Choose Life -- Yours! An Exploration of Jewish Sources Relevant to Reproductive Justice

SETTING THE SCENE

(כז) וַיִּבְרָ֨א אֱלֹקִ֤ים ׀ אֶת־הָֽאָדָם֙ בְּצַלְמ֔וֹ בְּצֶ֥לֶם אֱלֹקִ֖ים בָּרָ֣א אֹת֑וֹ זָכָ֥ר וּנְקֵבָ֖ה בָּרָ֥א אֹתָֽם׃

(27) And God created humans in God's image, in the image of God he created him; male and female God created them.

הַעִדֹ֨תִי בָכֶ֣ם הַיּוֹם֮ אֶת־הַשָּׁמַ֣יִם וְאֶת־הָאָ֒רֶץ֒ הַחַיִּ֤ים וְהַמָּ֙וֶת֙ נָתַ֣תִּי לְפָנֶ֔יךָ הַבְּרָכָ֖ה וְהַקְּלָלָ֑ה וּבָֽחַרְתָּ֙ בַּחַיִּ֔ים לְמַ֥עַן תִּֽחְיֶ֖ה אַתָּ֥ה וְזַרְעֶֽךָ׃

I call heaven and earth to witness against you this day: I have put before you life and death, blessing and curse. Choose life—if you and your offspring would live—

Rabbi Danya Ruttenberg:

Many Jewish values can and should factor in to our understanding of the importance of abortion access for all. Dignity, avoiding pain, valuing relationships, and other factors--including also, perhaps, our Jewish mandate to pursue the creation of a more just society--should be present as we consider both individual cases (and remember that not everyone has the same privileges, or the same choices) and larger systems.

From The Torah of Reproductive Justice (Annotated Source Sheet) NCJW. https://www.sefaria.org/sheets/234926.28?

Rabbi Avi Shafran JTA May 30th 2019

Abortion, in Jewish law, is not a right. In the vast majority of cases it’s actually a wrong. But even in cases where it is permitted or required, as when a Jewish mother’s life is endangered, even indirectly (or, although the matter is hardly free of controversy, according to some respected rabbinic opinions when the pregnancy seriously jeopardizes the mother’s health), the decision to terminate a pregnancy is not a question of a woman’s right to choose but of her responsibility to choose correctly, her obligation to do what halacha counsels in her particular case, whatever that may be.

https://www.jta.org/2019/05/30/opinion/in-judaism-abortion-is-not-a-right-and-pregnancy-is-a-responsibility

MANDATE FOR HEALTH CARE INCLUDING MENTAL HEALTH

Tzitz Eliezer V, Ramat Rahel--Collection of Responsa on Medical Issues #4

It has been enacted that in every place in which Jews live, the community sets aside a fund for care of the sick. When poor people are ill and who cannot afford medical expenses, the community sends them a doctor to visit them, and the medicine is paid for by the communal fund. בכל מקום ומקום שישראל יושבים, ליחד קופה לביקור חולים, והוא שהחולים העניים שאין ידם משגת להוצאות רפואתם, הקהל שולחים להם רופא לבקרם והרפואות מכיס הקהל ונותנים להם מזון הראוי לחולים דבר יום ביומו כפי ציווי הרופאים.

חמשה כחות כלליים שצריכים להיות מושגחים שיהיו שלמים בחיי הכלל והפרט, ואז ימצא בהם הכח המתאים להרחקת כל פגע ולהפרחת החיים בדרך נכונה. הא׳ בריאות הגוף והנפש בתור בעל חיים שלם ועלז בחיים...

There are five general forces that need to be tended to so that they should be whole in the life of the collective and the individual. Then, appropriate force will be found in them to keep all damage at a distance to enhance life in the correct way. The first is physical and mental health leading to a full and joyous embracing of life...

