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    120018thStreet,N.W.,Suite1002,Washington,D.C.20036 www.theusconstitution.org

    WilltheSupremeCourtContinuetoChip

    AwayAt,orOverrule,theConstitutions

    ProtectionofReproductiveChoice?

    TheConstitutionataCrossroads

    Introduction

    WedonthavetoseeaRoev.WadeoverturnedintheSupremeCourttoendit....Wewantto.Butif

    wechipawayandchipaway,wellfindoutthatRoereallyhasnoimpact.Andthatswhatweare

    doing.

    PatMahoney,ChristianDefenseCoalition

    NoissuehasdividedtheSupremeCourtmoresharply,alongideologicallines,thanthequestion

    whethertheConstitutionprotectsafundamentalrighttoreproductivechoice.Inthenearlyfortyyears

    sincetheCourtdecidedRoev.Wade,1theJusticeshavevehementlydisagreedaboutwhetherthe

    ConstitutionprotectsfundamentalrightsnotexplicitlyenumeratedinthetextoftheConstitution,about

    whetherawomansrighttoreproductivechoiceisoneofthefundamentalrightsthatstatesmust

    respect,andabouthowcourtsshouldreviewstatelawsrestrictingthatright.In1992,afterbeing

    repeatedlyurgedyearafteryearbytheJusticeDepartmentunderPresidentsRonaldReaganandGeorge

    H.W.BushtooverruleRoe,theSupremeCourt,inits5-4rulingin PlannedParenthoodv.Casey,2

    substantiallyreaffirmedtheruling,relyinginlargemeasureonthedoctrineof staredecisis.Surprising

    virtuallyeveryone,JusticeKennedy,whohadjoinedtheanti- Roeblocindecisionsupholdingrestrictive

    lawsin1989,1990,and1991,3becamethefifthvotetoreaffirmRoesprotectionofarightto

    reproductivefreedom.SinceCasey,JusticeKennedyhasdriftedbacktotherightonthisissue,joining

    theCourtsconservativeJusticesinapairofdecisionsconcerningtheconstitutionalityoffederaland

    statelawsbanningso-calledpartialbirthabortions.4Inthesecases,JusticeKennedyaloneamong

    Roessupportersgaveanarrowconstructiontoconstitutionalprotectionforreproductivefreedom

    andabroadonetotheauthorityofstatestoenactlawsthatpromotethepotentiallifeofthefetus.

    Today,almosttwodecadesafterCasey,Roestillhangsonbyathread,withsupportersofa

    womansrighttoreproductivefreedomdependentonthevoteofJusticeKennedy,whohasonlyonce

    1410U.S.113(1973).2505U.S.833(1992).3SeeWebsterv.Reprod.HealthServs.,492U.S.490(1989);Ohiov.AkronCtr.ForReproductiveHealth,497U.S.

    502(1990);Hodgsonv.Minnesota,497U.S.417(1990);Rustv.Sullivan,500U.S.173(1991).4Gonzalesv.Carhart,550U.S.124(2007)(opinionoftheCourtauthoredbyKennedy,J.);Stenbergv.Carhart,530

    U.S.914,956-79(2000)(Kennedy,J.,dissenting).

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    inCaseyitselfvotedtostrikedownarestrictivestatelaw.5Duringthelastseveralyears,theJustices

    havebeensilentontheseissues,butinthewakeofthe2010elections,stateafterstatehaspassednew

    restrictions,requiringawomantoviewasonogramofthefetus,receivepotentiallymisleadingmedical

    informationabouttherisksofabortion,and,inonestate,evensubmittoaninterviewandcounselingby

    membersofananti-abortioncrisispregnancycenter.6Otherstateshavegoneeverfurther,banningall

    abortionsaftertwentyweeksofpregnancy. 7Overthenextdecade,SupremeCourtdecisionsthat

    addresstheconstitutionalityofthesemeasureswillgivetheCourtsconservativesfurtheropportunities

    tochipawayatawomansrighttoreproductivechoice,possiblyevensettingthestageforafuture

    showdownoverRoeitself.

