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Dobbs v. Jackson Women’s Health Organization

(2022)

formal portrait of the Supreme Court, 2022


    Excerpt from the full text at the Supreme Court.

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In Dobbs v. Jackson Women’s Health Organization, the Supreme Court overturned Roe v. Wade (1973) and Planned Parenthood v. Casey (1992). 
This is an excerpt of their 213-page decision on the case.

The case concerns a Mississippi law outlawing abortion after fifteen weeks – a Jackson, Mississippi, abortion clinic argued that the law was unconstitutional under
Roe v. Wade, but the Mississippi state government argued that the law was constitutional because Roe v. Wade was wrongly decided.  The majority of the Supreme Court agreed.  They ruled that pregnant women have no constitutional right to choose an abortion (as had been the case since 1973); rather, state governments have the right to pass whatever abortion laws they choose, subject only to the will of the voters.  In making that case, the majority weakened the Fourteenth Amendment’s protection of individual rights.

Excerpted below are the majority opinion, one of the concurring opinions, and the dissenting opinion.  Among the issues they discuss is “substantive due process,” which is the principle that the Fifth and Fourteenth Amendments protect fundamental individual rights that are not explicitly mentioned in the Constitution (such as the right to privacy).  Another issue central to this decision is stare decisis, or the principle that the Court should almost always follow the precedent of earlier Supreme Court rulings.

Note that ellipses show where text has been removed, and square brackets mark editorial additions and inserted headings.  (Parenthetical material is part of the original text).  See the original text for in-text citations, notations of changes to tense or capitalization within quotes, and footnotes.

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Majority opinion (written by Justice Samuel Alito):


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.”

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 . . . because it destroys what those decisions called “fetal life” and what the law now before us describes as an “unborn human being.”

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.  . . .

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.”  That is what the Constitution and the rule of law demand. . . .

    ***

[On whether the Constitution protects an individual’s right to an abortion, even if voters in the state where that individual lives want to legislate against that right]

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.  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. . . .

We briefly address one additional constitutional provision that some . . .  offer as yet another potential home for the abortion right: the Fourteenth Amendment’s Equal Protection Clause.  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. . . . The “goal of preventing abortion” does not constitute “invidiously discriminatory animus” against women.  Accordingly, laws . . . are governed by the same standard of review as other health and safety measures. . . .

[The Fourteenth Amendment’s Due Process Clause only protects two categories of rights:]

The first consists of rights guaranteed by the first eight Amendments. . . . The second category  . . . 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.” . . .

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. . . .

We must ask what the Fourteenth Amendment means by the term “liberty.” When we engage in that [historical] inquiry in the present case, the clear answer is that the Fourteenth Amendment does not protect the right to an abortion. . . .

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. . . . 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. [That is, in common law, abortion was “criminal” (punishable as a crime) in later stages of pregnancy, and in earlier stages, it was “unlawful” (not authorized but not something that anyone would be punished for). “Quickening,” or the point when a pregnant woman could feel the fetus’s movement as separate from the internal workings of her own body, was the distinguishing point.  Thus, abortions before about the 18th week of pregnancy were “unlawful” but not “criminal.”]  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. . . .

[Even under the earlier common law,] 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. . . .

In this country during the 19th century, the vast majority of the States enacted statutes criminalizing abortion at all stages of pregnancy.  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. Of the nine States that had not yet criminalized abortion at all stages, all but one did so by 1910. 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). . . .

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. . . .

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.”  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.”  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 [because the precedents that were used to support the constitutional right to an abortion are not relevant]. . . .  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.”  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 [the rights discussed in the cases used as precedent] in any way. . . .

    ***

[On the principle of stare decisis]
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. . . .

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. . . . .

[On stare decisis and Roe’s and Casey’s reasoning]
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,”  the Court usurped the power to address a question of profound moral and social importance that the Constitution unequivocally leaves for the people. . . .

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. . . .

