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U.S. Abortion Law

An overview of federal abortion rulings in the United States.

U.S. Abortion Law: An overview of federal abortion rulings in the United States.

Page Summary:

For almost 50 years, the single decision of seven non-elected men saddled the United States with one of the most liberal abortion policies in the world. It survived decades of legal challenges until the Court finally conceded in 2022 that the Constitution does not guarantee a right to abortion.

The history of abortion in the United States is far more complicated than most people realize. It has been an issue of varying contention for more than 200 years, but abortion never enjoyed universal protection under the law until 1973—when the Supreme Court declared that autonomous abortion rights were protected by the Constitution. Prior to this ruling, elective abortion was only legal in New York, Alaska, Washington, and Hawaii. The Court’s 1973 ruling was built on the premise that the 9th and 14th Amendments, according to precedents set in the 1960's, afforded a "right to privacy" that extended even to abortion. For almost 50 years following, American women were granted legal access to abortion in all 50 states and through all nine months of pregnancy. But then in 2022, the Supreme Court conceded that the Constitution does not guarantee a right to abortion—thereby returning the issue to the purview of state legislatures. The information below provides a summary of federal abortion rulings in America.

The first abortion case to reach the Supreme Court—United States v. Vuitch—was decided in 1971. It involved a Washington DC abortionist who challenged the District of Columbia statute prohibiting abortion except to preserve the life or health of the mother. After a Federal District Judge ruled with Vuitch that “health” was an unconstitutionally vague designation, the case was heard by the Supreme Court. Though they ultimately ruled against Vuitch, the definition of health was reiterated to include psychological considerations, the burden of proof was shifted to the prosecution, and Justice William O. Douglas suggested in dissent that the right to privacy included a right to abortion. The day following their verdict, the Court agreed to hear Roe v. Wade—which had been languishing in the courts since 1970.

Roe v. Wade is among the most notorious and well-known Court verdicts in American history. In conjunction with its lesser-known companion case—Doe v. Bolton—it liberalized America's abortion policy to an extent that virtually no one saw coming. Roe emerged from Texas when an unmarried pregnant woman agreed to sue the Dallas County district attorney, Henry Wade, to prevent him from enforcing Texas' abortion prohibition. Since her life was not threatened by her pregnancy, she had no legal basis for aborting in Texas. Doe, which came out of Georgia, involved a married woman who was also denied an abortion for not meeting the necessary state requirements. Georgia law allowed for abortion if the life or health of the mother was threatened, if the baby was seriously deformed, or if the pregnancy was a result of rape. A three-judge District Court ruled that "Roe" did have basis to sue, and declared Texas abortion law void for being "vague" and "overbroad."1 The District Court ruling in the Doe case was split. It ruled that there were some unnecessary bureaucratic burdens that might hinder someone from receiving a due abortion, but they still held that the state had a right to restrict abortion according to the principles already in place. Both decisions were appealed, both decisions ended up before the Supreme Court, and both verdicts were handed down together on January 22, 1973.

The Court ruled 7-2 in Roe and Doe that though states did have an interest in protecting fetal life, such interest was not "compelling" until the fetus was viable—placing viability at the start of the third trimester.2 Thus, all state abortion laws that forbade abortion during the first six months of pregnancy were thereby invalidated. Third trimester abortions were declared to be legal only if the pregnancy threatened the life or health of the mother. Since the Doe verdict defined "health of the mother" in such broad terms, any prohibitions to 3rd-trimester abortions were essentially eliminated.3 According to Justice Harry Blackmun's majority opinion, a woman's health included her "physical, emotional, psychological, (and) familial" well-being, and should include considerations about the woman's age.4 "All these factors may relate to health," Blackmun argued, so as to give "the attending physician the room he needs to make his best medical judgment."5

In 1976, abortion again made its way to the Supreme Court in Planned Parenthood v. Danforth, resulting in the nullification of all state laws requiring spousal or parental consent. Thornburg v. American College of Obstetricians and Gynecologists, a 1986 case that was split 5-4, struck down all manner of abortion restrictions including the requirement to inform women about abortion alternatives, the requirement to educate women about prenatal development, the requirement to inform women of the potential risks of abortion, the requirement to keep records of abortion, and the requirement that 3rd-trimester abortions be performed in such a way as to spare the life of the viable child. All these were argued to be violations of a woman's right to privacy. Roe's rationale, however, was dealt a blow in 1989 with the passage of Webster v. Reproductive Health Services. The Court, in a 5-4 opinion, let stand a Missouri statute stating that human life begins at conception, and declared that the state does have a "compelling" interest in fetal life throughout pregnancy.6 The trimester/viability framework of Roe was basically thrown out, but Justice Sandra Day O'Connor, despite arguing for essentially the same thing in prior case law, withheld her endorsement from the portion of the Webster opinion which would have actually overturned Roe. As such, federal abortion laws remained largely unchanged, but the rationale for such laws began to crumble. Many states took this opportunity to put more restrictive state measures in place. In 1990, two cases (Hodgson v. Minnesota and Ohio v. Akron Center for Reproductive Health) ruled that states requiring parental consent before a minor could have an abortion must allow for a judicial bypass.

