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A pediatrician‟s response
           to
      Roe v Wade
My dad‟s last written words to
me, though he probably did not
realize it at the time, were in
reference to statistics of cases of
abortion taking place at a local
hospital:

  “ I do not understand how
   they permit them to do it
   and how there could be
   physicians willing to do this!!!”
Roe v. Wade

   http://www.oyez.org/cases/1970-1979/1971/1971_70_18/
Roe v. Wade
      Document from CQ Press's
  Encyclopedia of U.S. Political History

  “By 1970, the question of
 whether and how to change
abortion laws had emerged as
   one of the most divisive
 political issues in American
            history.”
“Throughout most of U.S. history, abortion was
 both a taboo topic and rare in reality. It was
 never considered to be a political issue. Even
 the    nineteenth-century   feminists     were
 unanimous in denouncing abortion as „child
 murder‟ and demanding increasingly strong
 measures against it.”

Document from CQ Press's Encyclopedia of U.S. Political History
U.S. Supreme Court
  ROE V. WADE, 410 U.S. 113 (1973)
                    410 U.S. 113
  ROE ET AL. v. WADE, DISTRICT ATTORNEY OF DALLAS
 COUNTY 
APPEAL FROM THE UNITED STATES DISTRICT
     COURT FOR THE NORTHERN DISTRICT OF 
TEXAS
No. 70-18. 

Argued December 13, 1971 Reargued October
       11, 1972 
Decided January 22, 1973

  A pregnant single woman (Roe) brought a class action
  challenging the constitutionality of the Texas criminal
 abortion laws, which proscribe procuring or attempting
  an abortion except on medical advice for the purpose
                of saving the mother's life.
1973 US Supreme Court

  “The majority took as a basis for its analysis the
   history of abortion and concluded that the
   existing abortion statutes violated the
   constitutional rights of pregnant women and
   physicians.
from CQ Press's Encyclopedia of U.S. Political History
The Court concluded
 existing abortion statutes
violated the constitutional
rights of pregnant women
          based on
  the 14 th Amendment.
US Constitution
14th Amendment
Section 1. 
All persons born or naturalized in the United
  States, and subject to the jurisdiction thereof, are
  citizens of the United States and of the State wherein
  they reside. No State shall make or enforce any law
  which shall abridge the privileges or immunities of
  citizens of the United States; nor shall any State
  deprive any person of life, liberty, or property, without
  due process of law; nor deny to any person within its
  jurisdiction the equal protection of the laws.
Born – Person
• 14th Amendment defined a “citizen” to be a
  person born in the United States or a naturalized
  person -- using the term born to distinguish from
  those not born in the US.
• 14th Amendment also deliniated the rights of
  a person who is a citizen of the United States.
• 14th Amendment did not define
  “person”, specifically; it did not specify being
  born as necessary prerequisite to be considered a
  person.
Merriam-Webster Dictionary
               http://www.merriam-webster.com/


Origin of PERSON:

Middle English, from Anglo-French persone, from
 Latin persona actor's mask, character in a
 play, person, probably from Etruscan phersu
 mask, from Greek prosōpa, plural of prosōpon
 face, mask.

First Known Use: 13th Century.
Face of an unborn
           child




http://www.sandcastlefetalpics.com/images/LROWELL10.JPG
Constitutional Rights of the Unborn –
           Inheritance laws
Regarding inheritance the U.S. Supreme Court in
1884 McArthur v. Scottruled in favor of "The plaintiffs
in the present case, being as yet unborn," regarding
"the will of their grandfather..." Similarly, in their 1972
Weber v. Aetna Casualty & Surety Co. case, in which
the youngest "child was born posthumously," that is
after the father's death, the court ruled that the case
"requires equality of treatment between two classes of
persons," in this case, between legitimate and
illegitimate offspring, and for both born and unborn,
as late as a year before Roe, the court recognized the
inheritance rights of the unborn child.
Constitutional Rights of the Unborn –
             Homicide laws
• in 1891 the U.S. Supreme Court in Union Pacific Railway Co. v.
  Botsford, … a woman convicted of a capital crime would be examined
  for pregnancy, "in order to guard against the taking of the life of an
  unborn child for the crime of the mother.”

