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- PAGE 1
- (Cite as: 410 U.S. 113, 93 S.Ct. 705)
- Jane ROE, et al., Appellants,
- v.
- Henry WADE.
- No. 70-18.
- Argued Dec. 13, 1971.
- Reargued Oct. 11, 1972.
- Decided Jan. 22, 1973.
- Rehearing Denied Feb. 26, 1973.
- See 410 U.S. 959, 93 S.Ct. 1409.
- Action was brought for a declaratory and injunctive relief respecting Texas
- criminal abortion laws which were claimed to be unconstitutional. A three-judge
- United States District Court for the Northern District of Texas, 314 F.Supp.
- 1217, entered judgment declaring laws unconstitutional and an appeal was taken.
- The Supreme Court, Mr. Justice Blackmun, held that the Texas criminal abortion
- statutes prohibiting abortions at any stage of pregnancy except to save the
- life of the mother are unconstitutional; that prior to approximately the end of
- the first trimester the abortion decision and its effectuation must be left to
- the medical judgment of the pregnant woman's attending physician, subsequent to
- approximately the end of the first trimester the state may regulate abortion
- procedure in ways reasonably related to maternal health, and at the stage
- subsequent to viability the state may regulate and even proscribe abortion
- except where necessary in appropriate medical judgment for preservation of life
- or health of mother.
- Affirmed in part and reversed in part.
- Mr. Chief Justice Burger, Mr. Justice Douglas and Mr. Justice Stewart filed
- concurring opinions.
- Mr. Justice White filed a dissenting opinion in which Mr. Justice Rehnquist
- joined.
- Mr. Justice Rehnquist filed a dissenting opinion.
-
- ABORTION AND BIRTH CONTROL
- K. Nature and elements of offenses.
- U.S.Tex. 1973.
- Prior to approximately the end of the first trimester of pregnancy the
- attending physician in consultation with his patient is free to determine,
- without regulation by state, that in his medical judgment the patient's
- pregnancy should be terminated, and if that decision is reached such judgment
- may be effectuated by an abortion without interference by the state.
- Roe v. Wade
- 93 S.Ct. 705, 410 U.S. 113, 35 L.Ed.2d 147
-
- ABORTION AND BIRTH CONTROL
- K. Nature and elements of offenses.
- U.S.Tex. 1973.
- From and after approximately the end of the first trimester of pregnancy a
- state may regulate abortion procedure to extent that the regulation reasonably
- relates to preservation and protection of maternal health. Id.
- Roe v. Wade
-
- 93 S.Ct. 705 PAGE2
- (Cite as: 410 U.S. 113, 93 S.Ct. 705)
- 93 S.Ct. 705, 410 U.S. 113, 35 L.Ed.2d 147
-
- ABORTION AND BIRTH CONTROL
- K. Nature and elements of offenses.
- U.S.Tex. 1973.
- If state is interested in protecting fetal life after viability it may go so
- far as to proscribe abortion during that period except when necessary to
- preserve the life or the health of the mother. Id.
- Roe v. Wade
- 93 S.Ct. 705, 410 U.S. 113, 35 L.Ed.2d 147
-
-
- ABORTION AND BIRTH CONTROL
- K. Nature and elements of offenses.
- U.S.Tex. 1973.
- State criminal abortion laws like Texas statutes making it a crime to procure
- or attempt an abortion except an abortion on medical advice for purpose of
- saving life of the mother regardless of stage of pregnancy violate due process
- clause of Fourteenth Amendment protecting right to privacy against state
- action. U.S.C.A.Const. Amend. 14; Vernon's Ann.Tex.P.C. arts. 1191-1194, 1196.
- Id.
- Roe v. Wade
- 93 S.Ct. 705, 410 U.S. 113, 35 L.Ed.2d 147
-
- ABORTION AND BIRTH CONTROL
- K. Nature and elements of offenses.
- U.S.Tex. 1973.
- State in regulating abortion procedures may define "physician" as a physician
- currently licensed by State and may proscribe any abortion by a person who is
- not a physician as so defined. Id.
- Roe v. Wade
- 93 S.Ct. 705, 410 U.S. 113, 35 L.Ed.2d 147
- 13K6
- ACTION
- K. Moot, hypothetical or abstract questions.
- U.S.Tex. 1973.
- Where pregnancy of plaintiff was a significant fact in litigation and the
- normal human gestation period was so short that pregnancy would come to term
- before usual appellate process was complete and pregnancy often came more than
- once to the same woman, fact of that pregnancy provided a classic justification
- for conclusion of nonmootness because of termination.
- Roe v. Wade
- 93 S.Ct. 705, 410 U.S. 113, 35 L.Ed.2d 147
- 92K42.1(3)
-
- CONSTITUTIONAL LAW
- K. Crime and punishment.
- U.S.Tex. 1973.
- Childless married couple alleging that they had no desire to have children at
- the particular time because of medical advice that the wife should avoid
- pregnancy and for other highly personal reasons and asserting an inability to
- obtain a legal abortion in Texas were not, because of the highly speculative
-
-
- 93 S.Ct. 705 PAGE3
- (Cite as: 410 U.S. 113, 93 S.Ct. 705)
- character of their position, appropriate plaintiffs in federal district court
- suit challenging validity of Texas criminal abortion statutes. Vernon's
- Ann.Tex.P.C. arts. 1191-1194, 1196.
- Roe v. Wade
- 93 S.Ct. 705, 410 U.S. 113, 35 L.Ed.2d 147
- 92K42.1(3)
- CONSTITUTIONAL LAW
- K. Crime and punishment.
- U.S.Tex. 1973.
- With respect to single, pregnant female who alleged that she was unable to
- obtain a legal abortion in Texas, when viewed as of the time of filing of case
- and for several months thereafter, she had standing to challenge
- constitutionality of Texas criminal abortion laws, even though record did not
- disclose that she was pregnant at time of district court hearing or when the
- opinion and judgment were filed, and she presented a justiciable controversy;
- the termination of her pregnancy did not render case moot. Vernon's
- Ann.Tex.P.C. arts. 1191-1194, 1196. Id.
- Roe v. Wade
- 93 S.Ct. 705, 410 U.S. 113, 35 L.Ed.2d 147
- 92K46(1)
- CONSTITUTIONAL LAW
- K. In general.
- U.S.Tex. 1973.
- With respect to single, pregnant female who alleged that she was unable to
- obtain a legal abortion in Texas, when viewed as of the time of filing of case
- and for several months thereafter, she had standing to challenge
- constitutionality of Texas criminal abortion laws, even though record did not
- disclose that she was pregnant at time of district court hearing or when the
- opinion and judgment were filed, and she presented a justiciable controversy;
- the termination of her pregnancy did not render case moot. Vernon's
- Ann.Tex.P.C. arts. 1191-1194, 1196.
- Roe v. Wade
- 93 S.Ct. 705, 410 U.S. 113, 35 L.Ed.2d 147
- 92K82
- CONSTITUTIONAL LAW
- K. Constitutional guaranties in general.
- U.S.Tex. 1973.
- Right of personal privacy or a guarantee of certain areas or zones of privacy
- does exist under Constitution, and only personal rights that can be deemed
- fundamental or implicit in the concept of ordered liberty are included in this
- guarantee of personal privacy; the right has some extension to activities
- relating to marriage. U.S.C.A.Const. Amends. 1, 4, 5, 9, 14, 14, s 1.
- Roe v. Wade
- 93 S.Ct. 705, 410 U.S. 113, 35 L.Ed.2d 147
- 92K82
-
-
- CONSTITUTIONAL LAW
- K. Constitutional guaranties in general.
- U.S.Tex. 1973.
- Constitutional right of privacy is broad enough to encompass woman's decision
- whether or not to terminate her pregnancy, but the woman's right to terminate
-
-
-
- 93 S.Ct. 705 PAGE4
- (Cite as: 410 U.S. 113, 93 S.Ct. 705)
- pregnancy is not absolute since state may properly assert important interests
- in safeguarding health, in maintaining medical standards and in protecting
- potential life, and at some point in pregnancy these respective interests
- become sufficiently compelling to sustain regulation of factors that govern the
- abortion decision. U.S.C.A.Const. Amends. 9, 14. Id.
- Roe v. Wade
- 93 S.Ct. 705, 410 U.S. 113, 35 L.Ed.2d 147
- 92K82
-
-
- CONSTITUTIONAL LAW
- K. Constitutional guaranties in general.
- U.S.Tex. 1973.
- Where certain fundamental rights are involved, regulation limiting these rights
- may be justified only by a compelling state interest and the legislative
- enactments must be narrowly drawn to express only legitimate state interests at
- stake. Id.
- Roe v. Wade
- 93 S.Ct. 705, 410 U.S. 113, 35 L.Ed.2d 147
- 92K210(1)
- CONSTITUTIONAL LAW
- K. In general.
- U.S.Tex. 1973.
- Word "person" as used in the Fourteenth Amendment does not include the unborn.
- U.S.C.A.Const. Amend. 14.
- Roe v. Wade
- 93 S.Ct. 705, 410 U.S. 113, 35 L.Ed.2d 147
- 92K252
-
-
- CONSTITUTIONAL LAW
- K. Persons protected.
- U.S.Tex. 1973.
- Word "person" as used in the Fourteenth Amendment does not include the unborn.
- U.S.C.A.Const. Amend. 14.
- Roe v. Wade
- 93 S.Ct. 705, 410 U.S. 113, 35 L.Ed.2d 147
- 92K258(3)
- CONSTITUTIONAL LAW
- K. Particular statutes and ordinances.
- U.S.Tex. 1973.
- State criminal abortion laws like Texas statutes making it a crime to procure
- or attempt an abortion except an abortion on medical advice for purpose of
- saving life of the mother regardless of stage of pregnancy violate due process
- clause of Fourteenth Amendment protecting right to privacy against state
- action. U.S.C.A.Const. Amend. 14; Vernon's Ann.Tex.P.C. arts. 1191-1194, 1196.
- Roe v. Wade
- 93 S.Ct. 705, 410 U.S. 113, 35 L.Ed.2d 147
- 106K508(7)
- COURTS
- K. Criminal proceedings.
- U.S.Tex. 1973.
- Absent harassment and bad faith, defendant in pending state criminal case
- cannot affirmatively challenge in federal court the statutes under which state
-
-
-
- 93 S.Ct. 705 PAGE5
- (Cite as: 410 U.S. 113, 93 S.Ct. 705)
- is prosecuting him.
- Roe v. Wade
- 93 S.Ct. 705, 410 U.S. 113, 35 L.Ed.2d 147
- 170AK321
- FEDERAL CIVIL PROCEDURE
- K. Proceedings for intervention.
- U.S.Tex. 1973.
- Application for leave to intervene making certain assertions relating to a
- class of people was insufficient to establish party's desire to intervene on
- behalf of class, where the complaint failed to set forth the essentials of
- class suit.
- Roe v. Wade
- 93 S.Ct. 705, 410 U.S. 113, 35 L.Ed.2d 147
- 170AK331
- FEDERAL CIVIL PROCEDURE
- K. In general.
- U.S.Tex. 1973.
- Texas physician, against whom there were pending indictments charging him with
- violations of Texas abortion laws who made no allegation of any substantial and
- immediate threat to any federally protected right that could not be asserted in
- his defense against state prosecutions and who had not alleged any harassment
- or bad faith prosecution, did not have standing to intervene in suit seeking
- declaratory and injunctive relief with respect to Texas abortion statutes which
- were claimed to be unconstitutional. Vernon's Ann.Tex.P.C. arts. 1191-1194,
- 1196.
- Roe v. Wade
- 93 S.Ct. 705, 410 U.S. 113, 35 L.Ed.2d 147
- 170BK452
- FEDERAL COURTS
- K. Certiorari in general.
- U.S.Tex. 1973.
- Usual rule in federal cases is that an actual controversy must exist at stages
- of appellate or certiorari review and not simply at date action is initiated.
- Roe v. Wade
- 93 S.Ct. 705, 410 U.S. 113, 35 L.Ed.2d 147
- 170BK477
- FEDERAL COURTS
- K. Constitution or law of state contravening Constitution of United States.
- U.S.Tex. 1973.
- Supreme Court was not foreclosed from review of both the injunctive and
- declaratory aspects of case attacking constitutionality of Texas criminal
- abortion statutes where case was properly before Supreme Court on direct appeal
- from decision of three-judge district court specifically denying injunctive
- relief and the arguments as to both aspects were necessarily identical. 28
- U.S.C.A. s 1253.
- Roe v. Wade
- 93 S.Ct. 705, 410 U.S. 113, 35 L.Ed.2d 147
- 170BK478
- FEDERAL COURTS
- K. Scope and extent of review.
-
-
-
- 93 S.Ct. 705 PAGE6
- (Cite as: 410 U.S. 113, 93 S.Ct. 705)
- U.S.Tex. 1973.
- Usual rule in federal cases is that an actual controversy must exist at stages
- of appellate or certiorari review and not simply at date action is initiated.
- Roe v. Wade
- 93 S.Ct. 705, 410 U.S. 113, 35 L.Ed.2d 147
- 361K64(6)
- STATUTES
- K. Public offenses, prosecutions, and punishments.
- U.S.Tex. 1973.
- Conclusion that Texas criminal abortion statute proscribing all abortions
- except to save life of mother is unconstitutional meant that the abortion
- statutes as a unit must fall, and the exception could not be struck down
- separately for then the state would be left with statute proscribing all
- abortion procedures no matter how medically urgent the case. Vernon's
- Ann.Tex.P.C. arts. 1191-1194, 1196.
- Roe v. Wade
- 93 S.Ct. 705, 410 U.S. 113, 35 L.Ed.2d 147
- **707 *113 Syllabus[FN*]
-
- FN* The syllabus constitutes no part of the opinion of the Court but has
- been prepared by the Reporter of Decisions for the convenience of the
- reader. See United States v. Detroit Timber & Lumber Co., 200 U.S. 321,
- 337, 26 S.Ct. 282, 287, 50 L.Ed. 499.
-
- A pregnant single woman (Roe) brought a class action challenging the
- constitutionality of the Texas criminal abortion laws, which proscribe
- procuring or attempting an abortion except on medical advice for the purpose of
- saving the mother's life. A licensed physician (Hallford), who had two state
- abortion prosecutions pending against him, was permitted to intervene. A
- childless married couple (the Does), the wife not being pregnant, separately
- attacked the laws, basing alleged injury on the future possibilities of
- contraceptive failure, pregnancy, unpreparedness for parenthood, and impairment
- of the wife's health. A three-judge District Court, which consolidated the
- actions, held that Roe and Hallford, and members of their classes, had standing
- to sue and presented justiciable controversies. Ruling that declaratory, though
- not injunctive, relief was warranted, the court declared the abortion statutes
- void as vague and overbroadly infringing those plaintiffs' Ninth and Fourteenth
- Amendment rights. The court ruled the Does' complaint not justiciable.
- Appellants directly appealed to this Court on the injunctive rulings, and
- appellee cross-appealed from the District Court's grant of declaratory relief
- to Roe and Hallford. Held:
- 1. While 28 U.S.C. s 1253 authorizes no direct appeal to this Court from the
- grant or denial of declaratory relief alone, review is not foreclose when the
- case is properly before the Court on appeal from specific denial of injunctive
- relief and the arguments as to both injunctive and declaratory relief are
- necessarily identical. Pp. 711-712.
- 2. Roe has standing to sue; the Does and Hallford do not. Pp. 712-715.
- (a) Contrary to appellee's contention, the natural termination of Roe's
- pregnancy did not moot her suit. Litigation involving pregnancy, which is
- 'capable of repetition, yet evading review,' is an exception to the usual
-
-
-
- 93 S.Ct. 705 PAGE7
- (Cite as: 410 U.S. 113, *113, 93 S.Ct. 705, **707)
- federal rule that an actual controversy *114 must exist at review stages and
- not simply when the action is initiated. Pp. 712-713.
- (b) The District Court correctly refused injunctive, but erred in granting
- declaratory, relief to Hallford, who alleged no federally protected right not
- assertable as a defense against the good-faith state prosecutions pending
- against him. Samuels v. Mackell, 401 U.S. 66, 91 S.Ct. 764, 27 L.Ed.2d 688. Pp.
- 713-714.
- **708 (c) The Does' complaint, based as it is on contingencies, any one or
- more of which may not occur, is too speculative to present an actual case or
- controversy. Pp. 714-715.
- 3. State criminal abortion laws, like those involved here, that except from
- criminality only a life-saving procedure on the mother's behalf without regard
- to the stage of her pregnancy and other interests involved violate the Due
- Process Clause of the Fourteenth Amendment, which protects against state action
- the right to privacy, including a woman's qualified right to terminate her
- pregnancy. Though the State cannot override that right, it has legitimate
- interests in protecting both the pregnant woman's health and the potentiality
- of human life, each of which interests grows and reaches a 'compelling' point
- at various stages of the woman's approach to term. Pp. 726-732.
- (a) For the stage prior to approximately the end of the first trimester, the
- abortion decision and its effectuation must be left to the medical judgment of
- the pregnant woman's attending physician. Pp. 731-732.
- (b) For the stage subsequent to approximately the end of the first trimester,
- the State, in promoting its interest in the health of the mother, may, if it
- chooses, regulate the abortion procedure in ways that are reasonably related to
- maternal health. Pp. 731-732.
- (c) For the stage subsequent to viability the State, in promoting its interest
- in the potentiality of human life, may, if it chooses, regulate, and even
- proscribe, abortion except where necessary, in appropriate medical judgment,
- for the preservation of the life or health of the mother. Pp. 732-733.
- 4. The State may define the term 'physician' to mean only a physician
- currently licensed by the State, and may proscribe any abortion by a person who
- is not a physician as so defined. Pp. 732-733.
- 5. It is unnecessary to decide the injunctive relief issue since the Texas
- authorities will doubtless fully recognize the Court's ruling *115 that the
- Texas criminal abortion statutes are unconstitutional. P. 733.
- 314 F.Supp. 1217, affirmed in part and reversed in part.
- Sarah R. Weddington, Austin, Tex., for appellants.
- Robert C. Flowers, Asst. Atty. Gen. of Texas, Austin, Tex., for appellee on
- reargument.
- Jay Floyd, Asst. Atty. Gen., Austin, Tex., for appellee on original argument.
-
- *116 Mr. Justice BLACKMUN delivered the opinion of the Court.
