It took twelve years for the FDA to approve mifepristone--also known as
RU-486--and most of that time had less to do with medicine than with the
politics of abortion. Still, the late-September decision was a
tremendous victory for American women. In approving RU-486, the FDA
showed that science and good sense can still carry the day, even in an
The long delay may even backfire against the drug's opponents. In 1988,
when mifepristone was legalized in France, it was a medical novelty as
well as a political flashpoint. Today, it's been accepted in thirteen
countries, including most of Western Europe; it's been taken by more
than a half-million women and studied, it sometimes seems, by almost as
many researchers. By the end of the approval process, the important
medical professional organizations--the AMA, the American Medical
Women's Association, the American College of Obstetricians and
Gynecologists--had given mifepristone their blessing; impressive
percentages of Ob-Gyns and family practitioners said they would consider
prescribing it; thousands of US women had taken it in clinical trials
and given it high marks, with 97 percent in one study saying they would
recommend it to a friend. Against this background of information and
experience, the antichoicers' attempt to raise fears about the drug's
safety sounds desperate and insincere.
In a normal country, RU-486 would simply be another abortion method, its
use a matter of personal preference (in France it's the choice of 20
percent of women who have abortions, while in Britain only 6 percent opt
for it). But in the United States, where abortion clinics are besieged
by fanatics and providers wear bulletproof vests, mifepristone's main
significance lies in its potential to widen access to abortion,
especially in those 86 percent of US counties that possess no abortion
clinic, by making it private--doctors unable or unwilling to perform
surgical abortions could prescribe it, and women could take it at home.
It is unlikely, however, that Mifeprex, as the drug will be known when
it comes on the market, will prove to be the magic bullet that ends the
war on abortion by depriving antichoice activists of identifiable
targets. The nation has been retreating from Roe v. Wade for a
quarter-century, and a good portion of the patchwork of state and local
regulations intended to discourage surgical abortion will apply to
Mifeprex as well: parental notification and consent laws (thirty-two
states), waiting periods (nineteen states), biased counseling and
cumbersome reporting and zoning requirements. States in which
antichoicers control the legislatures will surely rush to encumber
Mifeprex with hassles, and small-town and rural physicians in particular
may find it hard to prescribe Mifeprex without alerting antichoice
activists. Doctors are a cautious bunch, and the anticipated flood of
new providers may turn out to be a trickle, at least at first. Abortion
rights activists should also brace themselves for a backlash from their
hard-core foes: Just after the FDA's decision was announced, a Catholic
priest crashed his car into an Illinois abortion clinic and hacked at
the building with an ax.
But in the long run, Mifeprex will make abortion more acceptable. In
poll after poll Americans have said that when it comes to terminating a
pregnancy, the earlier the better. Mifeprex, which has been approved for
the first forty-nine days after a woman's last menstrual period--when
the embryo's size varies from a pencil point to a grain of rice--may
well prove not to arouse the same kinds of anxieties and moral qualms as
surgical abortion. Then, too, Americans are used to taking pills. That,
of course, is what the antichoicers are afraid of.
Let's give up some applause for Dick Cheney for affirming in deed, if not words, that homosexuality is perfectly consistent with traditional family values. The decision for a Republican candidate for the vice presidency to have an avowed homosexual at his side through virtually every hour of his campaign is a bit risky. It means taking on the forces of intolerance on the right wing of his party, a wing that at one time included Cheney and, more prominently, his wife.
However, now that Cheney has granted his lesbian daughter a major role in his campaign, is it not time for the candidate to distance himself from a Republican platform that would deny equal rights protection to all homosexuals? Evidently homosexuals can be reliable workers, and it should be illegal to discriminate against folks like Mary Cheney simply because of their sexual orientation.
"I think of her as sort of my aide-de-camp," candidate Cheney said in paying tribute to his daughter Mary in an interview last week with the New York Times: "She keeps all the paper flow coming to me; everything sort of funnels through her. More than that, she knows me. She has no qualms about telling me when she thinks I'm wrong, or when I need to do something. Mary will always come in and lay it right on me. My experience over the years is that's invaluable in a campaign. Everybody wants a good relationship with the candidate--not everybody will level with you. Mary levels with you."
One would accept such excellent skills to be valuable to any employer not biased by prejudice against gays. Yet anti-discriminatory laws are needed precisely because not all employers have had the opportunity to learn from their own offspring that homosexuals are indeed normal people.
Given that Mary Cheney is proving so valuable in the campaign, would Cheney, the person who'd be next in line to become commander in chief of the armed forces if George Bush wins, still stick to his oft-expressed view that homosexuals not be allowed to serve in the military? Would his daughter be more inclined than heterosexuals in the military to undermine morale by acting in indecorous ways?
The Republican platform declares that homosexuality is "incompatible" with military service and even stands "united" with the Boy Scouts in that organization's avowed policy of excluding gays. Does Dick Cheney believe that the Girl Scouts are amiss in not following the example of the Boy Scouts, and would he be in favor of excluding his own daughter from playing a role in that organization?
These questions are not intended to be cute or to pull the candidate's chain. They go directly to the hypocrisy in which we treat homosexuals as dangerous freaks unless we happen to be friends with, or related to, one.
