desolate regions? The person who was to invent the flying car? Who can say what the long-term consequences have been for our folly of convenience.

It's not safe. If it's made illegal, only then can we hope to make it rare.

Health Care - From the Folks Who Brought You “Cash for Clunkers”

I made a Facebook status update earlier today where I said I hoped that the mismanaged “Cash for Clunkers” program (C4C hereafter) had caused some people to think about whether they wanted the same people in charge of their health care. Of course, with the limited space for status updates, and my double-dose of verbosity (which is genetic, I thnk), I really didn't have room to flesh out my thoughts on the matter.

A review would be in order here. C4C is a government program that gives incentives for people to trade in cars deemed older and less fuel-efficient on a new car that is more fuel-efficient. A consumer group has a FAQ. A controversial provision of this bill is that these trade-ins must be completely destroyed - no parts can be salvaged at all, no tires, no body parts, nothing. One of my Facebook friends described the process they used - drain the oil, replace it with water, and run the engine until it seizes up. Anyway, this program was funded at $1 billion to go from July 24th to November 1st of this year. Yet, a short week later, the news begins to break that the program is almost out of money. There is talk of adding another $2 billion - that's $3 billion of our tax dollars to buy and destroy perfectly functional cars, because they don't fit someone's idea of a “good car.”

Regarding the way these cars are being destroyed - this is the classic broken window fallacy, the economic theory that says that vandalism is good for the economy. A boy breaks a window; the shopkeeper must get it replaced. This benefits the window maker, which can benefit others in turn. However, the fallacy is that it does not look at what the money that the shopkeeper had to use to fix the window might have otherwise been used to do. For example, while the window maker advances, the shoe maker and baker, who might have received the money the shopkeeper would have spent, are hurt. (As an aside - wouldn't it be better to keep the window maker in business by providing windows for new business? Oops - that was the greedy capitalist in me.)

Now, let's look at the health care issue. Nearly every proposal I've heard coming from Washington decries the number of uninsured people in this country, how much we pay for health care, and how bad the insurance companies are. There are many ways to go about this; I'll look at each of these in turn. As we do, keep in mind what happened to the “bad” cars in C4C.

We hear bad, bad things about the number of uninsured Americans - the latest numbers have it about 47 million. That's a lot, right? Maybe, but maybe not. One thing that these stats do not take into account is the number of people who choose to be uninsured. Many college students are uninsured by choice (or by lack of giving it a thought - that would have been me right after high school!). The census bureau said that the number of college students was 15.9 million in 2004. How about single people? I certainly didn't worry about health insurance when I was single. The census bureau said in 2007 that of the 92 million single people, 60% had never been married at all, and 15 million were over 65. Certainly not all of these are without insurance, but a good many may very well choose not to have it. That leaves the ones that can't afford it - we'll look at ways to make it more affordable in our third point.

Next up is how much we pay for health care. Yes, just like our military prowess, America is #1 in the world at spending per-capita on health care. We are also #1 in the world at medical advances and technology. These things do not come for free - what is the incentive for a company to develop the newest bang-up drug if they aren't going to be able to make enough money on it to fund the research it took to develop it? Altruism may be nice, but it doesn't put food on the table. While the exchange of money for services seems to be distasteful to some people, you'll look long and hard to find a better motivator. Why do doctors put themselves through years and years of education after most people are already out working? For a few, they may just love their fellow man that much, but for the most part, it's that American dream of making it, and having the things they want. How does one acquire things? Money.

All this talk about money brings us to those evil, horrible insurance companies. I've dealt with them just as many of you have, and it's frustrating to have things denied because a t wasn't crossed or an i dotted. However, let's look at what we expect from insurance. Does homeowner's insurance cover carpet cleaning, painting inside and out, and re-weatherstripping the windows? Does auto insurance cover oil changes, new tires, detailing, and radio upgrades? Then why must any health insurance cover check-ups? The litany of required services on some insurance providers is astounding - and, the consumer has no choice. I don't think I could go to a state in the Union and get an insurance plan that didn't cover maternity; as a male, I really don't think that's coverage I need. People view health insurance completely different from any other insurance. Why is it that, if something exists, people think that their health insurance should cover it? Some of these treatments or experimental procedures weren't even in existence when the policy was written, but people think that they're entitled to them.

This is where affordability comes in. Let insurance companies customize plans, so that people can buy just what they want (catastrophic coverage, for example) and exclude what they don't (TMJ). End the ridiculous “discounted rate” on the billing - doctors have artificially raised their rates because they know that, for the most part, their patients' insurance will only pay a portion of it. The price should be the same for someone paying out-of-pocket as it is for the insurance companies. (Back to auto insurance, does Ford offer Allstate a discount? Yeah right.)

What happens with this is the regular free-market benefits. First, the availability of health care goes up, because the people who opted out of “hypochondriac” coverage will not take up a doctor's time for every sneeze and sniffle. Second, there is an incentive for providers to get into the business, as the playing field is more level and less laden with red tape. Third, people will be so happy that we'll never have to hear about this ridiculous socialized health care mess ever again! (Well, okay, maybe that last one is a stretch.)

Now, let's look at C4C health care. You'll have politicians and government paper-pushers determining what's covered and what isn't, with their decisions holding the force of law. The thresholds will be hard - the qualifying line is drawn in the cement as it hardens. It will cost 10 times what “they” estimate - at least. Wait times will be through the roof, as anyone who qualifies for something will get in line for it, whether they need it or not. Over five or ten years, there will be a shortage of providers, because doctors will decide that law is a much more lucrative field. And, one of the founding principles of our nation will have been sacrificed on the altar of good intentions.

I know which one I'd prefer.