That unmistakable mood or note that I hear from Hanwell [an insane asylum], I hear also from half the chairs of science and seats of learning today; and most of the mad doctors are mad doctors in more senses than one. —G.K. Chesterton
Engagement in abstract philosophical discussion of abortion and euthanasia with their proponents can be a good thing. Such discussion enables us to speak the truth in love to a culture of death and can also help us solidify our own beliefs and understand the deeper reasoning behind them. But it is quite another thing when someone explicitly suggests to you that you kill your own baby.
Several weeks ago a blood screening found that the levels of two proteins in my wife's blood were below the normal values. Comparing those protein levels to women of similar age, weight, etc., the screeners determined that the new George baby had a 1 in 99 chance (1.01%) of having Trisomy 18, a genetic disorder similar to Down Syndrome but much more severe. We were referred for genetic counseling and for a more comprehensive ultrasound that would look for the tell-tale signs of Trisomy 18.
Last Wednesday we had our appointment.
I was skeptical of genetic counseling, imagining that the counselor would suggest to us our "options," and so I went with a well-rehearsed answer to anyone who might suggest an abortion. Said answer contained not much profanity, but enough to emphasize my point. I am like the father in A Christmas Story; I work in profanity like some artists work in oils. However, the genetic counselor never mentioned abortion; instead we discussed family history and the nature of the Trisomy 18 disorder.
We then met with the doctor who had reviewed the results of our ultrasound. He found none of the deformities associated with Trisomy 18 and so reduced the odds by 90%, meaning the baby now has, roughly, a 1 in 1000 chance of having Trisomy 18. One out of a thousand sounds large until you turn it around: the odds are 999 out of 1000 that the baby will be perfectly healthy. We will have another ultrasound in six weeks to get a better look at the heart though everything the doctor could see looked normal. This is good news. We love the baby and welcome him no matter what health problems he may have. But, parents want the best for their children, including the best health, and so we are quite pleased that more than likely that the baby will be perfectly healthy.
The doctor then proceeded to discuss our options. First he suggested amniocentesis, a test which uses fluid drawn from the womb to analyze the baby's genetic makeup. We made it clear that we would not have the amniocentesis; the risk of miscarriage and/or pre-term labor is too high. We also made it clear that regardless of the results of the amniocentesis we would not have an abortion so having the test would be useless in that respect. Regardless, the doctor continued to insist on the amniocentesis and at first I was unclear on his reasoning. He spoke very fast, perhaps I misunderstood. The conversation went something like the following (the words are as close as I can remember to those actually spoken; remember, the doctor went pretty fast):
Doctor: Amnio blah blah blah you can be sure. Blah blah blah most Trisomy 18 babies don't survive labor blah blah blah opt out of Caesarean blah blah blah. Any questions? Are you confused?
Angie: No, no questions.
Me: Well, I'm confused.
Doctor: (Slows down.) What are you confused about?
Me: Well, I got lost somewhere around labor and opting out of the Caesarean.
Doctor: I'll see if I can clear this up a bit. Most Trisomy 18 babies don't survive labor so you may decide to opt out of a Caesarean.
Me: You mean that if the baby has Trisomy 18 he will most likely not survive labor so we would then opt for a Caesarean to try to save the baby.
Doctor: That's not what I said. What I said was that Trisomy 18 babies won't survive labor, so parents who maybe don't want to have an abortion can opt to not have a Caesarean.
Me: So you're saying that if the baby has Trisomy 18, that instead of having a Caesarean that might save the baby's life, that we should instead go through vaginal labor so that the baby would die?
Doctor: The baby's gonna die within the first year of life anyway. I'm just trying to let you know your options.
Me: What option? We're gonna do everything we can for the kid.
Angie: I'll have a Caesarean if the baby needs one to live.
Doctor: Well, in five years this will be your family and you have to make the decision. With an amnio, you'd know for sure and could make the best decision. I'm sure we'll talk about this again in six weeks.
Like hell we will.
I had expected suggestions of direct abortion so I was thrown when the doctor suggested killing the baby through vaginal labor. I did not have the opportunity to use my well-prepared response. After the fact, I am disappointed that I did not use one single instance of profanity at any point in the conversation. However, there is still some debate between myself and another armchair theologian whether profanity would have been effective.
We armchair theologians have also discussed why doctors tend to insist on amniocentesis. We had come to the conclusion that they simply wanted to sell another test to more thickly line their pockets with cash. We thought Deep Throat had a good idea so we followed the money in our reasoning.
But now, having had first-hand experience, I am forced to change my conclusion. Money is not the ultimate reason doctors insist on amniocentesis. Consider our mad doctor's reasoning: With an amnio we can find out for sure whether the baby has Trisomy 18 and then can then make a more informed decision on whether to let the baby die during labor because we would not kill the child through direct abortion. If money was the doctor's primary motivation, he could just as easily have sold the amnio by suggesting that we could make more informed decisions on how to better care for the baby once it is time to deliver. He makes the same amount of money for the test regardless of the reasoning. Furthermore, if money was the primary motivation, it should be obvious to the doctor that there is far less money to be made in a one-time test than in long-term care for an unhealthy child.
To insist on amniocentesis in order to decide whether to kill a child—my child—points to a motivation much darker than the love of money: the desire to rid the world of the "undesirables." Whether the doctor is conscious of such a motivation I cannot know. Perhaps he has been subconsciously influenced by the prevailing cultural wind, perhaps he has been educated beyond his intelligence. I do not pretend to know, and certainly cannot judge, the state of the man's soul. I can simply find no other plausible explanation for his suggesting that I kill my baby than his wanting to dispose of a sick child.
Regardless of whether the mad doctor was conscious of anything at all, his counsel was the same. He suggested that we could participate in a premeditated, willful act intended to deliberately cause the death of another human being. Without a formal legal or medical training to distort my powers of reason, such an act sounds to me very much like murder.
The doctor's suggestion that killing the baby through vaginal labor instead of through abortion implies that somehow such an act would no longer be murder. But this idea is in no way justifiable. In an abstract philosophical discussion, we would say that the means do not justify the end. Both the end and the means must be independently justifiable or the act is still immoral. In more concrete terms, killing the baby in a different way is still killing the baby—deliberately, willfully, and with intent.
There are some who may attempt to excuse the doctor for simply "doing his job" and providing his patients with all their "options." This, ladies and gentlemen, is Grade A, first class, with a cherry on top bullshit. God does not excuse evil and Divine Law is not relative to one's vocation. That I am a programmer does not excuse me for committing acts from which an accountant would be prohibited. The commandment is not "Thou shalt not commit adultery, unless of course you have a professional obligation to sleep with another man's wife." Nor did God tell his people, "Thou shalt not steal, unless of course it will help you grow your business." Rather, the commandments are absolute: Adultery is always wrong. Stealing is always wrong. Murder is always wrong. To counsel murder is evil.
The intent to rid the world of the unfit found a unique application in Europe in the 1940s. Over six million Jews and several million other persons were murdered for the purpose of creating Nietzsche's Übermensch. The same mentality is active today: kill the babies and old people who are no longer productive and no longer contribute, those who can no longer maintain a high "quality of life," the "useless eaters." Those who commit such acts and those who counsel the same do so because they refuse to see the intrinsic dignity in every human being, even those with a 1 in 1000 chance of having genetic disorders that will most likely kill them in their first year after birth. All human life has an intrinsic worth, even the mad doctor's.
In keeping with the very German theme of our conclusion, I offer this sentiment to anyone who would suggest that I kill my child: Leck mich am Arsch!