Dáil debates

Wednesday, 17 October 2018

Health (Regulation of Termination of Pregnancy) Bill 2018: Second Stage (Resumed)

 

6:35 pm

Photo of Fiona O'LoughlinFiona O'Loughlin (Kildare South, Fianna Fail) | Oireachtas source

The abortion referendum was divisive, and probably the most difficult discussion we have had as a nation since the previous referendum in 1983. In many ways it was more difficult in recent times because there was more consultation and people did not hide behind religion during this discussion. The fact that we did manage to have a mature conversation was very significant and it was gratifying to see the majority of the debates carried out in a dignified and respectful manner both in this Chamber and in the public arena. A host of different viewpoints were expressed but to see the positive engagement that took place shows our compassion and maturity as a nation, notwithstanding a small number of extreme views on both sides of the debate.

From my own conversations with constituents, colleagues, friends and family members, it became clear that many "Yes" voters were reluctant "Yes" voters and many "No" voters similarly voted "No" reluctantly. There were not many totally certain opinions at the outset but the seismic victory for the "Yes" campaign must be respected as reflecting the will of the Irish people. There were more votes counted to remove the eighth amendment than there were to insert it in 1983. This was a definitive mandate for access to abortion care in specific circumstances at home in Ireland. We cannot be triumphalist - and I say this as one who voted "Yes" - as this legislation progresses because we have to think of the gravity of the decision facing women in crisis pregnancies or with the devastating diagnosis of a fatal foetal abnormality. Let us remember that this legislation was necessary to permit terminations to be carried out in cases where there is a risk to the life, or of serious harm to the health of the pregnant woman or where there is a condition present which is likely to lead to the death of the foetus either before or within 28 days of birth. In the case of a risk to the life or health of the woman who is pregnant, women can and must be trusted to make the best decision in the most distressing of situations together with their professional medical consultants.

The scaremongering about late term abortions is unfounded. The majority of women who opt not to continue a pregnancy do so in the early stages. In England and Wales, 92% of terminations are carried out at less than 12 weeks' gestation. Our own statistics are unclear as the Irish abortion rate remains unknown. We do know that at least 3,265 Irish women had abortions in UK clinics in 2016. Research indicates that the two biggest providers of online medication receive approximately 3,000 requests for help from Irish women each year. Some of these are the ones we will now be able to take care of in their own country. I understand that a communications campaign being prepared by the Department of Health and the HSE will encourage women to attend crisis pregnancy services as early as possible in their pregnancy.

I met with doctors and health professionals yesterday and, while I understand and empathise with the case for an opt-out clause, it cannot be at the expense of women's health. I respect the right to conscientious objection and the role it plays in the professional code of health workers but women's health must be paramount in all decisions that are made. This legislation represents the will of the people as 66.4% of the population voted for it. Review panels and committees provided for by this Bill give further safeguards and oversight of the process and, importantly, the Bill also makes it an offence for a person, by any means whatsoever to intentionally end the life of a foetus, otherwise than in accordance with the provisions of the Bill. Stiff penalties would apply for this and rightly so.

Separately, it is important also that we introduce legislation to introduce safe access zones to prevent women being intimidated or harassed when seeking these services. It is important to remember that ten women a day are still travelling abroad to secure terminations while we continue to talk about legislation. These women experience financial, physical and emotional burdens. We must welcome the end of the unsafe and unregulated practice of procuring pills online to end pregnancies and our citizens travelling overseas to secure healthcare. None of these women has had appropriate follow-up care due to stigma and fear of prosecution. This legislation finally puts an end to the risks associated with illegal abortion and regulates for something that already exists.

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