Dr. Calum Miller Profile picture
Aug 27 19 tweets 6 min read Read on X
A guide to pro-life voting
After some vicious disagreements in the last few days that are shedding more heat than light, I put together a short thread on what is at stake in November 2024 🧵
Credentials: researcher at a leading university on abortion policy, published an academic paper specifically on the ethics of single-issue pro-life voting (), am a single-issue voter on abortion myselfcalumsblog.com/wp-content/upl…
In summary, both the benefits and the costs of voting for Trump have been underestimated. I personally would, on balance, vote (very reluctantly) for him given what is at stake, but the Never Trumpers also have a strong point that shouldn’t be ridiculed. The Senate is more simple: vote GOP
So first, recognise what can and can’t be done in politics. Most controversial legislation requires 60 votes in the Senate to overcome the filibuster, which is just not possible given the current balance of political opinion. So the Republicans should not be blamed for not passing national legislation on abortion. They can’t do so while the filibuster is in place, and they are committed to retaining the filibuster.
Incidentally, this makes all the discussion about vetoing a national abortion ban pointless – a national abortion ban would require 60 Senate seats for the GOP, which isn’t going to happen. In my view it would have been better for Trump and Vance to simply state sensibly and realistically what can and can’t happen rather than commit to vetoing something that will never happen and dividing the party. Nikki Haley did this quite sensibly (), as unenthusiastic as I am about her.nbcnews.com/politics/2024-…
On the other hand, the Democrats look like they want to abolish the filibuster, and could do so with a bare majority (50 votes plus VP) in the Senate, which is very realistic (they haven’t done so yet because Democrat Senators Sinema and Manchin opposed it – but they are retiring this year). So if the Democrats win the Senate, all sorts of radical legislation in favour of abortion is possible.
In addition to this, the Senate can always confirm or reject judicial candidates (including SCOTUS) with a bare majority. Given that the Democrats want to destroy the independence of the judiciary by packing the Court with as many pro-abortion/far-left justices as they need to win any case they want, the Senate has enormous importance. Roe v Wade could easily be reinstated within a couple of years, and much worse judgments beyond that.
This means that the stakes in the Senate are far higher than usual, and the stakes are already HUGE. Almost all of the Republican Senators are pro-life, and all the Democrat Senators are pro-abortion. For this reason, the pro-life case for voting Republican in the Senate this year is overwhelming. Everyone should do it (Collins and Murkowski, the pro-abortion GOP Senators, are not up for election this year).
What about the Presidential election? The President can’t do as much by themselves, but they can still do a lot. They can select candidates for the courts (including SCOTUS), they can wield the ever-expanding agencies and weaponise them against life (e.g. weaponizing the FBI and DOJ to clamp down on pro-life speech and activists, as they have done, along with HHS and the Department of Education, among others). They will have an impact on various other important developments in Congress (e.g. the budget, including whether the Hyde Amendment prohibiting federal funding of abortion will be preserved), and will exert political and cultural influence over their party and its elected officials in the short- and long-term.
Perhaps the biggest impact the President has – often neglected by those focused on the US – is whether USAID sends millions and millions of dollars to abortion providers in other countries. This will have an ENORMOUS impact and cannot be understated. Whoever is in the White House could potentially determine whether millions of babies around the world are aborted in the coming years, and long into the future. In terms of impact, this probably outstrips anything done domestically and should be one of the biggest factors in determining how to vote.
You might ask: but if Trump is pro-abortion, will it really matter whether he or Harris in the White House? The answer is yes. In reality, Trump doesn’t care one way or the other about abortion. This has been obvious for many years, despite some silly attempts to call him the “most pro-life President ever” in previous years. Vance is pro-life, even if he is making a (good or bad, you decide) strategic decision to offer some pro-abortion messaging to get elected.
More importantly, Trump will need experienced Republican political appointees to staff the agencies and make the decisions, and there will be far more of these who are pro-life than among the Democrats. Moreover, without needing to win another election, Trump will have minimal incentive to keep being pro-abortion while in office, and much more incentive to be pro-life (since the Republicans will have the power to impeach him – the Democrats won’t). In short, when you appoint a President, you don’t just appoint one person – you appoint an entire executive branch of government, with light years between the Democrats and Republicans on this count.
So what is the case for not voting for Trump (whether voting third party, voting Harris, or not voting)? If you are a single-issue pro-life voter, I see two main reasons not to vote for Trump, and I will say this: the Never Trumpers have a point and should be taken seriously. I do not think they are correct, but nor do I think they are crazy.
The first reason not to vote Trump is that he damages the pro-life brand, associating it with incompetence, lack of integrity, poor governance, misogyny, and all the other myriad vices that Trump amply exudes. To win the battle on abortion long-term, you need to win the culture. And it is much harder to do that when the pro-life brand is associated with people and principles like Trump. This is a very serious cost, especially at a time when trust in pro-life people is the lowest in decades.
The second reason not to vote Trump is that it could make pro-abortion sentiment mainstream within the GOP. From an international perspective, this is a very dangerous place to be, especially in a two-party system. Having a party that is solidly pro-life in a two-party system is a huge advantage that should be held onto. In the UK, the Conservative Party knows that pro-lifers/social conservatives will always vote for them as the “lesser of two evils”, and so they move ever towards more abortion/progressivism, knowing that there is no electoral cost to it. There needs to be a point at which the base deserts the party, or else the party will forever be incentivised to drift leftwards because they can rely on “lesser of two evils” votes from the base. I don’t think you are at the point of desertion in the US, but it is an important consideration and you should have clearly in mind the point at which you say “we are not going to support our candidate”.
So what should you do if abortion is a pre-eminent issue for you? First, you should vote for the GOP in the Senate. The case for doing so is overwhelming and could impact potentially millions of lives in the US and around the world.
As for the Presidency, I won’t say whether you should vote for Trump or not. There are strong arguments either way. I think the balance at the moment is in favour of reluctantly voting for him. But if you do so, you should make clear that you are only giving the GOP so many chances. One option is to give Trump/Vance a chance in power, and if they turn out to be as pro-abortion as their messaging indicates, encourage your Senators to pull support from them, or even impeach them. Since your Senators will have to rely on your support in future, they have to take you seriously. Maybe you can think of other ways to hold them accountable once they are in power.
If you don’t vote for Trump, I understand your position. But then I would say it is even more important to vote GOP in the Senate, which could limit a large amount (though not all) of the damage a Democrat executive could do, particularly in preventing radical justices from joining SCOTUS but also in blocking legislation and the abolition of the filibuster.
I know all this might lose me some friends or supporters, but I think it is a very important strategic question and we need to be clear-sighted about the pros and cons of this civil war within the GOP. Without this kind of honesty, the GOP will just fight itself and everyone will lose. Maybe, as I suggested above, there is a compromise that can be found – that holds Trump and the GOP accountable to the pro-life base without ceding too much ground to the Democrats short-term.