In 1992, Planned Parenthood v. Casey reached the Supreme Court. The right to legal abortion was upheld in the Casey decision, but a 24-hour waiting period was put in place, as well as an informed-consent requirement, a parental-consent provision, and a record-keeping mandate. States were also given more discretion as to when viability begins. Casey was decided 5-4, but the opinion of the Court was essentially divided into three factions. Justices Blackmun and Stevens did not endorse the new restrictions placed on legal abortion, but were willing to concede to gain the support of Justices O'Connor, Kennedy and Souter, who believed that Casey was a happy medium between giving states more control while still upholding the basic conclusions of Roe. Justices Rehnquist, White, Scalia and Thomas dissented altogether, believing Roe had no constitutional basis to begin with and thereby felt no obligation to uphold it. The language of Casey largely supplanted Roe as the dominant precedent in abortion law moving forward.

In 2007, Gonzales v. Carhart narrowly upheld a 2003 congressional ban on the abortion procedure known as intact dilation and evacuation—also known as dilation and extraction (D&X) or partial-birth abortion. The Partial-Birth Abortion Ban Act of 2003 came in response to the Supreme Court's ruling in Stenberg v. Carhart (2000) that Nebraska's partial-birth abortion ban violated the Federal Constitution as interpreted by Roe and Casey. Late-term abortionist, LeRoy Carhart, brought the suit against Nebraska Attorney General, Don Stenburg. The verdict was decided 5-4 on the basis that the Nebraska law did not include an exception for preserving the "health" of the mother—though it did include an exception if D&X was deemed necessary to save the life of the mother. The Court rejected Nebraska's contention that "safe alternatives" to partial-birth abortion made the health exception unnecessary. Three years later, Congress essentially reversed the Court by concluding that there was "a moral, medical, and ethical consensus that partial-birth abortion is a gruesome and inhumane procedure that is never medically necessary and should be prohibited."7 The federal Partial-Birth Abortion Ban Act also defined the procedure more specifically than the Nebraska statute had done previously. When LeRoy Carhart challenged the constitutionality of the ruling, the Eighth Circuit of Appeals ruled in his favor, causing U.S. Attorney General, Alberto Gonzales, to appeal the ruling to the Supreme Court. The 2007 verdict upheld the ban, ruling that it was not overly vague nor that the lack of a health exception imposed an undue burden on a woman's right to abortion. Though the arguments had changed very little between 2000 and 2007, the make up of the Court had. The retirement of Justice O'Connor—who opposed the ban in 2000—and William Rehnquist, along with the appointment of John Roberts and Samuel Alito, ultimately reversed the earlier outcome.

The last abortion-related cases to reach the Supreme Court prior to the reversal of RoeWhole Woman's Health v. Hellerstedt in 2016 and June Medical Services v. Russo in 2020—were almost carbon copies of each other. Both decisions invalidated state legislation requiring abortionists to have admitting privileges at a local hospital. In Whole Woman’s Health Health, the Court ruled 5-3 against the state of Texas. Only eight Justices participated in the verdict following the death of Justice Antonin Scalia. In June Medical Services, the Court ruled 5-4 against the state of Texas after Chief Justice Roberts reversed his earlier position. Though he still insisted that Whole Woman's Health “was wrongly decided,” he felt bound to uphold its precedent. Justice Clarence Thomas was not convinced and wrote the following in his dissent:

Today a majority of the Court perpetuates its ill-founded abortion jurisprudence by enjoining a perfectly legitimate state law and doing so without jurisdiction… The plurality and The Chief Justice ultimately cast aside this jurisdictional barrier to conclude that Louisiana’s law is unconstitutional under our precedents. But those decisions created the right to abortion out of whole cloth, without a shred of support from the Constitution’s text. Our abortion precedents are grievously wrong and should be overruled.8

Despite, the legal wranglings which are documented in the cases above, abortion law remained virtually unchanged for a half century. The single decision of seven non-elected justices, all of them men, invalidated 200 years of state law. John T. Noonan, Senior Circuit Judge on the Ninth Circuit Court of Appeals, wrote the following of Roe's unprecedented ruling:

On January 22, 1973, the Supreme Court of the United States deciding Roe v. Wade and Doe v. Bolton announced that a new personal liberty existed in the Constitution—the liberty of a woman to procure the termination of her pregnancy at any time in its course… Some of the [repealed abortion legislation] was old, going back to the mid-nineteenth century, some was recent… (But) old or new, compromise or complete protection from conception, passed by nineteenth-century males or confirmed by popular vote of both sexes, maintained by apathy or reaffirmed in vigorous democratic battle, none of the existing legislation on abortion conformed to the Court’s criteria. By this basic fact alone, Roe v. Wade and Doe v. Bolton may stand as the most radical decisions ever issued by the Supreme Court.9

