*1
439 Mich v DOE DEPARTMENT OF SOCIAL SERVICES
(Calendar
91092,
7,
Argued
Docket Nos.
91093.
November
No.
12).
Decided June
1992.
Doe,
year
pregnant
Jane
a fifteen
old who became
as a result of
Doe, mother,
rape,
Nancy
eligible
and
her
both
women
through
to receive medical assistance
the state’s Medicaid
program, brought
declaratory
Wayne
action in the
Circuit
against
Department
Services, seeking
Court
of Social
permanent
injunction
prohibiting
enforcement of MCL
400.109a;
16.490(19a),
precludes
public
MSA
which
the use of
pay
necessary
funds to
for an abortion unless it is
to save the
plaintiffs alleged
pay
mother’s life. The
that the refusal to
for a
therapeutic
pursuant
equal
109a
§
violates the
protection guarantee
Michigan
Constitution in that
it
unequal
indigent, pregnant
accords
treatment
two classes of
women—those who choose childbirth and those who choose
court,
Hausner, J., granted
abortion. The
summary
John H.
disposition
defendant, ruling
for the
109a does not
§
vio-
Michigan
Appeals,
late the
Constitution. The Court of
(Sullivan, P.J., dissenting),
and J. W.
Fitzgerald,
JJ.
Doctoroff
reversed, finding
Michigan’s Equal
Protection Clause offers
greater protection
counterpart
than its federal
and that
109a
§
impinges upon
a state
to an abortion and thus violates
(Docket
116069).
Michigan’s Equal Protection Clause
No.
The
department appeals.
opinion
joined
In an
Griffin,
Justice
Chief Justice
Cavanagh,
and Justices
Levin, Brickley,
Riley,
the Su-
preme Court held:
Michigan
The
Protection Clause of the
Constitution
permits
expenses
childbirth,
the state to fund the
even
though it does not fund abortions.
1.
guarantee
Both the
equal
state and federal constitutions
Neither, however, requires
of the laws.
absolute
References
2d,
1.5, 37.5;
Am Jur
Abortion §§
Welfare Laws 72.6.
Validity
regulations limiting
of state statutes
restricting
or
public funding
sought by indigent
for abortions
women. 20
ALR4th 1166.
Social Services
Doe
people differently,
groups
it
equality.
Even if a law treats
guarantee.
equal protection
necessarily
violate the
will not
liberties;
rights
guarantee
is not a source of substantive
rather,
govern-
tolerance of
a measure of the constitution’s
*2
legislation
challenged as
is
schemes. When
ment classification
guarantee
equal protection
consti-
under either
of the
violative
tution,
scrutiny
subjected
judicial
whether
to
to determine
it is
justify
the.goals
legislation
treatment
it
the differential
of the
legislation
presumption
Generally,
a
the
is accorded
authorizes.
suspect
constitutionality.
scheme is
Unless the classification
of
right,
upon
impinges
fundamental
such
the exercise of a
by applying
legislation
a rational basis standard
is reviewed
if the classification
it will not be struck down
under which
legitimate govern-
rationally
to a
it creates is
related
scheme
purpose.
mental
Wade,
not establish an
Reversed. dissenting, unduly Mallett, Justice stated that 109a is an indigent woman’s fundamen- burdensome interference with an privacy to termi- tal that includes the to choose equal protection pregnancy encompassed in the nate her that is guarantees Michigan Constitution. Although United States Court case law has held denying medically Medicaid indicated abor- required to save their tions for women are *4 impinge right privacy upon lives does not their fundamental to constitution, Michigan Supreme Court is under the federal Michigan’s precluded independently interpreting not from broadly more than the federal and Protection Clause rejecting analyses States Court. of the United However, interpretation unnecessary it is to reach a broader Mich right privacy impinges upon fundamental case; 109a this § subject to and indigent thus is unconstitutional women government requiring to demonstrate scrutiny, strict compelling underlying act. interest governmental woman’s interests: a two Roe v Wade identified govern- potential Because the of a fetus. life and the health potential does not become life of a fetus interest in the ment’s viable, woman’s interest in a compelling its the fetus is until prohibition of reimbursement The examined. health must be advance does not in all trimesters under 109a for abortions § gov- Rather, between the balance it exceeds this interest. of the woman the constitutional interest and ernment’s procreative government deci- in her interference be free from Legislature deny Michigan Medi- The decision of the sions. indigent a medi- woman who seeks to an reimbursements caid abortion, provide to a woman cally but to indicated preg- her treatment for as a medical who chooses childbirth Michigan scrutiny analysis. nancy, strict cannot survive argue to an a woman has a To Roé v Wade. bound abortion, access to need not allow her but that the service, meaningless. v Wade this renders Roe equal protection guarantees Michigan’s based on are similarly unfairly prejudice premise situ- must not laws Michigan Legislature possess persons. unlim- does not ated popular authority the basis of moralistic ited to enact laws on constitutionally protected upon objectives free- that encroach occurs, with the the courts are doms. When this .entrusted nullify legislative power responsibility acts to review and the repugnant to the constitution. which are Boyle, dissenting, not be stated that should Justice 109a necessary applied abortions to women who seek first-trimester preserve medical health. Michigan analysis 109a not survive under Section does right by selec- Constitution in that it burdens a fundamental first-trimester, medically necessary tively denying benefits for involving selectively It focuses on one of two choices abortions. penalizes constitutionally protected the exercise decision requiring option, women to sacrifice their of the disfavored pregnancy to the interest medical needs in the first trimester of obliga- Although potential life. the state has no of the state choice, opts private to fund medical tion to fund when it women, may concerning pregnancy procedures conditioning receipt penalize option by the disfavored protected right. on A statute that makes benefits waiver damage a more attractive alterna- serious health to the mother govern- rationally promote the tive than abortion does not *5 of Social Services encouraging ment’s interest normal childbirth when ana- lyzed scrutiny. under either strict or intermediate (1991) App NW2d reversed. Indigents — — — Equal Constitutional Law Protection Abor- tion. Michigan per- Protection Clause of the Constitution childbirth, expenses though mits the state to fund the even (Const 1963, 1, 2; 400.109a; does fund abortions art MCL 16.490[19a]). MSA American Civil Liberties Union Fund of Michi- gan (by Gleicher, Denenfeld, Elizabeth Paul J. and Sedler) plaintiffs. A. Robert for the Kelley, Attorney Gay General,
Frank J. Secor Hardy, General, Solicitor and John Wernet and Attorneys Konwinski, General, John M. Assistant for the defendants. Dykema, (by Curdo, B. Gossett John Richard D. Torbert)
McLellan, and Ronald J. for the interven- ing defendants.
Amici Curiae: Coughlin, Forsythe,
William J. D. Clarke Michigan Repre- Kevin J. Todd for Senators and sentatives and Americans United for Life.
Joseph Dellapenna W. for the American Acad- emy of Medical Ethics. Granzotto, Linkner,
Mark Monica Farris Michigan Charles P. Burbach for the Trial Law- yers Association. Riddering, (by
Varnum,
Schmidt & Howlett
Decker); May
Robert J. Eleveld and Teresa S.
&
May,
(by
May), Michigan’s Repub-
P.C.
Alan A.
licans for Choice.
George Curtner, Jr., L. Bushnell, E. Megan Abigail Tickner, Norris, M. Elias, P. Ellen Ende, Mich- H. and John H. Willems for Carl Von igan Soci- and Detroit Medical Nurses Association ety.
Marcy Johnsen, Eis- Wilder, and Lois Dawn *6 (Deborah Nory Murphy; Miller, Levine, and ner counsel), Small, National Abor- Michael C. of for League, Michigan Rights Action Abortion tion Rights League, forty-five and Action and national Michigan organizations committed to women’s equality. Robinson, Robinson, K. Marietta S. and
James Chapter Fitzgerald for Detroit Joanne Ross the Organization Michigan, the of Women of National Union, Automobile, United Aero- International Implement space Agricultural Workers and (UAW), League of Women Voters America Michigan, Michigan the Organization, Rights
Welfare Women, the National Counsel of Jewish Greater League, Section, Inc., Planned Detroit Inc., Parenthood Religious Rights, Abortion the Coalition for Association, Bar and Women Wolverine Lawyers Michigan. Association of Caucus,
Gail Benson Law S. for Women’s Lawyer’s Guild, National "The Coalition” Students University Wayne Gay Choice, for State Lesbian Law Caucus. J. A which statute became law as
Griffin, people Michigan prohibits result of a vote public pay an use of funds necessary unless the abortion is save the moth- of Social Services Opinion op the Court required er’s life. We are statute, § to decide whether that Act,1 109a of the Social Welfare violates equal protection guarantee Michigan of the following court, Constitution.2 The trial related Supreme Court, decisions of the United States panel found no A constitutional violation.3 divided Appeals major- of the Court of then reversed. The ity Michigan’s Equal found that Protection Clause greater protection offers than its federal counter- part4 impinges upon and that 109a a state majority abortion; thus, an concluded that § 109a does violate the Protection Clause of Michigan Constitution.5 reviewing Ap the decision of the Court of peals, emphasize scope ques we the limited presented. tion This case does not concern a wom an’s under the federal constitution to choose pregnancy. right, to terminate her That articu Wade, lated for the first time in 113; Roe v 410 US (1973), 93 S Ct 35 L Ed 2d reh den 410 US not, be, nor could it restricted our *7 today. Rather, decision this case concerns whether equal protection § 109a exceeds the limits of estab by lished our state constitution. We conclude that it does not and reverse the decision of the Court of Appeals. seq.; seq. 1 MCL 400.1 et MSA 16.401 et 2 relating equal The 1963 Constitution contains two clauses to 1, states,
protection.
people.
protection.”
protection
political power
Art
1§
is inherent
in the
"[a]ll
benefit,
equal
security
Government
is instituted for their
and
1,
states,
person
equal
Art
2
shall
§
be denied the
''[n]o
provisions
. . . .”
the laws
These
will be referred to as
Equal
Clause,
respec
the
tively.
Benefit Clause and the
Protection
3
court,
plaintiffs alleged
In the circuit
the
several constitutional
(art 1, 17),
right
violations —violations of the Due Process Clause
the
§
(art
(art
1, 23),
1,
privacy
equal protection
the
of the laws
§
2).
