Reproductive Rights in Canada: Looking Into Policy and Public Opinion Dec 12, 2020 Kim and Riley Feminist Counselling and Advocacy George Brown College Social Policy Essay: Reproductive Rights Kim P. and Riley Introduction In the global sphere, Canada has often been framed as a leader in the charge for human rights and “forward thinking” ideology. However, this progress is something that has been fought for over a long period of time, through policy changes and reform, and is still a continuing fight for many folks living here today. Specifically, the issues surrounding access to reproductive rights in Canada, have a long and complex history. In this essay, we will be focusing on the topic of reproductive rights in Canada and exemplify how the timeline and social policies around them have outwardly seemed to move forward progressively, but still ignore and disregard the needs of those in many marginalized communities; most notably women of color, especially Indigenous women, folks living in poverty, those living in rural areas, and those who are survivors of violence. Change in Reproductive Rights Policy (A Timeline) The timeline of reproductive rights in Canada and the changing attitudes surrounding the issue, is a story of warring morals and beliefs. Before the idea of rights around reproduction and sexual health were so politicized Canadian women have had ways to be autonomous with their bodies and fertility. As early as the beginning of the 19th century, abortion (using methods such as douching as well as pills known to “supress menstruation”) before the first fetal movements, was not illegal. Indigenous women at the time were also regularly utilizing the method of breastfeeding and withdrawal to control pregnancy. However, in response to a dramatic decline in fertility among Canadian women in the late 1800s, New Brunswick became the first Canadian 1 Social Policy Essay: Reproductive Rights Kim P. and Riley province to criminalize abortion regardless of how far along the mother was, other provinces soon followed suit, subsequently, in 1892, leading to the criminalization of all forms of contraception. Still, no matter the legal ramifications, women still sought to control their own sexual health, and because of back lash and protests, in 1969, the liberal government at the time decided to decriminalize contraception and allow abortions, but only under certain parameters, that puts the decision in doctors hands, rather than the mothers (CPHA, 2018.) And because of this, many activists rose up to protest and remove these parameters (for example, one of the only reasons that doctors would allow women abortions would be for them to prove that they are mentally ill, which shows the ableist tendecies and attitudes that permeated and continue to permeate the fight for repreductive rights). One of these activists was Dr. Henry Morgentaler, who ignored the Criminal Code and opened a clinic in Montreal, which began over 20 years of legal battles with the state (McCargar, 2014). The end of this legal battle, concluded that, in 1988, the Supreme Court struck down the 1969 abortion law and enabled abortions to be performed legally in Canada. And though many see this as the final win for Canada and its fight for reproductive rights, availability of resources, living in the North or in rural areas, conservative attitudes, as well as the intersecting identity of race can prove prohibitive to access to abortion. For example, in 2019, women who go to doctors to receive birth control procedures are still being turned away by doctors who “conscientiously object” to giving the procedure because they think that it is inappropriate for someone who is “unwed, too young, or could want more children in the future” (Butler, 2019), and place their beliefs before a women’s bodily autonomy. In these cases, doctors who “conscientiously object” 2 Social Policy Essay: Reproductive Rights Kim P. and Riley are legally required to refer their patients to another doctor, but women have reported being referred to doctors with the same mindsets and attitudes, leading to a cycle of denial to access. This shows how we are still on a continuous journey towards reproductive freedom, and though some see the fight as being won, we still have a long way to go How Has This Change Affected Policy Today? Throughout the time since Canadas decriminalization of Abortion in 1969 and the years of advancement in reproductive rights, there’s been ongoing controversy and debate creating step backs and negative impacts on the growth of present policies. Spanning that period of time since the decriminalization, there has been a change in views and opinions on reproductive rights and the laws and policies surrounding them. With these ideology changes as well as more modern medicine and practices, has ultimately come progressions within reproductive rights. In 1988 the supreme court deemed it legal for abortions nationally. But, with the given progression of decriminalization and legalization, there’s also been ongoing pushback, debate and controversy stemming from varying opinions as well as the accessibility of different reproductive resources across the country. When looking at the present policies within the Canadian System, there’s several barriers present for individuals seeking abortions. One of the first given barriers that comes through policies regarding reproductive rights, is that under provincial medical billing arrangements, Abortion is the only procedure not covered. This creates a huge accessibility barrier for individuals outside of their home province. This means, If someone is seeking an 3 Social Policy Essay: Reproductive Rights Kim P. and Riley abortion, in order to have coverage they will have to return to their original