In 1971 Judith Jarvis Thomson analogized the legal prevention of abortion (i.e., anti-abortion laws), in the case of a rape pregnancy at least, to legal compulsion to endure the use of one’s kidney by a stranger for nine months. She expected readers to agree that such a compulsion would be “outrageous,” and even most pro-lifers agreed that indeed, our society should not institutionalize such compulsion. Almost all pro-lifers defend, legally if not morally, a passive right to refuse such that the needy person dies of their own disease – unless perhaps there are special circumstances * and the demand on one’s body is almost trivial, such as the donation of one pint of blood. Thomson’s paper pioneered a genre of similar arguments for abortion rights, known as “bodily-rights arguments” (or more specifically “right to refuse” bodily-rights arguments).

Soon enough after 1971, in a Pennsylvania court in 1978, Judge John Flaherty ruled that Robert McFall did not have a right to any of the bone marrow of David Shimp, even though McFall’s life might be saved by it and he might otherwise die. There was no known public disagreement with the ruling. This bore out the contention that a legal compulsion to endure the use of one’s internal organs, at least if the one being compelled was not responsible for the condition that had created another born person’s need to use them, would be unacceptable if not outrageous.

So the legal prevention of abortion, i.e., anti-abortion laws, compelling a woman to endure the use of her internal organs (at least if she was not responsible for the condition that had created another person’s need to use them, that is, a pregnancy), is clearly unacceptable – if such legal prevention of abortion is really analogous to the legal backing that McFall sought in trying to use some of the bone marrow of Shimp.

In fact, legal prevention of abortion is disanalogous in a number of ways to the legal backing that McFall sought in trying to use some of the bone marrow of Shimp; but the pro-life side has focused more than anything else on one disanalogy: the fact that McFall was left passively to die of his own disease, whereas in an abortion, the pregnant woman actively kills or hires someone to kill her unborn child.

I would like to argue here that that distinction, while worth making, is not sufficient in itself to justify the legal prevention of abortion, and that such legal prevention can only be justified by the cumulative import of a number of disanalogies.

The problem with simply pointing out that McFall was left passively to die of his own disease, whereas a pregnant woman actively kills or hires someone to kill her unborn child, is that, once Judge Flaherty ruled against him, McFall “took no for an answer.” He did not proceed to start taking Shimp’s bone marrow.

But an unborn child does not take no for an answer. An unborn child is tiny, it is innocent, it is unconscious, but nevertheless it is capable of refusing to take no for an answer and proceeding, without going through the courts, to start using its mother’s uterus and consuming its mother’s blood.

So in order to make the McFall v. Shimp situation more analogous with an unwanted pregnancy and a proposed abortion, let’s see how that case could hypothetically have played out instead of how it actually played out. This may get a little fanciful, but we already knew that any hypothetical that is really analogous to pregnancy will be fanciful.

Let’s say Judge Flaherty delivers his 1978 verdict, including his well-known comment “For a law to compel the defendant to submit to an intrusion of his body would change every concept and principle upon which our society is founded.”

At this point something understandably snaps in McFall, and he develops a psychotic delusion that Shimp is a bone-marrow-dispensing robot. (So that whatever he may do to Shimp, he will be innocent by reason of insanity, just as an unborn child is innocent.)

He follows Shimp home, and before Shimp knows what is happening, McFall has tied him to his own kitchen table and is proceeding to take some bone marrow.

There is no lethal threat to Shimp, and he knows it, but nevertheless he manages to get a concealed handgun out of his pocket. His only possible target is McFall’s head. He fires and kills McFall.

Now he has committed an active killing, as when a woman aborts. But how much less justified is he than if he had passively let Shimp die, which pro-lifers say should legally be okay? He has not killed gratuitously. As when a woman aborts, he has done it under circumstances where he had said no, but the person needing to use his body had refused to take no for answer.

So soon Shimp is back in Flaherty’s court. The prosecution has charged Shimp with criminal homicide, because he actively killed McFall. There is no dispute about the facts of the case.