-
- This Texas federal appeal and its Georgia companion, Doe v. Bolton, 410 U.S.
- 179, 92 S.Ct. 739, 35 L.Ed.2d 201, present constitutional challenges to state
- criminal abortion legislation. The Texas statutes under attack here are typical
- of those that have been in effect in many States for approximately a century.
- The Georgia statutes, in contrast, have a modern cast and are a legislative
- product that, to an extent at least, obviously reflects the influences of
-
-
-
- 93 S.Ct. 705 PAGE8
- (Cite as: 410 U.S. 113, *116, 93 S.Ct. 705, **708)
- recent attitudinal change, of advancing medical knowledge and techniques, and
- of new thinking about an old issue.
- We forthwith acknowledge our awareness of the sensitive and emotional nature
- of the abortion controversy, of the vigorous opposing views, even among
- physicians, and of the deep and seemingly absolute convictions that the subject
- inspires. One's philosophy, one's experiences, one's exposure to the raw edges
- of human existence, one's religious training, one's attitudes toward life and
- family and their values, and the moral standards one establishes and seeks to
- observe, are all likely to influence and to color one's thinking and
- conclusions about abortion.
- In addition, population growth, pollution, poverty, and racial overtones tend
- **709 to complicate and not to simplify the problem.
- Our task, of course, is to resolve the issue by constitutional measurement,
- free of emotion and of predilection. We seek earnestly to do this, and, because
- we do, we *117 have inquired into, and in this opinion place some emphasis
- upon, medical and medical-legal history and what that history reveals about
- man's attitudes toward the abortion procedure over the centuries. We bear in
- mind, too, Mr. Justice Holmes' admonition in his now-vindicated dissent in
- Lochner v. New York, 198 U.S. 45, 76, 25 S.Ct. 539, 547, 49 L.Ed. 937 (1905):
- '(The Constitution) is made for people of fundamentally differing views, and
- the accident of our finding certain opinions natural and familiar, or novel,
- and even shocking, ought not to conclude our judgment upon the question whether
- statutes embodying them conflict with the Constitution of the United States.'
- I
- The Texas statutes that concern us here are Arts. 1191-1194 and 1196 of the
- State's Penal Code,[FN1] Vernon's Ann.P.C. These make it a crime to 'procure an
- abortion,' as therein *118 defined, or to attempt one, except with respect
- to 'an abortion procured or attempted by medical advice for the purpose of
- saving the life of the mother.' Similar statutes are in existence in a majority
- of the States.[FN2]
-
- FN1. 'Article 1191. Abortion
- 'If any person shall designedly administer to a pregnant woman or knowingly
- procure to be administered with her consent any drug or medicine, or shall
- use towards her any violence or means whatever externally or internally
- applied, and thereby procure an abortion, he shall be confined in the
- penitentiary not less than two nor more than five years; if it be done
- without her consent, the punishment shall be doubled. By 'abortion' is
- meant that the life of the fetus or embryo shall be destroyed in the
- woman's womb or that a premature birth thereof be caused.
- 'Art. 1192. Furnishing the means
- 'Whoever furnishes the means for procuring an abortion knowing the purpose
- intended is guilty as an accomplice.
- 'Art. 1193. Attempt at abortion
- 'If the means used shall fail to produce an abortion, the offender is
- nevertheless guilty of an attempt to produce abortion, provided it be shown
- that such means were calculated to produce that result, and shall be fined
- not less than one hundred nor more than one thousand dollars.
- 'Art. 1194. Murder in producing abortion
- 'If the death of the mother is occasioned by an abortion so produced or by
-
-
-
- 93 S.Ct. 705 PAGE9
- (Cite as: 410 U.S. 113, *118, 93 S.Ct. 705, **709)
- an attempt to effect the same it is murder.'
- 'Art. 1196. By medical advice
- 'Nothing in this chapter applies to an abortion procured or attempted by
- medical advice for the purpose of saving the life of the mother.'
- The foregoing Articles, together with Art. 1195, compose Chapter 9 of Title
- 15 of the Penal Code. Article 1195, not attacked here, reads:
- 'Art. 1195. Destroying unborn child
- 'Whoever shall during parturition of the mother destroy the vitality or
- life in a child in a state of being born and before actual birth, which
- child would otherwise have been born alive, shall be confined in the
- penitentiary for life or for not less than five years.'
-
- FN2. Ariz.Rev.Stat.Ann. s 13-211 (1956); Conn.Pub.Act No. 1 (May 1972
- special session) (in 4 Conn.Leg.Serv. 677 (1972)), and Conn.Gen.Stat.Rev.
- ss 53-29, 53-30 (1968) (or unborn child); Idaho Code s 18-601 (1948);
- Ill.Rev.Stat., c. 38, s 21-1 (1971); Ind.Code s 35-1-58-1 (1971); Iowa Code
- s 701.1 (1971); Ky.Rev.Stat. s 436.020 (1962); LaRev.Stat. s
- 37:1285(6) (1964) (loss of medical license) (but see s 14-87 (Supp.1972)
- containing no exception for the life of the mother under the criminal
- statute); Me.Rev.Stat.Ann., Tit. 17, s 51 (1964); Mass.Gen.Laws Ann., c.
- 272, s 19 (1970) (using the term 'unlawfully,' construed to exclude an
- abortion to save the mother's life, Kudish v. Bd. of Registration, 356
- Mass. 98, 248 N.E.2d 264 (1969)); Mich.Comp.Laws s 750.14 (1948);
- Minn.Stat. s 617.18 (1971); Mo.Rev.Stat. s 559.100 (1969); Mont.Rev.Codes
- Ann. s 94-401 (1969); Neb.Rev.Stat. s 28-405 (1964); Nev.Rev.Stat. s
- 200.220 (1967); N.H.Rev.Stat.Ann. s 585:13 (1955); N.J.Stat.Ann. s 2A:87-1
- (1969) ('without lawful justification'); N.D.Cent.Code ss 12-25-01, 12-25-
- 02 (1960); Ohio Rev.Code Ann. s 2901.16 (1953); Okla.Stat.Ann., Tit. 21, s
- 861 (1972-1973 Supp.); Pa.Stat.Ann., Tit. 18, ss 4718, 4719 (1963) (
- 'unlawful'); R.I.Gen.Laws Ann. s 11-3-1 (1969); S.D.Comp.Laws Ann. s 22-17-
- 1 (1967); Tenn.Code Ann. ss 39-301, 39-302 (1956); Utah Code Ann. ss 76-2-
- 1, 76-2-2 (1953); Vt.Stat.Ann., Tit. 13, s 101 (1958); W.Va.Code Ann. s 61-
- 2-8 (1966); Wis.Stat. s 940.04 (1969); Wyo.Stat.Ann. ss 6-77, 6-78 (1957).
-
- **710 *119 Texas first enacted a criminal abortion statute in 1854. Texas
- Laws 1854, c. 49, s 1, set forth in 3 H. Gammel, Laws of Texas 1502 (1898).
- This was soon modified into language that has remained substantially unchanged
- to the present time. See Texas Penal Code of 1857, c. 7, Arts. 531-536; G.
- Paschal, Laws of Texas, Arts. 2192-2197 (1866); Texas Rev.Stat., c. 8, Arts.
- 536-541 (1879); Texas Rev.Crim.Stat., Arts. 1071-1076 (1911). The final article
- in each of these compilations provided the same exception, as does the present
- Article 1196, for an abortion by 'medical advice for the purpose of saving the
- life of the mother.'[FN3]
-
- FN3. Long ago, a suggestion was made that the Texas statutes were
- unconstitutionally vague because of definitional deficiencies. The Texas
- Court of Criminal Appeals disposed of that suggestion peremptorily, saying
- only,
- 'It is also insisted in the motion in arrest of judgment that the statute
- is unconstitutional and void, in that it does not sufficiently define or
-
-
-
- 93 S.Ct. 705 PAGE 10
- (Cite as: 410 U.S. 113, *119, 93 S.Ct. 705, **710)
- describe the offense of abortion. We do not concur with counsel in respect
- to this question.' Jackson v. State, 55 Tex.Cr.R. 79, 89, 115 S.W. 262,
- 268 (1908).
- The same court recently has held again that the State's abortion statutes
- are not unconstitutionally vague or overbroad. Thompson v. State, 493
- S.W.2d 913 (1971), appeal docketed, No. 71-1200. The court held that 'the
- State of Texas has a compelling interest to protect fetal life'; that Art.
- 1191 'is designed to protect fetal life'; that the Texas homicide statutes,
- particularly Act. 1205 of the Penal Code, are intended to protect a person
- 'in existence by actual birth' and thereby implicitly recognize other human
- life that is not 'in existence by actual birth'; that the definition of
- human life is for the legislature and not the courts; that Art. 11196 'is
- more definite that the District of Columbia statute upheld in (United
- States v.) Vuitch' (402 U.S. 62, 91 S.Ct. 1294, 28 L.Ed.2d 601); and that
- the Texas statute 'is not vague and indefinite or overbroad.' A physician's
- abortion conviction was affirmed.
- In 493 S.W.2d, at 920 n. 2, the court observed that any issue as to the
- burden of proof under the exemption of Art. 1196 'is not before us.' But
- see Veevers v. State, 172 Tex.Cr.R. 162, 168-169, 354 S.W.2d 161, 166-167
- (1962). Cf. United States v. Vuitch, 402 U.S. 62, 69-71, 91 S.Ct. 1294,
- 1298-1299, 28 L.Ed.2d 601 (1971).
-
- *120 II
- Jane Roe,[FN4] a single woman who was residing in Dallas County, Texas,
- instituted this federal action in March 1970 against the District Attorney of
- the county. She sought a declaratory judgment that the Texas criminal abortion
- statutes were unconstitutional on their face, and an injunction restraining the
- defendant from enforcing the statutes.
- Roe alleged that she was unmarried and pregnant; that she wished to terminate
- her pregnancy by an abortion 'performed by a competent, licensed physician,
- under safe, clinical conditions'; that she was unable to get a 'legal' abortion
- in Texas because her life did not appear to be threatened by the continuation
- of her pregnancy; and that she could not afford to travel to another
- jurisdiction in order to secure a legal abortion under safe conditions. She
- claimed that the Texas statutes were unconstitutionally vague and that they
- abridged her right of personal privacy, protected by the First, Fourth, Fifth,
- Ninth, and Fourteenth Amendments. By an amendment to her complaint Roe
- purported to sue 'on behalf of herself and all other women' similarly situated.
-
- FN4. The name is a pseudonym.
-
- James Hubert Hallford, a licensed physician, sought and was granted leave to
- intervene in Roe's action. In his complaint he alleged that he had been
- arrested previously for violations of the Texas abortion statutes and
- *121 that two such prosecutions were pending against him. He described
- conditions of patients who came to him seeking abortions, and he claimed that
- for many cases he, as a physician, was unable to determine **711 whether they
- fell within or outside the exception recognized by Article 1196. He alleged
- that, as a consequence, the statutes were vague and uncertain, in violation of
- the Fourteenth Amendment, and that they violated his own and his patients'
-
-
-
- 93 S.Ct. 705 PAGE 11
- (Cite as: 410 U.S. 113, *121, 93 S.Ct. 705, **711)
- rights to privacy in the doctor-patient relationship and his own right to
- practice medicine, rights he claimed were guaranteed by the First, Fourth,
- Fifth, Ninth, and Fourteenth Amendments.
- John and Mary Doe,[FN5] a married couple, filed a companion complaint to that
- of Roe. They also named the District Attorney as defendant, claimed like
- constitutional deprivations, and sought declaratory and injunctive relief. The
- Does alleged that they were a childless couple; that Mrs. Doe was suffering
- from a 'neural-chemical' disorder; that her physician had 'advised her to avoid
- pregnancy until such time as her condition has materially improved' (although a
- pregnancy at the present time would not present 'a serious risk' to her life);
- that, pursuant to medical advice, she had discontinued use of birth control
- pills; and that if she should become pregnant, she would want to terminate the
- pregnancy by an abortion performed by a competent, licensed physician under
- safe, clinical conditions. By an amendment to their complaint, the Does
- purported to sue 'on behalf of themselves and all couples similarly situated.'
-
- FN5. These names are pseudonyms.
-
- The two actions were consolidated and heard together by a duly convened three-
- judge district court. The suits thus presented the situations of the pregnant
- single woman, the childless couple, with the wife not pregnant, *122 and the
- licensed practicing physician, all joining in the attack on the Texas criminal
- abortion statutes. Upon the filing of affidavits, motions were made for
- dismissal and for summary judgment. The court held that Roe and members of her
- class, and Dr. Hallford, had standing to sue and presented justiciable
- controversies, but that the Does had failed to allege facts sufficient to state
- a present controversy and did not have standing. It concluded that, with
- respect to the requests for a declaratory judgment, abstention was not
- warranted. On the merits, the District Court held that the 'fundamental right
- of single women and married persons to choose where to have children is
- protected by the Ninth Amendment, through the Fourteenth Amendment,' and that
- the Texas criminal abortion statutes were void on their face because they were
- both unconstitutionally vague and constituted an overbroad infringement of the
- plaintiffs' Ninth Amendment rights. The court then held that abstention was
- warranted with respect to the requests for an injunction. It therefore
- dismissed the Does' complaint, declared the abortion statutes void, and
- dismissed the application for injunctive relief. 314 F.Supp. 1217, 1225
- (N.D.Tex.1970).
- The plaintiffs Roe and Doe and the intervenor Hallford, pursuant to 28 U.S.C.
- s 1253, have appealed to this Court from that part of the District Court's
- judgment denying the injunction. The defendant District Attorney has purported
- to cross-appeal, pursuant to the same statute, from the court's grant of
- declaratory relief to Roe and Hallford. Both sides also have taken protective
- appeals to the United States Court of Appeals for the Fifth Circuit. That court
- ordered the appeals held in abeyance pending decision here. We postponed
- decision on jurisdiction to the hearing on the merits. 402 U.S. 941, 91 S.Ct.
- 1610, 29 L.Ed. 108 (1971).
- *123 III
- It might have been preferable if the defendant, pursuant to our Rule 20, had
- presented to us a petition for certiorari before judgment in the Court of
-
-
-
- 93 S.Ct. 705 PAGE 12
- (Cite as: 410 U.S. 113, *123, 93 S.Ct. 705, **711)
- Appeals with respect to the granting of the plaintiffs' prayer for declaratory
- relief. Our decisions in Mitchell v. Donovan, 398 U.S. 427, 90 S.Ct. 1763, 26
- L.Ed.2d 378 (1970), and Gunn v. University **712 Committee, 399 U.S. 383, 90
- S.Ct. 2013, 26 L.Ed.2d 684 (1970), are to the effect that s 1253 does not
- authorize an appeal to this Court from the grant or denial of declaratory
- relief alone. We conclude, nevertheless, that those decisions do not foreclose
- our review of both the injunctive and the declaratory aspects of a case of this
- kind when it is property here, as this one is, on appeal under s 1253 from
- specific denial of injunctive relief, and the arguments as to both aspects are
- necessarily identical. See Carter v. Jury Comm'n, 396 U.S. 320, 90 S.Ct. 518,
- 24 L.Ed.2d 549 (1970); Florida Lime and Avocado Growers, Inc. v. Jacobsen, 362
- U.S. 73; 80-81, 80 S.Ct. 568, 573-574, 4 L.Ed.2d 568 (1960). It would be
- destructive of time and energy for all concerned were we to rule otherwise. Cf.
- Doe v. Bolton, 410 U.S. 179, 93 S.Ct. 739, 35 L.Ed.2d 201.
- IV
- We are next confronted with issues of justiciability, standing, and
- abstention. Have Roe and the Does established that 'personal stake in the
- outcome of the controversy,' Baker v. Carr, 369 U.S. 186, 204, 82 S.Ct. 691,
- 703, 7 L.Ed.2d 663 (1962), that insures that 'the dispute sought to be
- adjudicated will be presented in an adversary context and in a form
- historically viewed as capable of judicial resolution,' Flast v. Cohen, 392
- U.S. 83, 101, 88 S.Ct. 1942, 1953, 20 L.Ed.2d 947 (1968), and Sierra Club v.
- Morton, 405 U.S. 727, 732, 92 S.Ct. 1361, 1364, 31 L.Ed.2d 636 (1972)? And what
- effect did the pendency of criminal abortion charges against Dr. Hallford in
- state court have upon the propriety of the federal court's granting relief to
- him as a plaintiff-intervenor?
- *124 A. Jane Roe. Despite the use of the pseudonym, no suggestion is made
- that Roe is a fictitious person. For purposes of her case, we accept as true,
- and as established, her existence; her pregnant state, as of the inception of
- her suit in March 1970 and as late as May 21 of that year when she filed an
- alias affidavit with the District Court; and her inability to obtain a legal
- abortion in Texas.
- Viewing Roe's case as of the time of its filing and thereafter until as late
- as May, there can be little dispute that it then presented a case or
- controversy and that, wholly apart from the class aspects, she, as a pregnant
- single woman thwarted by the Texas criminal abortion laws, had standing to
- challenge those statutes. Abele v. Markle, 452 F.2d 1121, 1125 (CA2 1971);
- Crossen v. Breckenridge, 446 F.2d 833, 8380-839 (CA6 1971); Poe v. Menghini,
- 339 F.Supp. 986, 990-991 (D.C.Kan. 1972). See Truax v. Raich, 239 U.S. 33, 36
- S.Ct. 7, 60 L.Ed. 131 (1951). Indeed, we do not read the appellee's brief as
- really asserting anything to the contrary. The 'logical nexus between the
- status asserted and the claim sought to be adjudicated,' Flast v. Cohen, 392
- U.S., at 102, 88 S.Ct., at 1953, and the necessary degree of contentiousness,
- Golden v. Zwickler, 394 U.S. 103, 89 S.Ct. 956, 22 L.Ed.2d 113 (1969), are both
- present.
- The appellee notes, however, that the record does not disclose that Roe was
- pregnant at the time of the District Court hearing on May 22, 1970,[FN6] or on
- the following June 17 when the court's opinion and judgment were filed. And he
- suggests that Roe's case must now be moot because she and all other members of
- her class are no longer subject to any 1970 pregnancy.
