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The Death of Roe v. Wade: What Lies Ahead?

image of US map with flag and constitution superimposed

The pro-life movement appears to be on the cusp of winning its crowning triumph — the overturning of the constitutional abortion regime established by two Supreme Court cases, Roe v. Wade and Planned Parenthood of Southeastern Pennsylvania v. Casey. In oral argument last December for the case of Dobbs v. Jackson Women’s Health Organization, involving a constitutional challenge against a Mississippi law banning abortion after fifteen weeks, all of the Court’s conservative wing — with the possible exception of Chief Justice Roberts — appeared ready and willing to abandon fifty years of precedent and declare, in Justice Kavanaugh’s words, that the “Constitution is silent and, therefore, neutral on the question of abortion.” Thus, it seems appropriate to consider now how the legal landscape might shift in response to this momentous development.

In what seemed like an attempt to mollify coastal liberals, during oral argument for Dobbs Justice Kavanaugh and Mississippi’s Solicitor General, Scott Stewart, speculated as to the relatively limited fallout we might expect. Seeking to paint a rosy picture of what the future might hold, Kavanaugh asked Stewart whether, if Mississippi prevailed, a “majority of states still could or… presumably would continue to freely allow abortion.” Stewart answered that this outcome was “consistent with our view.” Earlier in the argument, Stewart suggested that a ruling in Mississippi’s favor would serve the “many people [who] vocally just really want[] to…decide [the abortion question] locally….”

But Kavanaugh and Stewart’s implication that pro-choice states could simply continue to permit abortion after the Court upholds Mississippi’s law is somewhat disingenuous. Many liberals and conservatives seem to think that if Roe is overturned, the question of abortion’s legality would automatically vest in the states. This is far from clear. Congress could, if it wished, pass legislation under the Commerce Clause that either prohibited or permitted abortion nationwide, thereby preempting state law. (The Commerce Clause is the most likely constitutional “hook” here because abortions are services sold in interstate commerce). This possibility means that the oft-repeated claim that returning abortion to the states by overturning Roe will lessen the national-level rancor surrounding abortion rests on a false premise.

When Roe was decided in 1973, thirty-one states forbade abortion in all circumstances except to save the life of the mother. Some of these states never repealed their pre-Roe abortion statutes. When the Supreme Court declares a state law unconstitutional, it is not automatically repealed; without legislative action, it stays on the statute books, unenforceable but still a part of the state’s legal code. If Roe is overturned, these “dormant” statutes could easily spring back to life. Thus, a pro-life ruling might not endanger abortion access only in states that, like Mississippi or Texas, passed anti-abortion statutes after 1973 in anticipation of the eventual overturning of Roe. Moreover, although the issue is not definitively settled, recent Court precedent suggests that its decisions about federal law have “full retroactive effect,” at least in civil cases. This raises the possibility that if a plaintiff sues an abortion doctor for conduct that took place before Roe was overturned pursuant to state law, the defendant might not be able to defend herself by claiming that her behavior was constitutionally protected at the time.

One particularly interesting exchange in the Dobbs oral argument concerned the possible effect of overturning Roe on other seminal cases involving reproductive and sexual rights, such as Griswold v. Connecticut — which declared that the right of married couples to buy and use contraceptives is protected by the constitution — or Lawrence v. Texas and Obergefell v. Hodges, which struck down bans on homosexual intimacy and same-sex marriage, respectively. Justice Barrett asked Solicitor General Stewart whether a decision in Mississippi’s favor would have adverse effects on these other decisions. Stewart replied that two features distinguish them from Roe: “Negative stare decisis considerations,” and that none of those other decisions “involve the purposeful termination of human life.” In saying this, Stewart was suggesting two lines of reasoning that the Court’s conservative majority could use to overrule Roe: that Roe doesn’t have the same precedential weight as other “watershed” decisions like Brown v. Board of Education because key elements of Roe were abandoned in Casey, and that states have a compelling interest in fetal life.