    TheGreatDebateovertheConstitutionsProtectionofSubstantiveLiberty

    Thereislittledoubt,inthewordsofChiefJusticeRobertsduringhisconfirmationhearingsthat,

    undertheConstitution,libertyisprotectednotsimplyprocedurally,butasasubstantivematteras

    well.8IndraftingtheFourteenthAmendment,theframersexplainedthattheAmendmentwould

    foreverdisableeveryoneofthe[][States]frompassinglawstrenchingupon...fundamentalrightsandprivileges.

    9ThelistofsubstantivefundamentalrightstheFourteenthAmendmentwasdesignedto

    protectbeganwiththeBillofRights,butitdidnotendthere.Theframersregularlyaffirmedalonglist

    offundamentalrightssuchastherighttofreedomofmovement,therighttobodilyintegrity,andthe

    righttohaveafamilyanddirecttheupbringingofoneschildrenthathavenoobvioustextualbasisin

    theBillofRights.10Thesewerecorerightsofpersonallibertyandpersonalsecurity;itdidnotmatter

    thattheywerenotenumeratedelsewhereintheConstitution.WhiletheframersoftheFourteenth

    AmendmentdesignedthePrivilegesorImmunitiesClausetobethenaturaltextualhomefor...

    unenumeratedrights,11theSupremeCourtguttedthatClauseinits1873decisioninthe Slaughter-

    HouseCases12and,eversince,theCourthasturnedtotheAmendmentsDueProcessClausetoprotect

    substantivefundamentalrights.13

    5Casey,505U.S.at887-898(strikingdownhusband-notificationprovision).6Foradescriptionofthenewlaws,seeDahliaLithwick,TheDeathofRoev.Wade,SLATE,April19,2011.7SeeErikEckholm,SeveralStatesForbidAbortionAfter20Weeks,N.YTIMES,June26,2011.8ConfirmationHearingontheNominationofJohnG.Roberts,Jr.tobeChiefJusticeoftheUnitedStates,109

    th

    Cong.,1stSess.,Sen.Hrg.109-158,at147(2005).

    9Cong.Globe,39thCong.,1stSess.2766(1866).10SeeDAVIDH.GANS&DOUGLAST.KENDALL,THEGEMOFTHECONSTITUTION:THETEXTANDHISTORYOFTHEPRIVILEGESOR

    IMMUNITIESCLAUSEOFTHEFOURTEENTHAMENDMENT7-8(2008).11MichaelJ.Gerhardt,TheRippleEffectsofSlaughter-House:ACritiqueoftheNegativeRightsViewofthe

    Constitution,43VAND.L.REV.409(1990).FordiscussionofthetextandhistoryofthePrivilegesorImmunities

    Clause,seeGANS&KENDALL,THEGEMOFTHECONSTITUTION,supra.1283U.S.(16Wall.)36(1873).

    13See,e.g.,Meyerv.Nebraska,262U.S.390(1923);Piercev.SocietyofSisters,268U.S.510(1926);Griswoldv.

    Connecticut,381U.S.465(1965);Lovingv.Virginia,388U.S.1(1967).

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    InRoe,Casey,andmanyothercases,theSupremeCourthasreaffirmedthattheDueProcess

    ClauseoftheFourteenthAmendmentnowsometimescalledtheLibertyClause14securestoall

    personsarealmofpersonallibertythatthegovernmentmaynotenter.15InCasey,inajointopinion

    authoredbyJusticesAnthonyKennedy,SandraDayOConnor,andDavidSouter,a5-4majorityofthe

    CourtreasonedthattheConstitutionsprotectionofsubstantivelibertysafeguardstherightofself-

    determinationandautonomyconcerningpersonaldecisionsrelatingtomarriage,procreation,

    contraception,familyrelationships,andeducation....Thesematters,involvingthemostintimateand

    personalchoicesapersonmaymakeinalifetime,choicescentraltopersonaldignityandautonomy,are

    centraltothelibertyprotectedbytheFourteenthAmendment.16Caseyrecognizedthatwomens

    reproductivefreedomwascriticaltotheirequalcitizenship.Ifwomenweretobeself-governing

    citizens,theStatecouldnotinsistuponitsownvisionofthewomansrole,howeverdominantthat

    visionhasbeeninthecourseofourhistoryandourculture.Thedestinyofthewomanmustbeshaped.