-
-
-
- 93 S.Ct. 705 PAGE 13
- (Cite as: 410 U.S. 113, *124, 93 S.Ct. 705, **712)
-
- FN6. The appellee twice states in his brief that the hearing before the
- District Court was held on July 22, 1970. Brief for Appellee 13. The docket
- entries, App. 2, and the transcript, App. 76, reveal this to be an error.
- The July date appears to be the time of the reporter's transcription. See
- App. 77.
-
- *125 The usual rule in federal cases is that an actual controversy must
- exist at stages of appellate or certiorari review, and not simply at the date
- the action is initiated. United States v. Munsingwear, Inc., 340 U.S. 36, 71
- S.Ct. 104, 95 **713 L.Ed. 36 (1950); Golden v. Zwickler, supra; SEC v.
- Medical Committee for Human Rights, 404 U.S. 403, 92 S.Ct. 577, 30 L.Ed.2d 560
- (1972).
- But when, as here, pregnancy is a significant fact in the litigation, the
- normal 266-day human gestation period is so short that the pregnancy will come
- to term before the usual appellate process is complete. If that termination
- makes a case moot, pregnancy litigation seldom will survive much beyond the
- trial stage, and appellate review will be effectively denied. Our law should
- not be that rigid. Pregnancy often comes more than once to the same woman, and
- in the general population, if man is to survive, it will always be with us.
- Pregnancy provides a classic justification for a conclusion of nonmootness. It
- truly could be 'capable of repetition, yet evading review.' Southern Pacific
- Terminal Co. v. ICC, 219 U.S. 498, 515, 31 S.Ct. 279, 283, 55 L.Ed. 310 (1911).
- See Moore v. Ogilvie, 394 U.S. 814, 816, 89 S.Ct. 1493, 1494, 23 L.Ed.2d 1
- (1969); Carroll v. President and Commissioners of Princess Anne, 393 U.S. 175,
- 178-179, 89 S.Ct. 347, 350, 351, 21 L.Ed.2d 325 (1968); United States v. W. T.
- Grant Co., 345 U.S. 629, 632-633, 73 S.Ct. 894, 897-898, 97 L.Ed. 1303 (1953).
- We, therefore, agree with the District Court that Jane Roe had standing to
- undertake this litigation, that she presented a justiciable controversy, and
- that the termination of her 1970 pregnancy has not rendered her case moot.
- B. Dr. Hallford. The doctor's position is different. He entered Roe's
- litigation as a plaintiff-intervenor, alleging in his complaint that he:
- '(I)n the past has been arrested for violating the Texas Abortion Laws and at
- the present time stands charged by indictment with violating said laws in the
- Criminal District Court of Dallas County, Texas to-wit: (1) The State of Texas
- vs. *126 James H. Hallford, No. C-69-5307-IH, and (2) The State of Texas vs.
- James H. Hallford, No. C-69-2524-H. In both cases the defendant is charged with
- abortion . . .'
- In his application for leave to intervene, the doctor made like
- representations as to the abortion charges pending in the state court. These
- representations were also repeated in the affidavit he executed and filed in
- support of his motion for summary judgment.
- Dr. Hallford is, therefore, in the position of seeking, in a federal court,
- declaratory and injunctive relief with respect to the same statutes under which
- he stands charged in criminal prosecutions simultaneously pending in state
- court. Although he stated that he has been arrested in the past for violating
- the State's abortion laws, he makes no allegation of any substantial and
- immediate threat to any federally protected right that cannot be asserted in
- his defense against the state prosecutions. Neither is there any allegation of
- harassment or bad-faith prosecution. In order to escape the rule articulated in
-
-
-
- 93 S.Ct. 705 PAGE 14
- (Cite as: 410 U.S. 113, *126, 93 S.Ct. 705, **713)
- the cases cited in the next paragraph of this opinion that, absent harassment
- and bad faith, a defendant in a pending state criminal case cannot
- affirmatively challenge in federal court the statutes under which the State is
- prosecuting him, Dr. Hallford seeks to distinguish his status as a present
- state defendant from his status as a 'potential future defendant' and to assert
- only the latter for standing purposes here.
- We see no merit in that distinction. Our decision in Samuels v. Mackell, 401
- U.S. 66, 91 S.Ct. 764, 27 L.Ed.2d 688 (1971), compels the conclusion that the
- District Court erred when it granted declaratory relief to Dr. Hallford instead
- of refraining from so doing. The court, of course, was correct in refusing to
- grant injunctive relief to the doctor. The reasons supportive of that action,
- however, are those expressed in Samuels v. Mackell, supra, and in Younger v.
- *127 Harris, 401 U.S. 37, 91 S.Ct. 746, 27 L.Ed.2d 669 (1971); Boyle v.
- Landry, 401 U.S. 77, 91 S.Ct. 758, 27 L.Ed.2d 696 (1971); Perez v. Ledesma,
- **714 401 U.S. 82, 91 S.Ct. 674, 27 L.Ed.2d 701 (1971); and Byrne v.
- Karalexis, 401 U.S. 216, 91 S.Ct. 777, 27 L.Ed.2d 792 (1971). See also
- Dombrowski v. Pfister, 380 U.S. 479, 85 S.Ct. 1116, 14 L.Ed.2d 22 (1965). We
- note, in passing, that Younger and its companion cases were decided after the
- three-judge District Court decision in this case.
- Dr. Hallford's complaint in intervention, therefore, is to be dismissed.[FN7]
- He is remitted to his defenses in the state criminal proceedings against him.
- We reverse the judgment of the District Court insofar as it granted Dr.
- Hallford relief and failed to dismiss his complaint in intervention.
-
- FN7. We need not consider what different result, if any, would follow if
- Dr. Hallford's intervention were on behalf of a class. His complaint in
- intervention does not purport to assert a class suit and makes no reference
- to any class apart from an allegation that he 'and others similarly
- situated' must necessarily guess at the meaning of Art. 1196. His
- application for leave to intervene goes somewhat further, for it asserts
- that plaintiff Roe does not adequately protect the interest of the doctor
- 'and the class of people who are physicians . . . (and) the class of people
- who are . . . patients . . ..' The leave application, however, is not the
- complaint. Despite the District Court's statement to the contrary, 314
- F.Supp., at 1225, we fail to perceive the essentials of a class suit in the
- Hallford complaint.
-
- C. The Does. In view of our ruling as to Roe's standing in her case, the issue
- of the Does' standing in their case has little significance. The claims they
- assert are essentially the same as those of Roe, and they attack the same
- statutes. Nevertheless, we briefly note the Does' posture.
- Their pleadings present them as a childless married couple, the woman not
- being pregnant, who have no desire to have children at this time because of
- their having received medical advice that Mrs. Doe should avoid pregnancy, and
- for 'other highly personal reasons.' But they 'fear . . . they may face the
- prospect of becoming *128 parents.' And if pregnancy ensues, they 'would
- want to terminate' it by an abortion. They assert an inability to obtain an
- abortion legally in Texas and, consequently, the prospect of obtaining an
- illegal abortion there or of going outside Texas to some place where the
- procedure could be obtained legally and competently.
-
-
-
- 93 S.Ct. 705 PAGE 15
- (Cite as: 410 U.S. 113, *128, 93 S.Ct. 705, **714)
- We thus have as plaintiffs a married couple who have, as their asserted
- immediate and present injury, only an alleged 'detrimental effect upon (their)
- marital happiness' because they are forced to 'the choice of refraining from
- normal sexual relations or of endangering Mary Doe's health through a possible
- pregnancy.' Their claim is that sometime in the future Mrs. Doe might become
- pregnant because of possible failure of contraceptive measures, and at that
- time in the future she might want an abortion that might then be illegal under
- the Texas statutes.
- This very phrasing of the Does' position reveals its speculative character.
- Their alleged injury rests on possible future contraceptive failure, possible
- future pregnancy, possible future unpreparedness for parenthood, and possible
- future impairment of health. Any one or more of these several possibilities may
- not take place and all may not combine. In the Does' estimation, these
- possibilities might have some real or imagined impact upon their marital
- happiness. But we are not prepared to say that the bare allegation of so
- indirect an injury is sufficient to present an actual case or controversy.
- Younger v. Harris, 401 U.S., at 41-42, 91 S.Ct., at 749; Golden v. Zwickler,
- 394 U.S., at 109-110, 89 S.Ct., at 960; Abele v. Markle, 452 F.2d, at 1124-
- 1125; Crossen v. Breckenridge, 446 F.2d, at 839. The Does' claim falls far
- short of those resolved otherwise in the cases that the Does urge upon us,
- namely, investment Co. Institute v. Camp, 401 U.S. 617, 91 S.Ct. 1091, 28
- L.Ed.2d 367 (1971); Association of Data Processing Service Organizations, Inc.
- v. Camp, 397 U.S. 150, 90 S.Ct. 827, **715 25 L.Ed.2d 184 (1970); *129 and
- Epperson v. Arkansas, 393 U.S. 97, 89 S.Ct. 266, 21 L.Ed.2d 228 (1968). See
- also Truax v. Raich, 239 U.S. 33, 36 S.Ct. 7, 60 L.Ed. 131 (1915).
- The Does therefore are not appropriate plaintiffs in this litigation. Their
- complaint was properly dismissed by the District Court, and we affirm that
- dismissal.
- V
- The principal thrust of appellant's attack on the Texas statutes is that they
- improperly invade a right, said to be possessed by the pregnant woman, to
- choose to terminate her pregnancy. Appellant would discover this right in the
- concept of personal 'liberty' embodied in the Fourteenth Amendment's Due
- Process Clause; or in personal marital, familial, and sexual privacy said to be
- protected by the Bill of Rights or its penumbras, see Griswold v. Connecticut,
- 381 U.S. 479, 85 S.Ct. 1678, 14 L.Ed.2d 510 (1965); Eisenstadt v. Baird, 405
- U.S. 438 (1972); id., at 460, 92 S.Ct. 1029, at 1042, 31 L.Ed.2d 349 (White,
- J., concurring in result); or among those rights reserved to the people by the
- Ninth Amendment, Griswold v. Connecticut, 381 U.S., at 486, 85 S.Ct., at 1682
- (Goldberg, J., concurring). Before addressing this claim, we feel it desirable
- briefly to survey, in several aspects, the history of abortion, for such
- insight as that history may afford us, and then to examine the state purposes
- and interests behind the criminal abortion laws.
- VI
- It perhaps is not generally appreciated that the restrictive criminal abortion
- laws in effect in a majority of States today are of relatively recent vintage.
- Those laws, generally proscribing abortion or its attempt at any time during
- pregnancy except when necessary to preserve the pregnant woman's life, are not
- of ancient or even of common-law origin. Instead, they derive from statutory
- changes effected, for the most part, in the latter half of the 19th century.
-
-
-
- 93 S.Ct. 705 PAGE 16
- (Cite as: 410 U.S. 113, *130, 93 S.Ct. 705, **715)
- *130 1. Ancient attitudes. These are not capable of precise determination.
- We are told that at the time of the Persian Empire abortifacients were known
- and that criminal abortions were severely punished.[FN8] We are also told,
- however, that abortion was practiced in Greek times as well as in the Roman
- Era,[FN9] and that 'it was resorted to without scruple.'[FN10] The Ephesian,
- Soranos, often described as the greatest of the ancient gynecologists, appears
- to have been generally opposed to Rome's prevailing free-abortion practices. He
- found it necessary to think first of the life of the mother, and he resorted to
- abortion when, upon this standard, he felt the procedure advisable.[FN11] Greek
- and Roman law afforded little protection to the unborn. If abortion was
- prosecuted in some places, it seems to have been based on a concept of a
- violation of the father's right to his offspring. Ancient religion did not bar
- abortion.[FN12]
-
- FN8. A Castiglioni, A. History of Medicine 84 (2d ed. 1947), E. Krumbhaar,
- translator and editor (hereinafter Castiglioni).
-
- FN9. J. Ricci, The Genealogy of Gynaecology 52, 84, 113, 149 (2d ed.
- 1950) (hereinafter Ricci); L. Lader, Abortion 75-77 (1966) (hereinafter
- Lader); K. Niswander, Medical Abortion Practices in the United States, in
- Abortion and the Law 37, 38-40 (D. Smith ed. 1967); G. Williams, The
- Sanctity of Life and the Criminal Law 148 (1957) (hereinafter Williams); J.
- Noonan, An Almost Absolute Value in History, in The Morality of Abortion 1,
- 3-7 (J. Noonan ed. 1970) (hereinafter Noonan); Quay, Justifiable Abortion-
- Medical and Legal Foundations, (pt. 2), 49 Geo.L.J. 395, 406-422
- (1961) (hereinafter Quay).
-
- FN10. L. Edelstein, The Hippocratic Oath 10 (1943) (hereinafter
- Edelstein). But see Castiglioni 227.
-
- FN11. Edelstein 12; Ricci 113-114, 118-119; Noonan 5.
-
- FN12. Edelstein 13-14.
-
- 2. The Hippocratic Oath. What then of the famous Oath that has stood so
- **716 long as the ethical guide of the medical profession and that bears the
- name of the great Greek (460(?)-377(?) B.C.), who has been described *131 as
- the Father of Medicine, the 'wisest and the greatest practitioner of his art,'
- and the 'most important and most complete medical personality of antiquity,'
- who dominated the medical schools of his time, and who typified the sum of the
- medical knowledge of the past?[FN13] The Oath varies somewhat according to the
- particular translation, but in any translation the content is clear: 'I will
- give no deadly medicine to anyone if asked, nor suggest any such counsel; and
- in like manner I will not give to a woman a pessary to produce abortion,'[FN14]
- or 'I will neither give a deadly drug to anybody if asked for it, nor will I
- make a suggestion to this effect. Similarly, I will not give to a woman an
- abortive remedy.'[FN15]
-
- FN13. Castiglioni 148.
-
-
-
-
- 93 S.Ct. 705 PAGE 17
- (Cite as: 410 U.S. 113, *131, 93 S.Ct. 705, **716)
- FN14. Id., at 154.
-
- FN15. Edelstein 3.
-
- Although the Oath is not mentioned in any of the principal briefs in this case
- or in Doe v. Bolton, 410 U.S. 179, 93 S.Ct. 739, 35 L.Ed.2d 201, it represents
- the apex of the development of strict ethical concepts in medicine, and its
- influence endures to this day. Why did not the authority of Hippocrates
- dissuade abortion practice in his time and that of Rome? The late Dr. Edelstein
- provides us with a theory:[FN16] The Oath was not uncontested even in
- Hippocrates' day; only the Pythagorean school of philosophers frowned upon the
- related act of suicide. Most Greek thinkers, on the other hand, commended
- abortion, at least prior to viability. See Plato, Republic, V, 461; Aristotle,
- Politics, VII, 1335b 25. For the Pythagoreans, however, it was a matter of
- dogma. For them the embryo was animate from the moment of conception, and
- abortion meant destruction of a living being. The abortion clause of the Oath,
- therefore, 'echoes Pythagorean doctrines,' *132 and '(i)n no other stratum
- of Greek opinion were such views held or proposed in the same spirit of
- uncompromising austerity.'[FN17]
-
- FN16. Id., at 12, 15-18.
-
- FN17. Id., at 18; Lader 76.
-
- Dr. Edelstein then concludes that the Oath originated in a group representing
- only a small segment of Greek opinion and that it certainly was not accepted by
- all ancient physicians. He points out that medical writings down to Galen (A.D.
- 130-200) 'give evidence of the violation of almost every one of its
- injunctions.'[FN18] But with the end of antiquity a decided change took place.
- Resistance against suicide and against abortion became common. The Oath came to
- be popular. The emerging teachings of Christianity were in agreement with the
- Phthagorean ethic. The Oath 'became the nucleus of all medical ethics' and 'was
- applauded as the embodiment of truth.' Thus, suggests Dr. Edelstein, it is 'a
- Pythagorean manifesto and not the expression of an absolute standard of medical
- conduct.'[FN19]
-
- FN18. Edelstein 63.
-
- FN19. Id., at 64.
-
- This, it seems to us, is a satisfactory and acceptable explanation of the
- Hippocratic Oath's apparent rigidity. It enables us to understand, in
- historical context, a long-accepted and reversed statement of medical ethics.
- 3. The common law. It is undisputed that at common law, abortion performed
- before 'quickening'-the first recognizable movement of the fetus in utero,
- appearing usually from the 16th to the 18th week of pregnancy[FN20]-was not an
- indictable offense.[FN21] The absence *133 of a **717 common-law crime for
- pre-quickening abortion appears to have developed from a confluence of earlier
- philosophical, theological, and civil and canon law concepts of when life
- begins. These disciplines variously approached the question in terms of the
-
-
-
- 93 S.Ct. 705 PAGE 18
- (Cite as: 410 U.S. 113, *133, 93 S.Ct. 705, **717)
- point at which the embryo or fetus became 'formed' or recognizably human, or in
- terms of when a 'person' came into being, that is, infused with a 'soul' or
- 'animated.' A loose concensus evolved in early English law that these events
- occurred at some point between conception and live birth.[FN22] This was
- 'mediate animation.' Although *134 Christian theology and the canon law came
- to fix the point of animation at 40 days for a male and 80 days for a female, a
- view that persisted until the 19th century, there was otherwise little
- agreement about the precise time of formation or animation. There was
- agreement, however, that prior to this point the fetus was to be regarded as
- part of the mother, and its destruction, therefore, was not homicide. Due to
- continued uncertainty about the precise time when animation occurred, to the
- lack of any empirical basis for the 40-80-day view, and perhaps to Aquinas'
- definition of movement as one of the two first principles of life, Bracton
- focused upon quickening as the critical point. The significance of quickening
- was echoed by later common-law scholars and found its way into the received
- common law in this country.
-
- FN20. Dorland's Illustrated Medical Dictionary 1261 (24th ed. 1965).
-
- FN21. E. Coke, Institutes III *50; 1 W. Hawkins, Pleas of the Crown, c.
- 31, s 16 (4th ed. 1762); 1 W. Blackstone, Commentaries *129-130; M. Hale,
- Pleas of the Crown 433 (1st Amer. ed. 1847). For discussions of the role of
- the quickening concept in English common law, see Lader 78; Noonan 223-226;
- Means, The Law of New York Concerning Abortion and the Status of the
- Foetus, 1664- 1968: A Case of Cessation of Constitutionality (pt. 1), 14
- N.Y.L.F. 411, 418-428 (1968) (hereinafter Means I); Stern, Abortion: Reform
- and the Law, 59 J.Crim.L.C. & P.S. 84 (1968) (hereinafter Stern); Quay 430-
- 432; Williams 152.
