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When abortion is an expected duty

Posted by Raven on October 19th, 2005

Some things really pull at your heart and soul. We all have our own opinions about such things as abortion being wrong…many of us think it’s wrong for different reasons. When I read this it brought tears to my eyes…I have empathy for this Mom. Not because I have a handicapped child. But because I work with developmentally disabled children and young adults. It’s not the same as having a child with these “problems”, but it’s about as close to it as one can get.

SANTA MONICA, Calif. — If it’s unacceptable for William Bennett to link abortion even conversationally with a whole class of people (and, of course, it is), why then do we as a society view abortion as justified and unremarkable in the case of another class of people: children with disabilities?

I have struggled with this question almost since our daughter Margaret was born, since she opened her big blue eyes and we got our first inkling that there was a full-fledged person behind them.

She puts my thoughts into words…Why do we discriminate against an entire class of human beings? Who are we to do this? (We as in those who use birth defects as an acceptable reason for abortion.)

Whenever I am out with Margaret, I’m conscious that she represents a group whose ranks are shrinking because of the wide availability of prenatal testing and abortion. I don’t know how many pregnancies are terminated because of prenatal diagnoses of Down syndrome, but some studies estimate 80 to 90 percent.

Imagine. As Margaret bounces through life, especially out here in the land of the perfect body, I see the way people look at her: curious, surprised, sometimes wary, occasionally disapproving or alarmed. I know that most women of childbearing age that we may encounter have judged her and her cohort, and have found their lives to be not worth living.

To them, Margaret falls into the category of avoidable human suffering. At best, a tragic mistake. At worst, a living embodiment of the pro-life movement. Less than human. A drain on society. That someone I love is regarded this way is unspeakably painful to me.

It’s painful for me as well. Avoidable human suffering? I think not. In this case, Downs Symdrome is not one of those awful and painful disabilities someone has to live with. In most cases of birth defects, the lives of those affected- the “victims”- those born with the diseases and conditions- can live their lives relatively pain free. They need supports and assistance. They need excellent medical and nursing care. With the right treatments and therapies, any individual born with defects can lead a life that is of value and importance.

This view is probably particularly pronounced here in blue-state California, but I keep finding it everywhere, from academia on down. At a dinner party not long ago, I was seated next to the director of an Ivy League ethics program. In answer to another guest’s question, he said he believes that prospective parents have a moral obligation to undergo prenatal testing and to terminate their pregnancy to avoid bringing forth a child with a disability, because it was immoral to subject a child to the kind of suffering he or she would have to endure. (When I started to pipe up about our family’s experience, he smiled politely and turned to the lady on his left.)

Margaret does not view her life as unremitting human suffering (although she is angry that I haven’t bought her an iPod). She’s consumed with more important things, like the performance of the Boston Red Sox in the playoffs and the dance she’s going to this weekend. Oh sure, she wishes she could learn faster and had better math skills. So do I. But it doesn’t ruin our day, much less our lives. It’s the negative social attitudes that cause us to suffer.

Believe it or not, most disabled children do have the same needs and desires, as well as the same complaints and worries as do their non-disabled friends. They may be slower to respond to things. They may need an assistive device to speak for them. They may have different ways of eating and drinking. But they all have one thing in common: They’re kids. Who have dreams and fears about their lives. Who worry about what they look like and what their friends think of them. They’re human beings.

Many young women, upon meeting us, have asked whether I had “the test.” I interpret the question as a get-home-free card. If I say no, they figure, that means I’m a victim of circumstance, and therefore not implicitly repudiating the decision they may make to abort if they think there are disabilities involved. If yes, then it means I’m a right-wing antiabortion nut whose choices aren’t relevant to their lives.

Isn’t it nice to know that it’s expected of women now a days? To get “tested”. To see what possible defects their child MIGHT be born with? It’s a shame because many of the test results are wrong. Many babies are aborted when nothing is *wrong* with them.

In ancient Greece, babies with disabilities were left out in the elements to die. We in America rely on prenatal genetic testing to make our selections in private, but the effect on society is the same.

Margaret’s old pediatrician tells me that years ago he used to have a steady stream of patients with Down syndrome. Not anymore. Where did they go, I wonder. On the west side of L.A., they aren’t being born anymore, he says.

The irony is that we live in a time when medical advances are profoundly changing what it means to live with disabilities. Years ago, people with Down syndrome often were housed in institutions. Many were in poor health, had limited self-care and social skills, couldn’t read, and died young. It was thought that all their problems were unavoidable, caused by their genetic anomaly.