• As of April 2012, at least 38 states have fetal homicide laws. The
  states include: Alabama, Alaska, Arizona, Arkansas, California,
  Colorado, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas,
  Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan,
  Minnesota, Mississippi, Nebraska, Nevada, North Carolina, North
  Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina,
  South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West
  Virginia and Wisconsin. At least 23 states have fetal homicide laws
  that apply to the earliest stages of pregnancy ("any state of gestation,"
   "conception," "fertilization" or "post-fertilization”) .
                              -The National Conference of State Legislatures
“The Court drew on two articles by law
    professor Cyril Means Jr., then the general counsel
    of the National Association for the Reform of Abortion
    Laws (now NARAL Pro-Choice America). Means
    argued that abortion only became a crime because
    moving abortion from midwives to physicians had made
    the procedure highly dangerous. Curiously, Means did
    not present evidence regarding the methods midwives
    were using at the time, and the only evidence he
    presented regarding the dangerousness of abortions
    performed by physicians was evidence regarding the
    dangerousness of surgery generally in the early
    nineteenth century. The Court relied uncritically
    on Means's work, citing him seven times and no other
    historian more than once.”
from CQ Press's Encyclopedia of U.S. Political History
The 1973 Court claimed:
Our task, of course, is to resolve the issue by
 constitutional measurement, free of emotion
 and of predilection. We seek earnestly to do
 this, and, because we do, we [410 U.S.
 113, 117]      have inquired into, and in this
 opinion place some emphasis upon, medical
 and medical-legal history and what that history
 reveals about man's attitudes toward the
 abortion procedure over the centuries.
Case Name: ROE V. WADE, 410 U.S. 113
VI
2. THE HIPPOCRATIC OATH. WHAT THEN OF THE FAMOUS OATH
  THAT HAS STOOD SO LONG AS THE ETHICAL GUIDE OF THE
  MEDICAL PROFESSION AND THAT BEARS THE NAME OF THE GREAT
  GREEK (460 (?)-377 (?) B.C.), WHO HAD BEEN DESCRIBED AS THE
  FATHER OF MEDICINE, THE "WISEST AND THE GREATEST
  PRACTITIONER OF HIS ART," AND THE "MOST IMPORTANT AND
  MOST COMPLETE MEDICAL PERSONALITY OF ANTIQUITY," WHO
  DOMINATED THE MEDICAL SCHOOLS OF HIS TIME, AND WHO
  TYPIFIED THE SUM OF THE MEDICAL KNOWLEDGE OF THE PAST?
  /13/ THE OATH VARIES SOMEWHAT ACCORDING TO THE
  PARTICULAR TRANSLATION, BUT IN ANY TRANSLATION THE
  CONTENT IS CLEAR: "I WILL GIVE NO DEADLY MEDICINE TO
  ANYONE IF ASKED, NOR SUGGEST ANY SUCH COUNSEL; AND IN LIKE
  MANNERI WILL NOT GIVE TO A WOMAN A PESSARY TO
  PRODUCE
ABORTION," /14/ OR "I WILL NEITHER GIVE A DEADLY
  DRUG TO ANYBODY IF ASKED FOR IT, NOR WILL I MAKE A
  SUGGESTION TO THIS EFFECT. SIMILARLY, I WILL NOT GIVE TO A
  WOMAN AN ABORTIVE REMEDY." /15/
Court dismisses Hippocratic Oath
“THE LATE DR. EDELSTEIN PROVIDES US
 WITH A THEORY…DR. EDELSTEIN THEN
 CONCLUDES THAT THE OATH ORIGINATED
 IN A GROUP REPRESENTING ONLY A SMALL
 SEGMENT OF GREEK OPINION AND THAT IT
 CERTAINLY WAS NOT ACCEPTED BY ALL
 ANCIENT PHYSICIANS... THIS, IT SEEMS TO US
 [The Court], IS A SATISFACTORY AND
 ACCEPTABLE EXPLANATION OF THE
 HIPPOCRATIC OATH'S APPARENT RIGIDITY.”
So it appears the 1973 Court dismissed “THE
  OATH THAT STOOD SO LONG [Over
  2000 years] AS THE ETHICAL GUIDE
  OF THE MEDICAL PROFESSION,”
  based on the “theory,” and opinion of one
  single medical historian - Professor Ludwig
  Edelstein (1902-1965), classical scholar and
  historian of medicine.
BRIEFS OF AMICI CURIAE

WERE FILED BY GARY K. NELSON, ATTORNEY GENERAL OF ARIZONA, ROBERT K.
   KILLIAN, ATTORNEY GENERAL OF CONNECTICUT, ED W. HANCOCK, ATTORNEY
   GENERAL OF KENTUCKY, CLARENCE A. H. MEYER, ATTORNEY GENERAL OF
   NEBRASKA, AND VERNON B. ROMNEY, ATTORNEY GENERAL OF UTAH; BY JOSEPH
   P. WITHERSPOON, JR., FOR THE ASSOCIATION OF TEXAS DIOCESAN ATTORNEYS;
   BY CHARLES E. RICE FOR AMERICANS UNITED FOR LIFE; BY EUGENE J. MCMAHON
   FOR WOMEN FOR THE UNBORN ET AL.;
 BY CAROL RYAN FOR THE AMERICAN COLLEGE OF OBSTETRICIANS AND
   GYNECOLOGISTS ET AL.; BY DENNIS J. HORAN, JEROME A. FRAZEL, JR., THOMAS M.
   CRISHAM, AND DOLORES V. HORAN FOR CERTAIN PHYSICIANS, PROFESSORS AND
   FELLOWS OF THE AMERICAN COLLEGE OF OBSTETRICS AND GYNECOLOGY;
  BY HARRIET F. PILPEL, NANCY F.WECHSLER, AND FREDERIC S. NATHAN FOR
   PLANNED PARENTHOOD FEDERATION OF AMERICA, INC., ET AL.; BY ALAN F.
   CHARLES FOR THE NATIONAL LEGAL PROGRAM ON HEALTH PROBLEMS OF THE
   POOR ET AL.; BY MARTTIE L. THOMPSON FOR STATE COMMUNITIES AID ASSN.;
  BY ALFRED L. SCANLAN, MARTIN J. FLYNN, AND ROBERT M. BYRN FOR THE
   NATIONAL RIGHT TO LIFE COMMITTEE; BY HELEN L. BUTTENWIESER FOR THE
   AMERICAN ETHICAL UNION ET AL.; BY NORMA G. ZARKY FOR THE AMERICAN
   ASSOCIATION OF UNIVERSITY WOMEN ET AL.; BY NANCY STEARNS FOR NEW
   WOMEN LAWYERS ET AL.; BY THE CALIFORNIA COMMITTEE TO LEGALIZE
   ABORTION ET AL.; AND BY ROBERT E. DUNNE FOR ROBERT L. SASSONE.
• by Carol Ryan for the American College of
  Obstetricians and Gynecologists et al.; by
  Dennis J. Horan, Jerome A. Frazel, Jr., Thomas
  M. Crisham, and Dolores V. Horan for Certain
  Physicians, Professors and Fellows of the
  American College of Obstetrics and Gynecology;

