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The Supreme Court and its Impact on the HIV/AIDS and LGBT
Communities
Introduction
The Supreme Court has
long been the final recourse of the oppressed and disenfranchised
and demonized. Arguably, it is the branch of government most likely
to respond not to the numbers of the majority, but to the rights of
the marginalized minority. Today, when two out of three branches of
the government are dominated by a conservative agenda, it is even
more critical that the high court uphold the rights under attack by
Congress and the White House.
The nomination of
John Roberts to the Supreme Court has been met with strong
opposition from social and economic justice organizations around the
country, including HIV/AIDS and lesbian, gay, bisexual, and
transgender (LGBT) organizations, and rightfully so. Even before it
was revealed that Roberts advised President Reagan not to assure the
American people that AIDS is not transmissible through casual
contact,
it was evident that his ascendance to Justice would be spell
disaster for people living with HIV/AIDS (PLWHA) and the LGBT
community.
Opposition to Roberts
is just the first step. Beyond this confirmation and the next may
lie ten, twenty, or thirty years of a hostile court.
For the LGBT and
HIV/AIDS communities, the stakes could not be higher.
We must anticipate a court that may well let stand attacks on
civil rights, Roe v. Wade, civil liberties, and immigrant
rights; a court that rubber stamps gender discrimination and sex
discrimination; a court that does not recognize a fundamental right
to privacy.
The pages the follow
are both primer and preparation; an attempt to ready ourselves and
our communities for the struggle ahead. Part I examines the
consequences of an ideological shift in the court, deconstructing
the meaning of federalism, court-stripping, and “strict
contructionism.” Part II provides a brief, issue-by-issue overview
of what the HIV/AIDS and LGBT communities may be confronting in the
years ahead. While there is little doubt that gay marriage will
eventually come before the court, decisions on other issues with
far-reaching, long-lasting, and potentially devastating effects for
LGBTs and PLWHA also loom: Roe v. Wade; privacy rights; the
Americans with Disabilities Act; civil rights and equal protection;
separation of church and state; immigrant rights; and First
Amendment protections.
I.
The big picture: federalism, strict constructionism, and expansion
of executive power
The new court may
well be defined by its ideological commitments to federalism,
so-called strict constructionism, and increased power of the
executive. In the current political climate, deference to any one of
these paradigms could mean the erosion of rights and protections for
any number of stigmatized groups and individuals, with devastating
effects on the LGBT and HIV/AIDS communities.
Federalism a.k.a. “states’ rights”& court
stripping
In the literal sense,
“federalism” refers simply to the distribution of power between the
federal government and the states. In judicial philosophy and
political practice, federalism is understood to elevate states’
rights and diminish the role and the reach of the federal
government.
Historically,
federalist, or “states’ rights,” arguments have been deployed to
undercut national efforts to enact civil rights laws and enforce
voting rights, desegregation, and equal protection guarantees. A
Supreme Court guided by strict federalist principles is likely to
limit the scope of federal civil rights laws, including the landmark
1965 Voting Rights Act (currently up for renewal) and the Americans
with Disabilities Act (ADA). For example, a federalist court could
rule that the use of the ADA to sue in state court is an
infringement on states’ rights.
For over fifty years,
the Supreme Court has been an important check against excessive
state rights’ claims; addressing institutional bias and
disfranchisement when the states would not.
Without the Supreme
Court, the South would still be segregated, illegal abortions would
be claiming thousands of lives, the indigent would have no right to
a lawyer, and lesbian and gay Americans could be imprisoned for
their private sexual conduct.
Closely connected to
the federalist doctrine is court-stripping, whereby
Congress divests courts (Supreme and
otherwise) of their jurisdiction over certain issues. John Roberts,
President Bush’s pick to replace Chief Justice William Rehnquist,
has argued the legality of stripping federal courts and the Supreme
Court of their jurisdiction over broad classes of civil rights
cases, including desegregation.
He has also argued the constitutionality of restrictions on federal
courts’ power to hear school prayer cases and of legislative
attempts to stop the Supreme Court from hearing
challenges to ‘voluntary’ school prayer
laws altogether.
Congress makes law, but its members are
elected by the majority. The high court, being beyond the reach of
the electorate, is in a position to protect the minority from the
tyranny of that majority. LGBTs and PLWHA have turned to the courts
to uphold our civil rights and liberties. No minority can afford to
cede this protection.
Strict contructionism (a.k.a. originalism,
a.k.a. strict constitutionalism)
“The pro-life, pro-family movement
has never asked for anything other than a constitutionalist judge;
that is, a judge who would interpret the Constitution faithfully,
and respect the limits of his [sic] own power and the distinction
between interpreting and making the law.
