Abigail Alliance and therapeutic cloning

What is most interesting about Rogers' dissent in Abigail Alliance (which in its essentials was the original panel's majority opinion) is that it would interpret a historical record showing a lack of regulation as evidence of a "tradition" supporting unrestricted liberty. (The dissent is correct that the historical record of regulation laid out by the majority shows only a tradition of prohibiting fraud, not a tradition of regulation to ensure efficacy and/or safety.) This move, if it had ultimately carried the day, would have provided support for finding a fundamental right of unimpeded access to new technologies, because there is no historical tradition of regulating these technologies.

I've thought about this argument in the context of attempts by Congressional conservatives to pass a law that would prohibit therapeutic cloning, the technique by which scientists seek to create an embryo with the genome of an adult cell and then harvest embryonic stem cells for research. No one has been able to make this process work in humans yet, but most scientists think it is possible and will be perfected sooner rather than later. The ultimate goal of therapeutic cloning is to one day be able to take a skin cell from a patient, create an embryonic stem cell line with the patient's genome, and then create individualized stem cell treatments that won't subject the patient to the problem of immune system rejection.

Would a Congressional prohibition of therapeutic cloning infringe a fundamental right? If we were to interpret a historical absence of regulation as equivalent to a history of affirmative support for an individual freedom, perhaps so: there is no tradition of the states or the federal government attempting to prevent anyone from seeking the health benefits of therapeutic cloning!

The Rogers' approach never had much of chance to survive review by either the en banc Circuit or the Supreme Court (although I am surprised that she and Ginsburg couldn't garner even one additional vote when the D.C. Circuit heard the case en banc). Here's an excerpt discussing the original panel decision from my forthcoming book, Stem Cell Century: Law and Policy for a Breakthrough Technology (which will be published by Yale University Press this fall):

As a practical matter, it seems unlikely that the U.S. Supreme Court would either uphold the D.C. Circuit [panel] ruling in Abigail Alliance or determine that the due process clause provides patients with a right to seek therapeutic cloning. The majority of justices currently serving on the U.S. Supreme Court have, in previous opinions, articulated a relatively narrow view of the substantive due process doctrine. Under this prevailing perspective, the only rights protected by the due process clause that are not explicitly enumerated in the Constitution are those specific rights that have been traditionally been recognized as such in Anglo-American law. In Washington v. Glucksberg, for example, the Court refused to recognize physician-assisted suicide as fundamental right under the due process clause, leaving legislatures to prohibit the practice if they see fit. The Court majority relied mainly on the observation that the practice of assisted suicide — and, indeed, suicide in general — enjoyed no historical tradition of support in the United States, or support in Great Britain prior to the American Revolution. More generally, the Court pronounced that substantive rights under the due process clause must be "deeply rooted in this Nation's history and tradition" and stated that constitutional rights cannot be "simply deduced from abstract concepts of personal autonomy."

The Abigail Alliance [panel] attempted to inoculate itself against the current Supreme Court's negative view of unenumerated rights by claiming that there is a "long-standing tradition in our Nation that would protect individual access to potentially life-saving medication." The factual support for this claim provided in the Abigail Alliance opinion is the lack of regulation of pharmaceuticals prior to the twentieth century, rather than any evidence of governmental recognition of an affirmative right. This approach turns the reasoning of Glucksberg on its head, shifting the burden of proof on the question of historical tradition from individuals claiming a right to government actors denying the existence of any such right, and it is not likely to be accepted by the Supreme Court's current majority.

For more on the policy and constitutional issues concerning therapeutic cloning, see my article Stem Cell Research and the Cloning Wars, 18 Stan. L. & Pol. Rev. 161 (2007), available on my SSRN page, or preorder the book on Amazon!

GregC (mail):
But a history of absence of regulation is precisely the grounds on which certain other recently recognized substantive rights are based. For example, in Lawrence v. Texas, the majority over-turned Bowers v. Hardwick after finding that, historically, laws against sodomy were aimed at preventing all non-procreative sex and at forbidding adult predation on minors. Thus, a right to privacy protecting homosexual sex could be found to be "deeply rooted in this Nation's history and tradition."

