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The Government Does Not Belong in Medical Decisions

  • Writer: Bill E Gates JR
    Bill E Gates JR
  • Dec 31, 2025
  • 2 min read

Before you ask me my opinion on abortion, ask yourself three questions.

Are you the woman in question? Chances are, you’re not.

Are you, her doctor? Chances are, you’re not.

And the third question is the most important of all: Are you, her God?

If the answer to all three is no—and for almost everyone it is—then this decision is not your business. It’s not mine either. And it certainly is not the governments.

Abortion is a medical decision. Full stop. It involves complex, deeply personal factors that no lawmaker can fully understand from a distance. I cannot make a medical decision choosing a fetus over a mother or a mother over a fetus—and neither can you. That responsibility belongs to medical professionals working directly with the patient, guided by science, ethics, and the principal doctors live by every day: do no harm.

A hard, absolute ban on abortion ignores reality. It leaves women who genuinely need this care—often in emergencies—without options. It puts doctors in an impossible position, forcing them to hesitate while lives hang in the balance, wondering whether saving a patient could cost them their license, their livelihood, or their freedom. No doctor should ever have to pause life-saving care to consult a statute book or fear government retaliation.

At some point, a decision has to be made. When a fetus cannot survive outside the body of its mother, and continuing a pregnancy puts that mother’s life at risk, who decides which life takes precedence? It is not a moral question the government is equipped—or authorized—to answer. It is a medical judgment, and those decisions must remain between the patient and her medical team.

The government does not belong in the medical field. Period. We can—and should—work to make healthcare more affordable and accessible. But affordability does not give the state ownership over a person’s body or their most intimate medical decisions. Protecting access to care is one thing; controlling personal medical outcomes is another entirely.

We also cannot ignore the realities surrounding rape and sexual violence. I do not know who has been raped. You do not know. The woman does. And no one should be forced by the state to carry the physical, emotional, and psychological weight of a pregnancy that resulted from violence. That is not compassion. That is cruelty disguised as policy.

And for those who say, “There’s always adoption,” I ask that we look honestly at the system we already have. Millions of children are currently in foster care, many waiting years—sometimes forever—for permanent homes. The system is overwhelmed. It does not need more children forced into it by government mandate. Improving adoption pathways and fixing foster care is critical work—but that does not justify stripping away necessary medical options in the meantime.

My position is simple and unwavering: the government does not belong in medical decisions. Abortion is healthcare. Healthcare decisions belong to individuals, their doctors, and their conscience—not politicians.

That is not radical. That is restraint. And that is respect for human dignity.

 
 
 

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