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I didn’t aim to proclaim “women need to admit to rape to get healthcare”. I countered instead calling fetus a rapist - an actively and wholly out of control of a woman agressor. No, unethical situations aside, both parties knew what consequences are there. No use getting pissed at someone/thing because of your own stupidity.
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I put rape aside because it wasn’t aimed at discussing this part in depth but…if you want, why not. First of all, women, as you wrote, are not obligated to admit to being a victim of rape. And yes, in the way I described it above, it’s suggested that rape victims are entitled to abortion. However, the mental jump to then switching the logic around that any woman looking for abortion was raped is simply illogical in the same manner that saying only alcoholics buy alcohol is. In the dystopian version of the world where abortion is fully illegal except for unexpected and unethical situations like rape, I think that yes, women would have to admit to being a victim to receive medical help. There’s simply hardly any other way.
About presuming she met any criteria: If our aim is to limit unneeded abortions, then this approach is not only invalid, but also damaging. It will work against the target of removing casual abortions while also removing a lot of weight behind act of rape. The second part is dangerous because it could lessen actual amount of help for victims. Also, this means that woman would have to prove she’s a victim - by gaining second opinion, most probably with the help of police, maybe could be done by medical specialist. I’d honestly rather lean onto the other, to remove need for criminal investigation if such is unwanted by victim.
About last point: I choose to presume consent because great majority of children is conceived consensually, and as such this is default, and I’d treat a rape victim as a rape victim, not much to say about that one. Case by case.