Planned Parenthood of Ind. & Ky., Inc. v. Comm'r of the Ind. State Dep't of Health
Planned Parenthood of Ind. & Ky., Inc. v. Comm'r of the Ind. State Dep't of Health
Opinion
Defendants-appellants have requested en banc review in this case limited only to the question of the constitutionality of
Wood, Chief Judge, with whom Circuit Judges Rovner and Hamilton join, concurring.
Not every case in a highly controversial area deserves to be reheard by the
en banc
court. Just as the Supreme Court passes by many potentially interesting and important cases when it exercises its
certiorari
jurisdiction, particularly when either the facts or the law may stand in the way of a clean decision on the merits of the issue that concerns the Court, we must exercise the same restraint. Unless it is possible to identify a properly presented, important issue of law that lies within the power of this court to resolve, we should refrain from rolling out the big guns of the full court. Otherwise we risk issuing what would be at best an opinion correcting an error made by a panel, and at worst an advisory letter to the Supreme Court. The present case is not one that meets those criteria. Idiosyncratic procedural hurdles would block our ability to conduct a thorough review of the only issue the state of Indiana has asked us to rehear-the constitutionality of the fetal disposal provisions of House Enrolled Act No. 1337,
The state has not asked for rehearing
en banc
of the panel's ruling on the Sex Selective and Disability Abortion Ban,
Planned Parenthood conceded that the disposal regulation does not implicate a fundamental right, and it then moved directly to the conclusion that the proper level of inquiry was rational-basis review. The panel properly decided the case in light of that strategic litigation choice.
Planned Parenthood of Ind. & Ky., Inc. v. Comm'r of Ind. State Dep't of Health
,
The problem, however, is that the parties' concession with respect to the standard of review-a choice that is capable of dictating the outcome-was probably incorrect. Without that concession, the court's review would have taken a different turn. This case involves a fundamental right: the woman's right to decide whether to carry a child (or, put negatively, whether to have an abortion). See
Roe v. Wade
,
In many cases, that choice will be outcome determinative. A look at the relevant Supreme Court decisions strongly suggests that rational-basis is not the proper level of scrutiny. The disposal of an aborted (or miscarried) fetus is just the final step in the overall process of terminating (or losing) a pregnancy. It thus implicates an interest with heightened constitutional protection: "the right of the woman to choose to have an abortion before viability and to obtain it without undue interference from the State."
Casey
,
It does not matter for the constitutional concerns presented in this case that the
disposal statute operates at the end of the procedure. Hypotheticals should make that point clear. A post-procedure spousal notification law, perhaps enforced by a criminal penalty, is no less a substantial obstacle than a pre-procedure notification requirement. And I expect that any woman would experience an undue burden on her right to have a pre-viability abortion if state law required her to check herself into a mental hospital for a week after the procedure was complete. In keeping with these principles, other courts have applied not the rational-basis standard, but the undue-burden standard, when considering the lawfulness of fetal remains regulations. See
June Med. Servs. LLC v. Gee
,
The forced limitation of this case to the rational-basis standard would distort any en banc consideration we could give. It is entirely possible that a state law would pass rational-basis, one-step-at-a-time, review, but would nonetheless impose an undue burden on a women's choice to have an abortion. The examples reviewed in Casey are good illustrations. That possibility suggests that leaving the panel's decision intact is unlikely to spell the end of fetal disposal litigation even in this circuit. Every nuance in this area is litigated over and over. Nor does our denying the motion for rehearing bring to an end litigation already progressing across the country. See, e.g. , Hopkins v. Jegley , No. 17-2879 (8th Cir. appeal docketed Aug. 28, 2017); June Med. Servs. LLC v. Gee , No. 3:16-cv-00444-BAJ-RLB (M.D. La. docketed July 1, 2016); Whole Woman's Health v. Smith , No. 1:16-cv-01300-DAE-AWA (W.D. Tex. docketed Dec. 12, 2016). If the Supreme Court wants to take some aspect of this issue, it will have ample opportunity to do so.
Moreover, further review of this case would necessarily proceed without the benefit of a record developed with the proper legal standard in mind. Given the posture in which this case comes before us, it is unremarkable that, as Judge Easterbrook observes, plaintiffs have not contended or shown that the fetal disposal statute is a substantial obstacle. Easterbrook, J., dissenting,
post
at op. 537-38. Litigating on a "rational-basis" standard makes such evidence unnecessary; under the proper standard of review, however, evidence does make a difference, and it should be developed before the court charges headlong into such an important issue. And that is not the only evidence currently missing as a result of a misapprehension of the standard of review. For example, the evidence is thin to nonexistent on the costs imposed by the disposal regulations-costs that include not only a higher out-of-pocket dollar price for the procedure, but that might include psychological trauma that chills women from seeking abortions or medical care in relation to miscarriages because of the potential stigmatizing impact of these measures. Nor did the plaintiffs have reason to explore how the disposal statute might work in tandem with other regulations in a way that unduly burdens the right to choose, as is required under
Whole Woman's Health,
It would be a waste of this court's resources to accept a case for en banc review if the only thing we could say is that the parties' decision to use rational-basis review is binding on us, but that everything might be different if the standard from Casey and Whole Woman's Health were applied and a proper record in light of that standard had been developed. It would not quite be a hypothetical case, but it would be too close for comfort. Important as these issues are, the only prudent course to take is to forgo en banc review this time and await a case that more cleanly presents all relevant issues.
