Pubdate: Tue, 24 Jan 2006 Source: Ft. Worth Star-Telegram (TX) Copyright: 2006 Star-Telegram, Fort Worth, Texas Contact: http://www.star-telegram.com/ Details: http://www.mapinc.org/media/162 Author: Don Erler, Special to the Star-Telegram Bookmark: http://www.mapinc.org/mmj.htm (Cannabis - Medicinal) WHERE THE JUSTICES DID NOT GO Last week, the U.S. Supreme Court issued an opinion that is as sensible as it is legally flawed. Gonzales vs. Oregon, in which the court had before it the opportunity to draw upon and extend the constitutional right to privacy, could suggest that the days of extravagant judicial activism are numbered. The issue was whether the U.S. attorney general could interpret the Controlled Substances Act to keep doctors from prescribing drugs for use in physician-assisted suicide for incurable patients with less than six months to live. Oregon law permits the practice. The six-member court majority ruled that Attorney General John Ashcroft exceeded the authority that Congress intended when he issued a 2001 directive that "assisting suicide is not a 'legitimate medical purpose' " consistent with "the public interest." The judicial ruling, of course, is surprising. Merely seven months ago, the court decreed that California physicians should not be allowed to prescribe marijuana for pain relief. In that highly controversial decision, the justices showed no deference to state sovereignty or the usual balance between national and state governments in our federal system. In the Oregon case, the majority attempted to parse various sections and subsections of the Controlled Substances Act in order to show that Congress merely intended to keep "a doctor from acting as a drug 'pusher' instead of a physician." The decision by each state about proper medical practice ought, therefore, to be controlling. The medical marijuana decision reached exactly the opposite conclusion. Moreover, the majority in the Oregon case admitted that Ashcroft's determination that medicine means "healing," not killing, "is at least reasonable." However, concluded the majority, Ashcroft's reasonable ruling cannot override Oregon's (and the court majority's) "commonsense conclusion" that the states, not the national government, should decide what is legitimate medical practice. I agree that allowing those close to death to end their misery is humane public policy that should be decided state by state. But as Justice Antonin Scalia (joined by new Chief Justice John Roberts) demonstrated conclusively in his analysis of the federal law and controlling Supreme Court precedents, Ashcroft's 2001 directive "is assuredly valid insofar as it interprets 'prescription' to require a medical purpose that is 'legitimate' as a matter of federal law." Scalia also pointed out that "virtually every medical authority from Hippocrates to the current American Medical Association" considers physician-assisted suicide to be incompatible with medical practice. The AMA says that it is "fundamentally incompatible with the physician's role as a healer." And 47 states forbid the practice. Yet for all the legal wrangling between majority and dissenters, the bottom line, as Scalia noted, is that the "legitimacy of physician-assisted suicide ... rests not on 'science' or 'medicine' " but on the kind of "value judgment" that allows us to prohibit "polygamy or eugenic infanticide." For the three dissenting justices, if "the term 'legitimate medical purpose' has any meaning, it surely excludes the prescription of drugs to produce death." For the majority, allowing physicians to assist the terminally ill to end their misery is a "commonsense conclusion." What the justices did not write is far more important than their varying interpretations of the Controlled Substances Act. Two days ago, America observed the 33rd anniversary of Roe vs. Wade, which created a constitutional right to privacy so unfettered that it permits women, in controlling their own bodies, to take the lives of pre-born human beings. If the Constitution contains such a right, must it not necessarily include the less draconian right of each of us to determine whether to terminate our own lives? For that matter, how can the Controlled Substances Act be permitted to violate the privacy right of each of us to determine for ourselves the drugs we'll place in our bodies? I do not advocate these positions. But they represent the inexorable logic of Roe vs. Wade. After Jan. 22, 1973, Americans had good reason to think that the court might use assertions of privacy rights to invalidate laws against suicide, drug abuse, polygamy, gambling, adult incest, prostitution and perhaps even hazardous working conditions. (It's my own business to assume risk.) None of this has happened. Even this case permitting assisted suicide was decided on narrow grounds of statutory construction. So the fact that the Supreme Court has not expanded on most of the logic of Roe vs. Wade is good news for American self-government. Don Erler is president of General Building Maintenance. - --- MAP posted-by: Larry Seguin