Dobbs, the Intrusive State, and the Future of Solidarity

Camb Q Healthc Ethics. 2023 Jul;32(3):344-356. doi: 10.1017/S0963180122000792. Epub 2023 Mar 16.

Abstract

The intrusive state has long viewed women as fetal containers. The Dobbs decision goes further, essentially causing women to vanish when fetuses are abstracted from their relationships to pregnant persons. The ways in which women are first controlled and then made invisible are clearly connected with the move from obedience to omission that has historically affected black Americans. When personal decisionmaking and participation in democracy are regarded as threats, those threatened restrict decisional freedom and political power, deepening structural injustices relating to sex, race, and poverty. Fear of Dobbs has health effects on conditions unrelated to pregnancy and connects with erasures of human value that are not health-related. We reaffirm solidarity as a countering influence. Taking account of the richly relational context in which issues like abortion and political representation arise should lead to better, more meaningful policies, making so many people impossible to unsee.

Keywords: Dobbs v. Jackson Women’s Health Organization; abortion; healthcare decisionmaking; pregnancy; structural injustice.

MeSH terms

  • Abortion, Induced*
  • Female
  • Freedom
  • Humans
  • Personal Autonomy
  • Poverty
  • Pregnancy
  • Women's Rights*