“We are confident that any judge who
is faithful to the text of the Constitution and respects the
distinction between lawmaking and judging will understand it is the
right of the American people to deliberate and decide the question
of protecting human life.”
–Tony Perkins, July 21, 2005
Family Research Council Statement
on the Role of a Supreme Court Justice
A strict
constructionist reading of the Constitution has been embraced by
those who seek to curtail civil rights for LGBTs and reproductive
rights and freedoms, and forward a Christian Right agenda. Forty
years of social justice gains by the LGBT and HIV/AIDS communities,
as well as by women, people of color, people with disabilities, and
others, may well be lost if a new majority on the Court interprets
the Constitution narrowly, limiting its protection to what is
presumed to have been the drafters’ intent. The concept of the
Constitution as a living document has already been rejected by
Justice Antonin Scalia who has stated that women do not have the
right to an abortion because “the Constitution says absolutely
nothing about it.”
Looking forward, the
issue of originalism will grow more salient, as the court inevitably
encounters advances in, and applications of, technology and medical
science that the founders could never have imagined.
Executive powers
The Supreme Court is
often the last resort of the aggrieved because it is an independent,
separate branch of government and not a mere annex of the executive
branch. If the president’s nomination of John Roberts is any
indication, that autonomy, and the protection it affords, may be
weakened considerably. As a U.S. Court
of Appeals judge, Roberts
advanced executive power creep,
ruling that the Geneva Convention did not apply to detainees at
Guantanamo Bay because the executive branch had the authority to try
enemy combatants in military commissions.
While this case did not directly address the rights of LGBTs or
PLWHA, it is illustrative of what some legal scholars have seen as a
larger, aggressive push by the Bush Administration to expand the
limits of executive authority.
Should this inflation
of executive power extend in other directions, the HIV/AIDS and LGBT
communities could be in trouble. A court that does not check the
power of an executive who has shown his animus toward gay rights,
secularism, civil liberties, and science and his unbridled support
of the Christian right’s agenda, champions the presidency at the
expense of the people.
II. Issue
by issue
The Americans with Disabilities Act
The first case
concerning the Americans with Disabilities Act (ADA) to reach the
Supreme Court was also the first HIV-related case brought before the
nine justices. At issue was the biasing of care according to HIV
status.
The ADA provides remedy for any individual who can demonstrate that
he or she has “a physical or mental impairment that substantially
limits one or more of the major life activities of such individual”
or is “regarded as having such an impairment.”
By just one vote, the court ruled in its 1998 Bragdon v. Abbott
decision that HIV does indeed limit a major life activity (in this
case reproduction) and is protected by the ADA, ergo healthcare
providers cannot refuse HIV+ patients treatment. Chief Justice
Rehnquist disagreed, finding that HIV+ people are not entitled to
ADA protection on the grounds that reproduction does not constitute
major life activity. Had Rehnquist carried the day, access to care
for PLWHA would have been radically compromised.
Since Bragdon, the Court has decided twenty ADA cases
– often by very slim majorities. The National Coalition for
Disability Rights reports that Justices Scalia and Thomas have ruled
against people with disabilities time and again and predicts that
that one more justice in their mold will
mean the erosion, if not outright reversal, of many or the historic
gains made by people with disabilities.
The first test of this may come as early as November 2005 when the
Supreme Court is scheduled to hear oral arguments in the
matter of Goodman v. Georgia.
At issue in Goodman
is whether the ADA allows state prisoners to sue the state for
disability-based discrimination.
While HIV status is not a factor in Goodman, the case
has the potential to directly affect the large number of people
living with HIV in prisons, many of whom are isolated because of
their status and denied access to services and programs offered to
non-disabled prisoners.
HIV-positive prisoners are regularly deprived of proper medical
treatment, as state prisons often fail to make reasonable
accommodations to meet the health standards required to sustain
their well-being.
A ruling in favor of Mr. Goodman may afford incarcerated PLWHAs a
legally recognized cause of action under the ADA and could be
applied beyond state prison systems and to other state-run
facilities.
Conversely, a ruling
against the plaintiff could mean fewer avenues of redress for people
who have been discriminated against based on HIV status or
AIDS-related disability. If the new court tilts toward a federalist
judicial philosophy, it could rule that Congress infringes on states
rights when it enacts legislation that exposes states to litigation.
Thus, even if the Court acknowledges discrimination, it may decide
that there is nothing the federal government can do about it.
