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Op-ed: Whole Woman's Health empowers courts to overturn scientifically unproven abortion restrictions

In the Supreme Court ruling striking down contested provisions in Texas' omnibus antiabortion-rights law (HB 2), "Justice Stephen Breyer signaled to legislatures and judges that it is constitutionally unacceptable to rely upon junk science when evaluating restrictions on abortion care," Noel León, an If/When/How Reproductive Justice Fellow at the Reproductive Health Technologies Project, writes in an opinion piece for Rewire.

León explains that Breyer's opinion "validated what advocates have known for years: Legislative efforts used to justify abortion restrictions do not reflect reasonable disagreement over science." In overturning abortion restrictions based on medically unproven claims of protecting women's health, the high court "has now finally stated unequivocally that courts cannot let these sham laws based on false scientific claims stand without judicial scrutiny," León writes.

León addresses complaints lodged by abortion-rights opponents claiming that "courts are an improper place for evaluation of science," noting, "This concern misunderstands the role of courts and the way that scientific evidence is evaluated in courts, and also fails to recognize how rudimentary the Court's ruling in Whole Woman's Health actually is."

According to León, "Our judicial system is built on an adversarial process in which two opposing parties present evidence to create a factual record." Since "courts are not experts on science, scientific evidence is generally presented through expert testimony," León explains, adding, "Judges serve as the gatekeepers of that testimony and must evaluate the legitimacy of expert testimony before it can be included in the record." All of the "courts must follow a basic standard" in evaluating expert content for admission, she continues, and "then base final decisions on the record created at trial."

León explains that rulings at the trial court level "can be appealed, reviewed, and overturned if an appellate court thinks the trial court did a poor job managing the development of the factual record, including improper admission of expert testimony without sufficient factual basis." According to León, "Officers of the court -- judges, attorneys, etc. -- are therefore charged with engaging in careful and thorough admission and interpretation of evidence to arrive at findings of fact, a standard intended to be enforced on appeal."

León writes that "[c]ourts generally follow a principal of deference to legislative findings of fact" that "is rational, especially where reasonable minds can disagree on the evidence upon which those findings are based." As a result, according to León, "when the views of the most powerful political voices go against the weight of the evidence, the importance of the judiciary's role as gatekeeper and evaluator of evidence becomes starkly clear."

León cites the ruling in the 2007 Supreme Court case Gonzales v. Carhart, in which the justices wrote "that where 'evidence presented in the District Courts contradicts' some of the legislative findings ... '(u)ncritical deference to (the legislature's) factual findings ... is inappropriate.'" León writes, "In this scenario judicial fact-finding is not only legitimate, it is crucial."

The decision "does not argue that courts be the only or even the primary evaluators of scientific evidence," León writes, but it "should be interpreted as a directive to legislatures just as much as it is to courts, signaling to lawmakers that if they pass scientifically unsubstantiated laws that infringe on fundamental rights those laws will strongly risk being overturned." She adds, "This is not a controversial new idea. It is merely a requirement that courts and legislatures do their jobs in the ways they were designed to."

According to León, "Justice Breyer's call [in Whole Woman's Health] for basic judicial scrutiny and the acknowledgement that scientific evidence is critically relevant to decisions about human dignity and fundamental constitutional rights come as an enormous relief to reproductive rights, health, and justice advocates who have grown despondent over the way that courts have simply deferred to legislative fact-finding based on unsound or nonexistent evidence." She concludes, "Going forward, advocates hope courts and legislatures will heed the Supreme Court's call to ensure that scientific integrity undergirds lawmaking and will thereby strive toward equal access to safe and dignified reproductive health care" (León, Rewire, 8/5).

Video Round Up

The New York Times spotlightsabortion-rights activism against a proposed abortion ban in Poland.

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KUTV/KEYE's Adele Uchida covers a Texas proposal that will require fetal tissue to be buried or cremated.