-
- FN22. Early philosophers believed that the embryo or fetus did not become
- formed and begin to live until at least 40 days after conception for a
- male, and 80 to 90 days for a female. See, for example, Aristotle,
- Hist.Anim. 7.3.583b; Gen.Anim. 2.3.736, 2.5.741; Hippocrates, Lib. de
- Nat.Puer., No. 10. Aristotle's thinking derived from his three-stage theory
- of life: vegetable, animal, rational. The vegetable stage was reached at
- conception, the animal at 'animation,' and the rational soon after live
- birth. This theory, together with the 40/80 day view, came to be accepted
- by early Christian thinkers.
- The theological debate was reflected in the writings of St. Augustine, who
- made a distinction between embryo inanimatus, not yet endowed with a soul,
- and embryo animatus. He may have drawn upon Exodus 21:22. At one point,
- however, he expressed the view that human powers cannot determine the point
- during fetal development at which the critical change occurs. See
- Augustine, De Origine Animae 4.4 (Pub.Law 44.527). See also W. Reany, The
- Creation of the Human Soul, c. 2 and 83-86 (1932); Huser, The Crime of
- Abortion in Canon Law 15 (Catholic Univ. of America, Canon Law Studies No.
- 162, Washington, D.C., 1942).
- Galen, in three treatises related to embryology, accepted the thinking of
- Aristotle and his followers. Quay 426-427. Later, Augustine on abortion was
- incorporated by Gratian into the Decretum, published about 1140. Decretum
-
-
-
- 93 S.Ct. 705 PAGE 19
- (Cite as: 410 U.S. 113, *134, 93 S.Ct. 705, **717)
- Magistri Gratiani 2.32.2.7 to 2.32.2.10, in 1 Corpus Juris Canonici 1122,
- 1123 (A. Friedberg, 2d ed. 1879). This Decretal and the Decretals that
- followed were recognized as the definitive body of canon law until the new
- Code of 1917.
- For discussions of the canon-law treatment, see Means I, pp. 411-412;
- Noonan 20-26; Quay 426-430; see also J. Noonan, Contraception: A History of
- Its Treatment by the Catholic Theologians and Canonists 18-29 (1965).
-
- Whether abortion of a quick fetus was a felony at common law, or even a lesser
- crime, is still disputed. Bracton, writing early in the 13th century, thought
- it homicide.[FN23] But the later and predominant **718 view, following the
- great common-law scholars, has been that it was, at most, a lesser offense. In
- a frequently cited *135 passage, Coke took the position that abortion of a
- woman 'quick with childe' is 'a great misprision, and no murder.'[FN24]
- Blackstone followed, saying that while abortion after quickening had once been
- considered manslaughter (though not murder), 'modern law' took a less severe
- view.[FN25] A recent review of the common-law precedents argues, however, that
- those precedents contradict Coke and that even post-quickening abortion was
- never established as a common-law crime.[FN26] This is of some importance
- because while most American courts ruled, in holding or dictum, that abortion
- of an unquickened fetus was not criminal under their received common law,[FN27]
- others followed Coke in stating that abortion *136 of a quick fetus was a
- 'misprision,' a term they translated to mean 'misdemeanor.'[FN28] That their
- reliance on Coke on this aspect of the law was uncritical and, apparently in
- all the reported cases, dictum (due probably to the paucity of common-law
- prosecutions for post-quickening abortion), makes it now appear doubtful that
- abortion was ever firmly established as a common-law crime even with respect to
- the destruction of a quick fetus.
-
- FN23. Bracton took the position that abortion by blow or poison was
- homicide 'if the foetus be already formed and animated, and particularly if
- it be animated.' 2 H. Bracton, De Legibus et Consuetudinibus Angliae 279
- (T. Twiss ed. 1879), or, as a later translation puts it, 'if the foetus is
- already formed or quickened, especially if it is quickened,' 2 H. Bracton,
- On the Laws and Customs of England 341 (S. Thorne ed. 1968). See Quay 431;
- see also 2 Fleta 60-61 (Book 1, c. 23) (Selden Society ed. 1955).
-
- FN24. E. Coke, Institutes III *50.
-
- FN25. 1 W. Blackstone, Commentaries *129-130.
-
- FN26. Means, The Phoenix of Abortional Freedom: Is a Penumbral or Ninth-
- Amendment Right About to Arise from the Nineteenth-Century Legislative
- Ashes of a Fourteenth-Century Common-Law Liberty?, 17 N.Y.L.F. 335
- (1971) (hereinafter Means II). The author examines the two principal
- precedents cited marginally by Coke, both contrary to his dictum, and
- traces the treatment of these and other cases by earlier commentators. He
- concludes that Coke, who himself participated as an advocate in an abortion
- case in 1601, may have intentionally misstated the law. The author even
- suggests a reason: Coke's strong feelings against abortion, coupled with
-
-
-
- 93 S.Ct. 705 PAGE 20
- (Cite as: 410 U.S. 113, *136, 93 S.Ct. 705, **718)
- his determination to assert common-law (secular) jurisdiction to assess
- penalties for an offense that traditionally had been an exclusively
- ecclesiastical or canon-law crime. See also Lader 78-79, who notes that
- some scholars doubt that the common law ever was applied to abortion; that
- the English ecclesiastical courts seem to have lost interest in the problem
- after 1527; and that the preamble to the English legislation of 1803, 43
- Geo. 3, c. 58, s 1, referred to in the text, infra, at 718, states that 'no
- adequate means have been hitherto provided for the prevention and
- punishment of such offenses.'
-
- FN27. Commonwealth v. Bangs, 9 Mass. 387, 388 (1812); Commonwealth v.
- Parker, 50 Mass. (9 Metc.) 263, 265-266 (1845); State v. Cooper, 22 N.J.L.
- 52, 58 (1849); Abrams v. Foshee, 3 Iowa 274, 278-280 (1856); Smith v.
- Gaffard, 31 Ala. 45, 51 (1857); Mitchell v. Commonwealth, 78 Ky. 204, 210
- (1879); Eggart v. State, 40 Fla. 527, 532, 25 So. 144, 145 (1898); State v.
- Alcorn, 7 Idaho 599, 606, 64 P. 1014, 1016 (1901); Edwards v. State, 79
- Neb. 251, 252, 112 N.W. 611, 612 (1907); Gray v. State, 77 Tex.Cr.R. 221,
- 224, 178 S.W. 337, 338 (1915); Miller v. Bennett, 190 Va. 162, 169, 56
- S.E.2d 217, 221 (1949). Contra, Mills v. Commonwealth, 13 Pa. 631, 633
- (1850); State v. Slagle, 83 N.C. 630, 632 (1880).
-
- FN28. See Smith v. State, 33 Me. 48, 55 (1851); Evans v. People, 49 N.Y.
- 86, 88 (1872); Lamb v. State, 67 Md. 524, 533, 10 A. 208 (1887).
-
- 4. The English statutory law. England's first criminal abortion statute, Lord
- Ellenborough's Act, 43 Geo. 3, c. 58, came in 1803. It made abortion of a quick
- fetus, s 1, a capital crime, but in s 2 it provided lesser penalties for the
- felony of abortion before quickening, and thus preserved the 'quickening'
- distinction. This contrast was continued in the general revision of 1828, 9
- Geo. 4, c. 31, s 13. It disappeared, however, together with the death penalty,
- in 1837, 7 Will. 4 & 1 Vict., c. 85, s 6, and did not reappear in the Offenses
- Against the Person Act of 1861, 24 & 25 Vict., c. 100, s 59, that formed the
- core of English anti-abortion law until the liberalizing reforms of 1967. In
- 1929, the Infant Life (Preservation) Act, 19 & 20 Geo. 5, c. 34, came into
- being. Its emphasis was upon the destruction of 'the life of **719 a child
- capable of being born alive.' It made a willful act performed with the
- necessary intent a felony. It contained a proviso that one was not to be
- *137 found guilty of the offense 'unless it is proved that the act which
- caused the death of the child was not done in good faith for the purpose only
- of preserving the life of the mother.'
- A seemingly notable development in the English law was the case of Rex v.
- Bourne, (1939) 1 K.B. 687. This case apparently answered in the affirmative the
- question whether an abortion necessary to preserve the life of the pregnant
- woman was excepted from the criminal penalties of the 1861 Act. In his
- instructions to the jury, Judge MacNaghten referred to the 1929 Act, and
- observed that that Act related to 'the case where a child is killed by a
- willful act at the time when it is being delivered in the ordinary course of
- nature.' Id., at 691. He concluded that the 1861 Act's use of the word
- 'unlawfully,' imported the same meaning expressed by the specific proviso in
- the 1929 Act, even though there was no mention of preserving the mother's life
-
-
-
- 93 S.Ct. 705 PAGE 21
- (Cite as: 410 U.S. 113, *137, 93 S.Ct. 705, **719)
- in the 1861 Act. He then construed the phrase 'preserving the life of the
- mother' broadly, that is, 'in a reasonable sense,' to include a serious and
- permanent threat to the mother's health, and instructed the jury to acquit Dr.
- Bourne if it found he had acted in a good-faith belief that the abortion was
- necessary for this purpose. Id., at 693-694. The jury did acquit.
- Recently, Parliament enacted a new abortion law. This is the Abortion Act of
- 1967, 15 & 16 Eliz. 2, c. 87. The Act permits a licensed physician to perform
- an abortion where two other licensed physicians agree (a) 'that the continuance
- of the pregnancy would involve risk to the life of the pregnant woman, or of
- injury to the physical or mental health of the pregnant woman or any existing
- children of her family, greater than if the pregnancy were terminated,' or (b)
- 'that there is a substantial risk that if the child were born it would suffer
- from such physical or mental abnormalities as *138 to be seriously
- handicapped.' The Act also provides that, in making this determination,
- 'account may be taken of the pregnant woman's actual or reasonably foreseeable
- environment.' It also permits a physician, without the concurrence of others,
- to terminate a pregnancy where he is of the good-faith opinion that the
- abortion 'is immediately necessary to save the life or to prevent grave
- permanent injury to the physical or mental health of the pregnant woman.'
- 5. The American law. In this country, the law in effect in all but a few
- States until mid-19th century was the pre-existing English common law.
- Connecticut, the first State to enact abortion legislation, adopted in 1821
- that part of Lord Ellenborough's Act that related to a woman 'quick with
- child.'[FN29] The death penalty was not imposed. Abortion before quickening was
- made a crime in that State only in 1860.[FN30] In 1828, New York enacted
- legislation[FN31] that, in two respects, was to serve as a model for early
- anti-abortion statutes. First, while barring destruction of an unquickend fetus
- as well as a quick fetus, it made the former only a misdemeanor, but the latter
- second-degree manslaughter. Second, it incorporated a concept of therapeutic
- abortion by providing that an abortion was excused if it '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.' By 1840, when Texas had
- received the common law,[FN32] only eight American States *139 had
- **720 statutes dealing with abortion.[FN33] It was not until after the War
- Between the States that legislation began generally to replace the common law.
- Most of these initial statutes dealt severely with abortion after quickening
- but were lenient with it before quickening. Most punished attempts equally with
- completed abortions. While many statutes included the exception for an abortion
- thought by one or more physicians to be necessary to save the mother's life,
- that provision soon disappeared and the typical law required that the procedure
- actually be necessary for that purpose.
-
- FN29. Conn.Stat., Tit. 20, s 14 (1821).
-
- FN30. Conn.Pub.Acts, c. 71, s 1 (1860).
-
- FN31. N.Y.Rev.Stat., pt. 4, c. 1, Tit. 2, Art. 1, s 9, p. 661, and Tit. 6,
- s 21, p. 694 (1829).
-
- FN32. Act of Jan. 20, 1840, s 1, set forth in 2 H. Gammel, Laws of Texas
-
-
-
- 93 S.Ct. 705 PAGE 22
- (Cite as: 410 U.S. 113, *139, 93 S.Ct. 705, **720)
- 177-178 (1898); see Grigsby v. Reib, 105 Tex. 597, 600, 153 S.W. 1124,
- 1125 (1913).
-
- FN33. The early statutes are discussed in Quay 435-438. See also Lader 85-
- 88; Stern 85-86; and Means II 375-376.
-
- Gradually, in the middle and late 19th century the quickening distinction
- disappeared from the statutory law of most States and the degree of the offense
- and the penalties were increased. By the end of the 1950's a large majority of
- the jurisdictions banned abortion, however and whenever performed, unless done
- to save or preserve the life of the mother.[FN34] The exceptions, Alabama and
- the District of Columbia, permitted abortion to preserve the mother's health.
- [FN35] Three States permitted abortions that were not 'unlawfully' performed or
- that were not 'without lawful justification,' leaving interpretation of those
- standards to the courts.[FN36] In *140 the past several years, however, a
- trend toward liberalization of abortion statutes has resulted in adoption, by
- about one-third of the States, of less stringent laws, most of them patterned
- after the ALI Model Penal Code, s 230.3,[FN37] set forth as Appendix B to the
- opinion in Doe v. Bolton, 410 U.S. 205, 93 S.Ct. 754.
-
- FN34. Criminal abortion statutes in effect in the States as of 1961,
- together with historical statutory development and important judicial
- interpretations of the state statutes, are cited and quoted in Quay 447-
- 520. See Comment, A Survey of the Present Statutory and Case Law on
- Abortion: The Contradictions and the Problems, 1972 U.Ill.L.F. 177, 179,
- classifying the abortion statutes and listing 25 States as permitting
- abortion only if necessary to save or preserve the mother's life.
-
- FN35. Ala.Code, Tit. 14, s 9 (1958); D.C.Code Ann. s 22-201 (1967).
-
- FN36. Mass.Gen.Laws Ann., c. 272, s 19 (1970); N.J.Stat.Ann. s 2A:87-1
- (1969); Pa.Stat.Ann., Tit. 18, ss 4718, 4719 (1963).
-
- FN37. Fourteen States have adopted some form of the ALI statute. See
- Ark.Stat.Ann. ss 41-303 to 41-310 (Supp.1971); Calif. Health & Safety Code
- ss 25950-25955.5 (Supp.1972); Colo.Rev.Stat.Ann. ss 40-2-50 to 40-2-53
- (Cum.Supp.1967); Del.Code Ann., Tit. 24, ss 1790-1793 (Supp.1972); Florida
- Law of Apr. 13, 1972, c. 72-196, 1972 Fla.Sess.Law Serv., pp. 380-382;
- Ga.Code ss 26-1201 to 26-1203 (1972); Kan.Stat.Ann. s 21-3407 (Supp.1971);
- Md.Ann.Code, Art. 43, ss 137-139 (1971); Miss.Code Ann. s 2223 (Supp.1972);
- N.M.Stat.Ann. ss 40A-5-1 to 40A-5-3 (1972); N.C.Gen.Stat. s 14-45.1
- (Supp.1971); Ore.Rev.Stat. ss 435.405 to 435.495 (1971); S.C.Code Ann. ss
- 16-82 to 16-89 (1962 and Supp.1971); Va.Code Ann. ss 18.1-62 to 18.1-62.3
- (Supp.1972). Mr. Justice Clark described some of these States as having
- 'led the way.' Religion, Morality, and Abortion: A Constitutional
- Appraisal, 2 Loyola U. (L.A.) L.Rev. 1, 11 (1969).
- By the end of 1970, four other States had repealed criminal penalties for
- abortions performed in early pregnancy by a licensed physician, subject to
- stated procedural and health requirements. Alaska Stat. s 11.15.060 (1970);
- Haw.Rev.Stat. s 453-16 (Supp.1971); N.Y.Penal Code s 125.05, subd. 3
-
-
-
- 93 S.Ct. 705 PAGE 23
- (Cite as: 410 U.S. 113, *140, 93 S.Ct. 705, **720)
- (Supp.1972-1973); Wash.Rev.Code ss 9.02.060 to 9.02.080 (Supp.1972). The
- precise status of criminal abortion laws in some States is made unclear by
- recent decisions in state and federal courts striking down existing state
- laws, in whole or in part.
-
- It is thus apparent that at common law, at the time of the adoption of our
- Constitution, and throughout the major portion of the 19th century, abortion
- was viewed with less disfavor than under most American statutes currently in
- effect. Phrasing it another way, a woman enjoyed a substantially broader right
- to terminate a pregnancy than she does in most States today. At least with
- respect to the early stage of pregnancy, **721 and very possibly without such
- a limitation, the opportunity *141 to make this choice was present in this
- country well into the 19th century. Even later, the law continued for some time
- to treat less punitively an abortion procured in early pregnancy.
- 6. The position of the American Medical Association. The anti-abortion mood
- prevalent in this country in the late 19th century was shared by the medical
- profession. Indeed, the attitude of the profession may have played a
- significant role in the enactment of stringent criminal abortion legislation
- during that period.
- An AMA Committee on Criminal Abortion was appointed in May 1857. It presented
- its report, 12 Trans. of the Am.Med.Assn. 73-78 (1859), to the Twelfth Annual
- Meeting. That report observed that the Committee had been appointed to
- investigate criminal abortion 'with a view to its general suppression.' It
- deplored abortion and its frequency and it listed three causes of 'this general
- demoralization':
- 'The first of these causes is a wide-spread popular ignorance of the true
- character of the crime-a belief, even among mothers themselves, that the foetus
- is not alive till after the period of quickening.
- 'The second of the agents alluded to is the fact that the profession
- themselves are frequently supposed careless of foetal life. . . .
- 'The third reason of the frightful extent of this crime is found in the grave
- defects of our laws, both common and statute, as regards the independent and
- actual existence of the child before birth, as a living being. These errors,
- which are sufficient in most instances to prevent conviction, are based, and
- only based, upon mistaken and exploded medical dogmas. With strange
- inconsistency, the law fully acknowledges the foetus in utero and its inherent
- rights, for civil purposes; while personally and as criminally affected, it
- fails to recognize it, *142 and to its life as yet denies all protection.'
- Id., at 75-76.
- The Committee then offered, and the Association adopted, resolutions
- protesting 'against such unwarrantable destruction of human life,' calling upon
- state legislatures to revise their abortion laws, and requesting the
- cooperation of state medical societies 'in pressing the subject.' Id., at 28,
- 78.
