NOTICE: This opinion is subject to
formal revision before publication in the preliminary print of the
United States Reports. Readers are requested to notify the Reporter
of Decisions, Supreme Court of the United States, Washington,
D. C. 20543, of any typographical or other formal errors, in
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SUPREME COURT OF THE UNITED STATES
_________________
No. 19–1392
_________________
THOMAS E. DOBBS, STATE HEALTH OFFICER OF THE
MISSISSIPPI DEPARTMENT OF HEALTH, et al., PETITIONERS
v. JACKSON WOMEN’S HEALTH ORGANIZATION, et al.
on writ of certiorari to the united states
court of appeals for the fifth circuit
[June 24, 2022]
Justice Alito delivered the opinion of the
Court.
Abortion presents a profound moral issue on
which Americans hold sharply conflicting views. Some believe
fervently that a human person comes into being at conception and
that abortion ends an innocent life. Others feel just as strongly
that any regulation of abortion invades a woman’s right to control
her own body and prevents women from achieving full equality. Still
others in a third group think that abortion should be allowed under
some but not all circumstances, and those within this group hold a
variety of views about the particular restrictions that should be
imposed.
For the first 185 years after the adoption of
the Constitution, each State was permitted to address this issue in
accordance with the views of its citizens. Then, in 1973, this
Court decided
Roe v.
Wade,
410
U.S. 113. Even though the Constitution makes no mention of
abortion, the Court held that it confers a broad right to obtain
one. It did not claim that American law or the common law had ever
recognized such a right, and its survey of history ranged from the
constitutionally irrelevant (
e.g., its discussion of
abortion in antiquity) to the plainly incorrect (
e.g., its
assertion that abortion was probably never a crime under the common
law). After cataloging a wealth of other information having no
bearing on the meaning of the Constitution, the opinion concluded
with a numbered set of rules much like those that might be found in
a statute enacted by a legislature.
Under this scheme, each trimester of pregnancy
was regulated differently, but the most critical line was drawn at
roughly the end of the second trimester, which, at the time,
corresponded to the point at which a fetus was thought to achieve
“viability,”
i.e., the ability to survive outside the womb.
Although the Court acknowledged that States had a legitimate
interest in protecting “potential life,”[
1] it found that this interest could not justify any
restriction on pre-viability abortions. The Court did not explain
the basis for this line, and even abortion supporters have found it
hard to defend
Roe’s reasoning. One prominent constitutional
scholar wrote that he “would vote for a statute very much like the
one the Court end[ed] up drafting” if he were “a legislator,” but
his assessment of
Roe was memorable and brutal:
Roe
was “not constitutional law” at all and gave “almost no sense of an
obligation to try to be.”[
2]
At the time of
Roe, 30 States still
prohibited abortion at all stages. In the years prior to that
decision, about a third of the States had liberalized their laws,
but
Roe abruptly ended that political process. It imposed
the same highly restrictive regime on the entire Nation, and it
effectively struck down the abortion laws of every single
State.[
3] As Justice Byron
White aptly put it in his dissent, the decision represented the
“exercise of raw judicial power,” 410 U. S., at 222, and it
sparked a national controversy that has embittered our political
culture for a half century.[
4]
Eventually, in
Planned Parenthood of
Southeastern Pa. v.
Casey,
505 U.S.
833 (1992), the Court revisited
Roe, but the Members of
the Court split three ways. Two Justices expressed no desire to
change
Roe in any way.[
5] Four others wanted to overrule the decision in its
entirety.[
6] And the three
remaining Justices, who jointly signed the controlling opinion,
took a third position.[
7] Their
opinion did not endorse
Roe’s reasoning, and it even hinted
that one or more of its authors might have “reservations” about
whether the Constitution protects a right to abortion.[
8] But the opinion concluded that
stare decisis, which calls for prior decisions to be
followed in most instances, required adherence to what it called
Roe’s “central holding”—that a State may not
constitutionally protect fetal life before “viability”—even if that
holding was wrong.[
9] Anything
less, the opinion claimed, would undermine respect for this Court
and the rule of law.
Paradoxically, the judgment in
Casey did
a fair amount of overruling. Several important abortion decisions
were overruled
in toto, and
Roe itself was overruled
in part.[
10]
Casey
threw out
Roe’s trimester scheme and substituted a new rule
of uncertain origin under which States were forbidden to adopt any
regulation that imposed an “undue burden” on a woman’s right to
have an abortion.[
11] The
decision provided no clear guidance about the difference between a
“due” and an “undue” burden. But the three Justices who authored
the controlling opinion “call[ed] the contending sides of a
national controversy to end their national division” by treating
the Court’s decision as the final settlement of the question of the
constitutional right to abortion.[
12]
As has become increasingly apparent in the
intervening years,
Casey did not achieve that goal.
Americans continue to hold passionate and widely divergent views on
abortion, and state legislatures have acted accordingly. Some have
recently enacted laws allowing abortion, with few restrictions, at
all stages of pregnancy. Others have tightly restricted abortion
beginning well before viability. And in this case, 26 States have
expressly asked this Court to overrule
Roe and
Casey
and allow the States to regulate or prohibit pre-viability
abortions.
Before us now is one such state law. The State
of Mississippi asks us to uphold the constitutionality of a law
that generally prohibits an abortion after the 15th week of
pregnancy—several weeks before the point at which a fetus is now
regarded as “viable” outside the womb. In defending this law, the
State’s primary argument is that we should reconsider and overrule
Roe and
Casey and once again allow each State to
regulate abortion as its citizens wish. On the other side,
respondents and the Solicitor General ask us to reaffirm
Roe
and
Casey, and they contend that the Mississippi law cannot
stand if we do so. Allowing Mississippi to prohibit abortions after
15 weeks of pregnancy, they argue, “would be no different than
overruling
Casey and
Roe entirely.” Brief for
Respondents 43. They contend that “no half-measures” are available
and that we must either reaffirm or overrule
Roe and
Casey. Brief for Respondents 50.
We hold that
Roe and
Casey must be
overruled. The Constitution makes no reference to abortion, and no
such right is implicitly protected by any constitutional provision,
including the one on which the defenders of
Roe and
Casey now chiefly rely—the Due Process Clause of the
Fourteenth Amendment. That provision has been held to guarantee
some rights that are not mentioned in the Constitution, but any
such right must be “deeply rooted in this Nation’s history and
tradition” and “implicit in the concept of ordered liberty.”
Washington v
. Glucksberg, 521
U.S. 702, 721 (1997) (internal quotation marks omitted).
The right to abortion does not fall within this
category. Until the latter part of the 20th century, such a right
was entirely unknown in American law. Indeed, when the Fourteenth
Amendment was adopted, three quarters of the States made abortion a
crime at all stages of pregnancy. The abortion right is also
critically different from any other right that this Court has held
to fall within the Fourteenth Amendment’s protection of “liberty.”
Roe’s defenders characterize the abortion right as similar
to the rights recognized in past decisions involving matters such
as intimate sexual relations, contraception, and marriage, but
abortion is fundamentally different, as both
Roe and
Casey acknowledged, because it destroys what those decisions
called “fetal life” and what the law now before us describes as an
“unborn human being.”[
13]
Stare decisis, the doctrine on which
Casey’s controlling opinion was based, does not compel
unending adherence to
Roe’s abuse of judicial authority.
Roe was egregiously wrong from the start. Its reasoning was
exceptionally weak, and the decision has had damaging consequences.
And far from bringing about a national settlement of the abortion
issue,
Roe and
Casey have enflamed debate and
deepened division.
It is time to heed the Constitution and return
the issue of abortion to the people’s elected representatives. “The
permissibility of abortion, and the limitations, upon it, are to be
resolved like most important questions in our democracy: by
citizens trying to persuade one another and then voting.”
Casey, 505 U. S., at 979 (Scalia, J., concurring in
judgment in part and dissenting in part). That is what the
Constitution and the rule of law demand.
I
The law at issue in this case, Mississippi’s
Gestational Age Act, see Miss. Code Ann. §41–41–191 (2018),
contains this central provision: “Except in a medical emergency or
in the case of a severe fetal abnormality, a person shall not
intentionally or knowingly perform . . . or induce an
abortion of an unborn human being if the probable gestational age
of the unborn human being has been determined to be greater than
fifteen (15) weeks.” §4(b).[
14]
To support this Act, the legislature made a
series of factual findings. It began by noting that, at the time of
enactment, only six countries besides the United States
“permit[ted] nontherapeutic or elective abortion-on-demand after
the twentieth week of gestation.”[
15] §2(a). The legislature then found that at 5 or 6
weeks’ gestational age an “unborn human being’s heart begins
beating”; at 8 weeks the “unborn human being begins to move about
in the womb”; at 9 weeks “all basic physiological functions are
present”; at 10 weeks “vital organs begin to function,” and
“[h]air, fingernails, and toenails . . . begin to form”;
at 11 weeks “an unborn human being’s diaphragm is developing,” and
he or she may “move about freely in the womb”; and at 12 weeks the
“unborn human being” has “taken on ‘the human form’ in all relevant
respects.” §2(b)(i) (quoting
Gonzales v.
Carhart,
550 U.S.
124, 160 (2007)). It found that most abortions after 15 weeks
employ “dilation and evacuation procedures which involve the use of
surgical instruments to crush and tear the unborn child,” and it
concluded that the “intentional commitment of such acts for
nontherapeutic or elective reasons is a barbaric practice,
dangerous for the maternal patient, and demeaning to the medical
profession.” §2(b)(i)(8).
Respondents are an abortion clinic, Jackson
Women’s Health Organization, and one of its doctors. On the day the
Gestational Age Act was enacted, respondents filed suit in Federal
District Court against various Mississippi officials, alleging that
the Act violated this Court’s precedents establishing a
constitutional right to abortion. The District Court granted
summary judgment in favor of respondents and permanently enjoined
enforcement of the Act, reasoning that “viability marks the
earliest point at which the State’s interest in fetal life is
constitutionally adequate to justify a legislative ban on
nontherapeutic abortions” and that 15 weeks’ gestational age is
“prior to viability.”
Jackson Women’s Health Org. v.
Currier, 349 F. Supp. 3d 536, 539–540 (SD Miss. 2019)
(internal quotation marks omitted). The Fifth Circuit affirmed. 945
F.3d 265 (2019).
We granted certiorari, 593 U. S. ___
(2021), to resolve the question whether “all pre-viability
prohibitions on elective abortions are unconstitutional,” Pet. for
Cert. i. Petitioners’ primary defense of the Mississippi
Gestational Age Act is that
Roe and
Casey were
wrongly decided and that “the Act is constitutional because it
satisfies rational-basis review.” Brief for Petitioners 49.
Respondents answer that allowing Mississippi to ban pre-viability
abortions “would be no different than overruling
Casey and
Roe entirely.” Brief for Respondents 43. They tell us that
“no half-measures” are available: We must either reaffirm or
overrule
Roe and
Casey. Brief for Respondents 50.
II
We begin by considering the critical question
whether the Constitution, properly understood, confers a right to
obtain an abortion. Skipping over that question, the controlling
opinion in
Casey reaffirmed
Roe’s “central holding”
based solely on the doctrine of
stare decisis, but as we
will explain, proper application of
stare decisis required
an assessment of the strength of the grounds on which
Roe
was based. See
infra, at 45–56.
We therefore turn to the question that the
Casey plurality did not consider, and we address that
question in three steps. First, we explain the standard that our
cases have used in determining whether the Fourteenth Amendment’s
reference to “liberty” protects a particular right. Second, we
examine whether the right at issue in this case is rooted in our
Nation’s history and tradition and whether it is an essential
component of what we have described as “ordered liberty.” Finally,
we consider whether a right to obtain an abortion is part of a
broader entrenched right that is supported by other precedents.
A
1
Constitutional analysis must begin with “the
language of the instrument,”
Gibbons v.
Ogden, 9
Wheat. 1, 186–189 (1824), which offers a “fixed standard” for
ascertaining what our founding document means, 1 J. Story,
Commentaries on the Constitution of the United States §399, p. 383
(1833). The Constitution makes no express reference to a right to
obtain an abortion, and therefore those who claim that it protects
such a right must show that the right is somehow implicit in the
constitutional text.
Roe, however, was remarkably loose in its
treatment of the constitutional text. It held that the abortion
right, which is not mentioned in the Constitution, is part of a
right to privacy, which is also not mentioned. See 410 U. S.,
at 152–153. And that privacy right,
Roe observed, had been
found to spring from no fewer than five different constitutional
provisions—the First, Fourth, Fifth, Ninth, and Fourteenth
Amendments.
Id., at 152.
The Court’s discussion left open at least three
ways in which some combination of these provisions could protect
the abortion right. One possibility was that the right was “founded
. . . in the Ninth Amendment’s reservation of rights to
the people.”
Id., at 153. Another was that the right was
rooted in the First, Fourth, or Fifth Amendment, or in some
combination of those provisions, and that this right had been
“incorporated” into the Due Process Clause of the Fourteenth
Amendment just as many other Bill of Rights provisions had by then
been incorporated.
Ibid; see also
McDonald v.
Chicago,
561 U.S.
742, 763–766 (2010) (majority opinion) (discussing
incorporation). And a third path was that the First, Fourth, and
Fifth Amendments played no role and that the right was simply a
component of the “liberty” protected by the Fourteenth Amendment’s
Due Process Clause.
Roe, 410 U. S., at 153.
Roe
expressed the “feel[ing]” that the Fourteenth Amendment was the
provision that did the work, but its message seemed to be that the
abortion right could be found
somewhere in the Constitution
and that specifying its exact location was not of paramount
importance.[
16] The
Casey Court did not defend this unfocused analysis and
instead grounded its decision solely on the theory that the right
to obtain an abortion is part of the “liberty” protected by the
Fourteenth Amendment’s Due Process Clause.
We discuss this theory in depth below, but
before doing so, we briefly address one additional constitutional
provision that some of respondents’
amici have now offered
as yet another potential home for the abortion right: the
Fourteenth Amendment’s Equal Protection Clause. See Brief for
United States as
Amicus Curiae 24 (Brief for United States);
see also Brief for Equal Protection Constitutional Law Scholars as
Amici Curiae. Neither
Roe nor
Casey saw fit to
invoke this theory, and it is squarely foreclosed by our
precedents, which establish that a State’s regulation of abortion
is not a sex-based classification and is thus not subject to the
“heightened scrutiny” that applies to such
classifications.[
17] The
regulation of a medical procedure that only one sex can undergo
does not trigger heightened constitutional scrutiny unless the
regulation is a “mere pretex[t] designed to effect an invidious
discrimination against members of one sex or the other.”
Geduldig v.
Aiello,
417 U.S.
484, 496, n. 20 (1974). And as the Court has stated, the “goal
of preventing abortion” does not constitute “invidiously
discriminatory animus” against women.
Bray v.
Alexandria
Women’s Health Clinic,
506 U.S.
263, 273–274 (1993) (internal quotation marks omitted).
Accordingly, laws regulating or prohibiting abortion are not
subject to heightened scrutiny. Rather, they are governed by the
same standard of review as other health and safety
measures.[
18]
With this new theory addressed, we turn to
Casey’s bold assertion that the abortion right is an aspect
of the “liberty” protected by the Due Process Clause of the
Fourteenth Amendment. 505 U. S., at 846; Brief for Respondents
17; Brief for United States 21–22.
2
The underlying theory on which this argument
rests—that the Fourteenth Amendment’s Due Process Clause provides
substantive, as well as procedural, protection for “liberty”—has
long been controversial. But our decisions have held that the Due
Process Clause protects two categories of substantive rights.
The first consists of rights guaranteed by the
first eight Amendments. Those Amendments originally applied only to
the Federal Government,
Barron ex rel. Tiernan v.
Mayor
of Baltimore, 7 Pet. 243, 247–251 (1833) (opinion for the Court
by Marshall, C. J.), but this Court has held that the Due
Process Clause of the Fourteenth Amendment “incorporates” the great
majority of those rights and thus makes them equally applicable to
the States. See
McDonald, 561 U. S., at 763–767, and
nn. 12–13. The second category—which is the one in question
here—comprises a select list of fundamental rights that are not
mentioned anywhere in the Constitution.
In deciding whether a right falls into either of
these categories, the Court has long asked whether the right is
“deeply rooted in [our] history and tradition” and whether it is
essential to our Nation’s “scheme of ordered liberty.”
Timbs
v.
Indiana, 586 U. S. ___, ___ (2019) (slip op., at 3)
(internal quotation marks omitted);
McDonald, 561
U. S., at 764, 767 (internal quotation marks omitted);
Glucksberg, 521 U. S., at 721 (internal quotation marks
omitted).[
19] And in
conducting this inquiry, we have engaged in a careful analysis of
the history of the right at issue.
Justice Ginsburg’s opinion for the Court in
Timbs is a recent example. In concluding that the Eighth
Amendment’s protection against excessive fines is “fundamental to
our scheme of ordered liberty” and “deeply rooted in this Nation’s
history and tradition,” 586 U. S., at ___ (slip op., at 7)
(internal quotation marks omitted), her opinion traced the right
back to Magna Carta, Blackstone’s Commentaries, and 35 of the 37
state constitutions in effect at the ratification of the Fourteenth
Amendment. 586 U. S., at ___–___ (slip op., at 3–7).
A similar inquiry was undertaken in
McDonald, which held that the Fourteenth Amendment protects
the right to keep and bear arms. The lead opinion surveyed the
origins of the Second Amendment, the debates in Congress about the
adoption of the Fourteenth Amendment, the state constitutions in
effect when that Amendment was ratified (at least 22 of the 37
States protected the right to keep and bear arms), federal laws
enacted during the same period, and other relevant historical
evidence. 561 U. S., at 767–777. Only then did the opinion
conclude that “the Framers and ratifiers of the Fourteenth
Amendment counted the right to keep and bear arms among those
fundamental rights necessary to our system of ordered liberty.”
Id., at 778; see also
id., at 822–850 (Thomas, J.,
concurring in part and concurring in judgment) (surveying history
and reaching the same result under the Fourteenth Amendment’s
Privileges or Immunities Clause).
Timbs and
McDonald concerned the
question whether the Fourteenth Amendment protects rights that are
expressly set out in the Bill of Rights, and it would be anomalous
if similar historical support were not required when a putative
right is not mentioned anywhere in the Constitution. Thus, in
Glucksberg, which held that the Due Process Clause does not
confer a right to assisted suicide, the Court surveyed more than
700 years of “Anglo-American common law tradition,” 521 U. S.,
at 711, and made clear that a fundamental right must be
“objectively, deeply rooted in this Nation’s history and
tradition,”
id., at 720–721.
