Amicus Curiae Brief — Casey v. Planned Parenthood of Southeastern Pennsylvania (Nos. 91-902, 91-744)
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Nos. 91-744 and 91-902 —_|
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IN THE
Suprene Court Of Che United States
OCTOBER TERM, 1991
PLANNED PARENTHOOD OF
SOUTHEASTERN PENNSYLVANIA, et al.,
Petitioners,
v.
ROBERT P. CASEY, et al.,
Respondents.
ROBERT P. CASEY, et. al.,
Petitioners,
v.
PLANNED PARENTHOOD OF
SOUTHEASTERN PENNSYLVANIA, et al.,
Respondents.
ON WRITS OF CERTIORARI TO THE UNITED STATES
COURT OF APPEALS FOR THE THIRD CIRCUIT
BRIEF FOR THE SOUTHERN CENTER
FOR LAW & ETHICS AS AMICUS CURIAE
IN SUPPORT OF ROBERT P. CASEY, ET AL.
Tony G. MILLER*
Southern Center for Law & Ethics
P.O. Box 380113
Birmingham, Alabama 35238
(205) 871-6137
Davip M. SMOLIN
Associate Professor of Law
Cumberland Schoo! of Law
Samford University ;
Birmingham, Alabama 35229
(205) 870-2418
*Counsel of Record
TABLE OF CONTENTS
Page
TABLE OF AUTHORITIES ................200000005 iii
INTEREST OF AMICUS CURIAE.................--- l
SUMMARY OF ARGUMENT ..............-..020005: 2
ER 4
I. THIS CASE OFFERS THE COURT AN
OPPORTUNITY TO RESTORE THE
LEGITIMACY OF THE CONSTITUTIONAL
EE, Soccccoccucecccessceces 4
Il. THIS COURT PROPERLY PROTECTED
THE REALM OF FAMILY LIFE FOR
APPROXIMATELY ONE-HALF CENTURY
PRIOR TO ROE V. WADE... cc cece csesccese 5
Ill. ROE V. WADE AND ITS PROGENY ARE PART
OF A NEW AND DIFFERENT AUTONOMY
PRIVACY RIGHT WHICH HAS THREATENED
TO DESTROY AND DISPLACE THE COURT'S
PRIOR FIFTY-YEAR HERITAGE OF
PROTECTING FAMILY PRIVACY............. 7
IV. THIS COURT'S PRIOR RECOGNITION OF
THE “INHERENTLY DIFFERENT” AND
INITERENTLY DESTRUCTIVE NATURE OF
ABORTION AFFORDS SUFFICIENT REASON
TO REMOVE ABORTION FROM THE REALM
OF FUNDAMENTAL PRIVACYRICGHITS ....... 12
V. THE OVERRULING OF ROE V. WADE
WOULD NOT REQUIRE THE REVERSAL
OF GRISWOLD V. CONNECTICUT ............ 14
VI. THE OVERRULING OF ROE V. WADE
WOULD NOT REQUIRE THE REVERSAL
OF EJSENSTADT V. BAIRD AND CAREY V.
POPULATION SERVICES, INTERNATIONAL .... 17
TABLE OF CONTENTS — (Continued)
Vil. A CONSTITUTIONAL LINE CAN BE
DRAWN BETWEEN CONTRACEPTION
AND ABORTION ........66 600s eee ener eres 20
VIII. THE OVERRULING OF ROE V. WADE WOULD
NOT SANCTION STATE-COERCED
ABORTION OR CONTRACEPTION .......... 24
CONCLUSION occ cc cccccccccnsevecneceseevccnens 26
TABLE OF AUTHORITIES
Cases: Page
Bartels v. Iowa, 262 U.S. 404 (1923). ........... ccc eee eee, 5
Bowers v. Hardwick, 478 U.S. 186 (1986) ......... 9, 12, 14, 19
Caban v. Mohammed, 441 U.S. 380 (1979)................ 26
Carey v. Population Servs. Int'l,
eee tence cccececcctoeess passim
Eisenstadt v. Baird, 405 U.S. 438(1972) ............... passim
Farrington v. Tohkushige, 273 U.S. 284 (1927) .............4.. 5
Griswold v. Connecticut, 381 U.S. 479 (1965) ........... passim
Hlarmis v. McRae, 448 U.S. 297 (1980) ................ passim
Kovacs v. Cooper, 336 U.S. 77 (1949) ..... 0.6 cee 7
loving v. Virginia, 381 U.S. 1 (1967) ................ 1,7, 13
Margaret S. v. Edwards, 488 F. Supp. 181
EE SESS LOESE CC ETET ETE TE TTT 23
Meyer v. Nebraska, 262 U.S. 390 (1923) ............... passim
Michael I. v. Gerald D., 491 U.S. 110 (1989) .......... passim
Peckmann v. Thompson, Nos. 90-3334
eee ecco cecccecccceccecees l
Pierce v. Society of Sisters, 268 U.S. 510 (1925) .......... passim
Planned Parenthood v. Danforth,
Creech becoecececccccscocess 11,12
Poe v. Ullman, 367 U.S. 497 (1961) ............... 2, 4, 8, 27
Roe v. Wade, 410 U.S. 113 (1973) ...........0.00005. passim
Santosky v. Kramer, 455 U.S. 745 (1982) ........... 11, 13, 26
Skinner v. Oklahoma, 316 U.S. 535 (1942) ............. passim
iv
TABLE OF AUTHORITIES — (Continued)
Cases: Page
Thornburgh v. ACOG, 476 U.S. 747 (1986) ............ 10, 13
United States v. Carolene Products Co.,
SOS UE, POO GHD eo cccccccccccccscccccccccceses 5, 6
Webster v. Reproductive Health Services,
GBR, Ga Go cc ce ccnssvccccccsecccccccces passim
West Coast Hotel Co. v. Parrish, 300 U.S. 379 (1937) ......... 5
Other Authonties
Abortion Legislation After Webster v. Reproductive
Health Services: Model Statutes and Commentanes,
David M. Smolin, 20 Cumb. L. Rev. 71, 124,
SFE CD ha cbeecscsbnsabeddasbdcevercccccaces 24
Absence of Chorionic in in Sera of Women
Who Use Intauterine Devices, Segal, 44 Fertility
Grn GOGNE TES GHG cc cccncccvcccccceccccccccces 24
Guam Public Law 20-134, Sec. 2 (9 G.C.A. § 31.20) ....... 23
The Jurisprudence of Privacy in a Conservative Supreme
Court, 75 Marq. L. Rev. (forthcoming 1992) ............ 4
La. Rev. Stat. § 14:87(A)(1) (West Supp. 1992)........... 23
Making Choices 3, Alan Guuumacher Institute (1983) ....... 24
New Insights on the Mode of Action of Intauterine
Contraceptives Devices in Women, Alvarez, 49 Fertility
and Seerificy TER (IDES) .. 2. ccc cece ccscccccccccccce 24
Plato, The Republic bk. v. marginal pagination 461 b-«
(P. Shorey trans.) reprinted in The Collected
Dialogues of Plata 700 (eds. E. Hamilton and
RR Ser PerTTTeTrITT Te 25
ING ER gm ‘
— =
Vv
TABLE OF AUTHORITIES — (Continued)
Other Authorities: Page
Postcoital Contraception, The Lancet,
eee e bn basccccsnccccccccscccess 24
18 Pa. Cons. Stat. Ann. §§ 3203, 3205, 3206,
$207, 3209, $214 (Supp. 1991) ................00.. 4, 22
Utah Code Ann. § 76-7-301(1) (Supp. 1991)
ee
- ae — 3
INTEREST OF AMICUS CURIAE
Amicus curiae, The Southern Center for Law & Ethics (the
“Center”) is a non-profit corporation founded in January 1985
and based in Birmingham, Alabama. The Executive Director
of the Center is J. Scott Houser, and policies are set by a board
of directors consisting of four attorneys and six lay persons.
