Departing from a precedent set forth in Stenberg v. Carhart, 99-830 (2000), the U.S. Supreme Court today upheld the legality of the Partial Birth Abortion Ban Act of 2003. The act prohibits what are called "intact dilation and extraction" abortions," in which a physician or abortion doctor moves the fetus past the cervix into the vagina before he aborts it. The challenge to the Act was upheld by every lower court, but in a 5-4 decision (Anthony Kennedy was the swing vote), the Supreme Court reversed the lower courts, saying the Act was, in fact, constitutional. (For more details, please read the Supreme Court's opinion in today's case, Gonzales v. Carhart, 05-380.)
Justice Kennedy, writing the majority opinion, addressed the following arguments against the Act:
- The Act is unconstitutionally vague;
- The Act acts as an illegal barrier to obtaining an abortion;
- The Act does not contain an exception for performing an abortion to preserve the life of the mother, as required by Stenberg.
Objections (1) and (2) are rather procedural. I happen to agree with the majority on Objection (1) -- that the Act is not unconstitutionally vague. As a piece of legislation, it's quite clear what is being rendered illegal and what the punishment is. Objection (2) is not so clear. Kennedy writes that the Act, while a barrier to abortion, is not necessarily an illegal barrier:
"[t]he fact that a law which serves a valid purpose, one not designed to strike at the right itself, has the incidental effect of making it more difficult or more expensive to procure an abortion cannot be enough to invalidate it." (quoting Planned Parenthood of Pa. v. Casey, 505 U.S. 833 (1992))
Furthermore, reasons Kennedy, "the State may use its regulatory power to bar certain procedures and substitute others, all in furtherance of its legitimate interests in regulating the medical profession in order to promote respect for life, including life of the unborn." This is sketchy reasoning at best because of Objection (3), which is at the crux of this decision.
In Stenberg, which actually dealt with a partial-birth abortion statute in Nebraska, the Supreme Court ruled that all legislation that regulated abortion must contain a provision for performing an abortion to save the life of the mother. No ifs, ands, or buts. The Republican-controlled Congress tried twice in the 1990s to enact a federal partial-birth abortion ban, but both times, the bill was vetoed by President Clinton, and neither house could muster up enough votes to override the veto. With President Bush in power in 2001, Republicans passed -- and Bush signed -- the Act now in question. In 2000, the Supreme Court felt that there was enough medical evidence to suggest that there are situations in which abortion may be medically necessary to save the mother's life (C. Everett Koop's opinions nonwithstanding).
Whenever Congress writes a law, it prefaces the actual legislation with its "findings," which are supposed to act as a guide to future interpretation of that law. In the findings for the Partial Birth Abortion Act, the Republican-controlled Congress called the Court's findings in Stenberg "very questionable." To that end, in their findings, they concluded that the partial-birth abortion method prohibited by the Act "is never medically necessary." These four words form the entirety of justification for the majority's opinion today. All abortion cases after Stenberg have relied on the Court's belief that abortion may be medically necessary. Congress sidestepped the Court in makes its own determination that an intact dilation and extraction abortion "is never medically necessary." Because it is necer medically necessary, Casey's requirement that an abortion restriction must protect the life of the mother has been blown away, since, in this instance, Casey would require something that is impossible! Because the mother's health is never in question now, the government defaults to protecting its "legitimate and substantial interest in preserving and promoting fetal life" only. Mommy doesn't matter, anymore! Her health will never be in danger!
But what of the issue of safety to the mother? Also at issue is whether intact dilation and extraction abortion is safer for the mother than a regular dilation and extraction abortion (the difference is that, in the former, the physician tries to remove the fetus as intact as possible, and in the latter, the physician removes the fetus in pieces). Kennedy notes the "documented medical disagreement" that exists as to whether or not "the Act's prohibition would ever impose significant health risks on women," but dismisses it, instead suggesting that "[a]lternatives are available to the prohibited procedure," or that the legislature should take on the issue. He will have none of it today!
Justice Ginsburg is pissed. In her dissent, in which she was joined by Stevens, Souter, and Breyer, she writes,
Today's decision is alarming. It refuses to take Casey and Stenberg seriously. It tolerates, indeed applauds, federal intervention to ban nationwide a procedure found necessary and proper in certain cases by the American College of Obstetricians and Gynecologists (ACOG). It blurs the line, firmly drawn in Casey, between previability and postviability abortions. And, for the first time since Roe, the Court blesses a prohibition with no exception safeguarding a woman's health.
I dissent from the Court's disposition. Retreating from prior rulings that abortion restrictions cannot be imposed absent an exception safeguarding a woman's health, the Court upholds an Act that surely would not survive under the close scrutiny that previously attended state-decreed limitations on a woman's reproductive choices.
Ginsburg's objections are four-fold. One, she disagrees with the science supporting the majority's opinion. "The term 'partial-birth abortion' is neither recognized in the medical literature nor used by physicians who perform second-trimester abortions," she writes in her very first footnote, saying that the the procedure had been dubbed so "in the political arena." Ginsburg disagrees with the very core of the majority's opinion, saying that the evidence supporting Congress' findings that intact D&E "is never medically necessary" "do not withstand inspection, as the lower courts have determined and this Court is obliged to concede." Take a look at these whoppers (with some citations removed to make reading less irritating):
Many of the Act's recitations are incorrect. For example, Congress determined that no medical schools provide instruction on intact D&E. But in fact, numerous leading medical schools teach the procedure. See also Brief for ACOG as Amicus Curiae 18 ("Among the schools that now teach the intact variant are Columbia, Cornell, Yale, New York University, Northwestern, University of Pittsburgh, University of Pennsylvania, University of Rochester, and University of Chicago.").
