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- SUPREME COURT OF THE UNITED STATES
- --------
- Nos. 91-744 and 91-902
- --------
- PLANNED PARENTHOOD OF SOUTHEASTERN
- PENNSYLVANIA, et al., PETITIONERS
- 91-744 v.
- ROBERT P. CASEY, et al., etc.
-
- ROBERT P. CASEY, et al., etc.,
- PETITIONERS
- 91-902 v.
- PLANNED PARENTHOOD OF SOUTHEASTERN
- PENNSYLVANIA et al.
- on writs of certiorari to the united states court of
- appeals for the third circuit
- [June 29, 1992]
-
- Justice Stevens, concurring in part and dissenting in
- part.
- The portions of the Court's opinion that I have joined are
- more important than those with which I disagree. I shall
- therefore first comment on significant areas of agreement,
- and then explain the limited character of my disagreement.
- I
- The Court is unquestionably correct in concluding that
- the doctrine of stare decisis has controlling significance in
- a case of this kind, notwithstanding an individual justice's
- concerns about the merits. The central holding of Roe v.
- Wade, 410 U. S. 113 (1973), has been a -part of our law- for
- almost two decades. Planned Parenthood of Central Mo. v.
- Danforth, 428 U. S. 52, 101 (1976) (Stevens, J., concurring
- in part and dissenting in part). It was a natural sequel to
- the protection of individual liberty established in Griswold
- v. Connecticut, 381 U. S. 479 (1965). See also Carey v.
- Population Services Int'l, 431 U. S. 678, 687, 702 (1977)
- (White, J., concurring in part and concurring in result).
- The societal costs of overruling Roe at this late date would
- be enormous. Roe is an integral part of a correct under-
- standing of both the concept of liberty and the basic
- equality of men and women.
- Stare decisis also provides a sufficient basis for my
- agreement with the joint opinion's reaffirmation of Roe's
- post-viability analysis. Specifically, I accept the proposition
- that -[i]f the State is interested in protecting fetal life after
- viability, it may go so far as to proscribe abortion during
- that period, except when it is necessary to preserve the life
- or health of the mother.- 410 U. S., at 163-164; see ante,
- at 36-37.
- I also accept what is implicit in the Court's analysis,
- namely, a reaffirmation of Roe's explanation of why the
- State's obligation to protect the life or health of the mother
- must take precedence over any duty to the unborn. The
- Court in Roe carefully considered, and rejected, the State's
- argument -that the fetus is a `person' within the language
- and meaning of the Fourteenth Amendment.- 410 U. S., at
- 156. After analyzing the usage of -person- in the Constitu-
- tion, the Court concluded that that word -has application
- only postnatally.- Id., at 157. Commenting on the contin-
- gent property interests of the unborn that are generally
- represented by guardians ad litem, the Court noted:
- -Perfection of the interests involved, again, has generally
- been contingent upon live birth. In short, the unborn have
- never been recognized in the law as persons in the whole
- sense.- Id., at 162. Accordingly, an abortion is not -the
- termination of life entitled to Fourteenth Amendment
- protection.- Id., at 159. From this holding, there was no
- dissent, see id., at 173; indeed, no member of the Court has
- ever questioned this fundamental proposition. Thus, as a
- matter of federal constitutional law, a developing organism
- that is not yet a -person- does not have what is sometimes
- described as a -right to life.- This has been and, by the
- Court's holding today, remains a fundamental premise of
- our constitutional law governing reproductive autonomy.
- II
- My disagreement with the joint opinion begins with its
- understanding of the trimester framework established in
- Roe. Contrary to the suggestion of the joint opinion, ante,
- at 33, it is not a -contradiction- to recognize that the State
- may have a legitimate interest in potential human life and,
- at the same time, to conclude that that interest does not
- justify the regulation of abortion before viability (although
- other interests, such as maternal health, may). The fact
- that the State's interest is legitimate does not tell us when,
- if ever, that interest outweighs the pregnant woman's
- interest in personal liberty. It is appropriate, therefore, to
- consider more carefully the nature of the interests at stake.
- First, it is clear that, in order to be legitimate, the State's
- interest must be secular; consistent with the First Amend-
- ment the State may not promote a theological or sectarian
- interest. See Thornburgh v. American College of Obstetri-
- cians and Gynecologists, 476 U. S. 747, 778 (1986)
- (Stevens, J., concurring); see generally Webster v. Repro-
- ductive Health Services, 492 U. S. 490, 563-572 (1989)
- (Stevens, J., concurring in part and dissenting in part).
- Moreover, as discussed above, the state interest in potential
- human life is not an interest in loco parentis, for the fetus
- is not a person.
- Identifying the State's interests-which the States rarely
- articulate with any precision-makes clear that the interest
- in protecting potential life is not grounded in the Constitu-
- tion. It is, instead, an indirect interest supported by both
- humanitarian and pragmatic concerns. Many of our
- citizens believe that any abortion reflects an unacceptable
- disrespect for potential human life and that the perfor-
- mance of more than a million abortions each year is
- intolerable; many find third-trimester abortions performed
- when the fetus is approaching personhood particularly
- offensive. The State has a legitimate interest in minimizing
- such offense. The State may also have a broader interest
- in expanding the population, believing society would
- benefit from the services of additional productive citi-
- zens-or that the potential human lives might include the
- occasional Mozart or Curie. These are the kinds of concerns
- that comprise the State's interest in potential human life.
