CCPR/C/119/D/2425/2014
Claims under articles 2 (1), 3 and 26
3.9
The author suffered several violations of her rights to equality and nondiscrimination. Under the country’s highly restrictive abortion law, she was denied on the
basis of her sex access to medical services that she needed in order to preserve her
autonomy, dignity and physical and psychological integrity. In contrast, male patients and
patients in other situations in Ireland are never expected to disregard their health needs and
moral agency in relation to their reproductive functions, or to leave their family and country
in order to receive health care. The rights to equality and non-discrimination require States
to ensure that health services accommodate the fundamental biological differences between
men and women in reproduction.
3.10 In addition, the author’s rights to equality and non-discrimination under articles 2 (1)
and 3 read in conjunction with articles 7, 17 and 19 of the Covenant were violated because,
due to her sex, she was not fully informed by Irish health providers of the options available
to her, including the use of legal abortion services abroad. In contrast, male patients and
patients in other situations are not denied critical health information and are not abandoned
by the health care system in this regard. The author received discriminatory treatment from
the Irish health-care providers, who treated her as if her pregnancy were progressing
normally, without offering the support and care that her particular circumstances required.
This treatment was not based on objective or reasonable grounds.
3.11 The author was also subjected to gender-based discrimination insofar as she was
stereotyped as a reproductive instrument whose needs were subordinate to those of her
unborn, non-viable fetus. Restrictive abortion laws constitute a form of discrimination
against women. Because the author’s health was not endangered by the pregnancy, she was
expected to sacrifice her own mental health and well-being for her dying fetus, and was not
treated according to her particular medical needs. The rights to equality and nondiscrimination require States parties to take affirmative measures to eliminate gender
stereotypes in reproductive health care.
Remedies requested
3.12 The author requests that the State party: (a) provide her with appropriate
compensation; (b) review relevant provisions of the Constitution, as necessary, to conform
with articles 2, 3, 7, 17, 19 and 26 of the Covenant; (c) amend the Protection of Life During
Pregnancy Act 2013 to conform with articles 2, 3, 7, 19 and 26 of the Covenant; (d) take
measures necessary to ensure effective, timely and accessible procedures for legal
pregnancy termination in Ireland; and (e) amend the abortion information act to bring it into
line with article 19 of the Covenant, and ensure its proper implementation.
State party’s observations on the admissibility and merits
4.1
In its observations dated 19 January 2015 and 14 October 2015, the State party does
not contest the admissibility of the communication. It explains in detail the country’s laws
and regulations concerning termination of pregnancy. The Supreme Court has interpreted
article 40.3.3 of the Constitution as permitting termination of the life of the unborn where
there is a real and substantial risk to the life, as distinct from the health, of the mother. 9 The
article reflects the profound moral choices of the people, as expressed through several
popular referenda. Yet the Irish people have acknowledged that citizens are entitled to
travel to other jurisdictions in order to terminate pregnancies, and Irish law guarantees the
right to information on abortion services provided abroad. Thus, the constitutional and
legislative framework reflects a nuanced and proportionate approach to the views of the
Irish electorate on the highly politicized and divisive question of the extent to which the
right to life of the fetus should be protected and balanced against the rights of the woman.
The people’s choices, which are based on deeply held and considered views, should be
respected.
4.2
The Committee’s jurisprudence permits limitations and allowances with respect to
the right to privacy (where limitations are proportional) and the right to non-discrimination
9
6
The State party cites Attorney General v. X and Others.
GE.17-10463