    ..onherownconceptionofherspiritualimperativesandherplaceinsociety.17Thus,asJusticeRuth

    BaderGinsburgputitmorerecently,legalchallengestounduerestrictionsonabortionproceduresdo

    notseektovindicatesomegeneralizednotionofprivacy;rather,theycenteronawomansautonomyto

    determineherlifecourse,andthustoenjoyequalcitizenshipstature. 18

    ThedissentersinRoe,Casey,andotherreproductivefreedomcasesfirmlyrejectedthenotion

    thattheDueProcessClauseshouldbereadtoprotecttherighttoreproductivefreedom. Roe,Casey

    andothersrulingsinthisarea,theycharged,wereanewmodeofconstitutionaladjudicationthatrelies

    notontextandtraditionalpracticestodeterminethelawbutuponwhattheCourtcallsreasoned

    judgment,whichturnsouttobenothingbutphilosophicalpredilectionandmoralintuition.19There

    wasnobasis,theyargued,forextendingconstitutionalprotectiontoarightthathasnogroundinginthe

    traditionsoftheAmericanpeople,andwasproscribedbythestatesformanyyears.AsChiefJustice

    RehnquistexplainedinhisCaseydissent,[a]tthetimeoftheadoptionoftheFourteenthAmendment,

    statutoryprohibitionsorrestrictionsonabortionwerecommonplace;in1868,atleast28ofthethen-37

    statesand8Territorieshadstatutesbanningorlimitingabortion.Bytheturnofthecenturyvirtually

    everyStatehadalawprohibitingorrestrictingabortiononitsbooks...21oftherestrictivelawsin

    effectin1868werestillineffectin1973when Roewasdecided....Onthisrecord,itcanscarcelybe

    saidthatanydeeplyrootedtradition...supportedclassificationoftherighttoabortionas

    fundamentalundertheDueProcessClause....20

    14SeeMcDonaldv.CityofChicago,130S.Ct.3020,3091-92(2010)(Stevens,J.,dissenting);ConfirmationHearing

    ontheNominationofElenaKagantobeAssociateJusticeoftheSupremeCourt(June29,2010)(availableat

    http://www.washingtonpost.com/wp-srv/politics/documents/KAGANHEARINGSDAY2.pdf).15Casey,505U.S.at847.

    16Id.at851.

    17Id.at852.

    18Gonzales,550U.S.at172(Ginsburg,J.,dissenting).

    19Casey,505U.S.at1000(Scalia,J.,concurringinpartanddissentinginpart).

    20Id.at952(Rehnquist,C.J.,concurringinpartindissentinginpart);id.at980(Scalia,J.,concurringinpartand

    dissentinginpart)(arguingthatthelongstandingtraditionsofAmericansocietypermit[abortion]tobelegally

    proscribed).

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    Further,thedissentersarguedthattherighttoterminateapregnancywasdifferentfromother

    substantiveconstitutionalrightstheCourthadrecognized.Onecannotignorethefactthatawomanis

    notisolatedinherpregnancy,andthatthedecisiontoabortnecessarilyinvolvesthedestructionofthe

    fetus.21Thewholeargumentofabortionopponents,JusticeScaliaobserved,isthatwhattheCourt

    callsthefetusandwhatotherscalltheunbornchild isahumanlife.Thus,whateveranswerRoecame

    upwith...isboundtobewrong,unlessitiscorrectthatthehumanfetusisinsomecriticalsense

    merelypotentiallyhuman.Thereisofcoursenowaytodeterminethatasalegalmatter;itisinfacta

    valuejudgment.22Thus,thedissentersconcludedthat Roeandtheentirelineofcasesfollowingit

    shouldbeoverruledandweshouldgetoutofthisareawherewehavenorighttobe,andwherewedo

    neitherourselvesnorthecountryanygoodbyremaining.23

    TheEmergingUndueBurdenStandard

    Bya5-4vote,anarrowmajorityoftheCourtin Caseyrejectedtheseargumentsforoverturning

    Roe,andcraftedtheundueburdenstandardtogovernchallengestorestrictiveabortionlaws.While

    JusticesKennedy,OConnor,andSouterjoinedJusticeHarryBlackmunandJusticeJohnPaulStevensinreaffirmingRoesessentialholding,

