Volume 43, Issue 2 (2025)

Attack on the Right to Choose

By Laura Gustafson*

A person’s right to choose has been under attack by state actions for some time, making headlines as the Supreme Court rules on bills restricting access to abortion. These bills can inflict great harm on people and attack the right to choose, but there is another very real threat that often goes unnoticed. Crisis pregnancy centers (CPCs), also referred to as pregnancy care centers, are facilities that mimic the style of medical clinics and claim to offer pregnancy resources, while their mission is to dissuade people from having abortions. These facilities mimic traditional abortion clinics while offering little to no actual medical care. When people are seen at CPCs, they are greeted with medical misinformation and emotional manipulation under the guise that these resources are helpful for people experiencing pregnancy. Not only do CPCs spread misinformation about the effects of abortion and use emotional language to try to convince people to keep their pregnancies, but according to some research, they also employ tactics such as promising procedures like ultrasounds, and not delivering or rescheduling to delaying access to abortion resources.

The Supreme Court in National Institute of Family and Life Advocates v. Becerra explicitly held that requiring CPCs to notify people of services including abortion, and disclosing when they are unlicensed, would violate the First Amendment. Based on that holding, CPCs are likely to continue creating procedures that mislead the people they claim to serve and creating a dangerous network of facilities that do not provide people with their options to choose, reinforcing a system of structural oppression for those most in need. CPCs are difficult to regulate because of the First Amendment but that does not mean change cannot be made on the state level. Because of this danger, greater transparency is needed, and states need to act now.

Crisis Pregnancy Centers Employ Misleading Marketing, Engage in Troubling Data Collection, and Result in Funding Disparities

1. Marketing Tactics Mislead and Harm Pregnant People

CPCs employ deceptive tactics to get potential patients through the door. They often are located nearby abortion clinics and use similar names and logos. Not only do they look like traditional clinics with a waiting room and people wearing white coats, they also invest in search engine optimization to reach those potentially seeking abortion care. Initial marketing tactics are not the only harmful aspect of CPCs. People are lured into thinking they will receive medical care and options during early pregnancy, but abortion is frequently not presented as an option even when it would be available, and volunteers misinform their patients about the risk or try to dissuade abortion. Often, even pregnant people who want to carry their pregnancy to term are not provided with adequate information about prenatal medical care.

CPCs accomplish their goal of reducing abortions not only through manipulating emotional conversations but also offering inadequate services and creating unnecessary delays. Ultrasounds are promised and then delayed, or presented as fulfilling an abortion requirement, forcing pregnant people to miss their window for an abortion and creating even more obstacles to care. For example, in Texas if people receive a sonogram at a CPC, it does not satisfy the state requirement for abortion services and will often cause enough delay that it forces pregnant people to seek abortion services out of state or carry a pregnancy to term. These deceptive tactics are harmful to people potentially in an actual crisis especially in an environment that already makes seeking an abortion very difficult.

2. Data Collection Concerning in Light of New Laws

Misinformation regarding pregnancy, especially in a time when traditional methods of seeking an abortion are being attacked can in itself be dangerous, but CPCs present additional areas of concern. First, they collect significant amounts of private health data from the people they see, and some they do not through online chats, even when people do not realize it is not a traditional clinic. As bills like SB 8 in Texas are introduced, where anyone can report a violation of the six-week abortion ban, there are growing concerns that CPCs could be used to gather information which in turn is used to report people. Erin Maye Quade, advocacy director at Gender Justice stated, “[b]ecause CPCs are a global network . . . they’re actually poised to become the surveillance mechanism to enforce these unconstitutional laws.” Additionally, because CPCs are not health providers, they are not required to meet the same HIPAA standards leaving sensitive, confidential medical information unprotected.

3. Funding Disparities Harm Marginalized Communities

In addition to privacy concerns, CPCs raise yet another concern. In 29 states, CPCs receive state funding. In many of these states, the uneven divide between CPCs and abortion clinics is far higher; in Minnesota there are eight abortion clinics and 90 CPCs. In Pennsylvania, abortion clinics cannot receive federal funding as a result of the federal Hyde Amendment or state funding per Pennsylvania law. However, funding from Temporary Assistance for Needy Families (TANF) is given to CPCs across the state. Texas also takes funds from TANF for CPCs, around $43.5 million over 15 years. This is a dangerous practice as these facilities provide medical misinformation, little to no actual medical care and “disproportionately [harm] Black and brown people who face structural inequities that make them more likely to live in poverty than white people.” These funds are supposed to help families with essential needs such as food and rent but when the funds are diverted to CPCs, these services are cut back. Ultimately, these funds meant to help people are getting diverted to CPCs that statistically target low-income individuals and people of color already at risk.

