Mandatory sonograms only add to abortion's difficulties

Posted Saturday, Feb. 26, 2011 0 comments  Print Reprints
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Hours of emotional testimony before a House committee in Austin last week showed, to no one's surprise, that the debate over abortion in Texas has lost none of its intensity in the 38 years since the U.S. Supreme Court's landmark Roe v. Wade decision.

If anything, it has become harder to decide which side is right in the many branches of argument that the debate has taken over the years. Careful thought and reflection help, but it never gets easy.

The Legislature is considering whether a doctor who is about to do an abortion should first be required to perform a sonogram on the pregnant woman and whether she must listen to the doctor's description of her embryo or fetus, including its measurements and whether it has a heartbeat, arms, legs or internal organs.

Proponents say the purpose is to give the woman information to help her decide whether to have the abortion or carry the baby to term. Others say lawmakers are setting up roadblocks designed to make life harder for abortion providers and women who, in most cases, have already chosen what they feel is right for them.

Although the Supreme Court has ruled on other abortion cases in the years since Roe v. Wade, none have changed its central tenet. The court refined and restated that central finding in a 1992 case, Planned Parenthood v. Casey: "These matters, involving the most intimate and personal choices a person may make in a lifetime, choices central to personal dignity and autonomy, are central to the liberty protected by the Fourteenth Amendment. At the heart of liberty is the right to define one's own concept of existence, of meaning, of the universe, and of the mystery of human life. Beliefs about these matters could not define the attributes of personhood were they formed under compulsion of the State."

It's an individual's choice. Still, the Casey decision placed great emphasis on a counterpoint: "To promote the State's profound interest in potential life, throughout pregnancy the State may take measures to ensure that the woman's choice is informed, and measures designed to advance this interest will not be invalidated as long as their purpose is to persuade the woman to choose childbirth over abortion."

Having a sonogram and listening to a description of its findings can reasonably be said to inform a woman's choice. But using the power of the state to require it, under the threat of severe sanctions involved in this legislation (loss of license for the doctor, denial of an abortion for the woman), is wrong.

Requiring a woman to submit to a sonogram she might not want in order to receive another medical procedure isn't justified, and in this case it's an undue burden on the exercise of a liberty the Supreme Court says is protected by the Fourteenth Amendment. Women who want to opt out of the sonogram should be able to. They can be provided information about their pregnancy and the risks of abortion through less invasive means, as is currently required.

Proponents of the legislation told members of the House Committee on State Affairs last week that sonograms are already being performed at Texas abortion clinics but that the women involved are being denied access to the sonogram pictures or other results of the procedure.

Witnesses said many women cannot speak face to face with a doctor to have their questions answered before the abortion.

If that's the case, the Legislature must fix those problems. Both would indicate an unacceptable lack of respect for women in a trying time.

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