The City Below

Why do we have an abortion rate 20% higher than France’s (and more than twice as high as Germany’s), especially considering most doctors here won’t perform them? The answer is any country that has universal health care, where contraception is free, where child care is free or inexpensive, where there is less poverty because people don’t become bankrupt over medical bills — those societies are simply going to have fewer unplanned and unwanted pregnancies.

And there the mask gets pulled off the Bart Stupaks and the “Christians.” If the statistics show that countries with government-provided universal health care and nearly-free abortions are, in fact, the countries with the fewest abortions, then why on earth wouldn’t the Right be the first in line to support universal health care?

Because it isn’t about “universal health care.” It’s about controlling women, period. It’s about sticking your nose in other people’s business. It’s about pushing your religious beliefs on everyone else because voices in your head tell you your Jesus is The One — even though your Jesus never said one single solitary word in any of the four gospels of the Bible about abortion or fertilized eggs being human. You’ve just gone and made it up about “life beginning at conception.” Jesus never said that. The little voice in your head said that, the same little voice that wants your grubby paws on women’s uteruses. You need help. Please get some help and leave the rest of us alone, Mr. Stupak and friends.

In one of the few studies of the issue — there have been none in the United States — two abortion clinics in British Columbia found that 73 percent of patients wanted to see an image if offered the chance. Eighty-four percent of the 254 women who viewed sonograms said it did not make the experience more difficult, and none reversed her decision.

That generally has also been the case in Alabama, which enacted its law, the first of its kind in the United States, in 2002.

“About half of women opt to view them,” said Diane Derzis, who owns the Birmingham clinic. “And I’ve never had one patient get off the table because she saw what her fetus looks like.”

In some instances, the ultrasounds have affected women in ways not intended by anti-abortion strategists. Because human features may barely be detectable during much of the first trimester, when 9 of 10 abortions are performed, some women find viewing the images reassuring.

“It just looked like a little egg, and I couldn’t see arms or legs or a face,” said Tiesha, 27, who chose to view her 8-week-old embryo before aborting it at the Birmingham clinic. “It was really the picture of the ultrasound that made me feel it was O.K.”