A question for those of you who follow the trust argument.
Do you agree that it is ethically wrong to take the life of a sentient being when nobody’s survival is being threatened?
Is the crux of the issue really that you are in agreement with the above, and that you trust other people to make the right decisions, but still think they are morally wrong if they violate your trust and kill someone for the wrong reason?
And it is them who has to live with the guilt of making the wrong decision, and you can absolve yourself because it was not your decision to make, because you chose to trust in them?
I’m not saying that this position is wrong. I just want to understand the overall ethical framework underpinning the trust argument.
I don't think the question is black and white. And I do think it's morally wrong to violate someone's bodily autonomy for the benefit of another person.
For example, if I will die without a kidney donation and my mother is a match, is it right for the government to force my mother to donate her kidney to me? Neither of us will die if the government forces her to do this, and many people likely believe that if my mother was a good mother, she would want to give me her kidney. I think it would be wrong to violate my mother's bodily autonomy in order to harvest her kidney for my survival.
About 20 years ago, I was at the vet and my cat was diagnosed with kidney disease. The vet handed me a pamphlet for cat kidney transplants. I asked her "Where does the kidney come from?" She told me the kidney comes from a cat that I would adopt from the pound. I told her I thought this was ethically wrong: the cat at the pound can't consent to donate its kidney and is likely to have health problems later in life from this; and my cat can't understand the side effects of kidney donation. Why would I subject these animals to this? She got offended (maybe she thought I was calling her unethical), and told me that if I didn't want to take care of my cat properly, I should take her to the pound so someone else can take care of her. I asked her if she realized that 14 year old cats with kidney disease get put to sleep at our local pound.
I tell this story, because I think it illustrates my ethical code in this situation well: I don't think it's ok to use an unwilling donor's body to assist another person/animal, even if the unwilling donor will be able to live a normal life afterward. And I do think it's ok for the local pound to terminate the life of a diseased cat so that it can dedicate its resources to healthy cats. Likewise, I think it's ok for a woman to terminate a problematic pregnancy so that her life will be better. I also think it's ok for a woman to make a decision to terminate a pregnancy if the child won't have a good quality of life, just like we make the decision to put animals to sleep.
I want to be clear that I don’t think it’s right to kill diseased humans so that there are more resources for healthy ones, but I do think that patients (or their representatives) should have the right choose what level of life-saving care they receive. In the case of a sentient fetus that is not yet born, the mother is the representative I imbue with this decision making authority.
A law is black and white. "No abortion after 26 weeks unless the mother's life is in danger" has no nuance. It can't make a decision about when a woman's life is in danger. It can't make an exception for a baby who will die within hours of birth. It can't weigh quality of life, treatment options, financial burden, other family members, or other complicating factors. The pregnant woman can.
And because I do not believe that most women are callous and uncaring, and because I do not believe in violating a woman's bodily autonomy, I will never support an anti-abortion law. Just because I might make a different decision than her, does not make her wrong.
I also want to be very clear about one other thing: I do not think a baby is an appropriate punishment for a woman's "irresponsibility." If a woman does not want to carry a pregnancy to term, she shouldn't have to. Period. It's her body. Regardless of what some people may think, I do not believe that women are ethically obligated to grow other humans in their bodies.