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'If you're the only GP providing abortion services in an area, you are open to protests'

Clare TD Dr Michael Harty, who is also the chair of the Oireachtas Health Committee, spoke to TheJournal.ie about the challenges for GPs in implementing abortion services.

CLARE TD DR Michael Harty, who is chair of the Oireachtas Health Committee, has said that the threat of anti-abortion protests could be putting GPs off from offering the service, and that the “ambitious” date of 1 January to introduce abortion services has led to “sporadic availability” across the country.

Harty, who has a practice in Kilmihil in Co Clare for over 3 decades, was elected in the last general election on a “No Doctor, No Village” campaign that aimed to increase GPs incomes after it was cut during years of austerity.

In an interview with TheJournal.ie, when asked whether GPs are signing up to provide abortion services, he agreed that concerns about protesters was a factor.

“In rural areas, if you’re the only person supplying a service in an area, you are open to protests. Certainly the GPs who are providing it just for their own patients, it could be an issue that they would be afraid that they would be targeted,” he said.

Minister for Health Simon Harris is currently working on legislation to provide for “exclusion zones” outside medical centres that provide abortions.

The law would prohibit communicating with a person within the safe access zone in a way that “causes distress”, and to “prohibit capturing and/or distributing images of any person in a safe access zone”.

2457 Simon Harris_90563965 Sam Boal Sam Boal

Before the Eighth Amendment referendum last year, a group gathered outside the Rotunda maternity hospital in Dublin holding graphic posters that were described by Harris as “despicable”. Protests were also held outside a GP’s practice in Co Galway and outside Our Lady of Lourdes Hospital in Drogheda shortly after the introduction of abortion services on 1 January.

Last month, a GP clinic in Co Longford was spray painted with anti-abortion graffiti overnight.

It is understood that the Attorney General is being consulted on the new laws, and new proposals to introduce safe access zones are to be introduced early in the year.

“To date there have been sporadic protests,” Harty says “but it would be a factor in a GP’s decision to making their practice known to be supplying services for a wider community other than their own patients”.

There is a register of GP practices that offer abortion services to the public, but this is not the complete list; other GP practices might also provide the service, but only to their existing patients. 

In a statement to TheJournal.ie, the HSE said that in consultation with GPs, it had decided to make participating GP details available by calling the MyOptions helpline, rather than publishing a list of GPs.

“Daily changes to the GP listing, and some GPs offering abortion services to their existing patients only, were factors in this decision,” it said.

4016 Referendum count_90545944 Leah Farrell Leah Farrell

Last month, 35 pro-choice groups around the country signed an open letter that stated rural service provision for abortions was “sparse”. No GPs had signed up to services in some counties, it claimed, expressing disappointment at the service provision.

Although the HSE said that it couldn’t give a county-by-county breakdown of what GPs had signed up to offer abortion services due to privacy concerns, it said that it “is satisfied that there is a good geographic spread of GPs taking part, enough to meet the needs of people who may need to access the service”.

274 GPs have signed the contract and each day more GPs are signing up, as the service evolves.

“There are a number of reasons why GPs are slow to sign up,” Harty says.

Because it’s new, GPs are not quite sure what supports they’ll have in relation to referral pathways into the maternity hospitals.
They’re not sure of their access to ultrasound to confirm the dating of the pregnancy, and they’re not sure of the confidence in supplying the service because it’s something new.

The Irish College of General Practitioners said that over 200 GPs have completed its training course on providing abortion services, while other GPs are still waiting to complete it.

“So I think over the next couple of months, the number of GPs signing up to provide abortion services will gradually increase,” Harty said.

When asked whether the date that Simon Harris set for the implementation of abortion services was unrealistic, Harty said that the 1 January date “was a political timeline rather than a clinical timeline”.

“Politically it was promised, so from that point of view it was imperative that the minister deliver it from 1 January,” he said.

From a clinical point of view, the medical profession, the hospitals and GPs would have preferred if there was a longer run-in period. Having said that, no matter what the target date was, there would have been some kick-back on that target date.

He added that the 1 January was “very ambitious,” and has led to “a sporadic availability of abortion services” – not only the community general practices, but also through the maternity services.

