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Substantive Due Process: Dangerous or Necessary?

Carolyn Zech '24

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<strong>Substantive</strong> <strong>Due</strong> <strong>Process</strong>: <strong>Dangerous</strong> <strong>or</strong> <strong>Necessary</strong>?<br />

Carolyn Zech<br />

Abstract<br />

The Fourteenth Amendment, <strong>or</strong>iginally drafted to protect the rights of Black Americans<br />

in the postbellum period, has been extended to protect other min<strong>or</strong>ity groups and unenumerated<br />

rights. While the flexibility of the amendment preserves its relevance and applicability<br />

indefinitely, it also provides an opp<strong>or</strong>tunity f<strong>or</strong> the federal judiciary to extend its influence into<br />

every possible sphere of society. This extension began with the Supreme Court’s 1905<br />

establishment of the principle of substantive due process, which asserts a court’s right to review<br />

legislation f<strong>or</strong> alleged violations of “fundamental” rights—rights which, because of their<br />

“fundamental” nature, are so imp<strong>or</strong>tant that they don’t require enumeration to act as bases f<strong>or</strong><br />

court opinion. This paper first expl<strong>or</strong>es the hist<strong>or</strong>y of substantive due process from its inception<br />

to the modern day, and then examines it through the lens of state cases involving free speech<br />

injunction at ab<strong>or</strong>tion clinics to determine whether it is a dangerous abandonment of enumerated<br />

constitutional roots <strong>or</strong> a necessary provision to extend due process to modern issues and min<strong>or</strong>ity<br />

groups.<br />

As early as 1835, Alexis de Tocqueville noted that American courts have “immense<br />

political power” because of their ability to nullify laws on constitutional grounds​. 1 Less than<br />

f<strong>or</strong>ty years later, the ratification of the Fourteenth Amendment further expanded this power by<br />

explicitly placing the states under constitutional auth<strong>or</strong>ity. The ambiguity of the Fourteenth<br />

Amendment, along with its direct application to state law, makes it the ideal avenue by which to<br />

impose social the<strong>or</strong>ies of a given time. Such impositions have been achieved through the<br />

application of substantive due process, in which the courts claimed the right to review legislation<br />

based on perceived violations of “fundamental,” rather than procedural, rights. As the nation<br />

ages and our legal issues become increasingly complex, courts are straying increasingly further<br />

from the <strong>or</strong>iginal intent of the Fourteenth Amendment to protect min<strong>or</strong>ity groups unf<strong>or</strong>eseen in<br />

1<br />

"Chapter VI: Judicial Power in the United States," in Democracy in America, ed. Alexis de Tocqueville,<br />

118, accessed January 22, 2021,<br />

http://seas3.elte.hu/coursematerial/LojkoMiklos/Alexis-de-Tocqueville-Democracy-in-America.pdf.


1868. While these attempts are noble in their intentions, their controversial nature has inhibited<br />

their success.<br />

To understand the <strong>or</strong>iginal intent of the Fourteenth Amendment, we must first begin with<br />

the Civil Rights Act of 1866. Immediately following the ratification of the Thirteenth<br />

Amendment, southern states began passing legislation hist<strong>or</strong>ically known as the “black codes.” 2<br />

These laws, publicly presented as benevolent acts to help guide African-Americans through their<br />

first years as free citizens, imposed heavy restrictions on their most basic freedoms—such as the<br />

ability to rent land <strong>or</strong> bear arms—and, most insidiously, often mandated that recently freed<br />

slaves “apprentice” f<strong>or</strong> their f<strong>or</strong>mer owners with only room and board as compensation. 3<br />

Congress passed the Civil Rights Act of 1866 as a response to these codes. The act established<br />

that all American citizens must be treated equally under the law, and that those in violation<br />

would be prosecuted by the federal government. 4 President Johnson, concerned about overly<br />

extending the federal government’s influence in state affairs, vetoed the act. Although Congress<br />

easily overrode his veto, radical Republicans remained concerned that Johnson, <strong>or</strong> future elected<br />

officials, would push to undermine <strong>or</strong> repeal the act. Just two months after overriding President<br />

Johnson’s veto, Congress passed the Fourteenth Amendment, which, upon its ratification in<br />

1888, solidified the basic principles of the Civil Rights Act in the Constitution and, by doing so,<br />

made it virtually impossible f<strong>or</strong> those principles to be effectively challenged. 5<br />