Shall Judge Flaherty say to Shimp, “I said earlier that a law cannot compel a defendant to submit to an intrusion of his body. But I take that back. Under your circumstances with McFall, the law did require you to submit, because your only alternative was active killing and the law does not permit active killing. True, there is no law worded ‘if your only alternative is active killing, you must submit,’ but our homicide laws, since I interpret them as applying even in your situation, have the same effect” – ?

I don’t know how Flaherty or any judge might rule, but since we are using this scenario only as an analogy for abortion, the point is what the law should be rather than what it presently is. I once debated with an intelligent pro-choicer who thought that acquittal of someone in Shimp’s position would be “uncontroversial.” I responded with my moral intuition that, as long as any harm likely to be done to Shimp were no greater than is done to a woman in an average pregnancy in a developed country, Shimp should not be legally permitted to use lethal force. But I found the pro-choicer’s view extremely understandable. Hence I do not consider that making the distinction between actively killing, and passively letting someone die of their own disease, is, alone, a knockdown response to the right-to-refuse argument. In ethical debate, if an analogy is to have its desired effect, it works by analogizing the situation containing the debatable issue to a situation where the right and wrong are not in debate. But if the McFall-Shimp story had played out in the way I have suggested, a way really analogous to abortion, it would have been a situation where the right and wrong are in debate.

If it is a fact that no law or precedent can compel a person to do X (for instance, “submit to an intrusion of his body”), that does not mean that there is an automatic corollary “the law allows lethal force to save oneself from X.” In many situations of “cannot compel a person to do X,” there would be no such corollary. However, when Flaherty said that a law cannot compel a person to submit to an intrusion of his body, he went on to say that for a law to do so “would change every concept and principle upon which our society is founded. To do so would defeat the sanctity of the individual and would impose a rule which would know no limits, and one could not imagine where the line would be drawn.”

To be consistent with those ponderous words he used on the first occasion, Judge Flaherty would either have to find active killing under the circumstances that Shimp faced to be permissible, or would have to be very sympathetic to such a finding. He would not find active killing to be as obviously impermissible as pro-lifers would like it to be in a situation analogous to abortion.

If Flaherty’s strong words are true without exception for any circumstance, and if our homicide laws would operate in the above hypothetical circumstance such that Shimp would have to submit, then those homicide laws “would change every concept and principle upon which our society is founded. . .,” so seemingly such laws could not stand – meaning that in that circumstance the law would allow lethal force. Flaherty’s words, with which no one seems much to disagree when we are talking about born persons, describe a non-negotiable right to refuse, meaning a right that can be defended by almost any means necessary.

Remember that in the hypothetical scenario, McFall is proposing not merely to injure Shimp’s body, but to use it. This distinction is at the heart of the concept of bodily rights, and the effect, I think, is to bolster Shimp’s right to defend himself.

When we point out that abortion is not just the withholding or withdrawing of help, but active killing, the right-to-refuse argument loses a lot of the sizzle it might otherwise have, so we should definitely point that out. It is a point worth making. But any motivation for a pregnant woman to actively kill stems from the absence of a passive option for freeing herself – unlike the passive options open to Shimp (the way his case actually played out) and to Thomson’s kidnap victim (that person could simply disconnect without actively killing) – and the absence of a passive option means by the same token that the woman is in a trap and that therefore the taboo on active killing also loses its sizzle. Active killing is the minimum level of force necessary for her to free herself. The more reason of a self-defense nature you have for killing someone, the less the moral difference between actively killing them and passively failing to help them becomes. Under some circumstances, actively killing someone for self-defense reasons might even be more moral than failing to help. So the point about active killing does not do the desired work of showing that a woman procuring an abortion is disanalogous to Shimp. Let’s make the point about active killing, but not expect it to completely defeat the right-to-refuse argument.

Fortunately, there are, as I said earlier, other disanalogies between the prevention of proposed abortions on the one hand, and compelled organ donations on the other. I don’t think any single one of the disanalogies can defeat the right-to-refuse argument in the case of rape, but I think a cocktail of disanalogies/arguments, taken together, can defeat it even in that case.

* Listen at 5:23.

© 2019

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