Supporting Bill 28

The amendment to the Criminal Code forming part of Bill 28 which Parliament started discussing on Monday 28 November codifies the existing practice at the state hospital. It defines the necessary legal framework for therapeutic abortion. It does not introduce the practice of therapeutic abortion: this has been the practice for quite some time.

The Bill avoids use of the term “abortion”, using instead the term “termination of a pregnancy”, which as we are all aware has exactly the same meaning!

Legislation to date relative to therapeutic abortion is not clear at this point in time. On this basis ADPD-The Green Party was the only political party which tackled the matter during the March 2022 electoral campaign, including a whole section on sexual health and reproductive rights in the electoral manifesto. We went much further than that, emphasising the need for the decriminalisation of abortion too.

The Labour Party in Government, which has been practically silent on the matter during the electoral campaign, has now decided to act, taking a minimalist approach. It has limited itself to ensuring that current practice is protected at law. While this is definitely not enough it is a welcome first step and deserves our full support, even though there is still room for improvement in the proposed text of the proposal.

The Labour Party is right in saying that it is not introducing abortion through Bill 28: therapeutic abortion has been here and practised for some time even in the state hospital. Consequently, the approval of Bill 28 as presented will, in practice, not change anything, it will merely recognise the current state of affairs. As a result, it will give peace of mind to medical practitioners in state hospitals as their current modus operandi would be clearly spelt out in the law, as it should be.

In a sense the current fierce and at times emotional debate on abortion is much ado about nothing. It has however resulted in the local conservative forces speaking from the same hymn book. The opposition to the Bill is primarily twofold. On one hand there is the PN official stand which, together with Archbishop Scicluna has adopted the position paper published by a group of academics. In practice they seek to limit permissible medical interventions to cases of a threat to the life of the pregnant woman, eliminating health issues as justification. On the other hand, exponents of the fundamentalist Christian right, including a minority in the PN rank and file oppose the Bill in principle.

Put simply, the debate identifies three different proposals. The first, proposed by the Labour government in Bill 28, enshrines in law the current practice and places the onus on the medical profession to decide each case on its own merits. The second, supported by the PN opposition and the Church hierarchy seeks to substantially limit the discretion of the medical profession in Bill 28 primarily by eliminating health and mental health considerations. The third position brought forward by the fundamentalist Christian faction is in total opposition to all that is being proposed.

During the Parliamentary debate held this week I took note of the various positive contributions, in particular those of Deputy Prime Minister Chris Fearne, Parliamentary Secretary Rebecca Buttigieg and Opposition spokespersons Joe Giglio and Mario Demarco. Of particular note, in my view, is Fearne’s reference to the hospital’s standard operating procedures. It is being emphasised that these procedures do in fact address important aspects of the criticism aired during the debate, in particular that decisions taken by the medical profession relative to therapeutic abortion procedures should be taken by two or more professionals in order to ensure that no professional shoulders the decision alone. This, I understand is already standard practice!

There is always room for improvement in the proposed text of the Bill as indicated in the level-headed approach of Joe Giglio during the Parliamentary debate on Wednesday. As I emphasised in my article last week it would have been much better if Government had embarked on an exercise of public consultation before presenting the Bill. There would definitely have been more time to listen to and digest the different views. A valid point which was also emphasised by Mario Demarco.

In this scenario, even though viewing it as just a first step, which can be improved: without any shadow of doubt, ADPD supports the proposal put forward by Bill 28 in principle.

published in The Malta Independent on Sunday: 4 December 2022

Proposta nejja tal-Labour dwar l-abort

Nhar it-Tnejn, il-Parlament approva fl-istadju tal-ewwel qari, l-abbozz ta’ liġi numru 28. Dan l-abbozz hu intenzjonat biex jikkjarifika l-provedimenti tal-Kodiċi Kriminali dwar l-abort terrapewtiku. B’mod speċifiku l-għanijiet u r-raġunijiet tal-abbozz huma biex “jipprovdu kjarifika dwar il-parametri fil-Kodiċi Kriminali li għandhom japplikaw għal cirkostanzi ta’ neċessità fejn ikun meħtieġ intervent mediku biex tkun protetta l-ħajja u s-saħħa ta’ mara tqila li tkun qiegħda tbati minn kumplikazzjoni medika.”

Uħud jikkunsidraw li l-abbozz numru 28 hu pass żgħir il-quddiem f’pajjiż li kontinwament ipprova jevita li jiddibatti l-abort. Sfortunatament, imma, l-proposta li ġiet ippreżentata hi waħda nejja.  

