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Chief Justice Burger Set the Stage for the Originalist Revolution
While conservative criticisms of the Burger Court may be justified, those criticisms do not apply to the "The Chief." He had only one vote on the Court ... and, too often, too little support from his colleagues to reach originalist results.
My co-blogger Josh Blackman has an interesting post, observing that the current Roberts Court has largely left Warren Court precedents in place, while often undoing Burger Court precedents. Blackman's argument is well-made. But in concluding his post, Blackman diverts into an unnecessary attack on Chief Justice Burger. Blackman suggests it was Chief Justice Burger who was "driving those trains" that went off the tracks. As a former law clerk for "The Chief" (as we called him), I'm biased. But I believe Blackman's criticisms of The Chief miss their mark. Blackman fails to adequately consider the situation that The Chief all too often himself in—one vote on a nine-Justice court that was often inclined to reaffirm and even expand dubious Warren Court precedents. And, if he had joined or written dissenting opinions, the result would often have been that the case assignment would have then moved from him (as the senior, Chief Justice) to a very liberal justice, with an even worse decision likely emerging. Working within these considerable constraints, The Chief took important steps to help to set the stage for the later originalist revolution.
Blackman launches his attack by looking at nine decisions of the Burger Court that have since been reversed. For convenient reference, I reproduce Blackman's list below:
- Roe v. Wade (1973), reversed by Dobbs v. Jackson Women's Health Organization (2022).
- Board of Regents of California v. Bakke (1978), which largely upheld the use of affirmative action policies. This decision was (basically) reversed by Students for Fair Admissions v. Harvard (2024).
- Lemon v. Kurtzman (1971) prohibited any "entanglement" between church and state. Kennedy v. Bremerton School District (2022) effectively overruled the Lemon test.
- Abood v. Detroit Board of Education (1977) upheld the power of public sector unions to mandate certain dues from employees. Janus v. AFSCME (2018) overruled Abood.
- Chevron v. NRDC (1984) ruled that courts should defer to administrative agencies when a statute is "ambiguous." Loper Bright v. Raimondo (2024) overruled Chevron deference.
- Apodaca v. Oregon (1972) allowed non-unanimous juries. It was overruled by Ramos v. Louisiana (2020).
- Nevada v. Hall (1979) held that states lack sovereign immunity from private lawsuits filed against them in the courts of another state. It was overruled by Franchise Tax Board of California (2019).
- Williamson County Planning v. Hamilton Bank (1985) limited access to federal courts for plaintiffs raising Takings Clause claims. It was overruled by Knick v. Township of Scott (2019).
- Davis v. Bandemer (1986) held that claims of partisan gerrymandering were justiciable in federal court. It was overruled by Rucho v. Common Cause (2019).
After recounting these nine cases, Blackman writes that "I've heard it said that Chief Justice Burger could have done more on the Court if he had more conservative votes. I'm not so sure. Burger was in the majority of most of the overruled cases. … Justice Rehnquist, appointed around the same time, was often the lone voice of reason."
So let's look at this set of nine cases, with Blackman's argument in mind.
For this post, I consider what I understand to be Blackman's position—that The Chief should have driven the Supreme Court train in more conservative direction. Of course, that is not how The Chief would have resolved the case-specific issues before him in each particular case. But looking at these nine cases (as a reasonable sample of significant cases the Burger Court decided) reveals The Chief doing the best he could in difficult circumstances:
- Roe v. Wade - The vote count in Roe was 7-2 to recognize a penumbral constitutional right to an abortion. The Chief could have dissented, making the vote 6-3—and sending control over assignment of the opinion to Justice William O. Douglas. That approach likely would have led to an even more sweeping opinion. Instead, The Chief gave the opinion to his friend, Justice Harry Blackmun. It has been reported that The Chief was surprised by the broad opinion that resulted, as he expected a narrower, medically-focused decision. And The Chief wrote a concurring opinion in Roe that tried to limit the majority decision's scope: "I do not read the Court's holdings today as having the sweeping consequences attributed to them by the dissenting Justices …. Plainly, the Court today rejects any claim that the Constitution requires abortions on demand." Years later, on June 11, 1986 (just six days before announcing his retirement), The Chief would directly dissent from Roe. In Thornburg v. American College of Obstetricians and Gynecologist, The Chief lamented how the limitations sketched out in his Roe concurrence were ignored and called for the Court to "reexamine Roe." The Chief's call would, of course, ultimately bear fruit in Dobbs.