Ignorance is the essential ingredient in hate. Dick Cheney probably didn't know his daughter was gay when he compiled one of the most viscously anti-gay voting records in Congress. He was one of only 13 representatives in 1988 who voted against funding for AIDS testing and research at a time when that was conveniently thought to be an exclusively gay disease, and one of only 29 that same year to vote against a Hate Crimes Statistics Act.
Perhaps he would vote differently now that his daughter, whose judgment he trusts in all important matters, has determined that she is indeed a homosexual. Should a woman of such sound thought and strong moral principles not be the best judge of her essential sexual nature? Or should we continue to be guided by the bigotry of legislators and religious proselytizers? It is still against the law in Texas to perform homosexual acts; does Mary Cheney have to retreat to Colorado to legally make love?
Yes, it would be best if such decisions could be left in the private realm, as the Cheneys now ask in refusing to discuss their daughter's sexuality. But it's too late for such niceties because the hate-mongers and their respectable allies in the Republican Party have for decades exploited homosexuality as a hot political issue. It is they who have thwarted every legislative effort to grant to homosexuals the same rights afforded all other citizens.
One can understand why Mary Cheney does not now want to become a poster woman for gay rights. But she is, by her father's witness, living proof that being gay is perfectly compatible with leading a moral, public-spirited and fully enriched family values life. She is a role model that even the political right might be forced to respect.
The Supreme Court opens its new term with a case that raises the stakes dramatically in the politics of fetal rights. At issue in Ferguson v. City of Charleston is whether a public hospital violates the Constitution when it tests pregnant women for drug use and turns over positive results to the police without so much as obtaining a search warrant.
Medical professionals and the general public agree that it is not desirable for pregnant women to use drugs. But this case raises a different question: Do women forfeit basic constitutional rights to equal treatment, due process and protection against unreasonable searches and seizures when they become pregnant?
South Carolina has been a leader in the movement, building ever since Roe v. Wade legalized abortion, to establish rights for fetuses. No state has done more to target pregnant women who use drugs. Starting in 1989, the Medical University of South Carolina (MUSC) invited the police and local prosecutor to help implement a policy directed at prenatal-care patients. Women who came to MUSC, the only facility for indigent patients in Charleston, were threatened with arrest if they tested positive for drugs. Some were jailed for the duration of their pregnancies (surely not an optimal environment for pregnant women's health), and others were jailed after giving birth, still in their hospital gowns. All but one were black. The crimes they were charged with--drug possession, child neglect and distributing drugs to a minor--carried penalties of two to twenty years.
South Carolina Attorney General Charles Condon has said, "There is no constitutional right for a pregnant mother to use drugs." True enough. But the Constitution does guarantee rights of personal liberty and due process, which in turn require that all people, regardless of race or gender, be treated fairly and equally under the law. And the Charleston police department has never arrested a male hospital patient and charged him with possessing drugs on the basis of a positive urine test.
The real issue is how to respect pregnant women's constitutional rights while improving their (and their future children's) chances of a good outcome. The state maintains that the "stick" of criminal intervention is necessary to make its policy of "encouraging" pregnant women to get treatment effective. But at the time the policy took effect, there was not a single residential drug-abuse-treatment program for women in the entire state. MUSC itself would not admit pregnant women to its treatment center. And no outpatient program in Charleston provided childcare so that pregnant women with young children could keep their counseling appointments.
Finally, arresting women after they give birth does nothing to promote a healthy pregnancy or newborn. This practice also hinders the basic goals of keeping families together and promoting family stability through the provision of rehabilitative services instead of punishment.
Condon has made plain his desire to challenge the premise underlying abortion law: that a fetus is not a person in the constitutional sense and has no rights of its own. In 1998 he told the Washington Times that he would be "proud" and "very pleased" to defend his policies, "even in terms of reversing Roe v. Wade."
Faced with sanctions and the loss of federal dollars when the federal government investigated MUSC for ethics violations and discrimination against African-American women, the hospital suspended its policy in late 1994. But the program's architects got a boost when the State Supreme Court ruled in 1996 that a viable fetus is a person under the children's code, a ruling that the US Supreme Court allowed to stand. Condon then instructed district attorneys around the state to prosecute for "child abuse" women who take drugs during pregnancy.
Because most women in the United States get pregnant at least once in their lives, the practical and political implications of the Supreme Court's decision in Ferguson v. City of Charleston will be enormous. Fetal rights advocates recently scored a victory in Massachusetts when a judge entered an order of protection on behalf of a fetus and took a pregnant woman into state custody. The state alleges that the woman let her last baby die shortly after birth but has not charged her with any crime. If the Court upholds South Carolina's policy, it will encourage similar actions, effectively putting American women on notice that if they become pregnant, their lives are no longer their own.
Madame Curie's denial of radiation dangers is emblematic of the legacy we now face as America's romance with the atom draws to a close.
The project of racial reconciliation and historical correction is "constitutional" in the deepest, multiple senses of that word.
Right now, there are three votes on the Court to get rid of Roe altogether and often four or five to impose costly, chilling and burdensome regulations on the exercise of that right by the patient and her doctor.
A recent decision reminds us that true equality for gay people will arrive only when the Supreme Court is not controlled by Justices whose moral view of gay people is negative.
Tonight is the finale for insiders and outsiders in Los Angeles this
week: In a few hours, Al Gore will be giving his acceptance speech at
the Staples Center.
President Bush was not deterred by lack of expertise when it came to deciding a highly specialized scientific issue.
"This conference is not like other conferences."