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"This is a systematic decimation of access to reproductive healthcare and a signifier of what else is likely to come," warned one critic.
In its latest blow to reproductive healthcare in the United States, the Supreme Court's right-wing supermajority on Thursday blocked Planned Parenthood and one of its patients from suing South Carolina over its defunding of the medical provider because it performs abortions—a decision that critics say will cost lives as more Republican-controlled states follow suit.
At question in Medina v. Planned Parenthood South Atlantic was whether Medicaid beneficiaries can sue in order to secure healthcare services under a law that allows patients to choose any qualified provider. The high court ruled 6-3 that they cannot, with liberal Justices Sonia Sotomayor, Elena Kagan, and Ketanji Brown Jackson dissenting.
"The decision whether to let private plaintiffs enforce a new statutory right poses delicate questions of public policy. New rights for some mean new duties for others," Justice Neil Gorsuch wrote for the majority. "And private enforcement actions, meritorious or not, can force governments to direct money away from public services and spend it instead on litigation."
"The job of resolving how best to weigh those competing costs and benefits belongs to the people's elected representatives, not
unelected judges charged with applying the law as they find it," Gorsuch added.
Concurring with the majority, far-right Justice Clarence Thomas wrote that the ruling invites further scrutiny of Section 1983, the federal law empowering individuals to sue state and local government officials for violating their constitutional rights.
And, predictably, in Medina, Justice Thomas isn't content to axe Planned Parenthood from Medicaid. He would go further ... "to reexamine more broadly this Court’s §1983 jurisprudence . . . ."This is an invitation to undermine a major foundation of civil rights litigation.
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— Melissa Murray (@profmmurray.bsky.social) June 26, 2025 at 7:17 AM
In a furious dissent, Jackson wrote that "the court's decision today is not the first to so weaken the landmark civil rights protections that Congress enacted during the Reconstruction era."
"That means we do have a sense of what comes next: As with those past rulings, today's decision is likely to result in tangible harm to real people," she continued. "At a minimum, it will deprive Medicaid recipients in South Carolina of their only meaningful way of enforcing a right that Congress has expressly granted to them."
"And, more concretely, it will strip those South Carolinians—and countless other Medicaid recipients around the country—of a deeply personal freedom: the 'ability to decide who treats us at our most vulnerable,'" Jackson added. "The court today disregards Congress' express desire to prevent that very outcome."
More than 70 million Americans rely upon Medicaid, the federal government's primary health insurance program for lower-income people. The program is facing the prospect of major cuts under a Republican budget proposal that critics warn could cause millions of people to lose their healthcare coverage in service to a massive tax break backed by President Donald Trump that would disproportionately benefit the rich and corporations.
According to Planned Parenthood Federation of America president and CEO Alexis McGill Johnson, "currently, 20% of South Carolinians—over 1 million—receive healthcare services through the Medicaid program, and approximately 5% of those recipients sought sexual and reproductive health care services at Planned Parenthood South Atlantic (PPSAT) so far this year."
Responding to Thursday's ruling, McGill Johnson said that "the consequences are not theoretical in South Carolina or other states with hostile legislatures."
"Patients need access to birth control, cancer screenings, STI testing and treatment, and more. And right now, lawmakers in Congress are trying to 'defund' Planned Parenthood as part of their long-term goal to shut down Planned Parenthood and ban abortion nationwide," she added. "Make no mistake, the attacks are ongoing and Planned Parenthood will continue to do everything possible to show up in communities across the country and provide care."
Under tremendous Republican-led pressure, Planned Parenthood has closed or announced plans to close at least 20 locations across seven states since the beginning of the year.
"Today's decision is a grave injustice that strikes at the very bedrock of American freedom and promises to send South Carolina deeper into a healthcare crisis," PPSAT president and CEO Paige Johnson said following Thursday's decision. "Twice, justices of this court denied to even hear this case because [South Carolina Gov. Henry] McMaster's intent is clear: weaponize anti-abortion sentiment to deprive communities with low incomes of basic healthcare."
