The First Eight Weeks

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Thinking occurs, of course, in the brain—principally in the top layers of the convo called the cerebral cortex. The roughly 100 billion neurons in the brain constitute the material basis of thought. The neurons are connected to each other, and their linkups play a major role in what we experience as thinking. But large-scale linking up of neurons doesn't begin until the 24th to 27th week of pregnancy—the sixth month.

By placing harmless electrodes on a subject's head, scientists can measure the electrical activity produced by the network of neurons inside the skull. Different kinds of mental activity show different kinds of brain waves. But brain waves with regular patterns typical of adult human brains do not appear in the fetus until about the 30th week of pregnancy—near the beginning of the third trimester. Fetuses younger than this—however alive and active they may be—lack the necessary brain architecture. They cannot yet think.

Acquiescing in the killing of any living creature, especially one that might later become a baby, is troublesome and painful. But we've rejected the extremes of "always" and "never," and this puts us—like it or not—on the slippery slope. If we are forced to choose a developmental criterion, then this is where we draw the line: when the beginning of characteristically human thinking becomes barely possible. It is, in fact, a very conservative definition: Regular brain waves are rarely found in fetuses. More research would help. (Well-defined brain waves in fetal baboons and fetal sheep also begin only late in gestation.) If we wanted to make the criterion still more stringent, to allow for occasional precocious fetal brain development, we might draw the line at six months. This, it so happens, is where the Supreme Court drew it in 1973— although for completely different reasons. Abortion: Is It Possible to Be Both "Pro-Life" and "Pro-Choice"? • 213

Its decision in the case of Roe v. Wade changed American law on abortion. It permits abortion at the request of the woman without restriction in the first trimester and, with some restrictions intended to protect her health, in the second trimester. It allows states to forbid abortion in the third trimester, except when there's a serious threat to the life or health oTthe woman. In the 1989 Webster decision, the Supreme Court declined explicitly to overturn Roe v. Wade but in effect invited the 50 state legislatures to decide for themselves.

What was the reasoning in Roe v. Wade? There was no legal weight given to what happens to the children once they are born, or to the family. Instead, a woman's right to reproductive freedom is protected, the court ruled, by constitutional guarantees of privacy. But that right is not unqualified. The woman's guarantee of privacy and the fetus's right to life must be weighed—and when the court did the weighing, priority was given to privacy in the first trimester and to life in the third. The transition was decided not from any of the considerations we have been dealing with so far in this chapter—not when "ensoulment" occurs, not when the fetus takes on sufficient human characteristics to be protected by laws against murder. Instead, the criterion adopted was whether the fetus could live outside the mother. This is called "viability" and depends in part on the ability to breathe. The lungs are simply not developed, and the fetus cannot breathe—no matter how advanced an artificial lung it might be placed in— until about the 24th week, near the start of the sixth month. This is why Roe v. Wade permits the states to prohibit abortions in the last trimester. It's a very pragmatic criterion.

If the fetus at a certain stage of gestation would be viable outside the womb, the argument goes, then the right of the fetus to life overrides the right of the woman to privacy. But just what does "viable" mean? Even a full-term newborn is not viable

214 • Billions and Billions without a great deal of care and love. There was a time before incubators, only a few decades ago, when babies in their seventh month were unlikely to be viable. Would aborting in the seventh month have been permissible then? After the invention of incubators, did aborting pregnancies in the seventh month suddenly become immoral? What happens if, in the future, a new technology develops so that an artificial womb can sustain a fetus even before the sixth month by delivering oxygen and nutrients through the blood—as the mother does through the placenta and into the fetal blood system? We grant that this technology is unlikely to be developed soon or become available to many. But if it were available, does it then become immoral to abort earlier than the sixth month, when previously it was moral? A morality that depends on, and changes with, technology is a fragile morality; for some, it is also an unacceptable morality.

And why, exactly, should breathing (or kidney function, or the ability to resist disease) justify legal protection? If a fetus can be shown to think and feel but not be able to breathe, would it be all right to kill it? Do we value breathing more than thinking and feeling? Viability arguments cannot, it seems to us, coherently determine when abortions are permissible. Some other criterion is needed. Again, we offer for consideration the earliest onset of human thinking as that criterion.

Since, on average, fetal thinking occurs even later than fetal lung development, we find Roe v. Wade to be a good and prudent decision addressing a complex and difficult issue. With prohibitions on abortion in the last trimester—except in cases of grave medical necessity—it strikes a fair balance between the conflicting claims of freedom and life.

When this article appeared in Parade it was accompanied by a box giving a 900 telephone number for the readers to express their views on the abortion issue. An astonishing 380,000 people called in. They were able to express the following four options: "Abortion after the instant of conception is murder," "A woman has the right to choose abortion any time during pregnancy," "Abortion should be permitted within the first three months of pregnancy," and "Abortion should be permitted within the first six months of pregnancy." Parade is published on Sunday, and by Monday, opinions were well divided among these four options. Then Mr. Pat Robertson, a Christian fundamentalist evangelist and 1992 Republican Presidential candidate, appeared Monday on his regularly scheduled daily television program, urged his followers to pull Parade "out of the garbage" and send back the clear message that killing a human zygote is murder. They did. The generally pro-choice attitude of most Americans—as repeatedly shown in demographically controlled opinion polls, and as had been reflected by the early 900 number results— was overwhelmed by political organization. CHAPTER 1

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