- Bakke (1972) - Here the Supreme Court largely upheld affirmative action policies. But this was by a 5-4 vote, with Justice Powell's plurality the controlling decision. The Chief was part of the four-vote main (and partial) dissent written by Justice Stevens, joining Justice Rehnquist and Justice Stewart. Justice Stevens (joined by The Chief) argued that "[t]he meaning of the Title VI ban on exclusion is crystal clear: Race cannot be the basis of excluding anyone from a federally funded program." Here again, The Chief's view of the proper result would ultimately become the majority view (under the Equal Protection Clause of the Constitution) in Students for Fair Admissions.
- Lemon v. Kurtzman (1971) - The Court vote to invalidate a Rhode Island statute providing aid to nonpublic schools was 8-0. The Chief could have been the lone dissenter. But that would have handed control of the opinion to Justice Hugo Black. Black joined Justice William O. Douglas in a sweeping concurring opinion rejecting any public aid to parochial schools—an approach that would might have become the majority opinion if The Chief had dissented. Moreover, although I'm not an expert on the doctrine, my understanding is that much of the problem with the Lemon test stemmed from the later endorsement-of-religion offshoot that was grafted onto the test after The Chief left the Court. A full assessment of The Chief's religious freedom jurisprudence would also need to consider his other important opinions, when he had more votes supporting religious claimants. In the next term, for example, The Chief wrote Wisconsin v. Yoder. Writing for six Justices, The Chief ruled that Amish parents' fundamental right to free exercise of religion outweighed the state's interest in educating their children. The Chief's opinion in Yoder continues to be influential to this day. Just last Term, the Court relied heavily on Yoder in its decision in Mahmoud v. Taylor. Writing for the majority, Justice Alito concluded that the burden on religion in that case (involving a public school's refusal to allow parents to opt their children out of LGBTQ+ inclusive storybooks) was of the "same character" as burden on religion in Yoder. Similarly, in 1983 case—Marsh v. Chambers—The Chief wrote for six Justices that government funding for legislative chaplains was constitutional, relying on the "unique history" of the United States. This was a proto-originalist decision that helped to lay the groundwork for future decisions focusing on original meaning.
- Abood (1977) - the vote count here was 9-0. A lone dissent by The Chief would have handed control of the Court's opinion to Justice Brennan. Instead, The Chief assigned the opinion to Justice Stewart, and joined Justice Powell's concurrence only in the judgment. (Justice Rehnquist, it should be noted, concurred and joined the majority opinion.)
- Chevron (1984) - the vote count here was 6-0. So a dissent by The Chief would not have changed the outcome. The Chief assigned the opinion to Justice Stevens. (Justice Rehnquist was recused.) The case is now mostly remembered for the deference paid to executive branch agency interpretations of the law. But the result in the case was to overturn a D.C. Circuit victory for the environmental group, the Natural Resources Defense Council. And Chevron only took shape and began to be used frequently after the 1987 Term (when The Chief had left the Court), as Professor Thomas Merrill has documented in a thorough article on the doctrine.
- Apodaca (1972) - Justice White upheld non-unanimous juries, in a plurality opinion joined by The Chief, Justice Blackman, and Justice Rehnquist. Apodaca was later overruled in Ramos (2020), over the strong dissent of Justice Alito, joined by Chief Justice Roberts, and (in large part) Justice Kagan. While Ramos might be viewed as a victory for originalism, I find much power in Justice Alito's dissent criticizing "a badly fractured majority cast[ing] aside an important and long-established decision with little regard for the enormous reliance the decision has engendered."
- Nevada v. Hall (1979) - The Chief joined dissents by Justice Blackmun and Justice Rehnquist, which Justice Thomas later tracked in overruling Hall.
- Williamson County (1985) - the vote count here was 7-1. The Chief handed the opinion over to Justice Blackmun, and joined it (along with Justice Rehnquist). The decision was overruled 34 years later in Knick. But the grounds Knick recited for overruling were "unanticipated consequences" that had revealed that the decision's requirements were "unworkable in practice."
- Davis v. Bandemer (1986) - this case involved a fractured decision, in which all the Justices concurred in part. The Chief concurred in the judgment with a short opinion (a "snapper" in his terms) emphasizing that partisan gerrymandering was not something that federal courts could readily redress. And he also joined Justice O'Connor's opinion concurring only in the judgment, along with Justice Rehnquist. The Chief's view would later be adopted in Rucho v. Common Cause, when Chief Justice Roberts held that "partisan gerrymandering claims present political questions beyond the reach of the federal courts."