Historical inquiries of this nature are
essential whenever we are asked to recognize a new component of the
“liberty” protected by the Due Process Clause because the term
“liberty” alone provides little guidance. “Liberty” is a capacious
term. As Lincoln once said: “We all declare for Liberty; but in
using the same word we do not all mean the same thing.”[
20] In a well-known essay, Isaiah
Berlin reported that “[h]istorians of ideas” had cataloged more
than 200 different senses in which the term had been used.[
21]
In interpreting what is meant by the Fourteenth
Amendment’s reference to “liberty,” we must guard against the
natural human tendency to confuse what that Amendment protects with
our own ardent views about the liberty that Americans should enjoy.
That is why the Court has long been “reluctant” to recognize rights
that are not mentioned in the Constitution.
Collins v.
Harker Heights,
503 U.S.
115, 125 (1992). “Substantive due process has at times been a
treacherous field for this Court,”
Moore v.
East
Cleveland,
431
U.S. 494, 503 (1977) (plurality opinion), and it has sometimes
led the Court to usurp authority that the Constitution entrusts to
the people’s elected representatives. See
Regents of Univ. of
Mich. v.
Ewing,
474 U.S.
214, 225–226 (1985). As the Court cautioned in
Glucksberg, “[w]e must . . . exercise the utmost
care whenever we are asked to break new ground in this field, lest
the liberty protected by the Due Process Clause be subtly
transformed into the policy preferences of the Members of this
Court.” 521 U. S., at 720 (internal quotation marks and
citation omitted).
On occasion, when the Court has ignored the
“[a]ppropriate limits” imposed by “ ‘respect for the teachings
of history,’ ”
Moore, 431 U. S., at 503 (plurality
opinion), it has fallen into the freewheeling judicial policymaking
that characterized discredited decisions such as
Lochner v.
New York,
198 U.S.
45 (1905). The Court must not fall prey to such an unprincipled
approach. Instead, guided by the history and tradition that map the
essential components of our Nation’s concept of ordered liberty, we
must ask what the
Fourteenth Amendment means by the term
“liberty.” When we engage in that inquiry in the present case, the
clear answer is that the Fourteenth Amendment does not protect the
right to an abortion.[
22]
B
1
Until the latter part of the 20th century,
there was no support in American law for a constitutional right to
obtain an abortion. No state constitutional provision had
recognized such a right. Until a few years before
Roe was
handed down, no federal or state court had recognized such a right.
Nor had any scholarly treatise of which we are aware. And although
law review articles are not reticent about advocating new rights,
the earliest article proposing a constitutional right to abortion
that has come to our attention was published only a few years
before
Roe.[
23]
Not only was there no support for such a
constitutional right until shortly before
Roe, but abortion
had long been a
crime in every single State. At common law,
abortion was criminal in at least some stages of pregnancy and was
regarded as unlawful and could have very serious consequences at
all stages. American law followed the common law until a wave of
statutory restrictions in the 1800s expanded criminal liability for
abortions. By the time of the adoption of the Fourteenth Amendment,
three-quarters of the States had made abortion a crime at any stage
of pregnancy, and the remaining States would soon follow.
Roe either ignored or misstated this
history, and
Casey declined to reconsider
Roe’s
faulty historical analysis. It is therefore important to set the
record straight.
2
a
We begin with the common law, under which
abortion was a crime at least after “quickening”—
i.e., the
first felt movement of the fetus in the womb, which usually occurs
between the 16th and 18th week of pregnancy.[
24]
The “eminent common-law authorities (Blackstone,
Coke, Hale, and the like),”
Kahler v.
Kansas, 589
U. S. ___, ___ (2020) (slip op., at 7),
all describe
abortion after quickening as criminal. Henry de Bracton’s
13th-century treatise explained that if a person has “struck a
pregnant woman, or has given her poison, whereby he has caused
abortion, if the foetus be already formed and animated, and
particularly if it be animated, he commits homicide.” 2 De Legibus
et Consuetudinibus Angliae 279 (T. Twiss ed. 1879); see also 1
Fleta, c. 23, reprinted in 72 Selden Soc. 60–61 (H. Richardson
& G. Sayles eds. 1955) (13th-century treatise).[
25]
Sir Edward Coke’s 17th-century treatise likewise
asserted that abortion of a quick child was “murder” if the “childe
be born alive” and a “great misprision” if the “childe dieth in her
body.” 3 Institutes of the Laws of England 50–51 (1644).
(“Misprision” referred to “some heynous offence under the degree of
felony.”
Id., at 139.) Two treatises by Sir Matthew Hale
likewise described abortion of a quick child who died in the womb
as a “great crime” and a “great misprision.” Pleas of the Crown 53
(P. Glazebrook ed. 1972); 1 History of the Pleas of the Crown 433
(1736) (Hale). And writing near the time of the adoption of our
Constitution, William Blackstone explained that abortion of a
“quick” child was “by the ancient law homicide or manslaughter”
(citing Bracton), and at least a very “heinous misdemeanor” (citing
Coke). 1 Commentaries on the Laws of England 129–130 (7th ed. 1775)
(Blackstone).
English cases dating all the way back to the
13th century corroborate the treatises’ statements that abortion
was a crime. See generally J. Dellapenna, Dispelling the Myths of
Abortion History 126, and n. 16, 134–142, 188–194, and nn. 84–86
(2006) (Dellapenna); J. Keown, Abortion, Doctors and the Law 3–12
(1988) (Keown). In 1732, for example, Eleanor Beare was convicted
of “destroying the Foetus in the Womb” of another woman and
“thereby causing her to miscarry.”[
26] For that crime and another “misdemeanor,” Beare was
sentenced to two days in the pillory and three years’
imprisonment.[
27]
Although a pre-quickening abortion was not
itself considered homicide, it does not follow that abortion was
permissible at common law—much less that abortion was a
legal
right. Cf.
Glucksberg, 521 U. S., at 713
(removal of “common law’s harsh sanctions did not represent an
acceptance of suicide”). Quite to the contrary, in the 1732 case
mentioned above, the judge said of the charge of abortion (with no
mention of quickening) that he had “never met with a case so
barbarous and unnatural.”[
28] Similarly, an indictment from 1602, which did not
distinguish between a pre-quickening and post-quickening abortion,
described abortion as “pernicious” and “against the peace of our
Lady the Queen, her crown and dignity.” Keown 7 (discussing
R. v.
Webb, Calendar of Assize Records, Surrey
Indictments 512 (1980)).
That the common law did not condone even pre-
quickening abortions is confirmed by what one might call a
proto-felony-murder rule. Hale and Blackstone explained a way in
which a pre-quickening abortion could rise to the level of a
homicide. Hale wrote that if a physician gave a woman “with
child
” a “potion” to cause an abortion, and the woman died,
it was “murder” because the potion was given “
unlawfully to
destroy her child within her.” 1 Hale 429–430 (emphasis added). As
Blackstone explained, to be “murder” a killing had to be done with
“malice aforethought, . . . either express or implied.” 4
Blackstone 198 (emphasis deleted). In the case of an abortionist,
Blackstone wrote, “the law will imply [malice]” for the same reason
that it would imply malice if a person who intended to kill one
person accidentally killed a different person:
“[I]f one shoots at A and misses
him, but kills B, this is murder; because of the previous
felonious intent, which the law transfers from one to the other.
The same is the case, where one lays poison for A; and B, against
whom the prisoner had no malicious intent, takes it, and it kills
him; this is likewise murder.
So also, if one gives
a
woman with child a medicine to procure abortion, and it
operates so violently as to kill the woman,
this is murder
in the person who gave it.”
Id., at 200–201 (emphasis added;
footnote omitted).[
29]
Notably, Blackstone, like Hale, did not state
that this proto-felony-murder rule required that the woman be “with
quick child”—only that she be “with child.”
Id., at 201. And
it is revealing that Hale and Blackstone treated abortionists
differently from
other physicians or surgeons who caused the
death of a patient “without any intent of doing [the patient] any
bodily hurt.” Hale 429; see 4 Blackstone 197. These other
physicians—even if “unlicensed”—would not be “guilty of murder or
manslaughter.” Hale 429. But a physician performing an abortion
would, precisely because his aim was an “unlawful” one.
In sum, although common-law authorities differed
on the severity of punishment for abortions committed at different
points in pregnancy, none endorsed the practice. Moreover, we are
aware of no common-law case or authority, and the parties have not
pointed to any, that remotely suggests a positive
right to
procure an abortion at any stage of pregnancy.
b
In this country, the historical record is
similar. The “most important early American edition of Blackstone’s
Commentaries,”
District of Columbia v.
Heller,
554 U.S.
570, 594 (2008), reported Blackstone’s statement that abortion
of a quick child was at least “a heinous misdemeanor,” 2 St. George
Tucker, Blackstone’s Commentaries 129–130 (1803), and that edition
also included Blackstone’s discussion of the proto-felony-murder
rule, 5
id., at 200–201. Manuals for justices of the peace
printed in the Colonies in the 18th century typically restated the
common-law rule on abortion, and some manuals repeated Hale’s and
Blackstone’s statements that anyone who prescribed medication
“unlawfully to destroy the child” would be guilty of murder if the
woman died. See,
e.g., J. Parker, Conductor Generalis 220
(1788); 2 R. Burn, Justice of the Peace, and Parish Officer 221–222
(7th ed. 1762) (English manual stating the same).[
30]
The few cases available from the early colonial
period corroborate that abortion was a crime. See generally
Dellapenna 215–228 (collecting cases). In Maryland in 1652, for
example, an indictment charged that a man “Murtherously endeavoured
to destroy or Murther the Child by him begotten in the Womb.”
Proprietary v.
Mitchell, 10 Md. Archives 80, 183
(1652) (W. Browne ed. 1891). And by the 19th century, courts
frequently explained that the common law made abortion of a quick
child a crime. See,
e.g.,
Smith v.
Gaffard, 31
Ala. 45, 51 (1857);
Smith v.
State, 33 Me. 48, 55
(1851);
State v.
Cooper, 22 N. J. L. 52, 52–55
(1849);
Commonwealth v.
Parker, 50 Mass. 263, 264–268
(1845).
c
The original ground for drawing a distinction
between pre- and post-quickening abortions is not entirely clear,
but some have attributed the rule to the difficulty of proving that
a pre-quickening fetus was alive. At that time, there were no
scientific methods for detecting pregnancy in its early
stages,[
31] and thus, as one
court put it in 1872: “[U]ntil the period of quickening there is no
evidence of life; and whatever may be said of the feotus,
the law has fixed upon this period of gestation as the time when
the child is endowed with life” because “foetal movements are the
first clearly marked and well defined
evidences of
life.”
Evans v.
People, 49 N.Y. 86, 90 (emphasis
added);
Cooper, 22 N. J. L., at 56 (“In
contemplation of law life commences at the moment of quickening, at
that moment when the embryo gives
the first physical proof of
life, no matter when it first received it” (emphasis
added)).
The Solicitor General offers a different
explanation of the basis for the quickening rule, namely, that
before quickening the common law did not regard a fetus “as having
a ‘separate and independent existence.’ ” Brief for United
States 26 (quoting
Parker, 50 Mass., at 266). But the case
on which the Solicitor General relies for this proposition also
suggested that the criminal law’s quickening rule was out of step
with the treatment of prenatal life in other areas of law, noting
that “to many purposes, in reference to civil rights, an infant
in ventre sa mere is regarded as a person in being.”
Ibid. (citing 1 Blackstone 129); see also
Evans, 49
N. Y., at 89;
Mills v.
Commonwealth, 13 Pa. 631,
633 (1850);
Morrow v.
Scott, 7 Ga. 535, 537 (1849);
Hall v.
Hancock, 32 Mass. 255, 258 (1834);
Thellusson v.
Woodford, 4 Ves. 227, 321–322, 31 Eng.
Rep. 117, 163 (1789).
At any rate, the original ground for the
quickening rule is of little importance for present purposes
because the rule was abandoned in the 19th century. During that
period, treatise writers and commentators criticized the quickening
distinction as “neither in accordance with the result of medical
experience, nor with the principles of the common law.” F. Wharton,
Criminal Law §1220, p. 606 (rev. 4th ed. 1857) (footnotes omitted);
see also J. Beck, Researches in Medicine and Medical Jurisprudence
26–28 (2d ed. 1835) (describing the quickening distinction as
“absurd” and “injurious”).[
32] In 1803, the British Parliament made abortion a crime
at all stages of pregnancy and authorized the imposition of severe
punishment. See Lord Ellenborough’s Act, 43 Geo. 3, c. 58 (1803).
One scholar has suggested that Parliament’s decision “may partly
have been attributable to the medical man’s concern that fetal life
should be protected by the law at all stages of gestation.” Keown
22.
In this country during the 19th century, the
vast majority of the States enacted statutes criminalizing abortion
at all stages of pregnancy. See Appendix A,
infra (listing
state statutory provisions in chronological order).[
33] By 1868, the year when the Fourteenth
Amendment was ratified, three-quarters of the States, 28 out of 37,
had enacted statutes making abortion a crime even if it was
performed before quickening.[
34] See
ibid. Of the nine States that had not yet
criminalized abortion at all stages, all but one did so by 1910.
See
ibid.
The trend in the Territories that would become
the last 13 States was similar: All of them criminalized abortion
at all stages of pregnancy between 1850 (the Kingdom of Hawaii) and
1919 (New Mexico). See Appendix B,
infra; see also
Casey, 505 U. S., at 952 (Rehnquist, C. J.,
concurring in judgment in part and dissenting in part); Dellapenna
317–319. By the end of the 1950s, according to the
Roe
Court’s own count, statutes in all but four States and the District
of Columbia prohibited abortion “however and whenever performed,
unless done to save or preserve the life of the mother.” 410
U. S., at 139.[
35]
This overwhelming consensus endured until the
day
Roe was decided. At that time, also by the
Roe
Court’s own count, a substantial majority—30 States—still
prohibited abortion at all stages except to save the life of the
mother. See
id., at 118, and n. 2 (listing States). And
though
Roe discerned a “trend toward liberalization” in
about “one-third of the States,” those States still criminalized
some abortions and regulated them more stringently than
Roe
would allow.
Id., at 140, and n. 37; Tribe 2. In short, the
“Court’s opinion in
Roe itself convincingly refutes the
notion that the abortion liberty is deeply rooted in the history or
tradition of our people.”
Thornburgh v.
American College
of Obstetricians and Gynecologists,
476
U.S. 747, 793 (1986) (White, J., dissenting).
d
The inescapable conclusion is that a right to
abortion is not deeply rooted in the Nation’s history and
traditions. On the contrary, an unbroken tradition of prohibiting
abortion on pain of criminal punishment persisted from the earliest
days of the common law until 1973. The Court in
Roe could
have said of abortion exactly what
Glucksberg said of
assisted suicide: “Attitudes toward [abortion] have changed since
Bracton, but our laws have consistently condemned, and continue to
prohibit, [that practice].” 521 U. S., at 719.
3
Respondents and their
amici have no
persuasive answer to this historical evidence.
Neither respondents nor the Solicitor General
disputes the fact that by 1868 the vast majority of States
criminalized abortion at all stages of pregnancy. See Brief for
Petitioners 12–13; see also Brief for American Historical
Association et al. as
Amici Curiae 27–28, and nn. 14–15
(conceding that 26 out of 37 States prohibited abortion before
quickening); Tr. of Oral Arg. 74–75 (respondents’ counsel conceding
the same). Instead, respondents are forced to argue that it “does
[not] matter that some States prohibited abortion at the time
Roe was decided or when the Fourteenth Amendment was
adopted.” Brief for Respondents 21. But that argument flies in the
face of the standard we have applied in determining whether an
asserted right that is nowhere mentioned in the Constitution is
nevertheless protected by the Fourteenth Amendment.
Not only are respondents and their
amici
unable to show that a constitutional right to abortion was
established when the Fourteenth Amendment was adopted, but they
have found no support for the existence of an abortion right that
predates the latter part of the 20th century—no state
constitutional provision, no statute, no judicial decision, no
learned treatise. The earliest sources called to our attention are
a few district court and state court decisions decided shortly
before
Roe and a small number of law review articles from
the same time period.[
36]
A few of respondents’
amici muster
historical arguments, but they are very weak. The Solicitor General
repeats
Roe’s claim that it is “ ‘doubtful’
. . . ‘abortion was ever firmly established as a
common-law crime even with respect to the destruction of a quick
fetus.’ ” Brief for United States 26 (quoting
Roe, 410
U. S., at 136). But as we have seen, great common-law
authorities like Bracton, Coke, Hale, and Blackstone all wrote that
a post-quickening abortion was a crime—and a serious one at that.
Moreover, Hale and Blackstone (and many other authorities following
them) asserted that even a pre-quickening abortion was “unlawful”
and that, as a result, an abortionist was guilty of murder if the
woman died from the attempt.
Instead of following these authorities,
Roe relied largely on two articles by a pro-abortion
advocate who claimed that Coke had intentionally misstated the
common law because of his strong anti-abortion views.[
37] These articles have been
discredited,[
38] and it has
come to light that even members of Jane Roe’s legal team did not
regard them as serious scholarship. An internal memorandum
characterized this author’s work as donning “the guise of impartial
scholarship while advancing the proper ideological goals.”[
39] Continued reliance on such
scholarship is unsupportable.
The Solicitor General next suggests that history
supports an abortion right because the common law’s failure to
criminalize abortion before quickening means that “at the Founding
and for decades thereafter, women generally could terminate a
pregnancy, at least in its early stages.”[
40] Brief for United States 26–27; see also Brief for
Respondents 21. But the insistence on quickening was not universal,
see
Mills, 13 Pa., at 633;
State v.
Slagle, 83
N. C. 630, 632 (1880), and regardless, the fact that many
States in the late 18th and early 19th century did not criminalize
pre-quickening abortions does not mean that anyone thought the
States lacked the authority to do so. When legislatures began to
exercise that authority as the century wore on, no one, as far as
we are aware, argued that the laws they enacted violated a
fundamental right. That is not surprising since common-law
authorities had repeatedly condemned abortion and described it as
an “unlawful” act without regard to whether it occurred before or
after quickening. See
supra, at 16–21.
Another
amicus brief relied upon by
respondents (see Brief for Respondents 21) tries to dismiss the
significance of the state criminal statutes that were in effect
when the Fourteenth Amendment was adopted by suggesting that they
were enacted for illegitimate reasons. According to this account,
which is based almost entirely on statements made by one prominent
proponent of the statutes, important motives for the laws were the
fear that Catholic immigrants were having more babies than
Protestants and that the availability of abortion was leading White
Protestant women to “shir[k their] maternal duties.” Brief for
American Historical Association et al. as
Amici Curiae
20.
