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eLaw Journal: Murdoch University Electronic Journal of Law |
Authors: | Murray McGregor University of Natal, Pietermaritzburg |
Rory Moore University of Natal, Pietermaritzburg | |
Issue: | Volume 2, Number 3 (December 1995) |
This article contains the following documents associated with a prize moot
held on 10 August 1995 at the University of Natal, Pietermaritzburg:
A: The Topic of the Moot;
B: Relevant South African Legislation;
C, D: The Applicant's Heads of Argument, and Argument; and
E, F: The Respondent's Heads of Argument, and Argument.
Note: Although the arguments we presented in this moot rely to some extent
on the specifics of South African constitutional law,
they are for the
most part general enough to be of interest to anyone involved in the
pro-life/pro-choice debate. We hope that
this somewhat unusual contribution
to a journal may assist an as yet anonymous yet industrious individual
somewhere in the preparation
of a paper on this subject.
A: THE PROBLEM
SCHOOL OF LAW, PIETERMARITZBURG PRIZE MOOT 1995
CORAM: Justice Y. Mokgoro, Mr Justice N.V. Hurt
IN THE MATTER BETWEEN:
Ms BROWN APPLICANT
and
THE MINISTER OF HEALTH RESPONDENT
On 30 April 1995, Ms Brown went
to an office party in Pietermaritzburg where she met one of the directors
of a company from the
United States, Mr Lewis. After much flirtation and
great fun, she left the party with Mr Lewis and invited him to her flat. They
engaged in sexual intercourse, and on 30 June 1995 she discovered that
she was two months pregnant.
She went to the Holy Hospital, a state-controlled hospital, to request an
abortion, but the Medical Superintendent of the hospital
refused on the
basis that such an abortion would be in contravention of the Abortion and
Sterilisation Act 2 of 1975.
The matter comes before the Moot Court as a stated case, in terms of which
the only issues to be decided by the court are: 1.
Whether or not the requirements for a legal
abortion laid down in terms of s2 and s3 of the Abortion and
Sterilisation Act 2 of
1975 infringe Ms Brown's rights to privacy,
dignity and equality (enumerated in s13, s10, and s8, respectively, of
the Constitution of the Republic of South Africa Act 200 of 1993).
2. If there is a violation of any of these rights, whether such violation
is permissible in terms of the "limitations clause" (s33) of the
Constitution.
FOR THE APPLICANT: MR MURRAY McGREGOR
FOR THE RESPONDENT: MR RORY MOORE
B: SOUTH AFRICAN LEGISLATION
RELEVANT TO THE ISSUES
Abortion and Sterilisation Act 2 of 1975
2 Prohibition of abortion
No person shall procure an abortion otherwise than in accordance with the
provisions of this Act.
3 Circumstances in which abortion may be procured
1) Abortion may be procured by a medical practitioner only, and then
only-
(a)where the continued pregnancy endangers the life of the woman concerned
or constitutes a serious threat to her physical health,
and two other
medical practitioners have certified in writing that, in their opinion,
the continued pregnancy so endangers the
life of the woman concerned or
so constitutes a serious threat to her physical health and abortion is
necessary to ensure the life
or physical health of the woman;
(b) where the continued pregnancy constitutes a serious threat to the
mental health of the woman concerned, and two other medical
practitioners
have certified in writing that, in their opinion, the continued pregnancy
creates the danger of permanent damage
to the woman's mental health and
abortion is necessary to ensure the mental health of the woman;
(c) where there exists a serious risk that the child to be born will suffer
from a physical or mental defect of such a nature that
he will be
irreparably seriously handicapped, and two other medical practitioners
have certified in writing that, in their opinion,
there exists, on
scientific grounds, such a risk; or
(d) where the foetus is alleged to have been conceived in consequence of
unlawful carnal intercourse, and two other medical practitioners
have
certified in writing after such interrogation of the woman concerned as
they or any of them may have considered necessary,
that in their opinion
the pregnancy is due to the alleged unlawful carnal intercourse; or
[Para. (d) substituted by s. 2 (b) of Act 48 of 1982.]
(e) where the foetus has been conceived in consequence of illegitimate
carnal intercourse, and two other medical practitioners
have certified in
writing that the woman concerned is due to a permanent mental handicap or
defect unable to comprehend the consequential
implications of or bear the
parental responsibility for the fruit of coitus.
[Para. (e) added by s. 2 (c) of Act 48 of 1982.]
(2) (a) A medical practitioner who has issued a certificate referred to
in subsection (1) shall in no way participate in or assist
with the abortion
in question, and such a certificate, or such certificates issued for the
same purpose, shall not be valid if
issued by members of the same
partnership or by persons in the employ of the same employer.
(b) The provisions of paragraph (a) shall not apply to the performance by
any person of his functions in the service of the State.
(3)
At least one of the two medical practitioners referred to in subsection
(1)-
(a) shall have practised as a medical practitioner for four years or more
since the date of his registration as a medical practitioner
in terms of
the Medical, Dental and Supplementary Health Service Professions Act,
1974 (Act 56 of 1974);
(b) shall be a psychiatrist employed by the State, if the abortion is to
be procured by virtue of the provisions of subsection (1)
(b);
(c) shall be the district surgeon who examined the woman concerned if a
complaint regarding the alleged unlawful carnal intercourse
has been
lodged with the Police, and the foetus is alleged to have been conceived
in consequence of such unlawful carnal intercourse.
[Para. (c)
substituted by s. 2 (d) of Act 48 of 1982.]
Constitution of the Republic of South Africa Act 200 of 1993
8 Equality
(1) Every person shall have the right to equality before the law and to
equal protection of the law.
(2) No person shall be unfairly discriminated against, directly or indirectly,
and, without derogating from the generality of this
provision, on one or
more of the following grounds in particular: race, gender, sex, ethnic or
social origin, colour, sexual orientation,
age, disability, religion,
conscience, belief, culture or language.
(3) (a) This section shall not preclude measures designed to achieve the
adequate protection and advancement of persons or groups
or categories of
persons disadvantaged by unfair discrimination, in order to enable their
full and equal enjoyment of all rights
and freedoms.
(b) . . .
(4) Prima facie proof of discrimination on any of the grounds specified
in subsection (2) shall be presumed to be sufficient proof
of unfair
discrimination as contemplated in that subsection, until the contrary is
established.
9 Life
Every person shall have the right to life.
10 Human dignity
Every person shall have the right to respect for and protection of his or
her dignity.
13 Privacy
Every person shall have the right to his or her personal privacy, which
shall include the right not to be subject to searches of
his or her
person, home or property, the seizure of private possessions or the
violation of private communications.
33 Limitation
(1) The rights entrenched in this Chapter may be limited by law of general
application, provided that such limitation-
(a) shall be permissible only to the extent that it is-
(i) reasonable; and
(ii) justifiable in an open and democratic society based on freedom and
equality; and
(b) shall not negate the essential content of the right in question,
and provided further that any limitation to-
(aa) a right entrenched in section 10, 11, 12, 14 (1), 21, 25 or 30 (1)
(d) or (e) or (2); or
(bb) a right entrenched in section 15, 16, 17, 18, 23 or 24, in so far as
such right relates to free and fair political activity,
shall, in addition to being reasonable as required in paragraph (a) (i),
also be necessary.
35 Interpretation
(1) In interpreting the provisions of this Chapter a court of law shall
promote the values which underlie an open and democratic
society based on
freedom and equality and shall, where applicable, have regard to public
international law applicable to the protection
of the rights entrenched
in this Chapter, and may have regard to comparable foreign case law.
(2) No law which limits any of the rights entrenched in this Chapter,
shall be constitutionally invalid solely by reason of the
fact that the
wording used prima facie exceeds the limits imposed in this Chapter,
provided such a law is reasonably capable of
a more restricted
interpretation which does not exceed such limits, in which event such law
shall be construed as having a meaning
in accordance with the said more
restricted interpretation.
98 Constitutional Court and its jurisdiction
(2) The Constitutional Court shall have jurisdiction in the Republic as
the court of final instance over all matters relating to
the interpretation,
protection and enforcement of the provisions of this Constitution,
including-
...
...
(c) any inquiry into the constitutionality of any law, including an Act
of Parliament, irrespective of whether such law was passed
or made before
or after the commencement of this Constitution;
...
(5) In the event of the
Constitutional Court finding that any law or any provision thereof is
inconsistent with this Constitution, it shall declare such law or
provision invalid to the extent of its inconsistency: Provided that the
Constitutional Court may,
in the interests of justice and good
government, require Parliament or any other competent authority, within a
period specified
by the Court, to correct the defect in the law or
provision, which shall then remain in force pending correction or the
expiry
of the period so specified.
C:HEADS OF ARGUMENT OPPOSING
SOUTH AFRICA'S RESTRICTIVE ABORTION LEGISLATION
APPLICANT'S HEADS OF ARGUMENT
THE ISSUE BEFORE THE COURT
Do s2 and s3 of the Abortion and Sterilisation Act 2 of 1975 unreasonably
and unjustifiably infringe the applicant's constitutionally
protected
rights of privacy and dignity (s13 and s10) and right to equality (s8).
SUBMISSIONS IN GENERAL
Both the general prohibition (s2) and the listed grounds for a permissible
abortion (s3) amount to prima facie infringement of
fundamental rights:
(a)the provisions are an infringement of the applicant's right to personal
privacy and dignity.
(b) the provisions amount to an impairment of equality (s8), in particular,
they amount to unfair discrimination on the basis of
disability (s8(2)).
The infringement of personal privacy and equality is not saved by the limitations
clause (s33(1)).
The fetus does not qualify as a 'person' in terms of s10 of the Bill of
Rights.
SUBMISSIONS IN PARTICULAR
1.s2 AND s3 INFRINGE FUNDAMENTAL RIGHTS.
1.1 Correct approach to the interpretation of fundamental rights:
A 'generous' and 'purposive' approach - S v Makwayane and Another 1995
(6) BCLR 665 (CC) at 676, 9 - 10 per Chaskalson P; Underlying
values of
the Constitution: s35(1).
1.2 The impugned legislation constitutes an infringement of the applicant's
right to privacy and dignity.
Nature and scope of s10 and s13; Reading the right to privacy in conjunction
with the right to dignity.
Legislative schemes which criminalise procuring an abortion are violation
of human dignity: Morgentaler, Smoling and Scott v The
Queen (1988) 44
DLR (3rd) (4th) at 385, per Wilson J.
Woman's decision whether or not to carry a pregnancy to term is an exercise
of personal autonomy.
1.3 s2 and s3 amount to an impairment of equality, in particular, they
constitute unfair discrimination on the basis of disability - s8(2).
Pregnancy as a form of disability: S. Law, 'Rethinking Sex and the Constitution',
University of Pennsylvania Law Review, vol 732 (2) 1984.
