Tuesday, October 18, 2005

Between two worlds

Today The Abortion Debate No One Wants to Have (Prenatal testing is making your right to abort a disabled child more like "your duty" to abort a disabled child)* was mailed out on the national Down syndrome e-list. The mother who shared it used the heading, "Finally, someone is speaking my heart." I responded, "Mine, too." Patricia E. Bauer, the author, writes:
What I don't understand is how we as a society can tacitly write off a whole group of people as having no value. I'd like to think that it's time to put that particular piece of baggage on the table and talk about it, but I'm not optimistic. People want what they want: a perfect baby, a perfect life. To which I say: Good luck. Or maybe, dream on.

And here's one more piece of un-discussable baggage: This question is a small but nonetheless significant part of what's driving the abortion discussion in this country. I have to think that there are many pro-choicers who, while paying obeisance to the rights of people with disabilities, want at the same time to preserve their right to ensure that no one with disabilities will be born into their own families. The abortion debate is not just about a woman's right to choose whether to have a baby; it's also about a woman's right to choose which baby she wants to have.

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Last week, Mel of Actual Unretouched Photo linked to a Harvard Gazette article about a study by Brian Skotko, a med school student. Skotko, who has a sister with Down syndrome researched the manner in which physicians tell parents their baby has Down syndrome, and made recommendations for improvement.

Doctors continue to find it very challenging to deliver a diagnosis like Down syndrome to an otherwise happy expectant mom," says Skotko, who has a 24-year-old sister with Down syndrome and co-authored the award-winning book "Common Threads: Celebrating Life With Down Syndrome" (Band of Angels Press). "But the results of this study are conclusive: Delivering a prenatal diagnosis of Down syndrome does not have to be a gloomy affair. In fact, mothers in this study have now written the prescription on how best to explain the diagnosis in a loving manner."
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Yesterday, Dan from Cerulean Sanctum referred me to a Wall Street Journal article about a young woman with Down syndrome planning her wedding:
But then, Ms. Bergeron said something that quieted the room. Despite her many successes and a level of integration that once seemed impossible to imagine for someone with her disability, Ms. Bergeron said she still didn't have many close friends. Often, she added, "I felt lonely."

Ms. Bergeron's dilemma is especially poignant because people with Down syndrome and other developmental disabilities increasingly find themselves succeeding in mainstream society. They go to public schools, taking classes, joining sports teams and singing in the choir with classmates. They work at jobs in the community. But still, like Ms. Bergeron, they often find themselves caught between two worlds.

Many people with disabilities, and sometimes their families, do feel they live between two worlds. Sometimes they feel invisible in our culture. I am glad when attention is paid.

From WSJ: A Brother's Survey Touches a Nerve In Abortion Fight (also covers the Skotko study)
A Young Woman With Disabilities Plans Her Wedding
(I think the National Down Syndrome Society is paying to make these available online. Generally, Wall Street Journal articles are available only to subscribers.)

*Justin Taylor, who blogs at Between Two Worlds, also links to additional, related articles. (HT: Adrian Warnock)

9 comments:

  1. Good Post Julana. Here's my trackback:
    Scene and Herd: 18-OCT-05

    Excerpt: "Spotlight on Darfur 2: Eddie from Live from the FDNF has done an excellent job hosting the latest Spotlight on Darfur. There are posts from 16 diverse bloggers covering the Darfur genocide..."

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  2. regarding the wp article (the abortion debate no one wants to have):

    while i do have sympathy for the author, who believes that society at large thinks she should not have had a daughter with down syndrome, i feel that trying to drag the issue of abortion-based-on-pre-natal-testing into the general abortion debate serves no purpose. if anything, it would simply create additional shades of grey to those who take the "no abortion EXCEPT in cases where..." position. in the debate between a woman's right to choose and a fetus' right to be carried to term, it adds nothing.

    i have other issues with the article, which i explain more fully here. (i don't want to repost the whole thing and clog up your comments.)