Resort to this argument is a testament to the
lack of any real historical support for the right that
Roe
and
Casey recognized. This Court has long disfavored
arguments based on alleged legislative motives. See,
e.g.,
Erie v.
Pap’s A. M.,
529
U.S. 277, 292 (2000) (plurality opinion);
Turner
Broadcasting System, Inc. v.
FCC,
512 U.S.
622, 652 (1994);
United States v.
O’Brien,
391 U.S.
367, 383 (1968);
Arizona v.
California,
283 U.S.
423, 455 (1931) (collecting cases). The Court has recognized
that inquiries into legislative motives “are a hazardous matter.”
O’Brien, 391 U. S., at 383. Even when an argument about
legislative motive is backed by statements made by legislators who
voted for a law, we have been reluctant to attribute those motives
to the legislative body as a whole. “What motivates one legislator
to make a speech about a statute is not necessarily what motivates
scores of others to enact it.”
Id., at 384.
Here, the argument about legislative motive is
not even based on statements by legislators, but on statements made
by a few supporters of the new 19th-century abortion laws, and it
is quite a leap to attribute these motives to all the legislators
whose votes were responsible for the enactment of those laws.
Recall that at the time of the adoption of the Fourteenth
Amendment, over three-quarters of the States had adopted statutes
criminalizing abortion (usually at all stages of pregnancy), and
that from the early 20th century until the day
Roe was
handed down, every single State had such a law on its books. Are we
to believe that the hundreds of lawmakers whose votes were needed
to enact these laws were motivated by hostility to Catholics and
women?
There is ample evidence that the passage of
these laws was instead spurred by a sincere belief that abortion
kills a human being. Many judicial decisions from the late 19th and
early 20th centuries made that point. See,
e.g.,
Nash
v.
Meyer, 54 Idaho 283, 301, 31 P.2d 273, 280 (1934);
State v.
Ausplund, 86 Ore. 121, 131–132, 167 P. 1019,
1022–1023 (1917);
Trent v.
State, 15 Ala. App. 485,
488, 73 S. 834, 836 (1916);
State v.
Miller, 90 Kan.
230, 233, 133 P. 878, 879 (1913);
State v.
Tippie, 89
Ohio St. 35, 39–40, 105 N.E. 75, 77 (1913);
State v.
Gedicke, 43 N. J. L. 86, 90 (1881);
Dougherty v.
People, 1 Colo. 514, 522–523 (1873);
State v.
Moore, 25 Iowa 128, 131–132 (1868);
Smith, 33 Me., at 57; see also
Memphis Center for
Reproductive Health v.
Slatery, 14 F. 4th 409, 446, and
n. 11 (CA6 2021) (Thapar, J., concurring in judgment in part and
dissenting in part) (citing cases).
One may disagree with this belief (and our
decision is not based on any view about when a State should regard
prenatal life as having rights or legally cognizable interests),
but even
Roe and
Casey did not question the good
faith of abortion opponents. See,
e.g., Casey, 505
U. S., at 850 (“Men and women of good conscience can disagree
. . . about the profound moral and spiritual implications
of terminating a pregnancy even in its earliest stage”). And we see
no reason to discount the significance of the state laws in
question based on these
amici’s suggestions about
legislative motive.[
41]
C
1
Instead of seriously pressing the argument
that the abortion right itself has deep roots, supporters of
Roe and
Casey contend that the abortion right is an
integral part of a broader entrenched right.
Roe termed this
a right to privacy, 410 U. S., at 154, and
Casey
described it as the freedom to make “intimate and personal choices”
that are “central to personal dignity and autonomy,” 505
U. S., at 851.
Casey elaborated: “At the heart of
liberty is the right to define one’s own concept of existence, of
meaning, of the universe, and of the mystery of human life.”
Ibid.
The Court did not claim that this broadly framed
right is absolute, and no such claim would be plausible. While
individuals are certainly free
to think and
to
say what they wish about “existence,” “meaning,” the
“universe,” and “the mystery of human life,” they are not always
free
to act in accordance with those thoughts. License to
act on the basis of such beliefs may correspond to one of the many
understandings of “liberty,” but it is certainly not “ordered
liberty.”
Ordered liberty sets limits and defines the
boundary between competing interests.
Roe and
Casey
each struck a particular balance between the interests of a woman
who wants an abortion and the interests of what they termed
“potential life.”
Roe, 410 U. S., at 150 (emphasis
deleted);
Casey, 505 U. S., at 852. But the people of
the various States may evaluate those interests differently. In
some States, voters may believe that the abortion right should be
even more extensive than the right that
Roe and
Casey
recognized. Voters in other States may wish to impose tight
restrictions based on their belief that abortion destroys an
“unborn human being.” Miss. Code Ann. §41–41–191(4)(b). Our
Nation’s historical understanding of ordered liberty does not
prevent the people’s elected representatives from deciding how
abortion should be regulated.
Nor does the right to obtain an abortion have a
sound basis in precedent.
Casey relied on cases involving
the right to marry a person of a different race,
Loving v.
Virginia,
388 U.S. 1
(1967); the right to marry while in prison,
Turner v.
Safley,
482 U.S.
78 (1987); the right to obtain contraceptives,
Griswold
v.
Connecticut,
381 U.S.
479 (1965),
Eisenstadt v.
Baird,
405 U.S.
438 (1972),
Carey v.
Population Services Int’l,
431 U.S.
678 (1977); the right to reside with relatives,
Moore v.
East Cleveland,
431 U.S.
494 (1977); the right to make decisions about the education of
one’s children,
Pierce v.
Society of Sisters,
268 U.S.
510 (1925),
Meyer v.
Nebraska,
262 U.S.
390 (1923); the right not to be sterilized without consent,
Skinner v.
Oklahoma ex rel. Williamson,
316 U.S.
535 (1942); and the right in certain circumstances not to
undergo involuntary surgery, forced administration of drugs, or
other substantially similar procedures,
Winston v.
Lee,
470 U.S.
753 (1985),
Washington v
. Harper,
494 U.S.
210 (1990),
Rochin v.
California,
342 U.S.
165 (1952). Respondents and the Solicitor General also rely on
post-
Casey decisions like
Lawrence v.
Texas,
539 U.S.
558 (2003) (right to engage in private, consensual sexual
acts), and
Obergefell v.
Hodges, 576 U.S. 644 (2015)
(right to marry a person of the same sex). See Brief for
Respondents 18; Brief for United States 23–24.
These attempts to justify abortion through
appeals to a broader right to autonomy and to define one’s “concept
of existence” prove too much.
Casey, 505 U. S., at 851.
Those criteria, at a high level of generality, could license
fundamental rights to illicit drug use, prostitution, and the like.
See
Compassion in Dying v.
Washington,
85 F.3d 1440, 1444 (CA9 1996) (O’Scannlain, J., dissenting from
denial of rehearing en banc). None of these rights has any claim to
being deeply rooted in history.
Id., at 1440,
1445
.
What sharply distinguishes the abortion right
from the rights recognized in the cases on which
Roe and
Casey rely is something that both those decisions
acknowledged: Abortion destroys what those decisions call
“potential life” and what the law at issue in this case regards as
the life of an “unborn human being.” See
Roe, 410
U. S., at 159 (abortion is “inherently different”);
Casey, 505 U. S., at 852 (abortion is “a unique act”).
None of the other decisions cited by
Roe and
Casey
involved the critical moral question posed by abortion. They are
therefore inapposite. They do not support the right to obtain an
abortion, and by the same token, our conclusion that the
Constitution does not confer such a right does not undermine them
in any way.
2
In drawing this critical distinction between
the abortion right and other rights, it is not necessary to dispute
Casey’s claim (which we accept for the sake of argument)
that “the specific practices of States at the time of the adoption
of the Fourteenth Amendment” do not “mar[k] the outer limits of the
substantive sphere of liberty which the Fourteenth Amendment
protects.” 505 U. S., at 848. Abortion is nothing new. It has
been addressed by lawmakers for centuries, and the fundamental
moral question that it poses is ageless.
Defenders of
Roe and
Casey do not
claim that any new scientific learning calls for a different answer
to the underlying moral question, but they do contend that changes
in society require the recognition of a constitutional right to
obtain an abortion. Without the availability of abortion, they
maintain, people will be inhibited from exercising their freedom to
choose the types of relationships they desire, and women will be
unable to compete with men in the workplace and in other
endeavors.
Americans who believe that abortion should be
restricted press countervailing arguments about modern
developments. They note that attitudes about the pregnancy of
unmarried women have changed drastically; that federal and state
laws ban discrimination on the basis of pregnancy;[
42] that leave for pregnancy and childbirth
are now guaranteed by law in many cases;[
43] that the costs of medical care associated with
pregnancy are covered by insurance or government
assistance;[
44] that States
have increasingly adopted “safe haven” laws, which generally allow
women to drop off babies anonymously;[
45] and that a woman who puts her newborn up for adoption
today has little reason to fear that the baby will not find a
suitable home.[
46] They also
claim that many people now have a new appreciation of fetal life
and that when prospective parents who want to have a child view a
sonogram, they typically have no doubt that what they see is their
daughter or son.
Both sides make important policy arguments, but
supporters of
Roe and
Casey must show that this Court
has the authority to weigh those arguments and decide how abortion
may be regulated in the States. They have failed to make that
showing, and we thus return the power to weigh those arguments to
the people and their elected representatives.
D
1
The dissent is very candid that it cannot show
that a constitutional right to abortion has any foundation, let
alone a “ ‘deeply rooted’ ” one, “ ‘in this Nation’s
history and tradition.’ ”
Glucksberg, 521 U. S.,
at 721; see
post, at 12–14 (joint opinion of Breyer,
Sotomayor, and Kagan, JJ.). The dissent does not identify
any pre-
Roe authority that supports such a right—no
state constitutional provision or statute, no federal or state
judicial precedent, not even a scholarly treatise. Compare
post, at 12–14, n. 2, with
supra, at 15–16, and
n. 23. Nor does the dissent dispute the fact that abortion was
illegal at common law at least after quickening; that the 19th
century saw a trend toward criminalization of pre-quickening
abortions; that by 1868, a supermajority of States (at least 26 of
37) had enacted statutes criminalizing abortion at all stages of
pregnancy; that by the late 1950s at least 46 States prohibited
abortion “however and whenever performed” except if necessary to
save “the life of the mother,”
Roe, 410 U. S., at 139;
and that when
Roe was decided in 1973 similar statutes were
still in effect in 30 States. Compare
post, at 12–14, nn.
2–3, with
supra, at 23–25, and nn. 33–34.[
47]
The dissent’s failure to engage with this long
tradition is devastating to its position. We have held that the
“established method of substantive-due-process analysis” requires
that an unenumerated right be “ ‘deeply rooted in this
Nation’s history and tradition’ ” before it can be recognized
as a component of the “liberty” protected in the Due Process
Clause.
Glucksberg, 521 U. S., at 721; cf.
Timbs, 586 U. S., at ___ (slip op., at 7). But despite
the dissent’s professed fidelity to
stare decisis, it fails
to seriously engage with that important precedent—which it cannot
possibly satisfy.
The dissent attempts to obscure this failure by
misrepresenting our application of
Glucksberg. The dissent
suggests that we have focused only on “the legal status of abortion
in the 19th century,”
post, at 26, but our review of this
Nation’s tradition extends well past that period. As explained, for
more than a century after 1868—including “another half-century”
after women gained the constitutional right to vote in 1920, see
post, at 15; Amdt. 19—it was firmly established that laws
prohibiting abortion like the Texas law at issue in
Roe were
permissible exercises of state regulatory authority. And today,
another half century later, more than half of the States have asked
us to overrule
Roe and
Casey. The dissent cannot
establish that a right to abortion has
ever been part of
this Nation’s tradition.
2
Because the dissent cannot argue that the
abortion right is rooted in this Nation’s history and tradition, it
contends that the “constitutional tradition” is “not captured whole
at a single moment,” and that its “meaning gains content from the
long sweep of our history and from successive judicial precedents.”
Post, at 18 (internal quotation marks omitted). This vague
formulation imposes no clear restraints on what Justice White
called the “exercise of raw judicial power,”
Roe, 410
U. S., at 222 (dissenting opinion), and while the dissent
claims that its standard “does not mean anything goes,”
post, at 17, any real restraints are hard to discern.
The largely limitless reach of the dissenters’
standard is illustrated by the way they apply it here. First, if
the “long sweep of history” imposes any restraint on the
recognition of unenumerated rights, then
Roe was surely
wrong, since abortion was never allowed (except to save the life of
the mother) in a majority of States for over 100 years before that
decision was handed down. Second, it is impossible to defend
Roe based on prior precedent because all of the precedents
Roe cited, including
Griswold and
Eisenstadt,
were critically different for a reason that we have explained: None
of those cases involved the destruction of what
Roe called
“potential life.” See
supra, at 32.
So without support in history or relevant
precedent,
Roe’s reasoning cannot be defended even under the
dissent’s proposed test, and the dissent is forced to rely solely
on the fact that a constitutional right to abortion was recognized
in
Roe and later decisions that accepted
Roe’s
interpretation. Under the doctrine of
stare decisis, those
precedents are entitled to careful and respectful consideration,
and we engage in that analysis below. But as the Court has
reiterated time and time again, adherence to precedent is not
“ ‘an inexorable command.’ ”
Kimble v.
Marvel
Entertainment, LLC, 576 U.S. 446, 455 (2015). There are
occasions when past decisions should be overruled, and as we will
explain, this is one of them.
3
The most striking feature of the dissent is
the absence of any serious discussion of the legitimacy of the
States’ interest in protecting fetal life. This is evident in the
analogy that the dissent draws between the abortion right and the
rights recognized in
Griswold (contraception),
Eisenstadt (same),
Lawrence (sexual conduct with
member of the same sex)
, and
Obergefell (same-sex
marriage). Perhaps this is designed to stoke unfounded fear that
our decision will imperil those other rights, but the dissent’s
analogy is objectionable for a more important reason: what it
reveals about the dissent’s views on the protection of what
Roe called “potential life.” The exercise of the rights at
issue in
Griswold,
Eisenstadt,
Lawrence, and
Obergefell does not destroy a “potential life,” but an
abortion has that effect. So if the rights at issue in those cases
are fundamentally the same as the right recognized in
Roe
and
Casey, the implication is clear: The Constitution does
not permit the States to regard the destruction of a “potential
life” as a matter of any significance.
That view is evident throughout the dissent. The
dissent has much to say about the effects of pregnancy on women,
the burdens of motherhood, and the difficulties faced by poor
women. These are important concerns. However, the dissent evinces
no similar regard for a State’s interest in protecting prenatal
life. The dissent repeatedly praises the “balance,”
post, at
2, 6, 8, 10, 12, that the viability line strikes between a woman’s
liberty interest and the State’s interest in prenatal life. But for
reasons we discuss later, see
infra, at 50–54, 55–56, and
given in the opinion of The Chief Justice,
post, at 2–5
(opinion concurring in judgment), the viability line makes no
sense. It was not adequately justified in
Roe, and the
dissent does not even try to defend it today. Nor does it identify
any other point in a pregnancy after which a State is permitted to
prohibit the destruction of a fetus.
Our opinion is not based on any view about if
and when prenatal life is entitled to any of the rights enjoyed
after birth. The dissent, by contrast, would impose on the people a
particular theory about when the rights of personhood begin.
According to the dissent, the Constitution
requires the
States to regard a fetus as lacking even the most basic human
right—to live—at least until an arbitrary point in a pregnancy has
passed. Nothing in the Constitution or in our Nation’s legal
traditions authorizes the Court to adopt that “ ‘theory of
life.’ ”
Post, at 8.
III
We next consider whether the doctrine of
stare decisis counsels continued acceptance of
Roe
and
Casey.
Stare decisis plays an important role in
our case law, and we have explained that it serves many valuable
ends. It protects the interests of those who have taken action in
reliance on a past decision. See
Casey, 505 U. S., at
856 (joint opinion); see also
Payne v.
Tennessee,
501
U.S. 808, 828 (1991). It “reduces incentives for challenging
settled precedents, saving parties and courts the expense of
endless relitigation.”
Kimble, 576 U. S., at 455. It
fosters “evenhanded” decisionmaking by requiring that like cases be
decided in a like manner.
Payne, 501 U. S., at 827. It
“contributes to the actual and perceived integrity of the judicial
process.”
Ibid. And it restrains judicial hubris and reminds
us to respect the judgment of those who have grappled with
important questions in the past. “Precedent is a way of
accumulating and passing down the learning of past generations, a
font of established wisdom richer than what can be found in any
single judge or panel of judges.” N. Gorsuch, A Republic, If You
Can Keep It 217 (2019).
We have long recognized, however, that
stare
decisis is “not an inexorable command,”
Pearson v.
Callahan,
555 U.S.
223, 233 (2009) (internal quotation marks omitted), and it “is
at its weakest when we interpret the Constitution,”
Agostini
v.
Felton,
521
U.S. 203, 235 (1997). It has been said that it is sometimes
more important that an issue “ ‘be settled than that it be
settled right.’ ”
Kimble, 576 U. S., at 455
(quoting
Burnet v.
Coronado Oil & Gas Co.,
285 U.S.
393, 406 (1932) (Brandeis, J., dissenting)). But when it comes
to the interpretation of the Constitution—the “great charter of our
liberties,” which was meant “to endure through a long lapse of
ages,”
Martin v.
Hunter’s Lessee, 1 Wheat. 304, 326
(1816) (opinion for the Court by Story, J.)—we place a high value
on having the matter “settled right.” In addition, when one of our
constitutional decisions goes astray, the country is usually stuck
with the bad decision unless we correct our own mistake. An
erroneous constitutional decision can be fixed by amending the
Constitution, but our Constitution is notoriously hard to amend.
See Art. V;
Kimble, 576 U. S., at 456. Therefore, in
appropriate circumstances we must be willing to reconsider and, if
necessary, overrule constitutional decisions.
Some of our most important constitutional
decisions have overruled prior precedents. We mention three. In
Brown v.
Board of Education,
347
U.S. 483 (1954), the Court repudiated the “separate but equal”
doctrine, which had allowed States to maintain racially segregated
schools and other facilities.
Id., at 488 (internal
quotation marks omitted). In so doing, the Court overruled the
infamous decision in
Plessy v.
Ferguson,
163 U.S.
537 (1896), along with six other Supreme Court precedents that
had applied the separate-but-equal rule. See
Brown, 347
U. S., at 491.
In
West Coast Hotel Co. v.
Parrish,
300 U.S.
379 (1937), the Court overruled
Adkins v.
Children’s
Hospital of D. C.,
261 U.S.
525 (1923), which had held that a law setting minimum wages for
women violated the “liberty” protected by the Fifth Amendment’s Due
Process Clause.