1, 2),
(art 1,
protection
rights
and the
of civil
§§
§
4
Const,
XIV,
US
Am
1.§
5
App
I legisla- petition, a the of an initiative As result placed 109a was became proposal tive which in 1987.6 before, Legislature the adopted by, and Thereafter, petition, referendum response to a and to the electorate the measure was submitted Sec- in the 1988 election.7 approved by the voters Act, which the tion 109a amended Social Welfare Michigan’s participation for provides authority the fed- funded program.8 Jointly by the Medicaid governments and state eral pro- participate,9 program to Medicaid choose the needy for vides reimbursement medical services persons. medically appropriate costs nearly
The all re- qualified are required by participants services ex- program. the Medicaid One through imbursed 1976, is reimbursement for abortion. ception passed Hyde Congress first so-called Amendments,10 prohibited which of federal use under pay funds costs of an abortion neces- program Medicaid unless the abortion was became enacted art enacted tive The ers and submitted to the part of the Board of State referendum vote of the 1988 ballot. The Pursuant See 42 USC 2, PL petition petition 9.§ to have *8 94-439, 209, effective, powers by Medicaid Canvassers, Social was certified was filed with § Legislature 1396d(b). MCL 168.471 Legislature a second Security program propose PA 59 90 Stat 1434. Legislature people. on June Act. 42 petition are laws, was placed on June et reserved Secretary PA 59 was established seq.; and to This USC was on as 1987 MSA 1987, the ballot petition 1396 et 23, 1987; however, presented to the approve of State on 6.1471 placed by by Congress PA seq. people by the Board of Canvass was certified 59. 1987 PA to the et on the November disapprove seq., April subjected Secretary of Const in 1965 as before 30, 59 was initia 1987. 1963, laws to a Doe of Social Services op the Court sary pregnant to save the life of the woman.11 After federal Medicaid abortions was withdrawn, Michigan provided per- one hundred required cent of the funds until 109a became effective. Section provides: 109a act,
Notwithstanding provision any other of this provided an abortion shall not be a service public with benefits, recipient funds to a of welfare through assistance, program whether general of medical assistance, categorical assistance or through any public type other aid or assistance program, necessary unless the abortion is to save the life of the mother. It is policy of this state prohibit appropriation to the public funds for purpose providing person an abortion to a who receives welfare benefits unless the abortion necessary is 400.109a; to save the life of the mother. [MCL 16.490(19a).]
MSA
This lawsuit
against
was filed
two state officials
responsible
for administration
of the Medicaid
program.12 At the time of the filing of their com-
plaint, plaintiffs
mother,
Jane Doe and her
Nancy
Doe,13 were indigent women eligible
to receive
medical
assistance
through
the state’s Medicaid
program. Their complaint
alleged
Doe,
Jane
old,
then
years
fifteen
pregnant
had become
when
she was
raped
1989.
January
Nancy Doe re-
quested medical
assistance
for a first
trimester
abortion for her daughter
protect
daughter’s
her
physiological
and psychological health. According
to the complaint,
Jane Doe had been affected
11Subsequent
Hyde
versions of the
Amendment have been enacted
by Congress.
upheld by
One version was
the United States
McRae,
297, 302-303;
Court. See Harris v
448 US
100 S Ct
65 L
(1980),
Ed 2d 784
reh den
660 439 650 Mich Opinion of the Court unspecified periodically by disorder, and seizure an aggravate pregnancy her would it the feared that was addition, Doe and her In both Jane disorder. an would reduce mother believed that abortion pregnancy. trauma associated with the emotional However, physician plaintiffs Doe’s nor Jane neither represented an abortion was neces- sary to save Doe’s life. Jane Michigan Depart- § 109a, the with
In accordance pay for the refused to ment of Social Services requested prompted this abortion. That refusal complaint, plaintiffs maintained In the lawsuit. that Michigan Constitution, 109a violates the specifically Process, Protection, Due and its Rights Clauses, a Civil privacy. as well as claimed sought plaintiffs declaratory relief, As permanent injunction prohibiting judgment and a §of 109a. enforcement discovery, filed
After minimal
defendants
a mo-
disposition.14
summary
court,
The trial
tion for
relying
People
524;
Bricker, 389
208
on
Mich
(1973),
citing
172
two
States
United
NW2d
Supreme
cases,
McRae,
Court
Harris v
448 US
(1980),
L
297;
2671;
100 S Ct
65 Ed 2d 784
reh den
(1980),
Roe,
464;
917
432
448 US
and Maher v
US
(1977),
53 L Ed
484
ruled that
S Ct
2d
Michigan
§ 109a does
violate the
Constitution.
granted
summary disposi-
Thus, it
for
motion
Thereafter,
tion and dismissed
panel
suit.15
divided
Appeals reversed,
187 Mich
Court
App 493; 468
this
NW2d
Court
2.116(0(10).
14 MCR
ruling,
Within hours of the trial court’s
Jane Doe received an
private
paid
Although
funds.
her
with donated
abortion
moot,
appropriate
we
render
case
consider
decide this
disposition
required
on
case. "A
underlying
based
mootness is not
where the
capable
repetition, yet
conduct is
evades review.” Mead
(1990).
Batchlor,
480, 487;
addition,
v
case
II person Our state "[n]o constitution declares that equal protection shall be denied wording parallel . . .”16 laws . clause in pro- It federal constitution almost identical. person "deny any vides that no state shall *10 jurisdiction equal protection within its the of the plaintiffs complain case, § laws.”17In this that 109a unequal accords treatment between two classes of Medicaid-qualified, pregnant women—those who choose childbirth and those who choose abortion. The women who choose childbirth reim-
receive expenses bursement for medical related to child- birth, while those who choose abortion receive no expenses reimbursement the to abor- related course, tion. it is Of well established even if a that groups people differently, law treats necessarily it will not guarantee protec- equal
violate the
interpreted
tion. Neither
has
constitution
been
require
Independ-
equality.” San
"absolute
Antonio
Rodriguez,
ent School Dist v
Ct
(1973).
1, 24;
411
93
US
S
1278;
L
36 Ed 2d 16
reh
411
den
US 959
equal
Likewise, it is well established
protection guarantee
a
is not
source of substantive
rights
liberties; rather,
or
it is a
of our
measure
constitution’s tolerance of
classifica-
(Stewart,
Id.,
tion
J.,
schemes.
Thus, when
as violative
protection
equal
guarantee
under either
16
1963,
1,
Const
art
2.§
17
Const,
XIV,
US
Am
1. The Fifth
been
Amendment has
inter
preted
equal protection component
applied
an
to contain
that is
Harris,
government.
supra,
federal
constitution, it is legislation goals determine whether As justify it authorizes. treatment differential deciding panel Appeals concedes, in Court appellate of this state have courts such cases analysis employed to that similar which a mode of developed States has the United been speaking, Generally App Court. 187 Mich 510.18 grounds protection legislation challenged equal on presumption constitutionality, and is accorded applying a rational basis stan- it is reviewed Attorney General, 402 Mich dard. Shavers v (1978). standard, a Under that 267 NW2d if struck down the classification statute will not be legiti- rationally to a scheme it creates is related governmental purpose. Bank & mate Manistee McGowan, 655, 668; Mich Trust Co v NW2d equal hand,
On the other two situations legislation protection guarantee tolerant of is less scheme—when creates a classification (such upon suspect factors as classification is based origin, ethnicity), race, or when the national legislation impinges the classification creates right. upon Plyler the exercise of fundamental *11 Doe, 2382; L Ed 216-217; 457 US 102 S Ct 72 (1982). (1982), 1131 In these 2d 786 situations, reh den 458 US higher review, strict standard of scru tiny, applied. under this A statute reviewed upheld only if the strict standard will be state its scheme has demonstrates classification compelling gov precisely been tailored to serve ernmental interest. Id.19 18 McGowan, example, v 394 For see Manistee Bank & Trust Co (1975). 655, 668; Employment Mich Security Detroit, 232 636 See v also Fox NW2d Comm, (1967); 579; 644 v 153 NW2d Alexander (1974). 30; Mich 219 392 NW2d 41 19Although have the basis most these two tiers of review been of Social Services Opinion of the Court
III recognizing plaintiffs While base their case constitution, on the state we believe a brief review reasoning that underlies related decisions of the United States Court is instructive. In cases, a series of that Court has held that Hyde Amendment and state statutes which re- funding strict Medicaid of abortions do not violate equal protection guarantee of the federal con- stitution. upheld Maher, the Court a Connecticut stat- funding medically
ute that
sary
limited state
neces-
performed during
abortions
the first trimester
pregnancy.20
years
later,
A few
in Harris,
Court reaffirmed Maher and validated a version of
Hyde
Amendment
that allowed Medicaid abor-
funding only
tion
when the mother’s life was in
danger
pregnant
or when she had become
as the
rape
Finally,
result of
or incest.21
in Williams v
Under its
the Maher Court first deter-
desiring
mined that
women
abortions did
suspect
noting
not constitute a
class. After
that no
equal protection analysis,
there are cases in which the courts have
heightened scrutiny.
used a middle
requires
tier of
This middle tier
challenged
govern-
classification scheme further a substantial
Plyler,
mental
Typically,
interest.
path
An indigent
to an abortion.
woman who
disadvantage
an abortion suffers no
as a
desires
22Typically,
suspectness.”
the Court
look for
will
some "indicia
history
purposeful unequal
or a
These indicia include a
treatment
degree
powerlessness
extraordinary protec
political
that commands
Dist,
majoritarian political process.
tion
Antonio
from the
San
School
but
has
no restriction on access to
abortions that
already
was not
there.
at
[Id.
474.]
