Supporters of employer-funded contraception rally in front of the Supreme Court. Photo: Getty
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The knitting needle age: this US verdict shows our abortion rights are always under threat

If you are a woman of my generation, you were born into an era of extraordinary good fortune, where you have the right to decide what happens to your body. But we mistook a truce in the war on women for a victory.

You don’t see it so much on pro-choice placards. It doesn’t have the recognisable profile of the coat hanger, but it’s the knitting needle’s shape that made it useful to women desperate to end their pregnancies. A simple household object, easily available when women’s work routinely included the creation of sweaters and socks for the family, pulling loop over loop; a fine metal spear with a pointed end that could be inserted into the uterus, in the hope of destroying the unwanted foetus and inducing miscarriage.

Not that useful, of course. Few women had the skilled knowledge of their anatomy that would let them navigate their internal organs successfully. The result might be nothing, or it might be worse: a self-inflicted puncture wound, infection, bleeding, death. Before abortion and contraception were made legally and widely available, physicians reported women being brought into hospital with knitting needles or similar objects trapped in their wombs. This was something normal, the bleak and gory price of a society that gave women no safe recourse when dealing with a pregnancy they could not continue.

Fitting, then, that the most recent assault on American women’s right to decide whether or not they get pregnant comes from one of that country’s largest purveyors of knitting needles. On Monday, craft store chain Hobby Lobby won a Supreme Court decision protecting it from paying for insurance for employees under the Affordable Care Act that covers certain forms of contraception which the company considered to be “abortifacients”, including the Mirena coil. This requirement, according to the judgement, would impose a “substantial burden” on the “religious freedom” of the company.

The fact that these contraceptives, by definition, prevent rather than end a pregnancy was apparently unimportant to the five judges who supported the majority verdict (all three female justices dissented, as did one of their male colleagues). Similarly, there was little effort to address what it means for a company to have “religious freedom” – maybe the Hobby Lobby stores really are all engaged in constant silent observance of the Holy Spirit, although it’s hard to tell, what with them being inanimate brick shells.

And what about the other burden here, on women who find their reproductive options shaped, not by their own wishes and needs and their doctor’s advice, but by their employers’ scruples? The judgement seems far more concerned by how heavy a Mirena might weigh on an employer’s conscience, than by the weight of living flesh on a woman’s body as an unwanted foetus multiplies cell by cell, becomes an embryo, a baby, a child, all the time unwanted, all the time living on the woman who didn’t want to be a mother.

The idea that women have a right to be something other than a resource for other life to consume is something I’ve been able to grow up taking for granted, but in truth it’s a phenomenal novelty. The 1967 Abortion Act in the UK, Roe vs Wade in the USA in 1973 – these and the other watersheds like them are all firmly within living memory. In Spain, abortion was wholly criminalised until 1985, and now the governing People’s Party is on the verge of outlawing abortion in all cases other than rape or medically certified risk to the life of the pregnant woman. Similar efforts to amend UK law have had little effect so far, but make no mistake: if you are a woman of my generation, you were born into an era of extraordinary good fortune. We mistook a truce on our bodies for a victory.

While we enjoyed the luxury of choice, the forces against women were finding new ways to attack. Advice aimed at giving women trying for a baby the best chance of a healthy child has been turned into injunctions that treat all fertile women as “pre-pregnant”, valuing the potential life that could inhabit her over the woman’s own life and decisions – whether she wants to be pregnant or not. The right of women to seek the medical treatment they need, and to do so in private, has been placed at odds with the freedom of speech of those who picket clinics. Niggling disputes about the exact point at which a foetus becomes “viable” have consumed our attention, and barely anyone thinks to mention that the woman herself is not merely “viable” but living, conscious and competent to decide her own best interests.

Anti-abortion protesters think that the world needs to have its face rubbed in the unpleasant truth of what abortion is. As if women seeking abortions didn’t know that a baby is, precisely, the thing they don’t want; as if we didn’t know that abortion, induced or otherwise, is a mess. These are not the things we need to be reminded of. What we have forgotten is what the world looks like outside our blissful bubble of choice. It looks like unmarried mothers imprisoned, and their babies left to die and given no resting place. It looks like being sexually assaulted and ripped off by the backstreet quacks you’re driven to. It looks like poverty and pain. It looks like a knitting needle stabbed into a cervix. Perhaps it is too hard to believe that such a world existed: but all we need to do is let things continue as they are, and we will see it again soon.

Sarah Ditum is a journalist who writes regularly for the Guardian, New Statesman and others. Her website is here.

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It's time the SNP's terrible record in government was exposed

Do not expect the SNP to apologise for these failings anytime soon. They do not really need to, so successful have they have been in creating a new paradigm in Scottish politics.

The only suspense in Scotland’s elections lies in who comes second. So complete is the Scottish National Party’s dominance that the Scottish Conservatives’ manifesto is called ‘A Programme for Opposition’, summing up a campaign in which the Tories and Labour scrap for second while the SNP waltz to victory.

