The real abortion scandal? That two doctors must testify a woman's sanity

Andrew Lansley is "shocked and appalled" at doctors pre-signing consent forms -- but the medical pro

The Care Quality Commission (CQC), ordered to perform spot-checks at abortion clinics, revealed yesterday that up to one fifth of clinics have been breaking the law by allegedly allowing doctors to pre-sign consent forms, presumably before they are assigned to a specific patient. Health Secretary Andrew Lansley is reportedly "shocked and appalled" by the findings.

I am shocked and appalled that in 2012 we still require two doctors to testify not to the physical fitness and consent of the woman in question but to the indomitable risk a continued pregnancy poses to her physical and mental health.

Assessed from that perspective, being pro-choice is actually nothing of the sort. Presuming you are bodily healthy, what you are actually consenting to is the notion that to be refused an abortion would make you just a baby away from barmy.

Thankfully, the medical profession is more pragmatic than the law; it's not too often you meet a glassy-eyed new mother lugging a child about, lamenting, "Oh, you know, there just wasn't enough chance of me having a breakdown so they wouldn't let me not have her." And doctors have had to be -- they are working with a piece of legislation that has only been updated once since 1967, an era where women couldn't get a mortgage without a male guarantor. Is it any wonder then that some doctors may think the double-signing about as anachronistic and inappropriate? And what about the thousands of women, myself included, that have ever had an abortion? It's time the law acknowledged that women can safely -- and sanely -- consent to abortion, with full awareness of the implications as they do so, and that one informed medical opinion is enough to guide that.

For a government that claims to want to give people more control over their own lives, the coalition has done a neat job of allowing the paternalist, Conservative backbenchers the steer of the abortion debate. The CQC investigation, the circumstances of which are politically suspect according to BPAS chief executive Ann Furedi, comes just a little too soon after Nadine Dorries' failed Bill proposing independent abortion counselling. It also conveniently distracts from the berating Lansley has faced over NHS reforms. Nothing like an abortion brouhaha to make people forget about the mismanagement of the health service -- except perhaps setting the already overstretched CQC to investigating procedural signatures rather than the abuse of old people or children isn't the slickest way of doing it.

The recent furore relating to illegal sex selective abortion has made the matter of women's "choice" even more inflammatory. But neither doing away with the need for the two-doctor signature rule nor changing the emphasis of the law to give women the right to opt out of motherhood rather than out of madness would automatically legitimise the right to sex selection. (Surely not revealing the sex of the foetus, except in circumstances where disability necessitated it, would circumvent that pretty easily?) Nor would it see the number of abortions rise exponentially. What anti-abortionists never seem to grasp is that, whatever the circumstances, nobody seeks a termination lightly. While not necessarily traumatic, it is a grave decision you do not forget making. And neither one, nor two, nor a thousand doctors' signatures can affect that -- unless the government makes it harder to seek abortion in the first place.

Nichi Hodgson is a 28-year-old freelance journalist specialising in sexual politics, law and culture.

Nichi Hodgson is a writer and broadcaster specialising in sexual politics, censorship, and  human rights. Her first book, Bound To You, published by Hodder & Stoughton, is out now. She tweets @NichiHodgson.

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How a small tax rise exposed the SNP's anti-austerity talk for just that

The SNP refuse to use their extra powers to lessen austerity, says Kezia Dugdale.

"We will demand an alternative to slash and burn austerity."

With those few words, Nicola Sturgeon sought to reassure the people of England, Wales and Northern Ireland last year that the SNP were a party opposed to public spending cuts. We all remember the general election TV debates, where the First Minister built her celebrity as the leader of the anti-austerity cause.

Last week, though, she was found out. When faced with the choice between using the powers of the Scottish Parliament to invest in the future or imposing cuts to our schools, Nicola Sturgeon chose cuts. Incredible as it sounds the SNP stood shoulder to shoulder with the Tories to vote for hundreds of millions of pounds worth of cuts to schools and other vital public services, rather than asking people to pay a little bit more to invest. That's not the choice of an anti-austerity pin-up. It's a sell-out.

People living outside of Scotland may not be fully aware of the significant shift that has taken place in politics north of the border in the last week. The days of grievance and blaming someone else for decisions made in Scotland appear to be coming to an end.

The SNP's budget is currently making its way through the Scottish Parliament. It will impose hundreds of millions of pounds of cuts to local public services - including our schools. We don't know what cuts the SNP are planning for future years because they are only presenting a one year budget to get them through the election, but we know from the experts that the biggest cuts are likely to come in 2017/18 and 2018/19. For unprotected budgets like education that could mean cuts of 16 per cent.

It doesn't have to be this way, though. The Scottish Parliament has the power to stop these cuts, if only we have the political will to act. Last week I did just that.

I set out a plan, using the new powers we have today, to set a Scottish rate of income tax 1p higher than that set by George Osborne. This would raise an extra half a billion pounds, giving us the chance to stop the cuts to education and other services. Labour would protect education funding in real terms over the next five years in Scotland. Faced with the choice of asking people to pay a little bit more to invest or carrying on with the SNP's cuts, the choice was pretty simple for me - I won't support cuts to our nation’s future prosperity.

Being told by commentators across the political spectrum that my plan is bold should normally set alarm bells ringing. Bold is usually code for saying something unpopular. In reality, it's pretty simple - how can I say I am against cuts but refuse to use the powers we have to stop them?

Experts - including Professors David Bell and David Eiser of the University of Stirling; the Resolution Foundation; and IPPR Scotland - have said our plan is fair because the wealthiest few would pay the most. Trade unions have backed our proposal, because they recognise the damage hundreds of millions of pounds of cuts will do to our schools and the jobs it will cost.

Council leaders have said our plan to pay £100 cashback to low income taxpayers - including pensioners - to ensure they benefit from this plan is workable.

The silliest of all the SNP's objections is that they won't back our plan because the poorest shouldn't have to pay the price of Tory austerity. The idea that imposing hundreds of millions of pounds of spending cuts on our schools and public services won't make the poorest pay is risible. It's not just the poorest who will lose out from cuts to education. Every single family and business in Scotland would benefit from having a world class education system that gives our young the skills they need to make their way in the world.

The next time we hear Nicola Sturgeon talk up her anti-austerity credentials, people should remember how she did nothing when she had the chance to end austerity. Until now it may have been acceptable to say you are opposed to spending cuts but doing nothing to stop them. Those days are rapidly coming to a close. It makes for the most important, and most interesting, election we’ve had in Scotland.

Kezia Dugdale is leader of Scottish Labour.