- In 1871 a long and vivid report was submitted by the Committee on Criminal
- Abortion. It ended with the observation, 'We had to deal with human life. In a
- matter of less importance we could entertain no compromise. An honest judge on
- the bench would call things by their proper names. We could do no less.' 22
- Trans. of the Am.Med.Assn. 258 (1871). It proffered resolutions, adopted by the
- Association, id., at 38-39, recommending, among other things, that it 'be
-
-
-
- 93 S.Ct. 705 PAGE 24
- (Cite as: 410 U.S. 113, *142, 93 S.Ct. 705, **721)
- unlawful and unprofessional for any physician to induce abortion or premature
- labor, without the concurrent opinion of at least one respectable consulting
- physician, and then always with a view to the safety of the child-if that be
- possible,' and calling 'the attention of the clergy of all denominations to the
- perverted views of morality entertained by a large class of females-aye, and
- men also, on this important question.'
- Except for periodic condemnation of the criminal abortionist, no further
- formal AMA action took place until 1967. In that year, the Committee on Human
- Reproduction urged the adoption of a stated policy of opposition to induced
- abortion, except when there is 'documented medical evidence' of a threat to the
- health or life of the mother, or that the child 'may be born with
- incapacitating physical deformity or mental deficiency,' or that a pregnancy
- 'resulting from legally established statutory or forcible rape or incest may
- constitute a threat to the mental or physical health of the *143 patient,'
- two other physicians 'chosen because of their recognized professional
- competency have examined the patient and have concurred in writing,'
- **722 and the procedure 'is performed in a hospital accredited by the Joint
- Commission on Accreditation of Hospitals.' The providing of medical information
- by physicians to state legislatures in their consideration of legislation
- regarding therapeutic abortion was 'to be considered consistent with the
- principles of ethics of the American Medical Association.' This recommendation
- was adopted by the House of Delegates. Proceedings of the AMA House of
- Delegates 40-51 (June 1967).
- In 1970, after the introduction of a variety of proposed resolutions, and of a
- report from its Board of Trustees, a reference committee noted 'polarization of
- the medical profession on this controversial issue'; division among those who
- had testified; a difference of opinion among AMA councils and committees; 'the
- remarkable shift in testimony' in six months, felt to be influenced 'by the
- rapid changes in state laws and by the judicial decisions which tend to make
- abortion more freely available;' and a feeling 'that this trend will continue.'
- On June 25, 1970, the House of Delegates adopted preambles and most of the
- resolutions proposed by the reference committee. The preambles emphasized 'the
- best interests of the patient,' 'sound clinical judgment,' and 'informed
- patient consent,' in contrast to 'mere acquiescence to the patient's demand.'
- The resolutions asserted that abortion is a medical procedure that should be
- performed by a licensed physician in an accredited hospital only after
- consultation with two other physicians and in conformity with state law, and
- that no party to the procedure should be required to violate personally held
- moral principles.[FN38] Proceedings *144 of the AMA House of Delegates 220
- (June 1970). The AMA Judicial Council rendered a complementary opinion.[FN39]
-
- FN38. 'Whereas, Abortion, like any other medical procedure, should not be
- performed when contrary to the best interests of the patient since good
- medical practice requires due consideration for the patient's welfare and
- not mere acquiescence to the patient's demand; and
- 'Whereas, The standards of sound clinical judgment, which, together with
- informed patient consent should be determinative according to the merits of
- each individual case; therefore be it
- 'RESOLVED, That abortion is a medical procedure and should be performed
- only by a duly licensed physician and surgeon in an accredited hospital
-
-
-
- 93 S.Ct. 705 PAGE 25
- (Cite as: 410 U.S. 113, *144, 93 S.Ct. 705, **722)
- acting only after consultation with two other physicians chosen because of
- their professional competency and in conformance with standards of good
- medical practice and the Medical Practice Act of his State; and be it
- further
- 'RESOLVED, That no physician or other professional personnel shall be
- compelled to perform any act which violates his good medical judgment.
- Neither physician, hospital, nor hospital personnel shall be required to
- perform any act violative of personally-held moral principles. In these
- circumstances good medical practice requires only that the physician or
- other professional personnel withdraw from the case so long as the
- withdrawal is consistent with good medical practice.' Proceedings of the
- AMA House of Delegates 220 (June 1970).
-
- FN39. 'The Principles of Medical Ethics of the AMA do not prohibit a
- physician from performing an abortion that is performed in accordance with
- good medical practice and under circumstances that do not violate the laws
- of the community in which he practices.
- 'In the matter of abortions, as of any other medical procedure, the
- Judicial Council becomes involved whenever there is alleged violation of
- the Principles of Medical Ethics as established by the House of Delegates.'
-
- 7. The position of the American Public Health Association. In October 1970,
- the Executive Board of the APHA adopted Standards for Abortion Services. These
- were five in number:
- 'a. Rapid and simple abortion referral must be readily available through
- state and local public *145 health departments, medical societies, or other
- non-profit organizations.
- 'b. An important function of counseling should be to simplify and expedite
- the provision of abortion services; if should not delay the obtaining of these
- services.
- **723 'c. Psychiatric consultation should not be mandatory. As in the case
- of other specialized medical services, psychiatric consultation should be
- sought for definite indications and not on a routine basis.
- 'd. A wide range of individuals from appropriately trained, sympathetic
- volunteers to highly skilled physicians may qualify as abortion counselors.
- 'e. Contraception and/or sterilization should be discussed with each abortion
- patient.' Recommended Standards for Abortion Services, 61 Am.J.Pub.Health 396
- (1971).
- Among factors pertinent to life and health risks associated with abortion were
- three that 'are recognized as important':
- 'a. the skill of the physician,
- 'b. the environment in which the abortion is performed, and above all
- 'c. The duration of pregnancy, as determined by uterine size and confirmed by
- menstrual history.' Id., at 397.
- It was said that 'a well-equipped hospital' offers more protection 'to cope
- with unforeseen difficulties than an office or clinic without such
- resources. . . . The factor of gestational age is of overriding importance.'
- Thus, it was recommended that abortions in the second trimester and early
- abortions in the presence of existing medical complications be performed in
- hospitals as inpatient procedures. For pregnancies in the first
-
-
-
- 93 S.Ct. 705 PAGE 26
- (Cite as: 410 U.S. 113, *146, 93 S.Ct. 705, **723)
- trimester, *146 abortion in the hospital with or without overnight stay 'is
- probably the safest practice.' An abortion in an extramural facility, however,
- is an acceptable alternative 'provided arrangements exist in advance to admit
- patients promptly if unforeseen complications develop.' Standards for an
- abortion facility were listed. It was said that at present abortions should be
- performed by physicians or osteopaths who are licensed to practice and who
- have 'adequate training.' Id., at 398.
- 8. The position of the American Bar Association. At its meeting in February
- 1972 the ABA House of Delegates approved, with 17 opposing votes, the Uniform
- Abortion Act that had been drafted and approved the preceding August by the
- Conference of Commissioners on Uniform State Laws. 58 A.B.A.J. 380 (1972). We
- set forth the Act in full in the margin.[FN40] The *147 Conference
- **724 has appended an enlightening Prefatory Note.[FN41]
-
- FN40. 'UNIFORM ABORTION ACT
- 'Section 1. (Abortion Defined; When Authorized.)
- '(a) 'Abortion' means the termination of human pregnancy with an intention
- other than to produce a live birth or to remove a dead fetus.
- '(b) An abortion may be performed in this state only if it is performed:
- '(1) by a physician licensed to practice medicine (or osteopathy) in this
- state or by a physician practicing medicine (or osteopathy) in the employ
- of the government of the United States or of this state, (and the abortion
- is performed (in the physician's office or in a medical clinic, or) in a
- hospital approved by the (Department of Health) or operated by the United
- States, this state, or any department, agency, or political subdivision of
- either;) or by a female upon herself upon the advice of the physician; and
- '(2) within (20) weeks after the commencement of the pregnancy (or after
- (20) weeks only if the physician has reasonable cause to believe (i) there
- is a substantial risk that continuance of the pregnancy would endanger the
- life of the mother or would gravely impair the physical or mental health of
- the mother, (ii) that the child would be born with grave physical or mental
- defect, or (iii) that the pregnancy resulted from rape or incest, or
- illicit intercourse with a girl under the age of 16 years).
- 'Section 2. (Penalty.) Any person who performs or procures an abortion
- other than authorized by this Act is guilty of a (felony) and, upon
- conviction thereof, may be sentenced to pay a fine not exceeding ($1,000)
- or to imprisonment (in the state penitentiary) not exceeding (5 years), or
- both.
- 'Section 3. (Uniformity of Interpretation.) This Act shall be construed to
- effectuate its general purpose to make uniform the law with respect to the
- subject of this Act among those states which enact it.
- 'Section 4. (Short Title.) This Act may be cited as the Uniform Abortion
- Act.
- 'Section 5. (Severability.) If any provision of this Act or the application
- thereof to any person or circumstance is held invalid, the invalidity does
- not affect other provisions or applications of this Act which can be given
- effect without the invalid provision or application, and to this end the
- provision of this Act are severable.
- 'Section 6. (Repeal.) The following acts and parts of acts are repealed:
- '(1)
-
-
-
- 93 S.Ct. 705 PAGE 27
- (Cite as: 410 U.S. 113, *147, 93 S.Ct. 705, **724)
- '(2)
- '(3)
- 'Section 7. (Time of Taking Effect.) This Act shall take effect ___.'
-
- FN41. 'This Act is based largely upon the New York abortion act following
- a review of the more recent laws on abortion in several states and upon
- recognition of a more liberal trend in laws on this subject. Recognition
- was given also to the several decisions in state and federal courts which
- show a further trend toward liberalization of abortion laws, especially
- during the first trimester of pregnancy.
- 'Recognizing that a number of problems appeared in New York, a shorter time
- period for 'unlimited' abortions was advisable. The time period was
- bracketed to permit the various states to insert a figure more in keeping
- with the different conditions that might exist among the states. Likewise,
- the language limiting the place or places in which abortions may be
- performed was also bracketed to account for different conditions among the
- states. In addition, limitations on abortions after the initial 'unlimited'
- period were placed in brackets so that individual states may adopt all or
- any of these reasons, or place further restrictions upon abortions after
- the initial period.
- 'This Act does not contain any provision relating to medical review
- committees or prohibitions against sanctions imposed upon medical personnel
- refusing to participate in abortions because of religious or other similar
- reasons, or the like. Such provisions, while related, do not directly
- pertain to when, where, or by whom abortions may be performed; however, the
- Act is not drafted to exclude such a provision by a state wishing to enact
- the same.'
-
- VII
- Three reasons have been advanced to explain historically the enactment of
- criminal abortion laws in the 19th century and to justify their continued
- existence.
- *148 It has been argued occasionally that these laws were the product of a
- Victorian social concern to discourage illicit sexual conduct. Texas, however,
- does not advance this justification in the present case, and it appears that no
- court or commentator has taken the argument seriously.[FN42] The appellants and
- amici contend, moreover, that this is not a proper state purpose at all and
- suggest that, if it were, the Texas statutes are overbroad in protecting it
- since the law fails to distinguish between married and unwed mothers.
-
- FN42. See, for example, YWCA v. Kugler, 342 F.Supp. 1048, 1074
- (D.C.N.J.1972); Abele v. Markle, 342 F.Supp. 800, 805-806
- (D.C.Conn.1972) (Newman, J., concurring in result), appeal docketed, No.
- 72-56; Walsingham v. State, 250 So.2d 857, 863 (Ervin, J., concurring)
- (Fla. 1971); State v. Gedicke, 43 N.J.L. 86, 90 (1881); Means II 381-382.
-
- A second reason is concerned with abortion as a medical procedure. When most
- criminal abortion laws were first enacted, the procedure was a hazardous one
- for the woman.[FN43] This was particularly true prior to the
- *149 development of antisepsis. Antiseptic techniques, of course, were based
-
-
-
- 93 S.Ct. 705 PAGE 28
- (Cite as: 410 U.S. 113, *149, 93 S.Ct. 705, **724)
- on discoveries by Lister, Pasteur, and others first announced in 1867, but were
- not generally accepted and employed until about the turn of the century.
- Abortion mortality was high. Even after 1900, and perhaps until as late as the
- development of antibiotics in the 1940's, standard modern techniques such as
- dilation and curettage were not nearly so safe as they are today. Thus, it has
- been argued that a State's real concern in enacting a criminal abortion law was
- to protect the pregnant woman, that is, to restrain her from submitting to a
- procedure that placed her life in serious jeopardy.
-
- FN43. See C. Haagensen & W. Lloyd, A. Hundred Years of Medicine 19 (1943).
-
- **725 Modern medical techniques have altered this situation. Appellants and
- various amici refer to medical data indicating that abortion in early
- pregnancy, that is, prior to the end of the first trimester, although not
- without its risk, is now relatively safe. Mortality rates for women undergoing
- early abortions, where the procedure is legal, appear to be as low as or lower
- than the rates for normal childbirth.[FN44] Consequently, any interest of the
- State in protecting the woman from an inherently hazardous procedure, except
- when it would be equally dangerous for her to forgo it, has largely
- disappeared. Of course, important state interests in the areas of health and
- medical standards do remain. *150 The State has a legitimate interest in
- seeing to it that abortion, like any other medical procedure, is performed
- under circumstances that insure maximum safety for the patient. This interest
- obviously extends at least to the performing physician and his staff, to the
- facilities involved, to the availability of after-care, and to adequate
- provision for any complication or emergency that might arise. The prevalence of
- high mortality rates at illegal 'abortion mills' strengthens, rather than
- weakens, the State's interest in regulating the conditions under which
- abortions are performed. Moreover, the risk to the woman increases as her
- pregnancy continues. Thus, the State retains a definite interest in protecting
- the woman's own health and safety when an abortion is proposed at a late stage
- of pregnancy,
-
- FN44. Potts, Postconceptive Control of Fertility, 8 Int'l J. of G. & O.
- 957, 967 (1970) (England and Wales); Abortion Mortality, 20 Morbidity and
- Mortality 208, 209 (June 12, 1971) (U.S. Dept. of HEW, Public Health
- Service) (New York City); Tietze, United States: Therapeutic Abortions,
- 1963-1968, 59 Studies in Family Planning 5, 7 (1970); Tietze, Mortality
- with Contraception and Induced Abortion, 45 Studies in Family Planning 6
- (1969) (Japan, Czechoslovakia, Hungary); Tietze & Lehfeldt, Legal Abortion
- in Eastern Europe, 175 J.A.M.A. 1149, 1152 (April 1961). Other sources are
- discussed in Lader 17-23.
-
- The third reason is the State's interest-some phrase it in terms of duty-in
- protecting prenatal life. Some of the argument for this justification rests on
- the theory that a new human life is present from the moment of conception.
- [FN45] The State's interest and general obligation to protect life then
- extends, it is argued, to prenatal life. Only when the life of the pregnant
- mother herself is at stake, balanced against the life she carries within her,
- should the interest of the embryo or fetus not prevail. Logically, of course, a
-
-
-
- 93 S.Ct. 705 PAGE 29
- (Cite as: 410 U.S. 113, *150, 93 S.Ct. 705, **725)
- legitimate state interest in this area need not stand or fall on acceptance of
- the belief that life begins at conception or at some other point prior to life
- birth. In assessing the State's interest, recognition may be given to the less
- rigid claim that as long as at least potential life is involved, the State may
- assert interests beyond the protection of the pregnant woman alone.
-
- FN45. See Brief of Amicus National Right to Life Committee; R. Drinan, The
- Inviolability of the Right to Be Born, in Abortion and the Law 107 (D.
- Smith ed. 1967); Louisell, Abortion, The Practice of Medicine and the Due
- Process of Law, 16 U.C.L.A.L.Rev. 233 (1969); Noonan 1.
-
- *151 Parties challenging state abortion laws have sharply disputed in some
- courts the contention that a purpose of these laws, when enacted, was to
- protect prenatal life.[FN46] Pointing to the absence of legislative history to
- support the contention, they claim that most state laws were designed solely to
- protect the woman. Because medical advances have lessened this concern, at
- least with respect to abortion in early pregnancy, they argue that with respect
- to such abortions the laws can no longer be justified by any state interest.
- There is some scholarly support for this view of original purpose.[FN47] The
- few state courts **726 called upon to interpret their laws in the late 19th
- and early 20th centuries did focus on the State's interest in protecting the
- woman's health rather than in preserving the embryo and fetus.[FN48] Proponents
- of this view point out that in many States, including Texas,[FN49] by statute
- or judicial interpretation, the pregnant woman herself could not be prosecuted
- for self-abortion or for cooperating in an abortion performed upon her by
- another.[FN50] They claim that adoption of the 'quickening' distinction through
- received common *152 law and state statutes tacitly recognizes the greater
- health hazards inherent in late abortion and impliedly repudiates the theory
- that life begins at conception.
-
- FN46. See, e.g., Abele v. Markle, 342 F.Supp. 800 (D.C.Conn.1972), appeal
- docketed, No. 72-56.
-
- FN47. See discussions in Means I and Means II.
-
- FN48. See, e.g., State v. Murphy, 27 N.J.L. 112, 114 (1858).
-
- FN49. Watson v. State, 9 Tex.App. 237, 244-245 (1880); Moore v. State, 37
- Tex.Cr.R. 552, 561, 40 S.W. 287, 290 (1897); Shaw v. State, 73 Tex.Cr.R.
- 337, 339, 165 S.W. 930, 931 (1914); Fondren v. State, 74 Tex.Cr.R. 552,
- 557, 169 S.W. 411, 414 (1914); Gray v. State, 77 Tex.Cr.R. 221, 229, 178
- S.W. 337, 341 (1915). There is no immunity in Texas for the father who is
- not married to the mother. Hammett v. State, 84 Tex.Cr.R. 635, 209 S.W.
- 661 (1919); Thompson v. State, Tex.Cr.App., 493 S.W.2d 913 (1971), appeal
- pending.
-
- FN50. See Smith v. State, 33 Me., at 55; In re Vince, 2 N.J. 443, 450, 67
- A.2d 141, 144 (1949). A short discussion of the modern law on this issue is
- contained in the Comment to the ALI's Model Penal Code s 207.11, at 158 and
- nn. 35-37 (Tent.Draft No. 9, 1959).
-
-
-
- 93 S.Ct. 705 PAGE 30
- (Cite as: 410 U.S. 113, *152, 93 S.Ct. 705, **726)
-
- It is with these interests, and the weight to be attached to them, that this
- case is concerned.