Given this, and given
the fact that the list of major life activities has been narrowed
throughout the history of ADA litigation, it is critical that the
next Supreme Court justice give great deference to Congress’s
original intentions in creating the ADA and interpret it broadly.
Civil rights & equal protection
In 1992, voters in
Colorado approved Amendment 2 – barring local governments from
enacting laws that protect against discrimination based on sexual
orientation. Four years later, in Romer v. Evans, the Supreme
Court ruled that Amendment 2 violated the equal protection clause.
Justices Rehnquist, Thomas, and Scalia dissented. Scalia wrote that
the measure was constitutional because it reflected voters’ “moral
disapproval of homosexual conduct.”
The same assertion was made in the 2003 Lawrence dissent,
where the same three justices defended sodomy laws as promoting
“majoritarian sexual morality.”
This type of argument presents a double threat for the LGBT
community.
First, if accepted by
the highest court in the land, the premise that personal morality as
defined by the majority determines constitutionality could decimate
civil rights; protections for racial, ethnic, and religious
minorities, women, secularists, LGBTs, and PLWHA. would be left
vulnerable to popular fiat.
Second, any manner of
discrimination in accommodation, service, housing, employment, and
medical care could be justified by citing religious belief.
According to the Gay and Lesbian Medical Association, numerous
states are considering legislation that would allow medical
providers to deny health care to certain patients by citing “moral
or “ethical” beliefs.
In California,
Benitez v. North Coast Women’s Care Medical Group provides a
cautionary tale of how health care access can be limited or even
withheld by deploying a religious rationale. Guadalupe "Lupita"
Benitez is a lesbian. Her fertility doctors, who inseminate other
women as part of their California practice, refused to do the same
for her. They are asserting a religious exception to the state’s
civil rights laws, maintaining that they need not comply because
they are fundamentalist Christians. As of this writing, parties are
awaiting an oral argument date in the California State Court of
Appeals.
A Supreme Court
dominated by a judicial philosophy such as Scalia’s or Thomas’s will
allow Christian fundamentalist belief to eclipse all other ethical
compasses and trump antidiscrimination guarantees. LGBTs and PLWHA
know too well the perils of medical neglect, bias, and abuse that
have often been cloaked in religious rhetoric.
Our experience
teaches us that a religious exception to anti-discrimination laws
means an end to fair health care access for all. If doctors are
allowed to deny treatment to people with whom they have a religious
objection, clients such as ours will again be put at great risk and
the stigma of HIV/AIDS will intensify, with terrible repercussions.
– Oscar De La O,
Executive Director of Bienestar Human Services
Roe v. Wade, Lawrence,
privacy, and health care access
We are as close to
seeing Roe v. Wade overturned as we have ever been. In
addition to a political and ethical commitment to reproductive
rights and freedoms, the HIV/AIDS and LGBT communities have relied
on Roe as settled law – both as individuals who availed
themselves of safe, legal, and accessible abortions, and as
constituencies who cited the 1973 decision as a supporting legal
precedent in Lawrence v. Texas. The latter Supreme Court
ruling overturned sodomy laws in Texas (and in the twelve remaining
states where they were still on the books) as a violation of privacy
rights under the due process clause of the 14th Amendment. At the
time, some commentators predicted that the 2003 decision would
signal an expansion of privacy rights. That optimism could prove to
be premature. Justices Scalia and Thomas have already ruled
elsewhere that as far as bodily integrity or reproduction is
concerned, there is no Constitutional right to privacy.
This could well become the majority opinion of a new Supreme Court.
Both Roe and
Lawrence rest on Fourteenth Amendment protections (“…nor
shall any state deprive any person of life, liberty, or property,
without due process of law”). As Roe goes, so too may go
LGBTs rights to bodily integrity, sexual intimacy, and privacy. Even
if the Court does not overturn Roe, it may significantly
undermine its applicability by placing undue burdens on providers,
advocates, and women seeking abortion and other reproductive
services. Richard Schragger, a professor
at the University of Virginia School of Law, warned
that a reconstituted court “will have to
decide the constitutionality of bans on so-called partial-birth
abortion, and it may have to address revived state
spousal-notification laws and restrictions on abortion providers,
such as zoning laws or government filing requirements.”
If banning medical
procedures, notifying third parties, or zoning providers out of
given localities are declared constitutional, health care access in
general will be further compromised. It was already dealt a blow by
the Rust v. Sullivan decision in which the high court upheld
a gag order on doctors working in federally funded programs, barring
them from discussing abortion with their patients. A gag order on
anybody hurts everybody. Censoring doctor-patient communication sets
a bad precedent – one that would jeopardize the lives of people with
HIV/AIDS who rely on free, unfettered, information, and would
severely undercut prevention and education efforts.
