The Ethics of Medical Homicide and MutilationO'Malley, Austin
Religion
The Ethics of Medical Homicide and Mutilation
O'Malley, Austin
Medical ethics
If I may kill a so-called "useless fetus" to save a useful mother, do
gross evil to effect great good, why should I stop there? Why, then,
may I not rob a church to make my children rich, murder a useless
miser to employ his money in founding orphanages, shoot any oppressor
of the poor, kick out of doors my senile and bothersome father,
reject all my most sacred promises whenever their observance makes
me suffer? Where will the sentimental moralist draw the line? That
the civil law permits therapeutic abortion is no excuse at all; it is
merely a disgrace of the civil law. The American civil law permits
many things that are contrary to morality and the law of God: it
absolves bankrupts even if they afterward become solvent; it permits
the marriage of divorced persons; it levies unjust school taxes; it
gives unjust privileges; it squanders the money of the citizens; and
so on.
If a woman marries in good faith a man she deemed a gentleman, but
who turns out to be a syphilitic sot who disgraces her and makes her
life a perpetual misery, immeasurably worse than the condition of
any eclamptic woman, no greater blessing could come to her and her
children than his death. Would she therefore be justified before any
tribunal of God or man in murdering him to get rid of her trouble?
No; she must bear with her evil for the sake of social order and of
eternal right. So must the eclamptic woman.
If it is murder to kill a child outside the womb, and mere
therapeutics to kill it inside the womb, then it is murder to shoot a
man on the street, and mere good marksmanship to shoot him to death
inside his house, especially if he is an undesirable citizen. All
reputable physicians deem a fetus in a _normal_ pregnancy so good
that they will not dream of destroying this fetus. They absolutely
refuse to effect an abortion to get rid of a fetus which may disgrace
an unmarried woman and her family, and they are perfectly right in
this refusal. They talk and write with genuine indignation of race
suicide. The only reason they have for the refusal to do what they
call criminal abortion is that the disgrace or inconvenience of the
woman is not commensurate with the destruction of a human life.
They observe the natural human instinctive repugnance to murder in
this special speech and writing, and then go home and get their
obstetrical bags and complacently murder the first baby they find
in the womb of a _married_ matron who has a disturbed stomach or
kidneys. They show here the fine intellectual acumen and reasoning
ability of a chronic lunatic. The first fact in the social order is
that justice, law, order, should prevail, no matter what the cost.
It might be better that the fetus should _die_ than that the mother
should die, though that is not always true. It is not better that an
unbaptized fetus should die than that a mother in the state of grace
should die. But these are irrelevant considerations. It is never
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