It is imp<strong>or</strong>tant to note that the Fourteenth Amendment is not an exact replica of the Civil<br />

Rights Act of 1866. Both provide f<strong>or</strong> equal protection under the law, but only the latter lists the<br />

exact rights that have that equal status, and only the latter goes as far as to explicitly establish<br />

that the relevant standard of equality is the one “enjoyed by white citizens.” 6 The relative<br />

ambiguity of Section I of the Fourteenth Amendment, which protects “privileges and<br />

immunities” and “equal protection under the law” without detailing exactly which privileges <strong>or</strong><br />

which laws are applicable, grants the judiciary broad license to guard practices they deem<br />

2<br />

Edward L. Ayers, "Reconstruction" in American Hist<strong>or</strong>y, 1493-1945, The Gilder Lehrman Institute of<br />

American Hist<strong>or</strong>y, New Y<strong>or</strong>k, 2015,<br />

http://www.americanhist<strong>or</strong>y.amdigital.co.uk.revproxy.brown.edu/Expl<strong>or</strong>e/Essays/Reconstruction.<br />

3<br />

Edward L. Ayers, "Reconstruction"<br />

4<br />

Civil Rights Act of 1866, ch. 31, 14 Stat. 27-30, 39 Cong., 1 Sess., (Apr. 9, 1866),<br />

https://www.loc.gov/law/help/statutes-at-large/39th-congress/session-1/c39s1ch31.pdf, 2.<br />

5<br />

Hist<strong>or</strong>y, Art & Archives, U.S. House of Representatives, "The Civil Rights Bill of 1866," November 16,<br />

2020, https://hist<strong>or</strong>y.house.gov/Hist<strong>or</strong>ical-Highlights/1851-1900/The-Civil-Rights-Bill-of-1866/.<br />

6<br />

CRA 1866, 27.


w<strong>or</strong>thy of privileged status. 7 In this way, the amendment was designed to age with its country, to<br />

adapt to the newest, most pressing legal issues of a given time. This principle of constitutional<br />

flexibility is not unique to this amendment; the Ninth Amendment was b<strong>or</strong>ne out of Federalist<br />

concerns that excessive enumeration of rights would allow future governments to deny rights not<br />

f<strong>or</strong>eseen, remembered, <strong>or</strong> agreed upon by every state. 8 So came the Ninth Amendment, which<br />

Madison drafted to solidify the status of unenumerated rights, and so came the Fourteenth<br />

Amendment a century later, which elevates the status of unenumerated rights even further.<br />

Unlike the Ninth Amendment, which was intended to limit the influence of federal government,<br />

the Fourteenth is meant to limit the influence of state governments; thus, while the principles of<br />

the Ninth and Fourteenth Amendments may be similar, only the latter had the effect of greatly<br />

expanding the judiciary’s sphere of influence to the states. 9<br />

Since the Fourteenth Amendment was ratified, courts and legal scholars have capitalized<br />

on its vague language to further their preferred (and, acc<strong>or</strong>ding to them, fundamental) liberties.<br />

Throughout the ​Lochner ​era (1880-1905), courts supp<strong>or</strong>ted laissez-faire economic the<strong>or</strong>ies by<br />

deriving a right of “free contract” from the due process clause of the Fourteenth Amendment. 10<br />

At the end of this era came the ​Lochner ​decision itself, in which the highest court in the United<br />

States affirmed the right of free contract, and by so doing confirmed its own right to create and<br />

subsequently impose rights upon the states. A court could now claim that any given principle is<br />

a previously implicit, now explicit, fundamental right that the state(s) must respect because of<br />

the state-specific language of the Fourteenth Amendment.<br />

In the modern day, the potential of substantive due process to inc<strong>or</strong>p<strong>or</strong>ate unenumerated<br />

rights has been most famously demonstrated in cases involving ab<strong>or</strong>tion. In the 1993 case<br />

​Operation Rescue v. Women’s Health Center​, the Fl<strong>or</strong>ida Supreme Court reviewed a permanent<br />

injunction imposed upon pro-life group Operation Rescue, which had been protesting daily<br />

outside of a women’s health center. The injunction prohibited many activities that the group had<br />

designed to interfere with the w<strong>or</strong>k of the clinic, including but not limited to verbally <strong>or</strong><br />