The Center furnishes legal counsel and files amicus curiae
briefs on a variety of issues, including family and reproductive
issues. The Center has been particularly active, through litiga-
tion and scholarship, in seeking to develop and promote a
proper understanding of the constitutional right of privacy.
Thus, the Center has submitted amicus curiae briefs in past
abortion cases, including Webster v. Reproductive Health Services,
492 U.S. 490 (1989), and in a pending Seventh Circuit case
concerning midwifery. See Peckmann v. Thompson, Nos. 90-3334
& 90-3445, (7th Cir.) (amicus brief filed Aug. 12, 1991 con-
cerning midwifery and privacy). In addition, the Center has
received inquiries from midwives and home-schooling families
concerning appropriate responses to state interference with
the practices of home birth and home schooling.
The Center has been supportive of the overruling of Roe v.
Wade, 410 U.S. 113 (1973), but is particularly concerned that
such overturning might lead to an overall weakening of legiti-
mate privacy interests. Thus, an important purpose of this
Amicus brief is to provide support for a strengthened and
reconceptualized privacy right that can survive the demise of
Roe. Counsel for all parties have consented to the filing of this
brief.
SUMMARY OF ARGUMENT
This Court properly and legitimately protected a fundamen-
tal right of family privacy from its decision in Meyer v. Nebraska
in 1923 through Loving v. Virginia in 1967. This right of family
privacy incorporated into the due process clause certain im-
plicit American traditions and understandings regarding the
primacy of the family, and family relationships, in relation to
the state. The second Justice Harlan and others made it clear
that this realm of family privacy did not extend to traditionally
disfavored conduct such as homosexuality, adultery, and forni-
cation. See Poe v. Ullman, 367 U.S. 497, 545-46 (1961) (Harlan,
J., dissenting).
In dictum in Eisenstadt v. Baird, 405 U.S. 438, 453 (1972),
and in its holding in Roe v. Wade, 410 U.S. 113 (1973), this
Court created an entirely new “privacy” right which has threat-
ened to displace and destroy the Court's prior half-century
heritage of protecting family privacy. This new privacy right
often favors the “p ful termination of a potential life,”
Harris v. McRae, 448 U.S. 297, 325 (1980), above the construc-
tive act of childbirth as a part of its generalized constitutional
preference for the unconventional over the conventional. See
Michael H. v. Gerald D., 491 U.S. 110, 130 (1989) (plurality
opinion). These preferences for the “inherently different,” Roe
v. Wade, 410 U.S. 118, 159 (1973), and destructive act of abor-
tion, over traditionally-protected procreative and parental
rights and interests, “radically departs” from “the balance
which our Nation ... has struck between ... liberty and the
demands of organized »ociety.” See Poe v. Ullman, 367 U.S. 497,
542 (1961) (Harlan, J., dissenting).
Pennsylvania's modest regulations of abortion in the name
of prenatal life, the right of procreation, and parental care
and authority give this Court an opportunity to choose be-
tween two kinds of privacy: the theory of family privacy pro-
tected by this Court for approximately one-half century prior
to Roe v. Wade, and the newer abortion and autonomy privacy
that is less than two decades old. Rejection of the abortion
right in the name of family and procreative interests would
assist the process of restoring the legitimacy of privacy.
The overruling of Roe v. Wade would not affect Griswold v.
Connecticut's holding that marital intimacy and marital contra-
ceptive use are constitutionally protected. Griswold’s protec-
tion of marital intimacy is well within the doctrine of family
privacy, and Griswold’s protection of marital contraceptive use
is a proper corollary of its protection of marital intimacy. By
3
contrast, Roe v. Wade is by its o\n terms, and necessarily, a case
about the “inherently different” and destructive “purposeful
termination of a potential life.”
The overruling of Roe v. Wade would not require the reversal
of Eisenstadt v. Baird, 405 U.S. 438 (1972) and Carey v. Popula-
tion Servs. Int'l, 431 U.S. 678 (1977). Eisenstadt and Carey are
based primarily on the finding that it is irrational to punish
nonmarital sexuality by limiting access to contraceptives. In
addition, this Court can sever abortion from the realm of fun-
damental privacy rights because of its “inherently different”
and inherently destructive effect of “terminat[{ing] a potential
life.” Such a holding would not require any reexamination of
this Court's contraception holdings, because this Court has
already acknowledged that abortion is “inherently different”
from contraception. See Roe, 410 U.S. at 159 (abortion inher-
ently different from situation addressed in Eisenstadt); Hams v.
McRae, 448 U.S. at 325 (abortion inherently different from
other medical procedures).
This Court is perfectly capable of drawing a constitutional
line between contraception and abortion, and such line would
be practically and constitutionally superior to Roe’s reliance on
birth and viability as lines of demarcation. Such a line can be
drawn without subjecting current forms of contraception, such
as the IUD and oral contraceptives, to intrusive state regula-
tion.
The overruling of Roe v. Wade would not permit state-co-
erced abortion or contraception. The fifty years of family pri-
vacy precedents that preceded Roe provide ample protection
against state-coerced abortion or contraception. See, e.g., Meyer
v. Nebraska, 262 U.S. 390, 401-02 (1923) (Constitution rejects
Plato's proposed eugenic infanticide and similar proposals in-
imical to American institutions); Skinner v. Oklahoma, 316 U.S.
535 (1942) (marriage and procreation are fundamental
rights); Michael H. v. Gerald D., 491 U.S. 110, 122 (1989) (plu-
rality opinion) (due process clause prevents “future genera-
tions from lightly casting aside important traditional values”).
4
ARGUMENT
I. THIS CASE OFFERS THE COURT AN OPPORTUNITY
TO RESTORE THE LEGITIMACY OF THE CONSTITU-
TIONAL RIGHT OF PRIVACY
The constitutional right of privacy is a legitimate and impor-
tant part of “the balance which our Nation ... has struck be-
tween ... liberty and the demands of organized society.” Poe v.
Ullman, 367 U.S. 497, 542 (1961) (Harlan, J., dissenting). Un-
fortunately, Roe v. Wade “radically departs” from the balance of
our living constitutional tradition, see id., causing many to
question the very legitimacy of privacy itself. This case offers
the Court an opportunity to restore the legitimacy of privacy,
by properly distinguishing between legitimate and illegitimate
privacy claims.!