"Planned Parenthood South Atlantic will continue to operate and offer care in South Carolina, including for people enrolled in Medicaid," Johnson added. "To our patients, we will do everything in our power to ensure you can get the care you need at low or no cost to you. Know that we are still here for you, and we will never stop fighting for you to reclaim the rights and dignity you deserve."
Destiny Lopez, co-president and CEO of the Guttmacher Institute, called the ruling "a grave injustice."
Lopez continued:
At a time when healthcare is already costly and difficult to access, stripping patients of their right to high-quality, affordable healthcare at the provider of their choosing is a dangerous violation of bodily autonomy and reproductive freedom.
Specifically targeting Planned Parenthood has long been a strategy of the anti-abortion movement. Planned Parenthood health centers are an irreplaceable part of the U.S. healthcare system; Guttmacher data show that among the 4.7 million contraceptive patients served by publicly supported clinics in 2020, one in three received care from Planned Parenthood.
"In the face of attempts to 'defund' Planned Parenthood and attack Medicaid, Title X, and other pillars of reproductive healthcare, the court's actions cannot be considered in a vacuum," Lopez asserted. "This is a systematic decimation of access to reproductive healthcare and a signifier of what else is likely to come. Everyone deserves choice in their healthcare provider and access to the family planning they need."
Progressive groups and individuals also condemned Thursday's ruling, with the Freedom From Religion Foundation lamenting that "Christian nationalists win, women and low-income patients lose."
"This isn't justice," FFRF added. "It's religious favoritism at the highest level."
Planned Parenthood provides affordable:➡ Cancer screening➡ STD testing and treatment➡ Prenatal supportToday's decision from SCOTUS to allow SC to remove Planned Parenthood from Medicaid means that people will be sicker and people will die.www.theguardian.com/us-news/2025...
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— Congresswoman Pramila Jayapal (@jayapal.house.gov) June 26, 2025 at 7:34 AM
Meagan Hatcher-Mays, senior adviser at United for Democracy, said in a statement that "millions of Medicaid patients across the country rely on Planned Parenthood health centers for their primary and reproductive care, and people who face systemic racism and discrimination—Black, Latino, and Indigenous communities, as well as LGBTQ+ people and women—are more likely to be covered by Medicaid."
"It's ironic that the MAGA justices issued this ruling today, almost three years to the day that they overturned Roe v. Wade and threw abortion access into chaos across the country," Hatcher-Mays added. "Today's ruling is a further attack on healthcare, bodily autonomy, and our freedoms. This ruling clearly harms communities in South Carolina, and it's a matter of time before we see that harm expand further into the country."
"My baby didn't have a heartbeat, and it still prevented me from getting care" under South Carolina's so-called "fetal hearbeat" law.
Weeks after sharing an emotional video on TikTok about her experience being told by doctors that they couldn't provide her with standard miscarriage care under South Carolina's abortion ban, Elisabeth Weber spoke out Tuesday about how she was forced to continue carrying her fetus for weeks after learning it had no heartbeat and had stopped developing.
As Weber told People magazine, "My baby didn't have a heartbeat, and it still prevented me from getting care" under South Carolina's law—ironically called the Fetal Heartbeat and Protection from Abortion Act, so named because it bars residents from getting abortion care after fetal cardiac activity can be detected at about six weeks of pregnancy.
The 31-year-old mother of three found out in late March at nine weeks pregnant that her fetus—already given a name by Weber and her husband, who felt certain they were having a boy—had stopped growing at six weeks and one day.
Weber was sent home from her local ER to allow the miscarriage to be completed naturally, but she returned to the hospital after she continued to have symptoms of hyperemesis gravidarum (HG)—extreme, persistent nausea and vomiting—which she'd had with all of her pregnancies.
"They confirmed that for sure, the baby is dead," Weber said in her TikTok video, which was posted March 31. "No heartbeat, nothing like that. And they were talking about me getting a D&C [dilation and curettage], so that way my body won't have all these pregnancy symptoms... My body still thinks that I'm pregnant, it is not passing the baby the way it is supposed to."
@elisabeth__hope EDIT: I recorded this minutes after finding this information out, so not everything was worded correctly. I was raised in a cult and was forced to stand in front of abortion clinics as a CHILD. I am not conservative and I did NOT vote for trump.