Nature and scope of equality: Laws which restrict access to abortion are
laws which discriminate on the basis of a biological reality
which only
effects women.
Understanding equality: Rejection of the 'similarly situated' test; Criticism of Geduldig v Aiello [1974] USSC 129; 417 US
484 (1974) per Stewart J and General
Electric Co v Gilbert 429 US 343 (1976) per Rehnquist J.
Criticism of the narrow approach: D. Meyerson, 'Sexual Equality and the
law', SAJHR (9) 1993 at 237.
Importance of the dissimilar situation of men and women with respect to
reproductive capacity: D. Johnsen, 'The Creation of Fetal
Rights', Yale
Law Journal, vol 95:577.
Canadian approach: Andrews v Law Society of B.C. 1989 CanLII 2 (SCC); 56 DLR (4th) 1 (1989)
per McIntyre J, at 2; Express rejection of reasoning in Geduldig v Aiello
and General Electric v Gilbert: Brooks v Canada
Safeway Ltd 59 DLR (4th)
1989, per Dickson CJC, at 336.
Effect of the impugned legislation: forced motherhood - S. Law (supra, at
1017); Sex-speci S. Law (supra, at 1008).
1.4 The net effect of s2 and s3: infringement of privacy, dignity and
equality.
Onus of proof: Khala v Minister of Safety and Security 1994 (4) SA 218
(W) per Myburgh J, at 228 F-G.
2.THE INFRINGEMENT IS NOT SAVED
BY s33(1)
2.1 Limitations of fundamental rights.
Balancing fundamental rights and principle of proportionality: S v Makwanyane
(supra at 708, 104).
2.2 Limitations on a woman's Personal privacy.
2.2.1Protection of fetal life: J. Sarkin-Hughes, 'A Perspective on abortion
legislation in SA's Bill of Right's Era', 1993 (56)
THRHR, at 83; Impugned
legislation premised on denial of women's dignity and personal privacy. Both
direct and indirect unconstitutional
effects relevant: Morgentaler,
Smoling and Scott v The Queen, supra, per Dickson J, at 1.
2.2.2Protection of maternal health: (a) Backstreet abortions; (b) Stigmatisation and procedural
requirements - D. Cleminshaw, 'The
South African Outlook', (1990)
120:1432 (Oct/Nov), at 312; (c) Dangers of abortion - J. Sarkin-Hughes
(supra, at 90) and Cates
(Cates, Smith, Rochat and Grimes, 'Mortality
from Abortion and Childbirth: Are the statistics biased?', 248, JAMA 192
(1982)).
2.2.3Impugned legislation has not fulfilled its purpose: H. Okulu, 'The
South African Outlook', (1990) 120:1432 (Oct/Nov), at 314).
Impugned legislation lacks an object
rationally connected to its means employed: Marge Dyer, 'The South
African Outlook', (1990)
120:1432 (Oct/Nov), at 303.
'Unwanted pregnancy': health risks associated with pregnancy and childbirth
- Cates, 'Legal Abortion: The Public Health Record',
215 Sci. (1982)
1586, at 1587.
Subjective standards cannot be imposed on women generally.
International movement towards liberalizing access to abortion: Helen Rees,
in Jagwanth, Schwikkard and Grant, 'Women and the Law',
HSRC Publishers,
1994 at 242; 'Abortion Laws Worldwide', Speak, No. 62, at 14-15.
2.3 Limitations on a woman's right to equality.
2.3.1 Equality is dominant theme in Constitution: s8, s33(1), s35(1); Sex-specific
impact of discrimination on basis of disability important to the issue of
proportionality.
2.3.2 Substantive meaning of equality: Andrews v Law Society, supra, at
15. Racial, economic and sex-specific impact of the impugned
legislation: Sarkin-Hughes, supra
at 376; Sarkin-Hughes, 'Choice and Informed Request: The answer to
abortion', Stell LR 1990
3, 372 at 382. 2.3.3Abortion in context
of reproductive freedom and sexual inequality: S. Law, supra, at 960
& 1028.
2.4. The fetus does not qualify as a constitutional person and consequently
does not enjoy the protection of s10.
2.4.1Legal anomalies:
Abortion of a 'person' would be murder: South African Common Law with respect
to killing an innocent person to protect another;
the fetus cannot be a
person.
2.4.2 Scientific Argument - Development as a continuous progression:
Persons are the result of both chance and planning: L. Tribe, 'Abortion:
The Clash of The Absolutes', W.W. Norton & Co.,1990,
at 117.
Process of fertilization and embryonic development is continuous.
2.4.3Right to Life argument unnecessary:
Concede state has an interest in protecting potential life after 20 weeks;
Rejection of inherent rights in other jurisdictions -
R. Dworkin, 'Life's
Dominion: An Argument about Abortion and Euthanasia', HarperCollins,
1993, at 60 - 89. Brain Birth and Viability:
Sarkin-Hughes, supra,
at 380; Technology and viability - Roe v Wade [1973] USSC 43; 410 US 113 (1972) per
Blackmun J.
2.4.4Pandora's box:
Potential of pervasive limitations on women's autonomy and equality.
2.4.5Preferable approach.
Question of fetal personality distracts us from the real question: Laurence Tribe, supra, at 130.
Fetal life is very different from any other form of life in that it is wholly
dependent on the mother - S. Law, supra, at 1023.
Recognition of indigenous value systems: Ubuntu - S v Makwanyane, per Justice
Mokgoro, supra, at 771 [307], 772 [308], 773 [311].
Human dignity at the core of the developing South African rights jurisprudence.
3.I humbly pray that the application be upheld and that the court declare
s2 and s3 of the Act unconstitutional: furthermore, that
the court make a
declaratory order as to the applicant's right to an abortion, and that
the court make an order in terms of s98(7) of the Constitution barring
the state and all its organs from instituting criminal proceeding against
the applicant. Finally, I pray that costs be
awarded to the applicant.
SIGNED THIS 6th DAY OF AUGUST, 1995, AT PIETERMARITZBURG.
M.B. McGREGOR
COUNSEL FOR THE APPLICANT
CHAMBERS
PIETERMARITZBURG
D:ARGUMENT OPPOSING THE
CONSTITUTIONALITY OF SOUTH AFRICA'S RESTRICTIVE ABORTION LEGISLATION
APPLICANT'S ARGUMENT
THE ISSUE BEFORE THE COURT:Whether s2 and s3 of the Abortion and Sterilisation
Act 2 of 1975 unreasonably and unjustifiably infringe
the applicant's
constitutionally protected rights of privacy and dignity and her right to
equality.
SUBMISSIONS IN GENERAL
Both the general prohibition (s2) and the listed grounds for a permissible
abortion (s3) amount to prima facie infringement of
fundamental rights:
(a)the provisions are an infringement of a woman's right to personal
privacy and dignity.
(b) the provisions amount to an impairment of equality, in particular,
they amount to unfair discrimination on the basis of disability
(s8(2)).
The infringement of personal privacy and equality is not saved by the limitations
clause (s33(1)).
The fetus does not qualify as a 'person' in terms of s10 of the Bill of
Rights.
SUBMISSIONS IN PARTICULAR
1.s2 AND s3 INFRINGE FUNDAMENTAL RIGHTS.
1.1Submitted that both sections amount to an infringement of fundamental
rights. The correct approach to the interpretation of
fundamental rights
has been authoritatively laid down in the Constitutional court's judgment
in S v Makwanyane. Justice Chaskalson
quoted with approval the 'generous'
and 'purposive' approach. Chaskalson
J held that Constitution must be construed in a way which 'secures for
individuals the full measure of its protection'.In addition, the court
must, by virtue
of s35(1) of the Constitution, have regard to 'the values
which underlie an open and democratic society based on freedom and
equality'.
1.2.s2 and s3 constitute an infringement of the applicant's right to privacy
and dignity. s10 provides that 'Every person shall have the right to
respect for and protection of his or her dignity'. Read in conjunction
with
the right to personal privacy guaranteed in s13, it is submitted
that our Constitution recognises an 'inviolable sphere of privacy beyond
the reach of public authority'. In other words, a recognition that
certain matters
which arise in this private sphere of autonomy cannot be
judged upon or regulated by the state.
Submitted that decisions about marriage, child-rearing, family size or contraception
are widely acknowledged as falling beyond the
reach of the state, being
the province of individual conscience and morality. I submit the decision of a woman to choose whether
or not to
carry a pregnancy to term should be treated analogously.
Indeed, submitted that the impugned legislation prima facie infringes a
woman's personal privacy and dignity by either prohibiting
access to an
abortion completely or by taking a crucial personal decision out of her
hands and placing it at the discretion of
predominantly conservative
medical personnel and state officials. Furthermore, the effect of the
bureaucratic and cumbersome procedures
has actually rendered access to
legal abortion all but impossible for many women. In Morgentaler Wilson J held that a legislative
scheme which
criminalised procuring an abortion violated human dignity, in particular
the right to autonomously make fundamental
personal decisions. Submitted
that s2 and s3 both in their content and in their effect, impinge on a
woman's ability to direct her own reproductive capacity as a competent
decision-maker. Submitted, it is imperative we understand the right to
privacy and human dignity as safeguarding an organic right
to personal
autonomy, as such, laws which restrict or deny women from making a
decisions about their reproductive capacity infringe
on that sphere of
autonomy.
1.3s2 and s3 amount to an impairment of equality, in particular, they
constitute unfair discrimination on the basis of disability (s8(2)).
It is submitted that pregnancy falls within the scope of 'disability' enumerated
in s8(2). Pregnancy involves burdens of amongst other things health,
mobility, independence and sometimes life itself. My Lords, these
hardships
are borne by pregnant women alone while men will by definition
never find themselves faced with the reality of being pregnant.
Submitted that laws which restrict access to abortion are laws which discriminate
on the basis of a biological reality which only
effects women.
The legislation only forces women to carry their pregnancy to term if they
do not qualify for a legal abortion, while men experience
none of the
pervasive disruptions women are legally obliged to endure. Furthermore, it has already been
submitted that the cumbersome
procedures the Act provides for, in
practice restrict access to abortion so as to make it all but impossible
to procure.
Submitted, if we are to take equality seriously, the court must look to
developing a South African rights jurisprudence which embraces
a substantive
rather than a formalistic notion of equality. The court should not follow
the American law in this regard. The 'similarly
situated' test has severe
drawbacks. It was used by the courts in Geduldig v Aiello and General
Electric Co v Gilbert to deny pregnant
women disability benefits because,
on the similarly situated reasoning, discrimination on the basis of
pregnancy was held not to
be sex-discrimination. But the test is not only
unpalatable because it has had specific effects in the United States, it
is also
premised on a formalistic and limited conception of equality
unsuited to our context, in particular to the values which underlie
our
constitution.
