Now here’s a conundrum: at what stage of life does a fetus acquire the “right” to be free from having its health controlled by the religious beliefs of its parents? According to yesterday’s Sydney Morning Herald, a 28-year-old woman in Australia was discovered to have leukemia when she was seven months pregnant. She was also a Jehovah’s Witness, which means that it was against her religion to get blood transfusions. Because there were complications of the pregnancy (probably related to the leukemia), the doctors needed to do a Caesarian section, but couldn’t because the mother would bleed to death since she wouldn’t accept blood.
The baby died, and the mother died shortly thereafter from a stroke—a common cause of death in untreated leukemia, as with the Canadian First Nations girl Makayla Sault. In all likelihood the doctors could have saved the baby, but it would have involved killing the mother, although the mother would have died anyway from the disease.
Seven months pregnant is beyond the time when the fetus is considered viable, and beyond the time abortion is legal in the U.S.
The question is this: did the doctors do the ethical thing by letting both die? Their action was legal, as they abided by the mother’s wishes, and couldn’t at any rate kill her, though a bill has been drawn up in Australia that would criminalize harming a fetus in utero). But should the doctors have forcibly transfused her, saved the baby via Caesarian, and then let the mother have her wish and die from leukemia? What we have here is the equivalent of a parent choosing death, but in the process choosing to abort a 7-months-old fetus. In the U.S., I suspect, doctors would have done the same thing, for to save the baby they’d have to kill the mother.
My own view is that nothing could be done, for I am one of those extremists who isn’t opposed to late-term abortions, and don’t feel that the fetus had any “right” to live at the mother’s expense. Nor do I think that in such a case the mother should have been forced to have a transfusion, which violates her religion—even though I think that those religious views are particularly stupid and harmful. She was, according to law, old enough to have “decided” what she did, though, as a determinist, I recognize that she, probably brainwashed as a child, had no more choice in the matter as did her fetus.
Still, the baby was not unwanted, and both it and the mother could have lived with a transfusion. Perhaps the mother would have eventually died of leukemia, for I don’t think one can survive that without transfusions, but I’m not sure. What bothers me immensely is that both deaths were completely needless, based as they were on the two Bible verses that Jehovah’s Witnesses use to justify refusing whole-blood transfusions. (Curiously, they will accept some components of blood, like serum.) It’s yet another example of two lives martyred for an ancient work of fiction.
As for the legal aspects, the paper quotes a bioethicist:
Sascha Callaghan, an expert in ethics and law at the University of Sydney, said the law as it stands allowed the mother to make decisions that would affect the fetus, even if it probably would have been able to survive outside her body.
“This isn’t to say it isn’t a tragic event … but we live in a society where, within reason, we let citizens be the authors of their own lives,” she said. “If you are going to grant women full rights as citizens, are you going to dilute those rights for women who are carrying fetuses?”
Dr Callaghan said Jehovah’s Witnesses were often unfairly criticised for their religious stance against blood transfusion despite it being a thoughtfully and strongly held belief.
“This woman had a long-held commitment to the Jehovah’s Witness faith and that’s how she chose to die. We are all entitled to die with dignity,” she said. “When your fetus is in utero, it is inextricably tied to your life.”
This gives unwarranted respect to a horrible, execrable belief. It is not “unfair” to criticize a belief based on Bronze Age mythology, even if it is “thoughtfully and strongly held.” First of all, it’s hardly “thoughtful”, as it’s based on two Bible verses about eating blood, which certainly can have other interpretations. Jehovah’s Witnesses aren’t allowed to deliberate on the issue, and they get it from indoctrination. Further, there are many “strongly held beliefs” that deserve no respect by virtue of the strength of adherence: denial of rights for gays is such a view. So while I agree with Callaghan’s view that what doctors did in this case was proper, I don’t afford an iota of respect to the religious views of a woman who decided to die and take her unborn child with her. Yes, by all means apprise her of the risk, and treat her with the dignity afforded all humans who choose to die, but do not insult rationality by saying that criticism of her choice is “unfair.” On the contrary, criticism of such choices is almost mandatory, for they are both irrational and murderous.
h/t: Pyers

