Clarence Thomas on eugenics and abortion – with some added notes


In Box. v. Planned Parenthood, in 2019, Justice Clarence Thomas wrote the following, showing how Planned Parenthood’s defense of abortion, even today, can lead to the same eugenic ends that were promoted by its founder, Margaret Sanger (pp. 13-32).

[Indiana’s law banning abortion on the basis of Down syndrome or other disability] promote[s] a State’s compelling interest in preventing abortion from becoming a tool of modern-day eugenics…

The use of abortion to achieve eugenic goals is not merely hypothetical. The foundations for legalizing abortion in America were laid during the early 20th-century birth-control movement. That movement developed alongside the American eugenics movement. And significantly, Planned Parenthood founder Margaret Sanger recognized the eugenic potential of her cause. She emphasized and embraced the notion that birth control “opens the way to the eugenist.” (Birth Control and Racial Betterment). As a means of reducing the “ever increasing, unceasingly spawning class of human beings who never should have been born at all,” Sanger argued that “Birth Control . . . is really the greatest and most truly eugenic method” of “human generation.” (Pivot of Civilization). In her view, birth control had been “accepted by the most clear thinking and far seeing of the Eugenists themselves as the most constructive and necessary of the means to racial health.” Id.

It is true that Sanger was not referring to abortion when she made these statements, at least not directly. She recognized a moral difference between “contraceptives” and other, more “extreme” ways for “women to limit their families,” such as “the horrors of abortion and infanticide.”  (Woman and the New Race).

But Sanger’s arguments about the eugenic value of birth control in securing “the elimination of the unfit,” (Racial Betterment), apply with even greater force to abortion, making it significantly more effective as a tool of eugenics. Whereas Sanger believed that birth control could prevent “unfit” people from reproducing, abortion can prevent them from being born in the first place. Many eugenicists therefore supported legalizing abortion, and abortion advocates—including future Planned Parenthood President Alan Guttmacher— endorsed the use of abortion for eugenic reasons. Technological advances have only heightened the eugenic potential for abortion, as abortion can now be used to eliminate children with unwanted characteristics, such as a particular sex or disability…

The term “eugenics” was coined in 1883 by Francis Galton, a British statistician and half-cousin of Charles Darwin. See S. Caron, Who Chooses?: American Reproductive History Since 1830, ; A. Cohen, Imbeciles: The Supreme Court, American Eugenics, and the Sterilization of Carrie Buck. Galton described eugenics as “the science of improving stock” through “all influences that tend in however remote a degree to give to the more suitable races or strains of blood a better chance of prevailing speedily over the less suitable than they otherwise would have.” (Inquiries Into Human Faculty and Its Development).

Eugenics thus rests on the assumption that “man’s natural abilities are derived by inheritance, under exactly the same limitations as are the form and physical features of the whole organic world.” (Hereditary Genius: An Inquiry Into Its Laws and Consequences). As a social theory, eugenics is rooted in social Darwinism—i.e., the application of the “survival of the fittest” principle to human society…Galton argued that by promoting reproduction between people with desirable qualities and inhibiting reproduction of the unfit, man could improve society by “do[ing] providently, quickly, and kindly” “[w]hat Nature does blindly, slowly, and ruthlessly.” (Essays in Eugenics).

By the 1920s, eugenics had become a “full-fledged intellectual craze” in the United States, particularly among progressives, professionals, and intellectual elites. (A. Cohen, “Harvard’s Eugenics Era”, Harvard Magazine)…Many eugenicists believed that the distinction between the fit and the unfit could be drawn along racial lines, a distinction they justified by pointing to anecdotal and statistical evidence of disparities between the races. Galton, for example, purported to show as a scientific matter that “the average intellectual standard of the negro race is some two grades below” that of the Anglo-Saxon, and that “the number among the negroes of those whom we should call half-witted men, is very large.” (Hereditary Genius). Other eugenicists similarly concluded that “the Negro . . . is in the large eugenically inferior to the white” based on “the relative achievements of the race” and statistical disparities in educational outcomes and life expectancy in North America, among other factors. (P. Popenoe & R. Johnson, Applied Eugenics); see also, e.g., R. Gates, Heredity and Eugenics (citing disparities between white and black people and concluding that “the negro’s mental status is thus undoubtedly more primitive than that of the white man”); Hunt, Hand, Pettis, & Russell, Abstract, “Family Stock Values in White-Negro Crosses: A Note on Miscegenation”, Eugenical News (“Experiments, as well as general experience, indicate that the average inborn intelligence of the white man is considerably higher than that of the negro”).