However, in a later colloquy between Stewart and Justice Sotomayor in which the latter noted that all of these decisions rested on “substantive due process,” Stewart denied that Griswold, Lawrence, and Obergefell were vulnerable on the grounds that Mississippi is “quite comfortable with Washington v. Glucksberg and how it analyzes substantive due process.” By “substantive due process,” Sotomayor and Stewart were referring to a Supreme Court doctrine according to which the Due Process Clause of the Fourteenth Amendment protects certain substantive rights, such as privacy or autonomy, and not merely procedural rights to judicial process when the government deprives persons of life, liberty, or property. In Roe, the Court held that the Due Process Clause guarantees a right of privacy that includes the right to abortion. The rationales for Griswold, Lawrence, and Obergefell all relied to one extent or another on the substantive due process doctrine. Nevertheless, the very idea of substantive due process is something of a bugbear among conservative lawyers and legal scholars, including some Supreme Court Justices. Thus, Sotomayor was pointing out to Stewart that should the Court overturn Roe by rejecting substantive due process, the other decisions on sexual and reproductive rights could easily fall with it.

Stewart’s reply was to point to the Glucksberg case, decided twenty-five years after Roe, in which the Court held that only rights that are “deeply rooted in the nation’s history” are protected by the Due Process Clause. Stewart was in essence saying that Mississippi was not arguing for abandoning substantive due process, so long as the Court adheres to the Glucksberg standard. By that standard, according to Stewart, abortion rights are not among the rights protected by substantive due process, since abortion rights do not have deep roots in America’s history. The obvious problem with this reply is that rights to birth control, homosexual sex, or same-sex marriage are also not deeply rooted in the nation’s history — a point that Sotomayor began to articulate before being interrupted and sidetracked by Stewart.

This discussion has ventured into the constitutional weeds in order to illustrate the point that the ramifications of the Court’s ruling in Dobbs will crucially depend upon the precise nature of the reasoning it uses to support it. If the Court decides to overrule Roe on the narrow ground that the state has a compelling interest in fetal life, then other substantive due process rights may survive. But if the Court uses Dobbs as an opportunity to affirm and apply the Glucksberg standard, or even to call the doctrine of substantive due process into question, then these other decisions may be left vulnerable to challenge. In general, the Court likes to decide issues on the narrowest grounds possible, but there are exceptions to this rule. Moreover, as I mentioned, there are a number of Justices who are openly hostile to substantive due process as a whole. In that context, a Glucksberg-based decision that preserves substantive due process but potentially affects a host of other important cases might appear to some Justices like a reasonable middle ground. We can only speculate.

The ramifications of Roe’s death are unpredictable. In this column, I have emphasized some possible consequences that add up to a darker picture of life after Roe than even many left-leaning commentators predict. However, there are other possible effects that may be less desirable to the pro-life side. Although studies suggest that overturning Roe will, in the short term, appreciably depress abortion rates — mainly by increasing travel distances between pregnant women and abortion providers — the longer-term effects are less clear. In the years leading up to Roe, many states were liberalizing their abortion laws. As millions of women find themselves wholly cut off from access to safe abortion services, that trend may continue if Congress does not act. In the fullness of time, it is quite possible that the pro-life side will find the death of Roe a Pyrrhic victory.

Why Anti-Vaxxers Are (Kind of) Like Marxists

image of anti-vaxx protestor

On February 26th, the second-oldest Roman Catholic archdiocese in the United States issued an official statement warning church members about their COVID-19 vaccine options; in particular, it labeled the recently approved, single-dose vaccine from Johnson and Johnson “morally compromised as it uses the abortion-derived cell line in development and production of the vaccine as well as the testing.” In the following days, numerous representatives of Catholic dioceses around the country chimed in to agree, not actually forbidding the pious from being vaccinated, but rather advising that “If one has the ability to choose a vaccine, Pfizer or Moderna’s vaccines should be chosen over Johnson & Johnson’s.”