This case involves a conflict between the abortion right cre-
ated in Roe and previously recognized privacy rights that the
Roe Court claimed were the foundations of Roe. Thus,
Pennsylvania's efforts to safeguard and recognize the right to
procreate, the right to protect one’s offspring, and parental
rights over decisionmaking by a minor daughter, here collide
with Roe’s abortion right. In addition, Pennsylvania is seeking
to protect prenatal life. Upon examination, it is the rights and
interests Pennsylvania is seeking to safeguard and recognize,
rather than the abortion liberty with which Pennsylvania's stat-
utes® allegedly interfere, that ought to receive greater solici-
tude and protection by this Court.
'A more fully developed analysis of privacy law, which forms much of the
basis of this brief, will appear in a forthcoming article, David M. Smolin, The
Junsprudence of Privacy in a Conservative Supreme Court, 75 Marq. L. Rev. (forth-
coming 1992).
* See 18 Pa. Cons. Stat. Ann. §§ 3203, $205, 3206, $209, 3207, $214 (Supp.
1991) (definiuon of medical emergency, informed consent, parent consent,
spousal nouce, reporting requirements).
5
Il. THIS COURT PROPERLY PROTECTED THE REALM
OF FAMILY LIFE FOR APPROXIMATELY ONE-HALF
CENTURY PRIOR TO ROE V. WADE
The legitimate roots of privacy are found in implicit under-
standings about the relationship of families and government.
Thus, in Meyer v. Nebraska, 262 U.S. 390 (1923), this Court for
the first time had the occasion to recognize the primacy of the
family as an explicit part of our Constitutional scheme. The
Court noted that Plato's Republic had suggested state-man-
dated separation of children and parents, and state-mandated
infanticide, but concluded that such practices would do “vio-
lence to both letter and spirit of the [American] Constitu-
tion.” 262 U.S. at 401-02. Meyer thus found that the Constitu-
tion incorporates certain understandings “upon which our in-
stitutions rest,” id at 402, and that these understandings in-
clude the special place of family relations.
Meyer chose to locate the textual protections of these implicit
understandings in its interpretation of the “liberty” protected
by the due process clause. Thus, the Court stated that liberty
denotes “those privileges long recognized at common law as
essential to the orderly pursuit of happiness by free men,”
including “the right of the individual .. . to marry, establish a
home and bring up children.” 262 U.S. at 399.
The legitimacy of Meyer and its progeny® was called into
question by the Court’s subsequent abandonment of eco-
nomic substantive due process, beginning with its 1937 deci-
sion in West Coast Hotel Co. v. Parrish, 300 U.S. 379. One year
later, the Court in the famous footnote 4 of United States v.
Carolene Products Co., 304 U.S. 144, 152 (1938), began to sug-
gest new bases and guideline: for heightened judicial review.
The Carolene Products footnote fowr suggested that Meyer and
its progeny properly protected discrete and insular religious
and ethnic minorities. See 304 U.S. at 152 n.4. Thus, Carolene
* Meyer's immediate progeny include its companion case, Bartels v. lowa,
262 U.S. 404 (1923), and two subsequent decisions: Pierce v. Society of Sisters,
268 U.S. 510 (1925), and Farrington v. Tokushige, 278 U.S. 284 (1927).
6
Products represents the nascent insight that substantive protec-
tion of parental and family rights could facilitate both the
political process and the protection of religious and ethnic
minoriues.
Carolene Producis evidences the Court's determination to
maintain the validity of Meyer and its progeny, despite the
abandonment of economic substantive due process. Four years
later the Court, in Skinner v. Oklahoma, 316 U.S. 535 (1942),
invalidated Oklahoma's sterilization of “habitual criminals.”
Justice Douglas began his opinion by stating that “[t)his case
touches a sensitive and important area of human rights.” 316
U.S. at 536. Later in the opinion he explained the linkage of
this right to the protection of minorities:
We are dealing here with legislation which involves
one of the basic civil rights of man. Marriage and
procreation are fundamental to the very existence
and survival of the race. The power to sterilize, if
exercised, may have subtle, far-reaching and devastat-
ing effects. In evil or reckless hands it can cause races
or types which are inimical to the dominant group to
wither and disappear.
316 U.S. at 541.
In time, it became clear that the Court could distinguish
Meyer and its progeny from Lochner through a direct di-
chotomy of subject matter. Justice White's concurring opinion
in Griswold v. Connecticut, 381 U.S. 479 (1965), exemplifies this
approach:
[T}his is not the first time this Court has had occa-
sion to articulate that the liberty entitled to protec-
tion under the Fourteenth Amendment includes the
right “to marry, establish a home and bring up chil-
dren,” Meyer, and “the liberty ... to direct the up-
bringing and education of children,” Pierce, and that
these are among “the basic civil rights of man.” Skin-
ner. These decisions affirm that there is a “realm of
family life which the state cannot enter” without sub-
stanual justification. Prince. Surely the right invoked
7
in this case, to be free of regulation of the intimacies
of the marriage relationship, “come({s) to this Court
with a momentum for respect lacking when appeal is
made to liberties which derive merely from shifting
economic arrangements.” Kovacs (opinion of Frank-
furter, J.).*
381 U.S. at 502 (case citations shortened).
This Court's opinion in Griswold rhetorically echoed Meyer's
presumption that the family is more basic than the state and
thus deserves judicial and constitutional protection from the
state. 381 U.S. at 486 (privacy predates Bill of Rights). Simi-
larly, in Loving v. Virginia, 381 U.S. 1 (1967), this Court again
reaffirmed that marriage was a fundamental right and held
that miscegenation prohibitions violated both the equal pro-
tection and due process clauses.
III. Roe v. Wade and its Progeny are Part of a New and Differ-
ent Autonomy Privacy Right Which Has Threatened to
Destroy and Displace the Court’s Prior Fifty-Year Heri-
tage of Protecting Family Privacy
The Court's concepts of substantive due process and privacy
from the 1920's through the 1960's rejected the view that con-
senting adults (and mature minors) have a generalized funda-
mental right to make choices, of whatever nature, regarding
human sexuality and procreation. The rejection of such a view
was Clearly stated by Justice Harlan:
[T]he very inclusion of the category of morality
among state concerns indicates that society is not lim-
ited in its objects only to the physical well-being of
the community, but has traditionally concerned itself
with the moral soundness of its people as well. In-
deed to attempt a line between public behavior and
* Jusuce White's quotation of Justice Frankfurter’s Kovacs concurence ap-
pears to imply that protection of the family, like free speech, is essential to
an open society. Cf. Kovacs v. Cooper, 336 U.S. 77, 95 (1949) (Frankfurter, J,
concurring).
that which is purely consensual or solitary would be
to withdraw from community concern a range of sub-
jects with which every society in civilized times has
found it necessary to deal. The laws regarding mar-
riage which provide both when the sexual powers
may be used and the legal and societal context in
which children are born and brought up, as well as
laws forbidding adultery, fornication and homo-
sexual practices which express the negative of the
proposition, confining sexuality to lawful marriage,
form a pattern so deeply pressed into the substance
of our social life that any Constitutional doctrine in
this area must be built upon that basis.
Poe v. Uliman, 367 U.S. at 545-46; see also Griswold v. Connecticut,
381 U.S. at 498 (1965) (Goldberg, J. concurring, joined by
Warren, C.J., ind Brennan, J.) (statutes prohibiting adultery
and fornication are “beyond doubt” constitutional).
