Tier 4 leaders and organizations fundamentally deny the personhood and God-given right to life of the unborn by advocating a permanent "legalization" of the intentional killing of some preborn children. This clear description of their position demonstrates that these leaders are pro-choice with varied exceptions. Such a "leader" is pro-choice, for example, for the woman who decides to kill her child conceived in rape.
The fourth tier includes Sarah Palin, George W. Bush, John McCain and those below who use the pro-life title but deny the personhood and God-given right to life of the unborn. Decades of regulating abortion using laws that end with and then you can kill the baby (informed consent, waiting periods, PBA ban, etc.) by pro-family organizations and governing officials have unavoidably undermined personhood and have moved leaders downward from the third to the fourth tier. Meanwhile the personhood movement pulls people upward to the first tier to reject both the regulation of murder and the so-called "exceptions," and to instead advocate now for personhood. God didn't care about all the fruit Eve did not bite from; nor did He list all the women David did not violate; nor focus on the children Herod did not kill. God looks at the exceptions.