Who Will Bear the Cost of America’s Crisis Pregnancies?

Who Will Bear the Cost of America’s Crisis Pregnancies? June 27, 2022

Crisis pregnancies have profound human costs.  There are life-changing consequences for women who find themselves pregnant with a child they did not anticipate and may not feel equipped to care for.


Roe v. Wade suggested one way to manage those costs.  Dobbs v. Jackson Women’s Health Organization suggested another way.  Today, in the immediate aftermath of the Dobbs decision, my Twitter feed has been filled with partisans on both sides of the abortion debate expressing either outrage or jubilation at this transfer of costs.  Opponents of abortion are delighted that at least in many conservative states, the unborn child will no longer have to bear the cost of a crisis pregnancy.  Defenders of a woman’s right to choose are outraged that women in these same states will now have to bear this cost to an even greater degree.  Roe v. Wade was a landmark women’s rights decision, they believe, and now that it has been rescinded, they are outraged.

But perhaps neither Roe nor Dobbs represents a fully Christian way to distribute the human costs associated with crisis pregnancies.  And therein lies a dilemma for Christians who want to preserve human life and are unhappy with the results of Roe as well as the likely results of Dobbs.


Roe v. Wade’s Transfer of Costs to the Unborn

Roe v. Wade – which was widely supported by liberal Protestants, Jews, and secular Americans – was based on the premise that it was unjust and unconstitutional for the state to impose the costs of an unwanted pregnancy on the pregnant woman by forcing her to remain pregnant against her will.  But, of course, there was still a cost associated with every crisis pregnancy.  Who would bear this cost?  The answer, in the case of pregnancies that ended in abortion, was the fetus.

Roe included a lengthy explanation of why this transfer of cost was not a violation of the fetus’s rights, since, as the Supreme Court’s decision declared, the pre-viable fetus was not a citizen with any constitutional rights.  The pregnant woman, on the other hand, did have constitutional rights, and those rights included the right to terminate her pregnancy.

To pro-choice feminists, this transfer of cost from the woman to the fetus seemed perfectly just.  If women were full human beings, pro-choice feminists asked, why should their rights be ignored in favor of the rights of a fetus, whose personhood (especially in the first trimester of pregnancy) was doubtful at best?  To do so was a grave violation of women’s most basis rights, they thought.

In making this claim, they could also point to statistical evidence that showed that single mothers of unwanted children were far less likely to escape poverty than those who did not.  The cost of an unwanted child for women included lifelong gender and social inequality.  And if this was true on an individual level, it was true of a society as well.  Abortion rights – and abortion access – were therefore essential foundations of a just and equitable society.  The only just way to manage the costs of a crisis pregnancy, therefore, was to transfer those costs to the fetus.  Any other option devalued women and prevented women from ever achieving social equality.

Stop Abortion Bans Rally, St. Paul, MN (2019) (Photo by Lorie Shaull)

The more that advocates of reproductive rights championed a woman’s right to equality and bodily autonomy, the more they tended to minimize the life of the fetus.  After all, if the fetus was going to have to bear most of the cost of the unwanted pregnancy by being denied a chance to live, discussions of that cost were profoundly uncomfortable.  They were much more comfortable talking about the rights of women, but when asked directly about the life of the fetus, abortion rights defenders in the 1970s tended to say that the fetus was not a person and that, in any case, saving a potential child from being born into a situation where it was not wanted was actually an act of mercy.  In other words, they minimized the human cost that permissive abortion policies imposed on the fetus.


The Pro-Life Movement’s Early Vision of Social Help for Women

The pro-life movement was founded on the principle that the fetus was a full human person.  If that was the case, it was profoundly immoral and unjust to force the fetus to bear the cost of an unwanted pregnancy by paying with its life.  The right to life was so fundamental, pro-lifers thought – and the fetus (which they considered an “unborn child”) so innocent in the situation – that it was hard for them to see how anyone could not consider it a grave moral evil to kill a defenseless human being simply for the convenience of someone else or declare that it had no constitutional rights.  The abortion rights movement’s attempt to deny the personhood and constitutional rights of the fetus was analogous to the attempt of enslavers to deny the personhood and constitutional rights of Black people in the 19th century, many pro-lifers argued.

