In today’s (18 July 2010) New York Times Magazine, there is long piece of reportage and analysis by Emily Bazelon called “The New Abortion Providers.” It’s not about the moral or legal questions. Instead, and much more usefully, it’s about institutions, education, and formation. Understanding abortion requires not just understanding what it is and what’s wrong with it, but also who does it, where it is done, and how people are formed in such a way as to want and be able to do it.
Bazelon shows how the provision of abortion migrated from doctors’ offices in the 1970s and early 1980s to stand-alone abortion clinics during the last two decades, and suggests that there are some signs of a return of abortion to multi-purpose primary-care clinics in which many other medical services are also provided. She explores, too, how widespread teaching about abortion is in medical school, and what proportion of ob-gyn residency programs offer training in its performance. And she shows that while until fairly recently most abortionists were men, they are now, increasingly, women. And she provides some anecdotal case-studies of how female physicians come to think and feel it right to do abortions, and of how they have been trained to do them.
The particulars of all this are interesting enough, and I refer you to Bazelon’s essay for them. For those, like myself, who think that abortion takes a human life and are therefore concerned about its frequency and legal status, Bazelon’s work is even more important. She shows that the complex catechesis provided by working for an MD degree and completing a residency is entirely capable of producing people who think, with sincerity and passion, that performing abortions is often not only defensible but a deeply good thing to do.
People who think this are not hypocrites, not stupid, and not insane. They are, mostly, intelligent, thoughtful, and morally passionate. They are, as they see it, doing and advocating the right thing under difficult circumstances, and in that way giving help to the otherwise helpless. They are wrong in the substance of what they think; but attending to how they come to be wrong should help those who have other views, and especially Catholics, to see what tactics are likely to work in reducing the number of people who see the world in this way, and thus, perhaps, the number of people killed by them.
Violence will not work. Neither will repealing Roe v. Wade. The former creates martyrs, which is never a good idea; and the latter, while it would (perhaps) save some lives, and might, over time, serve pedagogically to alter the climate of opinion about abortion in such a way as to make it less likely that women will seek it, will have no direct or straightforward effect upon abortion providers who are convinced of the moral rightness of what they do.
What Bazelon’s work points to is the importance of attending to the particulars of the education that medical students receive. That education is deeply formative, and not only in a technical way; it assumes and forms moral convictions about what health is, what human flourishing is, and how these are best served by what doctors do. Perhaps the best thing that Catholics concerned with these issues can do, especially those who have any influence in medical education, is to work, mostly sotto voce and in petto, to move that education away from forming doctors like the ones Bazelon portrays, and toward forming those who see clearly what abortion is and what is wrong with it.
Those who undertake such work should prepare for it by acknowledging to themselves and to their confessors the cognitive and moral damage to which they are themselves subject. Integral to that acknowledgment should be the cultivation of a strong sense that we Catholics are not morally superior to those who think and act as Bazelon’s idealistic abortion-doctors do. The posture and the rhetoric encouraged by that cultivation will permit more effective transformative action than its contradictory, in this case as in every other.
The Catholic understanding of abortion as deliberate taking of innocent human life is true and important. Knowing this does not exempt us from looking closely at and taking very seriously what makes these truths seem not only implausible but their assertion immoral to many intelligent and thoughtful people.