The United States
Court has held in
legislature’s
other cases that a
election not to fund
right
the exercise of a fundamental
does not im-
pinge upon
right, Regan
v Taxation with
Representation,
540;
1997;
US
103 S
76 L
Ct
(1983).23
example, private schools,
Ed 2d 129
For
though
permitted,
constitutionally
have never
support
been entitled to
from the state under the
thing
say
Protection Clause: "It is one
to
may
prohibit
that a State
private
not
the maintenance of
quite
say
schools and
another to
that such
equal protection,
must,
schools
a
as matter of
Harrison,
receive state aid.” Norwood v
455, 462;
413 US
2804;
93 S Ct
Doe’s that purpose. government’s determining failure to impinge upon the exercise
fund abortion does right, ex- Court Harris a fundamental of plained, simply that a wom- "[I]t does not follow it a constitu- freedom of carries with an’s choice to the financial resources tional entitlement protected range full herself of the avail choices.” pregnant 316. Just US because an abortion have the choose woman to have the mean that she has does not *14 pay government it. for no in cases Court found sus
Because
these
upon
impingement
pect classification and no
right,
applied
of a
it
exercise
rational basis standard
fundamental
scrutiny,
i.e.,
whether
legitimate
legislation
rationally
to a
the
governmental
is
related
point,
this
even the Roe
interest. On
"impor
acknowledged
an
that
state has
Court
tant and
legitimate
protecting
...
in
interest
potentiality life.” 410
162. And in
human
US
recognized
Doe,
the Court
a
Beal v
US
legitimate
"strong
encourag
[state]
interest
explaining
ing normal
the rational
childbirth.”
by government
provide
of a
basis
decision
fund
ing
medically necessary
generally,
but
services
medically necessary
not for
the Court in
abortions,
inherently
Harris said:
is
different from
"Abortion
procedures,
pro-
medical
other
because no other
line,
placed
complained that
it
the fee was unconstitutional because
a
path
greater
path
poor
in the
obstacle
education in the
than
legal
Finding
of wealthier
families.
that North Dakota had neither
practical
transporting
monopoly
nor a
school,
the means of
children to
on
the
rejected
argument:
the Court
"The Constitution does not
all,
require
imagine why choosing
provided at
difficult
be
[bus] service
to offer the service should entail
constitu-
obligation to
487 US
tional
offer it for free.”
462.
of Social Services
Opinion of the Court
purposeful
termination of a
cedure involves
potential life.”
Finally, the Court has
that no bur-
imposed upon
den is
remain
regarding
right recognized
"[The
neutral
in
abortion:
implies
authority
Roe]
no limitation on the
of a
judgment
favoring
State to make a value
child-
implement
judg-
abortion,
birth over
and to
public
Maher,
ment
reasons, legislation pro- which Court has concluded generally, vides for medical but services Equal abortions, not for is within the limits of the Protection Clause of the federal constitution. Appeals majority
As the Court of case this candidly conceded, Clearly, presented adju- if the issues were to be constitution,
dicated under the federal whether under the Protection or Due Process Clauses Amendment, "right of the Fourteenth or some First, Third, privacy” extracted from the Fourth or Amendments, plaintiffs’ challenges Ninth constitutional to the validity would re- be [§ 109a] jected. App Mich [187 522-523.]
IV *15 reasoning We turn now to an examination of the employed Appeals by majority of the Court of panel reaching contrary in its conclusion under Michigan Constitution. panel’s analysis begins
The with a declaration right that "our [state] Constitution affords a to an panel proceeds Then, abortion.” Id. at 508. to a "dispositive conclusion, which it considers in this Equal case,” that 109a violative of the Protec- 1963, 1, § tion Clause of Const art 2. 510. Id. at 650 439 Mich the Court support panel its decision finds (1) Equal Michigan’s following propositions: greater protection provides than Clause Protection the federal gan provisions (2) Clause, that Michi- Protection analyze constitutional state free to courts are analyze differently courts than federal (3) provisions, constitutional federal right upon impinges under fundamental § 109a triggers Michigan Constitution, strict which the scrutiny.25 turn, examine, in each course, we shall In due pause propositions. First, however, we these briefly state that our on the assertion comment right to an abortion. includes the constitution
A supporting appeal, plaintiffs amici In this argued constitutional that a state have curiae abortion decisions For previous right inferred from should be Appeals. of the Court of of this Court and Advisory Opinion example, they rely on on Constitutionality 465, Mich 1975 PA said, it was wherein 504-505; NW2d recognized privacy to be a long This Court has Roberts, 46 Mich right. May De highly valued seriously chal- 160; one has 9 NW No privacy lenged existence of a suggest anyone does Michigan Constitution nor than the any to be of less breadth of the United States Constitution. guarantees recog- Supreme Court has The United States protected constitutionally presence nized Connecticut, 381 US privacy.” Griswold v "zones of (1965); 479, 484; L Roe 85 S Ct 14 Ed 2d compelling panel is without a also asserts that the state 25 The scrutiny. Although satisfy we do not here focus strict interest separately analysis point, in the which it will be discussed on this follows. *16 669 of Social Services Opinion op the Court Wade, 113; 705; v 410 US 93 S Ct 35 L 2d 147 Ed (1973). being These zones have been described as "penumbras” emanating specific within stitutional from con- guarantees. mentioned Often as a basis 1st, 5th, 3rd, 4th, privacy of the 9th and 14th Amendments Constitution. The to are the
to the United States people adopted of this state have corresponding provisions in 1 art of our Constitu- tion. support
Plaintiffs also find for a state constitu- Appeals tional to abortion in the Court of People App Nixon, decision v 42 332; Mich 201 (1972), 635 NW2d remanded Mich 809 App Remand, 50 On Mich NW2d Nixon, In the Court determined that be- Michigan’s cause enacted to criminal abortion statute26 was
protect pregnant women from unsafe abortions, the statute became obsolete as advances technology safety in medical increased the of abor- pregnant tion for women. respond hand,
On the other defendants that the Appeals conclusions drawn the Court of adopted Nixon were dicta and have not been argue Indeed, this Court. quent defendants that a subse- People Court, decision of this Bricker, supra, overruled Nixon and established that no separate right involving state abortion exists. Fur- challenge ther, Advisory defendants reliance on 750.14; provides, MCL MSA 28.204. The statute Any person wilfully any pregnant who shall administer medicine, any drug, whatever, thing woman substance or employ any whatever, shall intent instrument or other means with thereby procure woman, miscarriage any such necessary preserve unless the same shall have been the life woman, guilty felony, of such shall be of a and in case the pregnant thereby produced, death of such shall be deemed woman be the offense manslaughter. any prosecution section, this under it shall not be neces- sary prosecution prove for the necessity that no such existed. 439 Mich Opinion Court Constitutionality 227, be- 1975 PA on *17 abortion or cause that decision did deal with subject, any closely it was a related and because precedential authority. no decision with argu- the of and other Whatever merit these concerning to the exis- ments available sides both right separate abortion, of an we tence find it case, state to unnecessary issue in this is to decide given regard the our conclusion with to funding question. As the discussion that follows arguendo clear, makes even that a if is assumed state constitutional coextensive with right exists, to the we are able conclude federal Michigan § does that tion, 109a not violate the Constitu- just as the United States Court was uphold public in able the denial question Harris, Maher and need to the without validity of Roe.27
B support invalid, To 109a its conclusion that is Appeals equal panel the Court of claims the guarantee pro- protection in our state constitution greater protection corresponding vides than the guarantee in the Mich federal constitution. 187 App panel Specifically, 517. the the concludes that Equal adopted Protection Clause our constitution was purpose "creating rights broader scope in than under those afforded its federal counterpart.” App However, 187 Mich 516. a re- jurisprudence of the his- view tory and constitutional suggests opposite of this state our —that Appeals Given our reversal of the Court of decision on intimating any dispositive funding question, regard and without view vacate, merits, ing precedential weight we and direct no is accorded, Appeals in be the discussion and conclusion the Court of opinion regarding underlying issue of a state constitutional to abortion. of Social Services Opinion op the Court duplicate Equal Protection Clause was intended to protection. clause and to offer similar the federal panel Appeals justify its The Court seeks reading equal protection guaran- expansive of our by pointing to textual differences tee between by referring Constitutions, 1908 and 1963 of the Constitutional Convention debates preceded adoption which Constitution. persuaded by However, we are not these considera- tions. effect,
While the 1908 Constitution was in
guarantee
equal
only
protection
basis for a state
in
in
was found
a few words included
a broad
concerning
statement
"Political Power”
art
political power
people.
§ 1: "All
inherent
equal benefit,
Government
security
is instituted for their
*18
added.)
protection.” (Emphasis
Despite
sparsity
pre-1963
words,
this
the
deci-
equal protection
sions of this Court ruled that
rights under the state constitution were the same
as under the federal constitution. See In re Fox
Estate,
5;
154 Mich
It is true that rights: relating shall "nor to civil clause a second any enjoyment person civil or of his the be denied against rights political in the discriminated or be religion, race, color or thereof because exercise national separate origin.” However, clause that a rights protection provide explicit for civil was rights adopted movement, in the midst of the civil suggest any purpose itself, on not, in and of does scope delegates part the the to broaden Equal preceding Protection Clause.28 wording Accordingly, used, in do not find we purpose arrangement, any on evidence of nor in its provide protec- part broader of the drafters Equal the state Protection Clause of tion counter- than is found its federal constitution suggests pattern part. Rather, deliberate protection duplicate secured effort to Furthermore, examination a careful federal clause. debates of the Constitutional of the record of the confirms this view. Convention on Declara- that when the Committee We note Rights, Suffrage, and Election offered its tion of report recommending adoption ing 1, § 2, of art includ- worded, it Protection Clause as now minority report proposing accompanied by was *19 language.29 focused, not The substitute substitute sep- Equal Clause, on the Protection but on Rights The amendments which arate Civil Clause. 28Moreover, Appeals majority opinion the makes in its Court Equal solely on the Protection Clause of clear that its decision rests 1, 2, 1963, succeeding Rights on the Civil Clause. Const art and not § App 534-535. 187 Mich Record, 1961, pp 740-741. Convention 1 Official Constitutional of Social Services op the Court were coverage of that clause expanded would have then was proposal and the committee’s rejected, 1, 1963, art became Const adopted ultimately §2. of our that the framers its assertion support
To equal provide intended to broader constitution the federal by than those secured rights protection makes constitution, Appeals majority the Court of the proceedings to the two references only First, it notes Convention. Constitutional 1, art comment to Const "convention ” stated, 'This is a new section.’ clearly Second, attention to a statement 515. calls App on Declaration the chairman of the Committee Suffrage, and Elections: Rights, a distinct trend in recent has been "[T]here protection incorporate equal State Constitutions to apply persons as rights civil clauses to all singled special attention well as those out apparent discrimination.” because of more [Id. Emphasis Appeals.] the Court of added point take with either unnecessary It is issue support mustered to observe that the extent thin. Fur- proceedings very from the convention thermore, the chairman purpose quoting if the intended our suggest delegates was to ("all state’s Protection Clause to be broader argu- counterpart, than its federal persons”) its mark. The federal clause assures ment misses person.” equal protection "any fo- convention debate that portions support do not the anal- equal protection cused on Rather, we Appeals majority. of the Court of ysis reading from a of the convention record draw intended delegates firm conclusion *20 439 Mich 650 674 Opinion op the Court equal incorporate the notions of affirm and basic prevailed protection that at the time.30
C concluding equal that our state’s addition scope protection guarantee is broader in than the guarantee, Appeals panel the Court of federal claims to have
rejected
"the method used
Supreme
analyzing
United States
Court
Equal
in favor of a dif-
federal
Protection Clause
Michigan’s Equal
analysis
ferent
Protection
panel
Id. at 518. The
states:
Clause.”
