Health Department Draft Plan Declares Life Begins At Conception

Here's why that's a problem.
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Anti-abortion protesters march in Washington, D.C., at the annual March for Life in January. Official government language establishing that life begins at conception could tilt the scales toward more infringement on women's reproductive choices.
ANDREW CABALLERO-REYNOLDS/AFP via Getty Images

The Department of Health and Human Services released its strategic plan for 2018 to 2022 last month. As Jezebel reported Tuesday, the introduction now includes: “HHS accomplishes its mission through programs and initiatives that cover a wide spectrum of activities, serving and protecting Americans at every stage of life, beginning at conception.” The concept of “life at conception” is mentioned four more times in the 65-page report

This idea has long been used by the anti-abortion community as justification for its protests, constant attempts to pass anti-abortion legislation (like the Pain-Capable Unborn Child Protection Act, which the House passed last week, that would ban abortions after 20 weeks) and remains a pillar of the religious far-right’s agenda.

But there is no medical determination that “life” starts at conception.  

Dr. Anne Davis, consulting medical director at Physicians for Reproductive Health, told HuffPost on Wednesday that medical professionals purposefully don’t take a stance on the topic.

“There’s a reason that we don’t provide a definition of when life begins because there isn’t such a definition in medicine,” she said. “It’s not a medical concept.”

Davis elaborated that there is a huge misunderstanding of how “conception” (actually, fertilization) even works.

“The confusion here is that people think that the moment of fertilization is when pregnancy starts. They conflate those two things as one … which isn’t true,” she said. “Fertilizations occur many more times than pregnancies occur, because they often don’t wind up in pregnancies. Fertilization happens in the [fallopian] tube. Pregnancy happens in the uterus.” 

Basically, the anti-abortion community stakes the entire basis of its belief system on medically unsound facts. 

“It’s not a medical concept. It’s a concept people maybe come to from a religious frame of mind, but it isn’t medical,” Davis told HuffPost. “People think there is a magic moment when they have sex, that there’s ejaculation, fertilization and pregnancy happening in seconds. It doesn’t happen then.”

“It’s a concept people maybe come to from a religious frame of mind, but it isn’t medical.”

- Dr. Anne Davis, Physicians for Reproductive Health

In fact, it’s difficult to even research the topic because so many resources are in biased publications.

TrueLife, LifeMatters and National Right to Life all post countless articles “confirming” that life begins at conception. 

One organization, the American College of Pediatricians, presents itself as a scientific resource claiming that life begins at conception, but it has actually been declared by the Southern Poverty Law Center as a hate group for its anti-LGBT agenda, among its other beliefs. In its mission statement, the organization says that it recognizes “the basic father-mother family unit, within the context of marriage, to be the optimal setting for childhood development.” Its director, Dr. Michelle Cretella, has appeared on Fox News to criticize “transgenderism.”

Such sources are unlikely to provide unbiased medical research. 

But more neutral sources, like Davis and the medical community at large, are rightly not interested in arguing about the moment “life” starts. Davis told HuffPost that Americans, a majority of whom support the Roe v. Wade ruling that legalized abortion, “are being hijacked by a tiny number of people,” such as Tom Price (who resigned as HHS secretary last month after criticism of his costly use of private planes for official business) and other HHS appointees, who wish to chip away at reproductive health care. Including this language in the strategic plan, Davis said, “is setting the stage for turning things back, coming up with these justifications for refusing to cover” reproductive health care.

“People who wish to restrict access are trying to take non-medical concepts and attach them to medical things, and patients and doctors live with the consequences.” 

The Department of Health and Human Services is accepting comments on the draft until Oct. 27. 

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Before You Go

Myths About Abortion That Need To Be Busted
MYTH: Abortion is dangerous.(01 of08)
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REALITY: Over 99.75 percent of abortions do not cause major medical problems.Less than one-quarter of 1 percent of abortions performed in the United States lead to major health complications, according to a 2014 study from the University of California, San Francisco, that tracked 55,000 women for six weeks after their abortions. The researchers note that this makes an abortion statistically about as risky as a colonoscopy.If that fact seems surprising, consider how American pop culture misrepresents the risks of abortion: Nine percent of film and television characters who have abortions die as a direct result of the procedure, according to another 2014 study from UCSF. (credit:Getty Images)
2. MYTH: Medical abortions -- those performed using pills -- are still fringe.(02 of08)
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REALITY: About one in five abortions are medical abortions.The Centers for Disease Control and Prevention found that 19 percent of abortions in 2011 were medical abortions and that 28.5 percent of those took place in the first nine weeks of pregnancy. The Guttmacher Institute also found that medical abortions increased substantially from 2008 to 2011, meaning more women have ended their pregnancies with this alternative to surgery.