Yet, despite such assurances, and Justice Harlan’s admoni-
tion against judges “roaming at large in the constitutional
field,” Griswold, 381 U.S. at 502, the process of transforming
the privacy right began with Justice Brennan's 1972 dictum in
Eisenstadt v. Baird:
If under Griswold the distribution of contraceptives
to married persons cannot be prohibited, a ban on
distribution to unmarried persons would be equally
impermissible. It is true that in Griswold the right of
privacy in question inhered in the marital relation-
ship. Yet the marital couple is not an independent
entity with a mind and heart of its own, but an asso-
ciation of two individuals each with a separate intel-
lectual and emotional makeup. If the right of privacy
means anything, it is the right of the individual, mar-
ried or single, to be free from unwarranted govern-
mental intrusion into matters so fundamentally af-
fecting a person as the decision whether to bear or
beget a child.
405 U.S. at 453.
9
Justice Brennan's reference to “the decision whether to bear
or beget a child,” written at a time when Roe was before the
Court, appears to include the abortion decision. This dicum
implied a constitutional equivalency between childbirth and
abortion and between marital and nonmarital sexuality. Thus,
in a few words Justice Brennan signaled the creation of a
broad new right that protected as a fundamental right abor-
tion, fornication, and sodomy. This new individualistic, purport-
edly value-neutral right of choice was in actuality a different right
than thai recognized by the Court during the preceding fifty years.
The Court’s privacy decisions since the early 1970's have
been confused. This confusion has been caused by the inabil-
ity of any single theory of privacy to completely dominate the
Court's decisions. Thus, Justice Brennan's view that fornica-
tion and sodomy are included as fundamental privacy rights
has been rejected, see Bowers v. Hardwick, 478 U.S. 186, 195-96
(1986) (refusing to protect adult consensual sodomy in part
because such a holding would necessarily extend to other con-
sensual adult conduct), even as his view that abortion is in-
cluded was accepted. Similarly, the Court rejected Justice
Brennan's view that the abortion right requires equal funding
of abortion and childbirth. See, ¢.g., Harris v. McRae, 448 U.S.
297 (1980); id at 329 (Brennan, J., joined by Marshall and
Blackmun, |jJ., dissenting). This precedential confusion is a
product of the varying views of Chief Justice Burger and Jus-
tices Powell and Stewart, who sometimes sided with, and some-
times against, the new theory of privacy-as-autonomy. Thus,
Justices Brennan, Blackmun, Marshall, and Stevens were un-
able fully to translate their new vision of privacy into binding
authority. Overall, however, it is clear that Justice Brennan’s
individualistic privacy, which this brief shall label privacy-as-au-
tonomy, has overshadowed the preexisting theory of marital
and family privacy, particularly in the area of abortion.
Privacy-as-autonomy has purported to protect all choices
concerning certain subjects equally, thus rejecting Justice
Harlan’s teaching that the Constitution must reflect deeply
rooted American moral traditions regarding sexuality and pro-
10
creation. In practice, however, privacy-as-autonomy has failed
to achieve value neutrality. Thus, privacy-as-autonomy has in
practice demonstrated a marked preference for protecting tra-
ditionally immoral or destructive conduct such as abortion
over traditionally protected conduct such as childbirth and
parental rights. This preference can be seen in three ways.
First, since privacy-as-autonomy appeared in the early
1970's, the Court’s development of family privacy as a doctrine
has atrophied. Thus, the Court has ignored significant con-
flicts in the last two decades over issues such as midwife-as-
sisted home birth and home-schooling. The Court’s activism
in the area of abortion has corresponded to disinterest in
childbirth and parental authority.
Second, the Court's decisions on abortion have betrayed a
preference for abortion over childbirth. This preference is
well illustrated in the Court's holding in Thornburgh regarding
Pennsylvania's prior informed consent law. Roe purported to
take a morally-neutral position and protect both the abortion
decision and the traditionally-protected decision to give birth.
This moral neutrality was supposedly consonant with a consti-
tutionally-enforced relativism regarding the moral status of the
fetus. Presumably the individual woman, rather than the state,
was to evaluate the worth of the fetus. Yet when Pennsylvania
tried to ensure that women make this decision with access to
the facts of fetal development, the Court characterized the
information as “inflammatory,” 476 U.S. at 762 n.10, and re-
jected the attempt, stating that the information “may serve
only to confuse and punish her and to heighten her anxiety.”
476 U.S. at 762. The Court complained that the information
“is designed not to inform the woman's consent but rather to
persuade her to withhold it altogether.” Jd Yet Thornburgh’s
author, Justice Blackmun, personally views fetal characteristics
as highly relevant to the valuation of the fetus. See Webster v.
Reproductive Health Serv., 492 U.S. 490, 552-53 (1989)
(Blackmun, J., dissenting) (quoting Thornburgh, 476 U.S. at
778-79 (Steven, J., concurring)) (state’s interest in fetus grows
as fetus develops capacities to respond, feel pleasure and pain,
ll
and survive). Thornburgh’s holding that accurate and relevant
information is constitutionally suspect because it discourages
women from choosing abortion indicates that Roe is a pro-
abortion, rather than a pro-choice, decision.
Third, privacy-as-autonomy’s preference for unconventional
and destructive rights, over traditional family and marital!
rights has appeared in cases where the interests and rights
represented by the two theories of privacy collide. This occurs
in parental involvement statutes. Parental involvement statutes
are a way of facilitating and protecting several interests under
the traditional family sphere theory of privacy. Such interests
include the parent's authority over their minor daughter's
decisionmaking, parental involvement in the important events
of their children’s lives, the parental right to raise and instruct
their offspring within a particular culture and belief system,
and the integrity of the family unit. These rights and interests
are inherent in this Court's acknowledgment of the primacy of
the family over the state in Meyer and Pierce. Yet when this well-
established parental right conflicted with the newly invented
abortion autonomy right, Justice Blackmun’s majority opinion
broadly concluded that:
Any independent interest the parent may have in the
termination of the minor daughter's pregnancy is no
more weighty than the right of privacy of the compe-
tent minor mature enough to have become preg-
nant.
Planned Parenthood v. Danforth, 428 U.S. 52, 75 (1976).
Similarly, spousal involvement statues facilitate, recognize
and protect several interests under the traditional family
sphere theory of privacy. Thus, Meyer recognized the liberty
interest of men and women “to marry, establish a home and
bring up children.” 262 U.S. at 399. Skinner v. Oklahoma recog-
nized that “marriage and procreation” are fundamental rights
while invalidating a program of male sterilization. Thus, the
Court has recognized that men possess a fundamental right to
procreate within marriage. Similarly, men possess, like women,
12
a fundamental right to the care and custody of their children,
see, ¢.g., Santosky v. Kramer, 455 U.S. 745 (1982), which includes
a fundamental right to preserve the life and health of their
children, both born and unborn. Yet, when these traditional
rights and interests collided with the newly-created abortion
right, Justice Blackmun’s majority opinion clearly chose the
new form of autonomy privacy over the fifty-year-old right
of marital and family privacy. See Danforth, 428 U.S. at 69-71.