[On stare decisis and reliance interests]
We . . . consider whether overruling Roe and Casey will upend substantial reliance interests [that is, whether overruling a constitutional decision that people have relied on would cause a special hardship.]

[As Casey put it,] “reproductive planning could take virtually immediate account of any sudden restoration of state authority to ban abortions.” . . .  We agree with the Casey plurality that conventional, concrete reliance interests are not present here.

When a concrete reliance interest is asserted [as with business contracts], courts are equipped to evaluate the claim, but . . . [relying on Roe in an intangible way] 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. 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. . . . 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.

The Solicitor General suggests that overruling [Roe] would “threaten the Court’s precedents holding that the Due Process Clause protects other rights.”  That is not correct . . . .  As even the Casey plurality recognized, “abortion is a unique act” because it terminates “life or potential life.”  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. . . .

    ***



We cannot allow our decisions to be affected by any extraneous influences such as concern about the public’s reaction to our work.  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.” . . .

A law regulating abortion, like other health and welfare laws, is entitled to a “strong presumption of validity.”  It must be sustained if there is a rational basis on which the legislature could have thought that it would serve legitimate state interests.  These legitimate interests include respect for and preservation of prenatal life at all stages of development; 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.

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.


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Concurring opinion by Justice Clarence Thomas:

The Due Process Clause [of the Fourteenth Amendment] at most guarantees process. It does not, as the Court’s substantive due process cases suppose, “forbid the government to infringe certain ‘fundamental’ liberty interests at all, no matter what process is provided.” . . .

The resolution of this case is thus straightforward. Because the Due Process Clause does not secure any substantive rights, it does not secure a right to abortion.

The Court today declines to disturb substantive due process jurisprudence generally or the doctrine’s application in other, specific contexts. Cases like Griswold v. Connecticut (1965)  (right of married persons to obtain contraceptives); Lawrence v. Texas (2003) (right to engage in private, consensual sexual acts); and Obergefell v. Hodges (2015) (right to same-sex marriage), are not at issue. The Court’s abortion cases are unique, and no party has asked us to decide “whether our entire Fourteenth Amendment jurisprudence must be preserved or revised.” . . .  [However,] in future cases, we should reconsider all of this Court’s substantive due process precedents, including Griswold, Lawrence, and Obergefell. Because any substantive due process decision is “demonstrably erroneous,” we have a duty to “correct the error” established in those precedents. After overruling these demonstrably erroneous decisions, the question would remain whether other constitutional provisions guarantee the myriad rights that our substantive due process cases have generated. . . .

Respondents and the United States propose no fewer than three different interests that supposedly spring from the Due Process Clause. They include “bodily integrity,” “personal autonomy in matters of family, medical care, and faith,”  and “women’s equal citizenship.” That 50 years have passed since Roe and abortion advocates still cannot coherently articulate the right (or rights) at stake proves the obvious: The right to abortion is ultimately a policy goal in desperate search of a constitutional justification.  [Also,] . . . substantive due process distorts other areas of constitutional law. For example, once this Court identifies a “fundamental” right for one class of individuals, it invokes the Equal Protection Clause to demand exacting scrutiny of statutes that deny the right to others.  . . .

In Dred Scott v. Sandford (1857), the Court invoked a species of substantive due process to announce that Congress was powerless to emancipate slaves brought into the federal territories. [That is, the Supreme Court then ruled that, while the Constitution did not explicitly protect one person’s right to own someone else as property, constitutionally protected property rights implicitly prevented the government from infringing on slaveowners’ rights.]  While Dred Scott “was overruled on the battlefields of the Civil War and by constitutional amendment after Appomattox,”  that overruling was “purchased at the price of immeasurable human suffering,”  Now today, the Court rightly overrules Roe and Casey – two of this Court’s “most notoriously incorrect” substantive due process decisions  – after more than 63 million abortions have been performed .

The harm caused by this Court’s forays into substantive due process remains immeasurable. . . .