3. MYTH: Women who get abortions will regret it, and are more likely to suffer mental health issues.
(03 of08)
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REALITY: Most women will not regret their decision, and are no more likely to experience mental health problems than women who carry an unplanned pregnancy to term.While many women experience mixed emotions after an abortion, 95 percent of women who have abortions ultimately feel they have made the right decision, according to an August 2013 study from UCSF. "Experiencing negative emotions postabortion is different from believing that abortion was not the right decision," the researchers explained. Furthermore, while unplanned pregnancies often cause emotional stress, there is no evidence to suggest that women who choose to terminate their pregnancies will be more likely to suffer from mental health issues, according to a 2008 report from the American Psychological Association that investigated all relevant medical studies published since 1989.The APA found that past studies claiming abortion causes depression and other mental health problems consistently failed to account for other risk factors, particularly a woman's medical history. The APA accounted for these factors and found that, among women who have an unplanned pregnancy, those who have abortions are no more likely to experience mental health problems than those who carry the pregnancy to term.
4. MYTH: Fetuses experience pain during abortions.(04 of08)
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REALITY: Fetuses cannot feel pain until at least the 24th week of pregnancy. Experts ranging from Britain’s Royal College of Obstetricians and Gynaecologists to the American Congress of Obstetricians and Gynecologists agree with that timeline. In fact, research from UCSF found that fetuses can't perceive pain before 29 or 30 weeks of development.Then why have so many states banned abortions after 20 weeks of pregnancy? Perhaps misrepresentation of research is partly to blame: Many of the researchers most frequently cited by pro-life politicians told The New York Times that their research does not prove anything about fetal pain.
5. MYTH: The majority of Americans don't think abortion should be legal.(05 of08)
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REALITY: Most Americans support a woman's right to choose.According to a Gallup poll from 2014, 78 percent of Americans think abortion should be legal in some or all circumstances. (Fifty percent said "some circumstances," while 28 percent said all.) What's more, in 2012, Gallup found that 61 percent of Americans think abortions that take place during the first trimester of pregnancy should be legal. (Nine out of 10 abortions in the U.S. do take place during that time period, according to Guttmacher.) (credit:Getty )
7. MYTH: Most American women have easy access to abortions.(06 of08)
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REALITY: Women face a growing number of barriers to accessing abortions.More than 57 percent of American women live in states that are hostile or extremely hostile to abortion rights, according to the Guttmacher Institute. That represents a marked increase from 2000, when 31 percent of American women lived in such states. In 2011, 89 percent of counties in America had no abortion clinics. This is no accident: Across the U.S., lawmakers have enacted 231 new abortion restrictions over the past four years, according to a Guttmacher analysis from January 2015. As a result, many women have to travel great distances to reach an abortion clinic, where they may face 24-hour wait periods. These barriers particularly affect women living in rural areas and low-income women, who often can't afford to take time off work and pay for gas and a hotel room. Other laws force women to go through potentially distressing procedures, such as viewing their own ultrasound photos, in order to move forward with an abortion.
9. MYTH: Women would never have abortions if they knew what it was like to have a child.(07 of08)
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REALITY: Most women who have abortions are already mothers.Sixty-one percent of women who had abortions in 2008 were mothers, and 34 percent had two or more children, according to the Guttmacher Institute. That number only increased after the 2009 financial downturn. The National Abortion Federation told Slate that between 2008 and 2011, 72 percent of women seeking abortions were already mothers. A study from Guttmacher found that mothers typically have abortions to protect the children they already have; they simply cannot afford to raise another child. (credit:Getty Images)
10. MYTH: It is dangerous to perform abortions in clinics that do not meet the same standards as ambulatory surgical clinics. (08 of08)
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REALITY: Requiring abortion clinics to meet these standards does little to improve patient safety and forces many to shut down.Currently, 22 states require abortion clinics to meet a set of restrictive and often arbitrary standards, dictating that they be close to hospitals and that their hallways and closets meet certain measurements. Clinics often need to undergo expensive renovations in order to comply, and leading doctors' groups say the laws do little to improve patient safety.What's more, 11 states now require that doctors at abortion clinics obtain admitting privileges at a nearby hospital, but many hospitals flat-out refuse to grant these privileges. As a result, hospitals essentially have the power to shut down nearby clinics. (credit:Getty Images)