D & X / PBA procedures
Federal law: Supreme Court activity

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Lower Court activity is covered in a
separate essay

Supreme Court accepts an appeal:
On 2005-SEP-26, following the ruling by the 8th U.S. Circuit Court of
Appeals, the federal Department of Justice asked the U.S. Supreme
Court to review the Nebraska case.
On 2006-FEB-21, the U.S. Supreme Court
agreed to review the Nebraska and California lawsuits. The makeup of the court that examines the
federal law is very different from the year 2000 when the Nebraska state
law was examined. In the 2000 ruling, Stenberg v. Carhart, the state law was declared
unconstitutional by a vote of 5 to 4. Justice Sandra Day O'Connor voted with the
majority. She has since retired. She had a track record of being a swing vote,
sometimes voting with the conservatives on the court and sometimes voting with
the liberals. Her replacement was Justice Samuel Alito who was sworn in on
2006-JAN-31. He is expected to be a strict constructionist, conservative
jurist. The net result has been to swing the Supreme Court sharply to the right. With
two new constructionist Justices on the court, it was expected that the federal law will be declared
constitutional by a vote of 5 to 4, even though it contains the same defects as
the Nebraska state law:
 | Excessive vagueness that might cause the law to be applied to early
abortions. |
 | A lack of a exemption in
instances where serious health problems are likely to result. |
 | Fear of criminal liability on the part of physicians may cause them to
make decisions that are not in the interest of their patients. |
Judge Alito did help
overturn a New Jersey state law banning D&X procedures in the past. However he was constrained
by the necessity of following previous Supreme Court rulings. Now, he is a
Justice on the Supreme Court and can fully exercise his beliefs.

Reactions to the Supreme Court decision to hear the cases:
Some individuals and advocacy groups reacted very positively to the decision
by the court to hear the Nebraska and California cases. Others took the opposite view:
 | Denise M. Burke, spokesperson for Americans United for Life said: |
"We are heartened by the Court's willingness to revisit this issue.
We are hopeful that the Court will reverse course and repudiate its 2000
decision in Stenberg v. Carhart which sanctioned this type of
infanticide just as it has previously renounced decisions approving
racial segregation and the internment of Japanese-Americans in World War
II without due process of law." 1
 | Clarke Forsythe, spokesperson for Americans United for Life said:
|
"We hope the Court will use this opportunity to finally reexamine its
broad health exception requirement that demands abortion must be allowed
at any time of pregnancy for any reason including 'emotional health' and
'familial health'. The Court's extreme definition of 'health' has come
to mean abortion-on-demand at any time of pregnancy- something the
American public just does not support. A ban on partial-birth abortion
is supported by 70 percent of the public. What the Court should do here
is to allow the will of the people to stand."1

Supreme Court decision:
On 2007-APR-18, the U.S. Supreme Court ruled that the federal D&X law is
constitutional. 2 The vote was 5 to 4 -- the usual result for cases involving
ethical decisions. This was a widely
expected ruling, because of the Supreme Court's recent movement sharply to the right.
The four most conservative members of the Supreme Court, Chief Justice John
Roberts, and Justices Samuel Alito, Clarence Thomas and Antonin Scalia, voted as
a block in favor of the law's constitutionality. They were joined by Justice
Anthony Kennedy who wrote the decision. Justices
Ruth Bader Ginsburg,
Stephen Breyer, David Souter and John
Paul Stevens were in the minority.
The court noted that:
 | Gonzales v. Carhart (05-380): The Federal District Court granted an
injunction that prohibited the Attorney General from enforcing the act,
except in those cases in which there was no dispute over whether the fetus
was viable. |
This decision by the trial court was based on two considerations:
 | The law contains an exemption that allows a woman to obtain a D&X
procedure if the continued pregnancy threatened her life. However, it
does not contain a health exemption that would allow her to obtain a D&X
procedure if needed to prevent very serious negative consequences to her
health -- perhaps involving permanent disability. |
 | The law was vaguely worded so that it banned other D&E procedures in
addition to the intact D&E procedure. |
|
The Eighth Circuit Court of Appeals sustained that injunction, citing that
there was no consensus among physicians about the necessity of D&E procedures.
This requires legislatures to err on the side of protecting women's health by
including a health exception.
The Supreme Court rejected the unanimous decisions of all six lower courts,
by ruling that:
 | The law is not vague. |
 | The law does not restrict abortion access unduly. Apparently, the court
recognizes that there are other, higher risk methods to terminate advanced
pregnancies. |
 | The law does not need to have a health exemption. The Supreme Court
agreed with the statement of the Eighth Circuit Court of Appeals that there was no consensus among physicians about the necessity of D&E procedures.
Justice Kennedy wrote:
|
"Whether the act creates significant health risks for women has been
a contested factual questions. Both sides have medical support for their
position."
However, Kennedy rejected the suggestion of the Court of Appeals that this requires legislatures to err on the side of protecting women's health by
including a health exception. He suggested that individual women and their physicians should try to
resolve health threat issues through the courts. He wrote:
"In an as-applied challenge the nature of the medical risk can be
better quantified and balanced. ... The prohibition in the act would be
unconstitutional, under precedents we assume to be controlling, if it
subjected women to significant health risks." 3
Unfortunately, this approach would not be helpful for a woman faced with
a significant health risk and needing a D&X procedure without delay to prevent
future disability. A medical emergency is no time to hire a lawyer and
launch a lawsuit.

The following information sources were used to prepare and update the above
essay. The hyperlinks are not necessarily still active today.
- "Supreme Court Agrees to Review Federal Partial Birth Abortion Ban; Court
Should Reverse Course Says..." U.S. Newswire, 2006-FEB-21, at:
http://www.romingerlegal.com/
- The text of the Supreme Court decision 2007 U.S. Lexis 4338 is at:
http://www.priestsforlife.org/
- Warren Richey, "US Supreme Court allows late-term abortion ban. The 5-to-4
ruling upholds a ban on 'partial-birth' abortion. In 2000, the court had struck
down a similar ban," The Christian Science Monitor, 2007-APR-19. at:
http://www.csmonitor.com/

Copyright 2006 & 2007 by Ontario Consultants on Religious Tolerance.
First posted: 2006-FEB-21
Last updated: 2007-APR-20
Author: B.A. Robinson


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