    24thejointopiniondepartedfrom Roeinsignificantmeasureby

    givingstatesbroadleewaytoenactregulationstopromotethestatesinterestinthepotentiallifeofthe

    fetusthroughoutpregnancy.Under Caseysundueburdenstandard,statesmaynotimposeregulations

    withthepurposeoreffectofplacingasubstantialobstacleinthepathofthewomanseekingan

    abortionofannonviablefetus,25buttheymaytakemeasurestoensurethatthewomanschoiceis

    informed,includinggivingtruthful,non-misleadinginformationdesignedtopersuadethewomanto

    choosechildbirthoverabortion.26Asthejointopinionputit,[w]hatisatstakeisthewomansrightto

    maketheultimatedecision,notarighttobeinsulatedfromallothersindoingso.Regulationswhichdo

    nomorethancreateastructuralmechanismbywhichtheState,ortheparentorguardianofaminor,

    mayexpressprofoundrespectforthelifeoftheunbornarepermitted,iftheyarenotasubstantial

    obstacletothewomansexerciseoftherighttochoose.27AsJusticeKennedylaterwrote, Casey...

    struckabalancegivingtheState,fromtheinceptionofpregnancy...itsownregulatoryinterestin

    protectingthelifeofthefetusthatmaybecomeachild....28Citingthisbalance,JusticeKennedyhas

    consistentlysidedwiththeCourtsconservativesinrejectingchallengestoabortionregulations.29

    Today,thecontoursofCaseysundueburdenstandardarestilluncertain.Inthelastdecade,

    theCourthasgrantedplenaryreviewofcasesinvolvingabortionrestrictionsonlytwice,inboth

    instancesreviewingtheconstitutionalityoflawsprohibitingso-calledpartialbirthabortions,amethod

    21Id.at952(Rehnquist,C.J.,concurringinpartanddissentinginpart).

    22Id.at982(Scalia,J.,concurringinpartanddissentinginpart)(emphasisinoriginal).23Id.at1002(Scalia,J.,concurringinpartanddissentinginpart).

    24Casey,505U.S.at846.

    25Id.at877.

    26Id.at878.

    27Id.

    28Gonzales,550U.S.at146,158.

    29See,e.g.Websterv.Reprod.HealthServs.,492U.S.490(1989);Rustv.Sullivan,500U.S.173(1991);Stenbergv.

    Carhart,530U.S.914,956-79(2000)(Kennedy,J.,dissenting);Gonzalesv.Carhart,550U.S.124(2007).

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    ofabortionusedafterthefirsttrimesterofpregnancy.30Notably,theselawscriminalizedpartialbirth

    abortionsevenwhentheprohibitedprocedurewastheonebestsuitedtosafeguardthehealthofthe

    woman.Inapairofsharplydivided5-4rulings,theCourtin2000 struckdownaNebraskalawin

    Stenbergv.Carhartandthen,in2007,followingJusticeOConnorsretirementandJusticeAlitos

    confirmationtosucceedher, upheldasimilarfederalbaninGonzalesv.Carhart,withJusticeAlitosiding

    withtheStenbergdissenters.31WhiletheopinionoftheCourtin Gonzalestrieditsbesttodistinguish

    Stenberg,insistingthatthefederalbanwasnarrowerthantheNebraskalaw,JusticeKennedysopinion

    fortheCourtsconservativemajorityeffectivelyoverruledthe2000rulingandrejecteditsreasoning.32

    AsthefourdissentingJusticesobserved,theCourt,differentlycomposedthanitwaswhenwelast

    consideredarestrictiveabortionregulation,ishardlyfaithfultoourearlierinvocationsoftheruleof

    lawandtheprinciplesof staredecisis.33

    InGonzales,JusticeKennedysopinionfortheCourtheldthatthePartial-BirthAbortionBanAct

    (theAct)wasaconstitutionallypermissibleefforttoprotectpotentiallifewithoutimpingingonthe

    womansliberty,consistentwiththebalancestruckinCasey.Whateveronesviewsconcerningthe

    Caseyjointopinion,itisevidentthatapremisecentraltoitsconclusionthatthegovernmenthasalegitimateandsubstantialinterestinpreservingandpromotingfetallifewouldberepudiatedwere

    theCourttostrikedownthefederalban.34TheCourtsfive-Justiceconservativemajorityreasonedthat

    thegovernmenthadamplepowertoforbidphysiciansfromperformingpartialbirthabortions,

    proceduresthatCongresssingledoutasespeciallygruesomeandethicallysuspect,35andthatcouldbe

    particularlyemotionallydamagingtowomenwhocametoregrettheirdecisiontohaveanabortion.36