7<br />

U.S. Const. amend. XIV, § 5.<br />

8<br />

Randy E. Barnett and Louis Michael Seidman, "The Ninth Amendment," Interactive Constitution,<br />

November 17, 2020,<br />

https://constitutioncenter.<strong>or</strong>g/interactive-constitution/interpretation/amendment-ix/interps/131.<br />

9<br />

U.S. Const. amend. XIV § 5.<br />

10<br />

Lochner v. New Y<strong>or</strong>k, 198 U.S. 45, 57 (Apr. 17, 1905), accessed January 22, 2021.<br />

https://tile.loc.gov/st<strong>or</strong>age-services/service/ll/usrep/usrep198/usrep198045/usrep198045.pdf.


physically harassing patients and doct<strong>or</strong>s, visiting the private residences of patients and staff,<br />

and jamming the clinic’s phone lines. Operation Rescue appealed, claiming that the injunction<br />

was a violation of their First Amendment rights to freedom of speech, freedom of association,<br />

and free exercise of religion. 11<br />

Neither side ​contested that the purpose of the injunction was to limit the free speech of<br />

Operation Rescue. The limitation of speech, however, does not violate the First Amendment ​per<br />

se​—the Supreme Court has established that state governments can limit speech so long as the<br />

limitation is “​narrowly-tail<strong>or</strong>ed to serve a significant government interest.” 12 ​ The Fl<strong>or</strong>ida<br />

Supreme Court held that in this instance the injunction was constitutional because the state had<br />

two significant interests to protect: the right to medical privacy and the right to seek lawful<br />

prenatal care.<br />

The Court derived the f<strong>or</strong>mer interest from Frisby v. Schultz, wherein the Supreme Court<br />

held that the right to privacy within one’s home, labeled “residential privacy,” qualified as a<br />

compelling state interest to limit the free speech of pro-life picketers. 13 The Fl<strong>or</strong>ida Court<br />

concluded that the principle of residential privacy, which is intended to protect the most private<br />

spaces from unwanted speech, extends to medical affairs as well; just as Fl<strong>or</strong>ida’s citizens have a<br />

right to control the speech within their homes, they have a right to avoid confrontation about<br />

their most private medical matters, especially if such conflict risks endangering their health and<br />

safety. In this case, the court found that the state was reasonable in concluding that the pro-life<br />

protest<strong>or</strong>s, who often approached clinic visit<strong>or</strong>s to discuss their medical decisions without their<br />

consent, may have violated the women’s medical privacy and caused them high enough levels of<br />

fear and anxiety that they would be at heightened risk during their procedures. 14<br />

The right to seek prenatal care is also based on Supreme Court precedent—specifically,<br />

Roe v. Wade (1973). Unlike its approach with the first state interest, the Court does not explain in<br />

detail how the current case connects with the precedent, only stating that the right to seek<br />

prenatal care is a “clear personal right” under Roe. 15 The fact that an implicit derivation of a right<br />

to privacy in Roe had become clear constitutional precedent to the Fl<strong>or</strong>ida court demonstrates the<br />

11<br />

Operation Rescue v. Women's Health Ctr., 626 So. 2d 664, 1993 Fla. LEXIS 1739, 18 Fla. L. Weekly S<br />

559 (Supreme Court of Fl<strong>or</strong>ida October 28, 1993, Decided), 14.<br />

12<br />

Operation Rescue v. Women's Health Ctr., 626 So. 2d 664, 21.<br />

13<br />

Operation Rescue v. Women's Health Ctr., 626 So. 2d 664, 23.<br />

14<br />

Operation Rescue v. Women's Health Ctr., 626 So. 2d 664, 24.<br />

15<br />

Operation Rescue v. Women's Health Ctr., 626 So. 2d 664, 22.


en<strong>or</strong>mous power of a given application of the Fourteenth Amendment to shape, and potentially<br />

supersede, other enumerated rights.<br />

All of these rights—the right to an ab<strong>or</strong>tion, the right to residential privacy, and the right<br />

to medical privacy—are derived from the <strong>Due</strong> <strong>Process</strong> Clause of the Fourteenth Amendment.<br />

The foundation f<strong>or</strong> this logic was laid in Griswold v. Connecticut (1965), in which Justice<br />