Now it seems clear that these people were limited at least as much by institutionalization, low expectations, lack of education and poor health care as by their DNA. Today people with Down syndrome are living much longer and healthier lives than they did even 20 years ago. Buoyed by the educational reforms of the past quarter-century, they are increasingly finishing high school, living more independently and holding jobs.

Back in the days of institutionalization, these children were not treated well. The nurses who took care of them had low expectations. They didn’t believe in rehab medicine. They didn’t have all the medical and assistive devices we have now. Simple surgeries now can mean the chance to walk, or talk. Or swallow correctly. Developmental Pediatric Medicine has come a long way. Nurses have been trained and many are experts at dealing with, working with, this population. It’s not just those with Down’s Syndrome who benefit from this. Many of the disabilities have been studied and lives are improving everyday. I wish this could all be shared with potential Moms who are considering abortion.

That’s the rational pitch; here’s the emotional one. Margaret is a person and a member of our family. She has my husband’s eyes, my hair and my mother-in-law’s sense of humor. We love and admire her because of who she is — feisty and zesty and full of life — not in spite of it. She enriches our lives. If we might not have chosen to welcome her into our family, given the choice, then that is a statement more about our ignorance than about her inherent worth.

What I don’t understand is how we as a society can tacitly write off a whole group of people as having no value. I’d like to think that it’s time to put that particular piece of baggage on the table and talk about it, but I’m not optimistic. People want what they want: a perfect baby, a perfect life. To which I say: Good luck. Or maybe, dream on.

Parents of children with disabilities are the most insightful, loving and caring people I know. They have a sense of love and life and they advocate for their children. They are fighters. They experience a lot of emotional roller coaster rides. I respect them all and will forever have a special place in my heart for them. They all ask the same questions too…”Should we have brought this child into the world?” They live with guilt. But the joys of being a parent are just as real, no matter what *condition* your child has. Everyone wants that PERFECT BABY. We have all seen that child: Blond haired, blue eyed bundle of joy with a sweet smile and deep dimples. Children born with defects have sweet smiles and deep dimples, and often they have personalities that are not matched with anyone else! They bring joy to many people.

And here’s one more piece of un-discussable baggage: This question is a small but nonetheless significant part of what’s driving the abortion discussion in this country. I have to think that there are many pro-choicers who, while paying obeisance to the rights of people with disabilities, want at the same time to preserve their right to ensure that no one with disabilities will be born into their own families. The abortion debate is not just about a woman’s right to choose whether to have a baby; it’s also about a woman’s right to choose which baby she wants to have.

The truth is sometimes hard to swallow. Who wants to have a handicapped child? Everyone wants perfection. Just remember, perfection will always come back to haunt you if you fail to see the goodness and happiness in every human being. I also want to add that the political forces involved here, liberals and that lot, don’t do much to really educate people about these children. No one speaks for them, except the parents and people like me, who take care of them for a living. Sadly, even with my loudest screams, the message isn’t heard because no one wants to listen.

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7 Responses to “When abortion is an expected duty”

  1. GM Roper Says:

    Great post!

  2. Kender Says:

    Your writing humbles me dear, and your compassion is awe inspiring.

  3. wavemaker Says:

    Lovely post Raves.

    My 14 y/o son has Aspergers Syndrome, in a fashion that makes him different from most disabled children — most disabilities are easily discernible and immediately evocative of sympathy. My son’s is not, because it’s most obvious manifestation is a quick temper and exceedingly crude language. So, in the eyes of others, we are not viewed as parents of a disabled child, and therfore deserving of understanding or sympathy — we are the clueless and overindulgent parents of an out-of-control hellion. Guess what. Fuck them.

    He is also brilliant, exceedingly funny, very talented, and quite the handsome babe magnet.

    He has made our lives complicated, stressful and worrisome — and enriched beyond words.

    You don’t measure the worth of human life with gold stars on a behavior sheet.

  4. Kender Says:

    Wavemaker, if you think that having a son that has an invisible disability that makes people think you are a bad parent puts you into a parental catagory of “special parent” you are mistaken……

    That happens to be in the catagory of “Amazingly Awesome Parent”…..It is hard enough to be the parent of a disabled shild……to be the parent of a disabled child that people don’t realize is disabled is even more trying, and your reward for such a priviledge is beyond comparision.

    It is a priviledge to have a “disabled” child in your life….they are amazing, and from the many I have known in my life, “disabled” kids are more loving than yoru average kid.

    You rock on Wavemaker. Enjoy the run. God must have given you big shoulders and filled them up…..feels good to be so strong doesn’t it?

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  6. wavemaker Says:

    Aww shucks Kender, you be sweet.

    Does that mean it’s okay for me to dull the pain with just enough, but not too much, gin?

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