- VIII
- The Constitution does not explicitly mention any right of privacy. In a line
- of decisions, however, going back perhaps as far as Union Pacific R. Co. v.
- Botsford, 141 U.S. 250, 251, 11 S.Ct. 1000, 1001, 35 L.Ed. 734 (1891), the
- Court has recognized that a right of personal privacy, or a guarantee of
- certain areas or zones of privacy, does exist under the Constitution. In
- varying contexts, the Court or individual Justices have, indeed, found at least
- the roots of that right in the First Amendment, Stanley v. Georgia, 394 U.S.
- 557, 564, 89 S.Ct. 1243, 1247, 22 L.Ed.2d 542 (1969); in the Fourth and Fifth
- Amendments, Terry v. Ohio, 392 U.S. 1, 8-9, 88 S.Ct. 1868, 1872-1873, 20
- L.Ed.2d 889 (1968), Katz v. United States, 389 U.S. 347, 350, 88 S.Ct. 507,
- 510, 19 L.Ed.2d 576 (1967); Boyd v. United States, 116 U.S. 616, 6 S.Ct. 524,
- 29 L.Ed. 746 (1886), see Olmstead v. United States, 277 U.S. 438, 478, 48 S.Ct.
- 564, 572, 72 L.Ed. 944 (1928) (Brandeis, J., dissenting); in the penumbras of
- the Bill of Rights, Griswold v. Connecticut, 381 U.S., at 484-485, 85 S.Ct., at
- 1681-1682; in the Ninth Amendment, id., at 486, 85 S.Ct. at 1682 (Goldberg, J.,
- concurring); or in the concept of liberty guaranteed by the first section of
- the Fourteenth Amendment, see Meyer v. Nebraska, 262 U.S. 390, 399, 43 S.Ct.
- 625, 626, 67 L.Ed. 1042 (1923). These decisions make it clear that only
- personal rights that can be deemed 'fundamental' or 'implicit in the concept of
- ordered liberty,' Palko v. Connecticut, 302 U.S. 319, 325, 58 S.Ct. 149, 152,
- 82 L.Ed. 288 (1937), are included in this guarantee of personal privacy. They
- also make it clear that the right has some extension to activities relating to
- marriage, Loving v. Virginia, 388 U.S. 1, 12, 87 S.Ct. 1817, 1823, 18 L.Ed.2d
- 1010 (1967); procreation, Skinner v. Oklahoma, 316 U.S. 535, 541-542, 62 S.Ct.
- 1110, 1113-1114, 86 L.Ed. 1655 (1942); contraception, Eisenstadt v. Baird, 405
- U.S., at 453-454, 92 S.Ct., at 1038-1039; id., at 460, 463- *153 465, 92
- S.Ct. at 1042, 1043-1044 (White, J., concurring in result); family
- relationships, Prince v. Massachusetts, 321 U.S. 158, 166, 64 S.Ct. 438, 442,
- 88 L.Ed. 645 (1944); and child rearing and education, Pierce v. Society of
- Sisters, 268 U.S. 510, **727 535, 45 S.Ct. 571, 573, 69 L.Ed. 1070 (1925),
- Meyer v. Nebraska, supra.
- This right of privacy, whether it be founded in the Fourteenth Amendment's
- concept of personal liberty and restrictions upon state action, as we feel it
- is, or, as the District Court determined, in the Ninth Amendment's reservation
- of rights to the people, is broad enough to encompass a woman's decision
- whether or not to terminate her pregnancy. The detriment that the State would
- impose upon the pregnant woman by denying this choice altogether is apparent.
- Specific and direct harm medically diagnosable even in early pregnancy may be
- involved. Maternity, or additional offspring, may force upon the woman a
- distressful life and future. Psychological harm may be imminent. Mental and
- physical health may be taxed by child care. There is also the distress, for all
- concerned, associated with the unwanted child, and there is the problem of
- bringing a child into a family already unable, psychologically and otherwise,
- to care for it. In other cases, as in this one, the additional difficulties and
- continuing stigma of unwed motherhood may be involved. All these are factors
- the woman and her responsible physician necessarily will consider in
-
-
-
- 93 S.Ct. 705 PAGE 31
- (Cite as: 410 U.S. 113, *153, 93 S.Ct. 705, **727)
- consultation.
- On the basis of elements such as these, appellant and some amici argue that
- the woman's right is absolute and that she is entitled to terminate her
- pregnancy at whatever time, in whatever way, and for whatever reason she alone
- chooses. With this we do not agree. Appellant's arguments that Texas either has
- no valid interest at all in regulating the abortion decision, or no interest
- strong enough to support any limitation upon the woman's sole determination,
- are unpersuasive. The *154 Court's decisions recognizing a right of privacy
- also acknowledge that some state regulation in areas protected by that right is
- appropriate. As noted above, a State may properly assert important interests in
- safeguarding health, in maintaining medical standards, and in protecting
- potential life. At some point in pregnancy, these respective interests become
- sufficiently compelling to sustain regulation of the factors that govern the
- abortion decision. The privacy right involved, therefore, cannot be said to be
- absolute. In fact, it is not clear to us that the claim asserted by some amici
- that one has an unlimited right to do with one's body as one pleases bears a
- close relationship to the right of privacy previously articulated in the
- Court's decisions. The Court has refused to recognize an unlimited right of
- this kind in the past. Jacobson v. Massachusetts, 197 U.S. 11, 25 S.Ct. 358, 49
- L.Ed. 643 (1905) (vaccination); Buck v. Bell, 274 U.S. 200, 47 S.Ct. 584, 71
- L.Ed. 1000 (1927) (sterilization).
- We, therefore, conclude that the right of personal privacy includes the
- abortion decision, but that this right is not unqualified and must be
- considered against important state interests in regulation.
- We note that those federal and state courts that have recently considered
- abortion law challenges have reached the same conclusion. A majority, in
- addition to the District Court in the present case, have held state laws
- unconstitutional, at least in part, because of vagueness or because of
- overbreadth and abridgment of rights. Abele v. Markle, 342 F.Supp. 800
- (D.C.Conn.1972), appeal docketed, No. 72-56; Abele v. Markle, 351 F.Supp. 224
- (D.C.Conn.1972), appeal docketed, No. 72-730; Doe v. Bolton, 319 F.Supp. 1048
- (N.D.Ga.1970), appeal decided today, 410 U.S. 179, 93 S.Ct. 739, 35 L.Ed.2d
- 201; Doe v. Scott, 321 F.Supp. 1385 (N.D.Ill.1971), appeal docketed, No. 70-
- 105; Poe v. Menghini, 339 F.Supp. 986 (D.C.Kan.1972); YWCA v. Kugler, 342
- F.Supp. 1048 (D.C.N.J.1972); Babbitz v. McCann, *155 310 F.Supp. 293
- (E.D.Wis.1970), appeal dismissed, 400 U.S. 1, 91 S.Ct. 12, 27 L.Ed.2d 1 (1970);
- People v. Belous, 71 Cal.2d 954, 80 Cal.Rptr. 354, 458 P.2d 194 (1969), cert.
- denied, 397 U.S. 915, 90 S.Ct. 920, 25 L.Ed.2d 96 (1970); State v. Barquet, 262
- So.2d 431 (Fla.1972).
- Others have sustained state statutes. Crossen v. Attorney General, 344
- F **728 .Supp. 587 (E.D.Ky.1972), appeal docketed, No. 72-256; Rosen v.
- Louisiana State Board of Medical Examiners, 318 F.Supp. 1217 (E.D.La.1970),
- appeal docketed, No. 70-42; Corkey v. Edwards, 322 F.Supp. 1248 (W.D.N.C.1971),
- appeal docketed, No. 71-92; Steinberg v. Brown, 321 F.Supp. 741 (N.D.Ohio
- 1970); Doe v. Rampton, 366 F.Supp. 189 (Utah 1971), appeal docketed, No. 71-
- 5666; Cheaney v. State, Ind., 285 N.E.2d 265 (1972); Spears v. State, 257 So.2d
- 876 (Miss.1972); State v. Munson, S.D., 201 N.W.2d 123 (1972), appeal docketed,
- No. 72-631.
- Although the results are divided, most of these courts have agreed that the
- right of privacy, however based, is broad enough to cover the abortion
-
-
-
- 93 S.Ct. 705 PAGE 32
- (Cite as: 410 U.S. 113, *155, 93 S.Ct. 705, **728)
- decision; that the right, nonetheless, is not absolute and is subject to some
- limitations; and that at some point the state interests as to protection of
- health, medical standards, and prenatal life, become dominant. We agree with
- this approach.
- Where certain 'fundamental rights' are involved, the Court has held that
- regulation limiting these rights may be justified only by a 'compelling state
- interest,' Kramer v. Union Free School District, 395 U.S. 621, 627, 89 S.Ct.
- 1886, 1890, 23 L.Ed.2d 583 (1969); Shapiro v. Thompson, 394 U.S. 618, 634, 89
- S.Ct. 1322, 1331, 22 L.Ed.2d 600 (1969); Sherbert v. Verner, 374 U.S. 398, 406,
- 83 S.Ct. 1790, 1795, 10 L.Ed.2d 965 (1963), and that legislative enactments
- must be narrowly drawn to express only the legitimate state interests at stake.
- Griswold v. Connecticut, 381 U.S., at 485, 85 S.Ct., at 1682; Aptheker v.
- Secretary of State, 378 U.S. 500, 508, 84 S.Ct. 1659, 1664, 12 L.Ed.2d 992
- (1964); Cantwell v. Connecticut, 310 U.S. 296, 307-308, 60 S.Ct. 900, 904-905,
- 84 L.Ed. 1213 (1940); see *156 Eisenstadt v. Baird, 405 U.S., at 460, 463-
- 464, 92 S.Ct., at 1042, 1043-1044 (White, J., concurring in result).
- In the recent abortion cases, cited above, courts have recognized these
- principles. Those striking down state laws have generally scrutinized the
- State's interests in protecting health and potential life, and have concluded
- that neither interest justified broad limitations on the reasons for which a
- physician and his pregnant patient might decide that she should have an
- abortion in the early stages of pregnancy. Courts sustaining state laws have
- held that the State's determinations to protect health or prenatal life are
- dominant and constitutionally justifiable.
- IX
- The District Court held that the appellee failed to meet his burden of
- demonstrating that the Texas statute's infringement upon Roe's rights was
- necessary to support a compelling state interest, and that, although the
- appellee presented 'several compelling justifications for state presence in the
- area of abortions,' the statutes outstripped these justifications and swept
- 'far beyond any areas of compelling state interest.' 314 F.Supp., at 1222-1223.
- Appellant and appellee both contest that holding. Appellant, as has been
- indicated, claims an absolute right that bars any state imposition of criminal
- penalties in the area. Appellee argues that the State's determination to
- recognize and protect prenatal life from and after conception constitutes a
- compelling state interest. As noted above, we do not agree fully with either
- formulation.
- A. The appellee and certain amici argue that the fetus is a 'person' within
- the language and meaning of the Fourteenth Amendment. In support of this, they
- outline at length and in detail the well-known facts of fetal development. If
- this suggestion of personhood is established, the appellant's case, of course,
- collapses, *157 for the fetus' right to life would then be guaranteed
- specifically by the Amendment. The appellant conceded as much on reargument.
- [FN51] On the other hand, the appellee conceded on reargument[FN52] that no
- case could be cited **729 that holds that a fetus is a person within the
- meaning of the Fourteenth Amendment.
-
- FN51. Tr. of Oral Rearg. 20-21.
-
- FN52. Tr. of Oral Rearg. 24.
-
-
-
- 93 S.Ct. 705 PAGE 33
- (Cite as: 410 U.S. 113, *157, 93 S.Ct. 705, **729)
-
- The Constitution does not define 'person' in so many words. Section 1 of the
- Fourteenth Amendment contains three references to 'person.' The first, in
- defining 'citizens,' speaks of 'persons born or naturalized in the United
- States.' The word also appears both in the Due Process Clause and in the Equal
- Protection Clause. 'Person' is used in other places in the Constitution: in the
- listing of qualifications for Representatives and Senators, Art, I, s 2, cl. 2,
- and s 3, cl. 3; in the Apportionment Clause, Art. I, s 2, cl. 3;[FN53] in the
- Migration and Importation provision, Art. I, s 9, cl. 1; in the Emoulument
- Clause, Art, I, s 9, cl. 8; in the Electros provisions, Art. II, s 1, cl. 2,
- and the superseded cl. 3; in the provision outlining qualifications for the
- office of President, Art. II, s 1, cl. 5; in the Extradition provisions, Art.
- IV, s 2, cl. 2, and the superseded Fugitive Slave Clause 3; and in the Fifth,
- Twelfth, and Twenty-second Amendments, as well as in ss 2 and 3 of the
- Fourteenth Amendment. But in nearly all these instances, the use of the word is
- such that it has application only postnatally. None indicates, with any
- assurance, that it has any possible prenatal application.[FN54]
-
- FN53. We are not aware that in the taking of any census under this clause,
- a fetus has ever been counted.
-
- FN54. When Texas urges that a fetus is entitled to Fourteenth Amendment
- protection as a person, it faces a dilemma. Neither in Texas nor in any
- other State are all abortions prohibited. Despite broad proscription, an
- exception always exists. The exception contained in Art. 1196, for an
- abortion procured or attempted by medical advice for the purpose of saving
- the life of the mother, is typical. But if the fetus is a person who is not
- to be deprived of life without due process of law, and if the mother's
- condition is the sole determinant, does not the Texas exception appear to
- be out of line with the Amendment's command?
- There are other inconsistencies between Fourteenth Amendment status and the
- typical abortion statute. It has already been pointed out, n. 49, supra,
- that in Texas the woman is not a principal or an accomplice with respect to
- an abortion upon her. If the fetus is a person, why is the woman not a
- principal or an accomplice? Further, the penalty for criminal abortion
- specified by Art. 1195 is significantly less than the maximum penalty for
- murder prescribed by Art. 1257 of the Texas Penal Code. If the fetus is a
- person, may the penalties be different?
-
- *158 All this, together with our observation, supra, that throughout the
- major portion of the 19th century prevailing legal abortion practices were far
- freer than they are today, persuades us that the word 'person,' as used in the
- Fourteenth Amendment, does not include the unborn.[FN55] This is in accord with
- the results reached in those few cases where the issue has been squarely
- presented. McGarvey v. Magee-Womens Hospital, 340 F.Supp. 751 (W.D.Pa.1972);
- Byrn v. New York City Health & Hospitals Corp., 31 N.Y.2d 194, 335 N.Y.S.2d
- 390, 286 N.E.2d 887 (1972), appeal docketed, No. 72-434; Abele v. Markle, 351
- F.Supp. 224 (D.C.Conn.1972), appeal docketed, No. 72-730. Cf. Cheaney v. State,
- Ind., 285 N.E.2d, at 270; Montana v. Rogers, 278 F.2d 68, 72 (CA7 1960), aff'd
- sub nom. Montana v. Kennedy, 366 U.S. 308, 81 S.Ct. 1336, 6 L.Ed.2d 313 (1961);
-
-
-
- 93 S.Ct. 705 PAGE 34
- (Cite as: 410 U.S. 113, *158, 93 S.Ct. 705, **729)
- Keeler v. Superior Court, 2 Cal.3d 619, 87 Cal.Rptr. 481, 470 P.2d 617 (1970);
- State v. Dickinson, 28 *159 Ohio St.2d 65, 275 N.E.2d 599 (1971). Indeed,
- our decision in United States v. Vuitch, 402 U.S. 62, 91 S.Ct. 1294, 28 L.Ed.2d
- 601 (1971), inferentially is to the same effect, for we there would not have
- indulged in statutory interpretation favorable to abortion in specified
- circumstances if the necessary consequence was the **730 termination of life
- entitled to Fourteenth Amendment protection.
-
- FN55. Cf. the Wisconsin abortion statute, defining 'unborn child' to mean
- 'a human being from the time of conception until it is born alive,'
- Wis.Stat. s 940.04(6) (1969), and the new Connecticut statute, Pub. Act No.
- 1 (May 1972 Special Session), declaring it to be the public policy of the
- State and the legislative intent 'to protect and preserve human life from
- the moment of conception.'
-
- This conclusion, however, does not of itself fully answer the contentions
- raised by Texas, and we pass on to other considerations.
- B. The pregnant woman cannot be isolated in her privacy. She carries an embryo
- and, later, a fetus, if one accepts the medical definitions of the developing
- young in the human uterus. See Dorland's Illustrated Medical Dictionary 478-
- 479, 547 (24th ed. 1965). The situation therefore is inherently different from
- marital intimacy, or bedroom possession of obscene material, or marriage, or
- procreation, or education, with which Eisenstadt and Griswold, Stanley, Loving,
- Skinner and Pierce and Meyer were respectively concerned. As we have intimated
- above, it is reasonable and appropriate for a State to decide that at some
- point in time another interest, that of health of the mother or that of
- potential human life, becomes significantly involved. The woman's privacy is no
- longer sole and any right of privacy she possesses must be measured
- accordingly.
- Texas urges that, apart from the Fourteenth Amendment, life begins at
- conception and is present throughout pregnancy, and that, therefore, the State
- has a compelling interest in protecting that life from and after conception. We
- need not resolve the difficult question of when life begins. When those trained
- in the respective disciplines of medicine, philosophy, and theology are unable
- to arrive at any consensus, the judiciary, at this point in the development of
- man's knowledge, is not in a position to speculate as to the answer.
- *160 It should be sufficient to note briefly the wide divergence of
- thinking on this most sensitive and difficult question. There has always been
- strong support for the view that life does not begin until live birth. This was
- the belief of the Stoics.[FN56] It appears to be the predominant, though not
- the unanimous, attitude of the Jewish faith.[FN57] It may be taken to represent
- also the position of a large segment of the Protestant community, insofar as
- that can be ascertained; organized groups that have taken a formal position on
- the abortion issue have generally regarded abortion as a matter for the
- conscience of the individual and her family.[FN58] As we have noted, the common
- law found greater significance in quickening. Physicians and their scientific
- colleagues have regarded that event with less interest and have tended to focus
- either upon conception, upon live birth, or upon the interim point at which the
- fetus becomes 'viable,' that is, potentially able to live outside the mother's
- womb, albeit with artificial aid.[FN59] Viability is usually placed at about
-
-
-
- 93 S.Ct. 705 PAGE 35
- (Cite as: 410 U.S. 113, *160, 93 S.Ct. 705, **730)
- seven months (28 weeks) but may occur earlier, even at 24 weeks.[FN60] The
- Aristotelian theory of 'mediate animation,' that held sway throughout the
- Middle Ages and the Renaissance in Europe, continued to be official Roman
- Catholic dogma until the 19th century, despite opposition to this 'ensoulment'
- theory from those in the Church who would recognize the existence of life from
- *161 the moment of conception.[FN61] The latter is now, of course, the
- official belief of the Catholic Church. As one brief amicus discloses, this is
- a view strongly held by many non-Catholics as well, and by many physicians.