    WhilerecognizingthatCaseyhadreaffirmedthatanabortionregulationmustcontainanexceptionto

    protectawomanshealth,JusticeKennedyrefusedtointerpret[] Caseysrequirementofahealth

    exceptionsothatitbecomestantamounttoallowingadoctortochoosetheabortionmethodheorshe

    mightprefer,explainingthatthelawneednotgiveabortiondoctorsunfetteredchoiceinthecourseof

    theirmedicalpractice.... 37Giventhealternativemethodsofabortionavailable,JusticeKennedy

    concludedthattheActdidnotimposeanundueburden.

    Inasharplywordeddissent,JusticeGinsburg,joinedbyJusticesBreyer,Souter,andStevens,

    arguedthattheActandtheCourtsdefenseofit,cannotbeunderstoodasanythingotherthanan

    30Intwoothercases,theCourtissuedpercuriamsummaryreversalsthatbrokenonewlegalground,upholding

    challengedstatelawsundertheCourtspriorprecedents.SeeLambertv.Wicklund,520U.S.292(1997)(upholding

    Montanasparentalnotificationrequirementwithjudicialbypass);Mazurekv.Armstrong,520U.S.968(1997)

    (upholdingMontanastatuterequiringthatabortionsbeperformedbylicensedphysicians).31Stenbergv.Carhart,530U.S.914(2000);Gonzalesv.Carhart,550U.S.124(2007).JusticeOConnorprovided

    thefifthvotetostrikedowntheNebraskastatuteinStenberg;followingherretirement,JusticeAlitovotedwith

    thedissentersinStenbergtoupholdthefederalbanonso-calledpartialbirthabortions.32CompareStenbergv.Carhart,530U.S.914(2000)withGonzalesv.Carhart,550U.S.124(2007).Onstealth

    overruling,seeBarryFriedman,TheWagesofStealthOverruling(WithParticularAttentiontoMirandav.Arizona),

    99GEO.L.J.1(2010).33Gonzales,550U.S.at191(Ginsburg,J.,dissenting).

    34Id.at145.

    35Id.at158(callingtheprocedureladenwiththepowertodevaluehumanlife).

    36Id.at159-60.

    37Id.at158,163.

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    efforttochipawayatarightdeclaredagainandagainbythisCourtandwithincreasing

    comprehensionofitscentralitytowomenslives.38Byupholdingthefederalban,JusticeGinsburg

    explained,theCourtdepriveswomenoftherighttomakeanautonomouschoice,evenattheexpense

    oftheirsafetyandforthefirsttimesince Roe...blessesaprohibitionwithnoexceptionsafeguarding

    awomanshealth.39JusticeGinsburgfoundthesuggestionthattheActfurtheredanyinterestin

    protectingpotentiallifebaseless,explainingthatthelawsavesnotasinglefetusfromdestructionforit

    targetsonlyamethodofperformingabortion.40

    PossibleDevelopmentsintheFuture

    Themostdramaticpotentialfuturedevelopmentintheareaofreproductivefreedomwouldbe

    iftheCourtagainreviewedandthistimeoverturned RoesessentialholdingthattheConstitution

    protectsafundamentalrighttoreproductivechoice.Thisseemsunlikelywiththecurrentmake-upof

    theCourtand,inparticular,givenJusticeKennedysrulingin Caseyandhissubsequentopinionin

    Lawrencev.Texas,41whichreliedheavilyonCaseyinprotectingarighttointimatesexualconduct.But

    itcertainlyispossiblethattheCourtwouldoverturn RoeifJusticeKennedyoroneoftheCourtsmoreliberaljusticeswerereplacedbythenomineeofaconservativePresident.