♬ original sound - Elisabeth Hope
But a doctor at her second visit to the ER told her she would have to wait another week—two weeks from when her miscarriage was first detected—and have repeat ultrasounds to continue confirming the pregnancy was not viable before Weber could have a D&C, a standard procedure that is commonly used to remove fetal tissue that has not been naturally expelled after a miscarriage.
She told People that while mourning her loss and caring for her three children, she was "so sick" due to her HG.
"I have three kids, and waiting around to go into a mini-labor is just hard," Weber said.
"I can't believe that I'm being forced to carry around my dead baby," she told People. "They know it's gone, they know it's dead, they know it's stopped developing, and now I'm being forced to carry it... There's really no feeling like when your womb becomes a tomb."
Writer and advocate Jessica Valenti, who covers Republicans' attacks on reproductive rights at her newsletter, Abortion, Every Day, interviewed Weber shortly after she posted her TikTok video.
Valenti noted that while doctors told Weber they could provide her with standard miscarriage care only if she developed sepsis or began hemorrhaging before they were able to perform another ultrasound, HG's "symptoms can mimic those of infection and sepsis."
"How will she know if she's really sick from the retained tissue, she asks, if she's already feeling awful every day?" wrote Valenti in early April, when Weber was still waiting for treatment and carrying her nonviable pregnancy. "Weber also has asthma. She's afraid she won't be able to tell the difference between her usual shortness of breath and the signs of something much worse."
Weber told Valenti that at least one doctor she spoke with expressed regret about South Carolina's abortion ban, one of 19 state bans in the country.
"I could see it was breaking her heart just to say it," Weber said of the doctor, who told her, "I wish it was different. I wish we could help you."
Valenti wrote that "when Weber told her it was okay, the doctor responded, 'It's not okay.'"
Weber told People she was even denied a D&C after going to a different hospital where she found out that her "white blood cell count was super high."
"Everything was showing that I was in an active infection," she said, but she was still required to wait for care.
"Republicans would have us believe that their laws protect women's health, but what would they call what's happening [to] this South Carolina mom right now?" wrote Valenti in April.
In a video update Weber posted on TikTok last week after finally getting care, she shared that she and her husband had decided not to have any more children after their ordeal.
"We just can't chance going through something like that again," said Weber.
"By executing Brad Sigmon, South Carolina has also executed the possibility of redemption," said one critic. "Our state is declaring that no matter what you do to make up for your wrongdoing, we reserve the right to kill you."
South Carolina executed Brad Keith Sigmon by firing squad on Friday evening, drawing international attention to a method that hasn't been used for 15 years in the United States and prompting renewed calls to abolish capital punishment.
Sigmon, 67—who was convicted of beating his ex-girlfriend's parents, David and Gladys Larke, to death with a baseball bat in 2001—was shot by a firing squad consisting of three volunteers at the Broad River Correctional Institution in Columbia, the state capital, at 6:05 p.m. local time Friday, according to a statement from the South Carolina Department of Corrections. He was pronounced dead by a physician three minutes later.
Gerald "Bo" King, an attorney representing Sigmon, read his client's final statement shortly before his execution.
"I want my closing statement to be one of love and a calling to my fellow Christians to help us end the death penalty," Sigmon wrote. "An eye for an eye was used as justification to the jury for seeking the death penalty."
"At that time, I was too ignorant to know how wrong that was," he added. "Why? Because we no longer live under the Old Testament law but now live under the New Testament. Nowhere does God in the New Testament give man the authority to kill another man."
A hood was then placed over Sigmon's head and a bullseye over his heart. The three volunteers then fired their rifles from an opening in a wall 15 feet (4.5 meters) away.
"There was no warning or countdown," wrote witness and journalist Jeffrey Collins. "The abrupt crack of the rifles startled me. And the white target with the red bullseye that had been on his chest, standing out against his black prison jumpsuit, disappeared instantly as Sigmon's whole body flinched... A jagged red spot about the size of a small fist appeared where Sigmon was shot."