- Substantial **731 problems for precise definition of this view are posed,
- however, by new embryological data that purport to indicate that conception is
- a 'process' over time, rather than an event, and by new medical techniques such
- as menstrual extraction, the 'morning-after' pill, implantation of embryos,
- artificial insemination, and even artificial wombs.[FN62]
-
- FN56. Edelstein 16.
-
- FN57. Lader 97-99; D. Feldman, Birth Control in Jewish Law 251-294 (1968).
- For a stricter view, see I. Jakobovits, Jewish Views on Abortion, in
- Abortion and the Law 124 (D. Smith ed. 1967).
-
- FN58. Amicus Brief for the American Ethical Union et al. For the position
- of the National Council of Churches and of other denominations, see Lader
- 99-101.
-
- FN59. L. Hellman & J. Pritchard, Williams Obstetrics 493 (14th ed. 1971);
- Dorland's Illustrated Medical Dictionary 1689 (24th ed. 1965).
-
- FN60. Hellman & Pritchard, supra, n. 59, at 493.
-
- FN61. For discussions of the development of the Roman Catholic position,
- see D. Callahan, Abortion: Law, Choice, and Morality 409-447 (1970); Noonan
- 1.
-
- FN62. See Brodie, The New Biology and the Prenatal Child, 9 J.Family L.
- 391, 397 (1970); Gorney, The New Biology and the Future of Man, 15
- U.C.L.A.L.Rev. 273 (1968); Note, Criminal Law-abortion-The 'Morning-After
- Pill' and Other Pre-Implantation Birth-Control Methods and the Law, 46
- Ore.L.Rev. 211 (1967); G. Taylor, The Biological Time Bomb 32 (1968); A.
- Rosenfeld, The Second Genesis 138-139 (1969); Smith, Through a Test Tube
- Darkly: Artificial Insemination and the Law, 67 Mich.L.Rev. 127 (1968);
- Note, Artificial Insemination and the Law, 1968 U.Ill.L.F. 203.
-
- In areas other than criminal abortion, the law has been reluctant to endorse
- any theory that life, as we recognize it, begins before life birth or to accord
- legal rights to the unborn except in narrowly defined situations and except
- when the rights are contingent upon life birth. For example, the traditional
- rule of tort law denied recovery for prenatal injuries even though the child
- was born alive.[FN63] That rule has been changed in almost every jurisdiction.
- In most States, recovery is said to be permitted only if the fetus was viable,
- or at least quick, when the injuries were sustained, though few *162 courts
-
-
-
- 93 S.Ct. 705 PAGE 36
- (Cite as: 410 U.S. 113, *162, 93 S.Ct. 705, **731)
- have squarely so held.[FN64] In a recent development, generally opposed by the
- commentators, some States permit the parents of a stillborn child to maintain
- an action for wrongful death because of prenatal injuries. [FN65] Such an
- action, however, would appear to be one to vindicate the parents' interest and
- is thus consistent with the view that the fetus, at most, represents only the
- potentiality of life. Similarly, unborn children have been recognized as
- acquiring rights or interests by way of inheritance or other devolution of
- property, and have been represented by guardians ad litem.[FN66] 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.
-
- FN63. W. Prosser, The Law of Torts 33k-338 (4th ed. 1971); 2 F. Harper &
- F. James, The Law of Torts 1028-1031
-
- FN63. W. Prosser, The Law of Torts 335-338 (1949).
-
- FN64. See cases cited in Prosser, supra, n. 63, at 336-338; Annotation,
- Action for Death of Unborn Child, 15 A.L.R.3d 992 (1967).
-
- FN65. Prosser, supra, n. 63, at 338; Note, The Law and the Unborn Child:
- The Legal and Logical Inconsistencies, 46 Notre Dame Law. 349, 354-360
- (1971).
-
- FN66. Louisell, Abortion, The Practice of Medicine and the Due Process of
- Law, 16 U.C.L.A.L.Rev. 233, 235-238 (1969); Note, 56 Iowa L.Rev. 994, 999-
- 1000 (1971); Note, The Law and the Unborn Child, 46 Notre Dame Law. 349,
- 351-354 (1971).
-
- X
- In view of all this, we do not agree that, by adopting one theory of life,
- Texas may override the rights of the pregnant woman that are at stake. We
- repeat, however, that the State does have an important and legitimate interest
- in preserving and protecting the health of the pregnant woman, whether she be a
- resident of the State or a non-resident who seeks medical consultation and
- treatment there, and that it has still another important and legitimate
- interest in protecting the potentiality of human life. These interests are
- separate and distinct. Each grows in substantiality as the woman approaches
- *163 term and, at a point during pregnancy, each becomes 'compelling.'
- With respect to the State's important and legitimate interest in the health of
- the mother, the 'compelling' point, in the light of present medical knowledge,
- is at approximately the end of the first trimester. This is so because of the
- now-established medical **732 fact, referred to above at 725, that until the
- end of the first trimester mortality in abortion may be less than mortality in
- normal childbirth. It follows that, from and after this point, a State may
- regulate the abortion procedure to the extent that the regulation reasonably
- relates to the preservation and protection of maternal health. Examples of
- permissible state regulation in this area are requirements as to the
- qualifications of the person who is to perform the abortion; as to the
- licensure of that person; as to the facility in which the procedure is to be
-
-
-
- 93 S.Ct. 705 PAGE 37
- (Cite as: 410 U.S. 113, *163, 93 S.Ct. 705, **732)
- performed, that is, whether it must be a hospital or may be a clinic or some
- other place of less-than-hospital status; as to the licensing of the facility;
- and the like.
- This means, on the other hand, that, for the period of pregnancy prior to
- this 'compelling' point, the attending physician, in consultation with his
- patient, is free to determine, without regulation by the State, that, in his
- medical judgment, the patient's pregnancy should be terminated. If that
- decision is reached, the judgment may be effectuated by an abortion free of
- interference by the State.
- 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 mother's womb.
- State regulation protective of fetal life after viability thus has both logical
- and biological justifications. If the State is interested in protecting fetal
- life after viability, it may go so far as to proscribe abortion *164 during
- that period, except when it is necessary to preserve the life or health of the
- mother.
- Measured against these standards, Art. 1196 of the Texas Penal Code, in
- restricting legal abortions to those 'procured or attempted by medical advice
- for the purpose of saving the life of the mother,' sweeps too broadly. The
- statute makes no distinction between abortions performed early in pregnancy and
- those performed later, and it limits to a single reason, 'saving' the mother's
- life, the legal justification for the procedure. The statute, therefore, cannot
- survive the constitutional attack made upon it here.
- This conclusion makes it unnecessary for us to consider the additional
- challenge to the Texas statute asserted on grounds of vagueness. See United
- States v. Vuitch, 402 U.S., at 67-72, 91 S.Ct., at 1296-1299.
- XI
- To summarize and to repeat:
- 1. A state criminal abortion statute of the current Texas type, that excepts
- from criminality only a life-saving procedure on behalf of the mother, without
- regard to pregnancy stage and without recognition of the other interests
- involved, is violative of the Due Process Clause of the Fourteenth Amendment.
- (a) For the stage prior to approximately the end of the first trimester, the
- abortion decision and its effectuation must be left to the medical judgment of
- the pregnant woman's attending physician.
- (b) For the stage subsequent to approximately the end of the first trimester,
- the State, in promoting its interest in the health of the mother, may, if it
- chooses, regulate the abortion procedure in ways that are reasonably related to
- maternal health.
- (c) For the stage subsequent to viability, the State in promoting its interest
- in the potentiality of human life *165 may, if it chooses, 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.
- 2. The State may define the term 'physician,' as it has been employed in the
- preceding paragraphs of this Part XI of this opinion, to mean only a physician
- currently licensed by the **733 State, and may proscribe any abortion by a
- person who is not a physician as so defined.
- In Doe v. Bolton, 410 U.S. 179, 93 S.Ct. 739, 35 L.Ed.2d 201, procedural
- requirements contained in one of the modern abortion statutes are considered.
-
-
-
- 93 S.Ct. 705 PAGE 38
- (Cite as: 410 U.S. 113, *165, 93 S.Ct. 705, **733)
- That opinion and this one, of course, are to be read together.[FN67]
-
- FN67. Neither in this opinion nor in Doe v. Bolton, 410 U.S. 179, 93 S.Ct.
- 739, 35 L.Ed.2d 201, do we discuss the father's rights, if any exist in the
- constitutional context, in the abortion decision. No paternal right has
- been asserted in either of the cases, and the Texas and the Georgia
- statutes on their face take no cognizance of the father. We are aware that
- some statutes recognize the father under certain circumstances. North
- Carolina, for example, N.C.Gen.Stat. s 14-45.1 (Supp.1971), requires
- written permission for the abortion from the husband when the woman is a
- married minor, that is, when she is less than 18 years of age, 41 N.C.A.G.
- 489 (1971); if the woman is an unmarried minor, written permission from the
- parents is required. We need not now decide whether provisions of this kind
- are constitutional.
-
- This holding, we feel, is consistent with the relative weights of the
- respective interests involved, with the lessons and examples of medical and
- legal history, with the lenity of the common law, and with the demands of the
- profound problems of the present day. The decision leaves the State free to
- place increasing restrictions on abortion as the period of pregnancy lengthens,
- so long as those restrictions are tailored to the recognized state interests.
- The decision vindicates the right of the physician to administer medical
- treatment according to his professional judgment up to the points where
- important *166 state interests provide compelling justifications for
- intervention. Up to those points, the abortion decision in all its aspects is
- inherently, and primarily, a medical decision, and basic responsibility for it
- must rest with the physician. If an individual practitioner abuses the
- privilege of exercising proper medical judgment, the usual remedies, judicial
- and intra-professional, are available.
- XII
- Our conclusion that Art. 1196 is unconstitutional means, of course, that the
- Texas abortion statutes, as a unit, must fall. The exception of Art. 1196
- cannot be struck down separately, for then the State would be left with a
- statute proscribing all abortion procedures no matter how medically urgent the
- case.
- Although the District Court granted appellant Roe declaratory relief, it
- stopped short of issuing an injunction against enforcement of the Texas
- statutes. The Court has recognized that different considerations enter into a
- federal court's decision as to declaratory relief, on the one hand, and
- injunctive relief, on the other. Zwickler v. Koota, 389 U.S 241, 252-255, 88
- S.Ct. 391, 397-399, 19 L.Ed.2d 444 (1967); Dombrowski v. Pfister, 380 U.S. 479,
- 85 S.Ct. 1116, 14 L.Ed.2d 22 (1965). We are not dealing with a statute that, on
- its face, appears to abridge free expression, an area of particular concern
- under Dombrowski and refined in Younger v. Harris, 401 U.S., at 50, 91 S.Ct.,
- at 753.
- We find it unnecessary to decide whether the District Court erred in
- withholding injunctive relief, for we assume the Texas prosecutorial
- authorities will give full credence to this decision that the present criminal
- abortion statutes of that State are unconstitutional.
- The judgment of the District Court as to intervenor Hallford is reversed, and
-
-
-
- 93 S.Ct. 705 PAGE 39
- (Cite as: 410 U.S. 113, *166, 93 S.Ct. 705, **733)
- Dr. Hallford's complaint in intervention is dismissed. In all other respects,
- the judgment *167 of the District Court is affirmed. Costs are allowed to
- the appellee.
- It is so ordered.
- Affirmed in part and reversed in part.
-
- Mr. Justice STEWART, concurring.
-
- In 1963, this Court, in Ferguson v. Skrupa, 372 U.S. 726, 83 S.Ct. 1028, 10
- **734 L.Ed.2d 93, purported to sound the death knell for the doctrine of
- substantive due process, a doctrine under which many state laws had in the past
- been held to violate the Fourteenth Amendment. As Mr. Justice Black's opinion
- for the Court in Skrupa put it: 'We have returned to the original
- constitutional proposition that courts do not substitute their social and
- economic beliefs for the judgment of legislative bodies, who are elected to
- pass laws.' Id., at 730, 83 S.Ct., at 1031.[FN1]
-
- FN1. Only Mr. Justice Harlan failed to join the Court's opinion, 372 U.S.,
- at 733, 83 S.Ct., at 1032.
-
- Barely who years later, in Griswold v. Connecticut, 381 U.S. 479, 85 S.Ct.
- 1678, 14 L.Ed.2d 510, the Court held a Connecticut birth control law
- unconstitutional. In view of what had been so recently said in Skrupa, the
- Court's opinion in Griswold understandably did its best to avoid reliance on
- the Due Process Clause of the Fourteenth Amendment as the ground for decision.
- Yet, the Connecticut law did not violate any provision of the Bill of Rights,
- nor any other specific provision of the Constitution.[FN2] So it was clear
- *168 to me then, and it is equally clear to me now, that the Griswold
- decision can be rationally understood only as a holding that the Connecticut
- statute substantively invaded the 'liberty' that is protected by the Due
- Process Clause of the Fourteenth Amendment.[FN3] As so understood, Griswold
- stands as one in a long line of pre-Skrupa cases decided under the doctrine of
- substantive due process, and I now accept it as such.
-
- FN2. There is no constitutional right of privacy, as such. '(The Fourth)
- Amendment protects individual privacy against certain kinds of governmental
- intrusion, but its protections go further, and often have nothing to do
- with privacy at all. Other provisions of the Constitution protect personal
- privacy from other forms of governmental invasion. But the protection of a
- person's general right to privacy-his right to be let alone by other
- people-is like the protection of his property and of his very life, left
- largely to the law of the individual States.' Katz v. United States, 389
- U.S. 347, 350-351, 88 S.Ct. 507, 510-511, 19 L.Ed.2d 576 (footnotes
- omitted).
-
- FN3. This was also clear to Mr. Justice Black, 381 U.S., at 507,
- (dissenting opinion); to Mr. Justice Harlan, 381 U.S., at 499, 85 S.Ct., at
- 1689 (opinion concurring in the judgment); and to Mr. Justice White, 381
- U.S., at 502, 85 S.Ct., at 1691 (opinion concurring in the judgment). See
- also Mr. Justice Harlan's thorough and thoughtful opinion dissenting from
-
-
-
- 93 S.Ct. 705 PAGE 40
- (Cite as: 410 U.S. 113, *168, 93 S.Ct. 705, **734)
- dismissal of the appeal in Poe v. Ullman, 367 U.S. 497, 522, 81 S.Ct. 1752,
- 1765, 6 L.Ed.2d 989.
-
- 'In a Constitution for a free people, there can be no doubt that the meaning
- of 'liberty' must be broad indeed.' Board of Regents v. Roth, 408 U.S. 564,
- 572, 92 S.Ct. 2701, 2707, 33 L.Ed.2d 548. The Constitution nowhere mentions a
- specific right of personal choice in matters of marriage and family life, but
- the 'liberty' protected by the Due Process Clause of the Fourteenth Amendment
- covers more than those freedoms explicitly named in the Bill of Rights. See
- Schware v. Board of Bar Examiners, 353 U.S. 232, 238-239, 77 S.Ct. 752, 755-
- 756, 1 L.Ed.2d 796; Pierce v. Society of Sisters, 268 U.S. 510, 534-535, 45
- S.Ct. 571, 573-574, 69 L.Ed. 1070; Meyer v. Nebraska, 262 U.S. 390, 399-400, 43
- S.Ct. 625, 626-627, 67 L.Ed. 1042. Cf. Shapiro v. Thompson, 394 U.S. 618, 629-
- 630, 89 S.Ct. 1322, 1328-1329, 22 L.Ed.2d 600; United States v. Guest, 383 U.S.
- 745, 757-758, 86 S.Ct. 1170, 1177-1178, 16 L.Ed.2d 239; Carrington v. Rash, 380
- U.S. 89, 96, 85 S.Ct. 775, 780, 13 L.Ed.2d 675; Aptheker v. Secretary of State,
- 378 U.S. 500, 505, 84 S.Ct. 1659, 1663, 12 L.Ed.2d 992; Kent v. Dulles, 357
- U.S. 116, 127, 78 S.Ct. 1113, 1118, 2 L.Ed.2d 1204; Bolling v. Sharpe, 347 U.S.
- 497, 499-500, 74 S.Ct. 693, 694-695, 98 L.Ed. 884; Truax v. Raich, 239 U.S. 33,
- 41, 36 S.Ct. 7, 10, 60 L.Ed. 131.
- *169 As Mr. Justice Harlan once wrote: '(T)he full scope of the liberty
- guaranteed by the Due Process Clause cannot be found in or limited by the
- precise **735 terms of the specific guarantees elsewhere provided in the
- Constitution. This 'liberty' is not a series of isolated points priced out in
- terms of the taking of property; the freedom of speech, press, and religion;
- the right to keep and bear arms; the freedom from unreasonable searches and
- seizures; and so on. It is a rational continuum which, broadly speaking,
- includes a freedom from all substantial arbitrary impositions and purposeless
- restraints . . . and which also recognizes, what a reasonable and sensitive
- judgment must, that certain interests require particularly careful scrutiny of
- the state needs asserted to justify their abridgment.' Poe v. Ullman, 367 U.S.
- 497, 543, 81 S.Ct. 1752, 1776, 6 L.Ed.2d 989 (opinion dissenting from dismissal
- of appeal) (citations omitted). In the words of Mr. Justice Frankfurter, 'Great
- concepts like . . . 'liberty' . . . were purposely left to gather meaning from
- experience. For they relate to the whole domain of social and economic fact,
- and the statesmen who founded this Nation knew too well that only a stagnant
- society remains unchanged.' National Mutual Ins. Co. v. Tidewater Transfer Co.,
- 337 U.S. 582, 646, 69 S.Ct. 1173, 1195, 93 L.Ed. 1556 (dissenting opinion).