Building on similar assumptions, eugenicist Lothrop Stoddard argued that the “prodigious birth-rate” of the nonwhite races was bringing the world to a racial tipping point. (L. Stoddard, The Rising Tide of Color Against White World-Supremacy). Stoddard feared that without “artificial barriers,” the races “will increasingly mingle, and the inevitable result will be the supplanting or absorption of the higher by the lower types.” Allowing the white race to be overtaken by inferior races, according to Stoddard, would be a tragedy of historic proportions: “[T]hat would mean that the race obviously endowed with the greatest creative ability, the race which had achieved most in the past and which gave the richer promise for the future, had passed away, carrying with it to the grave those potencies upon which the realization of man’s highest hopes depends. A million years of human evolution might go uncrowned, and earth’s supreme life-product, man, might never fulfil his potential destiny. This is why we today face ‘The Crisis of the Ages.’”

Eugenic arguments like these helped precipitate the Immigration Act of 1924, which significantly reduced immigration from outside of Western and Northern Europe. §§11(a)–(b), 43 Stat. 159. [This Act later created] difficulties…for many Jews seeking to flee Nazism). The perceived superiority of the white race also led to calls for race consciousness in marital and reproductive decisions, including through antimiscegenation laws. (“We hold that it is to the interests of the United States . . . to prevent further Negro-white amalgamation” – Applied Eugenics).

[However, a]lthough race was relevant, eugenicists did not define a person’s “fitness” exclusively by race. A typical list of dysgenic individuals would also include some combination of the “feeble-minded,” “insane,” “criminalistic,” “deformed,” “crippled,” “epileptic,” “inebriate,” “diseased,” “blind,” “deaf,” and “dependent (including orphans and paupers).” Imbeciles 139; see Applied Eugenics 176–183; cf. G.K. Chesterton, Eugenics and Other Evils (“[F]eeble-mindedness is a new phrase under which you might segregate anybody” because “this phrase conveys nothing fixed and outside opinion”). Immigration policy was insufficient to address these “danger[s] from within,” (Imbeciles), so eugenicists turned to other solutions.

Many States adopted laws prohibiting marriages between certain feebleminded, epileptic, or other “unfit” individuals, but forced sterilization emerged as the preferred solution for many classes of dysgenic individuals. Indiana enacted the first eugenic sterilization law in 1907, and a number of other States followed suit. Th[e Supreme] Court threw its prestige behind the eugenics movement in its 1927 decision upholding the constitutionality of Virginia’s forced-sterilization law, Buck v. Bell, 274 U. S. 200. The plaintiff, Carrie Buck, had been found to be “a feeble minded white woman” who was “the daughter of a feeble minded mother . . . and the mother of an illegitimate feeble minded child.” Id., at 205.3 In an opinion written by Justice Oliver Wendell Holmes, Jr., and joined by seven other Justices, the Court offered a full-throated defense of forced sterilization:

“We have seen more than once that the public welfare may call upon the best citizens for their lives. It would be strange if it could not call upon those who already sap the strength of the State for these lesser sacrifices, often not felt to be such by those concerned, in order to prevent our being swamped with incompetence. It is better for all the world, if instead of waiting to execute degenerate offspring for crime, or to let them starve for their imbecility, society can prevent those who are manifestly unfit from continuing their kind. The principle that sustains compulsory vaccination is broad enough to cover cutting the Fallopian tubes. Three generations of imbeciles are enough.”