Nicola Sturgeon says it is a matter of when, not if, there is another referendum on Scottish independence; should the UK vote to leave the EU in June, the SNP is likely to push for another independence vote. But all the debates over constitutional questions miss a bigger point: Scotland already has one of the most powerful devolved administrations in the entire world. The SNP has ruled in Holyrood for nine years, and had a majority for the last five. Yet the SNP’s record, particularly for the most disadvantaged in society whom it claims to speak for, is dire.

Let’s begin with higher education. This, after all, is the area in which the SNP are proudest. Five years ago, Alex Salmond declared: “The rocks will melt with the sun before I allow tuition fees to be imposed on Scotland’s students.” He was so enamoured with the SNP’s policy of maintaining free tuition north of the River Tweed that he unveiled them on a commemorative stone at Heriot-Watt University on his last day as First Minister in 2014.

Scotland is by far the worst country in the UK to be a disadvantaged student. The richest Scottish students are 3.53 times more likely to enter university at age 18 via UCAS than the poorest ones, compared with 2.58 in Northern Ireland, 2.56 in Wales and 2.52 in England. Fewer than one in ten young people from the most disadvantaged areas begin to study towards a degree by the age of 20. And the problems are actually getting worse: just 8.4 per cent of entrants to Scotland’s elite universities came from the poorest communities in 2014/15, down from 8.8 per cent the previous year.

Rather than being beneficiaries of free university tuition, poor Scots have actually been victims of it. Protecting Scottish students from university tuition fees has resulted in a £20 million transfer from disadvantaged students to middle-class ones, according to the policy analyst Lucy Hunter Blackburn. Free tuition has been funded by cutting student grants. And, for all Sturgeon’s disingenuous rhetoric that she would not have been able to afford university with the tuition fees south of the border, protecting Scottish students from tuition fees has been funded by loading debts onto the poorest Scottish students. There is an iron law in Scottish universities: poorest kids graduate with the most debt. Students from households earning less than £34,000 typically graduate with between £4,000 to £5,000 more debt than those from families earning more.

The situation in primary and secondary schools is little better. The Scottish Survey of Literacy and Numeracy shows standards of reading, writing and numeracy for 13-14-year-olds all declining since 2011. As if that wasn’t bad enough, the biggest decrease in both writing and numeracy attainment aged 13-14 has been among disadvantaged students.

Educational inequality cripples Scotland from an early age. At the age of five, the vocabulary of the poorest quintile of students is 13 months behind the richest quintile in Scotland. Poor children aged five perform worse than those in England; the gap in cognitive development between children from less well-off backgrounds and others is also bigger in Scotland. Disadvantaged children are the real victims of the SNP’s failure to make good on its pledge, in 2007, to reduce average class sizes in primary schools to 18; they are now 23.3. And this, in turn, can be traced back to the political choice to prioritise spending on free tuition fees over other areas that would help disadvantaged children far more. Between 2010 and 2013, school spending in Scotland fell by five per cent in real terms from 2010 to 2013 while, in England, it rose by three per cent in real terms between 2010 and 2015. Perhaps that explains why, after Easter, 17 schools in Edinburgh  remained closed because of safety concerns, leaving pupils to be taught in other schools and temporary classrooms instead.

The SNP is not only failing Scots in schools and universities. The number of working age adults living in absolute poverty (after housing costs) rose by 80,000 between 2010/11 and 2013/14; the number of children living in absolute poverty also rose by 30,000, and the number of pensioners by 20,000. Pockets of crippling intergenerational deprivation remain too frequent in Scotland: life expectancy in Glasgow is a year lower than in any other part of the UK. Indeed, life expectancy across Scotland is almost two years younger than the rest of the UK, even though Scotland has the highest health expenditure per head of any UK country.

It is a microcosm of wider problems with NHS Scotland. The SNP’s targets for waiting times for hospital admission have been repeatedly missed, including its “guarantee” of a 12-week maximum wait for planned treatment for inpatients. Patients are more likely to have to wait over 31 days for cancer treatment in Scotland than England, and the percentage waiting so long in Scotland has been rising since 2014. There are also grave health inequalities: those in most deprived areas are 2.4 times more likely to have a heart attack than those in the most affluent areas.

Yet perhaps the most shameful part of Scotland’s health record lies in mental health. Patients are 8 per cent more likely to have to wait over 18 weeks for psychological therapy based treatment than in England. Since July 2014, NHS Scotland has also repeatedly missed its targets on children’s mental health.

Do not expect the SNP to apologise for these failings anytime soon. And they do not really need to, so successful have they have been in creating a new paradigm in Scottish politics, in which the independence debate is the only game in town. But none of this should obscure the truth that the SNP have been in government, and with huge power, for nine years. They have floundered - and underprivileged Scots have been the biggest victims of all.

Tim Wigmore is a contributing writer to the New Statesman and the author of Second XI: Cricket In Its Outposts.