As more and more increasingly outrageous headlines begin to gain notoriety among the general public–Newsweek making the case for killing granny, for example, or the recent widespread coverage of an article in the Journal of Medical Ethics promoting infanticide–many are only beginning to realize what the authors of the “after-birth abortion” paper admitted in such a blase fashion in the open letter they used to defend their proposal: these debates have been going on in the bioethics community for 40 years. They are only now arriving as a type of fait accompli to be digested by the public.