Rav Avraham Yitzchak HaCohen Kook

ABORTION: CLASSIC SOURCES

(כב) וְכִֽי־יִנָּצ֣וּ אֲנָשִׁ֗ים וְנָ֨גְפ֜וּ אִשָּׁ֤ה הָרָה֙ וְיָצְא֣וּ יְלָדֶ֔יהָ וְלֹ֥א יִהְיֶ֖ה אָס֑וֹן עָנ֣וֹשׁ יֵעָנֵ֗שׁ כַּֽאֲשֶׁ֨ר יָשִׁ֤ית עָלָיו֙ בַּ֣עַל הָֽאִשָּׁ֔ה וְנָתַ֖ן בִּפְלִלִֽים׃ (כג) וְאִם־אָס֖וֹן יִהְיֶ֑ה וְנָתַתָּ֥ה נֶ֖פֶשׁ תַּ֥חַת נָֽפֶשׁ׃ (כד) עַ֚יִן תַּ֣חַת עַ֔יִן שֵׁ֖ן תַּ֣חַת שֵׁ֑ן יָ֚ד תַּ֣חַת יָ֔ד רֶ֖גֶל תַּ֥חַת רָֽגֶל׃ (כה) כְּוִיָּה֙ תַּ֣חַת כְּוִיָּ֔ה פֶּ֖צַע תַּ֣חַת פָּ֑צַע חַבּוּרָ֕ה תַּ֖חַת חַבּוּרָֽה׃ (ס)

(22) When men fight, and one of them pushes a pregnant woman and a miscarriage results, but no other damage ensues, the one responsible shall be fined according as the woman’s husband may exact from him, the payment to be based on reckoning. (23) But if other damage ensues, the penalty shall be life for life, (24) eye for eye, tooth for tooth, hand for hand, foot for foot, (25) burn for burn, wound for wound, bruise for bruise.

(ז) הַמַּפֶּלֶת לְיוֹם אַרְבָּעִים, אֵינָהּ חוֹשֶׁשֶׁת לְוָלָד.

(7) If she miscarries on the fortieth day [since her prior immersion], she need not be concerned that it was a fetus.

יבמות ס״ט ב:ל״ו

ואי מיעברא עד ארבעים מיא בעלמא היא

Yevamot 69b:10

If she is found pregnant, until the fortieth day it is only a mere fluid.

Rabbi Danya Ruttenberg:

That is to say, the fetus has basically no status whatsoever for the forty days of pregnancy. It is like water--a thing of no legal significance. . .

It may be worth noting that modern decisors of Jewish law count the 40 days as beginning from conception. Given that contemporary medical practice is to count pregnancy gestation from the last menstrual period--not conception--the end of those 40 days lands at about 7 or 8 weeks of pregnancy, by our current accounting.

גיטין כ׳׳ג ב

מאי טעמא דרבי בהא קסבר עובר ירך אמו הוא

Gittin 23b

What is the reason for Rabbi Yehuda HaNasi’s position [in the above conversation]? He holds that a fetus is considered as its mother’s thigh [that is, as part of its mother’s body].

Rabbi Danya Ruttenberg

In the middle of a Talmudic debate about whether a fetus is considered separate from the pregnant person, we see a clear statement by Rabbi Yehuda HaNasi who, as redactor of the Mishnah, holds great authority. His statement, in fact, closes the debate and lends credence to the discussion at hand (about the status of a fetus if its mother is liberated from bondage.) A fetus is not an independent being; it is part of the body of the person carrying it.

(ו) הָאִשָּׁה שֶׁהִיא מַקְשָׁה לֵילֵד, מְחַתְּכִין אֶת הַוָּלָד בְּמֵעֶיהָ וּמוֹצִיאִין אוֹתוֹ אֵבָרִים אֵבָרִים, מִפְּנֵי שֶׁחַיֶּיהָ קוֹדְמִין לְחַיָּיו. יָצָא רֻבּוֹ, אֵין נוֹגְעִין בּוֹ, שֶׁאֵין דּוֹחִין נֶפֶשׁ מִפְּנֵי נָפֶשׁ:

(6) A woman who was having trouble giving birth, they cut up the fetus inside her and take it out limb by limb, because her life comes before its life. If most of it had come out already they do not touch it because we do not push off one life for another.

רש"י על סנהדרין ע״ב ב:ל״ח:א׳

יצא ראשו - באשה המקשה לילד ומסוכנת וקתני רישא החיה פושטת ידה וחותכתו ומוציאתו לאברים דכל זמן שלא יצא לאויר העולם לאו נפש הוא וניתן להורגו ולהציל את אמו אבל יצא ראשו אין נוגעים בו להורגו דהוה ליה כילוד ואין דוחין נפש מפני נפש

Rashi on Sanhedrin 72b:14:1

its head came out: With a women that is experiencing difficulty giving birth and is in danger. And it is taught in the first section [of this teaching], "the midwife extends her hand and cuts it up and extracts [the pieces];" as the entire time that that it has not gone out into the environment of the world, it is not a soul, and [so] it is possible to kill it and to save its mother. But when its head came out, we cannot touch it to kill it, as it is like a born [baby]; and we do not push off one soul for the sake of another.