Meyerson has criticised this narrow approach which requires that both men
and women be treated identically regardless of the reality
of biological
difference. She argues that 'the approach is complacent about present
reality, involving a feminism which insists
women who display masculine
behaviour are entitled to equal rewards as men, offering nothing to
conventionally feminine women.'
The real issue I submit is that it is
precisely the dissimilar situation of men and women with respect to
reproductive capacity
that has been used to 'justify a system of male
dominance' to paraphrase Dawn Johnsen.
Submit that the Canadian approach may be instructive for the court: In Andrews v Law Society McIntyre J
held that full equality
necessitates that the court's 'main concern [be]
the impact of the law on the individual or group concerned.'
Submitted that the learned judge's definition of discrimination warrants
the court's attention - 'Discrimination may be described
as a
distinction, whether intentional or not, but based on grounds relating to
personal characteristics of the individual or group,
which has the effect
of imposing burdens, obligations or disadvantages on such individual or
group, not imposed on others, or which
limits access to opportunities,
benefits and advantages available to other members of society.'
Indeed, the reasoning of the American cases of Geduldig and General Electric
has been expressly rejected in Canada in Brooks v Canada
Safeway Ltd per
Dickson CJC.
Submitted that legislation discriminating against pregnant women qualifies
as discrimination, in terms of the Canadian definition
and in terms of
our own Bill of Rights - That is to say, pregnant women are group
unequally treated on the basis of a disability
affecting only that group.
The impugned legislation has the effect of legally forcing women to
become mothers. According to Sylvia
Law, forced motherhood affects a
woman's ability to 'plan [her life], sustain relationships with others
and to contribute through
career work and social life.'
But these submissions are not intended to divorce the question of
abortion from the issue of sexual inequality. On the contrary
it is submitted
that laws restricting access to abortion, have a sex- specific impact in
that men are not subjected to disabilities
similar to those I have
mentioned.
Submitted that the effect the legislation is that a women who would otherwise
choose not to continue their pregnancies are effectively
barred from
doing work, furthering their education and planning their futures,
impediments men never have to face- a discriminatory
effect which denies
women equality.
Submitted there is much force in Sylvia Law's argument that forced motherhood
has historically been central to the oppression of
women worldwide.
1.4 Submitted that the net effect of the impugned legislation is an glaring
infringement a woman's privacy and dignity by restricting
her autonomy in
both her professional and personal life and also her right to equality by
unfairly discriminating against her disability,
making it impossible for
her to participate as a full member of society. Submitted further that the onus of proving that these
infringements are nevertheless saved by s33(1) of the Constitution lies
with the respondent - Khala v Minister of Safety and Security.
2.THE LIMITATION IS NOT SAVED BY
s33(1)
2.1Justice Chaskalson in his judgment in S v Makwanyane held that the
balancing of constitutional rights involves a 'weighing up
of competing
values, and ultimately an assessment based on proportionality....[relevant
factors being] the nature of the right
that is limited and the importance
of that right to an open and democratic society based on freedom and
equality; the purpose for
which the right is limited and the importance
of that purpose to such a society; [and] the extent of the limitation
[and] its efficacy.
Submitted that on this reasoning, in order for a limitation to be reasonable
the state should at the very least show that the limitation
is capable of
achieving ter that in order for a limitation to also be justifiable in an
open and democratic society based on freedom
and equality it will have to
be consonant with the underlying values of the constitution.
2.2Limitations on a woman's Personal privacy and dignity:
Submitted that the right to personal privacy and dignity are central to
the human rights character of our Constitution and the impugned legislation
is both unreasonable and unjustifiable for two reasons:
2.2.1Firstly, if the purpose of the impugned legislation is to protect
fetal life, statistics relating to abortion in South Africa
are
revealing: According to Jeremy Sarkin-Hughes between 100 000 and 500 000
illegal abortions are performed annually in South
Africa; of those, legal
abortions account for less than one percent. In addition the number of
operations for the removal of the
residues of pregnancy was over 38 000
in 1989/90.
This is not to suggest that the Act should simply be better policed, but
rather a recognition that the legislation itself was never
appropriate,
that it was premised on a denial of women's dignity and personal privacy
- values which the court now has an opportunity
and obligation to affirm
and recognise the humiliation, stigmatisation and suffering millions of
South African women have suffered
and continue to suffer. Should a
rational society makes laws it cannot hope to enforce, or laws which are
clearly premised upon
an unconstitutional motive.
Submitted, in both content and effect, the impugned legislation has not
even marginally protected fetal life. [Both the content
and effect of
legislation can have unconstitutional effects - Morgentaler]
2.2.1Secondly, if the purpose of the impugned legislation is to provide
for safe abortions, in other words that womens' health is
the prime
concern, this purpose has not been realised for two reasons:
1.the number of illegal abortions performed in South Africa annually, not
to mention around the rest of the world, is a clear indication
of an
alarming large number of women at great risk in unclean, unprofessional
backstreet clinics - indeed many women lose their
lives during such
procedures.
2.even those women who qualify for a legal abortion nevertheless resort
to the agony of the backstreet either out of fear of stigmatisation,
simply out of ignorance of the Act itself or because the cumbersome
technical requirements of the Act themselves severely limit
access to
abortion. For example, according to Dot Cleminshaw, the requirement's of
three doctor's certification, is not only unnecessary
but also causes
dangerous delays and a gross invasion of privacy. According to
Sarkin-Hughes and Cates, modern studies have shown
that at present, a
properly performed abortion is approx. between 7 - 25 times less likely
to result in death or serious complication
than carrying a pregnancy to
term.
2.2.3Submit that the impugned legislation can hardly be said to have fulfilled
its purpose. The effect of the Act has been to abandon
tens of thousands
of women who either did not qualify for an abortion in terms of s3 or
could not overcome the procedural requirements,
leaving them with a
physically life-threatening and psychologically destructive alternative:
backstreet abortion where in most
cases money is the prime interest, not
the woman's health -Henry Okulu.
According to Marge Dyer the current legislation lacks a rational objective,
not only because of the effects of the provisions of
the Act I have
referred to, but also because it leads to inconsistencies that simply do
not measure up to how women experience
themselves and the world. She
asks: 'How do we justify allowing abortion on grounds of rape (where a
rape fetus is just like any
other) but not where a black women in Soweto
falls pregnant and is abandoned by her boyfriend or where a women who has
eight children
falls pregnant again?'.
It is submitted that the issue of abortion is not about what grounds justify
abortion but is instead a much wider issue involving
a woman's right to
autonomously make choices about her procreative freedom.
Submitted that, at until 20 weeks (the Sarkin-Hughes formulation dealt with
below), the only ground for abortion which is constitutionally
sound is
that of an 'unwanted pregnancy'. Submitted that there is no logical
ground for excluding reasons relating to finances,
loss of personal
freedom, a jeopardised education or career, or simply a choice no to give
birth. In addition, according to Cates
the health risks associated with
pregnancy and childbirth are greatly increased when the pregnancy is
unwanted.
According to Helen Rees to continue with the law as it now stands would
not only deny the international movement towards liberalizing
access to
abortion but would '...ignore the major social and health implications
that illegal abortions carry with them'.
A dignity and privacy doctrine which places the importance of individual
freedom at its centre cannot tolerate the effects of the
impugned
legislation - in essence the right to privacy and dignity demand that the
court recognise each person as a responsible
individual - no matter how
morally objectionable abortion may be to some, subjective standards
cannot be imposed on women generally.
2.3 Limitations on a woman's right to equality.
2.3.1Submitted that equality is dominant theme running through the constitution.
It is mentioned expressly three times: the express
protection of s8, the
limitations clause s33(1) ('in an open and democratic society based on
freedom and equality') and s35(1)
which enjoins the court to take
cognisance of the underlying values of the constitution. Submitted that
when considering the impugned
legislation as unfair discrimination on the
basis of disability (pregnancy), the sex-specific impact of such
discrimination is
important to the issue of proportionality.
2.3.2In Andrews v Law Society McIntyre J held: 'The promotion of equality
entails the promotion of a society in which all are secure
in the
knowledge that they are recognised at law as human beings equally deserving
of concern, respect and consideration'.
The statistics I have quoted [Sarkin-Hughes] are also illustrative of the
racial and economic lines which delineate the actual potential
to abort. In
other words, not only has the legislation not had the effect of
decreasing the frequency of abortions, it has manifested
a clear
economic, racial and sex-specific impact, ie. the vast majority of women
who backstreet abort in South Africa are poor,
black women. Those
who would have us believe that mothers who wish to abort should rather
place their unborn children up for
adoption are usually those most
secluded from the pain and realities of society.The fact that black children are rarely adopted
in
South Africa is a striking example of how the adoption choice in South
Africa is a farce, and how the moralising of pro-lifers
often ignore the
suffering of both mothers and scores of abandoned babies. [Sarkin-Hughes]
Submitted, the court should be wary of emotive moral arguments in the guise
of legal analyses. The core reality id that one of the
specific effects
of discrimination on the grounds of the disability of pregnancy, is the
continuing oppression of poor black women.
2.3.3The abortion question must also be seen within the broader context
of reproductive freedom and therefore of sexual equality.
The state's
interest in the protection of life, whether it be that of the mother or
that of potential fetal life, can be less prohibitively
pursued by
investing in family planning programmes, contraception facilities and
general sex-education - not by overriding a woman's
fundamental rights of
privacy, dignity and equality.
Sylvia Law argues that 'Legal structures that support the dominance of men
and subservience of women are fundamentally inconsistent
with the constitutional
ideals of individual worth and equality of opportunity [and] control of
reproduction is the sine qua non
of womens' capacity to live as equal
people.' (at 1028).
Submitted that at least up to the point of 20 weeks, even though substantial
sectors of society, be they patriarchal men, or religious
followers or
simply moralists, the demands of equality and the values underlying our
constitution must surely prohibit the state
from regulating access to a
safe abortion. Although women are biologically bound to bear the
disabilities of pregnancy, society
can through the law, either exacerbate
or moderate the costs of these burdens. Submitted that the impugned legislation is neither
a
proportional nor justifiable limitation on the right to equality.
2.4.The fetus does not qualify as
a constitutional person and consequently does not enjoy the protection of
s10.
2.4.1Legal Paradox.
If murdering an unborn person who innocently poses a threat to a woman's
health is acceptable, what would prevent us from simply
murdering other
individuals or groups who cause society suffering? (eg. HIV positive
patients, carriers of contagious diseases
etc.) The only solution is to
avoid the dangers of such a legal paradox and accept that the fetus is
not a person.
2.4.2Scientific Argument - Development as a continuous progression.
Most scientific pro-life arguments claim life begins at conception since
a separate human person comes into existence when the 46
chromosomes
which determine a person's distinct, personality are all present in a
fertilised egg. However, not only is it recognised
that our distinct
persons are the result of both chance and planning [Laurence Tribe] but
even the process of fertilisation itself
is not a distinct event. It may
take hours for a sperm to fertilize an egg and in the case of twins, both
fetuses develop from
the original one embryo.