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  3. This is a good and important post. Thanks Julana!

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  4. Thank you, Catez and Hannah.

    Good to meet you, Jenny. I don't think the author is looking for sympathy. I don't think she's dragging prenatal testing into the abortion debate.

    If you believe the personal is the political, it's there already.

    When I was pregnant, I met a pregnant woman whose ob-gyn instructed her to come into the office the day after her AFP test showed a high risk for Down syndrome. He wanted an amnio done, because they only had a few days to terminate, if the results indicated the baby had Down syndrome. She was not asked her what her "choice" was. She refused.

    If you think this was an isolated incident, you're naive.

    I appreciate your points, but they don't resonate with me. My experience does not exactly parallel Patricia's, but it's close enough to connect with the truth of her words.

    You and I differ on this issue partly because of our different life experiences and partly because we start with different presuppositions. You probably realize that. I am coming from the framework of the writer of Psalm 139(esp. verses 13-16) of the Old Testament. I believe God created you in His image and places a high value on you.

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  5. I am new to the world of issues related to parenting a child with DS, so this blog has been an eye-opener for me. In my mind, parenting is already difficult enough without having this burden of judgement and guilt placed upon both parent and child.

    When our younger child was in the womb, they noticed on imaging that he had a shorter than expected lower limbs, and we were notified that this was a sign that the fetus might not develop fully. We were told that he would be disabled and that aborting the fetus was an option. We were preparing for the worst, but it turned out that the neonatologist was wrong -- our child came through the birth without incident. Had we taken the "option", we would have made a huge mistake. Our son is now a vibrant, wonderful 8-yr old, and we cannot imagine not having him in our lives under any circumstances.

    I pray that God blesses you with the courage and strength to continue to deal with all these issues (I confess that I personally would probably not have shown the patience and reserve that you have) and I applaud you for your unwavering support of your child Nicholas.

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  6. Thank you so much, Beachlover. Your comment makes my day. :-)
    Now I have a whole new perspective of you. (Before, I saw you lying on a towel in the sun. :-)

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  7. Beachlover,
    I wanted to thank you for sharing your story in the comments on my blog. I'm sure you are great mother, having shown that commitment to your child, through thick and thin.
    I have heard a number of stories about medical professionals making mistakes in prognosis, for infants. God is control of things. He rewards people's faith.

    Vashti,
    Thank you for those insightful comments. You are right, in that a prenatal diagnosis does help some parents prepare by educating themselves and working through emotions associated with having a child with extra challenges.

    I appreciate your taking time to read the articles. These new voices that are being heard are overdue. :-)

    As I wrote to Beachlover, it has been an eye opener for me how limited medical professionals are in areas of prognosis, and sometimes even practice, over the past eight years. There is quite a variability in attitude, knowledge base, and skill level out there.

    You wrote: "Last thought...we are all so narrow in our parameters of what "normal" is that I'm sure we are missing amazing gifts all around us."
    AMEN to that! :-)

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  8. Wonderful post and comments. My 2 cents worth ... After my first difficult pregnancy, where my doctor (very pro-life) encouraged me every step of the way until I lost the baby naturally ("I've seen cases like this and the bleeding can stop and the baby be completely normal..." etc.) I realized the importance of finding a supportive doctor if at all possible.

    Thus after we moved, I got pregnant again (and I was the age where amnio's were recommended as a matter of routine), and the new doctor I was trying on for size suggested I would, of course, want an amnio, I knew immediately he was not for me.

    In my experience a doctor who is positive, supportive and shares your convictions is a huge bonus in such emotion-charged times as pregnancy.

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  9. You are so right,Violet. I had a friend who recommended her ob-gyn to me. (We moved back here when I was four mos. pregnant.) One reason she chose him was that she knew he was pro-life. I had not thought of this as a reason for choosing a doctor before that. I had just assumed they would all be very professional about their job, and stay out of the "choice" arena. Unfortunately, not true. When my son was born, I was so glad I had followed her advice.

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