Looking at these nine cases, I don't find much support for Josh Blackman's assertion that The Chief could have done more. For example, when Justice Rehnquist was on the Court with The Chief, the only time in these nine cases that The Chief differed from what Blackman calls the "lone voice of reason" was in Roe. But there The Chief's concurring vote kept the opinion away from Justice Douglas. And The Chief wrote what might be described as a "damage control" concurrence.
It remains an interesting issue whether a Chief Justice, convinced that the majority is wrong, should write a dissent that is the "voice of reason" or try to shape the majority in other ways. (For an illustration of how Chief Justice Rehnquist would later handle such a situation, take a look at his majority decision in Dickerson v. United States, reaffirming Miranda but on the narrowest possible ground.) In any event, as noted above, The Chief would later urge reexamination of Roe—providing strong criticism of Roe since he had originally concurred in the decision.
I had the privilege of clerking for The Chief during his last Term on the Court, OT85. That Term, on ideologically charged cases, The Chief needed to secure not only the vote of Justice Rehnquist, but also three other justices. That meant lining up Justice White (appointed by JFK), Justice Powell (an institutionalist who had served as the past president for the ABA), and Justice O'Connor (famously known for her case-by-case approach and seemingly unprincipled balancing tests). That was no easy task. And, if The Chief lost one of those three justices to a fairly solid voting block of liberal justices (Justices Brennan, Marshall, Blackman, and Stevens), that handed off the case assignment to Justice Brennan.
Criticisms of The Chief for not doing more to advance originalist jurisprudence also fail to account for state of constitutional jurisprudence—and constitutional litigation—when The Chief served. The modern originalist approach was launched by Attorney General Ed Meese's in his famous speech on original intent to the ABA on July 9, 1985—around the time The Chief was preparing to retire from the Court. (For an enthralling account of Meese's efforts to advance originalism, I highly recommend co-blogger Steven Calabresi and Gary Lawson's recent book, The Meese Revolution: The Making of a Constitutional Moment (2025).) Meese's proposed theory of "original intent" was cogently refined by then-Judge Antonin Scalia in an address to Justice Department, which explained that the appropriate approach was to determine the Constitution's "original public meaning." As Calabresi and Lawson recount, Scalia delivered this important speech on Saturday, June 14, 1986—two days before Scalia was interviewed by President Reagan for the Supreme Court vacancy about to be created by The Chief's retirement. Given that originalist theory was so little formed at the time, The Chief (and his colleagues) rarely received sophisticated originalist briefing in important cases.
Blackman recognizes the importance of Chief Justice Burger's sense of timing on his retirement. The Chief's retirement in the summer of 1986 allowed President Reagan to promote William Rehnquist to Chief Justice, and to appoint Antonin Scalia to the Supreme Court. Following the 1986 election, the Democrats regained control of the Senate. And when Justice Powell resigned in 1987, the Democrats were able to "bork" President Reagan's preferred choice to fill the vacancy—setting the stage for compromise candidate Justice Kennedy, whose many weaknesses Blackman and others have recounted. If Justice Powell had followed The Chief's lead, Supreme Court history might have been much different.
In sum, a fair reading of this history is that The Chief set the stage for the later originalist revolution, even if he lacked the tools—and the votes—to lead the revolution himself.
Correction: I corrected an inaccurate reference to Justice Brennan being the next senior-most Justice in Roe to Justice Douglas.
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I admire loyalty.
Burger was a terrible chief though. Sorry.
I don't think he was a particularly great chief, but that doesn't mean that Blackman's criticisms are accurate.
Put me in the "dissent that is the voice of reason" camp. Judges should NEVER sign on to decisions they think are wrong.
I would expect no less from you. But effective justices consider the big picture; they don't just stomp their feet. If a decision will be 90% wrong if the justice dissents, and 50% wrong if the justice concurs, then the justice needs to decide which is more important in a given case.
IANAL, can you give an example?
Doubtful you'll ever get a serious answer from the person (or people?) behind DMs account. They're loathe to argue anything in reasonable, intellectually honest manner.
Prof. Cassell gave an example above: Dickerson. (To be clear, I am not saying it was wrong; I am saying that it was wrong from Rehnquist's perspective.) By voting with the majority, Rehnquist got to write the opinion, so he wrote a narrow opinion upholding but minimizing Miranda. If he had stomped his feet a la Thomas and said, "This is wrong, period," he could've written a very eloquent dissent (I don't think of Rehnquist as eloquent, but that's a side matter), but the decision would've been a broader and more enthusiastic pro-Miranda ruling.