Id., at 545.
West Coast Hotel
signaled the demise of an entire line of important precedents that
had protected an individual liberty right against state and federal
health and welfare legislation. See
Lochner v.
New
York,
198 U.S.
45 (1905) (holding invalid a law setting maximum working
hours);
Coppage v.
Kansas,
236 U.S.
1 (1915) (holding invalid a law banning contracts forbidding
employees to join a union);
Jay Burns Baking Co. v.
Bryan,
264 U.S.
504 (1924) (holding invalid laws fixing the weight of loaves of
bread).
Finally, in
West Virginia Bd. of Ed. v.
Barnette,
319 U.S.
624 (1943), after the lapse of only three years, the Court
overruled
Minersville School Dist. v.
Gobitis,
310 U.S.
586 (1940), and held that public school students could not be
compelled to salute the flag in violation of their sincere beliefs.
Barnette stands out because nothing had changed during the
intervening period other than the Court’s belated recognition that
its earlier decision had been seriously wrong.
On many other occasions, this Court has
overruled important constitutional decisions. (We include a partial
list in the footnote that follows.[
48]) Without these decisions, American constitutional law
as we know it would be unrecognizable, and this would be a
different country.
No Justice of this Court has ever argued that
the Court should
never overrule a constitutional decision,
but overruling a precedent is a serious matter. It is not a step
that should be taken lightly. Our cases have attempted to provide a
framework for deciding when a precedent should be overruled, and
they have identified factors that should be considered in making
such a decision.
Janus v.
State, County, and Municipal
Employees, 585 U. S. ___, ___–___ (2018) (slip op., at
34–35);
Ramos v.
Louisiana, 590 U. S. ___,
___–___ (2020) (Kavanaugh, J., concurring in part) (slip op., at
7–9).
In this case, five factors weigh strongly in
favor of overruling
Roe and
Casey: the nature of
their error, the quality of their reasoning, the “workability” of
the rules they imposed on the country, their disruptive effect on
other areas of the law, and the absence of concrete reliance.
A
The nature of the Court’s error. An
erroneous interpretation of the Constitution is always important,
but some are more damaging than others.
The infamous decision in
Plessy v.
Ferguson, was one such decision. It betrayed our commitment
to “equality before the law.” 163 U. S., at 562 (Harlan, J.,
dissenting). It was “egregiously wrong” on the day it was decided,
see
Ramos, 590 U. S., at ___ (opinion of Kavanaugh, J.)
(slip op., at 7), and as the Solicitor General agreed at oral
argument, it should have been overruled at the earliest
opportunity, see Tr. of Oral Arg. 92–93.
Roe was also egregiously wrong and deeply
damaging. For reasons already explained,
Roe’s
constitutional analysis was far outside the bounds of any
reasonable interpretation of the various constitutional provisions
to which it vaguely pointed.
Roe was on a collision course with the
Constitution from the day it was decided,
Casey perpetuated
its errors, and those errors do not concern some arcane corner of
the law of little importance to the American people. Rather,
wielding nothing but “raw judicial power,”
Roe, 410
U. S., at 222 (White, J., dissenting), the Court usurped the
power to address a question of profound moral and social importance
that the Constitution unequivocally leaves for the people.
Casey described itself as calling both sides of the national
controversy to resolve their debate, but in doing so,
Casey
necessarily declared a winning side. Those on the losing side—those
who sought to advance the State’s interest in fetal life—could no
longer seek to persuade their elected representatives to adopt
policies consistent with their views. The Court short-circuited the
democratic process by closing it to the large number of Americans
who dissented in any respect from
Roe. “
Roe fanned
into life an issue that has inflamed our national politics in
general, and has obscured with its smoke the selection of Justices
to this Court in particular, ever since.”
Casey, 505
U. S., at 995–996 (opinion of Scalia, J.). Together,
Roe and
Casey represent an error that cannot be
allowed to stand.
As the Court’s landmark decision in
West
Coast Hotel illustrates, the Court has previously overruled
decisions that wrongly removed an issue from the people and the
democratic process. As Justice White later explained, “decisions
that find in the Constitution principles or values that cannot
fairly be read into that document usurp the people’s authority, for
such decisions represent choices that the people have never made
and that they cannot disavow through corrective legislation. For
this reason, it is essential that this Court maintain the power to
restore authority to its proper possessors by correcting
constitutional decisions that, on reconsideration, are found to be
mistaken.”
Thornburgh, 476 U. S., at 787 (dissenting
opinion).
B
The quality of the reasoning. Under our
precedents, the quality of the reasoning in a prior case has an
important bearing on whether it should be reconsidered. See
Janus, 585 U. S., at ___ (slip op., at 38);
Ramos, 590 U. S., at ___–___ (opinion of Kavanaugh, J.)
(slip op., at 7–8). In Part II,
supra, we explained why
Roe was incorrectly decided, but that decision was more than
just wrong. It stood on exceptionally weak grounds.
Roe found that the Constitution
implicitly conferred a right to obtain an abortion, but it failed
to ground its decision in text, history, or precedent. It relied on
an erroneous historical narrative; it devoted great attention to
and presumably relied on matters that have no bearing on the
meaning of the Constitution; it disregarded the fundamental
difference between the precedents on which it relied and the
question before the Court; it concocted an elaborate set of rules,
with different restrictions for each trimester of pregnancy, but it
did not explain how this veritable code could be teased out of
anything in the Constitution, the history of abortion laws, prior
precedent, or any other cited source; and its most important rule
(that States cannot protect fetal life prior to “viability”) was
never raised by any party and has never been plausibly explained.
Roe’s reasoning quickly drew scathing scholarly criticism,
even from supporters of broad access to abortion.
The
Casey plurality, while reaffirming
Roe’s central holding
, pointedly refrained from
endorsing most of its reasoning. It revised the textual basis for
the abortion right, silently abandoned
Roe’s erroneous
historical narrative, and jettisoned the trimester framework. But
it replaced that scheme with an arbitrary “undue burden” test and
relied on an exceptional version of
stare decisis that, as
explained below, this Court had never before applied and has never
invoked since.
1
a
The weaknesses in
Roe’s reasoning are
well-known. Without any grounding in the constitutional text,
history, or precedent, it imposed on the entire country a detailed
set of rules much like those that one might expect to find in a
statute or regulation. See 410 U. S., at 163–164. Dividing
pregnancy into three trimesters, the Court imposed special rules
for each. During the first trimester, the Court announced, “the
abortion decision and its effectuation must be left to the medical
judgment of the pregnant woman’s attending physician.”
Id.,
at 164. After that point, a State’s interest in regulating abortion
for the sake of a woman’s health became compelling, and
accordingly, a State could “regulate the abortion procedure in ways
that are reasonably related to maternal health.”
Ibid.
Finally, in “the stage subsequent to viability,” which in 1973
roughly coincided with the beginning of the third trimester, the
State’s interest in “the potentiality of human life” became
compelling, and therefore a State could “regulate, and even
proscribe, abortion except where it is necessary, in appropriate
medical judgment, for the preservation of the life or health of the
mother.”
Id., at 164–165.
This elaborate scheme was the Court’s own
brainchild. Neither party advocated the trimester framework; nor
did either party or any
amicus argue that “viability” should
mark the point at which the scope of the abortion right and a
State’s regulatory authority should be substantially transformed.
See Brief for Appellant and Brief for Appellee in
Roe v.
Wade, O. T. 1972, No. 70–18; see also C. Forsythe, Abuse of
Discretion: The Inside Story of
Roe v.
Wade 127, 141
(2012).
b
Not only did this scheme resemble the work of
a legislature, but the Court made little effort to explain how
these rules could be deduced from any of the sources on which
constitutional decisions are usually based. We have already
discussed
Roe’s treatment of constitutional text, and the
opinion failed to show that history, precedent, or any other cited
source supported its scheme.
Roe featured a lengthy survey of history,
but much of its discussion was irrelevant, and the Court made no
effort to explain why it was included. For example, multiple
paragraphs were devoted to an account of the views and practices of
ancient civilizations where infanticide was widely accepted. See
410 U. S., at 130–132 (discussing ancient Greek and Roman
practices).[
49] When it came
to the most important historical fact—how the States regulated
abortion when the Fourteenth Amendment was adopted—the Court said
almost nothing. It allowed that States had tightened their abortion
laws “in the middle and late 19th century,”
id., at 139, but
it implied that these laws might have been enacted not to protect
fetal life but to further “a Victorian social concern” about
“illicit sexual conduct,”
id., at 148.
Roe’s failure even to note the
overwhelming consensus of state laws in effect in 1868 is striking,
and what it said about the common law was simply wrong. Relying on
two discredited articles by an abortion advocate, the Court
erroneously suggested—contrary to Bracton, Coke, Hale, Blackstone,
and a wealth of other authority—that the common law had probably
never really treated post-quickening abortion as a crime. See
id., at 136 (“[I]t now appear[s] doubtful that abortion was
ever firmly established as a common-law crime even with respect to
the destruction of a quick fetus”). This erroneous understanding
appears to have played an important part in the Court’s thinking
because the opinion cited “the lenity of the common law” as one of
the four factors that informed its decision.
Id., at
165.
After surveying history, the opinion spent many
paragraphs conducting the sort of fact-finding that might be
undertaken by a legislative committee. This included a lengthy
account of the “position of the American Medical Association” and
“[t]he position of the American Public Health Association,” as well
as the vote by the American Bar Association’s House of Delegates in
February 1972 on proposed abortion legislation.
Id., at 141,
144, 146 (emphasis deleted). Also noted were a British judicial
decision handed down in 1939 and a new British abortion law enacted
in 1967.
Id., at 137–138. The Court did not explain why
these sources shed light on the meaning of the Constitution, and
not one of them adopted or advocated anything like the scheme that
Roe imposed on the country.
Finally, after all this, the Court turned to
precedent. Citing a broad array of cases, the Court found support
for a constitutional “right of personal privacy,”
id., at
152, but it conflated two very different meanings of the term: the
right to shield information from disclosure and the right to make
and implement important personal decisions without governmental
interference. See
Whalen v.
Roe,
429 U.S.
589, 599–600 (1977). Only the cases involving this second sense
of the term could have any possible relevance to the abortion
issue, and some of the cases in that category involved personal
decisions that were obviously very, very far afield. See
Pierce,
268 U.S.
510 (right to send children to religious school);
Meyer,
262 U.S.
390 (right to have children receive German language
instruction).
What remained was a handful of cases having
something to do with marriage,
Loving,
388 U.S. 1
(right to marry a person of a different race), or procreation,
Skinner,
316 U.S.
535 (right not to be sterilized);
Griswold,
381 U.S.
479 (right of married persons to obtain contraceptives);
Eisenstadt,
405 U.S.
438 (same, for unmarried persons). But none of these decisions
involved what is distinctive about abortion: its effect on what
Roe termed “potential life.”
When the Court summarized the basis for the
scheme it imposed on the country, it asserted that its rules were
“consistent with” the following: (1) “the relative weights of the
respective interests involved,” (2) “the lessons and examples of
medical and legal history,” (3) “the lenity of the common law,” and
(4) “the demands of the profound problems of the present day.”
Roe, 410 U. S.
, at 165. Put aside the second and
third factors, which were based on the Court’s flawed account of
history, and what remains are precisely the sort of considerations
that legislative bodies often take into account when they draw
lines that accommodate competing interests. The scheme
Roe
produced
looked like legislation, and the Court provided the
sort of explanation that might be expected from a legislative
body.
c
What
Roe did not provide was any cogent
justification for the lines it drew. Why, for example, does a State
have no authority to regulate first trimester abortions for the
purpose of protecting a woman’s health? The Court’s only
explanation was that mortality rates for abortion at that stage
were lower than the mortality rates for childbirth.
Id., at
163. But the Court did not explain why mortality rates were the
only factor that a State could legitimately consider. Many health
and safety regulations aim to avoid adverse health consequences
short of death. And the Court did not explain why it departed from
the normal rule that courts defer to the judgments of legislatures
“in areas fraught with medical and scientific uncertainties.”
Marshall v.
United States,
414
U.S. 417, 427 (1974).
An even more glaring deficiency was
Roe’s
failure to justify the critical distinction it drew between pre-
and post-viability abortions. Here is the Court’s entire
explanation:
“With respect to the State’s important and
legitimate interest in potential life, the ‘compelling’ point is at
viability. This is so because the fetus then presumably has the
capability of meaningful life outside the womb.” 410 U. S., at
163.
As Professor Laurence Tribe has written,
“[c]learly, this mistakes ‘a definition for a syllogism.’ ”
Tribe 4 (quoting Ely 924). The definition of a “viable” fetus is
one that is capable of surviving outside the womb, but why is this
the point at which the State’s interest becomes compelling? If, as
Roe held, a State’s interest in protecting prenatal life is
compelling “after viability,” 410 U. S., at 163, why isn’t
that interest “equally compelling before viability”?
Webster
v.
Reproductive Health Services,
492
U.S. 490, 519 (1989) (plurality opinion) (quoting
Thornburgh, 476 U. S., at 795 (White, J., dissenting)).
Roe did not say, and no explanation is apparent.
This arbitrary line has not found much support
among philosophers and ethicists who have attempted to justify a
right to abortion. Some have argued that a fetus should not be
entitled to legal protection until it acquires the characteristics
that they regard as defining what it means to be a “person.” Among
the characteristics that have been offered as essential attributes
of “personhood” are sentience, self-awareness, the ability to
reason, or some combination thereof.[
50] By this logic, it would be an open question whether
even born individuals, including young children or those afflicted
with certain developmental or medical conditions, merit protection
as “persons.” But even if one takes the view that “personhood”
begins when a certain attribute or combination of attributes is
acquired, it is very hard to see why viability should mark the
point where “personhood” begins.
The most obvious problem with any such argument
is that viability is heavily dependent on factors that have nothing
to do with the characteristics of a fetus. One is the state of
neonatal care at a particular point in time. Due to the development
of new equipment and improved practices, the viability line has
changed over the years. In the 19th century, a fetus may not have
been viable until the 32d or 33d week of pregnancy or even
later.[
51] When
Roe
was decided, viability was gauged at roughly 28 weeks. See 410
U. S., at 160. Today, respondents draw the line at 23 or 24
weeks. Brief for Respondents 8. So, according to
Roe’s
logic, States now have a compelling interest in protecting a fetus
with a gestational age of, say, 26 weeks, but in 1973 States did
not have an interest in protecting an identical fetus. How can that
be?
Viability also depends on the “quality of the
available medical facilities.”
Colautti v.
Franklin,
439
U.S. 379, 396 (1979). Thus, a 24-week-old fetus may be viable
if a woman gives birth in a city with hospitals that provide
advanced care for very premature babies, but if the woman travels
to a remote area far from any such hospital, the fetus may no
longer be viable. On what ground could the constitutional status of
a fetus depend on the pregnant woman’s location? And if viability
is meant to mark a line having universal moral significance, can it
be that a fetus that is viable in a big city in the United States
has a privileged moral status not enjoyed by an identical fetus in
a remote area of a poor country?
In addition, as the Court once explained,
viability is not really a hard-and-fast line.
Ibid. A
physician determining a particular fetus’s odds of surviving
outside the womb must consider “a number of variables,” including
“gestational age,” “fetal weight,” a woman’s “general health and
nutrition,” the “quality of the available medical facilities,” and
other factors.
Id., at 395–396. It is thus “only with
difficulty” that a physician can estimate the “probability” of a
particular fetus’s survival.
Id., at 396. And even if each
fetus’s probability of survival could be ascertained with
certainty, settling on a “probabilit[y] of survival” that should
count as “viability” is another matter.
Ibid. Is a fetus
viable with a 10 percent chance of survival? 25 percent? 50
percent? Can such a judgment be made by a State? And can a State
specify a gestational age limit that applies in all cases? Or must
these difficult questions be left entirely to the individual
“attending physician on the particular facts of the case before
him”?
Id., at 388.
The viability line, which
Casey termed
Roe’s central rule, makes no sense, and it is telling that
other countries almost uniformly eschew such a line.[
52] The Court thus asserted raw judicial
power to impose, as a matter of constitutional law, a uniform
viability rule that allowed the States less freedom to regulate
abortion than the majority of western democracies enjoy.
d
All in all,
Roe’s reasoning was
exceedingly weak, and academic commentators, including those who
agreed with the decision as a matter of policy, were unsparing in
their criticism. John Hart Ely famously wrote that
Roe was
“not constitutional law and g[ave] almost no sense of an obligation
to try to be.” Ely 947 (emphasis deleted). Archibald Cox, who
served as Solicitor General under President Kennedy, commented that
Roe “read[s] like a set of hospital rules and regulations”
that “[n]either historian, layman, nor lawyer will be persuaded
. . . are part of . . . the Constitution.” The
Role of the Supreme Court in American Government 113–114 (1976).
Laurence Tribe wrote that “even if there is a need to divide
pregnancy into several segments with lines that clearly identify
the limits of governmental power, ‘interest-balancing’ of the form
the Court pursues fails to justify any of the lines actually
drawn.” Tribe 4–5. Mark Tushnet termed
Roe a “totally
unreasoned judicial opinion.” Red, White, and Blue: A Critical
Analysis of Constitutional Law 54 (1988). See also P. Bobbitt,
Constitutional Fate 157 (1982); A. Amar, Foreword: The Document and
the Doctrine, 114 Harv. L. Rev. 26, 110 (2000).
Despite
Roe’s weaknesses, its reach was
steadily extended in the years that followed. The Court struck down
laws requiring that second-trimester abortions be performed only in
hospitals,
Akron v.
Akron Center for Reproductive Health,
Inc.,
462
U.S. 416, 433–439 (1983); that minors obtain parental consent,
Planned Parenthood of Central Mo. v.
Danforth,
428 U.S.
52, 74 (1976); that women give written consent after being
informed of the status of the developing prenatal life and the
risks of abortion,
Akron, 462 U. S., at 442–445; that
women wait 24 hours for an abortion,
id., at 449–451; that a
physician determine viability in a particular manner,
Colautti, 439 U. S., at 390–397; that a physician
performing a post-viability abortion use the technique most likely
to preserve the life of the fetus,
id., at 397–401; and that
fetal remains be treated in a humane and sanitary manner,
Akron, 462 U. S., at 451–452.
Justice White complained that the Court was
engaging in “unrestrained imposition of its own extraconstitutional
value preferences.”
Thornburgh, 476 U. S., at 794
(dissenting opinion). And the United States as
amicus curiae
asked the Court to overrule
Roe five times in the decade
before
Casey, see 505 U. S., at 844 (joint opinion),
and then asked the Court to overrule it once more in
Casey
itself.