Justice White's dissent aptly protested this choice:
It is truly surprising that the majority finds in the
United States Constitution ... a rule that the State
must assign a greater value to a mother's decision to
cut off a potential human life by abortion than to a
father’s decision to let it mature into a live child.
428 U.S. at 93.
Thus, abortion autonomy theory has gone beyond Justice
Blackmun’s call, in his dissenting opinion in Bowers v.
Hardwick, for a morally-neutral privacy right, see 478 U.S. at
205-06, to a deliberate preference for the unconventional over
the conventional. See Michael H. v. Gerald D., 491 U.S. 110, 130
(1989) (plurality opinion of Scalia, J.). Thus, privacy-as-au-
tonomy has illegitimately incorporated the arbitrary value preferences
of the Justices into the Constitution, while denigrating the deeply-rooted
traditions of the American people. Most disturbingly, this prefer-
ence for the “unconventional” has included elevating to a su-
per-protected status the inherently destructive act of destroy-
ing fetal life.
IV. THIS COURT’S PRIOR RECOGNITION OF THE “IN-
HERENTLY DIFFERENT” AND INHERENTLY DE-
STRUCTIVE NATURE OF ABORTION AFFORDS SUF-
FICIENT REASON TO REMOVE ABORTION FROM
THE REALM OF FUNDAMENTAL PRIVACY RIGHTS
This Court has been aware, from the beginning, of the in-
herently destructive nature of abortion. Thus, in Roe Justice
Blackmun noted that
13
[t]he pregnant woman cannot be isolated in her pri-
vacy. She carries an embryo and, later, a fetus, if one
accepts the medical definitions of the developing
young in the human uterus. See Dorland’s Illustrated
Medical Dictionary 478-79, 547 (24th ed. 1965). The
situation therefore is inherently different from marital
intimacy, or bedroom possession of obscene mate-
rial, or marriage, or procreation, or education, with
which Eisenstadt and Griswold, Stanley, Loving, Skinner,
and Pierce and Meyer were respectively concerned.
410 U.S. at 159 (emphasis added).
Similarly, the Court majority in Harris v. McRae specified
that “[a]bortion is inherently different from other medical
procedures, because no other procedure involves the purpose-
ful termination of a potential life.” 448 U.S. 297, 325 (1980).
Thus, this Court has specified that abortion is “inherently dif-
ferent” from previously accepted privacy claims, end from
other medical procedures. One would have thought that this
inherent difference would have been sufficient, at the very
outset, to lead to a rejection of the claim that the abortion
“liberty” was a fundamental right. Thus, although it is clear
that parents have a right to the care and custody of their
children, see, ¢.g., Santosky v. Kramer, 455 U.S. 745 (1982), it has
never been stated that parents possess a fundamental right to
kill, torture, or abuse their children. See Thornburgh v. ACOC,
476 U.S. 747, 793 & n.2 (1986) (White, J., dissenting) (funda-
mental right of parents to make decisions regarding upbring-
ing of children does not extend to assaults committed upon
child). Similarly, although marital partners possess a funda-
mental right to marital intimacy, see Griswold v. Connecticut, 381
U.S. 479 (1965), it has never been suggested that a husband
possesses a fundamental right to rape his wife. Cf, Michael H. v.
Gerald D., 491 U.S. 110, 124 n.4 (1989) (implying that rapist
lacks fundamental right to the care and custody of child begot-
ten through the rape).
One would have hoped that even a morally-neutral, indi-
vidualistic theory of privacy would have recognized that inher-
14
ently destructive acts cannot be considered fundamental
rights. Unfortunately, however, the current abortion
doctrine has not only recognized the abortion choice as a
fundamental right, but has also elevated it above the more
constructive choices. There is simply no credible explanation
for why the “inherently different” act of abortion, see Roe, 410
U.S. at 159, — “inherently different” because it “involves the
purposeful termination of a potential life,” Harris, 448 U.S. at
$25 — should be constitutionally elevated above more tradi-
tional privacy rights such as procreation and parental care and
authority. The inherent difference, in logic and in law, be-
tween abortion and procreation, between destroying depen-
dent life and protecting and preserving it, must, in accordance
with the history and traditions of this people, cut against,
rather than for, recognition of abortion as a fundamental
right.
V. THE OVERRULING OF ROE V. WADE WOULD NOT
REQUIRE THE REVERSAL OF GRISWOLD V. CONNEC
TICUT
The overruling of Roe v. Wade, including the exclusion of
the abortion choice from the fundamental privacy right,
would merely eliminate the worst excess of privacy-as-au-
tonomy. Indeed, reversing Roe v. Wade on the ground of the
“inherently different” and destructive nature of abortion
would not even preclude reversal of Bowers v. Hardwick, since
consensual adult sodomy, even if immoral, cannot be as inher-
ently destructive as “the purposeful termination” of an inno
cent, biologically human life. Moreover, even if the reversal of
Roe is combined with Bowers v. Hardwick to represent the repu-
diation of privacy-asautonomy, such should not constitute the
end of privacy itself. Privacy-as-autonomy began with Justice
Brennan's dictum in Eisenstadt in 1972, or the holding of Roe in
1973, and thus is entirely severable from the older family
sphere privacy which dominated the Court's decisions from
1923 to 1967. Indeed, the elimination of privacy-as-autonomy
could strengthen the older family privacy, by restoring the
15
legitimacy of privacy as a doctrine, and by eliminating privacy-
as-autonomy’s tendency to disfavor traditional family rights.
Griswold illustrates the divisibility of family privacy from pri-
vacy-as-autonomy. Griswold’s holding and language is squarely
based on the special place of marriage within American soci-
ety. See 381 U.S. at 485-86. Griswold, in other words, is a case
about the fundamental right of consensual manial intimacy.
The Court's holding that marital intimacy is a fundamental
right is, of course, firmly in line with the line of family privacy
cases beginning with Meyer, and thus is supportable without
any reference to privacy-as-autonomy.
One can ask why the Court in Griswold was justified in focus-
ing on the general issue of consensual marital intimacy, rather
than the more specific issue of marital use of contraception.
See, e.g., Michael H. v. Gerald D., 491 U.S. 110 (1989) (plurality,
concurring and dissenting opinions discussing level of gener-
ality for privacy analysis). There are several reasons. First, in
Gnswold the State of Connecticut failed to argue that its statute
was based on the moral judgment that marital contraception
was immoral, and instead claimed that a ban on marital con-
traception was necessary to discourage extra-marital relations.
381 U.S. at 498 (Goldberg, J., concurring); id. at 505 (Harlan,
J., concurring). Since the state did not morally or otherwise
object to the very act it was prohibiting — the use of contracep-
live articles within marriage — there was no need to restrict
the constitutional analysis to the greatest level of specificity
represented by the prohibition. Second, even if the State had
supported its statute with a moral objection to marital contra-
ception, there were obvious dangers that enforcing a ban on
marital contraceptive use would interfere more broadly with
marital intimacy. See Gnswold, 381 U.S. at 485. This threat to
marital intimacy made it appropriate to evaluate the statute in
terms of American traditions regarding such intimacy. Fhird,
even those who view consensual marital contraception as in-
herently immoral would acknowledge that such an immoral
act does not cause the destruction of an innocent other. Mari-
tal contraception therefore is not an inherently destructive
16
act, in the same sense that assault, homicide, or rape are in-
herently destructive acts. The absence of an innocent victim
lessens the need to evaluate American traditions at the great-
est possible level of specificity.