Gender
discrimination and civil rights
For the last fifteen
years, individuals who do not conform to mainstream gender roles, or
whose gender identity does not follow societal dictates for their
biological sex, have turned to federal district and circuit courts
to secure their rights.
This recourse, though
still limited in significant ways, has begun to open up for
transgender people, butch women, femme men, and other gender
nonconformists, as a result of the Supreme Court’s ruling in the
1989 Price Waterhouse v. Hopkins case. The court held that a
woman who was denied a partnership because she did not “walk more
femininely, talk more femininely, dress more femininely, wear
make-up, have her hair styled, and wear jewelry” could bring claim
under Title VII of the 1964 Civil
Rights Act. The court determined that Title VII prohibited the
“entire spectrum” of sex discrimination, including discrimination on
the basis of gender stereotypes.
The Supreme Court in 1989 was very
different than the court today. Thurgood Marshall, William Brennan,
and Harold Blackmun sat on the bench. Even so, the decision was
neither uncomplicated nor unanimous (Kennedy, Scalia, and Rehnquist
dissented),
making it all the more important that future justices demonstrate
their commitment to an interpretation of Title VII that upholds
equity for all gender transgressors and nonconformists.
Church-state separation and the intrusion of
religion into science, social services, public policy
As legal scholar
Richard Schragger noted, church-state
jurisprudence often turns on a single vote.
The next justice, he wrote, “could provide the fifth vote to return
prayer to schools, allow a significant expansion of
government-sponsored religious displays and funnel more money to
faith-based service providers.”
History has shown
that LGBT people, and not only LGBT people, have faced
discrimination when religion has intruded into the public sphere.
The accelerating encroachment of religion into the realms of
science, social services, public policy, and education poses a
significant hazard to the HIV/AIDS and LGBT communities. Under the
present administration, the Christian Right has destabilized AIDS
care, treatment and prevention in the U.S. and abroad. Life-saving
research has been squelched to the extent that scientists have been
advised by the National Institutes of Health to self-censor their
funding proposals.
The federal government has dispatched auditors pursuing a
conservative Christian agenda to scrutinize AIDS organizations.
Abstinence-only mandates and anti-condom disinformation campaigns
menace domestic and international efforts. It is in this larger
context that the Christian Right’s progress in the judicial arena
must be viewed.
A core component of
the Christian Right’s agenda has been to secure religious exceptions
to civil rights protections. The biasing of patient care [see above]
is but one example. In the years ahead, the courts may address the
constitutionality of the administration’s Faith-Based Initiative,
whereby religious organizations receive public money to operate
social service programs. The initiative would exempt these
organizations from employment antidiscrimination laws, diverting
scarce funding to religious entities who openly admit their
noncompliance with the civil rights law.
Congress will likely
take up the Faith-Based Initiative piecemeal, as federally funded
programs come up for reauthorization. Proponents of “charitable
choice rules” will attempt to eliminate civil rights protections
from these programs. With two out of three branches of the federal
government moving to enshrine employment discrimination in
tax-supported programs, there is a desperate need for the third
branch, the Supreme Court, to hold the line if called upon to do so.
Immigrant rights
In 1952, Congress
passed the Immigration and Nationality Act, better known as the
McCarran-Walter Act. Among those listed as “ineligible to receive
visas” and “excluded from admission” were “aliens afflicted with
psychopathic personality” and those “coming to the United States to
engage in any immoral sexual act.” Also declared inadmissible were
“[a]liens afflicted with …any dangerous contagious disease.”
These provisions laid the foundation for the U.S. immigration ban on
lesbian, gay, and bisexual immigration – on the books until 1990 –
and the existing bar on HIV-positive individuals – added to the
exclusion list in 1987 by the Department of Health and Human
Services (more specifically by the U.S. Public Health Service). When
HHS later tried to reverse this move, Congress stepped in and
codified the ban. The resulting 1993 law continues to block entry to
HIV positive people and deny any type of legal status to positive
immigrants already in the country except in extremely limited
circumstances.
While it is true that
Congress has near absolute power over immigration regulation, the
courts have issued rulings of immense importance to the LGBT and
HIV/AIDS communities. In the 1967
Boutilier v. Immigration and Naturalization Service
decision, the Supreme Court
upheld an order of deportation issued solely because
Boutilier was gay. The court found that
his homosexuality confirmed that he was “afflicted with a
psychopathic personality,” statutory grounds for exclusion.