2
When
Casey revisited
Roe almost
20 years later, very little of
Roe’s reasoning was defended
or preserved. The Court abandoned any reliance on a privacy right
and instead grounded the abortion right entirely on the Fourteenth
Amendment’s Due Process Clause. 505 U. S., at 846. The Court
did not reaffirm
Roe’s erroneous account of abortion
history. In fact, none of the Justices in the majority said
anything about the history of the abortion right
. And as for
precedent, the Court relied on essentially the same body of cases
that
Roe had cited. Thus, with respect to the standard
grounds for constitutional decisionmaking—text, history, and
precedent—
Casey did not attempt to bolster
Roe’s
reasoning.
The Court also made no real effort to remedy one
of the greatest weaknesses in
Roe’s analysis: its
much-criticized discussion of viability. The Court retained what it
called
Roe’s “central holding”—that a State may not regulate
pre-viability abortions for the purpose of protecting fetal
life—but it provided no principled defense of the viability line.
505 U. S.
, at 860, 870–871. Instead, it merely
rephrased what
Roe had said, stating that viability marked
the point at which “the independent existence of a second life can
in reason and fairness be the object of state protection that now
overrides the rights of the woman.” 505 U. S., at 870. Why
“reason and fairness” demanded that the line be drawn at viability
the Court did not explain. And the Justices who authored the
controlling opinion conspicuously failed to say that they agreed
with the viability rule; instead, they candidly acknowledged “the
reservations [some] of us may have in reaffirming [that] holding of
Roe.”
Id., at 853.
The controlling opinion criticized and rejected
Roe’s trimester scheme, 505 U. S., at 872, and
substituted a new “undue burden” test, but the basis for this test
was obscure. And as we will explain, the test is full of
ambiguities and is difficult to apply.
Casey, in short, either refused to
reaffirm or rejected important aspects of
Roe’s analysis,
failed to remedy glaring deficiencies in
Roe’s reasoning,
endorsed what it termed
Roe’s central holding while
suggesting that a majority might not have thought it was correct,
provided no new support for the abortion right other than
Roe’s status as precedent, and imposed a new and problematic
test with no firm grounding in constitutional text, history, or
precedent.
As discussed below,
Casey also deployed a
novel version of the doctrine of
stare decisis. See
infra, at 64–69. This new doctrine did not account for the
profound wrongness of the decision in
Roe, and placed great
weight on an intangible form of reliance with little if any basis
in prior case law.
Stare decisis does not command the
preservation of such a decision.
C
Workability. Our precedents counsel
that another important consideration in deciding whether a
precedent should be overruled is whether the rule it imposes is
workable—that is, whether it can be understood and applied in a
consistent and predictable manner.
Montejo v.
Louisiana,
556
U.S. 778, 792 (2009);
Patterson v.
McLean Credit
Union,
491 U.S.
164, 173 (1989);
Gulfstream Aerospace Corp. v.
Mayacamas Corp.,
485 U.S.
271, 283–284 (1988).
Casey’s “undue burden” test has
scored poorly on the workability scale.
1
Problems begin with the very concept of an
“undue burden.” As Justice Scalia noted in his
Casey partial
dissent, determining whether a burden is “due” or “undue” is
“inherently standardless.” 505 U. S., at 992; see also
June
Medical Services L. L. C. v.
Russo, 591 U. S. ___,
___ (2020) (Gorsuch, J., dissenting) (slip op., at 17) (“[W]hether
a burden is deemed undue depends heavily on which factors the judge
considers and how much weight he accords each of them” (internal
quotation marks and alterations omitted)).
The
Casey plurality tried to put meaning
into the “undue burden” test by setting out three subsidiary rules,
but these rules created their own problems. The first rule is that
“a provision of law is invalid, if its purpose or effect is to
place a
substantial obstacle in the path of a woman seeking
an abortion before the fetus attains viability.” 505 U. S., at
878 (emphasis added); see also
id., at 877. But whether a
particular obstacle qualifies as “substantial” is often open to
reasonable debate. In the sense relevant here, “substantial” means
“of ample or considerable amount, quantity, or size.” Random House
Webster’s Unabridged Dictionary 1897 (2d ed. 2001). Huge burdens
are plainly “substantial,” and trivial ones are not, but in between
these extremes, there is a wide gray area.
This ambiguity is a problem, and the second
rule, which applies at all stages of a pregnancy, muddies things
further. It states that measures designed “to ensure that the
woman’s choice is informed” are constitutional so long as they do
not impose “an undue burden on the right.”
Casey, 505
U. S., at 878. To the extent that this rule applies to
pre-viability abortions, it overlaps with the first rule and
appears to impose a different standard. Consider a law that imposes
an insubstantial obstacle but serves little purpose. As applied to
a pre-viability abortion, would such a regulation be constitutional
on the ground that it does not impose a “
substantial
obstacle”? Or would it be unconstitutional on the ground that it
creates an “
undue burden” because the burden it imposes,
though slight, outweighs its negligible benefits?
Casey does
not say, and this ambiguity would lead to confusion down the line.
Compare
June Medical, 591 U. S., at ___–___ (plurality
opinion) (slip op., at 1–2), with
id., at ___–___ (Roberts,
C. J., concurring) (slip op., at 5–6).
The third rule complicates the picture even
more. Under that rule,
“[u]nnecessary health regulations
that have the purpose or effect of presenting a
substantial
obstacle to a woman seeking an abortion impose an
undue
burden on the right.”
Casey, 505 U. S., at 878
(emphasis added). This rule contains no fewer than three vague
terms. It includes the two already discussed—“undue burden” and
“substantial obstacle”—even though they are inconsistent. And it
adds a third ambiguous term when it refers to “
unnecessary
health regulations.” The term “necessary” has a range of
meanings—from “essential” to merely “useful.” See Black’s Law
Dictionary 928 (5th ed. 1979); American Heritage Dictionary of the
English Language 877 (1971).
Casey did not explain the sense
in which the term is used in this rule.
In addition to these problems, one more applies
to all three rules. They all call on courts to examine a law’s
effect on women, but a regulation may have a very different impact
on different women for a variety of reasons, including their places
of residence, financial resources, family situations, work and
personal obligations, knowledge about fetal development and
abortion, psychological and emotional disposition and condition,
and the firmness of their desire to obtain abortions. In order to
determine whether a regulation presents a substantial obstacle to
women, a court needs to know which set of women it should have in
mind and how many of the women in this set must find that an
obstacle is “substantial.”
Casey provided no clear answer to these
questions. It said that a regulation is unconstitutional if it
imposes a substantial obstacle “in a large fraction of cases in
which [it] is relevant,” 505 U. S., at 895, but there is
obviously no clear line between a fraction that is “large” and one
that is not. Nor is it clear what the Court meant by “cases in
which” a regulation is “relevant.” These ambiguities have caused
confusion and disagreement. Compare
Whole Woman’s Health v.
Hellerstedt, 579 U.S. 582, 627–628 (2016), with
id.,
at 666–667, and n. 11 (Alito, J., dissenting).
2
The difficulty of applying
Casey’s new
rules surfaced in that very case. The controlling opinion found
that Pennsylvania’s 24-hour waiting period requirement and its
informed-consent provision did not impose “undue burden[s],”
Casey, 505 U. S., at 881–887, but Justice Stevens,
applying the same test, reached the opposite result,
id., at
920–922 (opinion concurring in part and dissenting in part). That
did not bode well, and then-Chief Justice Rehnquist aptly observed
that “the undue burden standard presents nothing more workable than
the trimester framework.”
Id., at 964–966 (dissenting
opinion).
The ambiguity of the “undue burden” test also
produced disagreement in later cases. In
Whole Woman’s
Health, the Court adopted the cost-benefit interpretation of
the test, stating that “[t]he rule announced in
Casey
. . . requires that courts consider the burdens a law
imposes on abortion access
together with the benefits those laws
confer.” 579 U. S., at 607 (emphasis added). But five
years later, a majority of the Justices rejected that
interpretation. See
June Medical, 591 U. S. ___. Four
Justices reaffirmed
Whole Woman’s Health’s instruction to
“weigh” a law’s “benefits” against “the burdens it imposes on
abortion access.” 591 U. S., at ___ (plurality opinion) (slip
op., at 2) (internal quotation marks omitted). But The Chief
Justice—who cast the deciding vote—argued that “[n]othing about
Casey suggested that a weighing of costs and benefits of an
abortion regulation was a job for the courts.”
Id., at ___
(opinion concurring in judgment) (slip op., at 6). And the four
Justices in dissent rejected the plurality’s interpretation of
Casey. See 591 U. S., at ___ (opinion of Alito, J.,
joined in relevant part by Thomas, Gorsuch, and Kavanaugh, JJ.)
(slip op., at 4);
id., at ___–___ (opinion of Gorsuch, J.)
(slip op., at 15–18);
id., at ___–___ (opinion of Kavanaugh,
J.) (slip op., at 1–2) (“[F]ive Members of the Court reject the
Whole Woman’s Health cost-benefit standard”).
This Court’s experience applying
Casey
has confirmed Chief Justice Rehnquist’s prescient diagnosis that
the undue-burden standard was “not built to last.”
Casey,
505 U. S., at 965 (opinion concurring in judgment in part and
dissenting in part).
3
The experience of the Courts of Appeals
provides further evidence that
Casey’s “line between”
permissible and unconstitutional restrictions “has proved to be
impossible to draw with precision.”
Janus, 585 U. S.,
at ___ (slip op., at 38).
Casey has generated a long list of
Circuit conflicts. Most recently, the Courts of Appeals have
disagreed about whether the balancing test from
Whole Woman’s
Health correctly states the undue-burden framework.[
53] They have disagreed on the
legality of parental notification rules.[
54] They have disagreed about bans on certain dilation
and evacuation procedures.[
55] They have disagreed about when an increase in the
time needed to reach a clinic constitutes an undue burden.[
56] And they have disagreed on
whether a State may regulate abortions performed because of the
fetus’s race, sex, or disability.[
57]
The Courts of Appeals have experienced
particular difficulty in applying the
large-fraction-of-relevant-cases test. They have criticized the
assignment while reaching unpredictable results.[
58] And they have candidly outlined
Casey’s many other problems.[
59]
Casey’s “undue burden” test has proved to
be unworkable. “[P]lucked from nowhere,” 505 U. S., at 965
(opinion of Rehnquist, C. J.), it “seems calculated to
perpetuate give-it-a-try litigation” before judges assigned an
unwieldy and inappropriate task.
Lehnert v.
Ferris
Faculty Assn.,
500 U.S.
507, 551 (1991) (Scalia, J., concurring in judgment in part and
dissenting in part). Continued adherence to that standard would
undermine, not advance, the “evenhanded, predictable, and
consistent development of legal principles.”
Payne, 501
U. S., at 827.
D
Effect on other areas of law.
Roe and
Casey have led to the distortion of many
important but unrelated legal doctrines, and that effect provides
further support for overruling those decisions. See
Ramos,
590 U. S., at ___ (opinion of Kavanaugh, J.) (slip op., at 8);
Janus, 585 U. S., at ___ (slip op., at 34).
Members of this Court have repeatedly lamented
that “no legal rule or doctrine is safe from ad hoc nullification
by this Court when an occasion for its application arises in a case
involving state regulation of abortion.”
Thornburgh, 476
U. S., at 814 (O’Connor, J., dissenting); see
Madsen v.
Women’s Health Center, Inc.,
512 U.S.
753, 785 (1994) (Scalia, J., concurring in judgment in part and
dissenting in part);
Whole Woman’s Health, 579 U. S.,
at 631–633 (Thomas, J., dissenting);
id., at 645–666,
678–684 (Alito, J., dissenting);
June Medical, 591
U. S., at ___–___ (Gorsuch, J., dissenting) (slip op., at
1–15).
The Court’s abortion cases have diluted the
strict standard for facial constitutional challenges.[
60] They have ignored the Court’s
third-party standing doctrine.[
61] They have disregarded standard
res judicata
principles.[
62] They have
flouted the ordinary rules on the severability of unconstitutional
provisions,[
63] as well as
the rule that statutes should be read where possible to avoid
unconstitutionality.[
64] And
they have distorted First Amendment doctrines.[
65]
When vindicating a doctrinal innovation requires
courts to engineer exceptions to longstanding background rules, the
doctrine “has failed to deliver the ‘principled and intelligible’
development of the law that
stare decisis purports to
secure.”
Id., at ___ (Thomas, J., dissenting) (slip op., at
19) (quoting
Vasquez v.
Hillery,
474 U.S.
254, 265 (1986)).
E
Reliance interests. We last consider
whether overruling
Roe and
Casey will upend
substantial reliance interests. See
Ramos, 590 U. S.,
at ___ (opinion of Kavanaugh, J.) (slip op., at 15);
Janus,
585 U. S., at ___–___ (slip op., at 34–35).
1
Traditional reliance interests arise “where
advance planning of great precision is most obviously a necessity.”
Casey, 505 U. S., at 856 (joint opinion); see also
Payne, 501 U. S., at 828. In
Casey, the
controlling opinion conceded that those traditional reliance
interests were not implicated because getting an abortion is
generally “unplanned activity,” and “reproductive planning could
take virtually immediate account of any sudden restoration of state
authority to ban abortions.” 505 U. S., at 856. For these
reasons, we agree with the
Casey plurality that
conventional, concrete reliance interests are not present here.
2
Unable to find reliance in the conventional
sense, the controlling opinion in
Casey perceived a more
intangible form of reliance. It wrote that “people [had] organized
intimate relationships and made choices that define their views of
themselves and their places in society . . . in reliance
on the availability of abortion in the event that contraception
should fail” and that “[t]he ability of women to participate
equally in the economic and social life of the Nation has been
facilitated by their ability to control their reproductive lives.”
Ibid. But this Court is ill-equipped to assess “generalized
assertions about the national psyche.”
Id., at 957 (opinion
of Rehnquist, C. J.).
Casey’s notion of reliance thus
finds little support in our cases, which instead emphasize very
concrete reliance interests, like those that develop in “cases
involving property and contract rights.”
Payne, 501
U. S., at 828.
When a concrete reliance interest is asserted,
courts are equipped to evaluate the claim, but assessing the novel
and intangible form of reliance endorsed by the
Casey
plurality is another matter. That form of reliance depends on an
empirical question that is hard for anyone—and in particular, for a
court—to assess, namely, the effect of the abortion right on
society and in particular on the lives of women. The contending
sides in this case make impassioned and conflicting arguments about
the effects of the abortion right on the lives of women. Compare
Brief for Petitioners 34–36; Brief for Women Scholars et al. as
Amici Curiae 13–20, 29–41, with Brief for Respondents 36–41;
Brief for National Women’s Law Center et al. as
Amici Curiae
15–32. The contending sides also make conflicting arguments about
the status of the fetus. This Court has neither the authority nor
the expertise to adjudicate those disputes, and the
Casey
plurality’s speculations and weighing of the relative importance of
the fetus and mother represent a departure from the “original
constitutional proposition” that “courts do not substitute their
social and economic beliefs for the judgment of legislative
bodies.”
Ferguson v.
Skrupa,
372
U.S. 726, 729–730 (1963).
Our decision returns the issue of abortion to
those legislative bodies, and it allows women on both sides of the
abortion issue to seek to affect the legislative process by
influencing public opinion, lobbying legislators, voting, and
running for office. Women are not without electoral or political
power. It is noteworthy that the percentage of women who register
to vote and cast ballots is consistently higher than the percentage
of men who do so.[
66] In the
last election in November 2020, women, who make up around 51.5
percent of the population of Mississippi,[
67] constituted 55.5 percent of the voters who cast
ballots.[
68]
3
Unable to show concrete reliance on
Roe
and
Casey themselves, the Solicitor General suggests that
overruling those decisions would “threaten the Court’s precedents
holding that the Due Process Clause protects other rights.” Brief
for United States 26 (citing
Obergefell, 576 U.S. 644;
Lawrence,
539 U.S.
558;
Griswold, 381 U. S. 479). That is not correct
for reasons we have already discussed. As even the
Casey
plurality recognized, “[a]bortion is a unique act” because it
terminates “life or potential life.” 505 U. S., at 852; see
also
Roe, 410 U. S., at 159 (abortion is “inherently
different from marital intimacy,” “marriage,” or “procreation”).
And to ensure that our decision is not misunderstood or
mischaracterized, we emphasize that our decision concerns the
constitutional right to abortion and no other right. Nothing in
this opinion should be understood to cast doubt on precedents that
do not concern abortion.
IV
Having shown that traditional
stare
decisis factors do not weigh in favor of retaining
Roe
or
Casey, we must address one final argument that featured
prominently in the
Casey plurality opinion.
The argument was cast in different terms, but
stated simply, it was essentially as follows. The American people’s
belief in the rule of law would be shaken if they lost respect for
this Court as an institution that decides important cases based on
principle, not “social and political pressures.” 505 U. S., at
865
. There is a special danger that the public will perceive
a decision as having been made for unprincipled reasons when the
Court overrules a controversial “watershed” decision, such as
Roe. 505 U. S., at 866–867. A decision overruling
Roe would be perceived as having been made “under fire” and
as a “surrender to political pressure,” 505 U. S., at 867, and
therefore the preservation of public approval of the Court weighs
heavily in favor of retaining
Roe, see 505 U. S., at
869.
This analysis starts out on the right foot but
ultimately veers off course. The
Casey plurality was
certainly right that it is important for the public to perceive
that our decisions are based on principle, and we should make every
effort to achieve that objective by issuing opinions that carefully
show how a proper understanding of the law leads to the results we
reach. But we cannot exceed the scope of our authority under the
Constitution, and we cannot allow our decisions to be affected by
any extraneous influences such as concern about the public’s
reaction to our work. Cf.
Texas v.
Johnson,
491 U.S.
397 (1989);
Brown,
347
U.S. 483. That is true both when we initially decide a
constitutional issue
and when we consider whether to
overrule a prior decision. As Chief Justice Rehnquist explained,
“The Judicial Branch derives its legitimacy, not from following
public opinion, but from deciding by its best lights whether
legislative enactments of the popular branches of Government
comport with the Constitution. The doctrine of
stare decisis
is an adjunct of this duty, and should be no more subject to the
vagaries of public opinion than is the basic judicial task.”
Casey, 505 U. S., at 963 (opinion concurring in
judgment in part and dissenting in part). In suggesting otherwise,
the
Casey plurality went beyond this Court’s role in our
constitutional system.
The
Casey plurality “call[ed] the
contending sides of a national controversy to end their national
division,” and claimed the authority to impose a permanent
settlement of the issue of a constitutional abortion right simply
by saying that the matter was closed.