More important, Congress claimed there was a medical consensus that the banned procedure is never necessary. But the evidence "very clearly demonstrate[d] the opposite." Planned Parenthood, 320 F. Supp. 2d, at 1025. See also Carhart, 331 F. Supp. 2d, at 1008-1009 ("[T]here was no evident consensus in the record that Congress compiled. There was, however, a substantial body of medical opinion presented to Congress in opposition. If anything ... the congressional record establishes that there was a 'consensus' in favor of the banned procedure."); National Abortion Federation, 330 F. Supp. 2d, at 488 ("The congressional record itself undermines [Congress'] finding" that there is a medical consensus that intact D&E "is never medically necessary and should be prohibited." (internal quotation marks omitted)).
Similarly, Congress found that "[t]here is no credible medical evidence that partial-birth abortions are safe or are safer than other abortion procedures." But the congressional record includes letters from numerous individual physicians stating that pregnant women's health would be jeopardized under the Act, as well as statements from nine professional associations, including ACOG, the American Public Health Association, and the California Medical Association, attesting that intact D&E carries meaningful safety advantages over other methods. See also Planned Parenthood, 320 F. Supp. 2d, at 1021 ("Congress in its findings . . . chose to disregard the statements by ACOG and other medical organizations."). No comparable medical groups supported the ban. In fact, "all of the government's own witnesses disagreed with many of the specific congressional findings."
Clearly, this evidence goes quite a long way from suggesting that intact D&E "is never medically necessary," and while all the lower courts disagreed with those four words, the majority in this case chose to disagree with evidence to the contrary.
Two, she also takes on Kennedy's dismissal of the relative safety of intact D&E versus regular D&E: "We have thus ruled that a State must avoid subjecting women to health risks not only where the pregnancy itself creates danger, but also where state regulation forces women to resort to less safe methods of abortion." In her mind, the government's illegalization of intact D&E forces them to consider what some may construe as a more unsafe method; namely, the standard D&E. Ginsburg would rather that the state err on the side of protecting the already-living mother, and rightly so. In instances where the survival of the mother is directly at odds with the survival of the fetus (assuming there is no other medical technique that could save both the mother and the fetus, or that such options have been exhausted), the mother should always win.
Three, "the Act scarcely furthers ["the legitimate interest of the Government in protecting the life of the fetus that may become a child"]: The law saves not a single fetus from destruction, for it targets only a method of performing abortion." Good one, Ruth! If the government is so keen to protect the lives of innocent, unborn babies, then why outlaw only one procedure? Two answers. The first one, my answer, is that religious Republican groups are working to slowly erode away abortion rights, bit by bit. This is only the beginning. Two, Justice Ginsburg's answer, is that "[d]elivery of an intact, albeit nonviable, fetus warrants special condemnation, the Court maintains, because a fetus that is not dismembered resembles an infant."
Fourth, Ginsburg is pissed that the government is acting so patronizingly and infantilizing women:
Revealing in this regard, the Court invokes an antiabortion shibboleth for which it concededly has no reliable evidence: Women who have abortions come to regret their choices, and consequently suffer from "[s]evere depression and loss of esteem." Because of women's fragile emotional state and because of the "bond of love the mother has for her child," the Court worries, doctors may withhold information about the nature of the intact D&E procedure. The solution the Court approves, then, is not to require doctors to inform women, accurately and adequately, of the different procedures and their attendant risks. Cf. Casey, 505 U. S., at 873 (plurality opinion) ("States are free to enact laws to provide a reasonable framework for a woman to make a decision that has such profound and lasting meaning."). Instead, the Court deprives women of the right to make an autonomous choice, even at the expense of their safety.
This way of thinking reflects ancient notions about women's place in the family and under the Constitution--ideas that have long since been discredited.
As though it is the government's job to act as a man of the 19th century would in telling a woman what is good for her.
And yes, Kennedy actually did write in today's opinion, "Respect for human life finds an ultimate expression in the bond of love the mother has for her child. The Act recognizes this reality as well." So, it appears that contemporary court rulings from other countries are not permissible as support for a Supreme Court opinion, but "Western heritage," the Bible, and now "the bond of love the mother has for her child" are. I see that Anthony Kennedy got his legal justifications by reading the case Potter v. Voldemort, in which respondent Lord Voldemort was defeated by petitioner Harry Potter using a similar legal (or was it magical?) justification.
Well, what now? We have seen a small chip come off the large block of a woman's right to an abortion, which is a chunk of a woman's right to do what she pleases with her own body. For a variety of flimsy reasons, the Supreme Court has decided today that -- in some cases -- women should be prohibited from doing certain things to their bodies in the name of (1) morality and (2) what the government thinks is good for them. And what's nearly as bad, Anthony Kennedy has joined The Dark Side. This may not be the last of the 5-4 conservative majorities.