While CPCs do provide some resources, this aid is conditional. One small study showed that people did in fact get help with diapers, aid with Medicaid applications, clothes, and other parenting needs from CPCs. While this seems like a benefit to society, often this help is conditioned on meeting other expectations of the program such as watching videos or showing up to additional appointments which are often faith-based and time consuming. Again, these services are primarily used by those facing systemic oppression which reinforces a broken system forcing those in need to “earn” assistance with funds diverted from other social programs.

States Should Act to Protect Right to Choose

An organization called “The Alliance,” which is a coalition of state advocates for women’s rights and gender equality, reported on the impact of CPCs and included potential state-level policy ideas. These recommendations included passing laws that extend HIPAA protections to CPCs and addressing societal factors that drive people to CPCs. Extending HIPAA protections would likely alleviate some of the concern that CPCs will be used as enforcement mechanisms for alleged anti-abortion bill violations. From a privacy concern this would also protect people of all backgrounds who share their personal information while believing they are seeking medical care. The Alliance also suggests protecting public funding and not providing it for CPCs that are known to participate in deceptive tactics that target at-risk populations. Addressing other social factors would also allow for states to invest in programs that actually provide for people without strings attached and remove the burden that CPCs are trying to cover now.

Access to abortion is under threat through legislation but also from CPCs. CPCs far outnumber abortion clinics. They provide biased information and prey on people who suffer from systemic oppression. Even when providing some family resources, these resources are conditioned on conforming to their program. It is time for people to better understand the risk of these facilities on everyone’s right to choose and state legislatures need to act to protect the citizens of their states.

*Laura Gustafson, University of Minnesota Law School Class of 2023, JLI Vol. 40 Staff Member

Joint Publication: Racial Inequality in the Legal System Locally and Nationally

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A note from JLI Vol. 39 Editor-in-Chief Navin Ramalingam:

This special joint online issue, Racial Inequality in the Legal System Locally and Nationally, is a collaborative work among the six student-run legal academic journals across the three law schools in the state of Minnesota. The objective of the collaboration is to use our platforms and collective effort to work with scholars to publish cutting-edge, timely, and thought-provoking articles addressing social justice issues including racial inequality and policing both at home in Minnesota and in the nation-at-large. We are proud to present our joint publication that has been over a year in the making. This joint venture would not have been possible without the tireless efforts of the staff members and editors across our six journals who went above and beyond and worked selflessly to bring this publication to fruition.

The Minnesota Journal of Law and Inequality (JLI) has published three articles in the special issue. In the first article, Ramsey County Public Defender Greg Egan takes an empirical look at second-degree felony murder convictions sentenced from 2012 through 2018 in Hennepin and Ramsey counties to detail the racial inequities in Minnesota’s felony-murder doctrine. In the second article, Professor David Schultz conducts a methodological exploration of what it would take to reform the institution of policing in the United States. In the third article, JLI editors trace the history of policing in the United States since its colonial days, outline the decades of failure to achieve meaningful progress in Minneapolis, and advocate for the redirection of MPD funding to violence prevention and alternative responses.

How Family Law Court Exacerbates the Effects of Domestic Violence

Kendra Saathoff*

In family law court, custody proceedings can be made difficult by a history of domestic violence between the parents. Ultimately, judges’ interpretation of demeanor influences their fact finding and can lead them to determining domestic violence has not occurred when it has, or that it is not relevant to their determination of custody. The friendly parent” doctrine then can allow judges to act on their demeanor-based biases and favor the abuser in their custody determination, because of a survivor’s demeanor and subsequent inability to be a “friendly parent.” Family law court is thus organized in a way to exacerbate the effects of domestic violence unless the court takes specific protective actions.

Though there has been a shift in requiring judges to take into account a history of domestic violence when making custody determinations, not all judges give that history the weight it should have in their decisions. Now, all U.S. states have changed child custody laws to include domestic violence as a factor that judges have to consider in determining custody, and about half have created a rebuttable presumption that an abuser will not have sole or joint custody. While these have been important strides in furthering protections for survivors and children in family law court, just because legislation has changed does not mean practice in the field has changed, with many judges unwilling to make findings of domestic violence in family law cases. Even when required to take into account a history of domestic violence in custody determinations, there is still much room for judicial discretion, which can be detrimental to survivors.   