Id., at 867. That
unprecedented claim exceeded the power vested in us by the
Constitution. As Alexander Hamilton famously put it, the
Constitution gives the judiciary “neither Force nor Will.” The
Federalist No. 78, p. 523 (J. Cooke ed. 1961). Our sole authority
is to exercise “judgment”—which is to say, the authority to judge
what the law means and how it should apply to the case at hand.
Ibid. The Court has no authority to decree that an erroneous
precedent is
permanently exempt from evaluation under
traditional
stare decisis principles. A precedent of this
Court is subject to the usual principles of
stare decisis
under which adherence to precedent is the norm but not an
inexorable command. If the rule were otherwise, erroneous decisions
like
Plessy and
Lochner would still be the law. That
is not how
stare decisis operates.
The
Casey plurality also misjudged the
practical limits of this Court’s influence.
Roe certainly
did not succeed in ending division on the issue of abortion. On the
contrary,
Roe “inflamed” a national issue that has remained
bitterly divisive for the past half century.
Casey, 505
U. S., at 995 (opinion of Scalia, J.); see also R. Ginsburg,
Speaking in a Judicial Voice, 67 N. Y. U. L. Rev. 1185,
1208 (1992) (
Roe may have “halted a political process,”
“prolonged divisiveness,” and “deferred stable settlement of the
issue”). And for the past 30 years,
Casey has done the
same.
Neither decision has ended debate over the issue
of a constitutional right to obtain an abortion. Indeed, in this
case, 26 States expressly ask us to overrule
Roe and
Casey and to return the issue of abortion to the people and
their elected representatives. This Court’s inability to end debate
on the issue should not have been surprising. This Court cannot
bring about the permanent resolution of a rancorous national
controversy simply by dictating a settlement and telling the people
to move on. Whatever influence the Court may have on public
attitudes must stem from the strength of our opinions, not an
attempt to exercise “raw judicial power.”
Roe, 410
U. S., at 222 (White, J., dissenting).
We do not pretend to know how our political
system or society will respond to today’s decision overruling
Roe and
Casey. And even if we could foresee what will
happen, we would have no authority to let that knowledge influence
our decision. We can only do our job, which is to interpret the
law, apply longstanding principles of
stare decisis, and
decide this case accordingly.
We therefore hold that the Constitution does not
confer a right to abortion.
Roe and
Casey must be
overruled, and the authority to regulate abortion must be returned
to the people and their elected representatives.
V
A
1
The dissent argues that we have “abandon[ed]”
stare decisis,
post, at 30, but we have done no such
thing, and it is the dissent’s understanding of
stare
decisis that breaks with tradition. The dissent’s foundational
contention is that the Court should never (or perhaps almost never)
overrule an egregiously wrong constitutional precedent unless the
Court can “poin[t] to major legal or factual changes undermining
[the] decision’s original basis.”
Post, at 37. To support
this contention, the dissent claims that
Brown v.
Board
of Education,
347
U.S. 483, and other landmark cases overruling prior precedents
“responded to changed law and to changed facts and attitudes that
had taken hold throughout society.”
Post, at 43. The
unmistakable implication of this argument is that only the passage
of time and new developments justified those decisions. Recognition
that the cases they overruled were egregiously wrong on the day
they were handed down was not enough.
The Court has never adopted this strange new
version of
stare decisis—and with good reason. Does the
dissent really maintain that overruling
Plessy was not
justified until the country had experienced more than a
half-century of state-sanctioned segregation and generations of
Black school children had suffered all its effects?
Post, at
44–45.
Here is another example. On the dissent’s view,
it must have been wrong for
West Virginia Bd. of Ed. v.
Barnette,
319 U.S.
624, to overrule
Minersville School Dist. v
.
Gobitis,
310 U.S.
586, a bare three years after it was handed down. In both
cases, children who were Jehovah’s Witnesses refused on religious
grounds to salute the flag or recite the pledge of allegiance. The
Barnette Court did not claim that its reexamination of the
issue was prompted by any intervening legal or factual
developments, so if the Court had followed the dissent’s new
version of
stare decisis, it would have been compelled to
adhere to
Gobitis and countenance continued First Amendment
violations for some unspecified period.
Precedents should be respected, but sometimes
the Court errs, and occasionally the Court issues an important
decision that is egregiously wrong. When that happens,
stare
decisis is not a straitjacket. And indeed, the dissent
eventually admits that a decision
could “be overruled just
because it is terribly wrong,” though the dissent does not explain
when that would be so.
Post, at 45.
2
Even if the dissent were correct in arguing
that an egregiously wrong decision should (almost) never be
overruled unless its mistake is later highlighted by “major legal
or factual changes,” reexamination of
Roe and
Casey
would be amply justified. We have already mentioned a number of
post-
Casey developments, see
supra, at 33–34, 59–63,
but the most profound change may be the failure of the
Casey
plurality’s call for “the contending sides” in the controversy
about abortion “to end their national division,” 505 U. S., at
867. That has not happened, and there is no reason to think that
another decision sticking with
Roe would achieve what
Casey could not.
The dissent, however, is undeterred. It contends
that the “very controversy surrounding
Roe and
Casey”
is an important
stare decisis consideration that requires
upholding those precedents. See
post, at 55–57. The dissent
characterizes
Casey as a “precedent about precedent” that is
permanently shielded from further evaluation under traditional
stare decisis principles. See
post, at 57. But as we
have explained,
Casey broke new ground when it treated the
national controversy provoked by
Roe as a ground for
refusing to reconsider that decision, and no subsequent case has
relied on that factor. Our decision today simply applies
longstanding
stare decisis factors instead of applying a
version of the doctrine that seems to apply only in abortion
cases.
3
Finally, the dissent suggests that our
decision calls into question
Griswold,
Eisenstadt,
Lawrence, and
Obergefell.
Post, at 4–5, 26–27,
n. 8. But we have stated unequivocally that “[n]othing in this
opinion should be understood to cast doubt on precedents that do
not concern abortion.”
Supra, at 66. We have also explained
why that is so: rights regarding contraception and same-sex
relationships are inherently different from the right to abortion
because the latter (as we have stressed) uniquely involves what
Roe and
Casey termed “potential life.”
Roe,
410 U. S., at 150 (emphasis deleted);
Casey, 505
U. S., at 852. Therefore, a right to abortion cannot be
justified by a purported analogy to the rights recognized in those
other cases or by “appeals to a broader right to autonomy.”
Supra, at 32. It is hard to see how we could be clearer.
Moreover, even putting aside that these cases are distinguishable,
there is a further point that the dissent ignores: Each precedent
is subject to its own
stare decisis analysis, and the
factors that our doctrine instructs us to consider like reliance
and workability are different for these cases than for our abortion
jurisprudence.
B
1
We now turn to the concurrence in the
judgment, which reproves us for deciding whether
Roe and
Casey should be retained or overruled. That opinion (which
for convenience we will call simply “the concurrence”) recommends a
“more measured course,” which it defends based on what it claims is
“a straightforward
stare decisis analysis.”
Post, at
1 (opinion of Roberts, C. J.). The concurrence would “leave
for another day whether to reject any right to an abortion at all,”
post, at 7, and would hold only that if the Constitution
protects any such right, the right ends once women have had “a
reasonable opportunity” to obtain an abortion,
post, at 1.
The concurrence does not specify what period of time is sufficient
to provide such an opportunity, but it would hold that 15 weeks,
the period allowed under Mississippi’s law, is enough—at least
“absent rare circumstances.”
Post, at 2, 10.
There are serious problems with this approach,
and it is revealing that nothing like it was recommended by either
party. As we have recounted, both parties and the Solicitor General
have urged us either to reaffirm or overrule
Roe and
Casey. See
supra, at 4–5. And when the specific
approach advanced by the concurrence was broached at oral argument,
both respondents and the Solicitor General emphatically rejected
it. Respondents’ counsel termed it “completely unworkable” and
“less principled and less workable than viability.” Tr. of Oral
Arg. 54. The Solicitor General argued that abandoning the viability
line would leave courts and others with “no continued guidance.”
Id., at 101. What is more, the concurrence has not
identified any of the more than 130
amicus briefs filed in
this case that advocated its approach. The concurrence would do
exactly what it criticizes
Roe for doing: pulling “out of
thin air” a test that “[n]o party or
amicus asked the Court
to adopt.”
Post, at 3.
2
The concurrence’s most fundamental defect is
its failure to offer any principled basis for its approach. The
concurrence would “discar[d]” “the rule from
Roe and
Casey that a woman’s right to terminate her pregnancy
extends up to the point that the fetus is regarded as ‘viable’
outside the womb.”
Post, at 2. But this rule was a critical
component of the holdings in
Roe and
Casey, and
stare decisis is “a doctrine of preservation, not
transformation,”
Citizens United v.
Federal Election
Comm’n,
558
U.S. 310, 384 (2010) (Roberts, C. J., concurring).
Therefore, a new rule that discards the viability rule cannot be
defended on
stare decisis grounds.
The concurrence concedes that its approach would
“not be available” if “the rationale of
Roe and
Casey
were inextricably entangled with and dependent upon the viability
standard.”
Post, at 7. But the concurrence asserts that the
viability line is separable from the constitutional right they
recognized, and can therefore be “discarded” without disturbing any
past precedent.
Post, at 7–8. That is simply incorrect.
Roe’s trimester rule was expressly tied
to viability, see 410 U. S., at 163–164, and viability played
a critical role in later abortion decisions. For example, in
Planned Parenthood of Central Mo. v.
Danforth,
428 U.S.
52, the Court reiterated
Roe’s rule that a “State may
regulate an abortion to protect the life of the fetus and even may
proscribe abortion” at “the stage
subsequent to viability.”
428 U. S., at 61 (emphasis added). The Court then rejected a
challenge to Missouri’s definition of viability, holding that the
State’s definition was consistent with
Roe’s. 428
U. S., at 63–64. If viability was not an essential part of the
rule adopted in
Roe, the Court would have had no need to
make that comparison.
The holding in
Colautti v.
Franklin,
439 U.S.
379, is even more instructive. In that case, the Court noted
that prior cases had “stressed viability” and reiterated that
“[v]iability is the critical point” under
Roe. 439
U. S., at 388–389. It then struck down Pennsylvania’s
definition of viability,
id., at 389–394, and it is hard to
see how the Court could have done that if
Roe’s discussion
of viability was not part of its holding.
When the Court reconsidered
Roe in
Casey, it left no doubt about the importance of the
viability rule. It described the rule as
Roe’s “central
holding,” 505 U. S., at 860, and repeatedly stated that the
right it reaffirmed was “the right of the woman to choose to have
an abortion
before viability.”
Id., at 846 (emphasis
added). See
id., at 871 (“The woman’s right to terminate her
pregnancy
before viability is the most central principle of
Roe v.
Wade. It is a rule of law and a component of
liberty we cannot renounce” (emphasis added));
id., at 872
(A “woman has a right to choose to terminate or continue her
pregnancy
before viability” (emphasis added));
id.,
at 879 (“[A] State may not prohibit any woman from making the
ultimate decision to terminate her pregnancy
before
viability” (emphasis added)).
Our subsequent cases have continued to recognize
the centrality of the viability rule. See
Whole Women’s
Health, 579 U. S., at 589–590 (“[A] provision of law is
constitutionally invalid, if the ‘purpose or effect’ of the
provision ‘is to place a substantial obstacle in the path of a
woman seeking an abortion
before the fetus attains
viability’ ” (emphasis deleted and added));
id., at
627 (“[W]e now use
‘viability’ as the relevant point at
which a State may begin limiting women’s access to abortion for
reasons unrelated to maternal health” (emphasis added)).
Not only is the new rule proposed by the
concurrence inconsistent with
Casey’s unambiguous
“language,”
post, at 8, it is also contrary to the judgment
in that case and later abortion cases. In
Casey, the Court
held that Pennsylvania’s spousal-notification provision was
facially unconstitutional, not just that it was unconstitutional as
applied to abortions sought prior to the time when a woman has had
a reasonable opportunity to choose. See 505 U. S., at 887–898.
The same is true of
Whole Women’s Health, which held that
certain rules that required physicians performing abortions to have
admitting privileges at a nearby hospital were facially
unconstitutional because they placed “a substantial obstacle in the
path of women seeking
a previability abortion.” 579
U. S., at 591 (emphasis added).
For all these reasons,
stare decisis
cannot justify the new “reasonable opportunity” rule propounded by
the concurrence. If that rule is to become the law of the land, it
must stand on its own, but the concurrence makes no attempt to show
that this rule represents a correct interpretation of the
Constitution. The concurrence does not claim that the right to a
reasonable opportunity to obtain an abortion is “ ‘deeply
rooted in this Nation’s history and tradition’ ” and
“ ‘implicit in the concept of ordered liberty.’ ”
Glucksberg, 521 U. S., at 720–721. Nor does it propound
any other theory that could show that the Constitution supports its
new rule. And if the Constitution protects a woman’s right to
obtain an abortion, the opinion does not explain why that right
should end after the point at which all “reasonable” women will
have decided whether to seek an abortion. While the concurrence is
moved by a desire for judicial minimalism, “we cannot embrace a
narrow ground of decision simply because it is narrow; it must also
be right.”
Citizens United, 558 U. S., at 375 (Roberts,
C. J., concurring). For the reasons that we have explained,
the concurrence’s approach is not.
3
The concurrence would “leave for another day
whether to reject any right to an abortion at all,”
post, at
7, but “another day” would not be long in coming. Some States have
set deadlines for obtaining an abortion that are shorter than
Mississippi’s. See,
e.g.,
Memphis Center for Reproductive
Health v.
Slatery, 14 F. 4th, at 414 (considering law
with bans “at cascading intervals of two to three weeks” beginning
at six weeks), reh’g en banc granted, 14 F. 4th 550 (CA6 2021). If
we held only that Mississippi’s 15-week rule is constitutional, we
would soon be called upon to pass on the constitutionality of a
panoply of laws with shorter deadlines or no deadline at all. The
“measured course” charted by the concurrence would be fraught with
turmoil until the Court answered the question that the concurrence
seeks to defer.
Even if the Court ultimately adopted the new
rule suggested by the concurrence, we would be faced with the
difficult problem of spelling out what it means. For example, if
the period required to give women a “reasonable” opportunity to
obtain an abortion were pegged, as the concurrence seems to
suggest, at the point when a certain percentage of women make that
choice, see
post, at 1–2, 9–10, we would have to identify
the relevant percentage. It would also be necessary to explain what
the concurrence means when it refers to “rare circumstances” that
might justify an exception.
Post, at 10. And if this new
right aims to give women a reasonable opportunity to get an
abortion, it would be necessary to decide whether factors other
than promptness in deciding might have a bearing on whether such an
opportunity was available.
In sum, the concurrence’s quest for a middle way
would only put off the day when we would be forced to confront the
question we now decide. The turmoil wrought by
Roe and
Casey would be prolonged. It is far better—for this Court
and the country—to face up to the real issue without further
delay.
VI
We must now decide what standard will govern
if state abortion regulations undergo constitutional challenge and
whether the law before us satisfies the appropriate standard.
A
Under our precedents, rational-basis review is
the appropriate standard for such challenges. As we have explained,
procuring an abortion is not a fundamental constitutional right
because such a right has no basis in the Constitution’s text or in
our Nation’s history. See
supra, at 8–39.
It follows that the States may regulate abortion
for legitimate reasons, and when such regulations are challenged
under the Constitution, courts cannot “substitute their social and
economic beliefs for the judgment of legislative bodies.”
Ferguson, 372 U. S., at 729–730; see also
Dandridge v.
Williams,
397 U.S.
471, 484–486 (1970);
United States v.
Carolene
Products Co.,
304 U.S.
144, 152 (1938). That respect for a legislature’s judgment
applies even when the laws at issue concern matters of great social
significance and moral substance. See,
e.g., Board of
Trustees of Univ. of Ala. v.
Garrett,
531 U.S.
356, 365–368 (2001) (“treatment of the disabled”);
Glucksberg, 521 U. S., at 728 (“assisted suicide”);
San Antonio Independent School Dist. v.
Rodriguez,
411 U.S.
1, 32–35, 55 (1973) (“financing public education”).
A law regulating abortion, like other health and
welfare laws, is entitled to a “strong presumption of validity.”
Heller v.
Doe,
509 U.S.
312, 319 (1993). It must be sustained if there is a rational
basis on which the legislature could have thought that it would
serve legitimate state interests.
Id., at 320;
FCC v.
Beach Communications,
Inc.,
508
U.S. 307, 313 (1993);
New Orleans v.
Dukes,
427 U.S.
297, 303 (1976) (
per curiam);
Williamson v.
Lee Optical of Okla., Inc.,
348 U.S.
483, 491 (1955). These legitimate interests include respect for
and preservation of prenatal life at all stages of development,
Gonzales, 550 U. S., at 157–158; the protection of
maternal health and safety; the elimination of particularly
gruesome or barbaric medical procedures; the preservation of the
integrity of the medical profession; the mitigation of fetal pain;
and the prevention of discrimination on the basis of race, sex, or
disability. See
id., at 156–157;
Roe, 410 U. S.,
at 150; cf.
Glucksberg, 521 U. S., at 728–731
(identifying similar interests).
B
These legitimate interests justify
Mississippi’s Gestational Age Act. Except “in a medical emergency
or in the case of a severe fetal abnormality,” the statute
prohibits abortion “if the probable gestational age of the unborn
human being has been determined to be greater than fifteen (15)
weeks.” Miss. Code Ann. §41–41–191(4)(b). The Mississippi
Legislature’s findings recount the stages of “human prenatal
development” and assert the State’s interest in “protecting the
life of the unborn.” §2(b)(i). The legislature also found that
abortions performed after 15 weeks typically use the dilation and
evacuation procedure, and the legislature found the use of this
procedure “for nontherapeutic or elective reasons [to be] a
barbaric practice, dangerous for the maternal patient, and
demeaning to the medical profession.” §2(b)(i)(8); see also
Gonzales, 550 U. S., at 135–143 (describing such
procedures). These legitimate interests provide a rational basis
for the Gestational Age Act, and it follows that respondents’
constitutional challenge must fail.
VII
We end this opinion where we began. Abortion
presents a profound moral question. The Constitution does not
prohibit the citizens of each State from regulating or prohibiting
abortion.
Roe and
Casey arrogated that authority. We
now overrule those decisions and return that authority to the
people and their elected representatives.
The judgment of the Fifth Circuit is reversed,
and the case is remanded for further proceedings consistent with
this opinion.
It is so ordered.
APPENDICES
A
This appendix contains statutes criminalizing
abortion at all stages of pregnancy in the States existing in 1868.
The statutes appear in chronological order.