• by Harriet F. Pilpel, Nancy F. Wechsler, and
  Frederic S. Nathan for Planned Parenthood
  Federation of America, Inc., et al.
Apparently this 2001 publication
  suggests the American College of
 Obstetricians and Gynecologists was
rushed into contributing to an amicus
   curiae and it did not necessarily
    reflect the true position of this
              organization.
There was no Brief of amici curiae by
 the American Academy of Pediatrics
• Did the only American medical organization
  committed to advocate for the rights of all
  children not have any opinion on Roe v.
  Wade?
• Was Roe v. Wade beyond the purview of the
  American Academy of Pediatrics?
• Was there no organization committed to
  protect the rights of the unborn in the United
  States in 1973?
“WE
   DID NOT
SAY ANYTHING!”
        John Zwicky, PhD
 AAP Founding Archivist (1994-2009)
      Pediatric History Center
John Zwicky, Ph.D., AAP
         The founding archivist of the AAP Pediatric History Center

Died of cancer March 10, 2009. He was 62. AAP archivist since 1994, John
   was well-known to AAP staff and Fellows during his tenure, a familiar sight
   in his blue lab coat in the Bakwin Library. Active in local and national
   archival organizations, John held leadership positions in the Society of
   American Archivists Science, Technology & Healthcare Roundtable and
   the Chicago Area Medical Archivists.
   “He was passionate about history and always relished the
   opportunity to dig deeper into the archives of the Academy or
   pediatrics.”
   His work is reflected in the center‟s collection at: www.aap.org/ research/
   history.htm.
As stated, the 1973 Court
          asserted:
  “The unborn have never
been recognized in the law as
persons in the whole sense.”
And the 1973 Court‟s decision states:
 “We need not resolve the difficult
question of when life begins. When those
trained in the respective disciplines of
medicine, philosophy, and theology are
unable to arrive at any consensus, the
judiciary, at this point in the development
of man's knowledge, is not in a position to
speculate as to the answer. [410 U.S.
113, 160]”
Did the Court not consider there
was a medical organization with
specific interest for the rights of
   all children, including the
             unborn?
The American Academy of Pediatrics was founded
 on June 24, 1930 by 35 pediatricians who met in
 Detroit at Harper Hospital in response to the need
 for an independent pediatric forum to address
 children‟s needs.

The Academy has always had as its primary purpose
 “The attainment by all children of the Americas of
 their full potential for physical, emotional and
 social health.”

“The Academy did not want to be another
  scientific society, but an advocacy group.”
Did the Court not realize the AAP had a Policy on the unborn ?
AGE LIMITS OF PEDIATRICS



   ... The purview of pediatrics includes the
 growth, development, and health of the child and
 therefore begins in the period prior to birth when
 conception is apparent.

 COUNCIL ON CHILD HEALTH



                           PEDIATRICS, Vol. 49, No.3, March 1972
Recall the Court‟s stated task:
“Our task, of course, is to resolve the issue by
 constitutional measurement, free of emotion
 and of predilection. We seek earnestly to do
 this,and, because we do, we [410 U.S.
 113, 117]      have inquired into, and in this
 opinion       place      some       emphasis
upon,     medical    and     medical-legal
historyand what that history reveals about
man's attitudes toward the abortion procedure
over the centuries.”
The argument could be made the purview of
the unborn lies in the realm of obstetricians and
not pediatricians.

This concern was addressed in 1970 by the
American Academy of Pediatrics.

The letter that follows reflects the response of
obstetricians to the question.
Pediatric History Center
Pediatric History Center
Having obtained support of the
American College of Obstetricians and
Gynecologists, the American Academy
of Pediatrics, published on December
 of 1971 its position on the unborn.
Pediatric History Center
AAP – the established leader and
  authority…of health care to
        children (1981)
Chief Justice Burger:
  What right, if
  any, does the
unborn fetus have?
AAP 1981
“Preferred Images of the Future”
Shouldn‟t the Court have asked
   the AAP for its position?