Wara snin jevita dibattitu nazzjonali, kien ikun ferm iktar għaqli għall-Gvern li jippubblika White Paper fejn jispjega b’mod ċar u dettaljat dak li jrid jagħmel dwar l-abort kif ukoll dwar dak kollu relatat miegħu. Tajjeb li nirrealizzaw li l-leġislazzjoni dwar l-abort tal-pajjiż ma hi tal-ebda siwi. Wara li ġiet injorata għal 160 sena l-liġi teħtieġ li tkun aġġornata għaż-żminijiet u li tkun tirrifletti l-avvanzi fix-xjenza u l-mediċina tul dawn is-snin kollha. Hemm bżonn li tinkiteb mill-ġdid u dan fid-dawl tal-fatt li tul dawn l-aħħar għaxar sninil-pajjiż ħaddan il-plurliżmu etiku.

Hu ċar li l-Gvern qed jipprova jindirizza l-impatt politiku li rriżulta mill-kaz riċenti tat-turista Amerikana Andrea Prudente, f’liema każ Malta naqset milli tipprovdi l-kura medika li kienet mistennija.

M’għandniex ħtieġa ta’ proposta rejattiva, proposta nejja: imma għandna bżonn proposta li tindirizza ir-realtà tas-seklu wieħed u għoxrin.  L-abort hu parti integrali mill-ħajja Maltija, rridu jew ma irridux! L-indikazzjonijiet huma ta’ medja ta’ 400 abort li jsiru kull sena fost il-Maltin. Il-parti l-kbira jseħħu bl-użu ta’ pilloli li jinkisbu bil-posta.  Oħrajn iseħħu f’pajjiżi oħra, primarjament fir-Renju Unit kif jidher fir-rapporti mediċi annwali ippubblikati.

Il-Partit Laburista jidher li hu xott mill-ideat għax naqas ukoll milli jindirizza l-abort fil-manifest elettorali tiegħu għall-elezzjoni ġenerali ta’ Marzu 2022.

Dan it-tkaxkir tas-saqajn mill-Partit Laburista jikkuntrasta mal-proposti tal-partit immexxi minni li tul ix-xhur li għaddew ippreżentajna proposti diversi biex apparti iktar ċarezza fil-liġi nimxu lejn id-dikriminalizzazzjoni kif ukoll lejn l-introduzzjoni speċifika tal-abort limitat għal tlett ċirkustanzi partikolari u straordinarji. Il-proposta tagħna hi li l-abort ikun permissibli meta l-ħajja jew is-saħħa tal-mara tqila tkun mhedda, fil-kaz ta’ tqala li isseħħ riżultat ta’ vjolenza (stupru u incest) kif ukoll fil-kaz ta’ tqala li ma tkunx vijabbli.

Uħud jikkunsidraw li dak proposta hu ftit wisq, oħrajn li hu wisq. Fil-fehma tagħna il-proposta hi addattata għaċ-ċirkustanzi partikolari lokali. Hi proposta li mhux biss hi ferm aħjar mill-proposta nejja tal-Gvern, imma twassal ukoll biex il-liġi tkun aġġornata għal dak mistenni fi żmienna!

Hemm ukoll materji oħra li huma relatati u li jeħtieġ li jkunu diskussi. Matul din il-ġimgħa grupp ta’ akkademiċi lokali u oħrajn ippubblikaw dokument għad-diskussjoni in konnessjoni mal-proposta tal-Gvern dwar l-abort.

Il-proposti fid-dokument ippubblikat għad-diskussjoni jfittxu li jissikkaw id-definizzjonijiet dwar iċ-ċirkustanzi li fihom ikun ġġustifikat l-intervent mediku biex ikun possibli li tkun protetta l-ħajja u s-saħħa tal-mara tqila. Jeskludi ukoll kull xorta ta’ abort.

Il-punti mqajjma f’dan id-dokument hu dejjem utlili li jkunu diskussi. Għalhekk ilna ngħidu li hemm ħtieġa għal diskussjoni pubblika matura, diskussjoni li l-Gvern ilu żmien jevita.  Imma nistenna ukoll li jkun hemm akkademiċi oħra b’veduti u opinjonijiet differenti li anke huma jsemmgħu leħinhom. Għandhom bżonn joħorġu mill-friża.

