The US Supreme Court is set to hear a case that could determine whether the abortion pill, mifepristone, remains available to patients across the country. The case centers on a legal battle between advocates for access to abortion and opponents of the procedure.
District Court Judge Matthew Kacsmaryk’s ruling in 2020 to block the government’s approval of the key medication abortion drug forms the basis of the new case. Kacsmaryk’s controversial decision came after plaintiffs, physicians and organizations opposed to abortion argued that the FDA should have never approved the drug more than 20 years ago due to potential adverse events from chemical abortion drugs overwhelming the medical system.
Five issues are said to attract the attention of the high court, including threshold issues and whether the case is about abortion or the authority of a federal agency. The Biden administration argues that the plaintiffs lack standing to challenge FDA’s approval of a drug they neither take nor prescribe, and have provided no basis for second-guessing FDA’s scientific judgment.
The decision could impact other drugs and destabilize the regulatory landscape, which could reduce incentives for investment in pharmaceutical and biotech industries. Additionally, critics fear Kacsmaryk’s opinion could confuse patients, with his graphic language referring to medication abortion as “chemical abortion” and using the word “abortionist” when referring to healthcare officials who perform procedures.
The current case highlights deep political divisions over how accessible abortion should be in America. Republican political operatives began using moral outrage over abortion in the 1970s to gain support from evangelicals and increase their party’s base. Recent polling suggests that their current strategy of making abortion illegal in every State may not be electorally successful.
The emergency nature of this case reveals the Republican party’s determination to use every tool in their arsenal, including limiting access to medication abortion, to make the overturning of Roe v. Wade a practical reality.
Experts say that the Supreme Court might take issue with the relief that Kacsmaryk ordered, bypassing the agency and vacating the approvals directly. This gives the Court considerable power over regulatory decision-making after this case ends. The case permits access to medication abortion pills, crucial for post-Dobbs rulings from across the country, opening the door for anyone, including anti-vaccine forces, to try and undo longstanding FDA approvals.
The White House is prepared for a long legal fight, but the issue may reach the Supreme Court quickly. Providers are trying to figure out what they can and can’t do while blue states are already stockpiling abortive pills. If mifepristone is made wholly unavailable, it will take away the safest option patients can access.
The recent injunctions demonstrate that opponents of reproductive justice anti-vaxxers are more than willing to litigate similar pretexts in a creative way in hopes of limiting access to drugs they dislike. They also show how vulnerable reproductive healthcare is to such campaigns unless the Courts protect their integrity as legal claims.
In conclusion, as pro-choice advocates rally against further restrictions on abortion pills and signaling a controversial legislative agenda around reproductive rights issues moving forward, this case serves as an example of how contentious these debates still remain throughout American society. The future outcome of this legal battle could have far-reaching implications beyond just one drug or even one aspect of reproductive care.
Image Source: Wikimedia Commons
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