Submitted that the whole process of fertilization and embryonic development
is a continuous one. It is therefore unacceptable to
begin attributing
something as ethereal as legal personality to a fetus. (c)It is an unnecessary argument
Submitted that it is not necessary to argue that the fetus has a right to
life. Submitted that it is acceptable to draw distinctions
on the basis
of the state's interest in protecting potential life. Submitted the point
at which the state develops a legitimate
interest in regulating abortion
is at 20 weeks - based on a combination of theories of brain birth (the
commencement of neo-cortical
activity) and of viability (the point at
which the fetus can exist outside of the womb independently) [
Sarkin-Hughes ].
[In fact, many jurisdictions have rejected the inherent rights argument,
choosing to regulate abortion on the basis of it being
an affront to the
value or sanctity of human life - R. Dworkin]
[That the point of viability is continually shifting is a flawed notion -
it has remained at approx. 22 weeks as it was when Roe
v Wade [1973] USSC 43; (410 US 113
(1972) per Blackmun J.) was decided. What has happened is that improved
technology has meant a higher proportion of 22 week old
babies are now
capable of surviving.]
(d)Pandora's box:
If the court were to recognise fetal rights to life, it could potentially
open a pandora's box of pervasive limitations on womens'
autonomy and
equality. What would prevent legislation requiring, in the interests of
minimising risk of injury to the fetus, that
pregnant women avoid active
lifestyles, avoid smoking, riding in a car, skiing or living at high
altitudes. Submitted it is not
implausible that such legislation could be
extended even to potentially pregnant women. All these ubiquitous inroads on the woman's
fundamental
rights would conceivably be justified as protecting the fetus' right to
life.
(e)Preferable approach.
According to Laurence Tribe the question of fetal personality distracts
us from the real question involved in abortion: '..whether
the state may
force a woman to incubate an embryo, and to serve as its life support
system against her will...forced motherhood
does not only involve asking
a mother to refrain from killing another but involves asking her to make
a profound affirmative sacrifice.'
Fetal life is very different from any other form of life in that it is wholly
dependent on the mother and only the mother (S. Law
) [In fact both the
Canadian and United States courts have rejected the notion of life from
conception - Roe v Wade (supra) &
Morgentaler (supra).]
Submitted further that the Constitutional Court has recognised the importance
of indigenous value systems, in particular: Ubuntu
- In S v Makwanyane
Justice Mokgoro reflected on the need to develop a 'South African rights
jurisprudence' and accordingly expressed
Ubuntu as having at its core
respect for human dignity. Justice Mokgoro recognized the need to 'revive
the value of human dignity
in South Africa'.
Submitted that respect for human dignity lies at the core of the developing
South African rights jurisprudence, it is the core value
which justifies
respect for womens' personal privacy and the need to eradicate gender
inequality. 4.I humbly pray that the application
be upheld and that
the court declare s2 and s3 of the Act unconstitutional: furthermore,
that the court make a declaratory order
as to the applicant's right to an
abortion, and that the court make an order in terms of s98(7) of the Constitution
barring the state and all its organs from instituting criminal proceeding
against the applicant. Finally, I pray that costs be
awarded to the
applicant.
E:HEADS OF ARGUMENT DEFENDING THE
CONSTITUTIONALITY OF SOUTH AFRICA'S RESTRICTIVE ABORTION LEGISLATION
RESPONDENT'S HEADS OF ARGUMENT
THE ISSUES BEFORE THE COURT
Are s2 and s3 of the Abortion and Sterilisation Act 2 of 1975 inconsistent
with s8, s10 and s13 of the Constitution of the Republic of South Africa
Act 200 of 1993, and therefore unconstitutional?
A number of ancillary issues are raised by this general constitutional question:
is the fetus a 'person' for the purposes of the
Constitution, and hence
the bearer of rights? If so, and assuming provisionally that Applicant's
rights in terms of s8, s10 and s13 are infringed, do the rights of the
fetus and other interested parties not trump Applicant's? If the fetus is
not a bearer of rights
then the validity of the above assumption (that
Applicant's rights are in fact infringed) must be examined. Finally, even
if it
is determined that s2 and s3 do violate s8, s10 and s13 of the
Constitution, there remains the can be salvaged in terms of s33(1) of the
Constitution.
If the court finds that:
(1)the fetus is a bearer of constitutional rights and that these rights
and those of other interested parties take precedence over
Applicant's
rights to equality, dignity and privacy, or
(2)Applicant's rights are not infringed by the impugned legislation, or
(3)there is an infringement of these rights, but it is permissible in
terms of s33(1) of the Constitution then it is respectfully submitted
that the constitutional question must be answered in the negative.
SUBMISSIONS IN GENERAL
Primary Argument
The fetus is a 'person' and hence a bearer of constitutional rights. Applicant's rights to equality, dignity
and privacy, assuming
they are infringed by the impugned legislation, are
nevertheless trumped by the rights of the fetus and other interested
parties.
Secondary Argument
Alternatively, if the fetus is not a bearer of rights, the impugned legislation
remains valid because it does not infringe Applicant's
rights to
equality, dignity and privacy.
Tertiary Argument
Alternatively, even if the fetus has no rights or has rights but Applicant's
rights prevail over them, and even if Applicant's rights
are infringed by
the impugned legislation - notwithstanding, the legislation is valid
because the limitation it imposes upon the
rights in question is
sanctioned in terms of the limitations clause.
SUBMISSIONS IN PARTICULAR
1.Primary Argument
1.1 The fetus is a 'person' and hence a bearer of constitutional rights.
1.1.1Quote: Milton, Paradise Lost, Book 8.
1.1.2Constitution: Constitution of the Republic of South Africa Act 200
of 1993.
1.1.3Mr. Justice Blackmun's dictum: Roe v Wade [1973] USSC 43; 410 US 113 (1973) per Blackmun
J at 159.
1.1.4Only within abortion controversy is fact of human life from conception
questioned: Destro R A 'Abortion and the Constitution: The Need for a
Life-Protective Amendment' (1975) 63 California Law Review 1250 at 1254;
Editorial, 'A New Ethic for Medicine and Society' (September, 1970) California
Medicine at 68, cited in Destro (Supra)
1254n24.
1.1.5Critical stages of development: Flower M J 'Coming into Being: The
Prenatal Development of Humans', in Butler and Walbert,
D F (Eds) Abortion,
Medicine, and the Law 4 ed (1992) 445-6; du Toit D 'Again: "When
Does Life Begin?"', in van Niekerk
A (Ed) The Status of Prenatal Life
(1991) 22-3. Viability and brain birth suggested as appropriate for South
Africa: Sarkin-Hughes
J 'A Perspective on Abortion Legislation in South
Africa's Bill of Rights Era' (1993) 56 THRHR 83 at 90; Lupton M L 'The
Legal Status of the Embryo' (1988) Acta Juridica 197 at 214. Brain birth
as a marker is flawed: du Toit (Supra) 23; Sarkin-Hughes J 'Choice and
Informed Request: The Answer to Abortion'
(1990) 1 Stellenbosch LR 372 at
378-9; Flower (Supra) 443. Viability as marker is tenuous: Tribe L H 'The
Supreme Court 1972 Term'
(1973) 87 Harvard LR 27, cited in Olmsdahl M C J
'Abortion and the Husband's Consent' (1972-76) 1 Natal Univ LR 213 at
220n59;
Swanepoel A 'Aborsie: Nuwe Insigte, Nuwe Argumente' (1988) 28 Tydskrif
vir Geesteswetenskappe 41 at 42; Fortin J E S 'Legal Protection
for the
Unborn Child' (1988) 51 Modern LR 54 at 67. Viability in 395g infant
younger than 20wks: Destro (Supra) 1312. Selection of any degree of
development as measure of worth
is arbitrary: Grisez G Abortion: the
Myths, the Realities, and the Arguments (1970) 304-5. Personhood is characterised by
incompleteness:
van Niekerk A 'Life and Personhood: A Philosophical
Exploration', in van Niekerk A (Ed) The Status of Prenatal Life (1991)
36,
39.
1.1.6Willingness to kill what may be a person is willingness to kill a
person: Grisez (Supra) 306.
1.1.7Prejudice against the unborn - "prenatalism": Grisez (Supra) 467-70.
Characteristics of discriminatory distinctions:
Andrews v Law Society of
B.C. 1989 CanLII 2 (SCC); (1989) 56 D.L.R. (4th) 1 per La Forest J at 39. Age discrimination:
s8(2) of the Constitution of the Republic of South Africa Act 200 of
1993. Dicta from the death penalty judgment: S v Makwanyane and Another
1995 (6) BCLR
665 (CC) per Chaskalson P at 703H-I/J; Furman v Georgia [1972] USSC 170; 408
US 238 (1972) per Brennan J at 272-3, cited in S v Makwayane and Another
(Supra) per O'Regan J at 778A-B; S v Makwanyane and Another (Supra)
per
O'Regan J at 778G/H-H. Quote on Nazi rationalisation: Pulvertaft R J V
'The Individual and the Group in Modern Medicine' (1952)
2 The Lancet
841; cited in Adams A M (Chairman) 'Report of the Human Fetal Tissue
Transplantation Research Panel', in Butler and
Walbert (Supra) 795.
1.1.8Legal authority for fetal rights. Few international human rights
charters accord rights to the fetus from conception: du Plessis
L M
'Whither Capital Punishment and Abortion under South Africa's Transitional
Constitution?' (1994) 7 SACJ 145 at 158. Not bound to follow foreign jurisprudence:
S v Makwayane and Another (Supra) per Chaskalson P at 687F/G-688B.
1.1.8.1SA law. Abortion proscribed in early indigenous law: Maclean J C A
Compendium of Kafir Laws and Customs (1858) 64. Judicial
consideration of extending the nasciturus doctrine:
G v Superintendent, Groote Schuur Hospital, and Others 1993 (2) SA 255
(C) per Seligson AJ at 259C-G; du Plessis L M 'Jurisprudential
Reflections on the Status of Unborn Life' (1990) 1 Tydskrif vir dir
Suid Afrikaanse
Reg 44 at 49.
1.1.8.2US law. Trend towards conferring rights on fetuses: Johnsen D E
'The Creation of Fetal Rights: Conflicts with Women's Constitutional
Rights to Liberty, Privacy, and Equal Protection' (1986) 95 Yale LJ 599
at 602, 604-5, 605n27.
1.1.8.3German law. Fetus has right to life from conception: du Plessis L
M 'Whither Capital Punishment and Abortion under South
Africa's
Transitional Constitution?' (1994) 7 SACJ 145 at 159.
