INACCESSIBLE MEDICAL EQUIPMENT: A BARRIER TO ROUTINE MEDICAL CARE FOR PERSONS WITH MOBILITY IMPAIRMENTS AND A CIVIL RIGHTS ISSUE

Thomas J. Keary*

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More than twenty years after the passage of the Americans With Disabilities Act of 1990 (ADA) and forty years after the passage of Section 504 of the Rehabilitation Act of 1973 (Section 504), a recent study of physicians’ offices in five major metropolitan areas reveals that patients with mobility impairment are being turned away in disturbingly high numbers. This trend is due to physical barriers to routine medical care posed by inaccessible medical and diagnostic equipment, such as examining tables, rather than by building accessibility. The results indicate that there is a continuing need for education of health care providers and patients, as well as enforcement of these laws by the government and by consumers of health care.

Researchers at the Center for Quality of Care Research at Baystate Medical Center in Springfield, Massachusetts, telephoned 256 specialty medical and surgical practices seeking an appointment for a fictional, obese wheelchair user, who could not self-transfer to an examining table.[1] Of this number, 22% reported that the patient could not be seen because, in most instances, they were unable to transfer the patient from a wheelchair to the examination table (18%) and to a lesser extent because the building where the practice was located was inaccessible for people in wheelchairs (4%).[2] Practices in eight medical subspecialties, such as endocrinology, gynecology and orthopedic surgery, were tested. Of these subspecialties, gynecologists had the highest rate of inaccessible practices, with 44% of the gynecological offices called informing the tester that she needed to go elsewhere, usually because the provider lacked a table that could be raised and lowered, or a lift to transfer the patient out of a wheelchair.[3]

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JUSTICE SCALIA’S PETARD AND SAME-SEX MARRIAGE

Ruthann Robson[1]

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Justice Antonin Scalia is well known not only for his conservative views, but also his literary language. So perhaps he might appreciate how the Shakespearean phrase, “hoist with his own petard,”[2] could describe how his dissents are being used to support the very outcome he derided: the constitutional recognition of same-sex marriage.

In United States v. Windsor decided in June 2013, the Court, by a bare majority, declared unconstitutional section 3 of the Defense of Marriage Act (DOMA) which prohibited federal recognition of same-sex marriages even if the marriages were recognized by state law.[3] As in two other important cases involving lesbian and gay rights, Romer v. Evans (1996)[4] and Lawrence v. Texas (2003),[5] Justice Kennedy wrote an opinion for the majority longer on rhetoric than on analysis and Justice Scalia wrote a dissent guaranteed to be called “scathing.” In these dissents, Justice Scalia not only criticized the majority opinion’s lack of rigor and exercise of judicial supremacy, but he warned of the consequences of the Court’s decision.

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SPACE LAW AND THE FUTURE OF PUBLIC INTEREST

Mclee Kerolle*

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Introduction

On April 10, 2013, the Obama Administration released its proposed budget for 2014 with initial reviews showing that there would be a $200 million cut for NASA’s planetary exploration program.[1] Critics against the cut, such as Planetary Society CEO Bill Nye, have spoken out about the crippling effect the cuts will have on future missions and the cuts potential to reverse a decade’s worth of investment building the world’s premier exploration program.[2] On the other hand, proponents of the budget have praised it for its approval of $105 million for a mission to capture an asteroid so that it can be explored by 2015, as well as its funding for ongoing human spaceflight and support for private space taxis that could launch astronauts to and from the International Space Station.[3] Irrespective of the divisions the budget proposal has caused among those in the space industry, one thing is for certain: the space industry is going through a resurgence. Not since the Space Race has there been more of a reason for people to be excited about what lies ahead. Rightfully so, considering that despite budget cuts and perceived setbacks from the public (such as the retirement of NASA’s space shuttle program in 2011) the space industry is now a $250 billion per year global market.[4]

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DACA AND NY BAR ELIGIBILITY

Our latest Footnote Forum installation comes from Professors Janet M. Calvo, Shirley Lung, and Alizabeth Newman.*

Janet M. Calvo, Shirley Lung, Alizabeth Newman

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Non-citizens who are afforded Deferred Action for Childhood Arrivals (DACA) qualify for New York State bar membership. Over four hundred thousand young people in the United States have been approved for DACA, a program for non-citizens who came to the United States as children.[1] Approximately one percent of DACA-eligible non-citizens have pursued graduate education,[2] including law school. The admission of those approved for DACA to the bar is supported by New York statutes and the constitutional jurisprudence of the United States Court of Appeals for the Second Circuit and the New York Court of Appeals. The New York Judiciary Law explicitly precludes alienage as a basis for denial of bar admission. New York has a history of routinely admitting non-citizens to the bar; there is no categorical exclusion from bar admission of any particular category of law graduates based on immigration status. An individual’s immigration category does not determine whether he or she possesses the skills, competence, and moral character to serve as an advocate in the courts of New York and to ethically represent the best interests of clients.

