Thursday, April 19, 2007

Justice Kennedy disappoints in "Partial Birth Abortion" decision

Here is the opinion, written by Justice Kennedy, and joined by Scalia, Thomas, Roberts and Alito. The dissenters were Ginsburg, Breyer, Stevens and Souter.

Here, here and here are excellent comments from Marty Lederman and Professor Jack Balkin at Balkinization.

My comments:

1. Justice Kennedy proves once again why he confuses his own private views with constitutional doctrine. In Lawrence v. Texas, he paternalistically took away from the nation's culture the right to decide issues of private morality and public laws with reference to homosexual conduct. Unlike abortion, which mostly has had a wink and nod cultural and sometimes legally sanctioned history, homosexuality, until recently, was regularly forbidden for most of Western history and people were regularly prosecuted for such conduct. Lawrence could have been decided on Fourteenth Amendment "equal protection" grounds: The way the sodomy statute was written in Texas, heterosexual couples could easily be prosecuted for acts of sodomy, but were not--while only homosexual couples were singled out. That would have forced Texas to re-write its sodomy law for only homosexual sodomy and created a space for pro-homosexual conduct advocates to make their case about whether to allow police authorities to arrest people in their bedroom for consensual, non-harmful conduct. But Kennedy took the paternalist route, substituting his own private sense of morality for constitutional doctrine.

Now, he's done it again in the partial birth abortion decision of Gonzalez v. Cathcart, particularly where he cries tears over anecdotal evidence of some women expressing regret over abortions, without recognizing why such a ground is extremely weak in light of women who regret not having an abortion--and women who are glad they had an abortion at a given time in their lives. The argument from the ancedotal studies is no different an argument than when anti-abortion advocates say, "Well, you could have aborted an Einstein or someone who finds the cure for cancer." In response, one simply responds, "Well, maybe we aborted Charles Manson or someone who would grow up to become a criminal."* Such arguments are simply too speculative to decide most issues regarding a constitutional right to abortion, including in this situation.

2. The reason I thought the federal law on the particular second trimester procedure, "dilation and evacuation" (D&E), was unconstitutional was because no matter how squeamish I am over the actual procedure (described in Part I(A) of the majority opinion), second trimester abortions constitute less than 10% of all abortions performed, and the procedure is undertaken largely to ensure the protection of the mother's life or even reasonable health or safety concerns of the mother (See: Ginsburg's dissent, Part I(C) for medical and safety discussion). Yet, the federal law was specifically written, as Justice Kennedy's opinion acknowledges at Part I(C), without creating an exception for the procedure to be used for the "health" of the mother. Kennedy also brushed aside the compelling point that the law's language was vague and uncertain in its language, as its prohibitory language could well include similar methods for second trimester abortions that would otherwise be proper and legal.

3. I realize Justice Kennedy was in the dissenters when the Supreme Court (in a 5-4 decision from 2000 with O'Connor in the majority), ruled an anti-partial birth abortion state law was unconstitutional. I just thought, with Kennedy's continuing pro-homosexuality jurisprudence, O'Connor's departure, and Kennedy's supposed fealty to stare decisis (upholding precedent), that he would hesitate to jump on board the train that is leading to a Supreme Court decision allowing a State to completely or mostly outlaw abortion again. That train just got a full and new head of steam by the rhetoric Kennedy used in the Gonzalez v. Cathcart decision.

4. I wish people would better understand Roe v. Wade, where former Mayo Clinic General Counsel, Justice Blackmun's decision understood the practicality of giving deference to science and medicine as to how abortions are performed. If one reads Ginsburg's dissent, one can better understand this point, though I wonder if Ginsburg could have said that particular point better. As Ginsburg pointed out, the consensus of the medical profession is that the procedure is safer than other procedures for a second trimester abortion. Roe tells us that, during the second trimester, or at least before the fetus' viability, the Court should give deference to the woman's life and health, not the life and health of the fetus, and again protect the compelling interest of the doctor-patient relationship. This is why the 2000 decision on such abortion procedures was correct, and the majority holding in Gonzalez v. Cathcart is wrong.

Still, it is now the law of the land, but the next line of attack on the decision could come in a few years when women who undergo alternative, and probably less safe second trimester abortions, and who suffer physical injury from those other methods, may yet prevail against this poorly drafted Congressional law. See: The Kennedy majority opinion's last paragraph about the Court being open to a review of the law on a "discrete" case and Ginsburg's point that this may be the only silver lining in the cloud regarding the decision (Part III(B) of Ginsburg's dissent).