1.1.8.4Embryo experimentation. Legal controls illogical if abortion is
permitted: Clarke L 'Abortion: A Rights Issue?', in Lee R
and Morgan D
(Eds) Birthrights: Law and Ethics at the Beginnings of Life (1989) 159;
Lupton (Supra) 200-2; Dr Mary Tighe, The Times,
24 July 1984, cited in
Fortin (Supra) 68.
1.1.9Term "person" should be given broadest possible meaning: Destro (Supra)
1334.
1.2Applicant's rights to equality, dignity and privacy, assuming they are
infringed by the impugned legislation, are nevertheless
trumped by the
rights of the fetus and other interested parties.
1.2.1Quote on women's emancipation set against rights of others: Callahan
D Abortion: Law, Choice and Morality (1970) 464.
1.2.2Absolute right not to get pregnant: McIntosh G (Ex-MP for the DP),
Personal Communication, 29 July 1995.
1.2.3Guidelines for adjudication of disputes between private individuals
involving the Constitution: Gardener v Whitaker 1994 (5) BCLR 19 (E) per
Froneman J at 37B-D.
1.2.4Right to Life: s9 of the Constitution of the Republic of South Africa
Act 200 of 1993. Right to Dignity: s10 of the Constitution of the
Republic of South Africa Act 200 of 1993.
1.2.5Respect for Life and Dignity are values of highest order - a clear
and convincing case must be made out to justify destroying
them: S v
Makwayane and Another (Supra) per Chaskalson P at 711H-712A. 1.2.6.1Other
fundamental rights rank below the right to
life: S v Makwanyane and
Another (Supra) per Kriegler J at 749G-H.
1.2.6.2Life and dignity two sides of same coin: S v Makwanyane and Another
(Supra) per Mokgoro J at 773D/E. Dignity of fetus violated
by manner in
which abortions are performed: Swanepoel (Supra) 42-3; Everett Koop, C
(U.S. Surgeon General) 'The U.S. Surgeon General's
Report on the Health
Effects of Abortion', in Butler and Walbert (Supra) at 736-7. Possibility
of research on aborted fetuses violates
their dignity.
2. Secondary Argument
2.1 The impugned legislation does not infringe Applicant's right to equality.
2.1.1Right to Equality: s8 of the Constitution of the Republic of South
Africa Act 200 of 1993.
2.1.2Impugned legislation does not discriminate on grounds of sex: DeCrow
K Sexist Justice (1975) 312, cited in Kingdom E 'Birthrights:
Equal or
Special?', in Lee and Morgan (Supra) 20-1.
2.1.3Impugned legislation rationally discriminates between pregnant and
nonpregnant people. Test used: Mfolo and Others v Minister
of Education,
Bophuthatswana 1994 (1) BCLR 136 (B) per Comrie J at 139G/H-141I.
2.2The impugned legislation does not infringe Applicant's right to dignity.
2.2.1Right to Dignity: s10 of the Constitution of the Republic of South
Africa Act 200 of 1993.
2.2.2Abortion is a denial of women's nature: Smith Abortion as a Feminist
Concern 81, 84, cited in Cunningham P C and Forsythe C
D 'Is Abortion the
"First Right" for Women?: Some consequences of Legal Abortion',
in Butler and Walbert (Supra) 111.
2.2.319th Century feminists opposed abortion: Cunningham and Forsythe (Supra)
113.
2.2.4Abortion has not benefited women: Cunningham and Forsythe (Supra)
117, 157.
2.3The impugned legislation does not infringe Applicant's right to privacy.
2.3.1Right to Privacy: s13 of the Constitution of the Republic of South
Africa Act 200 of 1993.
2.3.2Definition of privacy: Burchell J Principles of Delict (1993) 207.
2.3.3Abortion not a purely private matter: Destro (Supra) 1261-2.
2.3.4Privacy not freedom to live life without governmental interference:
Ely J H 'The Wages of Crying Wolf: A Comment on Roe v.
Wade' (1973) 82
Yale LJ 920 at 932-3.
3.Tertiary Argument
Even if Applicant's rights are infringed, the impugned legislation remains
valid because:
3.1The limitation it imposes upon the rights in question is reasonable
and justifiable in an open and democratic society based on
freedom and
equality.
3.1.1Limitation of rights: s33 of the Constitution of the Republic of South
Africa Act 200 of 1993.
3.1.2Guidelines for applying limitations clause: S v Makwanyane and Another
(Supra) per Chaskalson P at 708C/D-G.
3.1.3Primary State objectives. Protecting fetus & discouraging discriminatory
value judgments: Callahan D 'Abortion: Some Ethical
Issues', in Butler
and Walbert (Supra) 701-2.
3.1.4Health concerns. Low incidence of mental health problems if pregnancy
not terminated: Everett Koop C (U.S. Surgeon General)
: Letter to the
President, 9 January 1989, in Butler and Walbert (Supra) at 733. Psychological
sequelae of abortion: Nash E S 'Teenage
Pregnancy - Need a Child Bear a
Child?'(1990) South African Medical Journal 148. Legalising abortion
results in an increase in
backstreet abortions: Middleton A J 'Abortion'
1972 (Sep) De Rebus Procuratoriis 397 at 400. Ways other than legalising
abortion
on request of reducing the number of backstreet abortions:
Clarke (Supra) 168. Many illegal abortions possibly result from
fragmentation
of families in wake of homelands policies. Discussion of
such fragmentation: Cope J A Matter of Choice: Abortion Law Reform in
Apartheid South Africa (1993) 26-7. Even legal abortions are not safe:
Wynn M and Wynn A 'Some consequences of Induced Abortion
to Children Born
Subsequently' (1973), cited in Olmsdahl (Supra) 218n48, 219; Cunningham
and Forsythe (Supra) 132n183, 133nn184-188.
3.1.5Unsavoury clinic practices: Cunningham and Forsythe (Supra) at 133nn189-192.
3.1.6Miscellaneous. Abortion not 'indispensable' for population control. Abortion
as contraception leads to aberrations: McIntosh
G (Ex-MP for the DP),
Personal Communication, 4 August 1995. State interest in encouraging
relationships of mutual responsibility
between women and men. State
interest in discouraging promiscuity.
3.1.7Reasonable or unreasonable impact on people affected by the legislation
must be examined: Hunter v Southam (1985) 14 C.C.C. (3d) 97 SCC per
Dickson J at 106.
3.2The impugned legislation imposes a necessary limitation of Applicant's
right to dignity.
3.2.1Limitation of Applicant's right to dignity must be necessary: s 33(1)(aa)
of the Constitution of the Republic of South Africa Act 200 of 1993.
3.3The impugned legislation does not impose a limitation which negates
the essential content of Applicant's rights to equality,
dignity and
privacy.
3.3.1Limitation of a right shall not negate the essential content of the
right: s33(1)(b) of the Constitution of the Republic of South Africa Act
200 of 1993.
3.3.2Subjective and objective negation of the essential content of rights:
S v Makwayane and Another (Supra) per Chaskalson P at
718G- G/H.
3.3.3Incremental invasion of rights: S v Makwanyane (Supra) per Mahomed J
at 768D/E-E.
4.Closing Submission
4.1Abortion Act not "apartheid measure": Strauss S A 'Abortion Law Reform'
(1995) 112 SALJ 195 at 195.
4.2Proposition of fetal humanity and equality not conservative but radical:
Callahan D 'Abortion: Some Ethical Issues', in Butler
and Walbert (Supra)
702.
On these grounds Respondent humbly prays that the Moot Court shall dismiss
the application. It is further prayed that Applicant
be ordered to pay
the costs of the application.
SIGNED THIS 6th DAY OF AUGUST, 1995, AT PIETERMARITZBURG.
R.M.P. RS
PIETERMARITZBURG
F:ARGUMENT DEFENDING THE
CONSTITUTIONALITY OF SOUTH AFRICA'S RESTRICTIVE ABORTION LEGISLATION
RESPONDENT'S ARGUMENT
SUBMISSIONS IN GENERAL
Primary Argument
The fetus is a 'person' and hence a bearer of constitutional rights. Applicant's rights to equality, dignity
and privacy, assuming
they are infringed by the impugned legislation, are
nevertheless trumped by the rights of the fetus and other interested
parties.
Secondary Argument
Alternatively, if the fetus is not a bearer of rights, the impugned legislation
remains valid because it does not infringe Applicant's
rights to
equality, dignity and privacy.
Tertiary Argument
Alternatively, even if the fetus has no rights or has rights but Applicant's
rights prevail over them, and even if Applicant's rights
are infringed by
the impugned legislation - notwithstanding, the legislation is valid
because the limitation it imposes upon the
rights in question is
sanctioned in terms of the limitations clause.
1.Primary Argument
1.1The fetus is a 'person' and hence a bearer of constitutional rights.
For man to tell how human Life began is hard: for who himself beginning
knew? Milton put this question in Paradise Lost, but the
debate about
when human life begins still rumbles on. Justice Blackmun in Roe versus
Wade decided that he need not resolve the
difficult question.
However I submit that the debate about when human life begins is critical
to the issue before us, because of its relevance to whether
or not a
fetus is a rights-bearing person in terms of the Constitution. Rights in
the interim South African Constitution are afforded to persons, yet
nowhere is the word person defined.
It is my contention that the fetus is indeed a person protected by the constitution.
1.1.4Only within abortion controversy is fact of human life from conception
questioned: Destro, California Medicine. The answer
to the
difficult question of when life begins is actually a matter of common
understanding. The increasing sophistication of the
science of biology
has made it impossible to deny that biologically, human life exists
before birth. Destro has pointed out that
it is only within the context
of the abortion controversy that this basic fact is called into question.
The official journal of
the California Medical Association noted that
there is a "curious avoidance of the scientific fact, which everyone
really
knows, that human life begins at conception and is continuous
whether intra- or extra- uterine, until death ... The very considerable
semantic gymnastics which are required to rationalise abortion as anything
but the taking of human life would be ludicrous if not
often put forth
under socially impeccable auspices."
1.1.5Critical stages of development: Flower, du Toit
One manifestation of this semantic can of worms is the battery of critical
stages in the development of the fetus which different
people have
suggested as marking the beginning of human life.
These include the emergence of developmental individuality and the so- called
'primitive streak' at 2 weeks, the emergence of motility
at 6-7 weeks,
viability at approximately 20 weeks, the first neocortical circuitry and
connection to the bodily sensorium (or brain
birth) at 20-23 weeks,
morphophysiology and sleep/wake cycles similar to full- term new born at
28-32 weeks. Psychological terms
and descriptions, like the ability to
function in relationships, have also been used.
1.1.5Viability and brain birth suggested as appropriate for South Africa:
Sarkin-Hughes, Lupton.
Academics Lupton and Sarkin-Hughes have suggested viability and brain birth
as appropriate cut off points for a South African abortion
law, and my
learned friend has adopted their approach. I would like to challenge this
suggestion.