In future cases, we should “follow the text of the Constitution, which sets forth certain substantive rights that cannot be taken away, and adds, beyond that, a right to due process when life, liberty, or property is to be taken away.”  Substantive due process conflicts with that textual command and has harmed our country in many ways. Accordingly, we should eliminate it from our jurisprudence at the earliest opportunity.


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Dissenting opinion, by Justice Stephen Breyer, Justice Sonia Sotomayor, and Justice Elena Kagan:

For half a century, Roe v. Wade (1973), and Planned Parenthood of Southeastern Pa. v. Casey (1992), have protected the liberty and equality of women. Roe held, and Casey reaffirmed, that the Constitution safeguards a woman’s right to decide for herself whether to bear a child. Roe held, and Casey reaffirmed, that in the first stages of pregnancy, the government could not make that choice for women. The government could not control a woman’s body or the course of a woman’s life: It could not determine what the woman’s future would be.  . . .

Whatever the exact scope of the coming laws, one result of today’s decision is certain: the curtailment of women’s rights, and of their status as free and equal citizens. . . . As of today, this Court holds, a State can always force a woman to give birth, prohibiting even the earliest abortions. A State can thus transform what, when freely undertaken, is a wonder into what, when forced, may be a nightmare. . . .

    ***


[On Roe and Casey’s connections to other cases]
Roe and Casey were from the beginning, and are even more now, embedded in core constitutional concepts of individual freedom, and of the equal rights of citizens to decide on the shape of their lives. Those legal concepts, one might even say, have gone far toward defining what it means to be an American. For in this Nation, we do not believe that a government controlling all private choices is compatible with a free people. . . . We believe in a Constitution that puts some issues off limits to majority rule. Even in the face of public opposition, we uphold the right of individuals – yes, including women – to make their own choices and chart their own futures. Or at least, we did once. . . .

The majority [insists] that Roe and Casey, and we in defending them, are dismissive of a “State’s interest in protecting prenatal life.”  Nothing could get those decisions more wrong. . . .  Roe and Casey invoked powerful state interests in that protection, operative at every stage of the pregnancy and overriding the woman’s liberty after viability. The strength of those state interests is exactly why the Court allowed greater restrictions on the abortion right than on other rights deriving from the Fourteenth Amendment.  But what Roe and Casey also recognized – which today’s majority does not – is that a woman’s freedom and equality are likewise involved. . . .

The constitutional regime we have lived in for the last 50 years recognized competing interests, and sought a balance between them. The constitutional regime we enter today erases the woman’s interest and recognizes only the State’s (or the Federal Government’s). . . .

The majority makes this change based on a single question: Did the reproductive right recognized in Roe and Casey exist in “1868, the year when the Fourteenth Amendment was ratified”?  The majority says (and with this much we agree) that the answer to this question is no: In 1868, there was no nationwide right to end a pregnancy, and no thought that the Fourteenth Amendment provided one. . . .

Embarrassingly for the majority – early law in fact does provide some support for abortion rights. Common-law authorities did not treat abortion as a crime before “quickening” – the point when the fetus moved in the womb. And early American law followed the common-law rule. So the criminal law of that early time might be taken as roughly consonant with Roe’s and Casey’s different treatment of early and late abortions. . . .

The majority’s core legal postulate, then, is that we in the 21st century must read the Fourteenth Amendment just as its ratifiers did. And that is indeed what the majority emphasizes over and over again. . . . If the ratifiers did not understand something as central to freedom, then neither can we. Or said more particularly: If those people did not understand reproductive rights as part of the guarantee of liberty conferred in the Fourteenth Amendment, then those rights do not exist.