To those unfamiliar with Catholic dogma, this warning is likely peculiar: what do abortion practices (which the Roman Catholic church officially, if not pragmatically, opposes) have to do with vaccinations? But this critique of vaccines is far from unique to conservative Catholic clergymen: for some time, critics of vaccines in general have lobbied pro-life sentiments as anti-vaccination arguments: my goal here is not necessarily to respond to abortion-based anti-vaccine rhetoric, but rather to demonstrate what else that kind of thinking might require someone to believe.

In short, it’s kind of Marxist.

Let’s back up and explain some things first. The “vaccinations-are-pro-abortion” (or even the less severe “some-vaccines-are-tainted-by-abortion”) argument is rooted in the fact that several vaccines, including Johnson and Johnson’s one-shot COVID-19 treatment, have been developed, in part, by using celluar tissue taken from an aborted fetus in the 1960s. Understandably, biomedical research often requires human tissue samples for many reasons, but it can be difficult to collect and store cellular material in a way that is both efficient and effective for long-term use; typically, human cells die too quickly to be used in long-term experiments, but fetal human cells are not only inherently capable of reproducing themselves indefinitely, but scientists have developed techniques to intentionally grow them in cellular cultures in a way that effectively “immortalizes” them. So, medical researchers studying how to cure ailments ranging from Alzheimer’s Disease to spinal cord injuries to multiple kinds of cancer to, yes, diseases susceptible to vaccinations will typically rely on several immortalized cellular lines that have been cultivated for decades in order to test their experiments.

It is not the case that the Johnson and Johnson vaccine — or any other vaccine, for that matter — contains aborted fetal tissue (that is to say: absolutely no one is receiving literal fetal cells in their arm when they get their COVID shot). Nor is it the case that abortions are being done in order to develop vaccines today (each of the cell lines now in use, such as the MRC-5 and WI-38 cultures, originate in abortions performed in the mid-20th century — often for separately tragic reasons, such as the rubella epidemic of the 1960s).

But this is not to say that there are no moral questions that arise about the use of fetal cell lines (or any other human culture) in contemporary research contexts. For example, the HEK-293 line used in the development of several COVID-19 vaccines may have come from an abortion in 1973, but its exact origination is unclear and it is entirely possible that the original cells were collected from the remains of a spontaneous miscarriage. Either way, despite the fact that HEK-293 cells have been used to develop a wide variety of medical advances and medications (including many of the various antipsychotics today used to treat diseases like schizophrenia and bipolar disorder), the original donor of those cells (or their family) has never been compensated for their contribution to an industry enjoying billions of dollars of profit. Similarly, the story of Henrietta Lacks, an African-American woman diagnosed with terminal cervical cancer in 1951, is a terrible example of how biomedical research can be built on a blatant injustice: after doctors collected a sample of Lacks’ cells without her knowledge, they discovered that the cells unexpectedly possessed the same kind of propensity for “immortalization” that makes fetal cells so useful, so they patented and commercialized the “HeLa” cell line. Despite never receiving Lacks’ consent for her cells to be used in this way (much less compensating her for her donation), the HeLa line has developed into one of the most useful (and lucrative) cell cultures on the market today; Lacks’ family never even knew the cultures existed until two decades after her death.

Setting those issues aside for now, what can we make of the claim that the conditions under which a commodity is manufactured can irrevocably taint the commodity itself with immorality? This is, I take it, a core complaint of the pro-life critic of vaccine development practices: the goals of vaccine deployment might be laudable enough (namely, reducing the spread of disease), but the methods of doing so are, arguably, associated with something purportedly inexcusable. For some, the difference between contemporary abortions and contemporary immortalized fetal cell lines originating in initially-unrelated abortions a generation ago might be sufficient to distinguish morally between pro-life commitments and vaccination acceptance — that is to say, someone could easily be a critic of elective abortion and consistently still believe that modern vaccination programs are morally acceptable. (It is worth noting that several outspoken pro-life American religious leaders, including Robert Jeffress, Al Mohler, and Franklin Graham have spoken out recently in support of COVID-19 vaccination programs.)