    Themoreimmediatebattlegroundoverreproductivechoicewillalmostcertainlybethenew

    restrictivestatelaws,manyenactedthroughoutthecountryin2011.Theselawspushtheenvelopeon

    theauthorityCaseygavetothestatestoensurethatthewomansdecisionisinformed,somerequiring

    doctorstodelivertowomenananti-abortionmessage,whileothersrequirewomentoviewasonogram

    ofthefetus,orsubmittocounselingbyananti-abortioncrisispregnancycenter.Stillothersblatantly

    challengecurrentSupremeCourtprecedent,banningabortionsaftertwentyweeksofpregnancy,

    withoutanymedicalevidencethatafetusisviableatthatpoint.InArizona,Gov.JanBrewersignedinto

    lawabanthatwentevenfurther,effectivelyprohibitingabortionateighteenweeksbydatingawomanspregnancybythefirstdayofherlastmenstrualperiod,whichoccurstwoweeksbefore

    conception.42Thechallengestotheselaws,nowmakingtheirwaythroughthelowerfederalcourts,

    43

    willgivetheconservativemajorityoftheRobertsCourtplentyofopportunitiestocontinuechipping

    awayatwomensrightofreproductivefreedom.

    38Id.at191(Ginsburg,J.,dissenting).

    39Id.at184,171(Ginsburg,J.,dissenting).

    40Id.at181(Ginsburg,J.,dissenting).

    41539U.S.558(2003).

    42SeeAmandaPetersonBeadle,WhyArizonasNewAnti-AbortionBillIsWorseThanItSeems(Mar.30,2012)

    (availableathttp://thinkprogress.org/health/2012/03/30/455643/why-arizonas-new-anti-abortion-bill-is-worse-

    than-it-seems/).43See,e.g.PlannedParenthoodMinnesotav.Rounds,653F.3d662(8

    thCir.)(strikingrequirementthatphysician

    informawomanofincreasedsuicideriskfromobtainingabortion),rehgenbancgranted,662F.3d1072(8thCir.

    2011);TexasMedicalProvidersPerformingAbortionServicesv.Lakey,667F.3d570(5thCir.2012)(reversing

    preliminaryinjunctionagainstTexassonogramstatute);Stuartv.Huff,2011WL6330668,No.1:11CV804(M.D.N.C.

    Dec.19,2011)(preliminarilyenjoiningNorthCarolinastatuterequiringaphysician,beforeperforminganabortion,

    toshowthewomananultrasoundofherfetusanddescribetheimagesseenontheultrasound);Planned

    ParenthoodMinnesotav.Daugaard,799F.Supp.2d1048(D.S.D.2011)(preliminarilyenjoiningSouthDakota

    statuterequiringwomantosubmittocounselingbycrisispregnancycenter).

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    Forexample,theCourtcouldupholdthesomeorallofthenewabortioncounselinglawsonthe

    basisoftheprecedentsinCaseyandGonzales,reasoningthatthatstatehaswidelatitudetodissuadea

    womanfromterminatingthelifeofthefetus,includingbyrequiringhertobetoldofallofthe

    conceivablerisksoftheprocedure,byrequiringthatsheviewasonogramofthefetus,orbyrequiring

    thatsheconsultwithathirdpartywhocanofferadifferentperspectiveonthedecision.44Indeed,in

    Gonzales,JusticeKennedyalreadyacceptedtheideathatsomewomencometoregrettheirchoiceto

    aborttheinfantlifetheyoncecreatedandsustained,necessitatingasubstantialroleforstatesin

    ensuring[that]sograveachoiceiswellinformed.45

    Inthecasesseekingtoinvalidatetheserecentlaws,plaintiffshavechallengedthemnotmerely

    ascreatingundueburdensonwomen,butalsoasaviolationofthephysiciansFirstAmendmentrightto

    befreefromgovernment-mandatedspeech,seekingtotakeadvantageofthefactthattheRoberts

    CourthasaggressivelyexpandedFirstAmendmentrightsinotherareassuchascampaignfinancelaw

    andcommercialspeech.46WeretheCourttoapply Sorrellv.IMSHealthandconcludethatthesenew

    abortionregulationsmustbesubjecttoheightenedscrutinybecausetheyenactspeaker-and

    content-basedburdenonprotectedexpression,47

    thatgowellbeyondtherequirementsofinformedconsentandestablishedmedicalpractice,itislikelythatthesenewmeasureswouldbeinvalidated.