Is Justice Thomas the Chief Justice you imbecilic troll? He's not really in position to assign himself opinions to write.
And as aside, just out of curiosity, how many trolls comment under your account? There's an almost schizophrenic difference in tone and style in different comments. Sometimes calmer, other times just an unmitigated asshole. I prefer the calmer trolls over the asshole trolls, if you want my opinion.
The judge also needs to consider, though, that if he's putting his name on an opinion he disagrees with, he's lying.
My my, we must be in our calm phase now. The only thing you’re fit to comment on is trolling. Never effective. Always offensive. Stick to what you know.
The high almighty Supreme Court is still populated with fallible people not different than everyone else. Getting the politics out of government operation requires getting people out of it. So-called AI would be no different since it's created by ... people.
We live with this and try to do our best, be it right or political.
We need to start calling the Republicans the "Regressive Party".
So it was the Burger court, not Burger himself?
I suppose I can buy that, but that court deserves its diminished reputation.
tl;dr -- Burger helped the court by retiring.
Were the FFs themselves originalists?
Keeping in mind that "originalism" just just how you interpret old documents if you want to know what they actually mean, (As opposed to attributing a congenial meaning to them regardless of their actual meaning.) sure.
Just not in regards to the Constitution, of course, because it wasn't an old document.
Did you maybe mean, did they intend for it to be interpreted in an originalist manner? I assume so, or else Article V would have been redundant.
You still ignore Baude.
No, I think Baude is one of those originalists who have suffered a failure of nerve in the face of how many anti-originalists precedents have become deeply embedded in our government, and given up on overturning many of them.
But rather than admitting that originalism came too late and would never be fully applied, they rationalize that deeply anti-originalist precedents are magically consistent with originalism, so that originalism really can triumph!
He brings plenty of research to back up his conclusion.
And he still has cases he's overturn!
The one that springs to mind is a showstopper - Gideon v. Wainwright, which he thinks is good policy but which he doesn't think you can align with originalism.
Your telepathy is on the fritz, and also you don't seem to really understand Baude's conclusion.
Sarcastr0, "liquidation" is originalist-speak for "I give up".
BrettLaw gotta BrettLaw.
"The one that springs to mind is a showstopper – Gideon v. Wainwright, which he thinks is good policy but which he doesn’t think you can align with originalism."
I agree with that statement. As a matter of originalism, Gideon is terribly wrong. Gideon was even wrong when it was decided as it was contrary to clearly established case law at the time. However because of the stare decisis factors, it would be a mistake to overrule that case.
Much of the post-New Deal expansion of the commerce clause power is the same. It simply isn't practical nor is fidelity to a cause worth the firebombing of a system that millions of people were born into and have an expectation of it continuing.
It's not inherently about old documents. A constitution could be ratified today and originalist arguments could still be deployed tomorrow.
The issue is that the FFs, having zero experience and little else to go on when drafting the Constitution, aside from things like the English Bill of Rights, and being used to a common law - unwritten - constitution - went for simplicity and apparent clarity in their drafting, which is always appealing and almost always, in a legal context, a mistake.
To take one example, when the FFs referred to a set of objects, did the set mean all elements known to be members of the set at time of drafting, or all current members of the set given the set's definition? Both readings are "originalist" in that we know what the set means and how it is defined but we don't know from the text itself whether the drafters meant all elements known then, or all elements known now.
So when we see a set in the Constitution, did the FFs mean us to include all elements then or all elements now?
Practical examples: "arms", and "cruel and unusual". Scalia, ever the consequentialist, held that the set of "arms" included elements now, while the set of "cruel and unusual punishments" included only elements then.
Scalia was potentially willing to accept that cruel and unusual punishments should include elements now. What he was adamantly opposed to was the notion that it should reflect the personal views of the judiciary rather than some objective or widespread view.
In the Breyer-Scalia discussion on YouTube, Scalia is somewhat less compromising, IMO.
Scalia's view of whipping was inconsistent with his overall originalist position on the 8A. If he had followed his normal procedure faithfully, he should have recognized that as whipping was a common punishment at the founding, it could not be cruel and unusual punishment in violation of the 8A.
But he balked at that for ...reasons.
"A constitution could be ratified today and originalist arguments could still be deployed tomorrow."
Fair enough, but originalism tomorrow is normally just called "reading", because you're still AT the origin.
The drafters of the Constitution were not originalists. They were charged with revising the "original" Articles of Confederation, which had proven to be unworkable.
