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298 The Journal of American History Lisa Levenstein University of North Carolina Greensboro, North Carolina The Moral Veto: Framing Contraception, Abortion, and Cultural Pluralism in the United States. By Gene Burns. (Cambridge: Cambridge University Press, 2005. xii, 340 pp. Cloth, $70.00, isbn 0-521-55209-5. Paper, $24.99, isbn 0-521-60984-4.) This is an intelligent and accessible contribution to our knowledge of the struggles over contraception and abortion. On the latter topic particularly, Gene Burns sheds new light through his work on the debates in state legislatures during the 1960s and early 1970s. Two concepts form the core of the book: “framing” and “the moral veto.” While the former is familiar, the latter is Burns’s contribution. Focusing on the career of Margaret Sanger and contrasting her with Mary Ware Dennett, he demonstrates that contraception was first framed as part of a socialist call for the general reconstruction of society, then as a more modest proposal to expand physicians’ rights to provide family planning. As contraception moved from a radical frame to a more socially acceptable one, it became susceptible to other associations, including, unfortunately, one with eugenics. It achieved success—in the courts, not the legislatures—when the more radical moral frame was forgotten. Turning to abortion, he notes that when the issue was first raised in the 1960s as a matter of expanding physicians’ discretion, the effort enjoyed success in a number of states. When the frame shifted to a moral one, with the rise of vocal pro-life and pro-choice organizations, the reform drive stalled, and efforts at repeal of laws restricting abortion generally were blocked. Why was legislative change on contraception and abortion blocked? Burns argues that once an issue has been framed as part of a moral world view, committed minorities can exercise a moral veto, since legislators are reluctant to risk alienating a powerfully committed and vocal group. Even if their own proposals go nowhere, such groups can stop any action. It took the courts to force change, in each case by championing physicians’ rights. Burns suggests that this explains why in the early twentieth century, the Catholic Church, although relatively weak and unpopular, was able to block changes in the laws on contraception: rather than arguing from distinctively Catholic principles, it appealed to wider fears about loosening sexual morality. Similarly, when abortion became a morally charged issue, rather than one limited to medical technicalities, legislation stalled. Burns disputes the claim that had the Supreme Court not decided as it did in Roe v. Wade (1973), the political process would have provided a solution; rather, he argues, the moral veto would have continued to block change. He concludes the book with a call for society, in view of its diversity, to avoid large moral frames and to work within more limited ones. There is much to praise in this book. It is clearly argued and informed by wide reading and significant original research. Unfortunately, it is also repetitive and could easily have been edited down. Burns’s references do not include the most capable of the sociological interpreters of the pro-life movement, James R. Kelly. His view of Roe v. Wade as a limited, compromise decision and as one necessary and justified to break a political stalemate will elicit strong disagreement from some. Objections aside, this is a book that can be read with profit by all serious students of its topics. Keith Cassidy University of Guelph Guelph, Canada Downloaded from http://jah.oxfordjournals.org/ at The Univesity of Calgary on May 27, 2015 the gender segregation of the labor force and the lack of child care for poor mothers. The book draws heavily on interviews and uses women’s own words wherever possible. Although Orleck provides a rich historical context for women’s activism, she rarely explicitly inserts her own voice into the main body of the narrative. To do so would undermine the central argument of the book—that we need to listen to poor women’s voices because they know best how to remedy their poverty and that with the help of effective government programs they are perfectly capable of doing it themselves. June 2006