1. Missouri (1825):
Sec. 12. “That every person who shall
wilfully and maliciously administer or cause to be administered to
or taken by any person, any poison, or other noxious, poisonous or
destructive substance or liquid, with an intention to harm him or
her thereby to murder, or thereby
to cause or procure the
miscarriage of any woman then being with child, and shall
thereof be duly convicted, shall suffer imprisonment not exceeding
seven years, and be fined not exceeding three thousand
dollars.”[
69]
2. Illinois (1827):
Sec. 46. “Every person who shall wilfully
and maliciously administer, or cause to be administered to, or
taken by any person, any poison, or other noxious or destructive
substance or liquid, with an intention to cause the death of such
person,
or to procure the miscarriage of any woman, then being
with child, and shall thereof be duly convicted, shall be
imprisoned for a term not exceeding three years, and be fined in a
sum not exceeding one thousand dollars.” [
70]
3. New York (1828):
Sec. 9. “Every person who shall administer
to any woman pregnant with a quick child, any medicine, drug
or substance whatever, or shall use or employ any instrument or
other means, with intent thereby to destroy such child, unless the
same shall have been necessary to preserve the life of such mother,
or shall have been advised by two physicians to be necessary for
such purpose, shall, in case the death of such child or of such
mother be thereby produced, be deemed guilty of manslaughter in the
second degree.”
Sec. 21. “Every person who shall willfully
administer
to any pregnant woman, any medicine, drug,
substance or thing whatever, or shall use or employ any instrument
of other means whatever, with intent thereby to procure the
miscarriage of any such woman, unless the same shall have been
necessary to preserve the life of such woman, or shall have been
advised by two physicians to be necessary for that purpose; shall,
upon conviction, be punished by imprisonment in a county jail not
more than one year, or by fine not exceeding five hundred dollars,
or by both such fine and imprisonment.”[
71]
4. Ohio (1834):
Sec. 1. “Be it enacted by the General
Assembly of State of Ohio, That any physician, or other person, who
shall wilfully administer
to any pregnant woman any
medicine, drug, substance, or thing whatever, or shall use any
instrument or other means whatever, with intent thereby to procure
the miscarriage of any such woman, unless the same shall have been
necessary to preserve the life of such woman, or shall have been
advised by two physicians to be necessary for that purpose, shall,
upon conviction, be punished by imprisonment in the county jail not
more than one year, or by fine not exceeding five hundred dollars,
or by both such fine and imprisonment.”
Sec. 2. “That any physician, or other
person, who shall administer
to any woman pregnant with a quick
child, any medicine, drug, or substance whatever, or shall use
or employ any instrument, or other means, with intent thereby to
destroy such child, unless the same shall have been necessary to
preserve the life of such mother, or shall have been advised by two
physicians to be necessary for such purpose, shall, in case of the
death of such child or mother in consequence thereof, be deemed
guilty of high misdemeanor, and, upon conviction thereof, shall be
imprisoned in the penitentiary not more than seven years, nor less
than one year.”[
72]
5. Indiana (1835):
Sec. 3. “That every person who shall
wilfully administer
to any pregnant woman, any
medicine, drug, substance or thing whatever, or shall use or employ
any instrument or other means whatever, with intent thereby to
procure the miscarriage of any such woman, unless the same shall
have been necessary to preserve the life of such woman, shall upon
conviction be punished by imprisonment in the county jail any term
of [time] not exceeding twelve months and be fined any sum not
exceeding five hundred dollars.”[
73]
6. Maine (1840):
Sec. 13. “Every person, who shall
administer
to any woman pregnant with child, whether such child
be quick or not, any medicine, drug or substance whatever, or
shall use or employ any instrument or other means whatever, with
intent to destroy such child, and shall thereby destroy such child
before its birth, unless the same shall have been done as necessary
to preserve the life of the mother, shall be punished by
imprisonment in the state prison, not more than five years, or by
fine, not exceeding one thousand dollars, and imprisonment in the
county jail, not more than one year.”
Sec. 14. “Every person, who shall
administer
to any woman, pregnant with child, whether such child
shall be quick or not, any medicine, drug or substance
whatever, or shall use or employ any instrument or other means
whatever, with intent thereby to procure the miscarriage of such
woman, unless the same shall have been done, as necessary to
preserve her life, shall be punished by imprisonment in the county
jail, not more than one year, or by fine, not exceeding one
thousand dollars.”[
74]
7. Alabama (1841):
Sec. 2. “Every person who shall wilfully
administer
to any pregnant woman any medicines, drugs,
substance or thing whatever, or shall use and employ any instrument
or means whatever with intent thereby to procure the miscarriage of
such woman, unless the same shall be necessary to preserve her
life, or shall have been advised by a respectable physician to be
necessary for that purpose, shall upon conviction, be punished by
fine not exceeding five hundred dollars, and by imprisonment in the
county jail, not less than three, and not exceeding six
months.”[
75]
8. Massachusetts (1845):
Ch. 27. “Whoever, maliciously or without
lawful justification, with intent to cause and procure the
miscarriage
of a woman then pregnant with child, shall
administer to her, prescribe for her, or advise or direct her to
take or swallow, any poison, drug, medicine or noxious thing, or
shall cause or procure her with like intent, to take or swallow any
poison, drug, medicine or noxious thing; and whoever maliciously
and without lawful justification, shall use any instrument or means
whatever with the like intent, and every person, with the like
intent, knowingly aiding and assisting such offender or offenders,
shall be deemed guilty of felony, if the woman die in consequence
thereof, and shall be imprisoned not more than twenty years, nor
less than five years in the State Prison; and if the woman doth not
die in consequence thereof, such offender shall be guilty of a
misdemeanor, and shall be punished by imprisonment not exceeding
seven years, nor less than one year, in the state prison or house
of correction, or common jail, and by fine not exceeding two
thousand dollars.”[
76]
9. Michigan (1846):
Sec. 33. “Every person who shall
administer
to any woman pregnant with a quick child, any
medicine, drug or substance whatever, or shall use or employ any
instrument or other means, with intent thereby to destroy such
child, unless the same shall have been necessary to preserve the
life of such mother, or shall have been advised by two physicians
to be necessary for such purpose, shall, in case the death of such
child or of such mother be thereby produced, be deemed guilty of
manslaughter.”
Sec. 34. “Every person who shall wilfully
administer
to any pregnant woman any medicine, drug,
substance or thing whatever, or shall employ any instrument or
other means whatever, with intent thereby to procure the
miscarriage of any such woman, unless the same shall have been
necessary to preserve the life of such woman, or shall have been
advised by two physicians to be necessary for that purpose, shall,
upon conviction, be punished by imprisonment in a county jail not
more than one year, or by a fine not exceeding five hundred
dollars, or by both such fine and imprisonment.”[
77]
10. Vermont (1846):
Sec. 1. “Whoever maliciously, or without
lawful justification with intent to cause and procure the
miscarriage
of a woman, then pregnant with child, shall
administer to her, prescribe for her, or advise or direct her to
take or swallow any poison, drug, medicine or noxious thing, or
shall cause or procure her, with like intent, to take or swallow
any poison, drug, medicine or noxious thing, and whoever
maliciously and without lawful justification, shall use any
instrument or means whatever, with the like intent, and every
person, with the like intent, knowingly aiding and assisting such
offenders, shall be deemed guilty of felony, if the woman die in
consequence thereof, and shall be imprisoned in the state prison,
not more than ten years, nor less than five years; and if the woman
does not die in consequence thereof, such offenders shall be deemed
guilty of a misdemeanor; and shall be punished by imprisonment in
the state prison not exceeding three years, nor less than one year,
and pay a fine not exceeding two hundred dollars.”[
78]
11. Virginia (1848):
Sec. 9. “Any free person who shall
administer
to any pregnant woman, any medicine, drug or
substance whatever, or use or employ any instrument or other means
with intent thereby to destroy the child with which such woman may
be pregnant, or to produce abortion or miscarriage, and shall
thereby destroy such child, or produce such abortion or
miscarriage, unless the same shall have been done to preserve the
life of such woman, shall be punished, if the death of a quick
child be thereby produced, by confinement in the penitentiary, for
not less than one nor more than five years, or if the death of a
child, not quick, be thereby produced, by confinement in the jail
for not less than one nor more than twelve months.”[
79]
12. New Hampshire (1849):
Sec. 1. “That every person, who shall
wilfully administer
to any pregnant woman, any medicine,
drug, substance or thing whatever, or shall use or employ any
instrument or means whatever with intent thereby to procure the
miscarriage of any such woman, unless the same shall have been
necessary to preserve the life of such woman, or shall have been
advised by two physicians to be necessary for that purpose, shall,
upon conviction, be punished by imprisonment in the county jail not
more than one year, or by a fine not exceeding one thousand
dollars, or by both such fine and imprisonment at the discretion of
the Court.”
Sec. 2. “Every person who shall administer
to any woman pregnant with a quick child, any medicine, drug
or substance whatever, or shall use or employ any instrument or
means whatever, with intent thereby to destroy such child, unless
the same shall have been necessary to preserve the life of such
woman, or shall have been advised by two physicians to be necessary
for such purpose, shall, upon conviction, be punished by fine not
exceeding one thousand dollars, and by confinement to hard labor
not less than one year, nor more than ten years.”[
80]
13. New Jersey (1849):
“That if any person or persons,
maliciously or without lawful justification, with intent to cause
and procure the miscarriage
of a woman then pregnant with
child, shall administer to her, prescribe for her, or advise or
direct her to take or swallow any poison, drug, medicine, or
noxious thing; and if any person or persons maliciously, and
without lawful justification, shall use any instrument or means
whatever, with the like intent; and every person, with the like
intent, knowingly aiding and assisting such offender or offenders,
shall, on conviction thereof, be adjudged guilty of a high
misdemeanor; and if the woman die in consequence thereof, shall be
punished by fine, not exceeding one thousand dollars, or
imprisonment at hard labour for any term not exceeding fifteen
years, or both; and if the woman doth not die in consequence
thereof, such offender shall, on conviction thereof, be adjudged
guilty of a misdemeanor, and be punished by fine, not exceeding
five hundred dollars, or imprisonment at hard labour, for any term
not exceeding seven years, or both.”[
81]
14. California (1850):
Sec. 45. “And every person who shall
administer or cause to be administered or taken, any medical
substances, or shall use or cause to be used any instruments
whatever, with the intention
to procure the miscarriage of any
woman then being with child, and shall be thereof duly
convicted, shall be punished by imprisonment in the State Prison
for a term not less than two years, nor more than five years:
Provided, that no physician shall be affected by the last clause of
this section, who, in the discharge of his professional duties,
deems it necessary to produce the miscarriage of any woman in order
to save her life.”[
82]
15. Texas (1854):
Sec. 1. “If any person, with the intent to
procure the miscarriage
of any woman being with child,
unlawfully and maliciously shall administer to her or cause to be
taken by her any poison or other noxious thing, or shall use any
instrument or any means whatever, with like intent, every such
offender, and every person counselling or aiding or abetting such
offender, shall be punished by confinement to hard labor in the
Penitentiary not exceeding ten years.”[
83]
16. Louisiana (1856):
Sec. 24. “Whoever shall feloniously
administer or cause to be administered any drug, potion, or any
other thing to any woman, for the purpose of procuring a premature
delivery, and whoever shall administer or cause to be administered
to any woman pregnant with child, any drug, potion, or any
other thing, for the purpose of procuring abortion, or a premature
delivery, shall be imprisoned at hard labor, for not less than one,
nor more than ten years.”[
84]
17. Iowa (1858):
Sec. 1. “That every person who shall
willfully administer
to any pregnant woman, any
medicine, drug, substance or thing whatever, or shall use or employ
any instrument or other means whatever, with the intent thereby to
procure the miscarriage of any such woman, unless the same shall be
necessary to preserve the life of such woman, shall upon conviction
thereof, be punished by imprisonment in the county jail for a term
of not exceeding one year, and be fined in a sum not exceeding one
thousand dollars.”[
85]
18. Wisconsin (1858):
Sec. 11. “Every person who shall
administer
to any woman pregnant with a child any medicine,
drug, or substance whatever, or shall use or employ any instrument
or other means, with intent thereby to destroy such child, unless
the same shall have been necessary to preserve the life of such
mother, or shall have been advised by two physicians to be
necessary for such purpose, shall, in case the death of such child
or of such mother be thereby produced, be deemed guilty of
manslaughter in the second degree.”[
86]
Sec. 58. “Every person who shall
administer
to any pregnant woman, or prescribe for any such
woman, or advise or procure any such woman to take, any medicine,
drug, or substance or thing whatever, or shall use or employ any
instrument or other means whatever, or advise or procure the same
to be used, with intent thereby to procure the miscarriage of any
such woman, shall upon conviction be punished by imprisonment in a
county jail, not more than one year nor less than three months, or
by fine, not exceeding five hundred dollars, or by both fine and
imprisonment, at the discretion of the court.”
19. Kansas (1859):
Sec. 10. “Every person who shall
administer
to any woman, pregnant with a quick child, any
medicine, drug or substance whatsoever, or shall use or employ any
instrument or other means, with intent thereby to destroy such
child, unless the same shall have been necessary to preserve the
life of such mother, or shall have been advised by a physician to
be necessary for that purpose, shall be deemed guilty of
manslaughter in the second degree.”
Sec. 37. “Every physician or other person
who shall wilfully administer
to any pregnant woman any
medicine, drug or substance whatsoever, or shall use or employ any
instrument or means whatsoever, with intent thereby to procure
abortion or the miscarriage of any such woman, unless the same
shall have been necessary to preserve the life of such woman, or
shall have been advised by a physician to be necessary for that
purpose, shall, upon conviction, be adjudged guilty of a
misdemeanor, and punished by imprisonment in a county jail not
exceeding one year, or by fine not exceeding five hundred dollars,
or by both such fine and imprisonment.”[
87]
20. Connecticut (1860):
Sec. 1. “That any person with intent
to
procure the miscarriage or abortion of any woman, shall give or
administer to her, prescribe for her, or advise, or direct, or
cause or procure her to take, any medicine, drug or substance
whatever, or use or advise the use of any instrument, or other
means whatever, with the like intent, unless the same shall have
been necessary to preserve the life of such woman, or of her unborn
child, shall be deemed guilty of felony, and upon due conviction
thereof shall be punished by imprisonment in the Connecticut state
prison, not more than five years or less than one year, or by a
fine of one thousand dollars, or both, at the discretion of the
court.”[
88]
21. Pennsylvania (1860):
Sec. 87. “If any person shall unlawfully
administer
to any woman, pregnant or quick with child, or
supposed and believed to be pregnant or quick with child, any
drug, poison, or other substance whatsoever, or shall unlawfully
use any instrument or other means whatsoever, with the intent to
procure the miscarriage of such woman, and such woman, or any child
with which she may be quick, shall die in consequence of either of
said unlawful acts, the person so offending shall be guilty of
felony, and shall be sentenced to pay a fine not exceeding five
hundred dollars, and to undergo an imprisonment, by separate or
solitary confinement at labor, not exceeding seven years.”
Sec. 88. “If any person, with intent
to
procure the miscarriage of any woman, shall unlawfully
administer to her any poison, drug or substance whatsoever, or
shall unlawfully use any instrument, or other means whatsoever,
with the like intent, such person shall be guilty of felony, and
being thereof convicted, shall be sentenced to pay a fine not
exceeding five hundred dollars, and undergo an imprisonment, by
separate or solitary confinement at labor, not exceeding three
years.”[
89]
22. Rhode Island (1861):
Sec. 1. “Every person who shall be
convicted of wilfully administering
to any pregnant woman, or to
any woman supposed by such person to be pregnant, anything
whatever, or shall employ any means whatever, with intent thereby
to procure the miscarriage of such woman, unless the same is
necessary to preserve her life, shall be imprisoned not exceeding
one year, or fined not exceeding one thousand dollars.”[
90]
23. Nevada (1861):
Sec. 42. “[E]very person who shall
administer, or cause to be administered or taken, any medicinal
substance, or shall use, or cause to be used, any instruments
whatever, with the intention
to procure the miscarriage of any
woman then being with child, and shall be thereof duly
convicted, shall be punished by imprisonment in the Territorial
prison, for a term not less than two years, nor more than five
years; provided, that no physician shall be affected by the last
clause of this section, who, in the discharge of his professional
duties, deems it necessary to produce the miscarriage of any woman
in order to save her life.”[
91]
24. West Virginia (1863):
West Virginia’s Constitution adopted the laws
of Virginia when it became its own State:
“Such parts of the common law and of the
laws of the State of Virginia as are in force within the boundaries
of the State of West Virginia, when this Constitution goes into
operation, and are not repugnant thereto, shall be and continue the
law of this State until altered or repealed by the
Legislature.”[
92]
The Virginia law in force in 1863
stated:
Sec. 8. “Any free person who shall
administer to, or cause to be taken,
by a woman, any drug or
other thing, or use any means, with intent to destroy her unborn
child, or to produce abortion or miscarriage, and shall thereby
destroy such child, or produce such abortion or miscarriage, shall
be confined in the penitentiary not less than one, nor more than
five years. No person, by reason of any act mentioned in this
section, shall be punishable where such act is done in good faith,
with the intention of saving the life of such woman or
child.”[
93]
25. Oregon (1864):
Sec. 509. “If any person shall administer
to any woman pregnant with child, any medicine, drug or
substance whatever, or shall use or employ any instrument or other
means, with intent thereby to destroy such child, unless the same
shall be necessary to preserve the life of such mother, such person
shall, in case the death of such child or mother be thereby
produced, be deemed guilty of manslaughter.”[
94]
26. Nebraska (1866):
Sec. 42. “Every person who shall willfully
and maliciously administer or cause to be administered to or taken
by any person, any poison or other noxious or destructive substance
or liquid, with the intention to cause the death of such person,
and being thereof duly convicted, shall be punished by confinement
in the penitentiary for a term not less than one year and not more
than seven years. And every person who shall administer or cause to
be administered or taken, any such poison, substance or liquid,
with the intention
to procure the miscarriage of any
woman then being with child, and shall thereof be duly
convicted, shall be imprisoned for a term not exceeding three years
in the penitentiary, and fined in a sum not exceeding one thousand
dollars.”[
95]
27. Maryland (1868):
Sec. 2. “And be it enacted, That any
person who shall knowingly advertise, print, publish, distribute or
circulate, or knowingly cause to be advertised, printed, published,
distributed or circulated, any pamphlet, printed paper, book,
newspaper notice, advertisement or reference containing words or
language, giving or conveying any notice, hint or reference to any
person, or to the name of any person real or fictitious, from whom;
or to any place, house, shop or office, when any poison, drug,
mixture, preparation, medicine or noxious thing, or any instrument
or means whatever; for the purpose of producing abortion, or who
shall knowingly sell, or cause to be sold any such poison, drug,
mixture, preparation, medicine or noxious thing or instrument of
any kind whatever; or where any advice, direction, information or
knowledge may be obtained
for the purpose of causing the
miscarriage or abortion of any woman pregnant with child, at any
period of her pregnancy, or shall knowingly sell or cause to be
sold any medicine, or who shall knowingly use or cause to be used
any means whatsoever for that purpose, shall be punished by
imprisonment in the penitentiary for not less than three years, or
by a fine of not less than five hundred nor more than one thousand
dollars, or by both, in the discretion of the Court; and in case of
fine being imposed, one half thereof shall be paid to the State of
Maryland, and one-half to the School Fund of the city or county
where the offence was committed; provided, however, that nothing
herein contained shall be construed so as to prohibit the
supervision and management by a regular practitioner of medicine of
all cases of abortion occurring spontaneously, either as the result
of accident, constitutional debility, or any other natural cause,
or the production of abortion by a regular practitioner of medicine
when, after consulting with one or more respectable physicians, he
shall be satisfied that the foetus is dead, or that no other method
will secure the safety of the mother.”[
96]
28. Florida (1868):
Ch. 3, Sec. 11. “Every person who shall
administer
to any woman pregnant with a quick child any
medicine, drug, or substance whatever, or shall use or employ any
instrument, or other means, with intent thereby to destroy such
child, unless the same shall have been necessary to preserve the
life of such mother, or shall have been advised by two physicians
to be necessary for such purpose, shall, in case the death of such
child or of such mother be thereby produced, be deemed guilty of
manslaughter in the second degree.”