But let’s suppose that this is inconsistent (as many of Graham’s fans argued after he publicly surmised that Jesus would be pro-vaccine); what might we be committing ourselves to if we affirm that the use of fetal cell lines in their development hopelessly entangles vaccines within a morass of morally unacceptable problems?

Firstly, it seems like we would also need to reject many additional medical advances made over the last five decades. Anyone who rejects a vaccination against the novel coronavirus (or any other disease) because of the abortion-based critique of vaccinations I’ve been discussing will seemingly also need to reject treatments for conditions ranging from various cancers, diabetes, Parkinson’s disease, and macular degeneration to Alzheimer’s, paralysis, strokes, organ transplants, and medications for a wide variety of conditions. Without some special reason to think that vaccines are uniquely susceptible to being morally tainted via their tenuous association to past abortions, it is unclear why one could be an anti-vaxxer and not also a critic of many other elements of modern medicine.

Secondly, this whole conversation reminds me of the broader Marxist critique of capitalism in general. In his essay “Estranged Labor,” Marx introduces the idea that, under capitalism, workers are alienated from multiple things, including the products of their labor, their fellow human beings, and even themselves. A society split into different class-divisions, Marx says, necessarily prevents certain people (workers) from being able to live lives as fully realized human beings, creating and enjoying both cultural artifacts and the other people within our cultural relationships. In later works, like the first volume of Capital, Marx would develop the further critique that capitalism is not only alienating but exploitative because it, by design, transfers the value created by the labor of workers to the pockets of business-owners; for one example, consider the connection between Jeff Bezos’ wealth and the often-cataloged, but rarely-prevented dehumanization of workers in Amazon distribution centers (another is the dangerous abuses regularly perpetrated against both human workers and nonhuman animal victims in factory farms). Nowadays, this critique is sometimes summarized in the sloganized observation that there exists “no ethical consumption under capitalism” — although Marx himself never wrote those words, it is a (somewhat oversimplified) distillation of his broader point: the conditions under which capitalism operates necessarily spreads a taint of moral corruption throughout the entire line of commodity production in a manner that should provoke us to rethink the structuring of that productive system as a whole.

Of course, if someone is apt to think that products are, in a sense, insulated from the moral conditions of their production, then they would be able to quickly reject the Marxist critique of capitalism. Notice that there is at least one person who can’t do this, though: the person who accepts that vaccines are necessarily morally tainted because of the conditions of their production.

In short, if someone is inclined to believe that their pro-life commitments require them to think that vaccines are morally tainted, then they are seemingly required (upon pain of inconsistency) to believe that their anti-abuse commitments will require them to believe that many additional products, including anything produced on a factory farm and, perhaps, even all products produced by capitalists, are morally tainted as well.

Abortion and the Artificial Womb

This past week, scientists have shared that they have created the most successful artificial womb yet. Lambs have been born healthily after spending up to half of their gestation in a simulated uterus.  

For now, this technology is proving to be intriguingly successful in lambs. To keep hormones, temperature, oxygen, and other life-sustaining factors stable for humans will be quite a hurdle, but scientists and spectators are already hypothesizing about what this could mean farther down the line (specialists estimate testing this technology on humans would be about three years in the future). Artificial wombs could be of help not just with premature births on the cusp of viability, but perhaps even earlier. Perhaps, artificial wombs can be of use soon after conception, or are the next stage of development for so-called test tube babies. In that case, we could develop children without the need of a woman’s uterus altogether!