province in order to receive one without the financial costs. Canada, being a wide spread country, doesn’t make a travel home an option for some. With this being the only procedure classified this way, we can relate this created negative advancement on the controversial subject matter of reproductive rights. PEI is a province within Canada with no abortion facilities. On a territorial level within Canada, the provincial governments take most control and funding over healthcare and what occurs within the province. They also take control over education and what is taught within the school system over reproductive rights and sexual education as a whole. Within Ontario, the Ford government made the choice to ditch a modern sexual education teaching within Ontario schools. This was also a choice that stemmed from backlash regarding reproductive rights and progressions. While some provinces may vary from others, Ontario’s recent choices show a prime example of negative impacts and step backs on a territorial level regarding reproductive rights. It also creates a negative impact for the children learning these outdated notions within school. With the knowledge they gain being outdated and lacking of proper subject content, chances are they will develop viewpoints regarding reproductive rights that aren’t positive toward progression. This means the next generation could face further setbacks. Global comparison of Canada to other nations is a varying construct. While Canada tends to appear more progressive, on an internal level, most of the time that isn’t always the case. Some nations still have criminalized abortion laws, restrictions and policies. Basic reproductive rights and proper sexual education hasn’t been brought to light for many nations under more 4 Social Policy Essay: Reproductive Rights Kim P. and Riley conservative or religion based nations. If Canada can face its own internal conflicts and progress further from the pushbacks we face, hopefully we can set more of a path for other nations to follow and provide safe and accessible reproductive health care for their people. Backlash to the Increase in Reproductive Rights and Freedoms Though many policies and laws have been put in place to increase aspects of reproductive freedom in Canada, there are still groups of individuals who see these policies as something that comes into conflict with their religious beliefs and morals. For example, in 2018, the Liberal government made it a requirement of a federal grant, that would provide $113 million for 70 000 student jobs, an agreement to “respect individual human rights in Canada”, which would include also agreeing to respect the right to safe and legal abortions (Bilefsky, 2018). This garnered criticism from many religious and conservative organizations, stating that this requirement violated their religious freedoms, and that this act was the Canadian government “imposing its beliefs on Canadians”. In the wake of this outcry, Joyce Arthur (executive director of the Abortion Rights Coalition of Canada), commented to say that the policy had been meant to ensure that the government would not be funding groups that undermine human rights, but the lack of clarity had allowed the policy to be hijacked by conservative groups pressing their own ideologies (Bilefsky, 2018). From the outcry of these groups after this stipulation in the grant proceedings was publicized, it is evident that there are still many in Canada who see reproductive rights and the bodily autonomy connected to it, as a political and ideological issue, rather than another aspect of human rights. 5 Social Policy Essay: Reproductive Rights Kim P. and Riley Another prevalent example of these attitudes, is the regular backlash against a “modern sex education curriculum” (especially in Ontario), from certain religious groups. In 2018, the established sexual health curriculum from 2015, which included learning on LGBT issues, consent and safety, was abolished and replaced with the old curriculum from 1988, which involves an abstinence based approach to health education (Archer, 2019). One of the most vocal groups against this new curriculum was the Association for Reformed Political Action Canada (ARPA), whose leader, André Schutten, said the 2015 curriculum was “inappropriate for the age of students and promoted a sexual ethic foreign to many ethnic and religious parents” (Archer, 2019). However, many on the opposing side of this argument make note of the fact that the Ford conservative government misrepresented the curriculum and made it sound like something that would sexualize children when, in reality, a comprehensive sex education provides children with the knowledge about the ownership of their own bodies and the right to say no, helps to prevent child sexual abuse (Bialystock, 2019). The backlash against Ontario students receiving an accurate and secular sexual health education is definitely connected to attitudes around reproductive rights. It is also notable that in these discussions, ethnic minorities are being cited as the ones maintaining the pushback against this curriculum and being put forward as the face of this dissent, when in actuality, it is mainly Christian groups like the ARPA who are pushing for the movement back to the old curriculum. National and Provincial Impacts of Policy When it comes to accessibility for individuals within Canada seeking abortion, Canada doesn’t make the most easy process or option for those who need the help. As previously 6 Social Policy Essay: Reproductive Rights Kim P. and Riley mentioned, Canada has a policy that abortions are the only procedure not covered under provincial billing. For those seeking help outside of their home province, they either would have to cover the