By contrast, it is clear that in Roe the Court quite properly
looked to the issue of abortion itself, rather than focusing
more broadly on childbirth or procreation. First, in Roe v.
Wade the state directly objected, in strong terms, to abortion
itself, claiming that it constituted the wrongful taking of hu-
man life. See 410 U.S. at 159. In response, the Roe Court fo
cused specifically on the history of abortion, rather than focus-
ing more broadly on childbirth, procreation, or pregnancy. See
410 U.S. at 129-52. Second, the enforcement of abortion re-
strictions does not practically or otherwise endanger the free-
dom to carry a child to term, or any other freedom tradition-
ally protected under family privacy. Thus, abortion is severable
from childbirth and other family privacy rights far more easily
than marital contraception can be severed from marital inti-
macy. This easy severability again suggests the importance of
focusing abortion cases specifically on abortion. Third, inher-
ently destructive acts logically must be constitutionally evalu-
ated at a high level of specificity, even when those acts occur
within a traditionally protected relationship. The Roe Court
thus implicitly acknowledged its necessary focus on abortion,
rather than broader privacy interests, when it stated that:
The pregnant woman cannot be isolated in her
privacy. She carries an embryo and, later, a fetus.
... The situation therefore is inherently different
from marital intimacy, or bedroom possession of ob-
scene material, or marriage, or procreation, or edu-
cation. ...
410 U.S. at 159.
Thus, a claim that infanticide is constitutionally protected
would necessarily be evaluated in regard to American tradi-
tions regarding infanticide, rather than American traditions
more broadly focused on parental authority. Similarly, a claim
17
that marital rape is constitutionally protected would be evalu-
ated in regard to American traditions regarding rape, rather
than American traditions regarding marital intimacy. Abor-
tion, since it almost always involves feticide (“the purposeful
termination of” fetal life), similarly should be evaluated in
terms of American traditions regarding abortion, without re-
gard to broader traditions that are “inherently different,” id.,
such as “procreation.” Jd Acts that are inherently destructive
necessarily must be constitutionally evaluated in terms of
American traditions regarding those specific, and destructive,
acts.
Thus, Griswold quite properly should be viewed as a case
about manial intimacy, while Roe necessarily stands or falls as a
case about abortion.
VI. THE OVERRULING OF ROE V. WADE WOULD NOT
REQUIRE THE REVERSAL OF EISENSTADT V. BAIRD
AND CAREY V. POPULATION SERVICES INTERNA-
TIONAL
This Court's holding in Eisenstadt v. Baird, 405 U.S. 438
(1972), is simply that Massachusetts’s limitations on the diswi-
bution of contraception violates the equal protection clause of
the Fourteenth Amendment. The Court’s four member major-
ity refused to reach the question of whether the statute in-
fringed a fundamental privacy right, see 405 U.S. at 453, and
therefore applied the rational basis test. See 405 U.S. at 447.
Thus, Eisenstadt is not, by its own terms, a privacy decision. The
overruling of Roe, and application of the rational basis stan-
dard of review to abortion, therefore would have no affect on
the Court's holding in Eisenstadt. The broad dictum in
Eisenstadt implying that the right of privacy includes, as a fun-
damental right, the decision whether “to bear ... a child,” is
completely gratuitous to the Court's holding. This dictum's
apparent attempt to suggest the result in Roe, rendered when
Roe was before this Court, is entirely severable from Eisenstadt’s
holding.
Carey v. Populations Servs. Int'l, 431 U.S. 678 (1977), invali-
dated a Massachusetts law prohibiting the distribution of con-
traceptives to minors, and forbidding anyone other than a
licensed pharmacist from distributing contraceptives to
adults. The majority of Justices rejected the application of
heightened judicial scrutiny to the provision affecting minors;
the holding therefore is dependent on the view that the re-
strictions applicable to minors are irrational. Thus, this ratio-
nal basis holding, like the rational basis holding in Eisenstadt,
would not be affected by an overruling of Roe However, a
majority of Justices applied a form of strict scrutiny to the
statute requiring a pharmacist to distribute contraceptives to
adults. This majority concluded that this limitation on distri-
bution infringed the privacy rights of individual adults to ac-
cess contraceptives.
Overruling Roe would not require overruling of Carey's hold-
ing regarding the access of adults to contraceptives. First, this
Court could sever abortion from the realm of fundamental
privacy rights because of its “inherently different” and inher-
ently destructivé effect of “terminat[ing] a potential life.” See
Roe, 410 U.S. at 159; Harnis v. McRae, 448 U.S. at $25; section
IV, supra. Such a holding would not require any reexamina-
tion of this Court’s contraception holdings because abortion is
“inherently different” from contraception. See, eg. Roe, 410
U.S. at 159 (abortion inherently different from situation ad-
dressed in Eisenstadt); Harvis, 448 U.S. at $325 (abortion inher-
ently different from other medical procedures).
Second, the core holding of Carey, invalidating the limita-
tion of contraceptive distributors to pharmacists, is sustainable
*The New York statute specifically permiued pharmacists to distribute
contraceptives to those 16 and over. The Court's discussion viewed this as a
limitauon upon distribution to “adults.” See 431 U.S. at 686. The Court also
invalidated a limitauon on contraceptive advertising on free speech
grounds.
* See 431 US. at 70203 (White, J., concurring); id at 705-07 (Powell, j.
concurring); td. at 713-16 (Stevens, J., concurring); id at 717-19 (Rehnquist,
J., dissenting) ; id at 702 (Burger, C_]., dissenting without opinion).
19
under rational basis analysis, or under Griswold, insofar as the
pharmacist requirement lacked any rational relation to health
concerns and applied to both married and unmarried per-
sons. Cf. Eisenstadt, 405 U.S. at 460-65 (White, J. concurring)
(state failed to demonstrate health need for forbidding
nonpharmacist from distributing vaginal foam to woman of
unknown marital status), cited with approval, Carey, 431 U.S. at
687, 688, 690.
Third, Carey clearly rejected the view that recognizing the
right to access or use contraceptives necessarily implied a rec-
ognition of a right “to put contraceptives to their intended
use” by engaging in a sexual act. See Carey, 431 U.S. at 678
(Stevens, J., concurring); id. at 688 n.5 (majority opinion); id.
at 694 n.17 (plurality opinion); id. at 702 (White, J., concur-
ring); see also Bowers v. Hardwick, 478 U.S. at 195-96 (rejecting
claim that all voluntary sexual conduct between consenting
adults is within fundamental privacy right). Thus, Carey, even if
broadly interpreted, granted a right for the unmarried to “use”
contraceptives in only a very attenuated sense, in that the
states were still free to prohibit the act of putting the contra-
ceptive articles “to their intended use” by engaging in
nonmarital sexual acts. One does not normally speak of hav-
ing a right to “use” something if the state may prohibit its only
intended “use.” This paradox of permitting the prohibition of
nonmarital sexual acts, while invalidating limitations on
nonmarital contraceptive use and access, illustrates that even
Carey does not depend on acceptance of a full-fledged au-
tonomy right in the area of consensual sexuality. Rather, Carey
stands for the proposition that it is irrational to punish
nonmarital sexuality by limiting access to contraceptives, par-
ticularly given the negative personal and social consequences
of single parenthood and sexually-transmitted diseases. See
Carey, 431 U.S. at 695 (quoting Eisenstadt, 405 U.S. at 448);
Carey, 431 U.S. at 715 (Stevens, J., concurring) (state cannot
dramatize its disapproval of motorcycles by forbidding use of
safety helmets).