* In stating this, I am not subscribing to the Freakonomics' economics professors who detected a link between the drop in crime rates in the 1990s from the abortion rates during the 1970s and 1980s. See here for an analysis of why that position is probably a weak link at best.

** In Doe v. Bolton (1973), the companion case to Roe v. Wade, held that an abortion may be allowed as a constitutional right to protect the "life or health" of the mother. The term "health" was not defined by the Court, and for some reason (I think cynical), anti-abortion advocates don't even bother to demand the legislature enact a reasonable working defintion.

(Edited)

7 Comments:

At 12:05 PM, Anonymous kadamson said...

Partial birth abortion benefits women, how?

What is Partial-Birth Abortion?

According to Martin Haskell:



Dilation and extraction takes place over three days. In a nutshell, D&X can be described as follows: Dilation; more dilation; real-time ultrasound visualization; version (as needed); intact extraction; fetal skull decompression; removal; clean-up; and recovery.

Day 1--Dilation: The patient is evaluated with an ultrasound, hemoglobin and Rh. Hadlock scales are used to interpret all ultrasound measurements.

In the operating room, the cervix is prepped, anesthetized and dilated to 9.11 mm. Five, six of seven large Dilapan hydroscopic dilators are placed in the cervix. The patient goes home or to a motel overnight.

Day 2--More Dilation: The patient returns to the operating room where the previous day's Dilapan are removed. The cervix is scrubbed and anesthetized. Between 15 and 25 Dilapan are placed in the cervical canal. The patient returns home or to a motel overnight.

Day 3--The Operation: The patient returns to the operating room where the previous day's Dilapan are removed. The surgical assistant administers 10 IU Pitocin intramuscularly. The cervix is scrubbed, anesthetized and grasped with a tenaculum. The membranes are ruptured, if they are not already.

http://thomas.loc.gov/cgi-bin/query/F?r104:26:./temp/~r104LFi3zf:e101769:

Brenda Shafer, a registered nurse who witnessed a partial-birth abortion procedure while working for Martin Haskell, an Ohio abortionist,wrote in a letter to Congressman Tony Hall that witnessing the procedure was "the most horrible experience of my life." She described watching one baby:

The baby's body was moving. His fingers were clasping together. He was kicking his feet. All the while his little head was still stuck inside. Dr. Haskell took a pair of scissors and inserted them into the back of the baby's head. Then opened the scissors up. Then he stuck the high-powered suction tube into the hole and sucked the baby's brains out.
Next, Dr. Haskell delivered the baby's head, cut the umbilical cord and delivered the placenta.

 
At 12:18 PM, Anonymous Anonymous said...

I hate to say it, but your argument is less with me than the medical community's consensus--and check the amicus briefs filed by medical associations. Haskell is one guy. If it was as clear as he says, Kennedy would have had more to work with on the medical consensus.

Ginsburg's dissent tells us that the alternative methods are more likely to lead to physical harm to a woman's uterus and other related parts of her body. And nowhere does Kennedy come to grips with that, though perhaps I should re-read the opinion to be sure.

 
At 12:20 PM, Anonymous Mitchell Freedman said...

Sorry, that was me, Mitchell, responding to the first commenter. I did something wrong as I am away from my usual computer when I wrote that...and this.

 
At 3:42 PM, Anonymous kadamson said...

So how much nuance can you give such a procedure and make it worthwhile? It stretches credulity to believe a woman could carry a fetus to term and then endure essentially an induced live birth and then have her fetus which is on the verge of human exterminated. I can think of several instances where this is very beneficial to men.

 
At 6:05 PM, Anonymous Mitchell Freedman said...

We're talking second trimester, not third trimester or past the point of viability.

 
At 12:33 PM, Anonymous Anonymous said...

Second to the last week of 2nd trimester:

The baby may weigh 2 pounds now, that's double her weight of just a few weeks ago.

Your little one's skin is becoming less transparent now.

The baby's brain is now registering brain wave activity for the visual and auditory systems.

Touching and playing with the baby is possible now, as he responds to your touch through your belly wall.

Many babies have developed a predictable routine for sleep and active periods. Twins may have entirely different routines from each other.

At week 27, there is an 85% survival rate. How's that for viability?
http://www.mayoclinic.com/health/fetal-development/PR00113

 
At 2:51 AM, Blogger 123 123 said...

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