Beyond our freedom to read our own state’s
Equal
broadly
Protection Clause more
than that of
Constitution,
the United States
we are also free to
by the United States Su
reject
the method used
preme
tection Clause in favor of a different
Michigan’s Equal
analyzing
Court
the federal
Pro
Mesquite
[102
S Ct
v]
1070;
Aladdin’s
Moreover,
it claims that
though
even
dis-
equal protection analysis
a method of
ploying
Supreme
the United States
from that used
tinct
under Michi-
Court,
109a
panel
scrutinizes
§
Supreme
as the
just
Clause
Equal Protection
gan’s
un-
restrictions
funding
scrutinized abortion
Court
Because
Protection Clause.
federal
der the
scheme
a classification
alleged to create
109a is
§
447;
Catania,
(1983);
People
427 Mich
398 NW2d
v
NW2d
Collins,
(1986); People
chooses to have an necessary resulting even where required pregnancy to terminate or incest, rape pre- directly from 109a *22 providing vents the state from It right funds for that care. is the woman’s exercise of one fundamental right triggers to an abortion —which —the right 109a’s restrictions. Her to bear the child is § similarly impinged upon. that, recognize indigency We while the woman’s choice, also acts as a barrier to her freedom of the required state is not to remedy that condition. But itself, 109a, by adoption the state has created § a direct barrier to the woman’s exercise of her right an to abortion. inequality program,
There is thus an within the indigent pregnant with the distinction based on an option woman’s exercise of an tion the constitu- which individually. vouchsafes her If she exercises abortion, right her constitutional she is ex- program cluded from a for which she is otherwise qualified; if she elects not to exercise that constitu- panel suggest class, suspect does not that 109a creates a § trigger scrutiny. which also would strict Dep’t op Social Services Opinion of the Court the option, she continue receive tional program. [Id. at statutory
benefits this 524.] upon impinge Having § 109a does determined that right under the the of a fundamental exercise applies panel Michigan Constitution, the then Predictably, scrutiny. that it concludes strict demanding level of review § meet this 109a cannot the section. and strikes down panel’s Obviously, in the element the critical rejection purported analysis of basic its is not developed by analysis equal protection the as Supreme Court, its conclusion but United States that right impinges upon an to choose § 109a agree panel abortion. We with scrutiny require would strict Protection Clause upon impinge § if section were to 109a right. Thus, turn to of a fundamental we exercise the upon impinges question § 109a whether Michigan in the fundamental exercise Constitution.
D
Appeals majority concludes that
The Court of
directly
of a
interferes with
exercise
109a
to choose an abortion.
woman’s
App
appears
of this conclu-
It
basis
524.
Medicaid-qualified
assumption sion is an
funds for an abor-
entitlement
women have an
actually
Although
panel
state
does not
tion.
suggests
exists, it at
an entitlement
least
that such
compares
the situa-
an entitlement when
such
Medicaid-qualified
after
before and
tion
women
panel
adoption
”[b]efore
notes that
§of 109a. The
*23
Michigan women,
109a,
rich
all
enactment
right
poor
[their
alike,
to
were able
exercise
and
procreative
panel
However, the
choice].” Id. at 523.
439 Mich Opinion of the Court
continues,
§ 109a,
after the enactment of
benefits
away
itself,
once offered are taken
so "the state
adoption
§ 109a,
a
has created
direct
barrier
right
woman’s exercise
her
to an abortion.”
panel
addition,
524.
Id. at
asserts that when
Medicaid-qualified
a
woman
elects
have an abor-
program
tion, she is "excluded from a
for which
qualified
disagree.
she is otherwise
. . . .” Id. We
govern-
In the
absence
some burden on the
provide
right,
ment to
funds for the exercise of a
a
Legislature
decision
fund the exer-
right
legislative
a
cise of
is distinct from a
action
impinges upon
right. Regan
v Taxation
Representation,
Likewise,
with
.
. . '[A] welfare
is not de-
process
legislature adjusts
of due
when the
” Atkins,
benefit levels.’
472 US 129-130. See also
App
Services,
Saxon
of Social
191 Mich
689;
characterized childbirth explains his Professor McConnell As instead of abortion. religious article, funding problem: Abortions selective (1991): schools, L R 1011-1012 104 Harv serve function involved childbirth medical services [T]he "terminating improving the pregnancy” mother’s
beyond Mich Opinion of the Court disagree reasons, For these we with the Court of Appeals and conclude that the state’s decision to impinge childbirth, abortion, fund upon but not does not right provided the exercise of a fundamental by Michigan Constitution.
Having impinge determined that 109a does not *25 upon right, the exercise of a fundamental we hold Appeals subjected that the Court of erred when it scrutiny. § 109a to strict § Because 109a does not impinge upon right, the exercise of a fundamental respect because, at least with to the of equal protection guarantee abortions, our does not greater protection equal offer than the federal protection guarantee, proper standard of re- view is the rational basis test as articulated ear- lier.
Like the United Court, States we con- rationally legiti- clude that 109a is related to a governmental purpose. Contrary mate sug- to the gestion Appeals,35 of the Court of there is no obligation constitutional on the state to remain regarding any neutral an more than there is obligation on the state to remain neutral re- garding rights. the exercise of other fundamental legitimate The potential promoting protecting state has a interest in legitimate life, and it has a interest in Equally important, Leg- childbirth. legitimate allocating islature has a interest They just health. are abortion; more than they substitute for caring are also a means of for appropriate a child. While the way pregnancy issue, to deal with everyone is a controverted agrees born, that if a child is to be the birth should be completed safely possible. as as Medical services at birth should part be government-funded understood as of a network of social services for the benefit of children .... App 531. Social Services of Opinion of the Court way its in a that reflects benefits state determina- public policy Our constitu- of state. tion of the government require we have does not tion without pur- only requires that, in the values; it not values, our will of suit improperly certain of funda- the exercise interfere with procedure rights. be- Because no medical mental termination the deliberate abortion involves sides high cost child- life, of the fetal and because relatively abortion, it is lower cost of and the birth pursue legitimate its the state to rational interests for paying childbirth, but not abor- tion. cognizant reaching decision, this we are
plaintiffs’ argument "[t]he sentiment legislature, fact, electorate, with or, change given regard role of does not to a issue agree judiciary.” Similarly, the Court we with legislative power Appeals "[t]he of people, through referendum, initiative and give any voter- force or effect to more does legislative approved legislation than other important, *26 App . . 527. Just as . .” 187 Mich acts legisla- principle however, limits of is the the power by our federal and state tive are defined judi- by constitutions, the sentiment Cranch) (1 ciary. Marbury Madison, 137; 2 US previously Thus, we have ob- L Ed served, desirable, unfair, as appears legislative un- solution "[t]hat unjust not of or inhumane does legislature empower override the itself a court to & Manistee Bank and substitute its own solution.” Co, the circum- Mich 666-667. Whatever Trust adoption surrounding § 109a, we are stances history any or text of in the unable our constitution find basis support the conclusion would Appeals. of the Court Equal Pro- reasons, hold that
For
we
these
Cavanagh, C.J., Levin, Beickley, Riley, JJ., Griffin, concurred with J.
Levin, (concurring). Jane and Nancy Doe concede, for purposes lawsuit, of this that 1987 PA adding Act,1 109a of the Social Welfare § insofar as it proscribes the use of public funds to pay abortion, for an elective is in the main consti possibly ninety to ninety-nine percent tutional — constitutional. Doe and her amici curiae supporters claim that 109a is nevertheless § unconstitutional insofar as it proscribes public use of funds to provide a “medically indicated” for an indigent woman.
A While there is evidence that pregnancy repre- sents for some women a serious and long-term threat to their health unless they have an abor- tion, and thus that an abortion is indi- medically women, cated for such the record is silent concern- ing the number of indigent women that might Appeals Because the Court of found that 109a § violated the Equal Clause, Protection it did not address the other constitutional arguments by plaintiffs. advanced Plaintiffs have not renewed their other Court; however, constitutional claims before this we conclude that process those claims would not today. affect our decision We review due using substantially claims the same standards as we use to equal protection review General, Attorney claims. Shavers v Further, analysis 612-613. our under Protection Clause incorporates privacy right the claim that a woman’s is violated 109a. *27 seq.;
1 MCL 400.1 seq. et MSA 16.401 et of Social Services Levin, medically justifiably as indicated abortion seek distinguished elective abortion. from an litigation, ordinary silent, the record is when
In proof of the to one the failure court attributes a parties accordingly, judgment or, on and enters taking of addi- occasion, the case for the remands ordinary case, an If this were evidence. tional however, as moot been dismissed it have would This is not ordi- abortion. an when Doe obtained litigation. nary having provide parties, evidence failed to
The might justi- concerning number of women medically abortion, fiably tinguished as dis- indicated seek a think, abortion, is, I an elective from presented put appropriate, the issue in order to truly attempt perspective, what is to determine an abortion for whom women at stake medically indicated.
