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A quiet revolution? It's not where you'd think

02 June 2018
Volume 26 · Issue 6

It's been a long time coming, but on 26 May in a so-called ‘quiet revolution’ (BBC, 2018), the Republic of Ireland voted to repeal the Eighth Amendment of its constitution, ending some of the strictest abortion legislation in Europe. The significance of the result—as an endorsement of women's right to choose and as a promise to protect those previously forced to travel to the UK—cannot be overstated.

The decision nevertheless poses a dilemma for the rest of the UK, not least with regards to Northern Ireland, now the only place in which abortion is limited to case of ‘permanent and long-term’ threats to the mother's physical or mental health (Marie Stopes UK, 2018). Abortion is not permitted in instances of rape, incest or fatal fetal abnormality, which the United Nations (2018) has ruled a violation of women's human rights. Prime Minister Theresa May has been urged to act; the Government has insisted that abortion is a devolved matter. But with no government at Stormont since January 2017, this is easier said than done.

Even if there were, policing abortion will surely become more difficult after the Republic of Ireland passes new legislation. Women who may have travelled to London or Liverpool could simply cross the border to access medical care without the need for flights, hotels or childcare—this is in addition to the women who order abortion pills online. One of the key messages of the campaign to repeal the Eighth Amendment was that abortion was a reality in Ireland: the referendum merely proposed to bring it under medical supervision (Together for Yes, 2018). When safe, legal abortion arrives on Northern Ireland's doorstep, it may become more difficult than ever to ignore.

It would be wonderful if the Republic of Ireland could legislate to give women informed choice, expert care and freedom from fear and criminal sanctions. If an example were needed, politicians could look to the Isle of Man, where an Abortion Reform Bill is making its way through the Tynwald. If approved, women could access abortion up to 14 weeks, up to 24 weeks in cases of fatal fetal abnormality, and later if there is a risk to the life of the mother or the fetus (Perraudin, 2018). Women would be offered counselling before and after the procedure, and ‘access zones’ will be established to prevent ‘pavement interference’ outside clinics. Allowances will also be made for doctors to decline if abortion conflicts with their beliefs.

If the Bill passes, the Isle of Man will replace some of the most restrictive abortion laws with some of the most progressive—with provisions that even the UK has yet to consider. Not all of it will be acceptable to all countries, and some, such as the Republic of Ireland, are just beginning the long process of creating new laws. But there are values that all countries could endorse: women's right to safe care, protection of women's mental health, and respect for medical professionals and their beliefs. If Ireland's referendum was a ‘quiet revolution’, the Isle of Man's has been virtually silent, but hopefully the rest of the UK can listen and learn.