Right to abortion | Supreme Court temporarily upholds full access to abortion pill

(Washington) The US Supreme Court on Friday temporarily upheld access to the abortion pill, a popular method of abortion in the United States, by suspending the decision of a lower court, in order to have more time to consider the case.




This suspension is valid until Wednesday before midnight, said the Supreme Court in its decision, and the parties will have to present their arguments before Tuesday noon.

The temple of American law, with a conservative majority, had been urgently seized by the Biden government, which asked it to act before restrictions on access to this pill, ordered by an appeals court, take effect in night from Friday to Saturday.

The temporary suspension ordered by the Supreme Court does not predict its future decision on the case, the outcome of which remains very uncertain.

The current legal battle, the latest twist in the assault on the right to abortion in the United States, is at stake in access to mifepristone throughout the United States.

In combination with another drug, this pill is used for more than half of abortions in the United States. More than five million Americans have already taken it since its authorization by the American Medicines Agency (FDA), more than 20 years ago.


PHOTO CALLAGHAN O’HARE, REUTERS ARCHIVES

A packet of mifepristone

The legal saga began last week: a federal judge in Texas, seized by anti-abortion activists, had withdrawn the marketing authorization for mifepristone. Despite the scientific consensus, he felt that it posed risks to women’s health.

A period of one week was provided before his decision applied.

Seized by the federal government, the court of appeal had partially invalidated the judge’s decision, allowing the abortion pill to remain authorized for the moment – ​​but it had reversed the access facilities granted by the FDA over the years.

His judgment thus amounted in particular to prohibiting the sending of mifepristone by post, and to returning to a use limited to seven weeks of pregnancy, instead of ten.

” Chaos ”

In its request, the Biden government therefore requested a “suspension” of the judgment of the court of appeal “to preserve the status quo”, pending an examination of the case on the merits. Otherwise, he said, the restrictions would create “regulatory chaos”.

Another federal judge on the contrary prohibited the FDA from changing the conditions for the distribution of the abortion pill in the 17 states at the origin of the appeal and the capital Washington, placing the agency in an “untenable situation”, had argued the government.

Federal judge and appeals court decisions ‘ignore the millions of people who have used this drug safely,’ Fatima Goss-Graves of the National Women’s Law Center said at a small rally outside the court Supreme Friday.

They are “playing a very dangerous game, undermining the FDA’s scientific judgment for past and future drug approvals,” added Laura Meyers of the family planning organization Planned Parenthood.

The fear of pharmaceutical industry bosses, like many experts, is that these legal actions will pave the way for the courts to challenge other drugs – or even vaccines.

This is the first time that a court of justice has canceled the conditions for authorizing a drug on the basis of an assessment of its safety, replacing the experts, the Biden administration was indignant.

One of the two companies that market mifepristone in the United States, the Danco laboratory, had also asked the Supreme Court to intervene.

Restricted to Florida

On Thursday, the legislature of Florida, one of the most populous US states, also passed a law banning abortions beyond six weeks of pregnancy, before most women know they are pregnant.

States have been free to legislate on the subject since the Supreme Court struck down federal abortion protections in a landmark June 2022 decision, burying the landmark Roe v. Wade from 1973.

In fifteen states, abortion is now prohibited (with rare exceptions) – including by medication.

Backdoors exist, however, for women in these states: organizations are mobilized to offer abortion pills from abroad or from other states, and commercial sites sell them online.

Where abortion remains legal, if access to mifepristone is restricted, women would still have the option of an aspiration abortion – a more cumbersome procedure, requiring a visit to a clinic.

Some doctors are considering continuing to offer medical abortions using only the second tablet, misoprostol. But this protocol has a slightly lower rate of effectiveness and more side effects (severe cramps, etc.) than that combining misoprostol and mifepristone.


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