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On Forcing Women to Share Custody with their Rapist

As the intersection of religious, political, medical, feminist, and moral debate, abortion is one of the most divisive ethical issues in our nation. Pro-choice supporters argue that women have the right to determine the fates of their own bodies whereas pro-life activists consider abortion to be murder. An issue that looms around the discussion of abortion is the circumstance of conception from rape. Pro-life individuals may shy away from the issue or even admit rape as an exception. However, websites like Students for Life advise their readers to stand firm in opposition of abortion, questioning rhetorically, “The perpetrator must be punished to the fullest extent of the law, but does the helpless child, who is guilty of no crime, deserve death?” Claiming that abortion perpetuates the “pattern of violence and victim-hood,” Students for Life suggests that the rape victim bears the responsibility to break the cycle of violence. However, does the cycle really end for the women of the estimated 17,000 to 32,000 rape-related pregnancies who choose to keep their children? Women are not only punished for their abortions; in the United States, women may be forced to share their children’s custody with their rapists.

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The Ethical Aftermath of the Planned Parenthood Shooting

On Friday, November 27th, a man named Robert Lewis Dear Jr. entered a Planned Parenthood in Colorado Springs, Colorado, with a semiautomatic rifle. He killed three people: a police officer and two civilians. After hours of a violent standoff with the police, Dear was eventually brought into custody. Though mass shootings have garnered much public discussion recently (after news surfaced that we have had more than one mass shooting per day in 2015), the Planned Parenthood shooting has received a particularly high amount of media attention.

There are several ethical components brought forth by the shooting. Two notable ones are: 1) Should society blame violence on an atmosphere of verbal hostility? 2) Should society view Planned Parenthood as the face of abortion?

Many have argued, like Washington Post Columnist Ruth Marcus, that, “Republicans deserve some blame for the Planned Parenthood shooting.” Marcus argues that, “words- extreme language and overheated representations- have consequences” and that the heated rhetoric that she argues come from some pro-life Republicans inspired Robert Dear’s attack on Planned Parenthood. Father Frank Pravone, the national director of Priests for Life, rejected this accusation in his Op-Ed for Fox News that the pro-life movement would support any violent action. He argues that though the pro-life community consistently condemns all attacks at abortion facilities, they still receive most of the blame. He also rejects the accusation that describing abortion as “child killing” is creating a climate of violence. It is his belief that abortion is murder and to change his language would be abandoning his lifelong attempt to protect unborn babies.

This argument over language leads to the next question. Is the focus on Planned Parenthood as the face of the abortion issue legitimate? Both pro-choice and pro-life advocates seem to have an interest in deflating and inflating, respectively, the importance of Planned Parenthood in regards to abortion services. For example, Planned Parenthood reports that only 3% of their services provided are abortions and have been widely criticized for distorting their numbers to arrive at this number. Similarly, some pro-life advocates responded with a claim that 94% of Planned Parenthood’s pregnancy services are abortions, a claim that is similarly criticized. However, a third party fact checker, Politifact, says the most accurate statistic is that an estimated 12% of Planned Parenthood customers receive abortion. Do these examples of inflating/deflating Planned Parenthood’s abortion services show that we have a tendency to alter the truth to benefit a specific political agenda?

Can language incite violence? If it does, is it ethical to place limitations on language? How do we address our tendency as people to distort facts in order to benefit politically?

A Pro-Choice Argument for Investigating Planned Parenthood

Long marked by intense and polarizing opinions, the abortion debate has found its latest controversy. The topic in focus? Fetal tissue donation, in which researchers pay abortion providers for tissue samples from aborted fetuses. Two videos, both published by the Center for Medical Progress, an organization backed by pro-life group Live Action, have brought the issue to the forefront of public debate. In the first widely-circulated video, a Planned Parenthood employee discusses prices for fetal tissue samples, in addition to describing the abortion procedure in explicit detail. A second video, also depicting a conversation about buying fetal tissues for research, shows one Planned Parenthood employee joking that she wanted “a Lamborghini” as compensation.

Continue reading “A Pro-Choice Argument for Investigating Planned Parenthood”