Douglas argued that the First, Third, Fourth, and Fifth Amendments all have the shared intention<br />

of protecting our privacy in various respects—the privacy of our religious affiliation, of our<br />

property, and, in the case of the Fifth, our thoughts. These overlapping “penumbras,” combined<br />

with the intention of the Ninth Amendment to protect unenumerated rights, indicate that the<br />

Founding Fathers intentionally enshrined a right to privacy in the spirit of​ the Constitution.​ 16<br />

This complicated legal reasoning is necessary because, while the Fourteenth Amendment’s <strong>Due</strong><br />

<strong>Process</strong> clause prevents the states from depriving any person of life, liberty, <strong>or</strong> property without<br />

due process of law, it does not define those three terms further.<br />

Operation Rescue’s case did not end with the Fl<strong>or</strong>ida Supreme Court. In a separate<br />

challenge, the U.S. Court of Appeals f<strong>or</strong> the Eleventh Circuit struck down the Fl<strong>or</strong>ida injunction;<br />

it held that the purpose of the injunction—to protect public health and safety—was already<br />

served by existing laws, and that such interests could be satisfied without infringing on the First<br />

Amendment rights of others. 17 The Supreme Court took the case, under the new name of Madsen<br />

v. Women’s Health Center (1994), to resolve the conflict between the Fl<strong>or</strong>ida Supreme Court and<br />

the Court of Appeals.<br />

The Supreme Court agreed with the Fl<strong>or</strong>ida court in its assessment of the state interests,<br />

both as it pertained to access to prenatal care and medical privacy. It decided, however, that the<br />

standard used by the Fl<strong>or</strong>ida court to evaluate the limitation of speech—the “narrowly tail<strong>or</strong>ed”<br />

standard—did not fit the circumstances appropriately; that standard was designed f<strong>or</strong> an<br />

<strong>or</strong>dinance, which applies to all persons governed by that body, rather than injunctions, which<br />

target specific groups. Instead, the Court devised a new standard: that injunctions should limit<br />

speech no m<strong>or</strong>e than necessary to serve the interest of the plaintiff. Since the interest of the<br />

16<br />

Griswold v. Connecticut, 381 U.S. 479, 85 S. Ct. 1678, 14 L. Ed. 2d 510, 1965 U.S. LEXIS 2282<br />

(Supreme Court of the United States June 7, 1965, Decided).<br />

17<br />

Madsen v. Women's Health Ctr., 512 U.S. 753, 114 S. Ct. 2516, 129 L. Ed. 2d 593, 1994 U.S. LEXIS<br />

5087, 62 U.S.L.W. 4686, 94 Cal. Daily Op. Service 5040, 94 Daily Journal DAR 9272, 8 Fla. L. Weekly<br />

Fed. S 426 (Supreme Court of the United States June 30, 1994, Decided).


plaintiff was to protect the health and safety of clinic patients, the protest<strong>or</strong>s’ speech must be<br />

objectively threatening <strong>or</strong> harmful, not just subjectively offensive, to be limited. 18<br />

Under this new standard, the Court did not agree with the judgment of the Fl<strong>or</strong>ida court<br />

entirely; instead, it upheld it in part and reversed it in part. The Court held that the provisions<br />

regarding a buffer zone around the entrance and excessive noise were necessary to protect the<br />

patients’ health, since the f<strong>or</strong>mer allowed physical access to the clinic and the latter ensured that<br />

the patients did not become unsafely stressed while undergoing procedures. It also found,<br />

however, that the other provisions—preventing images from being displayed by protest<strong>or</strong>s, a<br />

buffer zone around the sides and back of the clinic, and a 300-foot radius in which protest<strong>or</strong>s<br />

may approach patients—posed m<strong>or</strong>e of a burden to the protest<strong>or</strong>s than necessary to protect the<br />

patients. The patients could look away from images, enter and exit the building from the front,<br />

where the buffer zone remained, <strong>or</strong> ign<strong>or</strong>e the “sidewalk counsel<strong>or</strong>s” that approach them as they<br />

enter the clinic. Since there was no evidence that this conduct was predictably and repeatedly<br />

threatening, the government could not unequivocally ban it without infringing upon the<br />

protest<strong>or</strong>s’ right to free speech.<br />

In 1998, the Texas Supreme Court used Madsen’s precedent to issue a virtually identical<br />

ruling. The Texas court, recognizing that the state had a legitimate interest to protect the health<br />

and safety of clinic patients, upheld provisions to prevent verbal <strong>or</strong> physical harassment <strong>or</strong><br />