Irridu nħarsu lil hinn mill-proposti restrittivi li dan id-dokument għad-diskussjoni jippreżenta. Sa mill-2011, meta kien approvat ir-referendum dwar id-divorzju, Malta għażlet it-triq tal-pluraliżmu etiku: rispett lejn il-pluralità ta’ opinjonijiet u valuri etiċi. Id-dokument li qed nirreferi għalih hu negazzjoni ta’ dan u effettivament hu proposta biex naqbdu triq oħra u differenti. Għandna nirreżistu dan l-attentat.

Fl-aħħar għandu jkun ċar li din mhiex diskussjoni dwar x’inhu tajjeb jew ħażin imma dwar min għandu jieħu d-deċiżjoni kif ukoll dwar il-parametri li jiddeterminaw kif u safejn nistgħu naġixxu. M’aħniex qed ngħixu f’teokrazija: hu dritt li naffermaw illi hu possibli li jeżistu veduti u valuri differenti.

B’hekk beda d-dibattitu li ilu żmien maħnuq.

Ippubblikat fuq Illum: 27 ta’ Novembru 2022

Labour’s half-baked abortion proposal

On Monday Parliament approved at first reading stage Bill number 28 which Bill seeks to clarify the provisions of the Criminal Code relative to therapeutic abortion. Specifically, the objects and reasons of the Bill seek to “provide clarification on the parameters that shall apply in the Criminal Code to circumstances of necessity in which a medical intervention is required in order to protect the life and health of a pregnant woman suffering from a medical complication”.

Some may consider that Bill 28 is a good first step in a country which has continuously avoided debating abortion. Unfortunately, government’s proposal is half-baked.

After years of avoiding a national debate, it would have been much better if government published a detailed White Paper explaining its views on abortion and the related issues and principles. It is about time that we recognise that the country’s abortion legislation is not fit for purpose. After being ignored for 160 years Maltese abortion legislation requires to be brought in line with medical and scientific progress over the years. It also requires a substantial redrafting in view of the fact that for over a decade Malta has embraced ethical pluralism.

It is clear that government has limited itself to addressing the political fallout resulting from the recent case of the American tourist Andrea Prudente as a result of which Malta failed in the provision of the expected medical care.

We do not require a half-baked reactive proposal but rather a proposal which addresses twenty-first century reality. Whether we like it or not, abortion is a regular occurrence among Maltese too! Indications point towards an average 400 abortions which are carried out annually, a substantial portion of which through the use of abortion pills acquired through the post. Others are carried out through abortion tourism, primarily in the United Kingdom as is evidenced by annual published medical returns for England and Wales.

Apparently, the Labour Party is short on ideas as it has even failed to address abortion in its electoral manifesto for the March 2022 general election.

In contrast to the reluctance of the Labour Party to come forward with proposals, the Maltese Greens, which I lead, have, over the past months presented proposals which in addition to the required clarifications in our legislation seek decriminalisation as well as the specific introduction of abortion in three extraordinary circumstances: namely when the pregnant female’s health or life is under threat, in cases of a pregnancy brought about violently (rape and incest) as well as in the case of non-viable pregnancies.

Some have considered our above proposals as being too little, others as being too much. We consider that in view of the prevailing local circumstances our proposals are just right, a substantial improvement over government’s half-baked proposals and an overhaul of the current mid-nineteen century legislation, which is out of tune with what is expected in this day and age.

There are other related issues which we should also discuss. During this week a group of local academics and some hangers-on have published a discussion paper which discusses government’s abortion proposal.

The proposals in the said discussion paper seek to tightly define the circumstances which justify a medical intervention to protect the life and health of a pregnant woman. It also seeks to exclude all forms of abortion by tightly defining the applicable parameters.

It is a point of view which should be considered and discussed. This is what a mature public debate should be about and what government has been continuously avoiding. I would however expect other academics having different views to come out of the deep freeze and speak up.

We should look beyond the restrictive proposals presented in the discussion paper. Since the 2011 divorce referendum Malta has embarked on a journey of ethical pluralism which respects a plurality of views and ethical norms. The discussion paper is a negation of this journey and an attempt to change course, which attempt should be resisted.

At the end of the day the debate is not about what is right and wrong but on who should take the decision and the parameters within which it is permissible to act. We are not living in a theocracy. Differing views and values can definitely co-exist.

Let the debate, at last, begin.

published on Malta Independent on Sunday : 27 November 2022