Edward Lazarus, a former clerk of the man who wrote the Roe opinion, echoed this same theme. Despite his affection for Justice Blackmun and his unwavering support for legal abortion, he wrote:

[Roe v. Wade] has little connection to the constitutional right it purportedly interpreted… [W]hen Democratic senators oppose a judicial appointment because of the nominee’s opposition to Roe, they not only endorse but make a litmus test out of one of the most intellectually suspect constitutional decisions of the modern era. They practically require that a judicial nominee sign on to logic that is, at best, questionable, and at worst, disingenuous and results-oriented.10

Dobbs v. Jackson Women’s Health was the Supreme Court verdict that finally did in Roe. It emerged from Mississippi after the Fifth Circuit Court of Appeals prohibited enforcement of the Gestational Age Act, which forbid abortions in the state past 15 weeks. The Court ruled 6-3 in favor of Mississippi, effectively negating Roe’s holding that states could not restrict abortion during the first two trimesters of pregnancy (roughly 24 weeks). Chief Justice Roberts concurred with the Court’s ruling on Dobbs but not with the formal reversal of Roe. As such, Roe was overruled by a 5-4 margin thanks to the vote of Amy Coney Barrett—who succeeded Ruth Bader Ginsburg following her death in September 2020. Justice Kavanaugh may have been the primary target for pro-abortion ire both before and after the Dobbs verdict, but he was already on the Court when abortion came before the bench in 2020. It was Justice Barrett who was finally able to tip the scales—extricating the constitution from its fabricated endorsement of abortion. Justice Alito, writing for the majority offered the following explanation for why Roe had to go:

Roe was egregiously wrong from the start. Its reasoning was exceptionally weak, and the decision has had damaging consequences. And far from bringing about a national settlement of the abortion issue, Roe and Casey have enflamed debate and deepened division. It is time to heed the Constitution and return the issue of abortion to the people’s elected representatives…. Roe was on a collision course with the Constitution from the day it was decided, Casey perpetuated its errors, and those errors do not concern some arcane corner of the law of little importance to the American people. Rather, wielding nothing but "raw judicial power," the Court usurped the power to address a question of profound moral and social importance that the Constitution unequivocally leaves for the people."11

Justice Thomas, the Court’s most-ardent and long-standing opponent of abortion, again called it “farcical” to suggest that the framers of the Fourteenth Amendment would have ever applied it to the protection of abortion. The right to abortion, Thomas pointed out, “is neither ‘deeply rooted in this Nation’s history and tradition’ nor ‘implicit in the concept of ordered liberty.’”12 At its core, Roe v. Wade was a decision without constitutional support and explicitly defended on the basis of ignorance. Justice Blackmun stated in its majority opinion that, "at this point in the development of man's knowledge... [we cannot] resolve the difficult question of when life begins."13 He further stated that "if this suggestion of (fetal) personhood is established, the [case in support of legal abortion] collapses, for the fetus' right to life would then be guaranteed specifically by the (14th) Amendment."14 While the claim, we just don't know when life begins, was demonstrably false in 1973, it is even more nonsensical today. We do know when life begins. We are "at the point in the development of man's knowledge" where we can "resolve [this] difficult question." Now it is up to the states to do so.

This page was last updated on September 09, 2022. To cite this page in a research paper, visit: "Citing Abort73 as a Source."


  1. Roe v. Wade, 410 U.S. 113. Supreme Court of the United States. 1973.
  2. Ibid.
  3. Doe v. Bolton, 410 U.S. 179. Supreme Court of the United States. 1973.
  4. Ibid.
  5. Ibid.
  6. Webster v. Reproductive Health Services, 492 U.S. 490. Supreme Court of the United States. 1989.
  7. Gonzales, Attorney General v. Carhart et al, United States Court of Appeals for the Eighth Circuit. No. 05-380. 2007.
  8. Thomas, Clarence. Dissenting opinion.June Medical Services L.L.C. v. Russo, 591 U.S. Supreme Court of the United States. 2020.
  9. Noonan Jr., John T. “Raw Judicial Power.” National Review 2 Mar. 1973.
  10. Lazarus, Edward. “The Lingering Problems With Roe v. Wade, And Why the Recent Senate Hearings on Michael Mcconnell’s Nomination Only Underlined Them .” FindLaw. Thomson Reuters, 3 Oct. 2002.
  11. Dobbs v. Jackson Women’s Health Organization. 597 U.S. Supreme Court of the United States. 2022.
  12. Thomas, Clarence. Concurring opinion. Dobbs v. Jackson Women’s Health Organization, 597 U.S. Supreme Court of the United States. 2022.
  13. Roe v. Wade. 410 U.S. 113. Supreme Court of the United States. 1973.
  14. Ibid.

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