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In this clip, Rabbi Lori Koffman discusses the intersection of her faith and her advocacy work for abortion rights, stating, "I'm a woman, I'm a mother, I'm a rabbi, I'm a Jew, I'm an American. And all those pieces of me call me to do this work."

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KWTV's Grant Hermes covers the opening of a new reproductive health center in Oklahoma City, which previously had been the largest metropolitan area without an abortion clinic.

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Deutsche Welle's Carl Nasman spotlights @TwoWomenTravel, a Twitter account documenting the experience of two Irish women who traveled to Great Britain to access abortion care for one of the women.

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In this clip, The Nation profiles Leah Torres, an OB-GYN who shares her "career changing, life changing" work as an abortion provider in Utah, a state that imposes several restrictions on abortion care.

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In this clip, WKYC's Maureen Kyle covers a recent decision by a federal judge to grant a permanent injunction against an Ohio law (HB 294) that would cut $1.3 million from abortion providers.

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In an interview with AOL Build's Emma Gray, Tracy Droz Tragos discusses her new documentary, "Abortion: Stories Women Tell," which shares women's perspectives on abortion care and abortion rights.

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In this clip, WJHG's Matt Galka discusses Florida's decision not to appeal a federal court order currently blocking parts of a state omnibus antiabortion-rights law (HB 1411) from taking effect.

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Marissa Silver, a reporter with Coastal Television's "Your Alaska Link," shares the Alaska Supreme Court's decision to strike down a state law that required a minor's parent to be notified of her decision to seek abortion care.

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Datapoints

In this infographic, the Texas Health and Human Services Commission (HHSC) outlines data showing that the percentage of Texas women opting for long-acting reversible contraception (LARC) through three state-operated health programs increased between 2012 and 2013.

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In this map, the Population Institute illustrates how many of the states at risk of the Zika virus scored poorly on measures of reproductive rights and health.

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In this infographic, the Guttmacher Institute spotlights the increased proportion of insured visits at 28 Title-X supported family planning centers following the implementation of the Affordable Care Act (ACA) (PL 111-148).

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In this infographic, the Texas Observer compiled information from the Texas Department of State Health Services, the Texas Policy Evaluation Project and the Centers for Disease Control and Prevention to provide a snapshot of abortion access in Texas.

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In this infographic, the Guttmacher Institute tracks recent trends in state abortion laws.

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In this map, the Guttmacher Institute highlights the effects of the Hyde Amendment, an appropriations rider that bars federal Medicaid funding from covering abortion care except in the limited cases of rape, incest and life endangerment.

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In this gif, Cosmopolitan shares research from the Texas Policy Evaluation Project showing that the average distance a woman in Texas must drive to access the nearest abortion clinic in the state has increased following the implementation of the state's omnibus antiabortion-rights law (HB 2).

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In this map, the Kaiser Family Foundation spotlights five states and Washington, D.C., which have each enacted policies designed to facilitate access to contraception.

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In this chart, Media Matters highlights the findings of a study showing how evening and primetime news programs airing on cable news conveyed more inaccurate than accurate statements about abortion.

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At a Glance

"A woman's ability to end her pregnancy too often depends on where she lives, her age and how much money is in her pocket."

— Marcela Howell of In Our Own Voice: National Black Women's Reproductive Justice Agenda, discussing ongoing disparities in women's access to abortion care on the 43rd anniversary of Roe v. Wade.

At a Glance

"If women are not free to make decisions about their own lives and health, they are not free. And if women are not free, none of us are."

— Abortion provider Warren Hern, in a STAT News opinion piece on why he continues to offer abortion care despite receiving harassment and death threats throughout his 42-year career.

At a Glance

"Not since before Roe v. Wade has a law or court decision had the potential to devastate access to reproductive health care on such a sweeping scale."

— Nancy Northup, president and CEO of the Center for Reproductive Rights, on a ruling from the 5th U.S. Circuit Court of Appeals that upheld major portions of a Texas antiabortion-rights law.