blocking of clinic facilities. It found, however, that the injunction’s provisions against sidewalk<br />

counseling imposed m<strong>or</strong>e of a burden than was necessary to ensure the patients’ protection. 19 ​ At<br />

its best, Supreme Court precedent inspires this s<strong>or</strong>t of legal compromise, where both sides can<br />

claim partial vict<strong>or</strong>y.<br />

The Texas case demonstrates the imp<strong>or</strong>tance of Supreme Court guidance f<strong>or</strong> state<br />

cases, especially in complicated cases wherein an implicit right is used to justify the<br />

suppression of an enumerated right. By executing the new, injunction-specific standard of the<br />

Supreme Court, the Texas court was able to reach a compromise that best satisfied the main<br />

interests of both parties: to protect the physical health and safety of clinic patients, and uphold<br />

the free speech rights of nonviolent protest<strong>or</strong>s.<br />

18<br />

Madsen v. Women's Health Ctr., 512 U.S. 753, 39.<br />

19<br />

Operation Rescue-National v. Planned Parenthood, 975 S.W.2d 546, 1998 Tex. LEXIS 113, 41 Tex.<br />

Sup. J. 1071 (Supreme Court of Texas July 3, 1998, Delivered).


To understand how different the 1998 Texas case could have been without Madsen’s<br />

guidance, consider Ex parte Tucci, which the Texas Supreme Court heard in 1993, the same<br />

year as Fl<strong>or</strong>ida heard its Operation Rescue case. In this case, anti-ab<strong>or</strong>tion protest<strong>or</strong>s argued<br />

that a restraining <strong>or</strong>der of a 100-foot radius around the clinic violated their First Amendment<br />

rights. The court found in fav<strong>or</strong> of the protest<strong>or</strong>s, but were starkly divided as to why: between<br />

the maj<strong>or</strong>ity opinion and two concurring opinions, the judges applied three different standards<br />

by which to measure whether the injunction was appropriately restrained in its limitation of<br />

free speech. The dissent in that case was fiery: two judges accused their chief of “completely”<br />

ign<strong>or</strong>ing the Texas Constitution and erroneously relying on distantly related federal<br />

precedent. 20 In that same year, the Fl<strong>or</strong>ida court, also without the Madsen precedent, chose to<br />

apply the <strong>or</strong>dinance-related precedent, which was broad enough to allow injunctions against<br />

speech to stand even without the threat of violence. Madsen balanced the interests of implicit<br />

and explicit rights to ensure that rights derived from substantive due process are not so<br />

vague—and theref<strong>or</strong>e all-encompassing—that they eclipse all other enumerated rights. This<br />

precedent also serves as an imp<strong>or</strong>tant guide f<strong>or</strong> the state courts: in 1998, the Texas court<br />

maj<strong>or</strong>ity applied it unanimously, while three justices dissented only in part.<br />

The Fl<strong>or</strong>ida court’s derivation of a right to medical privacy demonstrates the incredible<br />

power of substantive due process to make implied rights equal to—<strong>or</strong>, in this particular case,<br />

​m<strong>or</strong>e ​imp<strong>or</strong>tant than—enumerated rights. But implied rights, however potent they may be in a<br />

given decision, can be sh<strong>or</strong>t-lived. In his dissent in Lochner​, Justice Holmes protested that the<br />

maj<strong>or</strong>ity was overriding the decision of an elected legislature in fav<strong>or</strong> of their subjective<br />

preference f<strong>or</strong> laissez-faire economics. “A constitution,” he wrote, “is not meant to embody a<br />

particular economic the<strong>or</strong>y.” 21 ​ Over a hundred years later, it seems that Holmes was c<strong>or</strong>rect—no<br />

longer does our country universally accept that laissez-faire economics is economically<br />

preferable, much less constitutionally <strong>or</strong>dained. In the Fl<strong>or</strong>ida case, the implied right of seeking<br />

medical treatment seems similarly subjective; the court could just have easily voided the<br />

injunction so that the state could pursue the significant interest of protecting the unb<strong>or</strong>n. The<br />

Fl<strong>or</strong>ida and Texas courts were prevented from pursuing this latter interest solely because Roe<br />

20<br />

Ex parte Tucci, 859 S.W.2d 1, 1993 Tex. LEXIS 100, 36 Tex. Sup. J. 1154 (Supreme Court of Texas<br />

