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HEALTH

What you need to know about Spain’s plan to change its abortion laws

In Spain women can get an abortion for free in all public hospitals up until 14 weeks, no questions asked. But the reality is that many doctors refuse to perform them. The Spanish government is revising its laws to make sure it is enforced across the country.

What you need to know about Spain’s plan to change its abortion laws
Anti-abortion supporters take part in a march in Madrid in 2014. In Spain women have the right to abortions up to the 14th week of their pregnancy, but many doctors across the country refuse to perform the procedure. Photo by DANI POZO / AFP

Under the current legislation introduced by the previous Socialist government in 2010, women in Spain have the right to abortions up to the 14th week of their pregnancy, which is standard in much of Europe.

They also have the legal right to abort up to the 22nd week of pregnancy in cases where the mother’s health is at risk or the foetus has serious deformities.

‘Conscientious objectors’

However, in practice this law translates into a very different reality.  

Many doctors across Spain refuse to practice abortions, calling themselves “conscientious objectors”.

So many doctors deny the procedure across the country, that in five out of the 17 autonomous regions in Spain, no public hospitals offer abortions, according to data from the Health Ministry

This causes stark regional inequalities, forcing thousands of women to either travel to another part of the country, or pay for one in a private clinic, despite the 2010 law stating that “all women should benefit from equal access to abortion regardless of where they reside”.

According to the data, the provinces of Teruel, Ávila, Palencia, Segovia, Zamora, Cuenca, Toledo and Cáceres have not performed a single abortion in the past 30 years.

And, another even more revealing statistic: in 2019, 85 per cent of abortions took place in private clinics.

The map below shows the provinces that never perform abortions in red, the ones where it has varied over the years in orange, and the ones where they have always been available in green.

READ ALSO: Why does Spain top Europe’s Covid vaccination league table?

Law reform

The minister of equality, Irene Montero, has proposed a reform of the current law that would limit doctors being able to refuse the procedure.

“Conscientious objection cannot be an obstacle for women to exercise their right to terminate a pregnancy,” Montero said in a tweet. “We must reform the law to regulate it and make sure abortion is guaranteed in the public health system.”

Montero said the draft law would be ready in December after a consultation process.

However, others have said doctors should not be forced to perform abortions.

The president of Madrid’s regional government, Isabel Díaz Ayuso, said she would not force “any doctor in Madrid’s public health system to practice an abortion against their will” because doctors study medicine “to save lives and not to do the opposite”.

Conservatism

The situation shows abortion remains a dividing issue in Spain, where a large part of the conservative population is still opposed to a law that was introduced over a decade ago.

The former conservative Prime Minister Mariano Rajoy had promised to tighten Spain’s abortion law before he came into power in 2011.

However he was forced to drop the plans in 2014 due to disagreement within his Popular Party (PP). This angered many Catholic and other pro-life groups.

The reform would have ended women’s rights to freely terminate their pregnancies up until the 14th weeks. 

In 2015 Rajoy’s government passed another reform requiring girls aged 16 and 17 to get their parents’ consent if they wished to terminate a pregnancy. But the measure failed to pacify pro-life campaigners.

Montero also announced plans to repeal the 2015 reform as part of the draft law.

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HEALTH

Swedish opposition proposes ‘rapid tests for ADHD’ to cut gang crime

The Moderate Party in Stockholm has called for children in so called "vulnerable areas" to be given rapid tests for ADHD to increase treatment and cut gang crime.

Swedish opposition proposes 'rapid tests for ADHD' to cut gang crime

In a press release, the party proposed that treating more children in troubled city areas would help prevent gang crime, given that “people with ADHD diagnoses are “significantly over-represented in the country’s jails”. 

The idea is that children in so-called “vulnerable areas”, which in Sweden normally have a high majority of first and second-generation generation immigrants, will be given “simpler, voluntary tests”, which would screen for ADHD, with those suspected of having the neuropsychiatric disorder then put forward for proper evaluations to be given by a child psychiatrist. 

“The quicker you can put in place measures, the better the outcomes,” says Irene Svenonius, the party’s leader in the municipality, of ADHD treatment, claiming that children in Sweden with an immigrant background were less likely to be medicated for ADHD than other children in Sweden. 

In the press release, the party said that there were “significant differences in the diagnosis and treatment of ADHD within Stockholm country”, with Swedish-born children receiving diagnosis and treatment to a higher extent, and with ADHD “with the greatest probability” underdiagnosed in vulnerable areas. 

At a press conference, the party’s justice spokesman Johan Forsell, said that identifying children with ADHD in this areas would help fight gang crime. 

“We need to find these children, and that is going to help prevent crime,” he said. 

Sweden’s climate minister Annika Strandhäll accused the Moderates of wanting to “medicate away criminality”. 

Lotta Häyrynen, editor of the trade union-backed comment site Nya Mitten, pointed out that the Moderates’s claim to want to help children with neuropsychiatric diagnoses in vulnerable areas would be more credible if they had not closed down seven child and youth psychiatry units. 

The Moderate Party MP and debater Hanif Bali complained about the opposition from left-wing commentators and politicians.

“My spontaneous guess would have been that the Left would have thought it was enormously unjust that three times so many immigrant children are not getting a diagnosis or treatment compared to pure-Swedish children,” he said. “Their hate for the Right is stronger than their care for the children. 

Swedish vocab: brottsförebyggande – preventative of crime 

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