[Sidenote which Thomas doesn’t mention: the Buck v. Bell precedent has never been overturned. In 2012, a judge in MA attempted to order a forced abortion and sterilization of a woman suffering from mental illness, even if it required deceiving her to get her onto the operating table – but the case was overturned on appeal. Even worse, “Bell was [applied in] 2001, in Vaughn v. Ruoff…[T]he plaintiff had a “mild” intellectual disability and both of her children were removed by the state. Immediately following the birth of her second child, the social worker told the mother that if she agreed to be sterilized, her chances of regaining custody of her children would improve. The mother agreed to sterilization, but approximately three months later, the state informed her that it would recommend termination of parental rights…[T]he appeals court, citing Bell, acknowledged that ‘involuntary sterilization is not always unconstitutional if it is a narrowly tailored means to achieve a compelling government interest.’ (Source) Finally, ICE has been accused under the Trump administration to have deliberately sterilized at least 17 detainees.]

The Court’s decision gave the eugenics movement added legitimacy and considerable momentum; by 1931, 28 of the Nation’s 48 States had adopted eugenic sterilization laws. Imbeciles Buck was one of more than 60,000 people who were involuntarily sterilized between 1907 and 1983. Id. Support for eugenics waned considerably by the 1940s as Americans became familiar with the eugenics of the Nazis and scientific literature undermined the assumptions on which the eugenics movement was built. But even today, the Court continues to attribute legal significance to the same types of racial-disparity evidence that were used to justify race-based eugenics. See T. Sowell, Discrimination and Disparities And support for the goal of reducing undesirable populations through selective reproduction has by no means vanished…

From the beginning, birth control and abortion were promoted as means of effectuating eugenics. Planned Parenthood founder Margaret Sanger was particularly open about the fact that birth control could be used for eugenic purposes. These arguments about the eugenic potential for birth control apply with even greater force to abortion, which can be used to target specific children with unwanted characteristics. Even after World War II, future Planned Parenthood President Alan Guttmacher and other abortion advocates endorsed abortion for eugenic reasons and promoted it as a means of controlling the population and improving its quality. As explained below, a growing body of evidence suggests that eugenic goals are already being realized through abortion.

…Sanger accepted that eugenics was “the most adequate and thorough avenue to the solution of racial, political and social problems.” (The Eugenic Value of Birth Control Propaganda) She agreed with eugenicists that “the unbalance between the birth rate of the ‘unfit’ and the ‘fit’” was “the greatest present menace to civilization.” Ibid. Particularly “in a democracy like that of the United States,” where “[e]quality of political power has . . . been bestowed upon the lowest elements of our population,” Sanger worried that “reckless spawning carries with it the seeds of destruction.” (Pivot of Civilization) 

Although Sanger believed that society was “indebted” to “the Eugenists” for diagnosing these problems, she did not believe that they had “show[n] much power in suggesting practical and feasible remedies.” Id. “As an advocate of Birth Control,” Sanger attempted to fill the gap by showing that birth control had “eugenic and civilizational value.” Propaganda In her view, birth-control advocates and eugenicists were “seeking a single end”—“to assist the race toward the elimination of the unfit.” Racial Betterment

But Sanger believed that the focus should be “upon stopping not only the reproduction of the unfit but upon stopping all reproduction when there is not economic means of providing proper care for those who are born in health.” Ibid. (emphasis added). Thus, for Sanger, forced sterilization did “not go to the bottom of the matter” because it did not “touc[h] the great problem of unlimited reproduction” of “those great masses, who through economic pressure populate the slums and there produce in their helplessness other helpless, diseased and incompetent masses, who overwhelm all that eugenics can do among those whose economic condition is better.” Id.

