Ninth Circuit Says Pharmacists Can't Refuse To Sell "Morning After" Pill

The L.A. Times reports that "pharmacists are obliged to dispense the Plan B pill, even if they are personally opposed to the 'morning after' contraceptive on religious grounds, a federal appeals court ruled Wednesday. In a case that could affect policy across the western U.S., a supermarket pharmacy owner in Olympia, Wash., failed in a bid to block 2007 regulations that required all Washington pharmacies to stock and dispense the pills. Family-owned Ralph's Thriftway and two pharmacists employed elsewhere sued Washington state officials over the requirement. The plaintiffs asserted that their Christian beliefs prevented them from dispensing the pills, which can prevent implantation of a recently fertilized egg. They said that the new regulations would force them to choose between keeping their jobs and heeding their religious objections to a medication they regard as a form of abortion. Ralph's owners, Stormans Inc., and pharmacists Rhonda Mesler and Margo Thelen sought protection under the First Amendment right to free exercise of religion and won a temporary injunction from the U.S. District Court in Seattle pending trial on the constitutionality of the regulations. That order prevented state officials from penalizing pharmacists who refused to dispense Plan B as long as they referred consumers to a nearby pharmacy where it was available. On Wednesday, a three-judge panel of the U.S. 9th Circuit Court of Appeals lifted the injunction. Other constitutional challenges are pending with the district court, which had been waiting for the 9th Circuit ruling on the injunction, said Chad Allred, a Seattle lawyer whose firm represents Stormans and the pharmacists. In anticipation of the injunction being vacated, Stormans and the two pharmacists secured an agreement with the state that it would not pursue sanctions against them until the other issues were decided at trial, Allred said."

The 9th Circuit held that Washington's Pharmacy Board rules are neutral regulations of general applicability that need only meet a rational basis test rather than the strict scrutiny standard used by the district court. But within the very opinion itself the judges seem to contradict themselves on this very point.

The Ninth Circuit stated that the new pharmacy rules are nuetral because they "do not aim to suppress, target, or single out in any way the practice of any religion because of its religious content." The Court said that the regulations are generally applicable because there was "no evidence" that the State "pursued their interests only against conduct with a religious motivation. Under the rules, all pharmacies have a 'duty to deliver' all medications 'in a timely manner'" and the challenged regulations in the case do not apply "to refusals only for religious reasons." Yet the opinion also included the following not long thereafter: "How much the new rules actually increase access to medications depends on how many people are able to get medication that they might previously have been denied based on religious or general moral opposition by a pharmacist or pharmacy to the given medication." In other words, the entire success of the law they declare "nuetral" and "generally applicable" will be determined by its effect on religious people.

The Ninth Circuit itself quotes Supreme Court precedent to support the idea that the district court should not have looked to legislative history to determine whether a law is nuetral. The Ninth Circuit writes that "Justice Scalia, the author of the Smith opinion," one of the main cases the Ninth Circuit relies upon, "explained that the Free Exercise Clause 'does not refer to the purposes for which legislators enact laws, but to the effects of the laws enacted.'” How does that then square with the apellate court's own declaration that the increase in the avaliability of medication "depends on how many people are able to get medication that they might previously have been denied based on religious or general moral opposition by a pharmacist or pharmacy to the given medication"?

Business owners, including pharmacies, should be able to sell what they wish without government intervention forcing them to sell a product they find morally repulsive. When the government forces a religious person in a specific business to sell a specific product, in violation of his legitimate and deeply held religious and moral convictions, then common sense dictates that there may in fact be a serious conflict with the First Amendment's ban on government laws that "prohibit the free exercise" of religion.
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