Ralph’s Thriftway is a grocery store and pharmacy in Washington run by a religious family. It is not a church, or a church-affiliated nonprofit; it is a for-profit business, created and designed to make money for the Stormans. But the Stormans family are devout Christians who believe that Plan B is “tantamount to abortion” and thus refuse to stock it. For years, when customers came to the pharmacy seeking emergency contraception, the Stormans turned them away.
But in 2007, the Washington State Board of Pharmacy issued new regulations declaring that a pharmacy may not “refuse to deliver a drug or device to a patient because its owner objects to delivery on religious, moral, or other personal grounds.” Quite reasonably, the board felt Washington pharmacies should not be permitted to deny patients safe, legal drugs—which was a growing problem within the state: In addition to Plan B, religious pharmacists had refused to give patients diabetic syringes, insulin, HIV-related medications, and Valium. That, the board decided, was unacceptable. Pharmacists have every right to believe whatever they wish, but when those beliefs are manifested in the form of brazen discrimination against customers, they cannot be sanctioned by the law. In 2015, the 9th U.S. Circuit Court of Appeals affirmed the constitutionality of Washington’s regulation.
Alito, along with Thomas and Roberts, sees Stormans differently. “There are strong reasons to doubt,” Alito writes, “whether the regulations … actually serve … any legitimate purpose.” What? Clear as day, the Washington regulations ensure that patients can receive timely access to necessary medications without facing discrimination. In what world are safeguards against discrimination in goods and services not even a legitimate interest? Alito’s world, it turns out. Neither he, Roberts, nor Thomas thinks refusal of service is a big deal when patients can hop back in their cars (presuming they have them) and drive to the nearest pharmacy that will deign to provide them with the proper medication. (Live in rural Washington? Hope you can find another pharmacy before the Plan B window closes!)