(ט) אַף זוֹ מִצְוַת לֹא תַּעֲשֶׂה שֶׁלֹּא לָחוּס עַל נֶפֶשׁ הָרוֹדֵף. לְפִיכָךְ הוֹרוּ חֲכָמִים שֶׁהָעֻבָּרָה שֶׁהִיא מַקְשָׁה לֵילֵד מֻתָּר לַחְתֹּךְ הָעֵבָּר בְּמֵעֶיהָ בֵּין בְּסַם בֵּין בְּיָד מִפְּנֵי שֶׁהוּא כְּרוֹדֵף אַחֲרֶיהָ לְהָרְגָהּ. וְאִם מִשֶּׁהוֹצִיא רֹאשׁוֹ אֵין נוֹגְעִין בּוֹ שֶׁאֵין דּוֹחִין נֶפֶשׁ מִפְּנֵי נֶפֶשׁ וְזֶהוּ טִבְעוֹ שֶׁל עוֹלָם:

(9) ... It is a negative commandment that one should not protect the life of a rodef (pursuer). For this reason, the sages ruled that in the case of a pregnant woman in a dangerous labor, it is permissible to dismember the fetus in her womb - whether with a drug or by hand because it is like a rodef pursuing her to kill her. However, once his head has emerged one may not touch him, as we do not set aside one nefesh [soul] for another, and this is the natural way of the world.

MODERN OPINIONS

אמנם נדון השואל בא"א שזנתה שאלה הגונה היא. וקרוב בעיני להתירה...וגם בעובר כשר הי' צד להקל לצורך גדול. כל כמה דלא עקר. אפי' אינו משום פקוח נפש אמו. אלא להציל לה מרעתו. שגורם לה כאב גדול וצ"ע.

Rabbi Jacob Emden, Responsa She’elat Ya”vetz 1:43 (Germany 1739-1759)

The questioner asks about an adulterous married woman (who is pregnant) is a good question. It appears to me to permit her (to abort)...And even in the case of a legitimate fetus there is reason to be lenient if there is a great need, as long as the fetus has not begun to emerge; even if the mother’s life is not in jeopardy, but only so as to save her from woe associated with it that would cause her great pain...

Responsum L'vushai Mord'khai, 1913

Mental health risk has been definitely equated to physical-health risk. This woman who is in danger of losing her mental health unless the pregnancy is interrupted, therefore, would accordingly qualify.

Excerpts from Tzitz Eliezer (Eliezer Waldenberg, Jerusalem, 1915 – 2006)

If there is a danger to the mother from continuing the pregnancy, one should permit abortion without hesitation. Also, if her health is poor and to cure her or to relieve her from great pain it is necessary to abort the fetus, even if she is not in actual danger, there is room to permit it, based on the halachic authority’s evaluation of the situation.

In the case of a baby who will have Tay-Sachs, "One should permit...abortion as soon as it becomes evident without doubt from the test that, indeed such a baby shall be born...if, indeed, we may permit an abortion according to the halachah because of 'a great need' and because of pain and suffering, it seems that this is the classic case for such permission. And it is irrelevant in what way the pain and suffering is expressed, whether it is physical or psychological. Indeed, psychological suffering is in many ways much greater than the suffering of the flesh.

Excerpts from Igrot Moshe (Reb Moshe Feinstein, 1895 – 1986)

It would be forbidden to kill it even to save someone’s life. The exception would be to save the life of the mother during childbirth, not for any other need of the mother, which would definitely be forbidden.

Even for children for whom the doctors predict a very short life span, such as those children who are born with the disease called Tay-Sachs, which through newly developed tests can be diagnosed prenatally, it would be forbidden since there is no danger to the mother and the infant is not a rodef. One cannot permit an abortion even though there is very great suffering involved … It is incontrovertible and clear as I have written, a straightforward halachah according to the words of our Masters, the traditional commentaries and halachic authorities, that abortion would be forbidden as bona-fide murder, for any fetus; legitimate or a mamzer, genetically normal or afflicted with Tay-Sachs, are all included in the prohibition according to Jewish law.

From Abortion: Major Wrong or Basic Right? by Rabbi Robert Gordis

Approved by the Committee of Jewish Law and Standards, 1983

The alleged right of abortion on demand is generally supported by the argument that a woman has rights over her own body. This is a contention which Judaism, and indeed all high religion, must reject on both theological and ethical grounds as being essentially a pagan doctrine. It is basic Jewish teaching that no human being is master of his own body, because he did not create himself; male and female alike have been fashioned by God in His image...