I therefore concur in the decision to deny rehearing en banc .
Easterbrook, Circuit Judge, with whom Circuit Judges Sykes, Barrett, and Brennan join, dissenting from the denial of rehearing en banc.
This case concerns two statutes. The first, which I call the eugenics statute, makes it illegal to perform an abortion for the purpose of choosing the sex, race, or (dis)abilities of a child.
The panel held the eugenics statute unconstitutional because the lead opinion in
Planned Parenthood of Southeastern Pennsylvania v. Casey
,
I am skeptical about the first of these conclusions because Casey did not consider the validity of an anti-eugenics law. Judicial opinions are not statutes; they resolve only the situations presented for decision. Consider a parallel in private law. Judges often said that employers could fire workers for any or no reason. That's the doctrine of employment at will. But by the late twentieth century courts regularly created exceptions when the discharge was based on race, sex, or disability. Casey does not tell us whether a parallel "except" clause is permissible for abortions.
Casey and other decisions hold that, until a fetus is viable, a woman is entitled to decide whether to bear a child. But there is a difference between "I don't want a child" and "I want a child, but only a male" or "I want only children whose genes predict success in life." Using abortion to promote eugenic goals is morally and prudentially debatable on grounds different from those that underlay the statutes Casey considered.
None of the Court's abortion decisions holds that states are powerless to prevent abortions designed to choose the sex, race, and other attributes of children. It is becoming possible to control some aspects of embryos' genomes. See Clyde Haberman, Scientists Can Design 'Better' Babies. Should They? , NEW YORK TIMES , June 10, 2018. States may regulate that process when conception is by in vitro fertilization. Does the Constitution supply a right to evade regulation by choosing a child's genetic makeup after conception, aborting any fetus whose genes show a likelihood that the child will be short, or nearsighted, or intellectually average, or lack perfect pitch-or be the "wrong" sex or race? Casey did not address that question. We ought not impute to the Justices decisions they have not made about problems they have not faced.
Still, Indiana has not asked us to rehear this part of the panel's decision. Only the Supreme Court can determine the answer; we might guess, but the Justices can speak authoritatively. So although 18 states have filed an amicus brief asking us to rehear this part of the decision en banc, I am content to leave it to the Supreme Court.
The panel's holding on the disposal statute is another matter, because "X is not a person" does not imply "X is beyond regulatory authority." Think of animal-welfare statutes. Dogs may not be beaten for fun. Bullfights are forbidden. Horses may not be slaughtered in Illinois for the dinner table under a statute this circuit sustained largely on animal-welfare grounds. See
Cavel International, Inc. v. Madigan
,
Animal-welfare statutes are rational not simply because all mammals can feel pain and may well have emotions, but also because animal welfare affects human welfare. Many people feel disgust, humiliation, or shame when animals or their remains are poorly treated. We wrote in
Cavel
that a ban on slaughtering horses for human consumption is rationally related to the goal of reducing dismay at poor treatment of these creatures.
In giving a negative answer, the panel created a conflict with
Planned Parenthood of Minnesota v. Minnesota
,
The panel went on to observe that Indiana is concerned about the interest of the fetus, while Minnesota isn't. This implies that the same statute could be passed again in Indiana, and held valid, as long as the legislative history is different. Yet the intent behind a law does not affect rational-basis analysis. A law is valid if a rational basis can be imagined, no matter what legislators thought or said. See, e.g.,
FCC v. Beach Communications, Inc
.,
Plaintiffs have not argued that the disposal statute places a "substantial obstacle in the path of a woman seeking an abortion before the fetus attains viability."
Casey
,
Chief Judge Wood observes that plaintiffs' litigation choices, including their decision to produce "thin to nonexistent" (op. 535-36) evidence about the effects of the disposal statute, prevent us from deciding whether this law puts a "substantial obstacle" in a woman's path. She invites future litigants to supply more evidence and make different legal arguments. But if more than 25 years' experience in Minnesota does not furnish evidence of a substantial obstacle, where would it come from? And why would any other litigant choose a different strategy? Now that the disposal statute has been held to lack a rational basis, there will be no more litigation in this circuit, no opportunity for the full court to consider other lines of argument. Kicking the can down the road is not an attractive option, for we have reached the road's end.
Judge Scudder took no part in the consideration or decision of this matter.
Reference
- Full Case Name
- PLANNED PARENTHOOD OF INDIANA AND KENTUCKY, INC., Et Al., Plaintiffs-Appellees, v. COMMISSIONER OF the INDIANA STATE DEPARTMENT OF HEALTH, Et Al., Defendants-Appellants.
- Cited By
- 16 cases
- Status
- Unpublished