- Several decisions of this Court make clear that freedom of personal choice in
- matters of marriage and family life is one of the liberties protected by the
- Due Process Clause of the Fourteenth Amendment. Loving v. Virginia, 388 U.S. 1,
- 12, 87 S.Ct. 1817, 1823, 18 L.Ed.2d 1010; Griswold v. Connecticut, supra;
- Pierce v. Society of Sisters, supra; Meyer v. Nebraska, supra. See also Prince
- v. Massachusetts, 321 U.S. 158, 166, 64 S.Ct. 438, 442, 88 L.Ed. 645; Skinner
- v. Oklahoma, 316 U.S. 535, 541, 62 S.Ct. 1110, 1113, 86 L.Ed. 1655. As recently
- as last Term, in Eisenstadt v. Baird, 405 U.S. 438, 453, 92 S.Ct. 1029, 1038,
- 31 L.Ed.2d 349, we recognized 'the right of the individual, married or single,
- to be free from unwarranted governmental intrusion into matters so
- fundamentally affecting a person *170 as the decision whether to bear or
- beget a child.' That right necessarily includes the right of a woman to decide
-
-
-
- 93 S.Ct. 705 PAGE 41
- (Cite as: 410 U.S. 113, *170, 93 S.Ct. 705, **735)
- whether or not to terminate her pregnancy. 'Certainly the interests of a woman
- in giving of her physical and emotional self during pregnancy and the interests
- that will be affected throughout her life by the birth and raising of a child
- are of a far greater degree of significance and personal intimacy than the
- right to send a child to private school protected in Pierce v. Society of
- Sisters, 268 U.S. 510, 45 S.Ct. 571, 69 L.Ed. 1070 (1925), or the right to
- teach a foreign language protected in Meyer v. Nebraska, 262 U.S. 390, 43 S.Ct.
- 625, 67 L.Ed. 1042 (1923).' Abele v. Markle, 351 F.Supp. 224, 227
- (D.C.Conn.1972).
- Clearly, therefore, the Court today is correct in holding that the right
- asserted by Jane Roe is embraced within the personal liberty protected by the
- Due Process Clause of the Fourteenth Amendment.
- It is evident that the Texas abortion statute infringes that right directly.
- Indeed, it is difficult to imagine a more complete abridgment of a
- constitutional freedom than that worked by the inflexible criminal statute now
- in force in Texas. The question then becomes whether the state interests
- advanced to justify this abridgment can survive the 'particularly careful
- scrutiny' that the Fourteenth Amendment here requires.
- The asserted state interests are protection of the health and safety of the
- pregnant woman, and protection of the potential future human life within her.
- These are legitimate objectives, amply sufficient to permit a State to regulate
- abortions as it does other surgical procedures, and perhaps sufficient to
- permit a State to regulate abortions more stringently or even to prohibit them
- in the late stages of pregnancy. But such legislation is not before us, and I
- think the Court today has thoroughly demonstrated that these state interests
- cannot constitutionally support the broad abridgment **736 of
- personal *171 liberty worked by the existing Texas law. Accordingly, I join
- the Court's opinion holding that that law is invalid under the Due Process
- Clause of the Fourteenth Amendment.
-
- Mr. Justice REHNQUIST, dissenting.
-
- The Court's opinion brings to the decision of this troubling question both
- extensive historical fact and a wealth of legal scholarship. While the opinion
- thus commands my respect, I find myself nonetheless in fundamental disagreement
- with those parts of it that invalidate the Texas statute in question, and
- therefore dissent.
- I
- The Court's opinion decides that a State may impose virtually no restriction
- on the performance of abortions during the first trimester of pregnancy. Our
- previous decisions indicate that a necessary predicate for such an opinion is a
- plaintiff who was in her first trimester of pregnancy at some time during the
- pendency of her lawsuit. While a party may vindicate his own constitutional
- rights, he may not seek vindication for the rights of others. Moose Lodge No.
- 107 v. Irvis, 407 U.S. 163, 92 S.Ct. 1965, 32 L.Ed.2d 627 (1972); Sierra Club
- v. Morton, 405 U.S. 727, 92 S.Ct. 1361, 31 L.Ed.2d 636 (1972). The Court's
- statement of facts in this case makes clear, however, that the record in no way
- indicates the presence of such a plaintiff. We know only that plaintiff Roe at
- the time of filing her complaint was a pregnant woman; for aught that appears
- in this record, she may have been in her last trimester of pregnancy as of the
-
-
-
- 93 S.Ct. 705 PAGE 42
- (Cite as: 410 U.S. 113, *171, 93 S.Ct. 705, **736)
- date the complaint was filed.
- Nothing in the Court's opinion indicates that Texas might not constitutionally
- apply its proscription of abortion as written to a woman in that stage of
- pregnancy. Nonetheless, the Court uses her complaint against the Texas statute
- as a fulcrum for deciding that States may *172 impose virtually no
- restrictions on medical abortions performed during the first trimester of
- pregnancy. In deciding such a hypothetical lawsuit, the Court departs from the
- longstanding admonition that it should never 'formulate a rule of
- constitutional law broader than is required by the precise facts to which it is
- to be applied.' Liverpool, New York & Philadelphia S.S. Co. v. Commissioners of
- Emigration, 113 U.S. 33, 39, 5 S.Ct. 352, 355, 28 L.Ed. 899 (1885). See also
- Ashwander v. TVA, 297 U.S. 288, 345, 56 S.Ct. 466, 482, 80 L.Ed. 688
- (1936) (Brandeis, J., concurring).
- II
- Even if there were a plaintiff in this case capable of litigating the issue
- which the Court decides, I would reach a conclusion opposite to that reached by
- the Court. I have difficulty in concluding, as the Court does, that the right
- of 'privacy' is involved in this case. Texas, by the statute here challenged,
- bars the performance of a medical abortion by a licensed physician on a
- plaintiff such as Roe. A transaction resulting in an operation such as this is
- not 'private' in the ordinary usage of that word. Nor is the 'privacy' that the
- Court finds here even a distant relative of the freedom from searches and
- seizures protected by the Fourth Amendment to the Constitution, which the Court
- has referred to as embodying a right to privacy. Katz v. United States, 389
- U.S. 347, 88 S.Ct. 507, 19 L.Ed.2d 576 (1967).
- If the Court means by the term 'privacy' no more than that the claim of a
- person to be free from unwanted state regulation of consensual transactions may
- be a form of 'liberty' protected by the Fourteenth Amendment, there is no doubt
- that similar claims have been upheld in our earlier decisions on the basis of
- that liberty. I agree with the statement of Mr. Justice STEWART in his
- concurring opinion that the 'liberty,' against deprivation of which without due
- process the Fourteenth *173 Amendment protects, embraces more than the
- rights found in the Bill of Rights. But that **737 liberty is not guaranteed
- absolutely against deprivation, only against deprivation without due process of
- law. The test traditionally applied in the area of social and economic
- legislation is whether or not a law such as that challenged has a rational
- relation to a valid state objective. Williamson v. Lee Optical Co., 348 U.S.
- 483, 491, 75 S.Ct. 461, 466, 99 L.Ed. 563 (1955). The Due Process Clause of the
- Fourteenth Amendment undoubtedly does place a limit, albeit a broad one, on
- legislative power to enact laws such as this. If the Texas statute were to
- prohibit an abortion even where the mother's life is in jeopardy, I have little
- doubt that such a statute would lack a rational relation to a valid state
- objective under the test stated in Williamson, supra. But the Court's sweeping
- invalidation of any restrictions on abortion during the first trimester is
- impossible to justify under that standard, and the conscious weighing of
- competing factors that the Court's opinion apparently substitutes for the
- established test is far more appropriate to a legislative judgment than to a
- judicial one.
- The Court eschews the history of the Fourteenth Amendment in its reliance on
- the 'compelling state interest' test. See Weber v. Aetna Casualty & Surety Co.,
-
-
-
- 93 S.Ct. 705 PAGE 43
- (Cite as: 410 U.S. 113, *173, 93 S.Ct. 705, **737)
- 406 U.S. 164, 179, 92 S.Ct. 1400, 1408, 31 L.Ed.2d 768 (1972) (dissenting
- opinion). But the Court adds a new wrinkle to this test by transposing it from
- the legal considerations associated with the Equal Protection Clause of the
- Fourteenth Amendment to this case arising under the Due Process Clause of the
- Fourteenth Amendment. Unless I misapprehend the consequences of this
- transplanting of the 'compelling state interest test,' the Court's opinion will
- accomplish the seemingly impossible feat of leaving this area of the law more
- confused than it found it.
- *174 While the Court's opinion quotes from the dissent of Mr. Justice
- Holmes in Lochner v. New York, 198 U.S. 45, 74, 25 S.Ct. 539, 551, 49 L.Ed.
- 937 (1905), the result it reaches is more closely attuned to the majority
- opinion of Mr. Justice Peckham in that case. As in Lochner and similar cases
- applying substantive due process standards to economic and social welfare
- legislation, the adoption of the compelling state interest standard will
- inevitably require this Court to examine the legislative policies and pass on
- the wisdom of these policies in the very process of deciding whether a
- particular state interest put forward may or may not be 'compelling.' The
- decision here to break pregnancy into three distinct terms and to outline the
- permissible restrictions the State may impose in each one, for example,
- partakes more of judicial legislation than it does of a determination of the
- intent of the drafters of the Fourteenth Amendment.
- The fact that a majority of the States reflecting, after all the majority
- sentiment in those States, have had restrictions on abortions for at least a
- century is a strong indication, it seems to me, that the asserted right to an
- abortion is not 'so rooted in the traditions and conscience of our people as to
- be ranked as fundamental,' Snyder v. Massachusetts, 291 U.S. 97, 105, 54 S.Ct.
- 330, 332, 78 L.Ed. 674 (1934). Even today, when society's views on abortion are
- changing, the very existence of the debate is evidence that the 'right' to an
- abortion is not so universally accepted as the appellant would have us believe.
- To reach its result, the Court necessarily has had to find within the Scope of
- the Fourteenth Amendment a right that was apparently completely unknown to the
- drafters of the Amendment. As early as 1821, the first state law dealing
- directly with abortion was enacted by the Connecticut Legislature. Conn.Stat.,
- Tit. 22, ss 14, 16. By the time of the adoption of the Fourteenth *175
- Amendment in 1868, there were at least 36 laws enacted by state or territorial
- legislatures limiting **738 abortion.[FN1] While many States have amended or
- updated *176 their laws, 21 of the laws on the books in 1868 remain in
- effect today.[FN2] Indeed, the Texas statute **739 struck down today was, as
- the majority notes, first enacted in 1857 *177 and 'has remained
- substantially unchanged to the present time.' Ante, at 710.
-
- FN1. Jurisdictions having enacted abortion laws prior to the adoption of
- the Fourteenth Amendment in 1868:
- 1. Alabama-Ala.Acts, c. 6, s 2 (1840).
- 2. Arizona-Howell Code, c. 10, s 45 (1865).
- 3. Arkansas-Ark.Rev.Stat., c. 44, div. III, Art. II, s 6 (1838).
- 4. California-Cal.Sess.Laws, c. 99, s 45, p. 233 (1849-1850).
- 5. Colorado (Terr.)-Colo.Gen.Laws of Terr. of Colo., 1st Sess., s 42, pp.
- 296-297 (1861).
- 6. Connecticut-Conn.Stat. Tit. 20, ss 14, 16 (1821). By 1868, this statute
-
-
-
- 93 S.Ct. 705 PAGE 44
- (Cite as: 410 U.S. 113, *177, 93 S.Ct. 705, **739)
- had been replaced by another abortion law. Conn.Pub.Acts, c. 71, ss 1, 2,
- p. 65 (1860).
- 7. Florida-Fla.Acts 1st Sess., c. 1637, subs. 3, ss 10, 11, subc. 8, ss 9,
- 10, 11 (1868), as amended, now Fla.Stat.Ann. ss 782.09, 782.10, 797.01,
- 797.02, 782.16 (1965).
- 8. Georgia-Ga.Pen.Code, 4th Div., s 20 (1833).
- 9. Kingdom of Hawaii-Hawaii Pen.Code, c. 12, ss 1, 2, 3 (1850).
- 10. Idaho (Terr.)-Idaho (Terr.) Laws, Crimes and Punishments ss 33, 34, 42,
- pp. 441, 443 (1863).
- 11. Illinois-Ill.Rev. Criminal Code ss 40, 41, 46, pp. 130, 131 (1827). By
- 1868, this statute had been replaced by a subsequent enactment.
- Ill.Pub.Laws ss 1, 2, 3, p. 89 (1867).
- 12. Indiana-Ind.Rev.Stat. ss 1, 3, p. 224 (1838). By 1868 this statute had
- been superseded by a subsequent enactment. Ind.Laws, c. LXXXI, s 2 (1859).
- 13. Iowa (Terr.)-Iowa (Terr.) Stat. 1st Legis., 1st Sess., s 18, p. 145
- (1838). By 1868, this statute had been superseded by a subsequent
- enactment. Iowa (Terr.) Rev.Stat., c. 49, ss 10, 13 (1843).
- 14. Kansas (Terr.)-Kan. (Terr.) Stat., c. 48, ss 9, 10, 39 (1855). By 1868,
- this statute had been superseded by a subsequent enactment. Kan. (Terr.)
- Laws, c. 28, ss 9, 10, 37 (1859).
- 15. Louisiana-La.Rev.Stat., Crimes and Offenses s 24, p. 138 (1856).
- 16. Maine-Me.Rev.Stat., c. 160, ss 11, 12, 13, 14 (1840).
- 17. Maryland-Md.Laws, c. 179, s 2, p. 315 (1868).
- 18. Massachusetts-Mass.Acts & Resolves, c. 27 (1845).
- 19. Michigan-Mich.Rev.Stat., c. 153, ss 32, 33, 34, p. 662 (1846).
- 20. Minnesota (Terr.)-Minn. (Terr.) Rev.Stat., c. 100, ss 10, 11, p. 493
- (1851).
- 21. Mississippi-Miss.Code, c. 64, ss 8, 9, p. 958 (1848).
- 22. Missouri-Mo.Rev.Stat., Art. II, ss 9, 10, 36, pp. 168, 172 (1835).
- 23. Montana (Terr.)-Mont. (Terr.) Laws, Criminal Practice Acts s 41, p.
- 184 (1864).
- 24. Nevada (Terr.)-Nev. (Terr.) Laws, c. 28, s 42, p. 63 (1861).
- 25. New Hampshire-N.H.Laws, c. 743, s 1, p. 708 (1848).
- 26. New Jersey-N.J.Laws, p. 266 (1849).
- 27. New York-N.Y.Rev.Stat., pt. 4, c. 1, Tit. 2, ss 8, 9, pp. 12-13 (1828).
- By 1868, this statute had been superseded. N.Y.Laws, c. 260, ss 1, 2, 3, 4,
- 5, 6, pp. 285-286 (1845); N.Y.Laws, c. 22, s 1, p. 19 (1846).
- 28. Ohio-Ohio Gen.Stat. ss 111(1), 112(2), p. 252 (1841).
- 29. Oregon-Ore.Gen.Laws, Crim.Code, c. 43, s 509, p. 528 (1845-1964).
- 30. Pennsylvania-Pa.Laws No. 374 ss 87, 88, 89 (1860).
- 31. Texas-Tex.Gen.Stat.Dig., c. VII, Arts. 531-536, p. 524 (Oldham & White
- 1859).
- 32. Vermont-Vt.Acts No. 33, s 1 (1846). By 1868, this statute had been
- amended. Vt.Acts No. 57, ss 1, 3 (1867).
- 33. Virginia-Va.Acts, Tit. II, c. 3, s 9, p. 96 (1848).
- 34. Washington (Terr.)-Wash. (Terr.) Stats., c. II, ss 37, 38, p. 81
- (1854).
- 35. West Virginia-Va.Acts, Tit. II, c. 3, s 9, p. 96 (1848).
- 36. Wisconsin-Wis.Rev.Stat., c. 133, ss 10, 11 (1849). By 1868, this
- statute had been superseded. Wis.Rev.Stat., c. 164, ss 10, 11; c. 169, ss
-
-
-
- 93 S.Ct. 705 PAGE 45
- (Cite as: 410 U.S. 113, *177, 93 S.Ct. 705, **739)
- 58, 59 (1858).
-
- FN2. Abortion laws in effect in 1868 and still applicable as of August
- 1970:
- 1. Arizona (1865).
- 2. Connecticut (1860).
- 3. Florida (1868).
- 4. Idaho (1863).
- 5. Indiana (1838).
- 6. Iowa (1843).
- 7. Maine (1840).
- 8. Massachusetts (1845).
- 9. Michigan (1846).
- 10. Minnesota (1851).
- 11. Missouri (1835).
- 12. Montana (1864).
- 13. Nevada (1861).
- 14. New Hampshire (1848).
- 15. New Jersey (1849).
- 16. Ohio (1841).
- 17. Pennsylvania (1860).
- 18. Texas (1859).
- 19. Vermont (1867).
- 20. West Virginia (1848).
- 21. Wisconsin (1858).
-
- There apparently was no question concerning the validity of this provision or
- of any of the other state statutes when the Fourteenth Amendment was adopted.
- The only conclusion possible from this history is that the drafters did not
- intend to have the Fourteenth Amendment withdraw from the States the power to
- legislate with respect to this matter.
- III
- Even if one were to agree that the case that the Court decides were here, and
- that the enunciation of the substantive constitutional law in the Court's
- opinion were proper, the actual disposition of the case by the Court is still
- difficult to justify. The Texas statute is struck down in toto, even though the
- Court apparently concedes that at later periods of pregnancy Texas might impose
- these selfsame statutory limitations on abortion. My understanding of past
- practice is that a statute found *178 to be invalid as applied to a
- particular plaintiff, but not unconstitutional as a whole, is not simply
- 'struck down' but is, instead, declared unconstitutional as applied to the fact
- situation before the Court. Yick Wo v. Hopkins, 118 U.S. 356, 6 S.Ct. 1064, 30
- L.Ed. 220 (1886); Street v. New York, 394 U.S. 576, 89 S.Ct. 1354, 22 L.Ed.
- 572 (1969).
- For all of the foregoing reasons, I respectfully dissent.
-
-
-
-