Obviously, there can be no totally satisfactory solution to the abortion problem, which is itself a symptom of a tragedy. The choice of the lesser of two evils must be the goal in guiding society to a rational decision. So long as we must depend upon a legal system rather than upon the human conscience to enforce an ethical code, it is clear that the best solution lies in preserving a basically liberal attitude toward abortion with conservative safeguards. That is to say, proper facilities for an abortion should be generally available to all classes of the population, while precautionary procedures must be established in special cases.

*Rabbi Yehiel Jacob Weinberg: 1966 ruling permitting a woman who contracted rubella during the 1st trimester to abort due to fear it would be born "without some organ or without intelligence...causing her pain."

*Rabbi Ben Zion Uzziel (former chief Rabbi of Israel) - case of a woman in danger of becoming totally deaf in both ears if she continued the pregnancy, ruled that "[deafness] will ruin the rest of her life, make her miserable al her days and make her undesirable in the eyes of her husband...Therefore...she should be permitted to abort her fetus.

*Rabbi Kassel Abelson (Conservative, 1980s): "If the tests indicate that the child will be born with major defects that would preclude a normal life and that make the mother and the family anxious about the future, it is permitted to abort the fetus.

*Rabbi Isaac Klein (1979): Abortion is permissible in all cases that the mother's physical or mental health is threatened by the likelihood of bearing a deformed child. However, "...when in abortion is desired for reasons of convenience...it is forbidden."

("When Life is in the Balance, pp. 93-95)

Rabbi Aharon Lichtenstein, “Abortion: A Halakhic Perspective,” Tradition 25:4 (1991)

Here it is clear that saving a life is not the only sanction for permitting an abortion. This is evident from the Talmudic passage that permits a nursing mother to cohabitate using a mokh (a barrier of cotton or wool) to prevent pregnancy… Since this prohibition is waived to facilitate normal family relations (which is why the emission in this context is not “wasteful”), it would follow that other ethical and humane factors may also be taken into account. It would seem to me that issues such as kevod ha-beriyot (dignity of persons), shalom bayit (domestic peace) and tza’ar (pain), which all carry significant halakhic weight in other contexts, should be considered in making these decisions.

Conclusion of “Partial Birth Abortion” and the Question of When Human Life Begins by Rabbi Susan Grossman

Approved by the Committee of Jewish Law and Standards, 2003

Abortion is a serious matter not to be entered into lightly, out of respect for the potential life vested in the fetus. Nevertheless, Jewish law considers the fetus part of the mother’s body, and not an independent being until birth. Therefore, while the fetus is to be cherished as potential life, the mother’s life and well being takes precedence over that of the fetus until birth. Birth is defined as when the fetal head or majority of its body exits the mother’s body into the open air. Since in the intact d and x procedure [dilation and extraction, the procedure referenced in the title], termination takes place when the head and majority of the body remains within the mother, an intact d and x procedure would be among the abortion procedures permissible under Jewish law whenever maternal cause exists which otherwise justifies a late term abortion under Jewish law (i.e., to prevent danger to her physical health or in the face of severe fetal abnormalities causing maternal emotional distress) and when the woman’s physician determines that the intact d and x is the preferred procedure to protect her health and well being. It is therefore permissible under Jewish law for an intact d and x procedure to be performed whenever the patient’s doctor deems it the preferable procedure in the best interests of the woman’s health and well being.

(ד) לעיתים ההיריון עלול לגרום לאשה לחלות במחלת נפש. במקרה כזה הורו כמה פוסקים, שגם לשיטת המחמירים מותר להפיל, כי מחלת נפש בכלל סכנת נפשות, כי היא עלולה לגרום לה לאבד את עצמה (לבושי מרדכי חו"מ לט; רשז"א). בדור האחרון פותחו תרופות טובות לחלק ממחלות הנפש, וכאשר יש חוות דעת של פסיכיאטר לפיה ישנן תרופות שיכולות למנוע את הסכנה, אין היתר (נשמת אברהם חו"מ תכה, 12).

Eliezer Melamed. c. 2013.

(4) Sometimes pregnancy can jeopardize the mother’s mental health. In such a case, some poskim rule that even those who adopt the restrictive approach would permit abortion, since mental illness can be life-threatening and cause one to become suicidal (Levushei Mordechai, ḤM §39; R. Shlomo Zalman Auerbach). Recently, effective medications have been developed to treat many psychiatric disorders. Therefore, if a psychiatrist says that the mother can be medicated so that she will not become suicidal, she may not abort (Nishmat Avraham, ḤM 425, n. 12).