In addition to judges’ hesitation to incorporate a history of domestic violence into their custody determinations, abusers often manipulate court processes to their advantage, posing further barriers for survivors. Mediation’s egalitarian goals cannot undo years of abuse and resulting reinforced behavioral patterns. Throughout the relationship, the survivor has been conditioned to relent, compromise, and conform to be safe. This learned pattern of dealing with their abuser cannot be easily broken, especially in processes like mediation and litigation that both require compromise. Abusers can also exploit the litigation process to further manipulate survivors. For many abusers, they know litigation is often the only way left for them to stay in contact with their victims and they use it to continue abusing them. Many often also utilize the lengthy litigation process to financially drain the other party.

Judges’ perception of demeanor can affect whether they incorporate a history of domestic violence in their judgments. Judges use their credibility determinations to decide parenting time, and because of how trauma can affect a survivor’s demeanor in court, abusers can be seen as more credible and trustworthy. This can mean that judges do not incorporate a history of domestic violence into their determination of custody – and even if they purported to, they oftentimes failed to and instead tended to side with abusers because of their more believable demeanor. Abusers can present in court as charming, charismatic, likeable, reasonable, generous, and even flexible. When judges listen to abusers in court, they are often swayed by their accounts of events, which, in contrast to the survivors’ accounts, seem reasonable and rational, and thus more credible. Trauma can cause survivors to act in a way that seems inappropriate or odd to others, especially judges. “Many domestic violence survivors ‘may present as angry, distrustful, and suspicious with all professionals related to the court proceedings.’” This bias favoring abusers can result in a failure to find that domestic violence occurred and therefore abusers getting more parenting time and more opportunities to continue abusing the other parent.

Further, the parental alienation theory has been used by abusers to claim that the survivor manipulated the children into disliking the abusive parent. This theory has been widely discredited and should not be admissible in court, but that doesn’t stop abusers from claiming it, and with their believable demeanor, from many judges believing it. Abusers commonly assert that the survivor is claiming instances of domestic violence to alienate the abuser from their children, further challenging the credibility of survivors and contributing to judges’ incredulity at claims of a history of domestic violence. Judges have still utilized this theory in making determinations of custody; in one case in Louisiana, the court relied heavily on a journal article about the parental alienation theory, quoting, “[t]he alienated parent typically is a ‘good’ parent who has no history or physical or emotional abuse of the child, and while there may be some ‘kernel of truth’ to the child’s complaints about the rejected parent, the child’s grossly negative views and feelings are a significantly distorted and exaggerated reaction.” Some courts are still willing to implement this psychological profile and believe that when a child speaks negatively about a parent, it is not due to a history of domestic violence but from a parent attempting to manipulate their children, therefore adding to disbelief of a history of domestic violence. This foundational theory, though now discredited, shows how family law court is built upon disbelieving the survivor, and contributes to judges’ today refusing to believe a survivor’s attestation of a history of domestic violence.

Finally, the “friendly parent” construct allows judges to act on these biases stemming from differences in demeanor and their unwillingness to include a history of domestic violence in their determinations. The friendly parent concept “is codified in child custody statutes requiring a court to consider as a main factor for custody which parent is more likely to allow ‘frequent and continuing contact’ with the child and the other parent, or which parent is more likely to promote the child’s contact or relationship with the other parent.” This is more difficult for parents who are survivors of domestic violence and who believe their children are more at risk with the abusive parent. Therefore, in domestic violence cases, a survivor of domestic violence who attempts to limit contact with an abuser may be deemed unfriendly, and punished for their protestations against parenting time with the abusive parent. A survivor’s unwillingness to cooperate and be “friendly” may affect a judge’s interpretation of their demeanor. Judges’ interpretation of demeanor influences their fact finding and can lead them to disbelieve allegations of domestic violence. The “friendly parent” doctrine then determines the consequences of the biased findings by giving judges a statutory reason to act on their demeanor-based biases and favor the abuser in their determination, because of a survivor’s demeanor and subsequent inability to be a “friendly parent.”

Ultimately, family law court exacerbates the effects of domestic violence. Judges’ interpretation of demeanor influences their fact finding and can lead them to determining domestic violence has not occurred when it has, or that it is not relevant to their determination of custody. Parties’ demeanor is affected by the abusive parent’s ability to use the legal system to continue to manipulate the other parent, the effect of trauma from domestic violence, and foundational theories such as the parental alienation theory. Then, the “friendly parent” doctrine then can allow judges to act on their demeanor-based biases and favor the abuser in their custody determination, because of a survivor’s demeanor and subsequent inability to be a “friendly parent.” All of this leads to judges, though now required to incorporate a history of domestic violence into their custody determinations, refusing to do so and acting on their demeanor-based biases, leaving survivors just as isolated as they were in the abusive relationship.

 

*J.D. Candidate, Class of 2022