Concerns about Protection of Life During Pregnancy Bill
The Protection of Life During Pregnancy Bill is within the constraints of Article 40.3.3° and it is right that thirty years after its insertion into the Constitution, there will be legal clarity for women and for doctors. It was not good enough that this was simply regulated by Medical Council guideline. As Justice McCarthy wrote in 1992 in a concurring judgment to Attorney General v. X,
I think it reasonable, however, to hold that the People when enacting the Amendment were entitled to believe that legislation would be introduced so as to regulate the manner in which the right to life of the unborn and the right to life of the mother could be reconciled. In the context of the eight years that have passed since the Amendment was adopted and the two years since Grogan’s case the failure by the legislature to enact the appropriate legislation is no longer just unfortunate; it is inexcusable. What are pregnant women to do? What are the parents of a pregnant girl under age to do? What are the medical profession to do? They have no guidelines save what may be gleaned from the judgments in this case. What additional considerations are there? Is the victim of rape, statutory or otherwise, or the victim of incest, finding herself pregnant, to be assessed in a manner different from others? The Amendment, born of public disquiet, historically divisive of our people, guaranteeing in its laws to respect and by its laws to defend the right to life of the unborn, remains bare of legislative direction.
I do have a concern about the effect of the provisions for suicide. I do think that a woman whose pregnancy is contributing to her suicidal ideation should be allowed to have an abortion. But it is also possible that someone could overcome their feelings of suicide while still being in a condition of severe mental or physical distress. Both she and her doctor might still believe it the best thing for her well-being that she receive an abortion, but it would no longer be an option.
The provision of abortion in the case of suicide ideation means that a woman would end up confirming to herself, to her own GP, to two consultant and to an obstetrician that she may her take her life. This burden means that in most instances, a woman would most likely still feel it preferable to travel obtain an abortion. What has not received enough focus is the mental effect it would have to confirm this feeling again and again, that it could worsen the impact, and knowing that if she were to find that she was no longer suicidal, she could no longer obtain an abortion. Her GP would ordinarily attempt to alleviate her condition of suicidal ideation; but in this case, while he believed that an abortion was in her best interest, he would feel conflicted as to whether he should do so.
This situation is a result of the constraint the legislature is in, to act within Article 40.3.3°, specifically as interpreted by the Supreme Court in Attorney General v. X. Reading the judgment, which includes extracts from the oral proceedings, it did seem clear to me from a number of instances that the girl in question had entertained serious thoughts of suicide, but it also struck me that it was not primarily on that condition of suicide ideation that John Rogers, representing X, made his defence. It was on her more general case and circumstances that he made the case against an injunction preventing her from travelling to England to obtain an abortion.
This effect then reinforces for me a need for a referendum to remove Article 40.3.3°. This bill, and what I believe to be a generally unsatisfactory position, is within that provision.
Removing this Constitutional provision would not introduce abortion; it would rather remove the constitutional prohibition on doing do. I do not imagine that any likely government in the near future would introduce a liberal regime, but it would be a matter for Dáil debate and party negotiation as it is in most other countries. The Oireachtas would have the freedom then to consider various provisions, and review and revisit these laws after perceiving their application.
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