As an initial matter, note a mistake in the just preceding sentence. We referred there to the “people” who ratified the Fourteenth Amendment: What rights did those “people” have in their heads at the time? But, of course, “people” did not ratify the Fourteenth Amendment. Men did. So it is perhaps not so surprising that the ratifiers were not perfectly attuned to the importance of reproductive rights for women’s liberty, or for their capacity to participate as equal members of our Nation. Indeed, the ratifiers – both in 1868 and when the original Constitution was approved in 1788 –  did not understand women as full members of the community embraced by the phrase “We the People.” . . . [They] did not perceive women as equals, and did not recognize women’s rights. When the majority says that we must read our foundational charter as viewed at the time of ratification, it consigns women to second-class citizenship.

So how is it that, as Casey said, our Constitution, read now, grants rights to women, though it did not in 1868? . . . . The answer is that this Court has rejected the majority’s pinched view of how to read our Constitution. “The Founders . . . knew they were writing a document designed to apply to ever-changing circumstances over centuries.” . . . That is indeed why our Constitution is written as it is. The Framers (both in 1788 and 1868) understood that the world changes. So they did not define rights by reference to the specific practices existing at the time. Instead, the Framers defined rights in general terms, to permit future evolution in their scope and meaning. And over the course of our history, this Court has taken up the Framers’ invitation. It has kept true to the Framers’ principles by applying them in new ways, responsive to new societal understandings and conditions. . . .

The Fourteenth Amendment’s ratifiers did not think it gave black and white people a right to marry each other. To the contrary, contemporaneous practice deemed that act quite as unprotected as abortion. Yet the Court in Loving v. Virginia (1967), read the Fourteenth Amendment to embrace the Lovings’ union. . . . The Constitution does not freeze for all time the original view of what . . . [constitutional] rights guarantee, or how they apply.  . . .

“No right,” in this Court’s time-honored view, “is held more sacred, or is more carefully guarded,” than “the right of every individual to the possession and control of his own person.”  Or to put it more simply: Every one, including women, owns their own bodies. So the Court has restricted the power of government to interfere with a person’s medical decisions or compel her to undergo medical procedures or treatments. . . . Casey recognized the “doctrinal affinity” between those precedents and Roe.  And that doctrinal affinity is born of a factual likeness. There are few greater incursions on a body than forcing a woman to complete a pregnancy and give birth. For every woman, those experiences involve all manner of physical changes, medical treatments (including the possibility of a cesarean section), and medical risk. Just as one example, an American woman is 14 times more likely to die by carrying a pregnancy to term than by having an abortion.   That women happily undergo those burdens and hazards of their own accord does not lessen how far a State impinges on a woman’s body when it compels her to bring a pregnancy to term. And for some women, as Roe recognized, abortions are medically necessary to prevent harm.  The majority does not say – which is itself ominous – whether a State may prevent a woman from obtaining an abortion when she and her doctor have determined it is a needed medical treatment. . . .

[The majority asserts that] “nothing in this opinion should be understood to cast doubt on precedents that do not concern abortion.”  That right is unique, the majority asserts, “because abortion terminates life or potential life.”  So the majority depicts today’s decision as “a restricted railroad ticket, good for this day and train only.” Should the audience for these too-much-repeated protestations be duly satisfied? We think not.

The first problem with the majority’s account comes from Justice Thomas’s concurrence  – which makes clear he is not with the program. In saying that nothing in today’s opinion casts doubt on non-abortion precedents, Justice Thomas explains, he means only that they are not at issue in this very case.  But he lets us know what he wants to do when they are. “In future cases,” he says, “we should reconsider all of this Court’s substantive due process precedents, including Griswold, Lawrence, and Obergefell.” And when we reconsider them? Then “we have a duty” to “overrule these demonstrably erroneous decisions.”  So at least one Justice is planning to use the ticket of today’s decision again and again and again. . . .