    48

    Butsofar,theSupremeCourthasrefusedtoplaceanyFirstAmendmentchecksontheauthorityofthe

    statestoregulateabortion,notingin CaseythatthephysiciansFirstAmendmentrightsnottospeak

    areimplicated,butonlyaspartofthepracticeofmedicine,subjecttoreasonableandlicensingand

    regulationbytheState.49InGonzales,theCourtsconservativemajorityrejectedtheideathat

    physicianshadconstitutionalrightstopracticemedicinethattrumpedstateregulationtothecontrary,

    explainingthattheStatehasasignificantroletoplayinregulatingthemedicalprofessionandthat

    thelawneednotgiveabortiondoctorsunfetteredchoiceinthecourseoftheirmedicalpractice,nor

    shoulditelevatetheirstatusaboveothermembersofthemedicalcommunity.50Thesestatements

    suggestthatFirstAmendmentclaimsmaynotfareanybetterthanundueburdenclaimsintheRoberts

    Court.

    ItisevenpossiblethattheconservativeJusticesontheRobertsCourtwouldupholdthenew

    twenty-weekbansonabortion,perhapscitinglegislativefindingsthatcurrentmedicaltechnologyshows

    that,attwentyweeks,afetusiscapableoffeelingpain,thoughnotviableoutsidethewomb.Upholding

    theserecentstatebansonabortionaftertwentyweeks,ofcourse,wouldrequireJusticeKennedyto

    joininoverrulingtheCourtsholdingsinRoe,Casey,andothercasesthatviabilitymarkstheearliest

    pointatwhichtheStatesinterestinfetallifeisconstitutionallyadequatetojustifyalegislativebanon..

    44SeeTexasMedicalProviders,667F.3dat574-76(relyingheavilyonCaseyandGonzales).

    45Gonzales,550U.S.at159.46See,e.gCitizensUnitedv.FEC,130S.Ct.876(2010);Sorrellv.IMSHealth.Inc.,131S.Ct.2653(2011).For

    discussion,seeCrossroadsChapter4(TheFirstAmendment,PoliticalSpeech,andtheFutureofCampaignFinance

    Laws)&Chapter6(ProtectingCommercialSpeechandPrivacyintheInternetAge).47Sorrell,131S.Ct.at2667.

    48SeeStuart,2011WL6330668at**2-6(applyingstrictscrutinyinpreliminarilyenjoiningrequiringphysicianto

    displaytoawomanseekinganabortionanultrasoundofthefetus).49Casey,505U.S.at884.

    50Gonzales,550U.S.at157,163.

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    .abortions,51astephemaybereluctanttotake.ButJusticeKennedyhasalreadydemonstrateda

    willingnesstonarrowRoeconsiderablyandmightbepersuadedtodepartfrom Roesviabilitylineon

    thegroundthatthatstatesshouldhavetheauthoritytobalancetheinterestsofthewomanandthe

    fetusinawaythatrespectsthewomansrightupuntilthepointthatthefetusmayfeelpainfromthe

    procedure.Nolessthanatviability,JusticeKennedymightreason,awomanwhofailstoactafter

    twentyweeksofpregnancyhasconsentedtotheStatesinterventiononbehalfofthedeveloping

    child.52

    IfthecompositionoftheCourtchangesandmovestheCourtinamoreconservativedirection,

    conservativestatelegislatureswouldlikelyrespondbypassinganewwaveofrestrictivelaws,some

    possiblygoingsofarastobanabortionoutright.WithanotherconservativeJusticeonthebench,the

    RobertsCourtwouldbeinapositiontosignificantlyscalebackconstitutionalprotectionforawomans

    righttoreproductivefreedom,ifnotreconsider RoeandCasey.

    Todate,theRobertsCourthasappearedcontenttoavoidmostquestionsonthehot-button

    topicofreproductiverights.TheCourthasonlygrantedreviewofoneabortioncasesinceJohnRoberts

    wasconfirmedasChiefJusticeGonzalesv.Carhartandinthatcase,JusticeKennedyhadalready

    stakedouthispositionthatthegovernmentmayprohibitthetypeofabortionprocedurelabeleda

    partialbirthabortion.Butthisrelativequietonthisdivisivefrontisunlikelytocontinue.Newstate

    lawswillalmostforcethecurrentCourttoaddressnewquestionsunder Caseysundueburdentest,and

    changesintheCourtscomposition,shouldtheyoccur,couldagainputtheessentialholdingof Roevery

    muchinplay.

    51Casey,505U.S.at860.

    52Id.at870.