Harty says his understanding is, of the 19 maternity hospitals in Ireland, just 10 were ready to offer abortion services on 1 January, “and some of them still aren’t ready to go”. He said that it wasn’t a straightforward “yes or no, we’ll supply the service” in hospitals:

You have to organise rotas to accommodate those who are conscientiously objecting in the hospital service. For example, in theatres where there would be surgical terminations you have to make sure you have a rota of staff who were willing to participate in supplying the service.

He said that depending on how many staff conscientiously object, that “can and does present problems for maternity hospitals”. 

CEO of the National Association of General Practitioners, Chris Goodey, said that the organisation was “of the position that abortion services were being rushed through”.

“That has certainly caused problems… There isn’t an equal spread of services,” he said.

He also said that not being able to get timely access to ultrasound or the support for blood tests “has caused problems” for GPs in making a decision to offer abortion services.

Women are still travelling abroad because the service hasn’t been rolled out properly.

He said that it was important to rectify this “to provide a safe [abortion] service for the women of Ireland”. 

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    Mute Ailbhe
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    Mar 17th 2019, 9:26 AM

    It takes a particular type or ar$ ehole to protest women seeking healthcare.

    You don’t have to agree with them, but you don’t have to abuse or lie to them either.

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    Mute Robin Basstard
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    Mar 17th 2019, 9:53 AM

    @Ailbhe: Most…if not all of them will describe themselves as “the faithful” but in reality it’s insanity…me dear old gran said it best “they have a want”…

    66
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    Mute Sirius
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    Mar 17th 2019, 9:54 AM

    @RisingSpirit: abortion services are part of healthcare for pregnant women.

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    Mute Mirabelle Stonegate
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    Mar 17th 2019, 9:56 AM

    @RisingSpirit: so a treatment that will save my life should my precautions ever fail isn’t healthcare? Is that because I’m only an incubator and therefore unimportant?

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    Mute Seamus Mac
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    Mar 17th 2019, 10:52 AM

    @Ailbhe: the protests are wrong & are carried out by extremists who should really go & have a chat with themselves. What this article is doing is trying to blame these protestors, associate them with all pro life people & excuse the government for not engaging with gp’s earlier. The “independent” TD quoted, voted for enda as Taoiseach. Spin at its best.

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    Mute MaeVic
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    Mar 17th 2019, 11:33 AM

    @Seamus Mac: No protest is “wrong”. All protest is legitimate.

    26
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    Mute MaeVic
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    Mar 17th 2019, 11:34 AM

    @Sirius: Abortion is not healthcare. It is a lifestyle choice.

    47
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    Mute Zmeevo Libe
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    Mar 17th 2019, 2:08 PM

    @MaeVic: Sometimes it is for health reasons, sometimes for other reasons. Either way it is legal.

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    Mute MaeVic
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    Mar 17th 2019, 3:59 PM

    @Zmeevo Libe: Either way it is a lifestyle choice.

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    Mute Paul Whitehead
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    Mar 17th 2019, 11:53 PM

    @MaeVic: a legal lifestyle choice?

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    Mute John Carmody
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    Mar 18th 2019, 10:20 AM

    @Robin Basstard: You nailed it in a nutsehll

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    Mute Seamus Mac
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    Mar 17th 2019, 9:26 AM

    GP’s simply do not want to be involved in providing abortions for ethical reasons. That is the reason for the low numbers of GP’s signing up. The government would have known this if they had consulted them beforehand. This article is an attempt to spin a new reality which doesn’t make the government appear bad & blame people on the extremes of the pro life movement.

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    Mute richard fennessy
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    Mar 17th 2019, 9:33 AM

    @Seamus Mac: is there really a low sign up?

    26
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    Mute Seamus Mac
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    Mar 17th 2019, 9:40 AM

    @richard fennessy: approx 2,500 gp’s in Ireland. 200 fully signed up. Article says more are in the process of signing up but doesn’t give the number. If it was a high number it would have been provided.

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    Mute Martin Meyler
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    Mar 17th 2019, 10:03 AM

    @Seamus Mac: yeah, but godbotherers lie constantly about this, and you’re no exception.