According to the majority, no liberty interest is present –  because (and only because) the law offered no protection to the woman’s choice in the 19th century. But here is the rub. The law also did not then (and would not for ages) protect a wealth of other things. It did not protect the rights recognized in Lawrence and Obergefell to same-sex intimacy and marriage. It did not protect the right recognized in Loving to marry across racial lines. It did not protect the right recognized in Griswold to contraceptive use. For that matter, it did not protect the right recognized in Skinner v. Oklahoma (1942), not to be sterilized without consent. So if the majority is right in its legal analysis, all those decisions were wrong, and all those matters properly belong to the States too – whatever the particular state interests involved. And if that is true, it is impossible to understand (as a matter of logic and principle) how the majority can say that its opinion today does not threaten – does not even “undermine” – any number of other constitutional rights. . . .

Assume the majority is sincere in saying, for whatever reason, that it will go so far and no further. Scout’s honor. Still, the future significance of today’s opinion will be decided in the future. And law often has a way of evolving without regard to original intentions – a way of actually following where logic leads, rather than tolerating hard-to-explain lines. Rights can expand in that way. . . .  Rights can contract in the same way and for the same reason – because whatever today’s majority might say, one thing really does lead to another. We fervently hope that does not happen because of today’s decision. . . . But we cannot understand how anyone can be confident that today’s opinion will be the last of its kind. . . .

    ***

By overruling Roe, Casey, and more than 20 cases reaffirming or applying the constitutional right to abortion, the majority abandons stare decisis, a principle central to the rule of law. “Stare decisis” means “to stand by things decided.” . . . Stare decisis also “contributes to the integrity of our constitutional system of government” by ensuring that decisions “are founded in the law rather than in the proclivities of individuals.” . . . [It] means the Court may not overrule a decision, even a constitutional one, without a “special justification.” . . .  [In this case,] nothing – and in particular, no significant legal or factual change – supports overturning a half-century of settled law giving women control over their reproductive lives.

[On stare decisis and workability]
[One justification for overturning a precedent is if the rule it created was “unworkable,” but the rule created by Dobbs is not more workable than the one rule created by Roe.] The majority says a law regulating or banning abortion “must be sustained if there is a rational basis on which the legislature could have thought that it would serve legitimate state interests.” And the majority lists interests like “respect for and preservation of prenatal life,” “protection of maternal health,” elimination of certain “medical procedures,” “mitigation of fetal pain,” and others.  This Court will surely face critical questions about how that test applies. Must a state law allow abortions when necessary to protect a woman’s life and health? And if so, exactly when? How much risk to a woman’s life can a State force her to incur, before the Fourteenth Amendment’s protection of life kicks in? Suppose a patient with pulmonary hypertension has a 30-to-50 percent risk of dying with ongoing pregnancy; is that enough? And short of death, how much illness or injury can the State require her to accept, consistent with the Amendment’s protection of liberty and equality? . . .

In short, the majority does not save judges from unwieldy tests or extricate them from the sphere of controversy. To the contrary, it discards a known, workable, and predictable standard in favor of something novel and probably far more complicated. . . .

[On legal and social changes since Roe and Casey]
When overruling constitutional precedent, the Court has almost always pointed to major legal or factual changes undermining a decision’s original basis. . . . . But it is not so today. Although nodding to some arguments others have made about “modern developments,” the majority does not really rely on them, no doubt seeing their slimness.  . . . In the end, the majority throws longstanding precedent to the winds without showing that anything significant has changed to justify its radical reshaping of the law. . . .

No subsequent factual developments have undermined Roe and Casey. Women continue to experience unplanned pregnancies and unexpected developments in pregnancies. Pregnancies continue to have enormous physical, social, and economic consequences. Even an uncomplicated pregnancy imposes significant strain on the body, unavoidably involving significant physiological change and excruciating pain. For some women, pregnancy and childbirth can mean life-altering physical ailments or even death. . . . Pregnancy and childbirth may also impose large-scale financial costs. The majority briefly refers to arguments about changes in laws relating to healthcare coverage, pregnancy discrimination, and family leave.  Many women, however, still do not have adequate healthcare coverage before and after pregnancy; and, even when insurance coverage is available, healthcare services may be far away. Women also continue to face pregnancy discrimination that interferes with their ability to earn a living. Paid family leave remains inaccessible to many who need it most. . . .