Protection of the right to life for all people – especially the lives of the defenseless or the marginalized – was a non-negotiable foundation of a just society, pro-lifers believed.  They were aghast that many abortion rights proponents denied or minimized the humanity of the fetus.  Didn’t even zygotes and embryos at their earliest stages have a unique genetic code that was distinct from their parents?  Were they not unique creations of God, deserving legal and societal protection?  The only reason that some people denied the humanity of the fetus, they believed, was that its existence was inconvenient.

Pro-life Demonstration, 1986 (Photo by Nancy Wong)

In advocating for the rights of the fetus and the value of fetal life, the pro-life movement appealed to some of the same liberal human rights principles that the pro-choice movement did, but pro-lifers also faced an uncomfortable conflict with a principle that in the 1970s was becoming increasingly important to many liberals: women’s equality.

Pro-lifers who considered themselves feminists insisted that women’s equality was not at stake in the abortion debate.  The burdens of unwanted pregnancy could be mitigated with expanded prenatal and maternal healthcare access, along with government-funded childcare and improved adoption policies, many pro-lifers of the early 1970s believed.

Pro-life movement activists at the time uniformly argued that women should never be punished for abortion, because they saw women who terminated their pregnancies not as aggressors but as victims of the abortion industry and the sexual revolution.  Abortion was emotionally and physically costly to women, they believed – far costlier, in fact, than pregnancy (even unwanted pregnancy) was.  In making this claim, they directly disputed the claims of the reproductive rights movement.  But in their view, antiabortion activism was a way to protect the rights of both children and women – or, in the phrase of Dr. Jack Willke and his wife Barbara Willke (some of the most influential pro-life activists of the late 20th century), to “love them both.”

The Willkes’ Life Issues Institute featured in its entryway a life-sized bronze statue of a gentle-looking, seated Jesus cradling a newborn baby in one arm while also tenderly holding the hand of the child’s young mother.  The caption underneath the bronze sculptor, “He Loves Them Both,” served as a daily reminder of the pro-life center’s mission to protect both women and children.

Life Issues Institute (2001)


The Pro-Life Movement’s Alliance with Political Conservatism

The pro-life vision of transferring the costs of crisis pregnancies to society rather than solely to individual women was stymied by the political alliances pro-lifers made with the Republican Party.  Many of the early pro-life activists were Democrats, but when the Democratic Party became increasingly committed to protecting abortion rights during the late 1970s and 1980s, they turned to the GOP.  Yet the Republican Party, while becoming increasingly open to the idea of restricting abortion, was opposed to expansions in the social safety net that would have helped lower-income women care for their children.

Some of the pro-lifers of the mid-1970s, such as Sargent and Eunice Shriver, insisted that the best way to reduce abortion in the aftermath of Roe v. Wade was to offer economically disadvantaged women help to carry their pregnancies to term, so that they would not be as likely to seek out abortion services.  But the mainstream pro-life movement, led by organizations such as the National Right to Life Committee, rejected this approach and instead focused their entire effort on securing legal restrictions on abortion, even if this required an alliance with a party that rejected the type of help for women that the Shrivers envisioned.

In fact, nearly all of the political victories that the pro-life movement has gained in the past few decades have attempted to reduce abortion rates by making abortion more difficult to obtain – that is, by transferring the cost of an unwanted pregnancy onto the pregnant woman until the costs of obtaining an abortion outweigh the perceived costs of raising a child.  Whether she keeps the pregnancy or terminates it, a woman in such a situation will have to pay the costs of her pregnancy – which individualistic-minded conservatives think is fair, since they believe that each person is responsible for their own actions.

The politically liberal Catholics who led the pro-life movement in its early years did not foresee that their movement would be tied so closely to the politics of individualism, because their entire movement was based on the premise of social responsibility for the less fortunate.  But the individualistic politics of modern American conservatism – which a majority of white evangelicals have endorsed and which has very strong support in the South – resists this liberal social vision.

Modern American conservatism has also resisted the feminist movement’s interest in gender equality and social equity.  As a result, the abortion opponents who are poised to implement new restrictions on abortion in the next few weeks or months are not particularly bothered by the idea that pregnant women will need to bear the costs of unwanted pregnancies.  Indeed, some self-styled “abortion abolitionists” are calling for women who get illegal abortions to be punished directly as murderers – an idea that the pro-life movement has opposed for the last half-century.