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    Mute Lar Meyler
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    Mar 17th 2019, 10:29 AM

    @Seamus Mac: Similar situation with contraceptives in the early 80s but look how pervasive their availability is now. The only way for growth of these services is up….

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    Mute Battaz
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    Mar 17th 2019, 10:30 AM

    @Martin Meyler: Plenty of non believers have issues with abortion. Christopher Hitchens was no rosary rattler.

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    Mute Seamus Mac
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    Mar 17th 2019, 10:38 AM

    @Martin Meyler: lie about what Martin? I got the two hundred figure from the article above. I don’t bother god but the likes of you do.

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    Mute Diarmuid Hunt
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    Mar 17th 2019, 10:48 AM

    @Seamus Mac: The figure is not the issue, you have assumed the other 2’300 are only not currently signed up because of ethical reasons, that may be the case for some gps but I don’t assume to know how prevalent that reason is, there could be other reasons like workload of gps already being too high without offering another service. Don’t worry nobody bothers god, you have to exist to be bothered.

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    Mute Janina Schmae
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    Mar 17th 2019, 10:48 AM

    @Seamus Mac: Some do not want to provide at all because of their believes, yes. But there are many doctors who would be willing, are pro choice etc but who are not signing up because of lack of support and access to ultrasounds or because of fear of being targeted. There are different doctors who don’t provide or don’t provide yet for different reasons

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    Mute Seamus Mac
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    Mar 17th 2019, 11:05 AM

    @Diarmuid Hunt: okay, I am assuming it is for ethical issues. You are assuming otherwise so? I respect your belief system by the way, no need to disrespect mine Diarmuid.

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    Mute John Moylan
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    Mar 17th 2019, 11:26 AM

    @Seamus Mac: you claim disrespect of your beliefs but disrespect a womans right to her own body ? You don’t half pontificate much.

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    Mute Diarmuid Hunt
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    Mar 17th 2019, 11:54 AM

    @Seamus Mac: I never assumed otherwise, I said I didn’t have the information. I didn’t disrespect your belief system, I fully respect your right to believe whatever you want, I also respect my right to criticise it.

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    Mute Sorcha Ní Dhea
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    Mar 17th 2019, 2:38 PM

    @Seamus Mac: That’s tough, the people voted for this to be provided for women in Ireland and that’s what should happen. For ethical reasons I’d prefer not to have to teach religion to 5 and 6 years olds, I don’t think the gory details of death and resurrection are appropriate but here I am doing it because it’s part of my job. GPs need to step up.

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    Mute Jack Simpson
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    Mar 17th 2019, 3:14 PM

    @John Moylan: there is a difference between disrespecting ones belief and aborting a child.

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    Mute Jack Simpson
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    Mar 17th 2019, 3:18 PM

    @Sorcha Ní Dhea: there’s a massive difference between teaching religion even if a non believer (for historical reasons as our civilisation and way of life is based off of it) and forcing doctors to abort a life.

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    Mute Seamus Mac
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    Mar 17th 2019, 6:11 PM

    @John Moylan: “a woman’s right to her own body” can you explain how I have disrespected a woman’s right to her own body please.

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    Mute Seamus Mac
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    Mar 17th 2019, 6:17 PM

    @Diarmuid Hunt: what were you criticizing in your comment?

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    Mute Sarah
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    Mar 17th 2019, 7:23 PM

    @Seamus Mac: it’s not ethical reasons it’s legal reasons… I work in healthcare and have yet to meet doctor who is a conscientious objector to abortion services however if I were a GP i’d probably be very wary about offering such services because of the very high potential for devastating legal ramifications…it’s not some big conspiracy against the pro-life movement but they’re definitely adding to The reluctant of some family physicians thanks to the very dirty tricks they’ve pulled in the past ….secretly recording counselling sessions on crisis pregnancy options to see if they could catch doctors out not talking about adoption and continuing the pregnancy in equal measure to termination (as in giving precisely the exact amount of time for each topic) springs to mind it would be so easy to accidentally provide abortion services to women who for whatever reason is beyond the 9 week cut off or is on the cusp of it and then they lose their licence livelihood and can end up in jail frankly I wouldn’t touch it with a barge pole if I was a GP

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    Mute Diarmuid Hunt
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    Mar 17th 2019, 7:32 PM

    @Seamus Mac: I was criticizing your supposed existence of god, with no disrespect. Does your disbelief in thousands of other gods automatically mean you disrespect them?