In Sanger’s view, frequent reproduction among “the majority of wage workers” would lead to “the contributing of morons, feeble-minded, insane and various criminal types to the already tremendous social burden constituted by these unfit.” Ibid. Sanger believed that birth control was an important part of the solution to these societal ills. She explained, “Birth Control . . . is really the greatest and most truly eugenic method” of “human generation,” “and its adoption as part of the program of Eugenics would immediately give a concrete and realistic power to that science.” (Pivot of Civilization)…

If “the masses” were given “practical education in Birth Control”—for which there was “almost universal demand”—then the “Eugenic educator” could use “Birth Control propaganda” to “direct a thorough education in Eugenics” and influence the reproductive decisions of the unfit. (Propaganda). In this way, “the campaign for Birth Control [was] not merely of eugenic value, but [was] practically identical in ideal with the final aims of Eugenics.” Ibid.

Sanger herself campaigned for birth control in black communities. In 1930, she opened a birth-control clinic in Harlem. (See “Birth Control or Race Control?: Sanger and the Negro Project”, Margaret Sanger Papers Project Newsletter #28 (2001), http://www.nyu.edu/projects/sanger/articles/bc_or_race_control.php). Then, in 1939, Sanger initiated the “Negro Project,” an effort to promote birth control in poor, Southern black communities. Ibid. Noting that blacks were “‘notoriously underprivileged and handicapped to a large measure by a “caste” system,’” she argued in a fundraising letter that “‘birth control knowledge brought to this group, is the most direct, constructive aid that can be given them to improve their immediate situation.’” Ibid. In a report titled “Birth Control and the Negro,” Sanger and her coauthors identified blacks as “‘the great problem of the South’”—“the group with ‘the greatest economic, health, and social problems’”—and developed a birth-control program geared toward this population. Ibid. She later emphasized that black ministers should be involved in the program, noting, “‘We do not want word to go out that we want to exterminate the Negro population, and the minister is the man who can straighten out that idea if it ever occurs to any of their more rebellious members.’” Ibid.

Defenders of Sanger point out that W. E. B. DuBois and other black leaders supported the Negro Project and argue that her writings should not be read to imply a racial bias. Ibid.; see Planned Parenthood, Opposition Claims About Margaret Sanger (2016), https://www. plannedparenthood.org/uploads/filer_public/37/fd/37fdc7b6- de5f-4d22-8c05-9568268e92d8/sanger_opposition_claims_ fact_sheet_2016.pdf. But Sanger’s motives are immaterial to the point relevant here: that “Birth Control” has long been understood to “ope[n] the way to the eugenist.” (Racial Betterment)

To be sure, Sanger distinguished between birth control and abortion. (Woman and the New Race; see, e.g., Sanger, “Birth Control or Abortion? Birth Control”) For Sanger, “[t]he one [birth control] means health and happiness—a stronger, better race,” while “[t]he other means disease, suffering, [and] death.” (Woman and the New Race). Sanger argued that “nothing short of contraceptives can put an end to the horrors of abortion and infanticide,” id. and she questioned whether “we want the precious, tender qualities of womanhood, so much needed for our racial development, to perish in [the] sordid, abnormal experiences” of abortions, id.

In short, unlike contraceptives, Sanger regarded “the hundreds of thousands of abortions performed in America each year [as] a disgrace to civilization.” Id.. Although Sanger was undoubtedly correct in recognizing a moral difference between birth control and abortion, the eugenic arguments that she made in support of birth control apply with even greater force to abortion. Others were well aware that abortion could be used as a “metho[d] of eugenics,” (H. Ellis, Studies in the Psychology of Sex), and they were enthusiastic about that possibility. Indeed, some eugenicists believed that abortion should be legal for the very purpose of promoting eugenics. (See Harris, “Abortion in Soviet Russia: Has the Time Come To Legalize It Elsewhere?”, Eugenics Review – “[W]e are being increasingly compelled to consider legalized abortion as well as birth control and sterilization as possible means of influencing the fitness and happiness and quality of the race”; “Aims and Objects of the Eugenics Society”, Eugenics Review – “The Society advocates the provision of legalized facilities for voluntarily terminating pregnancy in cases of persons for whom sterilization is regarded as appropriate”).

