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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

Are Danes cutting back on cigarettes and alcohol?

Danish stores sold a significantly lower quantity of alcohol and cigarettes over the counter last year, new data from Statistics Denmark show.

Are Danes cutting back on cigarettes and alcohol?

Some 3,852 cigarettes were sold year, which amounts to 804 per person over the age of 18. But that compares to a figures of 854 per person on 2022.

Cigarette sales in Denmark have been declining since 2018.

Sales of sprits, beer and wine fell by 7.8 percent, 5.3 percent and 0.9 percent respectively.

Danish business sold the equivalent of 44.4 million litres of pure alcohol, which works out at 11.9 units per week on average for each person over the age of 18.

Although that is a lower value than in 2022, it still exceeds the amount recommended by the Danish Health Authority (Sundhedsstyrelsen).

The Health Authority recommends that adults over 18 drink no more than 10 units per week and no more than four in a single day.

READ ALSO: Should Denmark raise the minimum age for buying alcohol?

“The numbers are still too high and it’s an average that could have a skewed distribution,” University of Southern Denmark professor, Janne Tholstrup, said in relation to the alcohol sales figures. Tholstrup has published research on Denmark’s alcohol culture.

That is in spite of a 30-year-trend of falling alcohol consumption, according to the professor.

“The majority of Danes stay under the recommended 10 unite per week. That means there is a large group with a persistently excessive consumption of alcohol,” she said.

The Statistics Denmark figures also show that sales of loose tobacco – such as the type used in roll-up cigarettes and pipes – also fell last year. Some 58 tonnes less were sold compared to 2022.

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