In a recent NYT op-ed, Ross Douthat gestures at understanding the pro-choice position as it applies to late-term abortions. The piece begins with promise, pointing out the ways each side of the argument caricatures the other, and acknowledging how that prevents understanding. But he ultimately fails to take the pro-choice position seriously on its own terms. The closest he gets is at the outset of his critique, when he acknowledges that, “One possible liberal position on post-viability abortions is that they’re no different morally or legally from pre-viability abortions.” But he doesn’t take the possibility seriously or explore what that means or how it would work, because he only sees the question as one of fetal rights, and not as one of a woman’s right to control her own body.
Stated generally: the state may not commandeer its citizens bodies for its own purposes. Douthat focuses on the question of when the state should begin to care about the rights of the fetus, but he never balances the fetus’ rights relative to the rights of the woman to not have her womb commandeered by the state. Viability may increase the state’s interest, but the importance of the state’s ends do not change the fact that the means are impermissible. That is the sense, unrecognized by Douthat, in which post-viability abortions are no different from pre-viability abortions.
The pro-choice position is just the principle that a person’s bodily integrity is a very, very strong right. The state cannot force you to give up your blood, your kidney, your bone marrow, though those too could easily be used to save lives. That isn’t the point. Your body is yours, and the state can’t take it from you, or force you to use it against your will. The same goes for a woman’s womb. The question isn’t whether or when the fetus has rights, it is that the rights of the woman to the use of her own body for her own purposes does not change between pre- and post-viability.
There are plenty of difficult policy questions that follow from this line of argument, and ways in which the state can intervene on behalf of its interest without diminishing the woman’s rights to bodily integrity and control. There are many pro-life gains to be made, e.g. requiring that late-term abortions deliver rather than deliberately destroy the fetus, and provide it reasonable medical care. There are plenty of non-abortion policies that implicated by this, e.g. the draft, or mandatory vaccination.
But Douthat doesn’t grapple with them. Though he rejects that the anti-abortion movement is about controlling women, he clearly discounts a woman’s full ownership of her own body (which he never mentions).
As for his mystification about why IVF is so sacred that otherwise pro-life politicians violate their ostensible principles to protect it, one explanation is suggested by his own source on why people seek late term abortions: “Bans on abortion after 20 weeks will disproportionately affect young women and women with limited financial resources.” Compare that with who bans on IVF will disproportionately affect: older and wealthier individuals, i.e. the donor class.
Douthat wants the pro-choice position to be as inconsistent as the pro-life, pro-IVF position, but the latter is actually about a conflict between two competing political interests (moral beliefs and the need to fund a campaign), while the former is just a consistent application of a single principle. Any apparent cognitive dissonance is Douthat’s, due to his not being able to fully grok that women are really, truly, fully the owners of their own bodies.