The result was a stronger and more formidable central government.
I’m reminded of something Potter Stewart was reported to have said about Burger: He likened him to a ship’s “show captain.” Brennan was reportedly even more insulting, allegedly telling his clerks Burger was “a dummy.”
The recurring theme of Judge Cassell’s rebuttal is the abject ignorance of the concept of leadership.
There’s real value in selecting Justices with broader backgrounds, including electoral politics.
Blackman is a gossip columnist. He's not a serious person.
> He's not a serious person.
Not with that haircut
"I'll have a Burger and a Frankfurter, and I'll order something from the Brewer."
I don't think this supports the idea that Burger was an originalist so much as a traditionalist/conservative. It does help confirm that he was an opportunist. If I recall, he famously would initially vote to GVR as his first vote so he could see where everyone else voted first.
""I do not read the Court's holdings today as having the sweeping consequences attributed to them by the dissenting Justices …. Plainly, the Court today rejects any claim that the Constitution requires abortions on demand.""
What Roe opinion did Burger read? Was he just being pedantic in that it was arguable (but see Doe) that third trimester abortions could be prohibited? Otherwise Roe was clear that in the first and second trimester abortions could clearly be had "on demand."
No, I think it's fair to say that Roe, by itself, did not require abortion on demand for all three 'trimesters'. But Doe, which was decided the same day, DID result in that, when combined with Roe.
From Doe: "We agree with the District Court, 319 F. Supp. at 1058, that the medical judgment may be exercised in the light of all factors --physical, emotional, psychological, familial, and the woman's age -- relevant to the wellbeing of the patient. All these factors may relate to health. This allows the attending physician the room he needs to make his best medical judgment."
So, when you applied Doe to Roe's trimester scheme, all you need for a third trimester abortion is for the doctor to decide that ANY of those factors make it 'necessary', and you got doctors who'd prescribe an abortion on the theory that being upset over giving live birth was a mental health threat.
My point was that Roe DID require "abortion on demand." Even if we concede that Roe itself did not require third trimester abortions, it fully protected them in the first two trimesters.
So if we want to be pedantic and say that restricting abortions in the third trimester means no abortion on demand (because you can't demand it in the third trimester) then Burger was terribly disingenuous because he left the implication that there were broad and meaningful limits on abortion when the only limit was that it could not be done at absurdly late term in pregnancy.
If Burger meant something different---that Roe should be read to allow states leeway in banning or regulating abortions---it is certainly not based on anything said in Roe.
Had Chief Justice Burger not joined the majority in Roe v. Wade, 410 U.S. 113 (1973), Justice Douglas would likely have assigned the opinions of the Court in Roe and Doe v. Bolton, 410 U.S. 179 (1973), to himself. Douglas's reasoning in Bolton, 410 U.S. at 209-221, was more persuasive than Justice Blackmun's opinions of the Court in either case.
In The Vicar of Christ, the different reality Roe v. Wade was 5-4 with the liberal Catholic Chief Justice dissenting (along with a Frankfurter stand-in). The Douglas stand-in wrote the majority opinion. Alito wrote a prologue to one edition of the book, since it was written by his former advisor.
Huh?
Poe's Law?
I don't find his concurrence necessarily persuasive. He does cite more cases and develops the privacy doctrine a little more but it suffers from the same flaw in that it begs the question of whether abortion is just another form of contraception as in Griswold or Eisenstadt. It assumes that privacy controls an abortion decision.
That's not to say that Douglas is objectively wrong---I'm sure you agree with him and you aren't alone--but it simply assumes the answer to the question that it is supposed to be grappling with.
"Blackman diverts into an unnecessary attack on Chief Justice Burger. "
I'm shocked Josh would ever unnecessary attack someone he disagrees with. Shocked I tell you.
Chief Justice Burger is an interesting case because, in the literature on strategic voting on the Court, he is often used as the primary example. It's claimed that during the conference vote stage Burger would initially pass rather than state his vote in a given case. Once the rest of the votes were cast by the other justices, Burger would then cast his vote in-line with the majority. This gave him the ability to assign the opinion to himself or someone in the majority who shared his views. One academic paper uses justice Powell's conference notes, where he indicates the votes of each justice.
In short, the literature indicates that Burger engaged in strategic voting at the conference stage for the purpose of controlling the content of opinions.
Roe DID require "abortion on demand."
Roe v. Wade blocked the government from denying the supply of abortion services if a doctor willingly provided them.
