Supreme Court Sacrifices Reproductive Choice for Religious Rights
The most recent rift between religious conservatives and the Roberts Court has come to an end. After delivering a series of setbacks over LGBTQ and abortion rights, the Court handed religious conservatives a major victory. On July 8th, Clarence Thomas penned a 7-2 ruling solidifying religious autonomy and diminishing reproductive choice.
In Little Sisters of the Poor v. Pennsylvania, Thomas gutted the reach of the Affordable Care Act’s contraceptive mandate–which requires health plans to offer employees a range of no cost contraception. The decision licenses federal agencies to expand the types of employers who can seek religious exemptions. In so doing, it provides ample space for almost any employer to refuse to provide contraceptive coverage.
Opponents have challenged the Obama-era mandate–created by the Health Resources and Services Administration (HRSA)–in court several times over religious exemptions. Thomas’s opinion is the most recent in a long line of decisions sacrificing contraceptive choice to satisfy religious conservatives.
Hobby Lobby Strikes Again
The first major legal blow to the contraceptive mandate occurred in 2014 when crafting giant Hobby Lobby sued the Obama Administration over religious objections to certain forms of contraception. Hobby Lobby, a family-owned business, argued that their religious beliefs exempted them from having to comply. The Supreme Court agreed.
The Court relies on the Religious Freedom and Restoration Act (RFRA) in their 5-4 opinion to protect Hobby Lobby and any other private or “closely held” corporation from having to follow federal policies that violate their religious beliefs. Little Sisters of the Poor uses Hobby Lobby to amplify RFRA as a conservative weapon against contraceptive choice (and likely other progressive causes).
Thomas’s opinion upholds Trump guidelines that expand the list of organizations who can claim religious objections to the contraceptive mandate. These guidelines now allow even publicly held corporations to express religious or moral objections to contraceptive coverage.
Thomas’s decision could leave more than 120,000 women without access to no cost birth control if more employers choose noncompliance. It also raises questions over limitations on who can claim religious exemptions under RFRA–and which policies may be next.
RFRA’s Bipartisan Roots
Congress passed RFRA in 1993 in order to safeguard the religious rights of individuals–particularly those in unpopular or minoritized religions. Democratic Members of Congress like Chuck Schumer (D-NY) led the charge in order to overturn a Supreme Court decision that could have severely burdened minoritized religious practices.
That case, Employment Division, Department of Human Services, Oregon v. Smith (1990), centers on Alfred Smith’s right to receive unemployment benefits after he was fired from his job for using peyote. Smith, a member of a Native American church, ingested peyote as part of a church service. The Oregon Supreme Court as well as lower Federal courts, each supported Smith’s religious freedoms. But eventually, after multiple appeals, Oregon unemployment officials prevailed.
In an opinion crafted by the late Justice Antonin Scalia, the Court argued that supporting “a private right to ignore generally applicable laws” is not only “a constitutional anomaly” but would be akin to “courting anarchy.” To side with Smith’s religious rights, warned Scalia, “would open the prospect of constitutionally required religious exemptions from civic obligations of almost every conceivable kind.”
Scalia’s decision in Smith imposed a new and more restrictive conception of religious freedom. The Smith doctrine provided the government with more latitude to disregard the religious nature of policy infractions — a fact which especially hindered the freedoms of religious minorities like Albert Smith.
When Congress passed RFRA, it did so to protect any individual who might be persecuted or sanctioned because of their private religious practice. For instance, during hearings, members of Congress frequently referenced the drinking of sacramental wine or accommodations for the Sabbath. Of special interest, according to Senator Orrin Hatch (R-Utah) were individuals “whose religious beliefs and practices differ from the majority in a State or in the country.”
RFRA restored pre-Smith religious protections in two ways. First, it asks government actors to articulate a “compelling reason” for requiring individuals to comply with policies that encroach upon their religious beliefs or practices. Second, RFRA asks government actors to show that there are no other alternatives available to achieve those policy goals.
Conservatives Commandeer RFRA
Despite its bipartisan roots, Hobby Lobby transformed RFRA into a distinctly conservative legal juggernaut, a harbinger of the religious “anarchy” that Scalia had foretold. It has been especially costly to LGBTQ and women’s rights.