Ch. 8, Sec. 9. “Whoever, with intent
to
procure miscarriage of any woman, unlawfully administers to
her, or advises, or prescribes for her, or causes to be taken by
her, any poison, drug, medicine, or other noxious thing, or
unlawfully uses any instrument or other means whatever with the
like intent, or with like intent aids or assists therein, shall, if
the woman does not die in consequence thereof, be punished by
imprisonment in the State penittentiary not exceeding seven years,
nor less than one year, or by fine not exceeding one thousand
dollars.”[
97]
29. Minnesota (1873):
Sec. 1. “That any person who shall
administer
to any woman with child, or prescribe for any
such woman, or suggest to, or advise, or procure her to take any
medicine, drug, substance or thing whatever, or who shall use or
employ, or advise or suggest the use or employment of any
instrument or other means or force whatever, with intent thereby to
cause or procure the miscarriage or abortion or premature labor of
any such woman, unless the same shall have been necessary to
preserve her life, or the life of such child, shall, in case the
death of such child or of such woman results in whole or in part
therefrom, be deemed guilty of a felony, and upon conviction
thereof, shall be punished by imprisonment in the state prison for
a term not more than ten (10) years nor less than three (3)
years.”
Sec. 2. “Any person who shall administer
to any woman with child, or prescribe, or procure, or
provide for any such woman, or suggest to, or advise, or procure
any such woman to take any medicine, drug, substance or thing
whatever, or shall use or employ, or suggest, or advise the use or
employment of any instrument or other means or force whatever, with
intent thereby to cause or procure the miscarriage or abortion or
premature labor of any such woman, shall upon conviction thereof be
punished by imprisonment in the state prison for a term not more
than two years nor less than one year, or by fine not more than
five thousand dollars nor less than five hundred dollars, or by
such fine and imprisonment both, at the discretion of the
court.”[
98]
30. Arkansas (1875):
Sec. 1. “That it shall be unlawful for any
one to administer or prescribe any medicine or drugs
to any
woman with child, with intent to produce an abortion, or
premature delivery of any foetus before the period of quickening,
or to produce or attempt to produce such abortion by any other
means; and any person offending against the provision of this
section, shall be fined in any sum not exceeding one thousand
($1000) dollars, and imprisoned in the penitentiary not less than
one (1) nor more than five (5) years; provided, that this section
shall not apply to any abortion produced by any regular practicing
physician, for the purpose of saving the mother’s life.”[
99]
31. Georgia (1876):
Sec. 2. “That every person who shall
administer
to any woman pregnant with a child, any medicine,
drug, or substance whatever, or shall use or employ any instrument
or other means, with intent thereby to destroy such child, unless
the same shall have been necessary to preserve the life of such
mother, or shall have been advised by two physicians to be
necessary for such purpose, shall, in case the death of such child
or mother be thereby produced, be declared guilty of an assault
with intent to murder.”
Sec. 3. “That any person who shall
wilfully administer
to any pregnant woman any medicine, drug
or substance, or anything whatever, or shall employ any instrument
or means whatever, with intent thereby to procure the miscarriage
or abortion of any such woman, unless the same shall have been
necessary to preserve the life of such woman, or shall have been
advised by two physicians to be necessary for that purpose, shall,
upon conviction, be punished as prescribed in section 4310 of the
Revised Code of Georgia.”[
100]
32. North Carolina (1881):
Sec. 1. “That every person who shall
wilfully administer
to any woman either pregnant or quick with
child, or prescribe for any such woman, or advise or procure
any such woman to take any medicine, drug or substance whatever, or
shall use or employ any instrument or other means with intent
thereby to destroy said child, unless the same shall have been
necessary to preserve the life of such mother, shall be guilty of a
felony, and shall be imprisoned in the state penitentiary for not
less than one year nor more than ten years, and be fined at the
discretion of the court.”
Sec. 2. “That every person who shall
administer
to any pregnant woman, or prescribe for any such
woman, or advise and procure such woman to take any medicine, drug
or any thing whatsoever, with intent thereby to procure the
miscarriage of any such woman, or to injure or destroy such woman,
or shall use any instrument or application for any of the above
purposes, shall be guilty of a misdemeanor, and, on conviction,
shall be imprisoned in the jail or state penitentiary for not less
than one year or more than five years, and fined at the discretion
of the court.”[
101]
33. Delaware (1883):
Sec. 2. “Every person who, with the intent
to procure the miscarriage
of any pregnant woman or women
supposed by such person to be pregnant, unless the same be
necessary to preserve her life, shall administer to her, advise, or
prescribe for her, or cause to be taken by her any poison, drug,
medicine, or other noxious thing, or shall use any instrument or
other means whatsoever, or shall aid, assist, or counsel any person
so intending to procure a miscarriage, whether said miscarriage be
accomplished or not, shall be guilty of a felony, and upon
conviction thereof shall be fined not less than one hundred dollars
nor more than five hundred dollars and be imprisoned for a term not
exceeding five years nor less than one year.”[
102]
34. Tennessee (1883):
Sec. 1. “That every person who shall
administer
to any woman pregnant with child, whether such child
be quick or not, any medicine, drug or substance whatever, or
shall use or employ any instrument, or other means whatever with
intent to destroy such child, and shall thereby destroy such child
before its birth, unless the same shall have been done with a view
to preserve the life of the mother, shall be punished by
imprisonment in the penitentiary not less than one nor more than
five years.”
Sec. 2. “Every person who shall administer
any substance with the intention
to procure the miscarriage
of a woman then being with child, or shall use or employ any
instrument or other means with such intent, unless the same shall
have been done with a view to preserve the life of such mother,
shall be punished by imprisonment in the penitentiary not less than
one nor more than three years.”[
103]
35. South Carolina (1883):
Sec. 1. “That any person who shall
administer
to any woman with child, or prescribe for any
such woman, or suggest to or advise or procure her to take, any
medicine, substance, drug or thing whatever, or who shall use or
employ, or advise the use or employment of, any instrument or other
means of force whatever, with intent thereby to cause or procure
the miscarriage or abortion or premature labor of any such woman,
unless the same shall have been necessary to preserve her life, or
the life of such child, shall, in case the death of such child or
of such woman results in whole or in part therefrom, be deemed
guilty of a felony, and, upon conviction thereof, shall be punished
by imprisonment in the Penitentiary for a term not more than twenty
years nor less than five years.”
Sec. 2. “That any person who shall
administer
to any woman with child, or prescribe or procure
or provide for any such woman, or advise or procure any such woman
to take, any medicine, drug, substance or thing whatever, or shall
use or employ or advise the use or employment of, any instrument or
other means of force whatever, with intent thereby to cause or
procure the miscarriage or abortion or premature labor of any such
woman, shall, upon conviction thereof, be punished by imprisonment
in the Penitentiary for a term not more than five years, or by fine
not more than five thousand dollars, or by such fine and
imprisonment both, at the discretion of the Court; but no
conviction shall be had under the provisions of Section 1 or 2 of
this Act upon the uncorroborated evidence of such woman.”[
104]
36. Kentucky (1910):
Sec. 1. “It shall be unlawful for any
person to prescribe or administer
to any pregnant woman, or to
any woman whom he has reason to believe pregnant, at any time
during the period of gestation, any drug, medicine or
substance, whatsoever, with the intent thereby to procure the
miscarriage of such woman, or with like intent, to use any
instrument or means whatsoever, unless such miscarriage is
necessary to preserve her life; and any person so offending, shall
be punished by a fine of not less than five hundred nor more than
one thousand dollars, and imprisoned in the State prison for not
less than one nor more than ten years.”
Sec. 2. “If by reason of any of the acts
described in Section 1 hereof, the miscarriage of such woman is
procured, and she does miscarry, causing the death of the unborn
child, whether before or after quickening time, the person so
offending shall be guilty of a felony, and confined in the
penitentiary for not less than two, nor more than twenty-one
years.”
Sec. 3. “If, by reason of the commission
of any of the acts described in Section 1 hereof, the woman to whom
such drug or substance has been administered, or upon whom such
instrument has been used, shall die, the person offending shall be
punished as now prescribed by law, for the offense of murder or
manslaughter, as the facts may justify.”
Sec. 4. “The consent of the woman to the
performance of the operation or administering of the medicines or
substances, referred to, shall be no defense, and she shall be a
competent witness in any prosecution under this act, and for that
purpose she shall not be considered an accomplice.”[
105]
37. Mississippi (1952):
Sec. 1. “Whoever, by means of any
instrument, medicine, drug, or other means whatever shall willfully
and knowingly cause
any woman pregnant with child to abort
or miscarry, or attempts to procure or produce an abortion or
miscarriage, unless the same were done as necessary for the
preservation of the mother’s life, shall be imprisoned in the state
penitentiary no less than one (1) year, nor more than ten (10)
years; or if the death of the mother results therefrom, the person
procuring, causing, or attempting to procure or cause the abortion
or miscarriage shall be guilty of murder.”
Sec. 2. “No act prohibited in section 1
hereof shall be considered as necessary for the preservation of the
mother’s life unless upon the prior advice, in writing, of two
reputable licensed physicians.”
Sec. 3. “The license of any physician or
nurse shall be automatically revoked upon conviction under the
provisions of this act.”[
106]
B
This appendix contains statutes criminalizing
abortion at all stages in each of the Territories that became
States and in the District of Columbia. The statutes appear in
chronological order of enactment.
1. Hawaii (1850):
Sec. 1. “Whoever maliciously, without
lawful justification, administers, or causes or procures to be
administered any poison or noxious thing
to a woman then with
child, in order to produce her mis-carriage, or maliciously
uses any instrument or other means with like intent, shall, if such
woman be then quick with child, be punished by fine not exceeding
one thousand dollars and imprisonment at hard labor not more than
five years. And if she be then not quick with child, shall be
punished by a fine not exceeding five hundred dollars, and
imprisonment at hard labor not more than two years.”
Sec. 2. “Where means of causing abortion
are used for the purpose of saving the life of the woman, the
surgeon or other person using such means is lawfully
justified.”[
107]
2. Washington (1854):
Sec. 37. “Every person who shall
administer
to any woman pregnant with a quick child, any
medicine, drug, or substance whatever, or shall use or employ any
instrument, or other means, with intent thereby to destroy such
child, unless the same shall have been necessary to preserve the
life of such mother, shall, in case the death of such child or of
such mother be thereby produced, on conviction thereof, be
imprisoned in the penitentiary not more than twenty years, nor less
than one year.”
Sec. 38. “Every person who shall
administer
to any pregnant woman, or to any woman who he
supposes to be pregnant, any medicine, drug, or substance
whatever, or shall use or employ any instrument, or other means,
thereby to procure the miscarriage of such woman, unless the same
is necessary to preserve her life, shall on conviction thereof, be
imprisoned in the penitentiary not more than five years, nor less
than one year, or be imprisoned in the county jail not more than
twelve months, nor less than one month, and be fined in any sum not
exceeding one thousand dollars.”[
108]
3. Colorado (1861):
Sec. 42. “[E]very person who shall
administer substance or liquid, or who shall use or cause to be
used any instrument, of whatsoever kind, with the intention
to
procure the miscarriage of any woman then being with child, and
shall thereof be duly convicted, shall be imprisoned for a term not
exceeding three years, and fined in a sum not exceeding one
thousand dollars; and if any woman, by reason of such treatment,
shall die, the person or persons administering, or causing to be
administered, such poison, substance or liquid, or using or causing
to be used, any instrument, as aforesaid, shall be deemed guilty of
manslaughter, and if convicted, be punished accordingly.”[
109]
4. Idaho (1864):
Sec. 42. “[E]very person who shall
administer or cause to be administered, or taken, any medicinal
substance, or shall use or cause to be used, any instruments
whatever, with the intention
to procure the miscarriage of any
woman then being with child, and shall be thereof duly
convicted, shall be punished by imprisonment in the territorial
prison for a term not less than two years, nor more than five
years:
Provided, That no physician shall be effected by the
last clause of this section, who in the discharge of his
professional duties, deems it necessary to produce the miscarriage
of any woman in order to save her life.”[
110]
5. Montana (1864):
Sec. 41. “[E]very person who shall
administer, or cause to be administered, or taken, any medicinal
substance, or shall use, or cause to be used, any instruments
whatever, with the intention
to produce the miscarriage of any
woman then being with child, and shall be thereof duly
convicted, shall be punished by imprisonment in the Territorial
prison for a term not less than two years nor more than five years.
Provided, That no physician shall be affected by the last
clause of this section, who in the discharge of his professional
duties deems it necessary to produce the miscarriage of any woman
in order to save her life.”[
111]
6. Arizona (1865):
Sec. 45. “[E]very person who shall
administer or cause to be administered or taken, any medicinal
substances, or shall use or cause to be used any instruments
whatever, with the intention
to procure the miscarriage of any
woman then being with child, and shall be thereof duly
convicted, shall be punished by imprisonment in the Territorial
prison for a term not less than two years nor more than five years:
Provided, that no physician shall be affected by the last clause of
this section, who in the discharge of his professional duties,
deems it necessary to produce the miscarriage of any woman in order
to save her life.”[
112]
7. Wyoming (1869):
Sec. 25. “[A]ny person who shall
administer, or cause to be administered, or taken, any such poison,
substance or liquid, or who shall use, or cause to be used, any
instrument of whatsoever kind, with the intention
to procure the
miscarriage of any woman then being with child, and shall
thereof be duly convicted, shall be imprisoned for a term not
exceeding three years, in the penitentiary, and fined in a sum not
exceeding one thousand dollars; and if any woman by reason of such
treatment shall die, the person, or persons, administering, or
causing to be administered such poison, substance, or liquid, or
using or causing to be used, any instrument, as aforesaid, shall be
deemed guilty of manslaughter, and if convicted, be punished by
imprisonment for a term not less than three years in the
penitentiary, and fined in a sum not exceeding one thousand
dollars, unless it appear that such miscarriage was procured or
attempted by, or under advice of a physician or surgeon, with
intent to save the life of such woman, or to prevent serious and
permanent bodily injury to her.”[
113]
8. Utah (1876):
Sec. 142. “Every person who provides,
supplies, or administers
to any pregnant woman, or procures
any such woman to take any medicine, drug, or substance, or uses or
employs any instrument or other means whatever, with intent thereby
to procure the miscarriage of such woman, unless the same is
necessary to preserve her life, is punishable by imprisonment in
the penitentiary not less than two nor more than ten
years.”[
114]
9. North Dakota (1877):
Sec. 337. “Every person who administers
to any pregnant woman, or who prescribes for any such woman,
or advises or procures any such woman to take any medicine, drug or
substance, or uses or employs any instrument, or other means
whatever with intent thereby to procure the miscarriage of such
woman, unless the same is necessary to preserve her life, is
punishable by imprisonment in the territorial prison not exceeding
three years, or in a county jail not exceeding one year.”[
115]
10. South Dakota (1877): Same as North
Dakota.
11. Oklahoma (1890):
Sec. 2187. “Every person who administers
to any pregnant woman, or who prescribes for any such woman,
or advises or procures any such woman to take any medicine, drug or
substance, or uses or employs any instrument, or other means
whatever, with intent thereby to procure the miscarriage of such
woman, unless the same is necessary to preserve her life, is
punishable by imprisonment in the Territorial prison not exceeding
three years, or in a county jail not exceeding one year.”[
116]
12. Alaska (1899):
Sec. 8. “That if any person shall
administer
to any woman pregnant with a child any medicine,
drug, or substance whatever, or shall use any instrument or other
means, with intent thereby to destroy such child, unless the same
shall be necessary to preserve the life of such mother, such person
shall, in case the death of such child or mother be thereby
produced, be deemed guilty of manslaughter, and shall be punished
accordingly.”[
117]
13. New Mexico (1919):
Sec. 1. “Any person who shall administer
to any pregnant woman any medicine, drug or substance
whatever, or attempt by operation or any other method or means to
produce an abortion or miscarriage upon such woman, shall be guilty
of a felony, and, upon conviction thereof, shall be fined not more
than two thousand ($2,000.00) Dollars, nor less than five hundred
($500.00) Dollars, or imprisoned in the penitentiary for a period
of not less than one nor more than five years, or by both such fine
and imprisonment in the discretion of the court trying the
case.”
Sec. 2. “Any person committing such act or
acts mentioned in section one hereof which shall culminate in the
death of the woman shall be deemed guilty of murder in the second
degree;
Provided, however, an abortion may be produced when
two physicians licensed to practice in the State of New Mexico, in
consultation, deem it necessary to preserve the life of the woman,
or to prevent serious and permanent bodily injury.”
Sec. 3. “For the purpose of the act, the
term “pregnancy” is defined as that condition of a woman
from
the date of conception to the birth of her child.”[
118]
* * *
District of Columbia (1901):
Sec. 809. “Whoever, with intent
to
procure the miscarriage of any woman, prescribes or
administers to her any medicine, drug, or substance whatever, or
with like intent uses any instrument or means, unless when
necessary to preserve her life or health and under the direction of
a competent licensed practitioner of medicine, shall be imprisoned
for not more than five years; or if the woman or her child dies in
consequence of such act, by imprisonment for not less than three
nor more than twenty years.”[
119]