June 30, 1993, Delivered).<br />

21<br />

Lochner v. New Y<strong>or</strong>k, 198 U.S. 45, 25 S. Ct. 539, 49 L. Ed. 937, 1905 U.S. LEXIS 1153 (Supreme<br />

Court of the United States April 17, 1905).


established ab<strong>or</strong>tion as a constitutional right. It is interesting to consider, however, how wildly<br />

different these cases could have been if they had not started from that common understanding.<br />

The potential f<strong>or</strong> confusion in state cases is not necessarily a cause f<strong>or</strong> concern. Our<br />

nation consists of multiple independent states (and independent judges), and such judicial<br />

disagreements could be another example of our federalist system w<strong>or</strong>king as intended. It also<br />

might be that this possibility f<strong>or</strong> significant state freedom is merely an illusion: in these cases,<br />

the Supreme Court recognized the need to clarify the standard by which free speech claims<br />

should be measured against ab<strong>or</strong>tion rights, took the Fl<strong>or</strong>ida case, and decided it just eight<br />

months later. 22 Most cases, however, do not reach the Supreme Court—it hears just 100-150<br />

cases from the over 7,000 writs of certi<strong>or</strong>ari each year. 23 Since the Supreme Court hears so<br />

few cases per year and can only act on an issue when it is presented with a relevant case, it<br />

cannot frequently reverse its precedent. This precedential stability f<strong>or</strong>ms the c<strong>or</strong>e of our<br />

judicial system—f<strong>or</strong> better <strong>or</strong> w<strong>or</strong>se, it ensures that, when the Court makes a decision, it<br />

remains as precedent f<strong>or</strong> years, often decades.<br />

Ab<strong>or</strong>tion cases provide the most prominent examples of how substantive due process has<br />

been used to establish previously unenumerated rights. It seems inevitable that at some point in<br />

the near-future there will be another set of cases concerning the right to privacy—and its<br />

interaction with enumerated rights—that require the Court’s guidance. Most pressing in the<br />

legislative and public agenda seems to be how the right to privacy relates to social media<br />

companies and their use of data. The public is also debating the choice by social media giants to<br />

flag and cens<strong>or</strong> speech they deem misleading. State and federal courts have already begun to<br />

hear challenges to these companies, and it will be fascinating to see once again if and how free<br />

speech can be limited when the government has a significant interest to the public health and/<strong>or</strong><br />

the pursuit of truth, and if and how the right to privacy can extend to the digital w<strong>or</strong>ld. Like<br />

ab<strong>or</strong>tion, social media use has no mention in the Constitution—we must wait and see the extent<br />

to which the courts exert their influence when presented with the opp<strong>or</strong>unity.<br />

<strong>Substantive</strong> due process should not be universally condemned—by presenting the<br />

possibility f<strong>or</strong> implicit, fundamental rights to exist at the state level, it allows courts to extend<br />

22<br />

Operation Rescue v. Women's Health Ctr.<br />

23<br />

Administrative Office of the U.S. Courts, “Supreme Court Procedures," United States Courts,<br />

November 15, 2020,<br />

https://www.uscourts.gov/about-federal-courts/educational-resources/about-educational-outreach/activityresources/supreme-1.


the principles of freedom and equality to all American citizens. The efficacy of its application<br />

gets murkier, however, as courts stray further from the Fourteenth Amendment’s <strong>or</strong>iginal<br />

intention of ending racial discrimination. Perhaps substantive due process is necessary f<strong>or</strong> an age<br />

where the exact phrasing of the Constitution becomes increasingly distant from the realities of<br />

our nation’s most pressing legal issues. Or perhaps the Court’s continued attempts to make two<br />

brief clauses in the Fourteenth Amendment define the rights of a rapidly growing population in<br />

fifty unique states is a fool’s errand that will only provoke further infighting and irreparable<br />

damage to the Court’s reputation as an impartial body. There are arguments f<strong>or</strong> and against<br />

Supreme Court involvement, but one point is clear—as we have seen with Roe, Casey, Madsen,<br />

Whole Woman’s Health v. Hellerstedt, June Medical Services v. Russo, and other cases not listed<br />

here, if the Supreme Court gets involved just once, it must be prepared to get involved countless<br />

m<strong>or</strong>e times to clarify the application of its precedent in every conceivable situation.

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