Dobbs will give a green light to this political mindset.  But despite all of the dire predictions that abortion rights proponents have made, the decision will ratify existing trends more than changing them.  For the past four decades – and especially in the last ten years – abortions have become steadily more difficult to obtain in conservative states and more accessible (and publicly funded) in liberal regions.

Before this week, for instance, a woman earning $17,000 a year who was 11 weeks pregnant in Los Angeles or New York could obtain a publicly funded abortion in her own city without any mandatory waiting period.  If the same woman were in San Antonio, by contrast, she would have had to drive 400 miles to Shreveport, Louisiana, wait 24 hours after an ultrasound at the clinic, go through an abortion counseling session, pay $500 in cash for the abortion (since there are no Medicaid subsidies for most abortions in either Texas or Louisiana), and then drive the 400 miles back to San Antonio.

Now, because of Dobbs, she’ll have to drive an extra 300 miles to get to Albuquerque instead of Shreveport, since the abortion clinics in Louisiana have just closed.  That, of course, is an additional inconvenience – but probably not enough of a change to deter most of the women who would previously have made the financial sacrifice that a long trip to Shreveport required from driving the additional miles to Albuquerque.  Thus, the overall effect of this new policy on the abortion rate will probably be very slight.  Both before and after Dobbs, conservative states forced women facing crisis pregnancies to bear the cost of pregnancy terminations themselves.  Dobbs has just made this more evident.

The politically progressive pro-life activists of the early 1970s would not have objected to making abortion more difficult to obtain.  In fact, they would have wanted to go much further by including in the law a clear declaration of the high value of fetal life.

But if their statements about the need to provide financial assistance and an expanded social safety net for women facing crisis pregnancies is any indication, they might have been dismayed to discover that the states that are poised to outlaw abortion this week are also, in some cases, the statements that offer the fewest healthcare benefits to low-income pregnant women.  Both Texas and Mississippi – like Alabama and several other conservative states – have refused a federal Medicaid expansion that would provide healthcare coverage to women whose income is up to 138 percent of the federal poverty level.  So, when a woman in Texas who is earning only $10 an hour gives birth, she’ll likely have to bear the financial and emotional cost of that decision herself; the state will not help her transfer that cost elsewhere.  The idea that women who are in the midst of difficult pregnancies are given no social assistance in choosing life for their children would have been deeply disappointing to many of the pro-life activists of half a century ago.


How Should a Pro-Life Christian Think about This? 

For those like myself who believe that human life has great value from the moment of conception, Roe v. Wade’s attempt to transfer the cost of an unwanted pregnancy onto the fetus was clearly unjust.  But the current legal framework, which will force the most economically vulnerable and marginalized women to pay these costs instead does not accord well with the Bible’s hundreds of exhortations to seek justice for the poor.

Fifty percent of women seeking abortions today are living below the poverty line, and another 25 percent have low incomes that are barely above it.  Sixty percent are already mothers of at least one child.  They are often struggling to deal with unstable crisis situations that make it difficult for them to welcome another child into their homes without assistance.

In the political climate that we face today, there is no state that is seriously considering a framework that would provide justice in this situation.  Instead, we will be left with some state policies that attempt to keep the framework of Roe v. Wade by offering continued legal abortions and giving women the promise of transferring the cost of their crisis pregnancies onto the fetus.  Other states will prohibit women from doing that, but at the same time, they will offer little help in bearing the costs these women will incur by giving birth to a child.

Pro-life Demonstration, Washington, DC (2018) (Wikimedia Commons / FamilyMan88)

No matter where we live, then, those of us who value both women and children will have to help bear these costs.  It’s more important now than ever to do what we can through both public policy and private charity to create a culture of life that will also empower women.  Roe v. Wade did not do that.  Dobbs v. Jackson Women’s Health Organization did not really do that either.  But perhaps in the aftermath of this decision, those of us who care about human life can resurrect the approach of the early pro-lifers and insist that when it comes to crisis pregnancies, children should not bear the costs, and neither should pregnant women be forced to bear those costs alone.

Daniel K. Williams is a professor of history at the University of West Georgia and the author of Defenders of the Unborn: The Pro-Life Movement before Roe v. Wade. You can read more about the author here.
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