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    Mute Dermot Killian
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    Mar 17th 2019, 10:44 PM

    @Seamus Mac: how and where were they trained to provide this service safely?

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    Mute Dermot Killian
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    Mar 17th 2019, 10:50 PM

    @Sarah: The number of doctors who choice to perform abortions for whatever reason is vert small. There won’t be too many lining up for this procedure and less will will continue to do so. It is an unpleasant experience.

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    Mute Rob Cahill
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    Mar 19th 2019, 11:22 AM

    @Dermot Killian: Do tellus about your experience so Dermot. FFS

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    Mute Whoswho
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    Mar 17th 2019, 10:07 AM

    The media love telling everybody abortion is now legal. We know this – we had a referendum. There obviously not getting the numbers they expected to grease the vested interested pockets and the media are still pushing it. Give over for once

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    Mute Skipper Mac
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    Mar 17th 2019, 8:25 AM

    Failing women’s health again Simon Harris. Cervical check, abortion services without consulting with those tasked to roll it out. Our own fault I suppose what did we expect from a failed French language student.

    74
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    Mute Gallery and Museum Pro-Life Staff in Ireland
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    Mar 17th 2019, 11:41 AM

    I would prefer to think that GPs are refusing to sign up for ethical reasons.
    Ex Pro-Life Minister Harris describes ‘graphic posters’ as “despicable”! It’s the act depicted therein that’s despicable. The camera merely captures the carnage of aborticide. There’s a ‘Schrodinger’s Baby’ paradigm adopted by abortionistas: “If the killing happens in the darkness of the womb unwitnessed, maybe there was no baby”. Reality check…there WAS.

    54
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    Mute Mia Ryan
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    Mar 17th 2019, 1:05 PM

    @Gallery and Museum Pro-Life Staff in Ireland: Can you PLEASE stop referring to yourself as pro life when in reality you’re just pro birth? What happens to that person whom you want to force to give birth no matter what the circumstances is something you don’t care about. What happens to the child whom you’ve forced to be born is irrelevant to you. If that child has a devastating illness and dies in pain within minutes, hours or days after birth that’s just too bad. If a child is born into a life of abuse and neglect, hey ho…at least you got your way. If a woman dies as a result of pregnancy well at least she obeyed her womanly duties as an incubator. Pro life indicates caring about all life not just the fetus.

    42
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    Mute Gallery and Museum Pro-Life Staff in Ireland
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    Mar 17th 2019, 3:53 PM

    @Mia Ryan: Hello Mia. One cannot be Pro Life without being Pro Birth. I believe it has something to do with causality and timelines being linear or something, but then again, I’m no physicist.
    As I’ve said before, the only person I’ve ever known who was ‘forced to give birth’ went by the name ‘Ripley’.

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    Mute Sarah
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    Mar 17th 2019, 7:30 PM

    @Gallery and Museum Pro-Life Staff in Ireland: well you sure as hell aren’t a physicist I’ll grant you that…and you didn’t actually rebuke Mia’s statement you merely doubled down on being pro birth with the insinuation that one opinion automatically equals the other which isn’t causality my dear, but conflation….

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    Mute Gallery and Museum Pro-Life Staff in Ireland
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    Mar 17th 2019, 9:15 PM

    @Sarah: Hi Sarah. Thanks for reaffirming that I’m not a physicist. I’m not a biologist either. I am Pro Life and Pro Birth. No surprises there, so what exactly is your point? Are you also here to justify the dismemberment of tiny humans?

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    Mute Francis Mc Carthy
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    Mar 18th 2019, 7:02 PM

    @Gallery and Museum Pro-Life Staff in Ireland: you are pro forced birth.

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    Mute Earl of Daventry
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    Mar 17th 2019, 11:28 AM

    Nice bunch of people the Pro Lifers.