20
This view of Carey as granting unmarried individuals the
right to ameliorate the negative consequences of illegal, im-
moral, or dangerous sexual activity through the use of contra-
ceptives, also readily distinguishes the Court's contraceptive
cases from Roe and its progeny. Avoiding the negative personal
and social consequences of unwanted pregnancy through the
“purposeful termination of a potential life,” Harris, 448 U.S. at
$25, an act which this Court acknowledged to be “inherently
different” from con see Roe, 410 U.S. at 159 (distin-
guishing Eisenstadt), is unjustifiable because it permits one per-
son to displace the negative consequences of their own behav-
ior upon an innocent, developing human life. By contrast,
Carey permits avoidance of the negative consequences of one’s
behavior through a means — the use of contraception — that
in itself has no effect upon innocent life. Similarly, the state's
compelling interest in fetal life is directly served by abortion-
restrictive legislation, whereas the state interest in protecting
the health and life of contraception users is hindered, rather
than served, by laws limiting access to nonmarital use of con-
traception.
Thus, there are ample and multiple approaches by which
this Court could retain its holdings in Eisenstadt and Carey
while overruling Roe v. Wade
Vil. A CONSTITUTIONAL LINE CAN BE DRAWN BE-
TWEEN CONTRACEPTION AND ABORTION
- The Roe Court implicitly criticized the view that life begins
at conception, claiming that
[s)ubstantial problems ... are posed ... by new em-
bryological data that to indicate that concep-
tion is a ” over time, rather than an event,
and by new medical techniques such as menstrual
extraction, the “morning-after” pill, implantation of
embryos, artificial insemination, and even artificial
wombs.
410 US. at 161 (footnote omitted).
21
More recently, Justice Stevens has claimed that a declaration
that life begins at conception “implies regulation not only of
previability abortions, but also of common forms of contracep-
tion such as the IUD and the morning-after pill.” Webster, 492
U.S. at 563 (footnote omitted). Justice O’Connor has sug-
gested that “[i]t may be correct that the use of postfertilization
contraceptive devices is constitutionally protected by Griswold... :
and its progeny.” 492 U.S. at 523.
Despite these claims and concerns, this Court is quite ca-
pable of drawing a constitutional line between contraception
and abortion. Indeed, drawing a constitutional line by refer-
ence to the biological event of conception would be easier
than, or as easy as, reliance on the biological demarcations of
birth and viability which the Roe Court employed.
The Roe Court clearly drew a constitutional line at birth,
holding that the unborn are not constitutional persons for
purposes of the due process clause. 410 U.S. at 156-59. Yet
birth, like fertilization, is clearly a “process over time.” Is a
fetus a constitutional person during the second stage of labor,
as the woman pushes the fetus through the birth canal? Must
the cord be cut before the fetus attains constitutional person-
hood? These questions are no easier than the question of
whether one chooses the beginning point of fertilization,
when the sperm enters the ovum, or the point, approximately
24 hours later, when the process of the sperm and ovum ge-
netically uniting has been completed. Certainly, there is noth-
ing particularly problematic about the fact that the fertiliza-
tion process takes 24 hours, given the fact that birth itself,
beginning with the first stage of labor, can take several days. If
this Court can draw a constitutional line by reference to the
biological process of birth, it can surely also do so by reference
to the biological process of fertilization.
Similarly, the Roe Court employed the biological concept of
“viability” to determine when the State’s interest in fetal life
became “compelling.” 410 U.S. at 163. Viability is a far less
precise biological concept than fertilization. First, viability is
not an inherent characteristic of the fetus, but rather is a con-
22
sequence of the relationship between the fetus and changing
medical technology. Second, different fetuses’ achieve viability
at different stages, making it difficult to draw a generalized
line. Third, the determination of viability requires a difficult
medical determination in which physicians can easily err by as
much as four weeks. See Webster, 109 S.Ct. at 3055 (citing find-
ing by District Court). Even the Roe Court could do no more
than generalize that “[vjiability is usually placed at about
seven months (28 weeks) but may occur earlier, even at 24
weeks.” 410 U.S. at 160 (footnote omitted). Clearly, a constitu-
tional line can be drawn far more easily at fertilization or
concepton, than could be done at viability.
The purpose of comparing a fertilization line to a birth or
viability line, is not to support the Court's prior uses of birth
or viability, but merely to demonstrate the specious nature of a
claim that fertilization cannot serve as a constitutional line. It
can also be asked, however, whether fertilization should serve
as a constitutional dividing point. The primary argument
against the use of such a line has been that it would interfere
with “common forms of contraception such as the IUD and
the morning-after pill.” 492 U.S. at 563 (Stevens, J. dissenting).
This fear is largely illusory. First, there is no indication that
any State wishes to prohibit any currently legal forms of con-
traception. Pennsylvania's current effort to regulate abortion
incorporates that State’s 1982 definition of abortion, which
limits abortion to:
[t}he use of any means to terminate the clinically
diagnosable pregnancy of a woman with knowledge
that the termination by those means will, with reason-
able likelihood, cause the death of the unborn child
except that, for the purposes of this chapter, abor-
tion shall not mean the use of an intrauterine device
or birth control pill to inhibit or prevent ovulation,
fertilization or the implantation of a fertilized ovum
within the uterus.
18 Pa. Cons. Stat. Ann. § 3203 (Purdon 1983).
23
Similarly, Guam’s post-Webster prohibition of abortion,
which is currently pending before the Ninth Circuit, defines
abortion as “the purposeful termination of a human preg-
nancy after implantation of a fertilized ovum...” Guam Public
Law 20-134, Sec. 2 (9 G.C.A. § 31.20). Utah’s post- Webster pro-
hibition also only applies “after implantation of a fertilized
ovum.” Utah Code Ann. § 76-7-301(1) (Supp. 1991). Thus,
Pennsylvania, Guam and Utah by their definitions of abortion
have excluded from coverage the period prior to implanta-
tion, with the obvious intent of avoiding possible applications
to contraceptives; Pennsylvania has made this intent most ex-
plicit by expressly excluding application to the IUD and birth
control pill.
Louisiana's post-Webster prohibition defines abortion to in-
clude certain acts performed with “the specific intent of termi-
nating a pregnancy.” La. Rev. Stat. § 14:87(A)(1) (West Supp.