In sum, the majority can point to neither legal nor factual developments in support of its decision. Nothing that has happened in this country or the world in recent decades undermines the core insight of Roe and Casey. . . .

In support of its holding, the majority invokes . . . watershed cases overruling prior constitutional
precedents. [But those cases do not support overturning Roe and Casey.  Two of those cases, West Virginia Board of Education v. Barnette (1943) and Brown v. the Board of Education (1954),]  protected individual  rights with a strong basis in the Constitution’s most fundamental commitments; they did not, as the majority does here, take away a right that individuals have held, and relied on, for 50 years. To take that action based on a new and bare majority’s declaration that two Courts got the result egregiously wrong? And to justify that action by reference . . . to Brown – a case in which the Chief Justice . . . wrote an (11-page) opinion in which the entire Court could speak with one voice?. . . .

[On stare decisis and reliance interests]
The reasons for retaining Roe and Casey gain further strength from the overwhelming reliance interests those decisions have created.  By characterizing Casey’s [arguments about the consequences of overturning a right that individuals have relied on] as “generalized assertions about the national psyche,” [the majority] . . . reveals how little it knows or cares about women’s lives or about the suffering its decision will cause. . . .

For half a century now, in Casey’s words, “the 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.”  Indeed, all women now of childbearing age have grown up expecting that they would be able to avail themselves of Roe’s and Casey’s protections.

The majority’s response to these obvious points exists far from the reality American women actually live. The majority proclaims that “ ‘reproductive planning could take virtually immediate account of any sudden restoration of state authority to ban abortions.’ ”  The facts are: 45 percent of pregnancies in the United States are unplanned.  Even the most effective contraceptives fail, and effective contraceptives are not universally accessible.  Not all sexual activity is consensual and not all contraceptive choices are made by the party who risks pregnancy.  The Mississippi law at issue here, for example, has no exception for rape or incest, even for underage women. . . .

Finally, the expectation of reproductive control is integral to many women’s identity and their place in the Nation.  That expectation helps define   a woman as an “equal citizen,” with all the rights, privileges, and obligations that status entails.  It reflects that she is an autonomous person, and that society and the law recognize her as such. Like many constitutional rights, the right to choose situates a woman in relationship to others and to the government. It helps define a sphere of freedom, in which a person has the capacity to make choices free of government control. As Casey recognized, the right “orders” her “thinking” as well as her “living.” Beyond any individual choice about residence, or education, or career, her whole life reflects the control and authority that the right grants.

Withdrawing a woman’s right to choose whether to continue a pregnancy does not mean that no choice is being made. It means that a majority of today’s Court has wrenched this choice from women and given it to the States. To allow a State to exert control over one of “the most intimate and personal choices” a woman may make is not only to affect the course of her life, monumental as those effects might be.  It is to alter her “views of herself” and her understanding of her “place in society” as someone with the recognized dignity and authority to make these choices.  Women have relied on Roe and Casey in this way for 50 years. Many have never known anything else. When Roe and Casey disappear, the loss of power, control, and dignity will be immense.
 . . .

By disclaiming any need to consider broad swaths of individuals’ interests, the Court arrogates to itself the authority to overrule established legal principles without even acknowledging the costs of its decisions for the individuals who live under the law, costs that this Court’s stare decisis doctrine instructs us to privilege when deciding whether to change course.

The majority claims that the reliance interests women have in Roe and Casey are too “intangible” for the Court to consider, even if it were inclined to do so.  This is to ignore as judges what we know as men and women. The interests women have in Roe and Casey are perfectly, viscerally concrete. Countless women will now make different decisions about careers, education, relationships, and whether to try to become pregnant than they would have when Roe served as a backstop. Other women will carry pregnancies to term, with all the costs and risk of harm that involves, when they would previously have chosen to obtain an abortion. For millions of women, Roe and Casey have been critical in giving them control of their bodies and their lives. Closing our eyes to the suffering today’s decision will impose will not make that suffering disappear. . . . Stare decisis requires that the Court calculate the costs of a decision’s repudiation on those who have relied on the decision, not on those who have disavowed it. . . .