1.1.5Brain birth as a marker is flawed: du Toit, Flower.
Brain birth which is accompanied by the production of EEG waves is seen
to be significant because it marks the appearance of our
higher intelligence
and this supposedly is what distinguishes us from animals.
----------------------------------------------------------------------
However, although neocortical circuitry required for human higher intelligence
appears only at 20 weeks, the brain actually begins
to direct the
operation of bodily systems and organs at 8 wks. In fact, electrical
activity has been observed as early as the 5th
week, probably associated
with embryonic brainstem function. The question has been asked whether it
would be possible to measure
electrical activity at an earlier stage if
we had finer instruments.
----------------------------------------------------------------------
1.1.5Viability as marker is tenuous: Tribe, Swanepoel, Fortin
The concept of viability is in fact very tenuous - life always requires a
favourable environment. How viable is an adult at the
South Pole? What of
those people who depend on kidney machines, yet whose rights are in no
sense diminished by this disability.
In fact, viability is really just a
question of the degree of outside support necessary to preserve life. As
medicine progresses
the stage of viability will move closer and closer to
the time of conception, until it coincides with conception with the
development
of an artificial placenta. The viability guidelines laid down
in Roe versus Wade had already become obsolete by 1975 when an infant
weighing 395 grams and less than 20 weeks old, survived.
At present, the viability of a fetus in essence depends on whether its lungs
are inflatable thereby allowing it to breathe. This,
as Fortin points
out, is merely a physiological stage in fetal development which has no
more significance than any other. Both
viability and brain birth as
yardsticks decide the fate of the embryo by external factors, and not on
its own merits.
1.1.5Selection of any degree of development as measure of worth is arbitrary:
Grisez
In fact, the selection of any degree of development as a tool for measuring
worth and personhood is arbitrary. An embryo might argue,
were she able
to, that vitality should rather be the yardstick of dignity.
Grisez suggests that the embryo might say something like: "My life is far
better than yours, because my life is a process of
development and ever-increasing
vitality, while yours is a process of deterioration and waning vitality
as you decline toward death."
It is not suggested that the embryo's
argument would be any more sound than the argument from viability, but it
illustrates the
point that when we emphasize degree of development we
select as decisive this characteristic we prefer among all the
differences
of human beings. Yet the very fact that such rights as
equality and dignity are protected suggests that there is no common
denominator
of the importance of these differences.
It might be contended that conception is also just a degree of development
and thus an arbitrary marker. But conception is qualitatively
different
from the other stages in that for the first time after conception nothing
except nutrition, oxygen and a favourable environment
are required for
development and this does not change until death.
1.1.5Personhood is characterised by incompleteness: van Niekerk. It may
be contended that the conceptus is an incompletely developed
person, but
incompleteness characterises personhood. "A human person is
the dialectical tension between what he or she has
become and what he or
she could become, between facticity and possibility, between past and
future."
1.1.6Willingness to kill what may be a person is willingness to kill a
person: Grisez.
On a different tack, Grisez has pointed out that to be willing to kill what
for all we know could be a person is to be willing to
kill it if it is a
person. Thus, a judicial body which holds that a fetus is not a person
and thus takes responsibility for its
abortion cannot evade moral
responsibility for killing a person. This, it is suggested, is a cogent
reason for this court to find
that the fetus is a person for the purposes
of the constitution, and hence, is protected by it.
1.1.7Prejudice against the unborn - "prenatalism": Grisez.
Grisez also makes a convincing argument to the effect that those who approve
abortion show characteristic signs of a deep seated
prejudice. This particular brand of prejudice he
calls 'prenatalism': we are already born while they are unborn. He notes
that
the fetus is distinguishable by an obvious characteristic which it
is impossible for it to alter. And he notices inconsistencies
typical of
systems based on prejudice, such as adjacent medical articles describing
on the one hand the latest abortion technique
and on the other, the latest
advance in in utero surgery.
1.1.7Characteristics of discriminatory distinctions: Andrews v Law Society
of B.C. (1989).
La Forest J in the Andrews case in Canada identified characteristics of
discriminatory distinctions in likening distinction on the
basis of citizenship
with discrimination on the more usual grounds. He said that
"non-citizens are an example without parallel
of a group of persons
who are relatively powerless politically, and whose interests are likely
to be compromised by legislative
decisions." I submit that there is
a parallel group which has been traditionally unfairly discriminated
against, and that
is the class of prenatal human beings.
1.1.7Age discrimination: s8(2) of the Constitution.
I would like to draw the court's attention to the fact that the right to
freedom from discrimination on the basis of age is specifically
protected
in the Constitution.
Certain dicta from the recent death penalty judgment have a bearing on this
issue of prenatalism.
Dicta from the death penalty judgment: Chaskalson P, Furman v Georgia per
Brennan J per O'Regan J
Justice Chaskalson spoke of protecting the rights of those who cannot protect
their rights adequately through the democratic process,
of protecting the
worst and weakest among us in order to be secure that our own rights will
be protected.
Justice O'Regan cited a dictum condemning punishments that "treat members
of the human race as non-humans, as objects to be
toyed with and
discarded." She also said that part of the job of Bill of Rights is
to protect those who are "marginalised,
the dispossessed and the outcasts
of our society, because they are the test of our commitment to a common
humanity and cannot be
excluded from it."
"Weakest", "Marginalised", outcasts of society, and
"Objects to be toyed with and discarded": these
descriptions
clearly fit prenatal human beings. Bearing in mind the
significance of the right to freedom from discrimination
in South
Africa's new constitution, it is submitted that discrimination against
the class of prenatal human beings must not become
law - fetuses must be
regarded as persons and accorded rights under the Constitution.
1.1.7Quote on Nazi rationalisation: Pulvertaft cited by Adams.
"[A] lawyer who [took] part in prosecuting Nazis for war crimes explained
how the German nation could have acted so savagely:
'There is only one
step to take. You may not think it possible to take it; but I assure you
that men I thought decent men did take
it. You have only to decide that
one group of human beings have lost human rights.'"
1.1.8.1SA law. Abortion proscribed in early indigenous law: Maclean, A Compendium
of Kafir Laws and Customs (1858). Judicial consideration
(obiter) of
extending the nasciturus doctrine: G v Superintendent, Groote Schuur
Hospital per Seligson AJ.
Due to time constraints, I will not be able to canvass the all international
and domestic legal authority for the proposition that
fetuses are to be
accorded rights but as Justice Chaskalson has pointed out, in construing
our Constitution we must have due regard to our history and legal system.
Therefore, I would like touch on two points. Firstly, Maclean in 1858
recorded that abortion was a crime of considerable magnitude in the Eye
of indigenous law. Secondly, in the 1993 CPD decision of
G versus
Superintendent, Groote Schuur Hospital there was an obiter intimation by
that there was scope for the extension of the
nasciturus fiction so as to
provide protection for an unborn fetus against an abortion. Seligson AJ
suggested that legal subjectivity,
albeit restricted, could be conferred
on the unborn child, especially 'in circumstances where its very
existence is threatened.'
1.1.9Term "person" should be given broadest possible meaning: Destro.
Wrapping up this first general submission: In the final analysis, it should
be remembered that the purpose for which we have to
define the term
person is to expand or contract the protection of fundamental rights
applicable to a class which stands to lose
everything by a limited
definition. Therefore, it is submitted that the term should be given its
broadest possible meaning.
I would also like to mention that
Applicant's contention that a legal paradox would arise and that abortion
would always be murder,
even to save the life of the mother, is patently
fallacious. The common law has always recognised the defence of
necessity.
A fetus is and must be judicially recognised as a person with rights in
terms of the Constitution. This has a bearing on the next general submission.
1.2Applicant's rights to equality, dignity and privacy, assuming they are
infringed by the impugned legislation, are nevertheless
trumped by the
rights of the fetus and other interested parties.
It is my second general submission that the rights of the fetus and other
interested parties outweigh those of the mother.
1.2.1Quote on women's emancipation set against rights of others: Callahan.
1.2.2Absolute right not to get pregnant: Graham McIntosh. Callahan
has written: "It is one thing to emancipate women from
discrimination
and male tyranny: it is quite another to emancipate them from all human
claims and obligations towards the rights
of others."
Each woman has an absolute right not to get pregnant. When a pregnancy
has begun, however, the rights and interests of four discrete
parties
become involved in the pregnancy. These parties are: the pregnant woman,
the fetus if we accept it is a person with rights,
the father, the doctors
and nurses involved, and society at large. Some would add God to this list. A constitutional enquiry
into
the issue of abortion must therefore balance these diverse rights. Therefore, in this case the
Constitution simply has to be applied horizontally. of disputes between private individuals
involving the Constitution: Gardener v Whitaker per Froneman J.
In the 1994 Gardener decision, Froneman J laid down some useful guidelines
for the adjudication of disputes between private individuals
involving
the constitution. Firstly, a plaintiff who seeks to rely on the
precedence of one fundamental right over another should
bear the onus for
establishing the basis of precedence. The plaintiff having done so, it
may then still be possible for a defendant
to defeat the claim by relying
on a defence justified by a law of general application which complies
with the limitations clause.
For present purposes this breaks down like this: Applicant must prove that
her equality, dignity and privacy are infringed. Furthermore,
she then
bears the further onus of proving that the limitation of her rights which
the current abortion legislation imposes on
her outweighs the
legislation's validity in so far as it secures the competing rights of
the fetus and the other involved parties.
Finally, Respondent can still
rely on a defence not based on a fundamental right, complying with s33.
1.2.4Right to Life: s9 Right to Dignity: s10
Although I have mentioned several parties whose rights are affected by the
abortion decision, I propose to deal here only with the
conflict between
the rights of the fetus and those of the mother. I consider Society's
interests in my tertiary argument. It
is submitted that the
fetus's rights to life and dignity would be forfeit if the Applicant's
petition were to succeed. This cannot
be permitted. The fetus's rights to
life and dignity trump the mother's rights.
In weighing the rights of the mother against the fetus there is no doubt
that the full picture of the mother as a whole woman with
a real life,
real hopes and real pain must be kept in mind. But as the President of
the Constitutional Court said in the death
penalty judgment:
1.2.5Respect for Life and Dignity are values of highest order - a clear
and convincing case must be made out to justify destroying
them: Chaskalson
P.
"Respect for life and dignity ... are values of the highest order under
our Constitution. A clear and convincing case must be made out to justify
destroying them."
1.2.6.1Other fundamental rights rank below the right to life: Kriegler J.
Justice Kriegler said that the rights to dignity and equality and the other
fundamental rights rank below the right to life in the
hierarchy of
values and fundamental rights guaranteed under the Bill of Rights. He said that they are subsumed by that
most basic
of rights. Paraphrasing
Justice Kriegler's next comment: "Inasmuch as [abortion] strikes at
the heart of the right to life,
the debate need go no further."