   Should the AAP not have
  spoken out about the “rights
    of the child” including to
           conception?
Innocenti: the unwanted children




           US Abortion annual rates
            1974: 898,570
            1990: 1,610,000
            2004: 1,222,100
                                      http://www.guttmacher.org/pubs/2008/09/23
                                      /TrendsWomenAbortions-wTables.pdf
Conclusions:
• The stated American College of Obstetricians and
  Gynecologists support for Roe v Wade was apparently
  rushed and not necessarily representative of its
  membership opinion.
• Either the Court failed to discover available information
  from the American Academy of Pediatrics or the
  Academy did not speak out/did not advocate for the
  unborn it claims to have purview over.
• The American College of Obstetricians and
  Gynecologists should have spoken out about the
  American Academy of Pediatrics joint responsibility for
  the fetus, to which it had agreed upon in 1970.
• Courts should only rule on ending life when no other
  recourse remains in order to protect other human life.
• Courts cannot justly or morally grant the “choice” to end
  innocent life.
Professor David W. Louisell
        was right.
Report and Recommendations Research on the Fetus
  The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research
                                                   1975
                              U.S. Department of Health, Education, and Welfare
                                    DHEW Publication No. (OS) 76-127

                                DISSENTING STATEMENT OF
                             COMMISSIONER DAVID W. LOUISELL




“the harsh and pervasive reality that American society is itself at
  risk--the risk of losing its dedication "to the proposition that all
  men are created equal." We may have to learn once again that
  when the bell tolls for the lost rights of any human being, even
  the politically weakest, it tolls for all.”


                                                                                              David W. Louisell
                                                                       Elizabeth Josselyn Boalt Professor of Law
                                                                               University of California, Berkeley
Baring Gould
                The Seven Last Words
                       1890

“There is nothing more disgraceful, there is no
  greater evidence of a demoralised heart, than to
  look upon suffering without sympathy and with
  mockery. It gives proof of the deadening of the
  humanity in man if he can see a fellow-creature
  endure agony without emotion.”


                                        Chapter 1, page 5.
“Woman‟s Choice”

     She might choose not to get pregnant.
Or she might choose to complete the pregnancy
               and keep the baby.
Or she might make the choice to adopt the baby
          to couple unable to conceive.
She should not have the “choice” to end the life
  of her innocent unborn child, on the basis of
                being unwanted.
“How can one morally accept laws that
permit the killing of a human being not
   yet born, but already alive in the
          mother‟s womb?”

                  Blessed John Paul II
The outcome
  is 2 victims -
The Aborted Child
   His Mother
Roe v. Wade
The Justices asked the question:
Has anyone in the Medical field
   defined when life begins?
              YES!
 The American Academy of
Pediatrics did in December 1971
The Court also asked if it would ever be right to
take the life of the unborn, at any stage of
   A
gestation, if it were granted personhood.

The         moral,          ethical         response            is:

   h
“Operations, treatments, and medications that
have as their direct purpose the cure of a
   o
proportionately serious pathological condition of
a pregnant woman are permitted when they
   u
cannot be safely postponed until the unborn
child is viable, even if they will result in the
   s
death       of      the      unborn       child.”
Ethical and Religious Directives for Catholic Health Care Services.
            Number 47. 2009 edition.
“The end result of this is tragic: not only is
     the fact of the destruction of so many
 human lives still to be born or in their final
stage extremely grave and disturbing, but no
    less grave and disturbing is the fact that
   conscience itself, darkened as it were by
  such widespread conditioning, is finding it
 increasingly difficult to distinguish between
   good and evil in what concerns the basic
              value of human life.”
             Excerpt from Evangelium Vitae by Blessed Pope John Paul II, 1995
As a pediatrician, I am making a plea to
      Honorable John G Roberts,
Chief Justice of the United States and to
               the Court:
When an inmate in prison is found to have been
 incarcerated based on wrongful evidence, he is
 granted his due freedom.

  Based on presented evidence, the unborn
  child‟s right to be born should be granted
  protection under the 14th Amendment.
Roevwadeaapfinal2

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Roevwadeaapfinal2

  • 2. My dad‟s last written words to me, though he probably did not realize it at the time, were in reference to statistics of cases of abortion taking place at a local hospital: “ I do not understand how they permit them to do it and how there could be physicians willing to do this!!!”
  • 3. Roe v. Wade http://www.oyez.org/cases/1970-1979/1971/1971_70_18/
  • 4.
  • 5. Roe v. Wade Document from CQ Press's Encyclopedia of U.S. Political History “By 1970, the question of whether and how to change abortion laws had emerged as one of the most divisive political issues in American history.”
  • 6. “Throughout most of U.S. history, abortion was both a taboo topic and rare in reality. It was never considered to be a political issue. Even the nineteenth-century feminists were unanimous in denouncing abortion as „child murder‟ and demanding increasingly strong measures against it.” Document from CQ Press's Encyclopedia of U.S. Political History
  • 7. U.S. Supreme Court ROE V. WADE, 410 U.S. 113 (1973) 410 U.S. 113 ROE ET AL. v. WADE, DISTRICT ATTORNEY OF DALLAS COUNTY 
APPEAL FROM THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF 
TEXAS No. 70-18. 