costs themselves or return to their home province to do so. Easier said than done. There’s also many access barriers when it comes to given location options within provinces. Facilities that exist for the means of abortions, usually are within larger hubs or cities. For communities within that are further north or secluded, access the right resources that they seek might not be an option. Ways of transportation from costs to lack of options ll play a factor in being able to access services. This negatively impacts a vast number of indigenous communities within Canada (McCagar, 2014). When looking at the question for accessible reproductive health care for all of those within Canada, the answer would be no. As per a large number of communities and people will not have the options to access services. Another barrier created is the provincial policies regarding abortion. As for most policies covered under provincial law, they vary from province to province and each one has different mandates. With each province handling their medical aspects separately, the policies surrounding reproductive rights are different. For example, for a long time there was’t a single facility within the province of Prince Edward Island that offers abortion services. This issue culminated in a landmark case against the government of PEI in 2016, which ended with the government cedeing the legal challenge and offering full reproductive services, including abortion, beginning with a clinic at Prince County Hospital in Summerside (Abortion Access Now PEI v. Government of PEI, 2016). 7 Social Policy Essay: Reproductive Rights Kim P. and Riley Why the Change in this Direction? Our opinion on whether the policies regarding reproductive rights does not have a linear answer, as folks with intersecting identities who are attempting to access services will never all have the same experiences, or even be shown equal treatment within our current institutions. While policy for some may seem to fit an upwardly mobile timeline (white, cis women), many who are trans, POC, disabled, or living in poverty, will not experience this ‘advance’ in the movement, as they are not the bodies our institutions value. For example, in a discussion of reproductive rights in Canada, it would be remiss to ignore the way indigenous women’s bodies have been extensively policed and controlled by the state. Firstly, is the issue of forced and coerced sterilizations that people seem to think is an issue of the past, but is something that is still going on today. In fact there is currently a $500 million lawsuit against the government of Alberta, filed on behalf of all the indigenous women who were sterilized without informed consent (Butler, 2019). Additionally, indigenous women also face the unique and insidious issue of “birth alerts”, where Children’s Services are notified when an indigenous woman is pregnant, they are heavily monitored, and then they live in fear after giving birth, that their child will be taken away from them. There was a recent case in Winnipeg of a woman signing papers which authorized her aunt to adopt the baby, and just hours after giving birth, Child Services arrived at the hospital and took the newborn (Butler, 2019). The family ended up having to go through the traumatic experience of going to court to have the baby returned to them. 8 Social Policy Essay: Reproductive Rights Kim P. and Riley Therefore, in essence, the changes in policy and laws over the years does not set back the movement for reproductive rights, but, as can be seen through the lived experiences of marginalized folks, the way the movement is most commonly discussed and widely thought of, brings about a false sense of progress that ignores the bodies who are still consistently excluded from the movement, and shows that we must work to to change the narrative and provide support where it is truly needed. 9 Social Policy Essay: Reproductive Rights Kim P. and Riley Reference List Abortion Access Now PEI v. Government of PEI (2016). Retrieved from https://www.leaf.ca/case_summary/abortion-access-now-pei-v-government-of-pei-2016/ Archer, N. (Feb 13, 2019). There’s a backlash against sex education in ‘Feminist Canada’. Open Democracy. Retrieved from https://www.opendemocracy.net/en/5050/backlashagainst-sex-education-feminist-canada/ Bialystok, L. (Aug 29, 2019). The politics behind Ontario's sex-ed curriculum. MacClean’s Magazine. Retrieved from https://www.macleans.ca/opinion/the-politics-behind-ontariossex-ed-curriculum/ Bilefsky, D. (Jan 19, 2018). Linking Youth Funding to Abortion Rights Spawns Backlash in Canada and Beyond. The New York Times. Retrieved from https://www.nytimes.com/2018/01/19/world/americas/canada-trudeau-abortion-rights.html Butler, K. & Mason K. (June 10, 2019). The illusion of choice: Canadian women stonewalled when it comes to reproductive rights. City News. Retrieved from https://www.citynews1130.com/2019/06/10/the-illusion-of-choice-canadian-womenstonewalled-when-it-comes-to-reproductive-rights/ Butler, K. (June 26, 2019). 'Entire system' needs to change: Indigenous women encounter unique issues regarding reproductive rights. City News. Retrieved from https://toronto.citynews.ca/2019/06/26/indigenous-women-reproductive-rights/ Canadian Public Health Association. (2018). History of Family Planning in Canada. Retrieved from https://www.cpha.ca/history-family-planning-canada McCagar, M. (June 2, 2014). Canada’s long struggle for reproductive rights. The Star. Retrieved from https://www.thestar.com/opinion/commentary/2014/06/02/canadas_long_struggle_for_reproduc tive_rights.html Rinaldi, J. (2013). Reproductive Inequality in Canada. Health Tomorrow. Retrieved from https://ht.journals.yorku.ca/index.php/ht/article/viewFile/37274/33846 10