1.2.6.2Life and dignity two sides of same coin: Mokgoro J.
Yet, as Justice Mokgoro has pointed out: life and dignity are like two sides
of the same coin. A violation of the right to life
is a violation of the
right to dignity. However, abortion affronts the dignity of the fetus not
only inasmuch as it violates its
right to life, but also because of the
manner in which abortions are carried out.
1.2.6.2Dignity of fetus violated by manner in which abortions are performed:
Swanepoel, Everett Koop (SG of USA)
For instance, authorised clinical methods include the Saline Abortion. Amniotic fluid is replaced with a
solution of concentrated
salt. The fetus is poisoned by the salt, and the
outer layer of its skin is burned off by its corrosive effect. It takes
over an
hour to kill the fetus by this method.
It is also submitted that the possibility of research on whole aborted fetuses
offends the dignity of the fetus.
To conclude, then, a mother's rights to dignity, equality and privacy, even
if they are infringed, are outweighed by the fetuses
rights, protected by
the legislation, to life and dignity.
2.Secondary Argument
2.1The impugned legislation does not infringe Applicant's right to equality.
Right to Equality: s8 of the Constitution of the Republic of South Africa
Act 200 of 1993.
Impugned legislation does not discriminate on grounds of sex: DeCrow K Sexist
Justice (1975) 312, cited in Kingdom E 'Birthrights:
Equal or Special?',
in Lee and Morgan (Supra) 20-1.
Sections 2 and 3 do not discriminate on the basis of sex. This is because
a law is unfairly discriminatory only if it refers to
a category of
persons which can be filled by men or by women and if it seeks to
allocate benefits to men only or women only. Singling
out pregnancy for
special treatment does not discriminate on the basis of sex even though
the law refers only to women because
men cannot become pregnant. But if
in referring to pregnancy the law goes beyond to spheres other than the
reproductive differences
between men and women (eg employment or education),
the law must treat pregnant women the same as men are treated in respect
to
the area of regulated employment or education. Expulsion of pregnant
schoolgirls is prima facie discrimination because their education
is
being regulated and not their pregnancy. But the abortion legislation
does not go beyond to other spheres in this way.
Impugned legislation rationally discriminates between pregnant and nonpregnant
people. Test used: Mfolo and Others v Minister of
Education, Bophuthatswana
1994 (1) BCLR 136 (B) per Comrie J at 139G/H-141I.
It is submitted that the impugned legislation rationally discriminates b
etween pregnant and nonpregnant persons. In Mfolo's case,
the court applied
the test of permissible classification used in the US, Germany, India and
South West Africa. This test entails
that two conditions have to be
fulfilled. These are firstly, that the classification must be founded on
an intelligible differentia
as the basis of the distinction and secondly,
that such a differentia must have a rational relation to the object
sought to be
achieved by the legislation. It is submitted that
differential treatment of pregnant women in the arena of abortion passes
this
test with flying colours. Firstly,
pregnancy as a basis of discrimination is intelligible - common sense
tells us that there are
implications for pregnant people not applicable
to nonpregnant people. Secondly, if the objective of the impugned
legislation is
to outlaw abortion, what more rational nexus between an
objective and a basis of distinction can there be than that only people
carrying fetuses to abort be regulated by the legislation. Thus it is
submitted that discrimination between pregnant and nonpregnant
persons
for the purposes of abortion legislation is not unfairly discriminatory. Applicant's
right to equality is not infringed.
2.2The impugned legislation does not infringe Applicant's right to dignity.
Right to Dignity: s10 of the Constitution of the Republic of South Africa
Act 200 of 1993. Abortion is a denial of women's nature: Smith Abortion
as a Feminist Concern 81,
84, cited in Cunningham P C and Forsythe C D
'Is Abortion the "First Right" for Women?: Some consequences of
Legal Abortion',
in Butler and Walbert (Supra) 111.
It is submitted that the legislation does not infringe Applicant's right
to dignity. In fact, the question should be asked whether
the State, if
it condoned easy abortion on demand, would not thereby be infringing the
dignity of pregnant women. As moral philosopher
Janet Smith has written:
"[B]ehind women's demands for unlimited access to abortion lies a
profound displeasure with the way
in which a woman's body works and hence
a rejection of the value of being a woman ... Abortion is a denigration
of women, a denial
of one of the defining features of being a woman-her
ability to bear children. Now some may deny that this is a defining
characteristic
of women. But is there any more certain criterion? A woman
is a woman because she can bear children... To put is bluntly, an
abortion
amounts to a mutilation of the woman's body and to a denial of
her nature."
19th Century feminists opposed abortion: Cunningham and Forsythe (Supra)
113.
It is also instructive that 19th Century feminists were uniformly opposed
to abortion. "They did not view abortion as a solution
to the oppression
and disenfranchisement of women. They understood that abortion occurred
because of that inequality. They understood
that abortion is something
done to women, by men, for men."
Abortion has not benefited women: Cunningham and Forsythe (Supra) 117, 157.
Cunningham and Forsythe submit that "although it may be politically correct
to espouse abortion as the foundation for women's
freedom and progress,
it has not truly benefited women." (117) "Abortion violently contradicts
the core values that are
the very essence of a woman's being: nurturance,
care, compassion, cooperation, inclusivity, community and connectedness (157)
... Furthermore, it does not promote the premises of autonomy and choice
upon which it is based. (117) Abortion on demand has isolated
women, subjected
them to coercion, maimed their bodies and wounded their psyches." (157)
2.3The impugned legislation does not infringe Applicant's right to privacy.
Right to Privacy: s13 of the Constitution of the Republic of South Africa
Act 200 of 1993.
Definition of privacy: Burchell J Principles of Delict (1993) 207.
It is submitted that the impugned legislation does not infringe Applicant's
right to privacy. According to Burchell, "privacy
is having one's
person or conduct withdrawn from the public gaze - it involves a state of
seclusion."
Abortion not a purely private matter: Destro (Supra) 1261-2.
It is difficult to characterise abortion as a purely private matter unless
one totally ignores not only the nature of abortion itself,
but also the
many outside interests which are affected by such a decision. I have already mentioned the outside
interests affected.
As to the nature of abortion, it must be borne in
mind that a legalised abortion on request would be a medical procedure. Although
the personal decision to undergo the procedure, as well as the medical
record of its performance, may be confidential, the actual
procedure
performed by a State-certified medical practitioner in a regulated health
facility, can hardly be considered a private
occurrence. It is almost ludicrous
to compare the sterile anonymity of the operating theatre to the privacy
of, say, the marital
bedroom.
3.Tertiary Argument
Even if Applicant's rights are infringed, the impugned legislation remains
valid because:
3.1The limitation it imposes upon the rights in question is reasonable
and justifiable in an open and democratic society based on
freedom and
equality.
The thrust of my tertiary argument is that the State's interests in proscribing
abortion on demand justify overriding the mother's
rights. This applies even if the fetus is not a
person protected by the constitution.
Guidelines for applying limitations clause: S v Makwayane and Another per
Chaskalson P.
Justice Chaskalson in the death penalty judgment laid down some guidelines
for determining whether a limitation of rights is reasonable
and
necessary. A weighing up of competing values is involved, and ultimately
the assessment is based on proportionality.
In the balancing process, the relevant considerations include the nature
and importance of the rights infringed, the nature and
importance of the
purpose for which they are infringed, and the extent and efficacy of the
limitation.
In addition, where the limitation has to be necessary, there must be no
way of achieving the desired ends through means less damaging
to the
right in question.
I propose to look now at the nature and importance of the purposes for which
Applicant's rights are infringed by the legislation.
Primary State objectives. Protecting fetus & discouraging discriminatory
value judgments: Callahan D 'Abortion: Some Ethical
Issues', in Butler
and Walbert (Supra) 701-2.
The great strength of the movement against abortion is that it seeks to
protect one defenseless category of human life; furthermore,
it strives
to resist the introduction into society of forms of value judgments that
would discriminate among the worth of individual
lives.
----------------------------------------------------------------------
In almost any other civil rights context, the cogency of this line of reasoning
would be quickly respected. Indeed, it has been
at the heart of efforts
to correct racial injustices, to improve health care, to eradicate
poverty, and to provide better care
for the aged. The history of mankind
has shown too many instances of systematic efforts to exclude certain
races or classes of
persons from the human community to allow us to view
with equanimity the declaration that fetuses are "not human."
Health concerns. Low incidence of mental health problems if pregnancy not
terminated: Everett Koop.
In 1989 the U.S. Surgeon General submitted a letter to the President on
the Health Effects of Abortion. 250 studies on the psychological
aspects
of abortion were reviewed but found to be methodologically flawed and thus
inconclusive. However, the Surgeon General did
note that when pregnancy,
whether wanted or unwanted, comes to full term and delivery, there is a
well documented, low incidence
of adverse mental health effects.
----------------------------------------------------------------------
Psychological sequelae of abortion: Nash, South African Medical Journal.
The issue of health is also important. Firstly, abortion has psycological
sequelae. Nash has written in the South African Medical
journal that:
"While the practical worldly self of the woman's personality may
well be relieved that this complication in
her life has been removed,
there are repressed feelings of loss, remorse, anger and guilt that may
emerge later if not dealt with.
An abortion is never a non-event in a
girl or woman's life. Experience shows that reactions often emerge in the
first year after
abortion and, in particular, include 'mourning' the
unborn child on its birthday. Later
depression, a further compensatory pregnancy
or a schizoid withdrawal
from interpersonal relationships are other possible outcomes if the
feelings remain unacknowledged and
personality splits persist. Suicide is
also a significant hazard."
Legalising abortion results in an increase in backstreet abortions: Middleton.
Ways other than legalising abortion on request of
reducing the number of
backstreet abortions: Clarke.
I turn now to the issue oChaskalson's factors to be weighed in the balance
is the efficacy of the limitation. Numbers of backstreet
abortions are
often cited by the Pro-choice lobby to imply that the Act is not
effective in preserving fetal lives, and that abortion
on request would
reduce the number of backstreet abortions performed. This would hold obvious benefits in terms of health. There
are two counters to this argument. The first is that figures for
backstreet abortions are inherently unreliable because of the
nature of
the phenomenon and because of the fact that the figures are often used
for rhetorical purposes. The second counter is
that legalisation of abortion
does not necessarily reduce the number of backstreet abortions. In fact,
in its report to Parliament
before the Abortion Act became law in
England, the Royal College of Obstetricians and Gynaecologists testified
that in other countries
the legalisation of unrestricted abortion often
resulted, apparently for social reasons, not in a reduction, but
sometimes in a
considerable increase in the number of clandestine
abortions.