Consequently, the ban stood for another 23 years.
It was a federal
court judge who ordered the U.S. government release over two hundred
HIV-positive Haitians from Guantanamo Bay in 1993. Deemed
inadmissible because of the HIV Bar, some had been held for as long
as two years before the order granted them entry into the U.S.
In 2000, the
Ninth Circuit Court of Appeals ruled in favor of a female-identified
gay man seeking asylum. The
Hernandez-Montiel v. Immigration and Naturalization Service
ruling concluded that “In
Mexico, gay men who have female sexual identities constitute a
particular social group for asylum purposes.” In the opinion of the
Ninth Circuit, Hernandez-Montiel had established both “past
persecution and a well-founded fear of future persecution upon
return to Mexico.”
The significance of the Ninth Circuit’s
ruling in Hernandez cannot be overstated. It continues to be
cited by attorneys and advocates for LGBT immigrants. These are
inhospitable times for immigrants and for LGBTs; we can ill afford a
Supreme Court, charged with upholding or striking down lower court
rulings, that is equally hostile.
Solomon Amendment, First Amendment
The next explicit LGBT rights case the court will hear will
undoubtedly be FAIR v. Rumsfeld.
Since 1990, the Association of American Law Schools has required
all its member schools to ban recruiters from firms who do not
“observe the principles of equal opportunity.” This includes the
armed forces. The Solomon Amendment is Congress’s response to the
AALS regulations. In short, federal funding is conditioned on
accommodation of an openly and admittedly discriminatory recruiter.
Any school that limits the efforts of military recruiters on its
campus will be denied grants and contracts from the U.S. Departments
of Health and Human Services, Education, Labor, and Transportation
(not to mention the CIA, the Departments of Homeland Security and
Defense, and the National Nuclear Security Administration). The
high court will decide whether Solomon violates the schools’ First
Amendment rights to protest against discrimination based on sexual
orientation. In so doing, it may go a long way toward establishing
the limits of dissent and of First Amendment protections;
protections upon which movements for liberation and equality are
intrinsically based.
Conclusion: Thinking past the first Monday in October
Social movements, not just Supreme Court justices, make law.
–Lani Guinier
The height of the
bench and the cut of the robes notwithstanding, the nine justices of
the Supreme Court are flesh and blood; products of the times they
live in – not disinterested or dispassionate observers of their
age. They stand, like all of us, inside history, not apart from
it. There is a relationship between social movements and Supreme
Court decisions. Just as advocates select and litigate cases
tactically, when they perceive the sweep of history to be on their
side, justices themselves respond to a movement’s demands by either
affirming or undermining its claims. In other words, there are
reasons Dred Scott was decided as it was in 1857 (in a 7-2
decision) and Brown as it was almost one hundred years later
(a unanimous ruling).
Of course, social
movements come from all quarters and the politically unpopular
seldom control the zeitgeist. There is certainly every reason to
expect that the courts, in either majority or dissent, will respond
to the rise of the Christian Right. Its rhetoric has already
permeated the high court, as when Justice Scalia opined in his
Lawrence dissent that “law-profession culture…has largely signed
on to the ‘homosexual agenda.’”
Admittedly, the
future of egalitarianism looks grim, but if the triumph of justice
is not inevitable, neither is its disintegration. The LGBT and
HIV/AIDS communities need not be prophetic, merely visionary (as
usual), strategic, and unyielding in our pursuit of a fully
inclusive, fully human, human rights agenda.
For starters, we
cannot be afraid to articulate what we want when it comes to filling
vacancies on the bench, even if we know we won’t get it. While there
has been much discussion of the need for a “moderate” and a
“consensus builder” on the court, it falls on our communities to
ask: What is moderate in this climate? Whose issues and interests
will be sacrificed in the name of consensus?
Now is the time to
ask: What is our non-negotiable bottom line? What would trigger an
all out call to arms? How do we move forward (or at least slow a
backward slide) under the new court? When do we consider litigation
and when do we avoid it at all costs? What kinds of movement
building can we do, thinking five, ten, twenty years down the line?
We either raise these
questions now, or live with the answers others provide. The urgency
could not be greater.
Gay and Lesbian Medical Association, “Expert Medical, Civil
Rights, and Community Health Organizations Unite to Oppose
Religiously Based Discrimination in Health Care,” news release,
27 July 2005.
Richard
Schragger, “At Risk: Roe, Rights and Religion,” Los Angeles
Times 21 July 2005.
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