- In counterpoise is the woman's constitutional interest in
- liberty. One aspect of this liberty is a right to bodily
- integrity, a right to control one's person. See e.g., Rochin
- v. California, 342 U. S. 165 (1952); Skinner v. Oklahoma,
- 316 U. S. 535 (1942). This right is neutral on the question
- of abortion: The Constitution would be equally offended by
- an absolute requirement that all women undergo abortions
- as by an absolute prohibition on abortions. -Our whole
- constitutional heritage rebels at the thought of giving
- government the power to control men's minds.- Stanley v.
- Georgia, 394 U. S. 557, 565 (1969). The same holds true for
- the power to control women's bodies.
- The woman's constitutional liberty interest also involves
- her freedom to decide matters of the highest privacy and
- the most personal nature. Cf. Whalen v. Roe, 409 U. S. 589,
- 598-600 (1977). A woman considering abortion faces -a
- difficult choice having serious and personal consequences of
- major importance to her own future-perhaps to the
- salvation of her own immortal soul.- Thornburgh, 476
- U. S., at 781. The authority to make such traumatic and
- yet empowering decisions is an element of basic human
- dignity. As the joint opinion so eloquently demonstrates, a
- woman's decision to terminate her pregnancy is nothing less
- than a matter of conscience.
- Weighing the State's interest in potential life and the
- woman's liberty interest, I agree with the joint opinion that
- the State may -`expres[s] a preference for normal child-
- birth,'- that the State may take steps to ensure that a
- woman's choice -is thoughtful and informed,- and that
- -States are free to enact laws to provide a reasonable
- framework for a woman to make a decision that has such
- profound and lasting meaning.- Ante, at 30. Serious
- questions arise, however, when a State attempts to -per-
- suade the woman to choose childbirth over abortion.- Ante,
- at 36. Decisional autonomy must limit the State's power to
- inject into a woman's most personal deliberations its own
- views of what is best. The State may promote its prefer-
- ences by funding childbirth, by creating and maintaining
- alternatives to abortion, and by espousing the virtues of
- family; but it must respect the individual's freedom to make
- such judgments.
- This theme runs throughout our decisions concerning
- reproductive freedom. In general, Roe's requirement that
- restrictions on abortions before viability be justified by the
- State's interest in maternal health has prevented States
- from interjecting regulations designed to influence a
- woman's decision. Thus, we have upheld regulations of
- abortion that are not efforts to sway or direct a woman's
- choice but rather are efforts to enhance the deliberative
- quality of that decision or are neutral regulations on the
- health aspects of her decision. We have, for example,
- upheld regulations requiring written informed consent, see
- Planned Parenthood of Central Mo. v. Danforth, 428 U. S.
- 52 (1976); limited recordkeeping and reporting, see ibid.;
- and pathology reports, see Planned Parenthood Assn. of
- Kansas City, Mo., Inc. v. Ashcroft, 462 U. S. 476 (1983); as
- well as various licensing and qualification provisions, see
- e.g., Roe, 410 U. S., at 150; Simopoulos v. Virginia, 462
- U. S. 506 (1983). Conversely, we have consistently rejected
- state efforts to prejudice a woman's choice, either by
- limiting the information available to her, see Bigelow v.
- Virginia, 421 U. S. 809 (1975), or by -requir[ing] the
- delivery of information designed `to influence the woman's
- informed choice between abortion or childbirth.'-
- Thornburgh, 476 U. S., at 760; see also Akron v. Akron
- Center for Reproductive Health, Inc., 462 U. S. 416, 442-449
- (1983).
- In my opinion, the principles established in this long line
- of cases and the wisdom reflected in Justice Powell's
- opinion for the Court in Akron (and followed by the Court
- just six years ago in Thornburgh) should govern our
- decision today. Under these principles, 3205(a)(2)(i)-(iii)
- of the Pennsylvania statute are unconstitutional. Those
- sections require a physician or counselor to provide the
- woman with a range of materials clearly designed to
- persuade her to choose not to undergo the abortion. While
- the State is free, pursuant to 3208 of the Pennsylvania
- law, to produce and disseminate such material, the State
- may not inject such information into the woman's delibera-
- tions just as she is weighing such an important choice.
- Under this same analysis, 3205(a)(1)(i) and (iii) of the
- Pennsylvania statute are constitutional. Those sections,
- which require the physician to inform a woman of the
- nature and risks of the abortion procedure and the medical
- risks of carrying to term, are neutral requirements compa-
- rable to those imposed in other medical procedures. Those
- sections indicate no effort by the State to influence the
- woman's choice in any way. If anything, such requirements
- enhance, rather than skew, the woman's decisionmaking.