B projected Department Services of Social The (15,200) percent eighty year 1990,2 in fiscal that the estimated who, the enact- 19,000 women before eligible for a have been §of 109a would ment Medicaid-funded funding although public would, abortion, withdrawn, nevertheless obtain had been this lawsuit was after did Doe an abortion —as commenced._ during the introduced projection in an exhibit is set forth department said that
testimony of the dss who the Director following have the 109a would enactment of § estimated program effect: coverage will Medicaid abortion FY termination in:
result 19,000 to term. will be carried abortions Medicaid 20% 3,800 deliveries. Medicaid An additional 1,000 afdc cases. additional *28 439 Mich Opinion by Levin, J. having posed long-term baby If a a serious and (ten many 1,900 threat to the health of as as 19,000) percent indigent pregnant of the women a year, required pay abortions, the amount at payment approximate $318, the dss rate of would annually.3 $600,000 sought survey why
A that to determine women per- have abortions indicates that fewer than ten cent of the women who chose to have an abortion did so because
having posed baby a a serious and long-term survey threat to their health. The re- ports percent responded that seven that concern for their "own health” contributed to their deci- only percent abortion, sion to have an but "53 having those an abortion because of a health problem said that a doctor had told them that by being their condition would be made worse pregnant.”4 appears It therefore that an abortion may medically be indicated for less than four percent indigent 19,000, of the or less than 800 pregnant year, consequently, that, women a $300,000 the amount involved is less than annu- ally. appears5 private
It funds or donated ser- approaching year may $4,000,000 vices a be avail- pay medically able for elective and indicated percent high, If ten is too the amount involved be closer to $200,000 $300,000. hand, having baby poses or On the other if a long-term many serious twenty percent health risk to as as fifteen or pregnant, might of women who become the amount involved be closer $1,000,000. Forrest, Why Torres & Family do women have abortions? 20 Planning Perspectives, 1988), (July/Aug pp study No. 4 169 ff. This auspices was done under the of the Alan Guttmacher Institute and was conducted 1987. I have been advised that this is the latest survey available. payment abortion, On the basis of the dss rate of $318 an and the projection 19,000 eighty percent dss’s women —who before qualified 109a became law would have for a Medicaid abortion— privately provided would obtain an abortion in FY 1990 with or funds donated services. of Social Services Levin, indigent be suffi- women. This should
abortions for provide women an to all cient to medically indicated6— abortion is for whom an year required $300,000 a is whether amount year. $1,000,000 I conclude therefore as much as question whether is a substantial there medically indi- for whom an abortion women having in mind available cated are fact — fund- alternative to sources indigent. ing medically — *29 practical many appears
It that there are also obtaining facing an elective woman in obstacles a Obtaining medically funds abortion.7 or indicated funding private in the are devoted sources Absent evidence abortions, suppose pay that such funds one would main to are at least as available elective abortion. for elective medically indicated abortion as for an for a supporters by light placed curiae Doe and her amici of the stress long-term plight threat to her health with a on the of a woman faced indicated, medically think that if one would an abortion is for whom resources, prioritize a woman for whom an abortion need to there is a is priority. medically some indicated would have moment, in of Ameri is not available At this 83% counties, nearly of a third of American women home to ca’s fear, professional pride, childbearing age. or For reasons pro away pressure, from doctors have backed economic cedure even where it available. remains territory, political entering moral and . . . America is new uncharted, righteous by phosphor rough certainties. And as the combatants concilable lit but square with their irre- off ground, liberty, what the middle notions of life and it, promises earth. to become scorched there is trying get predicament is harder abortions of women wrenching image. single are 1.6 million There into a to distill abortions representing year, almost in the U.S. each carried out than pregnancies. that more It is estimated 46% a fourth of all of American women But while they by are 45. one the time will have had country 2,500 places around the there are about 2,908 years ago— high ten provide from a abortions —down cities, leaving areas of they mostly broad clustered around are in single 24 counties country clinic serves unserved. A the northern provides abortions one doctor Minnesota. Just happens [Lacayo, to Roe matter what No South Dakota. patients Wade, perform and their abortions doctors who Levin, J. pay the least be for an abortion reality, obstacles, or, no obstacle substantial relatively for whom an women the abortion is few medically indicated.
C clearly constitutional If there were a established publicly abortion, would, funded to a course, that an abortion is ob be of no moment private sources. The as from charitable tainable contrary, however, is, entitlement, on the serted support prece any in the without well-established dents. truly being new This Court is asked to break ground legislative providing remedy rectify judicial decision to withdraw for a com- abortion) (medical larger ponent program (general for an of a service Medicaid). under medical service justified be- Doe and amici curiae assert this is facing indigent women cause the alternatives nied de- public pay medically funds to for a indicated Court, abortion are so dire that this to avoid the injustice designed Protection Clause was avoid, must intervene and hold to be invidiously discriminatory challenged classifi- *30 indigent pregnant cation of women between those fully provided for whom if medical service will be they carry baby a to term and those in need medically medical service for a indicated abortion. obstacles, 4, 1992, Magazine, May pp face formidable Time 28.] (see text) rely accompanying The dissenters ns 11-13 and on case holding Equal against protects law crimination in Legislature Protection Clause dis establishing eligibility program criteria for a support has chosen to fund. Those cases do not a claim Equal requires Legislature that program Protection Clause to fund a program components because it has funded another or program. such a Dep’t of Social Services Opinion by Levin, J. place
Since Doe and amici curiae such stress on indigent plight desperate of an in need woman medically abortion, a indicated and the of ters dissen-
place such stress on the burden Doe’s represented by an to ing, the denial of fund- availability private funding and do- is, believe, I nated services a relevant considera- deciding judicial tion whether intervention is warranted. having
It not been established that private funding or women do not have access to medically for indicated donated services even a unpersuaded abortion, I am this Court can attempt prin- properly be asked to to articulate a attempted cipled basis—I have to do so without distinguishing plight success—for gent of an indi- medically woman whom an abortion is plight woman, from indicated formerly of a man or general assistance, on welfare who has winter, been evicted from shelter without acquiring adequate food, the means of shelter or put freezing starving at risk of to death and depen- physical entirely streets, assault on the private charity dent on because unable to obtain employment.9
i
The Due Process Clause secures to a woman
reproductive
during
freedom
at
first tri-
least the
pregnancy,
mester of a
such
also secure to her
govern-
liberty
obtain,
interest
without
medically
interference,
mental
indicated abor-
Services,
App
See Saxon v
of Social
(1991), declining
provide
NW2d 361
injunctive
lv den
tion fundamental as a described has been This right. contended, however, has that a woman
It is not governmentally funded to a a fundamental the rather that because appropriate It is claimed abortion. large governments state federal and through provide Medi- care to medical sums persons, indigent Doe, program such as for caid medically pay provide to for funds to the failure Equal Pro- of the abortions is violative indicated that while It is contended tection Clause. Legislature obliged provide medical care is not having indigent persons, established for prenatal program, and which includes Medicaid indigent women, gynecological for medical care Equal discriminate, with consistent cannot against indigent Clause, who women Protection right to have their fundamental desire to exercise by denying them, in contradistinction an abortion generally, indigent and women men from requi- particular, pregnant care medical women obtaining medically indicated abortion. site question presented is thus whether Legislature requires Protection Clause medically provide pay for a indicated funds to Legis- because the for an woman comprehensive program has funded a lature indigent men and women. medical care for
A join signed opinion Court, I have Appeals because there Equal in reversal of the Court construing precedent Protec- is no require empowering judiciary tion Clause as Dep’t op Social Services Levin, *32 component of a legislative program,10 excepting only state comprehensive program that, in the context of the Medi- court decisions11 Protec- controversy, Equal read the caid abortion argument predicated require. tion Clause to so begs question decisions on those state court legitimately this Court cannot presentéd; clearly re- Protection Clause so Equal decide that other state simply in this context because quires courts have so required.12
B
Supreme
of the United States
The decisions
dissenting opin-
relied on in one of the two
Court
eligibility
constitutionality
concern the
ions13
Congress
had chosen
programs
criteria for
cases,
Court,
in
that dura-
to fund. The
those
held
availability-for-work-on-the-
and
tional
residency14
Maher,
Administration &
for
parental
Amendment,
55
an abortion.
counsel for
2d 799
P2d
the
program
Memorial
Committee to
S Ct
McRae,
Ct
reh den
sought
penalize
who have an
women
by denying
to medical bene
them access
by the
As stated
welfare benefits.16
fits or other
McRae,
in Harris v
Court
100 S Ct
United States
448 US
784
317,
267;. 65 L Ed 2d
n
(1980):
"A
an otherwise candidate *33 constitu cause that candidate had exercised her preg tionally protected freedom to terminate her by nancy abortion.”17 Verner, supra. Sherbert v 400.40-400.43; dissenting opinion argues that MCL The other require indigent report an woman to
MSA 16.440-16.443would abortion, receipt private funding for an and that indigent funds from outside source to an woman received an [i]f abortion, monthly could
finance an her total welfare benefits be payments proportionately rectly Id. Because are made di- reduced. given provider no cash allowance is to the assistance, waiving given medical other medical necessities in favor of a abortion. she is not even the choice of medically indicated Consequently, who a woman chooses to have forgo housing family if abortion must or care for her she wants J., post, p [Mallett, this medical treatment. 702.] McRae, 19, supra As set forth in Harris v at n a "substantial question Department constitutional Services were to seek to reduce an would arise” if the of Social indigent woman’s welfare benefits regard because she had an abortion without to whether she or paid someone else provided for the abortion or the medical services were charge. without invalidity penalizing indigent an woman for exercise of her constitutional to have an abortion does not and would not mean abortion; pay remedy that the to declare the must for the would be benefits, penalty, reduction of welfare to be invalid. analogous The Court continued that this would be to Sherbert v Verner: of Social Services Levin, J. point however, not, Those decisions are be- indigent penalize an cause 109a does not woman by denying who has an abortion her access either indigent An to medical or other welfare benefits. woman who has had an all abortion is entitled to any the medical benefits that other man might including, appear, claim, or woman it would any might required medical care that be conse- quence having of her had an abortion.18 holding though Congress
Case law that even Legislature may constitutionally or the not be required provide particular program, funds for a eligibility it when chooses to do so the criteria must be consistent with other constitutional limi- support Legis- tations, does not the claim that the component larger lature program, not eliminate a of a provide must funds for a component larger program. of a
Section 109a does not establish an unconstitu- eligibility deny any tional criterion. It does not per- woman access to medical benefits that other pro- Rather, § sons are entitled to receive. 109a particular benefit, vides that a of abor- longer provided. tions, is no to be There is no eligibility any criterion which woman can ob- publicly tain a funded abortion. This is not like dissenting opinion, the cases cited in the where the Congress program, sought, had funded a but or a legislature sought, deny persons state access to the had some
program who otherwise would be not, where this Court held that a State consistent with the Amendments, unemployment First and Fourteenth compensation withhold all from a benefits claimant who would otherwise be eligible unwilling for such benefits but for the fact that she is day per to work one week on her Sabbath. suggestion There is no on this record that a woman who suffered complications medical whatever medical care she as a result of an abortion would be denied might require. Mich by Levin, J. by program participate
eligible the estab- in the eligibility found the court criteria lishment limitation. constitutional violative of a to be C unconstitutional 59 ordain an does Act Nor simply gender-based truism a It classification. pregnant, thus, and, only become women can that only Simi- an abortion. or obtain can seek women military eligible larly, for the draft.19 are now while women subject only service, have been men principle that makes no constitutional There is only legislation one affects all or constitutes concerning legislation suspect, especially sex subject nature, can that, the laws of matter only one sex. affect
II com- of a to rule that Were this Court program prehensive disables assistance of welfare component eliminating Legislature from (i) legislative program motivation that is based where (ii) part judgment, on a moral some eliminating funding seriously burdens exercise indigent persons of a fundamental right, lawyers asserting a new cause a basis for would have for welfare assis- of candidates action behalf generally. tance rights at least as shelter and food are
The for a to medical services as the fundamental medically Due Process indicated abortion. protects food seek shelter and Clause governmental interference, at unreasonable from might argue into service or their families Men who were drafted [men],’ special vulnerability "legally the draft reinforc[es] Boyle, J., p post, 710. even at the risk of their health [or life].” *35 Doe of Social Services Opinion by Levin, J. protects right least to the same extent that it to seek reasonable medical assistance. But the Due Clause, Process no more so for the fundamental rights to shelter and food than the fundamental right oblige gov- service, to seek medical does not poverty. ernment to relieve the burdens of While may right shelter, food, one have a fundamental govern- and medical service free of unreasonable right restrictions, mental one does not have the government provide shelter, demand that free free food, or free medical services. provide does, indeed,
The modern welfare state many indigent population. such services for in the But the allocation of such services has never been thought justiciable. govern- sure, To if be be program ment decides to establish a for the benefit poor persons, eligibility not establish criteria violative of constitutional limitations on power government. But the Protec- thought tion Clause has not been to endow the judiciary power supervise with the the alloca- public require tion of principles funds or to that neutral announced,
be to be enforced judiciary, government governs to assure that fairly.