Even if this is not the case, there are other ways reducing the number of
backstreet abortions e.g. via State nursery provision,
free housing,
financial support for children, support within the home, sex education,
counselling, contraception. And of course,
a solution which immediately
springs to mind is a determined crackdown by the police on the backstreet
practitioners.
I submit that a State should implement all of these before abdicating to
the Heckler's - or Criminal's - Veto. The fact that proscription
of drug
abuse leads to organized crime and deaths by overdose, or the fact that
unregulated prostitution promotes the spread of
venereal diseases and
AIDS - these are not, I submit, considered persuasive arguments for
legalisation of these activities.
Many illegal abortions possibly result from fragmentation of families in
wake of Homelands policies. Discussion of such fragmentation:
Cope.
It is also submitted that many illegal abortions in South Africa may be
due to the fragmentation of families brought about by the
Homeland policies
and forced relocations in terms of the Group Areas Act. Thus, the number of unwanted
pregnancies may dwindle
naturally as the effects of these laws recede. Viewed
from this perpective, a liberalisation of the abortion laws would be
premature
at this stage.
Even legal abortions are not safe:
Even legal abortions may be "unsafe". The 1973 Wynn report was a detailed
analysis of the findings reported in 75 medical
publications dealing with
long term complications attendant on therapeutic abortions performed in
hospitals under normal medical
conditions. According to this report:
2 to 5 % of women become sterile; 30 to 40 % have miscarriages in
subsequent preganancies; The risk of other complications in pregnancy
doubles; There is a 40 % increase in premature births with consequent
risk of child being born deformed.
Cunningham and Forsythe have listed numerous reported U.S. cases and anecdotal
information exposing maternal death and injury arising
from botched
abortions. The deaths apart, they reveal that women suffer mild to severe
physical injury and trauma from legal abortions,
including punctured
uterus, incomplete abortions, pelvic inflammatory disease, or stroke.
Unsavoury clinic practices: Cunningham and Forsythe (Supra) at 133nn189-192.
He also mentions an undercover newspaper investigation into the practices
of Chicago abortion clinics which exposed assembly line
techniques,
overcrowding, incompetence, corruption and fraud against patients.
It is submitted that a State which legalises abortion on request may send
out the message to its citizens that the procedure is
safe and routine. This
is simply not the case.
Miscellaneous. Abortion not 'indispensable' for population control. Abortion as contraception leads to
aberrations: Graham McIntosh.
State
interest in encouraging relationships of mutual responsibility between
women and men. State interest in discouraging promiscuity.
It is sometimes argued by the pro-Choice lobby that no fertility control
program has ever succeeded without the option of abortion.
The implication is that abortion on
request is indispensable in the fight against overpopulation. This
argument ignores two important
issues. Firstly, I submit that a fertility
control program which fails without abortion might succeed without
abortion, if only
measures such as legal duties upon doctors and clinics
to offer contraception and counselling in contraception to every woman
consulting
with them are adopted, or if sufficient funds are allocated by government
to permit travelling contraception clinics
to visit all areas, etc. In
other words, abortion on request is not a necessary tool in combatting
overpopulation. Secondly, abortion
employed as a means of contraception can
lead to aberrations such as are presently seen in India where many more
female than male
fetuses are aborted because fetuses can now be sexed in
the womb. The prevention of such aberrations is, it is submitted, a State
objective of sufficient importance to justify overriding Constitutionally
protected rights.
It is also submitted that the State has interests in encouraging relationships
of mutual responsibility between women and men, and
in discouraging
promiscuity.
Reasonable or unreasonable impact on people affected by the legislation
must be examined: Hunter v Southam per Dickson J. Another
of
Justice Chaskalson's factors to be weighed in the balance is the extent
of the limitation. The Canadian case of Hunter versus
Southam is helpful
here. It was held that an assessment of the constitutionality of a
statute must focus not simply on its rationality
in furthering valid
governmental objectives but also on its reasonable or unreasonable impact
on the people affected by the statute.
It is submitted that the current
law does not have an unreasonable impact on pregnant women seeking
abortions. A law which prohibited
abortion even for risks to the woman's
health, foetal defects or in cases of rape or incest would, I submit, be unreasonable.
But
the legislation with which we are concerned permits abortion for
these indications.
It may be contended that the burden of having to obtain the consent of 3
physicians renders the law unreasonable in so far as abortion
even for
the permitted indications is prohibitively difficult to procure. But this
does not apply to Applicant - any limitation
to her right to dignity is
not imposed by these provisions. Even were this the case, I submit that
the law is not unreasonably
burdensome. To permit abortion with the
consent of one doctor would soon result in an abortion on request
scenario. The English
experience bears this out - English law
theoretically demands at least a socio-economic reason or a life crisis
before abortion
is legal; but the decision is left to the woman and her
physician. This has resulted in de facto abortion on demand.
3.2The impugned legislation imposes a necessary limitation of Applicant's
right to dignity.
3.2.1Limitation of Applicant's right to dignity must be necessary: s33(1)(aa).
The issue of necessity should also be addressed. If a law limits the right
to dignity, then, in terms of the Constitution the limitation must be
necessary.
This has a double implication: firstly, the State's objective in overriding
the right to dignity must be a necessary one. The necessity
of preventing
abortion on request has, I submit, already been demonstrated.
As Justice Chaskalson has pointed out, one of the implications of the fact
that the limitation must be necessary is that no law
less damaging to the
right to dignity and yet which still achieves the desired ends, must be
possible.
Assuming that the impugned legislation does infringe Applicant's dignity
by denying her an abortion, the question is whether a less
restrictive
law which would still secure the objective is possible. There is no such law. If the objective
is to prevent the killing
of fetuses except in certain limited cases then
abortion on request clearly cannot be permitted. The impugned
legislation's impairment
of Applicant's right to dignity is necessary.
3.3The impugned legislation does not impose a limitation which negates
the essential content of Applicant's rights to equality,
dignity and
privacy.
3.3.1,2,3Limitation of a right shall not negate the essential content of
the right: s33(1)(b). Subjective and objective negation of the essential
content of rights: Chaskalson P. Incremental invasion of rights: Mahomed
J.
Finally, it is submitted that the impugned legislation does not impose a
limitation which negates the essential contents of Applicant's
rights.
The Constitutional provision that the essential content of rights must
not be negated is contentious and both subjective
and objective
approaches to its application have been considered. However, I submit that Justice Mahomed's observation in the
Death Penalty judgment about the incremental invasion of rights is instructive.
Thus, while the right to life cannot be incrementally
invaded - it is
either denied or not denied - other rights, such as, I submit, the rights
to equality, dignity and privacy, can
be incrementally invaded. What this
means is that even if the impugned legislation does infringe Applicant's
rights she still retains
her equality, dignity and privacy in other
spheres. I submit that this in turn means that the essential content of
Applicant's
rights is not negated, even if the concept is approached from
the so-called subjective perspective.
4.Closing Submission
In closing, I submit that the human rights guaranteed in our Constitution
are an attempt to correct the human wrongs of the past. In recognising this it is important to
realise that not all laws passed
by the Apartheid regime were bad -
conservatism does not equal Apartheid and, in fact, all societies retain
a political right.
According to
Professor Strauss, not a single member of the opposition parties regarded
the Bill which became the Abortion and Sterilisation
Act as an 'apartheid
measure.' Just as conservatism does not equate to Apartheid, so rights protection
does not necessarily equate
to liberalism - sometimes, the conservative
approach might be needed to protect human rights. However, it is even
doubtful whether
the impugned legislation is conservative at all.
As Callahan has written: "Historically, the proposition that all human
beings are equal, however 'inchoate' they may be is
not conservative but
radical [-] it is constantly threatened in theory and subverted in
practise."
I submit that the present law in respect of abortion, as embodied in s2
and s3, is a necessary challenge to that threat, and accordingly,
I pray
that the application be dismissed with costs.
OTHER POSSIBLE IDEAS MILITATING
AGAINST ABORTION ON DEMAND, NOT USED
(a)Father's rights
Parents should have joint and equal rights in their children: Olmsdahl (Supra)
217.
"Since the right of procreation cannot be exercised alone it is logical
that the parents should have joint and equal rights
in their children. The
father's interest does not spring into existence full grown on the day of
birth. During gestation he shares
with the mother the anxiety,
anticipation and feeling for the unborn child. He also has an emotional
investment in the child from
the earliest days of pregnancy. Today he
takes a more active role in her labour and delivery and is expected to
share in the duties
of child care after birth."
"As both are so involved, it would be shocking to suggest that the husband
could demand that the wife have an abortion even
though she desires the
child. Why then should the law allow the wife the sole decision in the
brief nine month gestation period,
when after birth neither parent can
act singly?"
(b)Society's rights to freedom of conscience and religion:
(i)Constitutionalism and human rights protection both rest upon religious
convictions: Kommers D P 'Abortion and Constitution: United States and
West Germany' (1977) 25 American Journal of Comparative Law 255 at 279.
The very idea of "constitutionalism" is rooted in certain basic beliefs,
the belief in the dignity of man and the belief
in man's inclination to
abuse power. These beliefs rest upon religious convictions, and the
presuppositions of Roe versus Wade
are no less religious than those of
the German abortion cases which accord fetuses the right to life. After
all, the value of privacy
is squarely rooted in the historical belief in
man's spirituality, out of which grew a theory of personal autonomy.
(ii)Christian doctrines of imago dei and the incarnation of Christ suggest
personhood at conception: Cameron N 'The Status of Prenatal
Human Life:
the Present Debate in Europe', in van Niekerk A (Ed) The Status of
Prenatal Life (1991) 84. If it is accepted that
spirituality is
intimately related to the concept of rights protection, then the two
Christian doctrines of the creation of man
in the imago dei and the
incarnation of Jesus Christ must be accorded their due persuasive weight.
The image of God doctrine teaches
that no matter how depraved or old or
young a human may be, he or she bears the inordinate dignity of the
creator's image. Such
a concept lies at the heart of our notions of human
dignity and human rights and it is indivisible. The second doctrine
teaches
that Christ was conceived by the Holy Ghost. The human life of the Son of God began with incarnation in
embryo. Both of these
propositions if accepted require that the fetus be accorded the status of
personhood.
(c)The Constitution accords rights even to "juristic persons."
(d)Response to the argument that the African notion of "Ubuntu" supports
a woman's right to abortion on demand.
It is submitted that ubuntu is one of those "woolly" concepts which can
be set to music. I have seen various definitions
of it, including: the
pursuit of unity, dependency on human relationships, manna for the soul,
humaneness, personhood and morality.
It is my contention that the concept
is vulnerable to the vagaries of interpretation. Although people have
suggested that Ubuntu
justifies abortion on request, the definitions I
have given are equally as accomodating of a denial of abortion on
request.
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URL: http://www.austlii.edu.au/au/journals/MurdochUeJlLaw/1995/28.html