Berg: If FOCA were to be signed into law by the next president, what series of immediate consequences do you foresee, and what would be the long-term consequences?
Wills: FOCA would call into question virtually every abortion-related state and federal law currently in force. It would immediately supersede every federal law, such as the partial-birth abortion ban, restrictions on federal funding of abortion through Medicaid, and the ban on abortions in military hospitals. On the authority of FOCA, state laws protecting the lives of unborn children and their mothers could be immediately unenforceable. All the modest and reasonable state laws of the past 35 years (which have also been successful in reducing abortions) would fall to legal challenges based on FOCA. These include the following laws: protecting parental rights to be involved in an abortion decision, ensuring informed consent, regulating abortion clinic "safety," protecting the conscience rights of doctors, nurses and hospitals to not be involved in abortion, and protecting women from non-physician abortionists among others. Significantly, taxpayers could also be forced to fund abortions for the uninsured.
FOCA not only looks backward -- invalidating all these and other abortion regulations, laws, policies, practices, actions, etc.; it also forbids all governments (state, federal, local, agencies, officials, etc.) in the future from denying or interfering with a woman's "right to choose" and forbids them from "discriminat[ing] against the exercise of the[se] rights... in the regulation or provision of benefits, facilities, services, or information."
So any time the government addresses childbirth, it must address abortion equally favorably -- superseding prior Supreme Court precedents. Public hospitals which offer maternity services must offer abortion services. Health benefits for pregnant uninsured women must include abortion services.
It's tough to gauge the long-term consequences of FOCA. A future Congress could, of course, pass legislation to undo the law. We can say with certainty that evil would occur at an even greater scale in the interim.
Modest regulations of abortion -- funding restrictions, informed consent and parental involvement laws in particular -- have been proven to be very effective in reducing abortion rates in the United States. In their absence, abortions would certainly go up. One researcher estimates an increase of 125,000 abortions annually. How does one gauge the impact on health care? Fewer hospitals offering maternity services, fewer doctors and nurses engaged in obstetrics so they won't be forced to violate their consciences? The mental health toll on parents of aborted children, the increased incidence of premature births and low-birth-weight infants due to a prior abortion with associated health problems like cerebral palsy: it's impossible to calculate the full extent of the harm to individuals and society without even touching on the slippery slope of the culture of death or the spiritual consequences of abortion. Perhaps it will take a law as extreme as FOCA to awaken people to the already appalling extent of abortion law in America.
Berg: If FOCA becomes law, would the pro-life movement be forced to concede: 'game over'?
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Wills: Any inclination to declare "game over" will have to be resisted with energy and determination. Overturning Roe is imperative, but it is only one aspect of what Catholics and other pro-lifers have been doing for 35 years. FOCA -- if enacted -- will shut off legislative avenues for the immediate future, so we'll need to step up our ongoing efforts in other areas:
- Electing representatives who are pro-life and vigorously lobbying those who aren't about our fundamental opposition to killing all innocent human beings;
- Educating about the value and dignity of human life (and the inhumanity and risks of abortion);
- Encouraging abstinence among teens and young adults (teen abortion rates have dropped 60% since 1984 largely due to increased abstinence, not contraceptives); and
- Expanding pregnancy-support services.
Americans oppose almost all abortions, but many have failed to understand their personal responsibility to oppose abortion by electing people who will uphold the dignity of human life. The October Marist poll, commissioned by the Knights of Columbus, again demonstrated that only 8% of Americans support unlimited abortion policy (for all nine months for any reason). Fully 60% of Americans would restrict abortion to the "hard cases" of rape, incest, of risk to the mother's life. But we have not succeeded in helping them connect the dots between their pro-life convictions and who they elect to the Senate and who sits on the Supreme Court (or who they elect to their state and federal legislatures and the kind of policies that get enacted).