Argued December 13, 1971 Reargued October 11, 1972 
Decided January 22, 1973 A pregnant single woman (Roe) brought a class action challenging the constitutionality of the Texas criminal abortion laws, which proscribe procuring or attempting an abortion except on medical advice for the purpose of saving the mother's life.
  • 8. 1973 US Supreme Court “The majority took as a basis for its analysis the history of abortion and concluded that the existing abortion statutes violated the constitutional rights of pregnant women and physicians. from CQ Press's Encyclopedia of U.S. Political History
  • 9. The Court concluded existing abortion statutes violated the constitutional rights of pregnant women based on the 14 th Amendment.
  • 10. US Constitution 14th Amendment Section 1. 
All persons born or naturalized in the United States, and subject to the jurisdiction thereof, are citizens of the United States and of the State wherein they reside. No State shall make or enforce any law which shall abridge the privileges or immunities of citizens of the United States; nor shall any State deprive any person of life, liberty, or property, without due process of law; nor deny to any person within its jurisdiction the equal protection of the laws.
  • 11. Born – Person • 14th Amendment defined a “citizen” to be a person born in the United States or a naturalized person -- using the term born to distinguish from those not born in the US. • 14th Amendment also deliniated the rights of a person who is a citizen of the United States. • 14th Amendment did not define “person”, specifically; it did not specify being born as necessary prerequisite to be considered a person.
  • 12. Merriam-Webster Dictionary http://www.merriam-webster.com/ Origin of PERSON: Middle English, from Anglo-French persone, from Latin persona actor's mask, character in a play, person, probably from Etruscan phersu mask, from Greek prosōpa, plural of prosōpon face, mask. First Known Use: 13th Century.
  • 13. Face of an unborn child http://www.sandcastlefetalpics.com/images/LROWELL10.JPG
  • 14. Constitutional Rights of the Unborn – Inheritance laws Regarding inheritance the U.S. Supreme Court in 1884 McArthur v. Scottruled in favor of "The plaintiffs in the present case, being as yet unborn," regarding "the will of their grandfather..." Similarly, in their 1972 Weber v. Aetna Casualty & Surety Co. case, in which the youngest "child was born posthumously," that is after the father's death, the court ruled that the case "requires equality of treatment between two classes of persons," in this case, between legitimate and illegitimate offspring, and for both born and unborn, as late as a year before Roe, the court recognized the inheritance rights of the unborn child.
  • 15. Constitutional Rights of the Unborn – Homicide laws • in 1891 the U.S. Supreme Court in Union Pacific Railway Co. v. Botsford, … a woman convicted of a capital crime would be examined for pregnancy, "in order to guard against the taking of the life of an unborn child for the crime of the mother.” • As of April 2012, at least 38 states have fetal homicide laws. The states include: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Nebraska, Nevada, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia and Wisconsin. At least 23 states have fetal homicide laws that apply to the earliest stages of pregnancy ("any state of gestation," "conception," "fertilization" or "post-fertilization”) . -The National Conference of State Legislatures
  • 16. “The Court drew on two articles by law professor Cyril Means Jr., then the general counsel of the National Association for the Reform of Abortion Laws (now NARAL Pro-Choice America). Means argued that abortion only became a crime because moving abortion from midwives to physicians had made the procedure highly dangerous. Curiously, Means did not present evidence regarding the methods midwives were using at the time, and the only evidence he presented regarding the dangerousness of abortions performed by physicians was evidence regarding the dangerousness of surgery generally in the early nineteenth century. The Court relied uncritically on Means's work, citing him seven times and no other historian more than once.” from CQ Press's Encyclopedia of U.S. Political History
  • 17. The 1973 Court claimed: Our task, of course, is to resolve the issue by constitutional measurement, free of emotion and of predilection. We seek earnestly to do this, and, because we do, we [410 U.S. 113, 117] have inquired into, and in this opinion place some emphasis upon, medical and medical-legal history and what that history reveals about man's attitudes toward the abortion procedure over the centuries.
  • 18. Case Name: ROE V. WADE, 410 U.S. 113 VI 2. THE HIPPOCRATIC OATH. WHAT THEN OF THE FAMOUS OATH THAT HAS STOOD SO LONG AS THE ETHICAL GUIDE OF THE MEDICAL PROFESSION AND THAT BEARS THE NAME OF THE GREAT GREEK (460 (?)-377 (?) B.C.), WHO HAD BEEN DESCRIBED AS THE FATHER OF MEDICINE, THE "WISEST AND THE GREATEST PRACTITIONER OF HIS ART," AND THE "MOST IMPORTANT AND MOST COMPLETE MEDICAL PERSONALITY OF ANTIQUITY," WHO DOMINATED THE MEDICAL SCHOOLS OF HIS TIME, AND WHO TYPIFIED THE SUM OF THE MEDICAL KNOWLEDGE OF THE PAST? /13/ THE OATH VARIES SOMEWHAT ACCORDING TO THE PARTICULAR TRANSLATION, BUT IN ANY TRANSLATION THE CONTENT IS CLEAR: "I WILL GIVE NO DEADLY MEDICINE TO ANYONE IF ASKED, NOR SUGGEST ANY SUCH COUNSEL; AND IN LIKE MANNERI WILL NOT GIVE TO A WOMAN A PESSARY TO PRODUCE