- III
- The 24-hour waiting period required by 3205(a)(1)-(2)
- of the Pennsylvania statute raises even more serious
- concerns. Such a requirement arguably furthers the State's
- interests in two ways, neither of which is constitutionally
- permissible.
- First, it may be argued that the 24-hour delay is justified
- by the mere fact that it is likely to reduce the number of
- abortions, thus furthering the State's interest in potential
- life. But such an argument would justify any form of
- coercion that placed an obstacle in the woman's path. The
- State cannot further its interests by simply wearing down
- the ability of the pregnant woman to exercise her constitu-
- tional right.
- Second, it can more reasonably be argued that the
- 24-hour delay furthers the State's interest in ensuring that
- the woman's decision is informed and thoughtful. But there
- is no evidence that the mandated delay benefits women or
- that it is necessary to enable the physician to convey any
- relevant information to the patient. The mandatory delay
- thus appears to rest on outmoded and unacceptable
- assumptions about the decisionmaking capacity of women.
- While there are well-established and consistently main-
- tained reasons for the State to view with skepticism the
- ability of minors to make decisions, see Hodgson v. Minne-
- sota, 497 U. S. 417, 449 (1990), none of those reasons
- applies to an adult woman's decisionmaking ability. Just
- as we have left behind the belief that a woman must
- consult her husband before undertaking serious matters,
- see ante, at 54-57, so we must reject the notion that a
- woman is less capable of deciding matters of gravity. Cf.
- Reed v. Reed, 404 U. S. 71 (1971).
- In the alternative, the delay requirement may be pre-
- mised on the belief that the decision to terminate a preg-
- nancy is presumptively wrong. This premise is illegitimate.
- Those who disagree vehemently about the legality and
- morality of abortion agree about one thing: The decision to
- terminate a pregnancy is profound and difficult. No person
- undertakes such a decision lightly-and States may not
- presume that a woman has failed to reflect adequately
- merely because her conclusion differs from the State's
- preference. A woman who has, in the privacy of her
- thoughts and conscience, weighed the options and made her
- decision cannot be forced to reconsider all, simply because
- the State believes she has come to the wrong conclusion.
- Part of the constitutional liberty to choose is the equal
- dignity to which each of us is entitled. A woman who
- decides to terminate her pregnancy is entitled to the same
- respect as a woman who decides to carry the fetus to term.
- The mandatory waiting period denies women that equal
- respect.
- IV
- In my opinion, a correct application of the -undue burden-
- standard leads to the same conclusion concerning the
- constitutionality of these requirements. A state-imposed
- burden on the exercise of a constitutional right is measured
- both by its effects and by its character: A burden may be
- -undue- either because the burden is too severe or because
- it lacks a legitimate, rational justification.
- The 24-hour delay requirement fails both parts of this
- test. The findings of the District Court establish the
- severity of the burden that the 24-hour delay imposes on
- many pregnant women. Yet even in those cases in which
- the delay is not especially onerous, it is, in my opinion,
- -undue- because there is no evidence that such a delay
- serves a useful and legitimate purpose. As indicated above,
- there is no legitimate reason to require a woman who has
- agonized over her decision to leave the clinic or hospital and
- return again another day. While a general requirement
- that a physician notify her patients about the risks of a
- proposed medical procedure is appropriate, a rigid require-
- ment that all patients wait 24 hours or (what is true in
- practice) much longer to evaluate the significance of
- information that is either common knowledge or irrelevant
- is an irrational and, therefore, -undue- burden.
- The counseling provisions are similarly infirm. Whenever
- government commands private citizens to speak or to listen,
- careful review of the justification for that command is
- particularly appropriate. In this case, the Pennsylvania
- statute directs that counselors provide women seeking
- abortions with information concerning alternatives to
- abortion, the availability of medical assistance benefits, and
- the possibility of child-support payments. 3205(a)(2)(i)-
- (iii). The statute requires that this information be given to
- all women seeking abortions, including those for whom such
- information is clearly useless, such as those who are
- married, those who have undergone the procedure in the
- past and are fully aware of the options, and those who are
- fully convinced that abortion is their only reasonable option.
- Moreover, the statute requires physicians to inform all of
- their patients of -the probable gestational age of the unborn
- child.- 3205(a)(1)(ii). This information is of little decision-
- al value in most cases, because 90% of all abortions are
- performed during the first trimester when fetal age has
- less relevance than when the fetus nears viability. Nor can
- the information required by the statute be justified as
- relevant to any -philosophic- or -social- argument, ante, at
- 30, either favoring or disfavoring the abortion decision in a
- particular case. In light of all of these facts, I conclude that
- the information requirements in 3205(a)(1)(ii) and
- 3205(a)(2)(i)-(iii) do not serve a useful purpose and thus
- constitute an unnecessary-and therefore undue-burden
- on the woman's constitutional liberty to decide to terminate
- her pregnancy.
-
- Accordingly, while I disagree with Parts IV, V-B, and V-D
- of the joint opinion, I join the remainder of the Court's
- opinion.
-