As Rea Carey, Executive Director of the National LGBTQ Task Force, explained, shortly after the decision:
“If a private company can take its own religious beliefs and say you can’t have access to certain health care, it’s a hop, skip and a jump to an interpretation that a private company could have religious beliefs that LGBT people are not equal or somehow go against their beliefs and therefore fire them….The implications of Hobby Lobby are becoming clear.”
Conservative groups seized upon Hobby Lobby to push for state-level RFRAs, specifically to protect the anti-gay, anti-choice positions of their constituents. For instance, when LGBTQ allies strong-armed Governor Mike Pence into signing a law prohibiting anyone from using Indiana’s RFRA to legitimize LGBTQ discrimination, conservatives recoiled. The amendment, they decried, is a “hammer to destroy religious freedom for Hoosiers around the state.”
Without RFRA, conservatives warned, “Christian bakers, florists and photographers would no longer have the benefit of Indiana law to help protect them from being forced by the government to participate in a homosexual wedding.”
Even the Court’s recent opinion prohibiting LGBTQ employment discrimination all but endorsed RFRA as a pathway for maintaining discrimination. Writing for the majority, Neil Gorsuch hinted that RFRA could be used to shield religious objectors from having to comply with the ruling.
“Because RFRA operates as a kind of super statute, displacing the normal operation of other federal laws,” explained Justice Gorsuch, “it might supersede Title VII’s commands in appropriate cases.”
Now, with Little Sisters of the Poor, what started as a bipartisan effort to protect minoritized religious practices has become a wrecking ball wielded by conservative majorities to dismantle civil rights and diminish choice.
A Potentially Limitless Legacy
Thomas’s decision, however, does more than expand RFRA. In his own words, it also provides HRSA (and other agencies) with “virtually unbridled discretion to decide what counts as preventive care and screenings” and “equally unchecked” authority to “identify and create exemptions from its own guidelines.”
Without explicit legislative limits suggesting otherwise, religious conservatives could have a steady supply of options to subvert the ACA. That is, so long as they have a Republican president to heed their call. Those seeking to privilege their own religious beliefs can simply lobby the executive branch to enact religious or moral exemptions. Unless Congress specifically precludes the exemptions, there could be few limits on executive agency discretion.
In fact, coupled with Hobby Lobby, Little Sisters of the Poor would seem to actually obligate legislators and agencies to consider religious exemptions in any policy–not just for religious institutions but for any individual or organization.
This has special and dangerous implications for women, the LGBTQ community, racial minorities or any frequent target of religious ire. Sure, these groups will always contend with the burdens of bias. Those without majority status can never really bank on state support. Nevertheless, where legislative and legal protections exist, they can provide a critical safety-net.
These protections are now largely irrelevant. RFRA provides a miles-wide loophole that exempts organizations from complying with laws that protect civil rights. It remains to be seen just how willing organizations will be to reap these benefits…and just how costly it will be to communities who have the most to lose.
I’m struck that Scalia’s replacement would trash his doctrine so easily. But then again, a number of conservative jurists really don’t seem to care about precedence.
These sort of outcomes always remind me that left leaning religious folks (and we do exist) do an abysmal job both of litigating issues like this to our advantage, and of framing the UnChristian nature of these outcomes. True Christians are nowhere to be found in these decisions, but we have yet to come up with a good counter narrative, much less litigation strategy.Report
So, the only true Christians are the ones who agree with you politically?Report
um not. The only true Christians are the ones who follow Christ. And most of this litigation runs afoul to Christ’s teachings.Report
Agreed. There is nothing inherently partisan about the religious freedom argument. After all RFRA was in many ways initially a liberal cause. And yet progressive religious folks have yet to mount a successful attack on the ways in which conservative religious folks have commandeered religion to advance a very specific notion of religious liberty. It would be great to see liberal religious employers use RFRA to opt out of policies they find objectionable.Report
Is this a plot to make Medicare for All more popular?Report
Meh. The Dems have gotten 97% of what they wanted on the contraception mandate but decry the 3% as a literal Handmaid’s Tale. If they really wanted to improve access, they would follow the recommendations of the American College of Obstetricians and Gynecologists that all birth control be made available OTC, which would make it both cheaper and easier to get. But that would run afoul of Planned Parenthood and their $45 million, so …Report
Planned Parenthood has been advocating to make birth control pills OTC for decades. Considering the legal wrangling that still goes on over making the morning after pill OTC I’m not sure why you think they’d object . . . .Report
This is a little overwrought, in my opinion. Yes it’s a rollback but it’s also a clarifying moment. It may have been an error to try and link provision of birth control to employment. Fortunately, unlike healthcare in general, birth control is not enormously expensive. It seems to me the logical response to this ruling would be for the Dems to simply work to create a program for assuring affordable access to birth control for all women regardless of employment status. Nothing for the religious to opt out of your inveigle against there.Report
Good news! Contraceptives are still legal, and available for purchase at a reasonable price. Reproductive choice remains safe! If you feel that the best way to promote your ideology is to grossly misrepresent the issues, maybe you should stop and think about what that says about your ideology.Report
Condoms for men are still cheap and widely available. Vasectomies for men are still cheap because they are covered by insurance (and none of the litigants objecting to providing birth control to women seem to object to providing it to men this way). Some insurance covers tubal ligation for women under some circumstances.