The end.

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More from @DrCalumMiller

May 18
🚨🇧🇷 Brazilian judge authorises 'torture' method of killing unborn babies against medical advice!

Doctors in Brazil can now inject unborn babies' hearts with an excruciatingly painful drug to kill them in an abortion, after 22 weeks! 🧵 1/8
Feticide is typically done in abortions after 20-22 weeks to make sure that the baby is dead after being delivered. Since they can begin to survive outside the womb around this time, and since the aim of an abortion is typically to kill the baby (not merely to remove the pregnancy), feticide is done first. 2/8
This involves injecting the baby's heart (or sometimes elsewhere) with high concentrations of potassium chloride (KCl) to cause cardiac arrest.

High concentrations of KCl are so painful that vets do not use it when putting down animals who are conscious. 3/8
Read 8 tweets
May 14
That abortion kills a child shouldn't really be controversial. Abortion obviously kills a child. 🧵 1/6
It is obviously killing (does anyone seriously deny this?) - this is why late-term abortion involves a procedure whose technical name is feticide. It is very obviously the ending of a biological life - i.e. killing. That doesn't necessarily make it wrong - killing bacteria can be morally permissible, for example. 2/6
The only thing it might be possible to dispute is whether this is a child. But plenty of dictionary definitions explicitly include unborn children. 'Unborn child' appears tens of thousands of times on Google Scholar and in many textbooks. Medical professionals - and everyone else - are perfectly happy to call it a child in many other contexts. 3/6
Read 6 tweets
May 2
One of the most common questions I get is:

Is abortion ever medically necessary?

I get why this is confusing with totally opposing answers coming from different quarters. So hopefully this will make things a bit clearer. 🧵 1/8
It might seem like there is an empirical disagreement about whether a certain procedure is ever necessary. That is not really the case.

The empirical facts are clear and uncontroversial:

Sometimes, it is medically necessary (i.e. to prevent the mother from dying) to remove a baby from the womb before viability (now around 21-22 weeks), in which case it will obviously pass away. 2/8
So why is this such a controversial question?

It is because different people define abortion in different ways.

If you define abortion, as I do, along the lines of: "premature termination of pregnancy resulting in the intended or foreseen death of the child"

Then abortion is clearly medically necessary at times - for example, when the sacs are infected, potentially leading to sepsis. 3/8
Read 8 tweets
Apr 19
Some of you may have seen this headline in the UK's premier fake news rag The Guardian:

"Italy passes measures to allow anti-abortion activists to enter abortion clinics"

So what's the real story behind this? 🧵 1/13

theguardian.com/world/2024/apr…
The headline makes it sound like Italy has legalised the invasion of abortion clinics, with protestors waving signs in the waiting rooms or marching into the operating room shouting.

Obviously, this being The Guardian, it has only the vaguest resemblance to the truth. 2/13
In 1975, before Italy legalised abortion, they passed a law establishing family counselling centres. Two of the stated objectives of these were:

"psychological and social assistance for preparation for responsible motherhood and fatherhood and for the problems of the couple and the family"
and
"the protection of women's health and the product of conception" 3/13

(article 1)normattiva.it/uri-res/N2Ls?u…
Read 13 tweets
Mar 26
Breaking: New Irish Medical Journal paper discusses a woman nearly killed by abortion pills

She had an ectopic pregnancy and wasn't given an ultrasound first, because abortion-obsessed doctors, activists and politicians said... 1/
(for political reasons, thinly veiled by economic and pseudoscientific medical reasons) that it wasn't necessary.

This woman's blood pressure was down to 60/30, her haemoglobin was down to 7, and she had 2 and a half litres of blood haemorrhaged into her abdomen. 2/
She had no risk factors for ectopic pregnancy, so screening questions recommended by abortionists wouldn't have prevented this.

What could have prevented it? The authors write:

"It could have been prevented by an ultrasound for location of the pregnancy" 3/
Read 5 tweets
Mar 9
Very painful reality check for Ireland's leaders, and an enormous win for common sense, for mothers, and for the family! 🇨🇮

The government has been absolutely crushed in TWO referenda, despite virtually all the money and political institutions being on their side. 🧵 1/12
This comes after years of painful defeats for common sense, life and the family in Ireland, with an ultra-woke, far-left, authoritarian (see hate speech bill) government running rampant over the country for a decade. 2/12
The taoiseach, Leo Varadkar, said that defeat would mean a 'step backwards', and the maintenance of 'very old-fashioned' language in the Constitution. He said that the vote would be 'a value statement about what we stand for as a society'. 3/12
Read 14 tweets

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