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If conception is considered the beginning of 'personhood', then what happens in the case of miscarriages, which happen more commonly than most expect? Do we invest resources to investigate if it was murder? Involuntary manslaughter? Do we charge the woman for neglect and abuse if she smoked or drank alcohol before she even knew she was pregnant?

This is why it's a problem deciding that a clump of cells with no human brain patterns inside of another human's womb is a person. Because if we do, that implies that they are owed all the same rights and the same treatment as any other person, which puts a far heavier and unfair burden on the woman.