ABORTION," /14/ OR "I WILL NEITHER GIVE A DEADLY DRUG TO ANYBODY IF ASKED FOR IT, NOR WILL I MAKE A SUGGESTION TO THIS EFFECT. SIMILARLY, I WILL NOT GIVE TO A WOMAN AN ABORTIVE REMEDY." /15/
  • 19. Court dismisses Hippocratic Oath “THE LATE DR. EDELSTEIN PROVIDES US WITH A THEORY…DR. EDELSTEIN THEN CONCLUDES THAT THE OATH ORIGINATED IN A GROUP REPRESENTING ONLY A SMALL SEGMENT OF GREEK OPINION AND THAT IT CERTAINLY WAS NOT ACCEPTED BY ALL ANCIENT PHYSICIANS... THIS, IT SEEMS TO US [The Court], IS A SATISFACTORY AND ACCEPTABLE EXPLANATION OF THE HIPPOCRATIC OATH'S APPARENT RIGIDITY.”
  • 20. So it appears the 1973 Court dismissed “THE OATH THAT STOOD SO LONG [Over 2000 years] AS THE ETHICAL GUIDE OF THE MEDICAL PROFESSION,” based on the “theory,” and opinion of one single medical historian - Professor Ludwig Edelstein (1902-1965), classical scholar and historian of medicine.
  • 21. BRIEFS OF AMICI CURIAE WERE FILED BY GARY K. NELSON, ATTORNEY GENERAL OF ARIZONA, ROBERT K. KILLIAN, ATTORNEY GENERAL OF CONNECTICUT, ED W. HANCOCK, ATTORNEY GENERAL OF KENTUCKY, CLARENCE A. H. MEYER, ATTORNEY GENERAL OF NEBRASKA, AND VERNON B. ROMNEY, ATTORNEY GENERAL OF UTAH; BY JOSEPH P. WITHERSPOON, JR., FOR THE ASSOCIATION OF TEXAS DIOCESAN ATTORNEYS; BY CHARLES E. RICE FOR AMERICANS UNITED FOR LIFE; BY EUGENE J. MCMAHON FOR WOMEN FOR THE UNBORN ET AL.; BY CAROL RYAN FOR THE AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS ET AL.; BY DENNIS J. HORAN, JEROME A. FRAZEL, JR., THOMAS M. CRISHAM, AND DOLORES V. HORAN FOR CERTAIN PHYSICIANS, PROFESSORS AND FELLOWS OF THE AMERICAN COLLEGE OF OBSTETRICS AND GYNECOLOGY; BY HARRIET F. PILPEL, NANCY F.WECHSLER, AND FREDERIC S. NATHAN FOR PLANNED PARENTHOOD FEDERATION OF AMERICA, INC., ET AL.; BY ALAN F. CHARLES FOR THE NATIONAL LEGAL PROGRAM ON HEALTH PROBLEMS OF THE POOR ET AL.; BY MARTTIE L. THOMPSON FOR STATE COMMUNITIES AID ASSN.; BY ALFRED L. SCANLAN, MARTIN J. FLYNN, AND ROBERT M. BYRN FOR THE NATIONAL RIGHT TO LIFE COMMITTEE; BY HELEN L. BUTTENWIESER FOR THE AMERICAN ETHICAL UNION ET AL.; BY NORMA G. ZARKY FOR THE AMERICAN ASSOCIATION OF UNIVERSITY WOMEN ET AL.; BY NANCY STEARNS FOR NEW WOMEN LAWYERS ET AL.; BY THE CALIFORNIA COMMITTEE TO LEGALIZE ABORTION ET AL.; AND BY ROBERT E. DUNNE FOR ROBERT L. SASSONE.
  • 22. • by Carol Ryan for the American College of Obstetricians and Gynecologists et al.; by Dennis J. Horan, Jerome A. Frazel, Jr., Thomas M. Crisham, and Dolores V. Horan for Certain Physicians, Professors and Fellows of the American College of Obstetrics and Gynecology; • by Harriet F. Pilpel, Nancy F. Wechsler, and Frederic S. Nathan for Planned Parenthood Federation of America, Inc., et al.
  • 23.
  • 24.
  • 25.
  • 26. Apparently this 2001 publication suggests the American College of Obstetricians and Gynecologists was rushed into contributing to an amicus curiae and it did not necessarily reflect the true position of this organization.
  • 27. There was no Brief of amici curiae by the American Academy of Pediatrics • Did the only American medical organization committed to advocate for the rights of all children not have any opinion on Roe v. Wade? • Was Roe v. Wade beyond the purview of the American Academy of Pediatrics? • Was there no organization committed to protect the rights of the unborn in the United States in 1973?
  • 28.
  • 29.
  • 30. “WE DID NOT SAY ANYTHING!” John Zwicky, PhD AAP Founding Archivist (1994-2009) Pediatric History Center
  • 31. John Zwicky, Ph.D., AAP The founding archivist of the AAP Pediatric History Center Died of cancer March 10, 2009. He was 62. AAP archivist since 1994, John was well-known to AAP staff and Fellows during his tenure, a familiar sight in his blue lab coat in the Bakwin Library. Active in local and national archival organizations, John held leadership positions in the Society of American Archivists Science, Technology & Healthcare Roundtable and the Chicago Area Medical Archivists. “He was passionate about history and always relished the opportunity to dig deeper into the archives of the Academy or pediatrics.” His work is reflected in the center‟s collection at: www.aap.org/ research/ history.htm.
  • 32. As stated, the 1973 Court asserted: “The unborn have never been recognized in the law as persons in the whole sense.”
  • 33. And the 1973 Court‟s decision states: “We need not resolve the difficult question of when life begins. When those trained in the respective disciplines of medicine, philosophy, and theology are unable to arrive at any consensus, the judiciary, at this point in the development of man's knowledge, is not in a position to speculate as to the answer. [410 U.S. 113, 160]”
  • 34. Did the Court not consider there was a medical organization with specific interest for the rights of all children, including the unborn?
  • 35. The American Academy of Pediatrics was founded on June 24, 1930 by 35 pediatricians who met in Detroit at Harper Hospital in response to the need for an independent pediatric forum to address children‟s needs. The Academy has always had as its primary purpose “The attainment by all children of the Americas of their full potential for physical, emotional and social health.” “The Academy did not want to be another scientific society, but an advocacy group.”
  • 36. Did the Court not realize the AAP had a Policy on the unborn ?
  • 37. AGE LIMITS OF PEDIATRICS ... The purview of pediatrics includes the growth, development, and health of the child and therefore begins in the period prior to birth when conception is apparent. COUNCIL ON CHILD HEALTH PEDIATRICS, Vol. 49, No.3, March 1972
