"James says, "You desire and do not have; so you kill" (Jas. 4:2). We kill marriages and we kill unborn babies because they cut across our desires; they stand in the way of our unencumbered self-enhancement. And we live in a culture where self-enhancement and self-advancement is god. And if self-enhancement is god, then the One who is at work in the womb shaping a person in His own image is not God and the assault on His work is not sacrilegious, but obedience to the god of self."

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The formation of the life of a person in the womb is the work of God, and it is not merely a mechanical process but a work on the analogy of weaving or knitting: "Thou didst knit me together in my mother's womb" (psalm 139:13). The life of the unborn is the knitting of God, and what He is knitting is a human being in His own image, unlike any other creature in the universe... The destruction of conceived human life - whether embryonic, fetal, or viable - is an assault on the unique person-forming work of God.

— John Piper