Support for abortion can therefore be found throughout the literature on eugenics. E.g., “Population Control: Dr. Binnie Dunlop’s Address to the Eugenics Society”, Eugenics Review (lamenting “the relatively high birth-rate of the poorest third of the population” and “the serious rate of racial deterioration which it implied,” and arguing that “this birth-rate . . . would fall rapidly if artificial abortion were made legal”); Williams, “The Legalization of Medical Abortion”, Eugenics Review (“I need hardly stress the eugenic argument for extending family planning”— including “voluntary sterilization” and “abortion”—to “all groups, not merely to those who are the most intelligent and socially responsible”).

Abortion advocates were sometimes candid about abortion’s eugenic possibilities. In 1959, for example, Guttmacher explicitly endorsed eugenic reasons for abortion. A. Guttmacher, Babies by Choice or by Chance. He explained that “the quality of the parents must be taken into account,” including “[f]eeblemindedness,” and believed that “it should be permissible to abort any pregnancy . . . in which there is a strong probability of an abnormal or malformed infant.” Id.. He added that the question whether to allow abortion must be “separated from emotional, moral and religious concepts” and “must have as its focus normal, healthy infants born into homes peopled with parents who have healthy bodies and minds.” Id.

[Sidenote: This is the man whom Planned Parenthood’s related research nonprofit is still named after.]

Similarly, legal scholar Glanville Williams wrote that he was open to the possibility of eugenic infanticide, at least in some situations, explaining that “an eugenic killing by a mother, exactly paralleled by the bitch that kills her misshapen puppies, cannot confidently be pronounced immoral.” (G. Williams, Sanctity of Life and the Criminal Law) [Sidenote: We find something similar in Peter Singer today.]

The Court cited Williams’ book for a different proposition in Roe v. Wade. [Sidenote: Thomas is being understated here, but the implication is that someone who endorses eugenics is a questionable legal authority in which to rest the right to abortion found in Roe v. Wade.]

But public aversion to eugenics after World War II also led many to avoid explicit references to that term. The American Eugenics Society, for example, changed the name of its scholarly publication from “Eugenics Quarterly” to “Social Biology.” See D. Paul, Controlling Human Heredity: 1865 to the Present, p. 125 (1995). [Sidenote: This journal still exists today, covering the field of sociobiology, which explains human behavior in light of evolution – eugenics by another name?]

In explaining the name change, the journal’s editor stated that it had become evident that eugenic goals could be achieved “for reasons other than eugenics.” Ibid. For example, “[b]irth control and abortion are turning out to be great eugenic advances of our time. If they had been advanced for eugenic reasons it would have retarded or stopped their acceptance.” Ibid. But whether they used the term “eugenics” or not, abortion advocates echoed the arguments of early 20th-century eugenicists by describing abortion as a way to achieve “population control” and to improve the “quality” of the population. One journal declared that “abortion is the one mode of population limitation which has demonstrated the speedy impact which it can make upon a national problem.” “Notes of the Quarter: The Personal and the Universal”, Eugenics Review (in 1962 [!]).

Planned Parenthood’s leaders echoed these themes. When exulting over “‘fantastic . . . progress’” in expanding abortion, for example, Guttmacher stated that “‘the realization of the population problem has been responsible’ for the change in attitudes. ‘We’re now concerned more with the quality of population than the quantity.’” (“Abortion Reforms Termed ‘Fantastic,’” Hartford Courant, Mar. 21, 1970).