  • 38. Recall the Court‟s stated task: “Our task, of course, is to resolve the issue by constitutional measurement, free of emotion and of predilection. We seek earnestly to do this,and, because we do, we [410 U.S. 113, 117] have inquired into, and in this opinion place some emphasis upon, medical and medical-legal historyand what that history reveals about man's attitudes toward the abortion procedure over the centuries.”
  • 39. The argument could be made the purview of the unborn lies in the realm of obstetricians and not pediatricians. This concern was addressed in 1970 by the American Academy of Pediatrics. The letter that follows reflects the response of obstetricians to the question.
  • 41.
  • 43. Having obtained support of the American College of Obstetricians and Gynecologists, the American Academy of Pediatrics, published on December of 1971 its position on the unborn.
  • 45. AAP – the established leader and authority…of health care to children (1981)
  • 46. Chief Justice Burger: What right, if any, does the unborn fetus have?
  • 47. AAP 1981 “Preferred Images of the Future”
  • 48. Shouldn‟t the Court have asked the AAP for its position? Should the AAP not have spoken out about the “rights of the child” including to conception?
  • 49. Innocenti: the unwanted children US Abortion annual rates 1974: 898,570 1990: 1,610,000 2004: 1,222,100 http://www.guttmacher.org/pubs/2008/09/23 /TrendsWomenAbortions-wTables.pdf
  • 50. Conclusions: • The stated American College of Obstetricians and Gynecologists support for Roe v Wade was apparently rushed and not necessarily representative of its membership opinion. • Either the Court failed to discover available information from the American Academy of Pediatrics or the Academy did not speak out/did not advocate for the unborn it claims to have purview over. • The American College of Obstetricians and Gynecologists should have spoken out about the American Academy of Pediatrics joint responsibility for the fetus, to which it had agreed upon in 1970. • Courts should only rule on ending life when no other recourse remains in order to protect other human life. • Courts cannot justly or morally grant the “choice” to end innocent life.
  • 51. Professor David W. Louisell was right.
  • 52.
  • 53. Report and Recommendations Research on the Fetus The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research 1975 U.S. Department of Health, Education, and Welfare DHEW Publication No. (OS) 76-127 DISSENTING STATEMENT OF COMMISSIONER DAVID W. LOUISELL “the harsh and pervasive reality that American society is itself at risk--the risk of losing its dedication "to the proposition that all men are created equal." We may have to learn once again that when the bell tolls for the lost rights of any human being, even the politically weakest, it tolls for all.” David W. Louisell Elizabeth Josselyn Boalt Professor of Law University of California, Berkeley
  • 54. Baring Gould The Seven Last Words 1890 “There is nothing more disgraceful, there is no greater evidence of a demoralised heart, than to look upon suffering without sympathy and with mockery. It gives proof of the deadening of the humanity in man if he can see a fellow-creature endure agony without emotion.” Chapter 1, page 5.
  • 55. “Woman‟s Choice” She might choose not to get pregnant. Or she might choose to complete the pregnancy and keep the baby. Or she might make the choice to adopt the baby to couple unable to conceive. She should not have the “choice” to end the life of her innocent unborn child, on the basis of being unwanted.
  • 56. “How can one morally accept laws that permit the killing of a human being not yet born, but already alive in the mother‟s womb?” Blessed John Paul II
  • 57.
  • 58. The outcome is 2 victims - The Aborted Child His Mother
  • 59. Roe v. Wade The Justices asked the question: Has anyone in the Medical field defined when life begins? YES! The American Academy of Pediatrics did in December 1971
  • 60. The Court also asked if it would ever be right to take the life of the unborn, at any stage of A gestation, if it were granted personhood. The moral, ethical response is: h “Operations, treatments, and medications that have as their direct purpose the cure of a o proportionately serious pathological condition of a pregnant woman are permitted when they u cannot be safely postponed until the unborn child is viable, even if they will result in the s death of the unborn child.” Ethical and Religious Directives for Catholic Health Care Services. Number 47. 2009 edition.
  • 61. “The end result of this is tragic: not only is the fact of the destruction of so many human lives still to be born or in their final stage extremely grave and disturbing, but no less grave and disturbing is the fact that conscience itself, darkened as it were by such widespread conditioning, is finding it increasingly difficult to distinguish between good and evil in what concerns the basic value of human life.” Excerpt from Evangelium Vitae by Blessed Pope John Paul II, 1995
  • 62. As a pediatrician, I am making a plea to Honorable John G Roberts, Chief Justice of the United States and to the Court: When an inmate in prison is found to have been incarcerated based on wrongful evidence, he is granted his due freedom. Based on presented evidence, the unborn child‟s right to be born should be granted protection under the 14th Amendment.