III legislative provide The decision to funds for the expenses impermis- medical sibly of childbirth does not burden the to choose abortion. Other- great many wise a federal and state actions would subject challenge. be to constitutional Both the governments state and federal have enacted laws programs designed and marriage. to aid the institution of provides
The Internal Revenue Code persons. passed benefits to married has state against adultery bigamy. Marriage gives laws Levin, J. property legal rights spouse one other. marry, not to to choose
There is also *36 right equally to as the fundamental which is as marry. provides benefits, enti- no no the state But that choice. tlements, the exercise to facilitate truthfully the state contend can And no one unconstitutionally marry not to burdens marriage. competing by promoting value, the effects to alleviate if the state chooses But funding by poverty pregnant medical women on fund medical childbirth, it not how can care for care for Should ing childbirth, abortion? to the alternative compet- respect of these both not the state equally? values enlightened
Perhaps to do choose state would an require however, not, The constitution does so. though fairly. govern wisely And or even to state it take sides on an state to unfair for the be strongly, people many so feel which so issue about it The state to do so. for the is not unlawful prohibit government may interfere with not support abortion; it need to choose support though public with it does funds even with competing public value of childbirth. funds the people purposes institutes for which One develop express government choices, to to value people way norms, in which about societal govern- The act of their freedom. should exercise govern ing requires make value those who choices. government concept neu-
Indeed, the entire trality falla- issue is the abortion/childbirth on position government one must embrace cious. argument say It is at least fair or another. by provid- promote would medically ing funding indicated abor- for a even oppose offend those who Such would tion. Services Social Levin, J. contrary result offends abortion as much as short, is no mid- choice. there those who favor ground. promote "choice” is as The decision to dle much an
expression of the decision to values as promote childbirth. possible it if for the state to maintain
Even were rights, neutrality respect to fundamental with gover- neutrality would not result in sound such gov- logical Indeed, the result would be no nance. Nearly every state and federal ernance at all. program subject challenge. It will would be possible argue always entitlement be an promotes one bundle of funda- created the state rights expense A re- mental at of another. gov- quirement neutrality would mean that could create no entitlement without also ernment creating equal opposite Under an entitlement. government, the role of the such a scheme of *37 police neutrality legisla- judiciary would be to striking legislation steadfastly any tion, down expressed thought, idea, or took a an contained a Only position on the issues that matter most. legislation consisting gray of dull matter would survive.
IV government express The must some set of values govern democracy then in if are the values of the and is to at all. How be identified proper articulated, is of the and what the role judiciary respect choices? In with to those value by cases, must be made most such value choices government, overtly political the the branches legislative judicial executive, and not the branch. cooperation government, with federal
Michigan provides a set of medical benefits Mich 650 Levin, Presumably,
indigent population. these medical indigent persons go only to those will benefits Because condition warrants. medical whose govern- Michigan federal and resources of the made limitless, must be choices are not ments concerning pro- of benefits and level the extent program. one to include The decision vided benefit while necessarily
excluding reflects another Perhaps will be eco- the value value choice. some nomic least subjective. utility, utility. at economic But ideas of notoriously market, are in the absence of Somebody we are decide whether has to transplants paying for all who for heart better off spending pay resources cannot need them but Either school children. on inoculations choice would be made can be defensible. Neither system of human val- reference some without ues. judiciary to decide
It not the role of is properly taken into account be values making is what is involved choices. Because such of societal and articulation the identification repre- largely norms, left to the the task should be government. sentative branches depends judicial for the enforcement branch upon judgments of the executive the will of its legislative upon ultimately the will branches and citizenry. confidence is That of the and confidence eroded when politically by acting perceived judiciary to be substituting political judgment political judg- majority for the of the Court expressed people majority at as ment of the power force- is most booth. Judicial the election fully *38 arrogat- from a court refrains asserted when properly ing to the entrusted to itself decisions people. government or to the branches of other indigent deprive only may women unfair to It be particularly pregnancy, the funds to terminate of Social Services Dissenting Opinion Mallett, J. likely precisely to women who are when it is such pregnancy most need medical care for termination well-being urgently preserve physical or, their preserve opportunity least, their to decide for at people of their lives. But the themselves the course Legislature Michigan have decided otherwise, gan in the Michi- and I do not find a basis I therefore
Constitution to reverse that result. holding judgment the Court that concur Equal § Protection 109a does not violate Clause. (dissenting). § Under 109a of Mallett, Act,1 re-
Social Welfare an woman will expenses if ceive no reimbursement for medical medically she chooses to have a indicated abortion. majority § that 109a does not ex- The concludes guarantee equal protection ceed the limits of the Michigan respectfully I dis- Constitution. sent.
I
plaintiffs
argue
Nancy
Jane and
Doe
§
Clause of the
109a violates the
Protection
Michigan
creating
Constitution
an intolerable
agree.
pregnant
classificatory
Indigent
scheme. I
requiring
women
medical care
childbirth
indigent preg-
However,
receive Medicaid benefits.
abortion,
women
an
even when
nant
who seek
medically
preserve
necessary
health,
their
are
through Medicaid unless
denied reimbursement
necessary
the abortion is
to save their lives.
App 493, 523;
I
Mich
Relying States on United almost majority Supreme decisions, concludes Court Michigan’s denial of Medicaid that indigent pregnant medically who seek a women required to save is not indicated abortion their lives does not upon impinge fundamen- their privacy. Doe, 438; 97 S 432 US Beal v tal Ct (1977); Roe, 432 Maher v
2366; L Ed 2d 464 53 (1977); 2d 484 464; 2376; Ct 53 L Ed 297; US 97 S L 2671; 65 McRae, 448 US 100 S Ct Harris v (1980); 917 reh den 448 US Ed 2d Regan Representation, 461 US v Taxation with I find 540; 1997; 103 Ct 76 L Ed 2d S Supreme analysis in Court these the United States majority’s thus, flawed, and, reliance decisions misplaced. § 109a Judicial review of on these cases analysis equally "rationality” defec- is under tive. indepen- hardly precluded from
This Court is interpreting Michigan’s Equal dently Protection Supreme may reject United States Clause Court Mesquite analysis. City Cas- v Aladdin’s tle, Inc, 283, 293; 1070; 71 L Ed 455 US S Ct (1982) (a entirely is free to read 2d 152 state court broadly more than this Court its own constitution reject constitution, or to reads the federal mode of analysis used this Court favor of a corresponding analysis of its constitu- different Michigan guaranty). Moreover, have tional courts analysis rejected Court on United States People previous Jackson, See v 391 Mich occasions. (1974) (extended rights of defen- 217 NW2d corporeal represented by at dants to be photographic counsel indepen- procedures identification ruling); People constitutional dent of federal Services of Social Dissenting Opinion Mallett, (1986) 277; 395 NW2d App Sundling, exception to the faith” adoption "good (rejected improper). is rule where search exclusionary unconstitutional, I 109a concluding Protection Michigan’s find that need not its federal than greater protection Clause offers *40 that a I need to conclude Nor do counterpart.2 privacy to is broader right fundamental woman’s the federal than Michigan’s Constitution under 109a in Roe v Wade. Section established right right of privacy fundamental upon the impinges as a chooses abortion indigent woman who an and, there- pregnancy treatment for her medical fore, is unconstitutional. right that to do not contend plaintiffs
The includes a indicated abortion medically choose a Ante, 666. p for it. pay that regard goes beyond in this The assertion majority’s this Court. As Justice scope of the case before Harris, supra, in Roe does Brennan clarifies State is under that "the proposition stand for the to abor- to ensure access obligation affirmative an 330 them.” US for all who desire tions how- (Brennan, J., require, Roe does dissenting.) ever, wielding from its that the state "refrain in a manner that and influence power enormous woman’s freedom might pregnant burden the Id. have abortion.” whether an choose constitutional, 109a is Concluding that § Maher, proposition for the supra, cites majority " implies no '[(t)he right recognized that Roe] to make a authority limitation on the State deny any provides: state The federal constitution "[no shall] equal protection person jurisdiction of the laws.” US within its 1, 1, Constitution, provides: Const, XIV, Michigan’s 1963 art § Am 1.§ people. power insti political Government is inherent in the "All benefit, protection.” equal security their tuted for equal person provides: shall be denied also "No constitution protection 1, 2. . . . .” Const art of the laws 439 Mich Dissenting Opinion Mallett, favoring abortion, judgment childbirth over
value implement judgment the allocation and to ” majority p public fails Ante, 667. The funds.’ notwithstanding acknowledge that, this the fact govern- conclusion, that the the Maher Court held unduly woman’s] [a "with cannot interfere ment freedom to decide nancy.” preg- her
whether to terminate
Baird, 428
474.