But Birth control pills – which is the heart of this litigation – are not cheap, are not widely available (you need a prescription), and will now likely be dropped by many plans due to this decision.Report
The problem here seems less of a religious freedom v. reproductive rights and more another bullet to the list of shortcomings in our healthcare system. If employers weren’t the primary providers of benefits the issue goes away completely.Report
I think this is everyone’s second-favorite reform idea. It actually might be my first. But it would take a lot of political will to achieve.Report
I see it as the distortion from which most other distortions arise. But to your point fixing it is hard, and nothing is harder in a democracy than selling some short term pain, no matter the necessity for long term gain. That’s especially the case with something like healthcare benefits where all change is understandably scary.Report
I have an odd thought about his. I don’t know how to describe it, but here goes.
Observation 1: If one party favors a policy, and the other one opposes it, that policy would get implemented if the pro- party gained enough of the right offices. Shoving the policy down the opponents’ throats could become a rallying cry.
Observation 2: In a healthy political environment, the policies that both sides support are considered low-hanging fruit. They make their way through as individual laws, or part of some big compromise legislation.
Sick Thought: Getting rid of employer-based health insurance would be easier if one side opposed getting rid of it. It’s too momentous to be tucked away in some other bill, but it’s also too reasonable to build a groundswell and trample over opponents.
If you take something like abortion or gun laws, there are reasonable laws that 95% of the population would accept, but they’ll never get through because an active voting bloc would consider it a major loss. On this issue, there’s no such hardcore base, but legislators act the same as if there were.Report
I think the fundamental problem is that people by and large say they like their insurance, which for most is what they get at their jobs. We saw it with the ACA both with Obama’s promise people could keep what they had, and the GOP pounce when that turned out not to be 100% true.
My suspicion is what’s really at play is the tendency of humans to value what they already have more than an uncertain gain. Our system’s complexity only reinforces it. People know they have something with the employer model but in my experience don’t actually understand much about what that something is or the shortcomings of it. IMO the politics are a reflection of that reality rather than a cause.Report
Really? I assume that everyone hates their insurance, but they’re comfortable with the illusion that someone else is paying the ion’s share.Report
People hate it once they have some bad experience with a claim or something expensive not being covered. But until that happens ‘comfortable with the illusion someone else is paying for it’ prevails over the hypotheticals. And of course those stories of people falling through the cracks between structures is something that only happens to other people…Report
We like our insurance. Always have. As federal employees ours is a bit different then private sector – we get national plans to choose form since we could move around. We also pay a fair portion of the coverage. I have no illusions however about who pays what, and I am still in favor of single payer.Report
Would you support getting rid of employer-based health insurance?Report
yes. Always have. Single Payer accomplishes that.Report
Would you support it without single payer?Report
it would depend on the proposal – I have yet to see an idea to ditch employer based health insurance that wasn’t either single payer or true universal coverage (and remember those two are not the same concept nor are they necessarily linked).Report
I’d really appreciate it if someone could link to the last time we talked about Burwell v. Hobby Lobby Stores. There were quite a few posts about it, as I recall.Report
Here are two of Burt’s posts.
I’m sure it’s come up in other areas but those are the two most-lawyered ones, I’d think.Report
Thank you!Report