Avoiding the word “eugenics” did not assuage everyone’s fears. Some black groups saw “‘family planning’ as a euphemism for race genocide” and believed that “black people [were] taking the brunt of the ‘planning’” under Planned Parenthood’s “ghetto approach” to distributing its services. (“Dr. Guttmacher Is the Evangelist of Birth Control,” N. Y. Times Magazine, Feb. 9, 1969) “The Pittsburgh branch of the National Association for the Advancement of Colored People,” for example, “criticized family planners as bent on trying to keep the Negro birth rate as low as possible.” (Kaplan, “Abortion and Sterilization Win Support of Planned Parenthood”, N. Y. Times, Nov. 14, 1968)

Today…Planned Parenthood promotes both birth control and abortion as “reproductive health services” that can be used for family planning. And with today’s prenatal screening tests and other technologies, abortion can easily be used to eliminate children with unwanted characteristics. Indeed, the individualized nature of abortion gives it even more eugenic potential than birth control, which simply reduces the chance of conceiving any child.

[M]oreover, abortion has proved to be a disturbingly effective tool for implementing the discriminatory preferences that undergird eugenics. E.g., Pet. for Cert. 22–26; Brief for State of Wisconsin et al. as Amici Curiae 19–25; Brief for Ethics and Religious Liberty Commission of the Southern Baptist Convention et al. as Amici Curiae 9–10. In Iceland, the abortion rate for children diagnosed with Down syndrome in utero approaches 100%.  [emphased added](See Will, “The Down Syndrome Genocide”, Washington Post). Other European countries have similarly high rates, and the rate in the United States is approximately two-thirds. See ibid. (98% in Denmark, 90% in the United Kingdom, 77% in France, and 67% in the United States); see also Natoli, Ackerman, McDermott, & Edwards, “Prenatal Diagnosis of Down Syndrome: A Systematic Review of Termination Rates (1995–2011)”, Prenatal Diagnosis (reviewing U. S. studies).

In Asia, widespread sex-selective abortions have led to as many as 160 million “missing” women—more than the entire female population of the United States. See M. Hvistendahl, Unnatural Selection: Choosing Boys Over Girls, and the Consequences of a World Full of Men; see also Kalantry, “How To Fix India’s Sex Selection Problem”, N. Y. Times, Int’l ed., July 28, 2017 (“Over the course of several decades, 300,000 to 700,000 female fetuses were selectively aborted in India each year. Today there are about 50 million more men than women in the country”).

And recent evidence suggests that sex-selective abortions of girls are common among certain populations in the United States as well. See Almond & Sun, “Son-Biased Sex Ratios in 2010 U. S. Census and 2011–2013 U. S. Natality Data”, Soc. Sci. & Med. (concluding that Chinese and Asian Indian families in the United States “show a tendency to sex-select boys”); Almond & Edlund, “Son-Biased Sex Ratios in the 2000 United States Census”, Proc. Nat. Acad. of Sci. 5681 (similar).

Eight decades after Sanger’s “Negro Project,” abortion in the United States is also marked by a considerable racial disparity. The reported nationwide abortion ratio— the number of abortions per 1,000 live births—among black women is nearly 3.5 times the ratio for white women. Dept. of Health and Human Services, Centers for Disease Control and Prevention, T. Jatlaoui et al., “Abortion Surveillance—United States”, Morbidity and Mortality Weekly Report, Surveillance Summaries; see also Brief for Restoration Project et al. as Amici Curiae 5–6.

And there are areas of New York City in which black children are more likely to be aborted than they are to be born alive—and are up to eight times more likely to be aborted than white children in the same area. See N. Y. Dept. of Health, Table 23: Induced Abortion and Abortion Ratios by Race/Ethnicity and Resident County New York State– 2016, https://www.health.ny.gov/statistics/vital_statistics/ 2016/table23.htm. Whatever the reasons for these disparities, they suggest that, insofar as abortion is viewed as a method of “family planning,” black people do indeed “tak[e] the brunt of the ‘planning.’” Dempsey, supra, at 82.

Some believe that the United States is already experiencing the eugenic effects of abortion. According to one [white] economist, “Roe v. Wade help[ed] trigger, a generation later, the greatest crime drop in recorded history.” S. Levitt & S. Dubner, Freakonomics; see id., at 136–144 (elaborating on this theory). [In his] view, “it turns out that not all children are born equal” in terms of criminal propensity. Id…[L]egalized abortion meant that the children of “poor, unmarried, and teenage mothers” who were “much more likely than average to become criminals” “weren’t being born.” Ibid.