Editor's Notes

  1. Pediatrician’s take on Roe v Wade. Member of AAP, ACPeds, CMA.Audio of Arguments found at link at right bottom.
  2. LBJ’s death overshadowed Roe v Wade on January 22, 1973
  3. Divisive
  4. Feminist denounce abortion
  5. Faces involved:Sarah Weddington, Linda Coffee –plaintiff’s lawyersHenry Wade – defendant (DA State of Texas), John Tolle – assistant DA, Jay Floyd, Robert FlowersNorma McCorvey – Jane RoeJustice Blackmun - author of Majority opinionDissenting opinion – Justice Byron R. White and William H. Rehnquist.Chief Justice Warren Burger
  6. 7 to 2 decision
  7. next
  8. If I understood correctly, the Court concluded that the unborn child could not be afforded due process, guaranteed by the 14th amendment, until birth, that unborn did not become a person till birth. Chief Justice: “14th Amendment definition of person – defined as someone who is born.” [then the Chief Justice is heard reading the 14th Amendment and the says:] “not the definition of person but definition of citizen.”
  9. The way I read it…[3 bullets above]Chief Justice: “If it were established that an unborn fetus was a person under protection of the 14th Amendment, you would have an impossible case here.”
  10. Our face defines us
  11. SO WHY IS THIS CHILD NOT A PERSON?
  12. Unborn considered a person according to inheritance laws
  13. Homicide definition: The killing of one human being by another human being.Homicide laws also afford the unborn personnhood
  14. Abortion only became a crime because … procedure highly dangerous based on early nineteenth century evidenceMeans - Professor of Constitutional Law at New York Law School
  15. Based on one man’s opinionGo on
  16. Many briefs, but seemed to pay attention to mainly two
  17. One appears to be submitted by ACOG
  18. This article suggest differently.
  19. College Action during its first 50 years which had the greatest effect on medical malpractice or society – the prominent role played in the constitutional challenge of Roe v Wade.Was the brief consistent with several College position statements on abortion previously approved by Fellowship polls?
  20. Northwestern University professor of constitutional law – considering existing College policy, allowing use of its name in support of the brief would be a “serious error.”Pritchard (attorney advising the Exec Committee – no one ever ask his advice as to whether the College should allow use of its name as a principal on the amicus brief – he said, had he been so asked he probably would have advised against it.
  21. Letter from the director of the Pediatric History Center of the AAP documenting the AAP said nothing.
  22. Read it
  23. We did not say anything – statement 1 month 5 days prior to his death.
  24. “the respective disciplines of medicine, philosophy and theology are unable to arrive at any consensus … of when life begins.”
  25. Why were America’s pediatricians not asked about the rights of the unborn?
  26. ACOG’s response to the AAP’s request.
  27. AAP asked ACOG for their opinion on proposed definition of the age period for pediatrics.ACOG Exec Committee consensus of opinion – the care of the fetus in utero normally providence of the ob-gyn but no reason why a pediatrician should not be concerned with the problems of the fetus.
  28. Essential that ob-gyn and pediatricians be concerned with the mother-baby family unit as a whole rather than with a single component of it.
  29. December 1 1971 – purview of pediatrics – begins in the period prior to birth when conception is apparent
  30. AAP - the established leader and authority … of health care to children … from conception.
  31. Preferred Images AAP – planning the future of the AAPFull recognition - Rights of the child – since before his birth – from conception.
  32. Click to see - twice
  33. Abortion rates
  34. Read all above
  35. He is deceased too.
  36. Loosing its dedication to proposition that all men are created equal….
  37. Read slide
  38. Read
  39. Read
  40. US of Roe v Wade era.
  41. read
  42. read
  43. Read