Moreover, one can differentiate similar treatment of new technologies on the grounds that they're new. Thus, a right to access them can not have been "deeply rooted in this Nation's history and tradition." Medicines, on the other hand, are not new. They date at least to the 16th Century (see, e.g., Paracelsus, 1493-1541). And, as the original panel majority and the en banc dissent note, it was not until the middle of the 20th Century that free access to medicines were restricted by the U.S. government.

One might argue that cases such as Lawrence were decided incorrectly (for example, though I support gay rights, I do think the majority were grasping at straws). But, given that Lawrence is good law, I find it hard to dismiss the Abigail Alliance arguments out of hand.
8.10.2007 5:05pm
anonVCfan:
Prof. Korobkin,

You're certainly right to point out the flaw in the argument that a history of not regulating something is equivalent to a "tradition" of unrestricted liberty.

Whatever the flaws are in that argument, though, I don't think that Pilon or the dissenters would extend it to therapeutic cloning.

Inherent in the "absence of regulation = right to deregulation" argument is the assumption that legislatures deliberately declined to regulate out of respect for an unwritten right. Whatever force that argument might have with respect to medicines, therapeutic cloning hasn't really ever been a realistic possibility such that one can presume that the absence of regulation implies respect for an unwritten right.

Put differently, the failure of legislatures to prohibit something that doesn't exist yet isn't really evidence of anything.
8.10.2007 5:26pm
anonVCfan:
Reading GregC's comment more closely, I think we're making the same rather obvious point.
8.10.2007 5:27pm
Scott Ballenger (mail):
I think this analysis is very unfair to the Abigail Alliance dissenters, and to what the Supreme Court was really saying in Glucksberg, and is essentially attacking a straw man. Of course no one thinks that a tradition of non-regulation is enough to establish a fundamental right. What makes this area hard is that a tradition of non-regulation can't be enough to NEGATE the possibility of a fundamental right either. In tradition of non-regulation settings you will have neither a clear tradition of prohibition (like the traditional criminal laws prohibiting suicide that the Court found so compelling in Cruzan and Glucksberg) nor any clear tradition of judicial protection of a right against legislative overreaching (since by definition there has been no legislative overreaching for the judiciary to resist). Such cases are inevitably hard. But your implicit suggestion that all such cases should be resolved against recognizing the right is far more radical than you let on. This idea that no fundamental right can be recognized unless the proponent can point to judicial decisions affirmatively protecting that right against legislative interference prior to ratification of the 14th Amendment comes from a footnote in Justice Scalia's opinion in Michael H. v. Gerald D., and it has never been embraced by anything close to a majority of the Court. It would require the Court to overrule not just Roe but Griswold, Meyer, Pierce, Moore, etc.. At oral argument in Abigail Alliance Judge Ginsburg asked whether a state could ban the eating of meat. Then what about meat and vegetables? What about all food?

The argument made by Abigail Alliance and the two dissenters is not just the facile argument from non-regulation that you caricature. It's that in the face of a tradition of non-regulation you have to look for guidance in how the law has analyzed analogous problems that it HAS confronted. And here it is surely relevant that an affirmative right of self-defense against attack is about as deeply rooted as any principle of Anglo-American law; that the Framers called self-preservation "the first law of nature"; that interference with rescue efforts was traditionally tortious; that we have already recognized in the abortion context that there is a right to medical self-preservation, etc. etc..

You can find those arguments persuasive or not, but they aren't just "anything historically unregulated must be a constitutional right" by a long shot. Structurally, they proceed in exactly the same way as the reasoning that led the Court in Cruzan to recognize that there almost certainly is a fundamental right to refuse unwanted treatment. The Court found that right in an analogy to the common law of battery. But of course it was only an analogy. Forced treatment authorized by statute would have been privileged at common law, and so would not technically have been battery. Nonetheless the Court found the common law tort that would have applied in the absence of statutory authority to be sufficiently persuasive evidence of the law's attitude toward that particular freedom to now justify a constitutional right that could override a contrary statute. The tort of interference with rescue plays exactly the same role in the dissenters' argument in Abigail Alliance.
8.13.2007 10:34am