A person did not have a constitutional right simply to "demand" abortion services. For instance, a provider might cut services at 16 weeks. A person could not simply "demand" an abortion.
A person also doesn't have the right to demand an abortion for free. Later opinions held, with three Roe justices going along, the opinion also didn't make the Hyde Amendment unconstitutional.
OTOH, a person has the right to demand a lawyer, with the government supplying one if necessary, in certain cases.
If Burger meant something different---that Roe should be read to allow states leeway in banning or regulating abortions---it is certainly not based on anything said in Roe.
The basic core right that could not be blocked by the government involved abortion services in consultation with a physician. States had the "leeway" to not allow abortions to be provided by a nurse practitioner. A separate case clearly said as much.
First trimester abortions are "left to the medical judgment of the pregnant woman's attending physician." States have leeway in regulating medicine. Abortion, like other medical procedures, could involve consent rules, recordkeeping, physician training, etc.
(Later cases upheld multiple abortion regulations, including those that fell into the first trimester. Planned Parenthood v Danforth, for instance, discussed some such regulations.)
Roe v. Wade also notes that the "State, in promoting its interest in the health of the mother, may, if it chooses [aka leeway], regulate the abortion procedure in ways that are reasonably related to maternal health."
Again, that provides a lot of "leeway" in the regulation of abortion. One general area of leeway was providing abortion for minors. The bare requirement to avoid prohibiting abortions leaves open various parental involvement laws, for instance.
Doe v. Bolton struck down certain types of regulations. Nonetheless, leeway was left, and later opinions, sometimes by a vote of 9-0, upheld multiple regulations.
The opinion also leaves open a "ban" of abortion in certain situations, including when it is not in consultation with a physician (e.g., simply going to the pharmacy and picking up an "abortion pill"). The government cannot similarly ban adults from getting books. They don't need to first consult with a librarian.
If an abortion procedure is dangerous (a relative term), a state might ban it. Yes, like with banning a "dangerous" gun, the state cannot do so willy-nilly. But they still have some discretion.
Third-trimester abortions might be banned in certain cases.
I think Chief Justice Burger was correct to argue that the opinions did not provide the misleadingly framed "abortion on demand."
"Abortion on demand" never meant that you'd get it for free, or that there weren't bureaucratic hurdles to surmount.
It just meant elective abortion, rather than having to demonstrate some sort of medical need for it.
So the only person being misleading here is you, by constructing a strawman version of "abortion on demand" to knock down. Congratulations, you scattered that straw far and wide.
You're being disingenuous. As with "defund the police," an advocate doesn't get to use a broad slogan and then blame other people for thinking they meant that broad slogan. Live by the bumper sticker, die by the bumper sticker.
This is a very cramped view of the way that phrase has been commonly used. Nobody seriously suggests that "abortion on demand" means that a person can open his front door, yell for an abortion, and someone will come running to perform it.
The phrase has always meant that elective abortions are legal as opposed to needing a special reason for one. This is not a situation where the phrase is imprecise and there is no suggestion that Burger was using it in the idiosyncratic way mentioned above.
In fact, once Burger realized that Roe DID stand for the proposition of abortion on demand, he retracted his earlier endorsement of it. That led to my question: What exactly did he think Roe meant?
Strictly speaking, that's not true. It's not an affirmative right to a lawyer; the government simply can't proceed with those cases if it hinders/refuses to supply one.
"abortion services in consultation with a physician"
A consultation:
"Do you have the money?"
"Here it is."
"OK, based on our consultation I will give you an abortion."
Yeah. For all of the "it's between a woman and her doctor" the vast majority of women do not go to their doctor to have an abortion performed.
They go to a seedy run down chop shop, similar in character to a pawn shop, a tattoo parlor, or bail bonding agency, and get the bare minimum of care, cash and out the door. There is no ongoing relationship or consultation between a person and a caring medical professional.
I have no problem with people being in favor of legal abortion, but they should at least be honest about what it is. Women who need a D&C for miscarriage management, for example, are put under general anesthesia in a hospital under the care of a surgical staff, not treated like those in an abortion clinic.
But when a state starts to mandate care like that, abortion rights supporters claim that such measures are wholly unnecessary and simply add additional costs to the procedure. This is refuted by the simple fact that health insurance companies pay for these supposedly unnecessary things for miscarriage management.
I had a lot more respect for the past Democratic argument that abortions were a necessary evil; that they should be "safe, legal, and rare." The modern Dems seem to view abortion as a positive good for society and feel that we are not functioning properly without max abortions.