also Bellotti v
US
See
(1976) (a
132, 147;
2857;
Supreme Court. See Maher at 482- (Brennan, dissenting). reject too, J., I, analysis” it is illusive and mis- "obstacles because leading. Michigan program a state- Medicaid designed plan pay the costs of
administered recipients care for most welfare and cer- medical tain other Michigan poor chose to individuals. indigent the health care costs of its subsidize enacting PA MCL 400.105 et citizens 16.490(15) seq.; seq. MSA et eligible to receive Medi- a woman is found Once quality assistance, her access to medical care caid theoretically person who is require gan’s the same as a does words, In
Medicaid assistance. other Michi- program of the Medicaid removes enactment recipient’s indigent relating status to medical § 109a, however, care. With the enactment of recipient may female obtain access to the full range provided of medical treatments under this program unless she chooses abortion as a medical government’s treatment. The restriction of Medi- medically abortion, caid funds for a indicated fact, creates the financial "obstacles” that program purposefully Medicaid restriction is eliminated. Such a infringement
clearly upon an a wom- freedom of choice. an’s provided instances, services under Medi- most represent indigent
caid an woman’s sole access to government may health care. While the restrict its public inappropriate funds, use of such action is here where the effect is that an woman’s *42 of choice is altered to accommodate the freedom government’s agenda. Brennan in
Justice stated supra: Harris, 439 Mich Dissenting Mallett, . . . in the Court’s flaw The fundamental acknowledge that the its failure to
analysis ... is gov- of of the benefits distribution discriminatory discourage of the exercise largesse can ernmental fundamental effectively as can an just as liberties through criminal rights of those outright denial US sanctions. regulatory 334.] and [448 of incen- Here, too, distributions the differential an effect as § 109a have the same under tives indigent outright prohibition exer- an woman’s right. fundamental cise of her design complex in Furthermore, of welfare Michigan effect the burdensome contributes scheme, if a woman the current § 109a. Under Dependent receiving Children or Aid to Medicaid receipt report of other fails benefits (adc) disqualified assets, she could become income for 400.40-400.43; MSA MCL future benefits. indigent received funds If an woman 16.440-16.443. abortion, her to finance an outside source from an proportion monthly benefits could be welfare total ately payments are made Id. Because reduced. provider directly is and no cash allowance to the given given assistance, she is not even for medical waiving other medical necessities the choice medically indicated Conse abortion. favor of a quently, the abor who chooses to have a woman family forgo housing if or care for her tion must Corns, treatment. See this medical she wants impact indigent public decisions on abortion proposal statu A to reform state women: funding provi tory constitutional sions, J L Ref 24 U Mich indigent with an woman’s context Considered circumstance, the effect of coercive entire financial procreation choice is obvious. § 109a on a woman’s benefits, an with the denial Faced pressured carrying into the fetus woman *43 of Social Services Dissenting Opinion Mallett, J. notwithstanding term, her choice to have an abor- impairment tion, and the sometimes substantial physiological psychological health. her
II
unduly
reasons,
§
I
109a
For these
find
right
privacy
burdens a woman’s fundamental
subject
judicial
under the
and thus is
review
scrutiny” analysis.
"strict
examining
Equal Protec-
When
violations of the
right
impli-
tion Clause where a fundamental
adopted
scrutiny”
cated, this
has
the "strict
Court
analysis
employed
United States
Independent School Dist v
Court. San Antonio
Rodriguez,
1,
1278;
17;
93 S Ct
36 L Ed
US
(1973).
den
a fundamental suspect government classification, involves a compelling interest or the must demonstrate legislation Bank & Trust Co v fails. See Manistee McGowan, 394 Mich 232 NW2d implicated, If is not a fundamental legislation legiti- rationally must be related to a government purpose. Id. mate supra, Wade, In Roe v the United States Su- preme governmental Court identified two interests (1) procreative health, choices: a woman’s (2) potential However, life of the fetus. government’s potential interest in the life of the compelling until fetus does not become the fetus is compelling only Thus, Id. at 163-164. viable. government procreation interest a woman’s protection choice before the third month is the Prohibiting reimbursement woman’s own health. under 109a in all trimesters does abortions government’s compelling advance the interest not in the health of the woman or the child. fact, Opinion by Dissenting Mallett, gov- the balance between exceeds such action right of the constitutional interest and ernment’s the woman interfer- to be free from Michigan procreative decisions. in her ence Legislature’s deny reimburse- Medicaid decision a medi- who seeks to an woman ments provides cally ato but indicated abortion treat- a medical childbirth as who chooses woman pregnancy survive the strict cannot ment for her scrutiny analysis.
III rights Michigan a cannot be The exercise of fundamental of remains The State vain endeavor. legalized by in Roe v Wade the decision bound right argue has a to an To that a woman abortion. not need allow but that abortion Roe v to this service renders Wade her access meaningless. Supreme States Court deci- But for the United supra, Maher, Beal, Harris, several in sions limitations on abor- would find Medicaid courts Rampton, Supp 366 F Doe v tions unconstitutional. 1973) (Medicaid (D Utah, and the 189 inseparable); Coe v to choose abortion are 1976) (D (abortion Supp NH, Hooker, F 1072 is 406 pregnancy, and the an alternative treatment recip- arbitrarily may not restrict a Medicaid state ient’s F treatment); Mathews, 421 choice of McRae 1976) (ED (the Supp NY, freedom to choose indigents if can- an "unreal” an abortion is not subsidy).3 receive Medicaid legislation Similarly, enacted several states have provide government-funded abortions that would pregnant indigent as has become where an woman rape Preterm, Dukakis, Inc v or incest. a result of See supra Corns, at 389-391. Social Services Doe v Dissenting Mallett, (CA 1979), den 441 US cert F2d 121 (1980); Busbee, app 448 US dis 1979). (ND Supp Ga, These 1326, 1329 471 F part recognition represent on the a decisions legislatures pregnant choice to become that the always place woman with a rest does the first penalize her when thus, need not and, the state permits no such 109a Section she is victimized. recognition. inflexibility § 109a Moreover, unwillingness Legislature’s Michigan exhibits to requiring cooperate needs of women the health with is re- action Such assistance.
Medicaid prehensible. assumption, majority’s
Contrary a Medi- to the private recipient’s finance a funds to access caid medically any abortion, treat- medical indicated reality scarcely matter, ment for that prototype hardly Michigan.4 Jane Doe is State of majority pregnant women, of whom situation ad- have their fortuitous to are not as Shortly Michigan Court. dressed request Nancy plaintiff for medical Doe’s after for her a first-trimester assistance daughter pre- plaintiff denied, Jane Doe was was *45 private How- funds for her abortion. sented with availability private funds for Jane ever, only notori- to the can be attributed Doe’s abortion ety of her situation. pointed Healy James, v out
As Justice Powell 2338; 33 L Ed 2d 169, 183; 92 S Ct 408 US practical disregard free to "[w]e are not protection guarantees Michigan’s equal realities.” are based premise must not laws on the persons. similarly prejudice unfairly The situated possess Michigan Legislature unlimited does not on a constitu medicaid decisions note, of recent The effect See 687, 710 only right: rich? 6 Fordham Urb L J for the Abortions tional (1978). 439 Mich by Dissenting Opinion Boyle, J. popular
authority to enact laws on the basis of upon objectives moralistic that encroach constitu- tionally protected Marbury See v Madi- freedoms. (1 Cranch) (1803). son, 137; 2 L 5 US Ed 60 When occurs, this "the courts are entrusted with power nullify responsibility to review and the legislative repugnant acts which are to the consti- supra Bank, 666. tution.” Manistee at Michigan accepted responsi- The State of has bility equitably providing by services medical enacting program. By denying the Medicaid an and medically accepted to a woman access constitutionally protected medically abortion when treating physician, Legisla- indicated her equal protection her ture denies under the law of Michigan. State I would affirm the decision of the Court of Appeals that found that 109a is unconstitutional Michigan’s under Constitution. (dissenting). question us is before Boyle, qualified indigent
whether an otherwise fifteen- pregnant year-old, who became as the result of a rape, may be denied benefits for a first-trimester necessary preserve agree I her health. with Justice Mallett’s conclusion that benefits separately briefly I not be denied. write my address narrow reasons for this result and the more
remedy
appropriate.
I believe
proceeded cautiously
declaring
This Court has
rights under our constitution that differ from
those enumerated
the United States
People
Court,
Catania,
447;
v
427 Mich
398 NW2d
explicitly recognized
We have
Bay
Judge,
to do so. Reist v
Circuit
(1976) (an indigent parent
Delta Charter
*46
707
Social Services
of
by
Dissenting Opinion
Boyle, (an
(1984)
ordinance
831
253; 351 NW2d
Mich
living together
persons
prohibiting
from
unrelated
of Michi-
Clause
Process
the Due
of
violative
was
Constitution);1
gan’s
equal
Michigan
high priority
in
accorded
equality
1,
benefits, art
protection,
of
1, § 2, to
art
51,
protection
4, §
counsel
health, art
§ and
analysis
McRae, 448
rejection
v
in Harris
(1980), reh
2d 784
2671; 65 L Ed
297; 100 S Ct
US
(1980).2
conclude
I would
917
448 US
den
under
a fundamental
burdens
statute
Michigan
denying
selectively
bene-
Constitution
necessary
medically
abor-
first-trimester,
fits for
any
question,
in our
unlike
The statute
tions.3
selectively
one of two
jurisprudence,
focuses on
constitutionally protected
and
decision
of a
choices
penalizes
option,
the disfavored
the exercise
requiring
needs
medical
their
women to sacrifice
pregnancy
the interest
first trimester
in the
potential
life.
of the state
dispute
beyond
Wade, 410 US
that Roe v
It is
McGowan,
655;
1
Co v
Bank & Trust
See also Manistee
passenger
(1975)
holding
guest
opinion
(plurality
636
232 NW2d
Equal Protection Clause
exception
of the
as violative
unconstitutional
Supreme Court
Michigan
States
after the United
Constitution
challenged pursuant
to the Fourteenth
upheld
Amendment),
statute
a similar
General,
Attorney
384
City
Dist v
Traverse
School
and
(1971) (a
barring nonpublic
proposal
390;
school
9
Mich
students from
185 NW2d
public
auxiliary
schools
at
services
shared time
equal protection
exercise of
deny
the free
and burden
was deemed
religion).