"I've now watched through glass and bars as 11 men were put to death at a South Carolina prison," Collins noted. "None of the previous 10 prepared me for watching the firing squad death of Brad Sigmon on Friday night."
King, who also witnessed Sigmon's killing, described the execution as "horrifying and violent."
"He chose the firing squad knowing that three bullets would shatter his bones and destroy his heart," said King. "But that was the only choice he had, after the state's three executions by lethal injection inflicted prolonged and potentially torturous deaths on men he loved like brothers."
"He chose the firing squad knowing that three bullets would shatter his bones and destroy his heart."
A desire to resume executions during a 10-year pause due to a shortage of lethal injection drugs prompted Republican state lawmakers to pass and GOP South Carolina Gov. Henry McMaster in 2021 to sign legislation forcing the state's death row inmates to choose between the electric chair, firing squad, or lethal injection (if available) as their method of execution.
King said state officials failed to provide information about lethal injection drugs.
"Brad only wanted assurances that these drugs were not expired, or diluted, or spoiled—what any of us would want to know about the medication we take, or the food we eat, much less the means of our death," the attorney explained.
Sigmon's legal team had unsuccessfully argued that brain damage and mental illness should have spared him from execution.
Rev. Hillary Taylor, executive director of the advocacy group South Carolinians for Alternatives to the Death Penalty (SCADP), said in a
statement Friday that "by executing Brad Sigmon, South Carolina has also executed the possibility of redemption."
"As Brad's spiritual advisor, I can personally attest to the fact that he is a different man today than the person he was more than 20 years ago, when he harmed the Larke family," she continued. "Our state is declaring that no matter what you do to make up for your wrongdoing, we reserve the right to kill you."
"But the question is not whether Brad deserved to die: The question is whether we deserved to kill," Taylor asserted. "In John 8, Jesus had very pointed instructions about which people can kill other people: 'Only those without sin can cast the first stone."
"The last time I checked, no person on this Earth fits that description, not even Gov. Henry McMaster, whose hardened heart remains the reason why executions continue in the first place," she added.
South Carolina has been executing condemned inmates at a rate described by ACLU of South Carolina communications director Paul Bowers as an "assembly line." The state has put four people to death since last September: Freddie Eugene Owens, killed by lethal injection last September 20; Richard Bernard Moore, killed by lethal injection (after changing his choice from firing squad) last November 1; Marion Bowman Jr., killed by lethal injection on January 31; and Sigmon.
State records show 28 inmates on South Carolina's death row.
Across the United States, there are five more executions scheduled this month, according to the Death Penalty Information Center.
This is the first of six executions scheduled in six states this month. From the Death Penalty Information Center, one is scheduled for next week and then a horrifying four the week after that. This appears, however, to be more confluence than some big change. deathpenaltyinfo.org/executions/u...
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— Chris Geidner (@chrisgeidner.bsky.social) March 7, 2025 at 3:52 PM
Addressing the issue of capital punishment in South Carolina, SCADP's Taylor said Friday that "despite national and international media news coverage, most South Carolinians will go to bed tonight unaware that we have executed another person—let alone with a firing squad."
"That's how little this issue impacts our citizens," she continued. "South Carolina should be known by other states and countries for its radical care of its citizens. Instead, we are known for our state-sponsored violence."
"If executions made us safer, we would be the 9th-safest state in the country," Taylor argued. "But they don't, and we aren't. It is not the state leaders who will reap the consequences of the death penalty: it is the everyday South Carolina citizens themselves. As long as we have the death penalty, we will fail to address the true causes of violence, including poverty, abuse, and neglect."
South Carolina carries out execution by firing squad, first in USA since 2010. A reminder that these 6 MAGA men also intro'd a bill to codify abortion as murder—enabling the horrific scenario that a woman who gets an abortion could be executed by firing squad. www.qasimrashid.com/p/s-carolina...
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— Qasim Rashid, Esq. (@qasimrashid.com) March 8, 2025 at 5:38 AM
Yet instead of curtailing executions, many South Carolina Republicans want to expand the category of crimes that qualify for capital punishment. In 2023, more than 20 Republican state lawmakers backed a bill to make people who obtain abortion care eligible for execution.