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    Mute Gallery and Museum Pro-Life Staff in Ireland
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    Mar 17th 2019, 4:03 PM

    @Earl of Daventry: We do try Earl. We really do.

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    Mute SteoG
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    Mar 17th 2019, 2:26 PM

    A little conundrum. Imagine that you find yourself escaping from building that is on fire you are on the 3rd floor and the smoke is starting to become a serious problem. You have only 3 minutes before you are overwhelmed. As you rush by a doorway you hear a child crying in terror so you stop and enter the room. There you are confronted with a crawling toddler that needs to be carried to the exit, then you notice a cylindrical container with a red light glowing active. On the outside of the container it says fragile handle with Care contents 1000 human embryos for immediate in vitro implantation. The container could be carried by you from the building but that would mean leaving the child. Now you must act immediately there is very little time. Which would you choose?

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    Mute Gallery and Museum Pro-Life Staff in Ireland
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    Mar 17th 2019, 4:02 PM

    @SteoG: Hi SteoG. This conundrum is still doing the rounds! It is a good one though. Here’s a better response than I could ever hope to formulate:
    http://thefederalist.com/2017/10/18/no-saving-child-instead-embryos-burning-building-not-negate-pro-life-position/

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    Mute SteoG
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    Mar 17th 2019, 4:19 PM

    @Gallery and Museum Pro-Life Staff in Ireland: What would you do?

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    Mute Gallery and Museum Pro-Life Staff in Ireland
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    Mar 17th 2019, 5:16 PM

    @SteoG: Most likely run screaming from the building into the arms of the nearest fireman..

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    Mute SteoG
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    Mar 17th 2019, 5:27 PM

    @Gallery and Museum Pro-Life Staff in Ireland: The problem with this article is that he is selecting 2 position at the same time switching and baiting which invalidates his argument. He does this because he does not want to go down the rabbit hole. Either the embryos are human life which needs to be protected therefore the course of action is carry the embryos, or the child which is actually a living viable human person is the choice. Cannot be both of the positions. If you select the child it is because the embryos are not actually living viable humans. Of course they have that potential however without a host to support them the potential is lost.

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    Mute Gallery and Museum Pro-Life Staff in Ireland
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    Mar 17th 2019, 6:08 PM

    @SteoG: I could devise an equally unlikely hypothesis as unlikely as the old chestnut you provided, but what’s the point?
    I’m not going anywhere near ‘rabbit holes’ as I don’t have any more an immunity to Socratic Irony than you do..
    Maybe option (D) better fire safety?

    3
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    Mute Jack Simpson
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    Mar 17th 2019, 6:20 PM

    @SteoG: ‘Embryos have potential however w/o a host to support them the potential is lost’. What about a newborn baby or an elderly person with severe mobility and/or mental condition who are fully dependent on other people/society for their survival?

    7
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    Mute Gallery and Museum Pro-Life Staff in Ireland
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    Mar 17th 2019, 6:37 PM

    @Gallery and Museum Pro-Life Staff in Ireland: ..’better fire safety’ is a metaphor for implementation of effective contraceptive measures. Prevention is better than ‘cure’.

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    Mute Seamus Mac
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    Mar 17th 2019, 6:48 PM

    @SteoG: how about this one: you are in a hovercraft & a woman pregnant with twins & a teenager are drowning. You can only fit one of them on your blue hovercraft. Which do you choose to save?

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    Mute Francis Mc Carthy
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    Mar 18th 2019, 7:06 PM

    @Seamus Mac: How about this one ; in one room a neonate is about to be raped by an adult,& in the other room a woman is about to swallow the abortion pill.You can only stop one from occurring,which one would it be ?

    On your post I wouldn’t care which one I chose.

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    Mute SteoG
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    May 10th 2019, 5:44 PM

    @Seamus Mac: If you can only fit one in the hovercraft you save the pregnant lady and give your life vest to the teenager. You can only do the best under the circumstances.

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    Mute Dermot Killian
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    Mar 17th 2019, 10:42 PM

    Is a GP competent to perform an abortion?

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    Mute Diarmuid Hunt
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    Mar 18th 2019, 10:34 AM

    @Dermot Killian: They’re very competent at prescribing medication, which will be the procedure for the vast majority of cases.

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