Whether accurate or not, these observations echo the views articulated by the eugenicists and by Sanger decades earlier: “Birth Control of itself . . . will make a better race” and tend “toward the elimination of the unfit.” (Racial Betterment)

…Recognizing that laws implementing eugenic goals “targeted the most vulnerable among us, including the poor and racial minorities, . . . for the claimed purpose of public health and the good of the people,” Ind. S. Res. 91, at 2, the General Assembly “urge[d] the citizens of Indiana to become familiar with the history of the eugenics movement” and “repudiate the many laws passed in the name of eugenics and reject any such laws in the future,” id., §2. In March 2016, the Indiana Legislature passed by wide margins the Sex-Selective and Disability Abortion Ban at issue here. Respondent Planned Parenthood promptly filed a lawsuit to block the law from going into effect, arguing that the Constitution categorically protects a woman’s right to abort her child based solely on the child’s race, sex, or disability. [emphasis added]…Pointing to Planned Parenthood of Southeastern Pa. v. Casey, 505 U. S. 833 (1992), both the District Court and the Seventh Circuit held that this Court had already decided the matter: “Casey’s holding that a woman has the right to terminate her pregnancy prior to viability is categorical.” Planned Parenthood of Indiana and Kentucky, Inc. v. Commissioner of Indiana State Dept. of Health, 888 F. 3d 300, 305 (CA7 2018); see Planned Parenthood of Indiana and Kentucky, Inc. v. Commissioner, Indiana State Dept. of Health, 265 F. Supp. 3d 859, 866 (SD Ind. 2017).

In an opinion dissenting from the denial of rehearing en banc, Judge Easterbrook expressed skepticism as to this holding, explaining that “Casey did not consider the validity of an anti-eugenics law” and that judicial opinions, unlike statutes, “resolve only the situations presented for decision.” Planned Parenthood of Indiana and Kentucky, Inc. v. Commissioner of Indiana State Dept. of Health, 917 F. 3d 532, 536 (CA7 2018). Judge Easterbrook was correct. Whatever else might be said about Casey, it did not decide whether the Constitution requires States to allow eugenic abortions. It addressed the constitutionality of only “five provisions of the Pennsylvania Abortion Control Act of 1982” that were said to burden the supposed constitutional right to an abortion. Casey, supra, at 844. None of those provisions prohibited abortions based solely on race, sex, or disability. In fact, the very first paragraph of the respondents’ brief in Casey made it clear to the Court that Pennsylvania’s prohibition on sex-selective abortions was “not [being] challenged,” Brief for Respondents in Planned Parenthood of Southeastern Pa. v. Casey, O. T. 1991, Nos. 91–744, 91–902, p. 4. In light of the Court’s denial of certiorari today, the constitutionality of other laws like Indiana’s thus remains an open question…

Enshrining a constitutional right to an abortion based solely on the race, sex, or disability of an unborn child, as Planned Parenthood advocates, would constitutionalize the views of the 20th-century eugenics movement. In other contexts, the Court has been zealous in vindicating the rights of people even potentially subjected to race, sex, and disability discrimination. Cf. Pena-Rodriguez v. Colorado, 580 U. S. ___, ___ (2017) (slip op., at 15) (condemning “discrimination on the basis of race” as “‘odious in all aspects’”); United States v. Virginia, 518 U. S. 515, 532 (1996) (denouncing any “law or official policy [that] denies to women, simply because they are women, . . . equal opportunity to aspire, achieve, participate in and contribute to society based on their individual talents and capacities”); Tennessee v. Lane, 541 U. S. 509, 522 (2004) (condemning “irrational disability discrimination”). Although the Court declines to wade into these issues today, we cannot avoid them forever. Having created the constitutional right to an abortion, this Court is dutybound to address its scope.


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