Rescinding an individual right in its entirety and conferring it on the State, an action the Court takes today for the first time in history, affects all who have relied on our constitutional system of government and its structure of individual liberties protected from state oversight. Roe and Casey have of course aroused controversy and provoked disagreement. But the right those decisions conferred and reaffirmed is part of society’s understanding of constitutional law and of how the Court has defined the liberty and equality that women are entitled to claim. After today, young women will come of age with fewer rights than their mothers and grandmothers had. The majority accomplishes that result without so much as considering how women have relied on the right to choose or what it means to take that right away. The majority’s refusal even to consider the life-altering consequences of reversing Roe and Casey is a stunning indictment of its decision.

    ***

[On stare decisis for controversial issues]
One last consideration counsels against the majority’s ruling: the very controversy surrounding Roe and Casey. The majority accuses Casey of acting outside the bounds of the law to quell the conflict over abortion – of imposing an unprincipled “settlement” of the issue in an effort to end “national division.”  But that is not what Casey did. As shown above, Casey applied traditional principles of stare decisis – which the majority today ignores – in reaffirming Roe. Casey carefully assessed changed circumstances (none) and reliance interests (profound). It considered every aspect of how Roe’s framework operated. It adhered to the law in its analysis, and it reached the conclusion that the law required. True enough that Casey took notice of the “national controversy” about abortion: The Court knew in 1992, as it did in 1973, that abortion was a “divisive issue.”  But Casey’s reason for acknowledging public conflict was the exact opposite of what the majority insinuates. Casey addressed the national controversy in order to emphasize how important it was, in that case of all cases, for the Court to stick to the law. Would that today’s majority had done likewise. . . .

We fear that today’s decision, departing from stare decisis for no legitimate reason, is its own loaded weapon. Weakening stare decisis threatens to upend bedrock legal doctrines, far beyond any single decision. Weakening stare decisis creates profound legal instability. And as Casey recognized, weakening stare decisis in a hotly contested case like this one calls into question this Court’s commitment to legal principle. It makes the Court appear not restrained but aggressive, not modest but grasping. In all those ways, today’s decision takes aim, we fear, at the rule of law. . . .

Roe has stood for fifty years. Casey, a precedent about precedent specifically confirming Roe, has stood for thirty. And the doctrine of stare decisis – a critical element of the rule of law – stands foursquare behind their continued existence. The right those decisions established and preserved is embedded in our constitutional law, both originating in and leading to other rights protecting bodily integrity, personal autonomy, and family relationships. . . . Neither law nor facts nor attitudes have provided any new reasons to reach a different result than Roe and Casey did. All that has changed is this Court. . . .

Now a new and bare majority of this Court – acting at practically the first moment possible – overrules Roe and Casey. It converts a series of dissenting opinions expressing antipathy toward Roe and Casey into a decision greenlighting even total abortion bans.  It eliminates a 50-year-old constitutional right that safeguards women’s freedom and equal station. It breaches a core rule-of-law principle, designed to promote constancy in the law. In doing all of that, it places in jeopardy other rights, from contraception to same-sex intimacy and marriage. And finally, it undermines the Court’s legitimacy. . . .

[Justices writing the Casey decision] knew that “the legitimacy of the Court is earned over time.” They also would have recognized that it can be destroyed much more quickly. They worked hard to avert that outcome in Casey. The American public, they thought, should never conclude that its constitutional protections hung by a thread – that a new majority, adhering to a new “doctrinal school,” could “by dint of numbers” alone expunge their rights. It is hard – no, it is impossible – to conclude that anything else has happened here. . . . In overruling Roe and Casey, this Court betrays its guiding principles. With sorrow – for this Court, but more, for the many millions of American women who have today lost a fundamental constitutional protection – we dissent.