2
virtually every
state court
been endorsed
This conclusion has
Reproductive
question.
to Defend
See Committee
with the
confronted
(1981),
866;
Rptr
252;
P2d 779
Myers,
Rights
Doe v
Cal 3d
172 Cal
v
(1986),
Secretary
394;
Maher,
Supp
Moe v
limited this overview.”5 my analysis view, the statute does not survive constitution, first,
under our state because the protection of health lies at the core of the interest imple Wade, second, in identified mentation of the Roe v because protection is within the provided by finally, Bolton, and, because withholding medically necessary benefit when virtually medically necessary all other health care provided benefits are is a coercive burden on exer protected cise of the right. widely speculated expectancy questiona It is that the life of Roe is However, Michigan
ble.
the State of
is bound
that decision.
separately recognize
Whether we would
if Roe were over
question.
turned is a different
noted,
disapproval
As Justice O’Connor has
the Court’s
of these
requirements
impose
clearly
was
“on
based
the fact that
the State did not
any
procedure
them on
other medical
. . . .” Akron v Akron
Health,
416, 465,
Reproductive
2481;
Center for
462 US
n
103 S Ct
(1983) (O’Connor, J., dissenting).
Simply stated,
Roe v Wade
because
it
if
is unreasonable
interference
holds that state
importance
in
greater
interest
to the
attaches
protecting the
potential
the interest
than to
life
wrong, if
vRoe
health,
v McRae
Harris
mother’s
obligation
right.
no
the state has
While
Wade is
opts
private
fund
choice, when
state
fund
concerning pregnancy
procedures
indi-
medical
penalize
gent
disfavored
women,
conditioning
receipt
on
option by
benefit
of the
right.6
protected
waiver
Court decisions
The United States
*48
53 Ed
2376;
L
464; 97 Ct
Roe, 432 US
S
Maher v
supra,
(1977),
and Wil
McRae,
Harris v
484
2d
L
2694; 65
358;
S Ct
Zbaraz, 448 US
100
liams v
assumption
(1980),
the
that
on the
rest
Ed 2d 831
right
right
negative
to be
a
in Roe is
established
assumption,
the
that
it follows
this
let alone. From
measuring
the enactment
whether
for
baseline
a
question
it constitutes
is whether
is coercive
on the
to
burden
choose.7
6
574;
2017;
States,
L
Ct
76
461 US
103 S
Univ v United
Bob Jones
contrary.
(1983),
provide authority
In Bob
to the
Ed 2d 157
Jones,
does
policy
approved
that
Service
Court
an Internal Revenue
the
a
tax-exempt
it maintained
status
the
because
eliminated
school’s
racially discriminatory
policy.
not conclude
The Court did
admissions
previously
never
benefit could
of a
offered
that
the elimination
Rather,
are
all burdens
the
noted that not
a burden.
Court
constitute
unconstitutional before
in
that denial
their
concluding
compelling interest
the
that
state’s
any
eradicating
burden
in education overrode
racial discrimination
petitioners’
placed
on
exercise
tax
the
the
benefits
religion.
Id. at 603-604.
7
provide part
funding
basis for
of the theoretical
cases
analysis
first articu-
in the abortion context
method
undue burden
lated
Health,
Reproductive
for
in Akron v Akron Center
Justice O’Connor
suggested in
supra
also
at
Justice O’Connor
n 5
452-453.
Ashcroft,
476;
US
103
v
Ass’n
Akron and in Planned Parenthood
(1983),
throughout
regulations
2517;
health
In Harris v divided Court analysis uphold funding extended the Maher medically necessary abortions, restrictions for once again distinguishing Shapiro and Sherbert on protected activity basis that a refusal to fund equated impo- "without more” cannot be with the "penalty” activity. of a 317, sition on that 448 US government’s n 19. The Court concluded that only choice act, involved a failure to "place[ing] rather than affirmative conduct path,” . . . obstacle[s] Harris at right. approach exercise of This can be charac- legally reinforcing "special terized as vulnera- bility women,” *49 of even the at risk of their health.8 holdings
Thus, Maher and Harris avoided the
in
by recharacterizing
Roe and Doe v Bolton
the
preserve potential
Sullivan,
that seek to
life. Estrich &
Abortion
politics: Writing
one,
(1989).
an
for
audience
138
of
U Pa L R
141
majority
Nor has
Justice O’Connor or a
of the United States
regulations
Court ever said that all
further
in
the interest
potential
"automatically compelling.”
life are
at 145.
Id.
As
the
both
Reproductive
authors and Justice Scalia in Webster v
Health Ser
vices,
490, 536-537;
3040;
492 US
109 CtS
One would
to see no
recipient
endangered merely
where
benefits are
because of circumstances unrelated to the reasons
supra.
Sherbert,
for the state’s
as in
action
But
upheld
actually
because the statute
in Harris is
more coercive than the statutes
invalidated in
Shapiro Thompson,15
Sherbert and
v
or the statute
upheld
Employment
Dep’t
Div,
in
of Human Re
Smith,
872;
1595;
sources v
494 US
S110 Ct
108 L
(1990),
Ed 2d 876
Court has not
"coherently articulated the values at
in
stake
Failinger,
conditions
An
statutes.”16
offer
can’t
she
consistent,
applied
plaintiffs,
Nor is Harris
as
to these
with the
scrutiny
Doe,
applied
Plyler
202;
results of intermediate
in
457 US
2382;
(1982)
(1982),
102 S Ct
72 L
Ed 2d
den 458
reh
US 1131
(invalidating
imposed
hardship
a statute
because
a lifetime
on a
disabling status, involving
discrete class not accountable for their
no
suspect
no
right).
or
class
fundamental
The notion that
has
obligation
people
consequences
to save
from the
their
own
inability
purchase
frugal
services
those
be
more
would
able to
purchase is refuted in this context. While we do not deal here with
questionable assumption
pregnancies
voluntary,
that all
are
surely
statute,
By operation
minor,
is
true of
Jane Doe.
a
this
pregnancy
rape,
placed
whose
denied
results
from
is
a discrete class and
medically necessary
exercising
health care for
her
pregnancy
terminate a
for which
ho
she is
more accountable than
disadvantaged
those
Plyler.
who were
the classification in
analysis
question
princi
This
does
not call
the well-established
ple
heightened governmental justification
required only
when
degree.
a law burdens a fundamental
to some minimum
San
Independent
Rodriguez,
1278;
Antonio
School Dist v
refuse: When 833, government collide, 835 Vill L R benefits (1986). on intrudes that the statute I believe
Because only protected constitutionally decision, I need the serious that makes that statute further observe damage attractive a more to the mother health rationally pro- not does than abortion alternative encouraging government’s in interest mote the inter- childbirth, under either strict normal only scrutiny. advanced —to The rationale mediate discourage necessary procedures otherwise medical jus- preserve mother —would health of the to tify the right recognized in of the the elimination total Indeed, Harris, General in Solicitor v Wade. Roe logic acknowledged that the McCree Wade funding justify position of denial would Court’s life-saving procedure only the if was even abortion Id. at 354. available. acknowledges intervening that
The defendant pur- governmental is not neutral. the statute pose discouragement abor- the all is enforce the life of mother. do threaten tions that not presents a between two conflict This case thus body principles shall one’s fundamental be —whether expense life, at another even the source of no funda- health, is less and "a command may life not be taken innocent [that] mental an supposed funding on absence cases turned [T]he perhaps in mistake .... It worst "coercive” acts of current unconstitutional instances of the flagrant analysis that such conditions rights-pressuring on intent have been immunized theory no coercive act. has committed 1415, conditions, 1500- [Sullivan, 102 Harv Unconstitutional Why Perry, was Court See also wrong Hyde case: A brief comment plainly Amendment Tribe, (1980); McRae, L R 1117-1118 32 Stan on Harris rights, affirma Inalienable conundrum: The abortion tive duties, dependence, Harv L R 330 dilemma of and the (1985).] 439 Mich Dissenting Opinion Boyle, except to save the life another.”17 The state has obligation private may no to fund choice. It reward promote However, choices that its interest. when opts procedures state fund medical concern- ing pregnancy may women, condition the benefits on waiver of the in a manner with conflicts health mother.18 stated,
For I the reasons concur Justice remedy result, but would narrow the Mallett’s applied hold that the statute not be to women necessary pre- who seek first-trimester abortions serve medical health.19 17Tribe, supra, p n 8 1340. body jurisprudence This has demonstrated that abstract no *52 rights pigeon tions are less than problems holes framed to deal other with adequate resolving profoundly abstractions for existen regarding tial assertions the interest in freedom from subordination life, competing of life and health to nascent and the moral and intellectually principle life, adult, honest all human fetal and prove has value. Few decisions more difficult those in than which opposed, competing rights these little community, responsibility analysis absolutes stand sheds light responsibilities on the claimant individual to the potential carries, of the claimant to the life she or the the state to the claimant. Whether the United States ultimately Court will determine that the state’s interest in protecting potential of compelling during life is even first trimester that, pregnancy, Doe, it is fair to observe women like Jane "who inevitably physical will they their claim injury suffer serious . . . emotional unless may argue legitimately can responsibilities they abort have considered against may others their own lives also [and] responsible Failinger, supra action the state . . . .” at 929. government may accommodate the interests of those tax payers holding morally opposed positions to use of tax revenues for Tribe, purposes. supra, p these in See n 16 n 38. It also invest pushes technology viability conception, backward toward thus increasing society’s power responsibly protection to act toward the
fetal life.