1992). This specific intent requirement would limit the act of
performing an abortion to those instances where the woman
was specifically known to be pregnant when the drug was pre-
scribed or the device inserted. Thus, this specific intent re-
quirement alone would exclude any application to currently
used contraceptives. Cf. Op. La. Att'y Gen. No. 91-419 (August
29, 1991) (current Louisiana abortion prohibition does not
apply to IUD, oral contraceptives, or morning-after pill); Marg-
aret S. v. Edwards, 488 F. Supp. 181, 190-91 (E.D. La. 1980)
(holding that prior Louisiana definition of abortion does
NOT include the IUD, morning-after pill, and birth control
pills).
Thus, Pennsylvania's regulations, along with the post-Webster
abortion prohibitions, do not implicate currently-used contra-
ceptives, and usually exclude from coverage the period prior
to implantation.
In addition, there are in fact no commonly used forms of
contraceptives whose primary mechanism is that of an aborti-
facient. Thus, the prior belief that the IUD works primarily by
preventing implantation has since been superseded by new
research indicating that its primary mechanism is to prevent
24
fertilization.’ Similarly, current research demonstrates that the
primary mechanism of oral contraceptives, including low-dose
oral contraceptives, is to prevent fertilization.* The
of a constitutional fertilization line would presumably classify
contraceptives according to their primary and known anti-fer-
tilization effects. Thus, the existence of low or speculative
back-up abortifacient effects would not subject contraceptives
to state regulation, even under a fertilization standard.
The morning-after pill also poses no true dilemma. First,
this treatment currently has too many side-effects to recom-
mend its regular use in place of true contraceptives.® Thus, its
only real use is with rape victims. Generally, such use with rape
victims would not be classified as an abortion, because defini-
tions of abortion generally either exclude the period prior to
implantation, or at least require (sometimes through an intent
requirement) that the woman be known to be pregnant. Thus,
early treatment of the rape victim, when it is not known
whether she has been impregnated, could not be classified as
an abortion. In addition, the abortion prohibitions passed in a
post-Roe era are likely to contain express or implied rape and
incest exceptions. Under these circumstances, it is extremely
unlikely that any state would bar the only practical use of the
morning-after pill.
This Court need not resolve the question of whether the
constitutional line between abortion and contraception
"See Alvarez, New Insights on the Mode of Action of Intrauterine Contraceptive
Devices in Women, 49 Fertility and Sterility 768 (1988); Segal, Absence of Chon
onc Gonadotropin in Sera of Women Who Use Intrauterine Devices, 44 Fertility and
Sterility 214 (1985). The abortion rights brief in Webster submited on behalf
of the Association of Reproductive Health Professionals agreed, based on
the Alvarez study cited supra, that “(t]he most likely working mechanism of
an IUD is wo prevent fertilization.” ARHP Amicus Brief at 34, Webster, (No.
88-605).
* See, e.g., Alan Guumacher Institute, Making Choices $ (1983); David M.
Smolin, Abortion Legislation After Webster v. Reproductive Health Services
Model Statutes and Commentaries, 20 Cumb. L. Rev. 71, 124 n.153 (1989)
(ciung studies on oral (including low-dose) conwaceptives).
* See, e.g., Postcoital Contraception, The Lancet, Apr. 16, 1983, at 855.
|
|
|
25
should be drawn at fertilization, or at implantation, until a real
controversy implicating this distinction comes before the
Court. It is unlikely that any such dispute would come before
this Court, at least in the context of contraception and abor-
tion. Speculative conflicts between a fertilization and implan-
tauion standard, or anfounded and speculative claims regard-
ing threats to contraceptive rights, should not distract from
the conclusion that either a fertilization or an implantation stan-
dard would be preferable to Roe’s viability/birth standard.
VII. THE OVERRULING OF ROE V. WADE WOULD NOT
SANCTION STATE-COERCED ABORTION OR CON-
TRACEPTION
The fifty years of family privacy precedents that preceded
Roe v. Wade provide ample protection against state-coerced
abortion or conwaception. Thus, the Meyer Court, at the very
outset of the family privacy doctrine, concluded that state-
mandated infanticide would violate the “letter and spirit of the
Constitution,” 262 U.S. at 402, despite the apparent endorse
ment of a policy of eugenic infanticide by Plato in Book V of
The Republic. Plato's eugenic proposals in Book V also ex-
tended to state-mandated abortion.’ Meyer requires this Court
to protect women, whether married or single, from state-co-
erced practices that are inimical to the “ideas touching the
relation between individual and State .. . upon which our in-
stitutions rest.” 262 U.S. at 402. Thus, Meyer in itself provides
an ample basis for invalidating state-mandated abortion and
contraception.
“ “But when ... the men and the women have passed the age of lawful
procreation, we shal! leave the men free to form such relations with whom.
soever they please . .. first admonishing them preferably not even to bring
to hight anything whatever thus conceived, but if they are unable to prevent
a birth wo dispose of it... .* Plato, The Republic, bk. v, marginal pagination
461 be (P. Shorey wans.), reprinied in The Collected Dialogues of Plato 700
(eds. E. Hamilton & H. Cairns, 1961).
In addition, a pregnant woman, whether single or married,
represents a family dyad of mother and unborn child, and
under this Court's family privacy precedents the State cannot
arbitrarily interfere with a constructive, nurturing parent-child
relationship. See Caban v. Mohammed, 441 U.S. 380, 405 n.10
(1979) (Stevens, J., dissenting) (psychological bond between
mother and child develops during pregnancy); see, e.g.,
Santosky v. Kramer, 455 U.S. 745 (1982). Finally, cases such as
Skinner v. Oklahoma, protecting individuals, whether single or
married, from state-mandated sterilization, afford an ample
basis to reject state-coerced abortion or contraception.
Thus, the reversal of Roe v. Wade would not sanction state-
coerced abortion or contraception, or any other state man-
dates affecting procreation or the family that are inimical to
the “ideas ... upon which our institutions rest.” Given the
history and traditions of this people, which place a high value
on unborn life and the right to procreate and bear children,
statecoerced abortion and contraception would be unconsti-
tutional. Cf Michael H. v. Gerald D., 491 U.S. 110, 123 (1989)
(plurality opinion) (due process clause prevents “future gen-
erations from lightly casting aside important traditional val-
ues”).
CONCLUSION
Pennsylvania in this case has attempted to regulate abortion
in a modest way, in the service of interests and rights that have
been central to the development of the doctrine of privacy.
Pennsylvania's modest incursions into the abortion “liberty” in
the name of prenatal life, the right of procreation, and paren-
tal care and authority give this Court an opportunity to choose
between two kinds of privacy: the theory of family privacy pro-
tected by this Court from 1923 to 1967 and the newer abortion
and autonomy privacy that is less than two decades old. Amicus
cunae submits that the abortion right invented by this Court in
Roe represents a radical departure from “the balance struck by
this country,” while the family privacy right represents a sound
27
interpretation of our living constitutional traditions. Cf. Poe v.
Uliman, 367 U.S. 497, 542 (1961) (Harlan, J., dissenting). This
radical departure has exacerbated deep divisions within this
ion is not within the right of privacy.
Respectfully submitted,
Tony G. Miter
Southern Center for Law & Ethics
P.O. Box 380113
Birmingham, Alabama 35238
Davip M. Smoun
Associate Professor of Law
Cumberland Schoo! of Law
Samford University
Birmingham, Alabama 35229
This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.