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HOLLINGSWORTH V. PERRY STANDING OVER CONSTITUTIONAL RIGHTS

Caitlin E. Borgmann[1]

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Introduction

One might expect that a Supreme Court decision addressing the constitutionality of a citizen initiative that bars marriage between same-sex couples would yield a predictable political division among both the Justices and Court commentators. Liberal Justices and commentators, one might conjecture, would want the Court to recognize a fundamental constitutional right to marriage equality, while conservative Justices and commentators would prefer the issue be left to the political process. The Supreme Court’s recent decision in Hollingsworth v. Perry reflected no such tidy outcome, however. The majority opinion addressing California’s Proposition 8 (“Prop 8”), which amended the state’s constitution to exclude same-sex couples from legally recognized marriage, sidestepped the substantive issue through a procedural maneuver. Rather than reach the merits, the Court held that the official proponents of Prop 8, who had defended its constitutionality both in the district court and on appeal, lacked standing to appeal the district court’s opinion invalidating the initiative. The Court’s decision left marriage equality as the rule in California (although not elsewhere). Liberal Justices Breyer, Ginsburg, and Kagan joined Chief Justice Roberts’s majority opinion, as did Justice Scalia, while conservative Justices Thomas and Alito, and liberal Justice Sotomayor, joined Justice Kennedy’s vigorous dissent. Some liberal commentators who favor marriage equality applauded the Court’s decision.[2]

It is of course not possible to know exactly what motivated each of the Justices in Hollingsworth. But standing is a doctrine that the Court has notoriously manipulated to reach desired results on the merits.[3] Commentators have widely speculated that the liberal Justices who sided with the majority preferred not to reach the merits either because they believed there were insufficient votes to find Prop 8 unconstitutional,[4] or because they believed such a decision might be politically premature and therefore counterproductive, as it might prompt a backlash.[5] Some proponents of marriage equality were quietly relieved by the Court’s refusal to address the merits, since it allowed the district court’s invalidation of Prop 8 to stand without risking an adverse Supreme Court decision that would be binding on all states.[6]

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U.S. v. WINDSOR’S IMPACT ON IMMIGRATION LAW

We are proud to introduce Prof. Janet Calvo’s discussion of the Windsor decision’s impact on immigration law as part of our ongoing series of web-exclusive pieces by professors, students, practitioners, and others who aim to share timely legal commentary in Footnote Forum, the online companion of the Law Review. For more on this opinion, see Prof. Ruthann Robson’s related piece.

Janet M. Calvo*

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The Defense of Marriage Act (DOMA), barred federal immigration authorities[1] as well as other federal officials from recognizing same-sex marriages. Now that DOMA has been declared unconstitutional in U.S. v. Windsor,[2] the federal officials that implement immigration law have declared that same-sex marriages will be recognized to the same extent as opposite-sex marriages. This has implications for several aspects of immigration law and practice. On July 1, 2013 the Secretary of Homeland Security directed the U.S. Citizenship and Immigration Services (USCIS) “to review immigration visa petitions filed on behalf of a same-sex spouse in the same manner as those filed on behalf of an opposite-sex spouse,”[3] and the USCIS posted additional information about implementation.[4] On August 2, the Secretary of State similarly stated “when same-sex spouses apply for a visa, the Department of State will consider that application in the same manner that it will consider the application of opposite-sex spouses,”[5] and the Department of State website provided further detail, in line with the USCIS position.[6]

Further, on July 17, 2013, the Board of Immigration Appeals (BIA) issued a decision[7] stating that DOMA was no longer an impediment to recognition of same-sex marriages; therefore, a same-sex spouse would be recognized under immigration law if the marriage were valid in the state in which it was celebrated, and was bona fide.[8] This case involved the non-citizen same-sex spouse of a U. S. citizen who had filed a petition on behalf of that spouse. The Director’s determination had found that the marriage was valid under the laws of Vermont where the marriage was celebrated, but did not grant the petition. The BIA held that, after Windsor, the sole remaining issue was whether the marriage was bona fide—i.e., whether the marriage was entered into solely for the purposes of immigration—and remanded the case to allow the Director to make that determination.

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Case Comment: United States v. Windsor

We are proud to introduce Prof. Ruthann Robson’s comment on United States v. Windsor as part of our ongoing series of web-exclusive pieces by professors, students, practitioners, and others who aim to share timely legal commentary in Footnote Forum, the online companion of the Law Review. For a discussion of this decision’s impact on immigration law, see Prof. Janet Calvo’s related piece.

Ruthann Robson*

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A landmark. A victory for “gay rights.” An example of judicial activism.

Each of these appellations is an accurate descriptor of the Court’s decision in United States v. Windsor, rendered on the last day of the 2012–2013 term. By a bare majority, the Court declared Section 3 of the Congressional Defense of Marriage Act (DOMA) prohibiting federal recognition of same-sex marriages unconstitutional. The Court resolved the threshold issue of whether it had Article III power to hear the case, given the unusual posture of the litigation, in favor of rendering a decision, unlike the outcome in the companion case of Perry v. Hollingsworth involving the constitutionality of California’s Proposition 8.[1] The Court’s reasoning included a discussion of Congressional power to pass DOMA, given that marriage and other family matters are generally within the province of the states under federalism as it has developed in the United States. Ultimately, however, the issue was not one of Congressional power. Instead, the majority concluded that DOMA’s Section 3 violated the equal protection component of the Fifth Amendment.

The facts underlying United States v. Windsor have been subject to much media attention. Edith Windsor is a sympathetic and charismatic plaintiff, aged 83 at the time of the decision, whose monetarily specific injury consisted of the $363,053 she paid to the federal government in federal estate taxes because of the non-recognition of her same-sex marriage to her deceased partner, Thea Spyer.[2] The couple had been married in Canada in 2007, and their marriage was recognized by their home state of New York when Thea Syper died in 2009, although New York itself did not itself license same-sex marriages until 2011.[3] Thus, except for the operation of DOMA Section 3, Edith Windsor would have been considered a “spouse” under federal law and entitled to the spousal exemption from estate tax.

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Reflections on the history and future of the voting rights act in the wake of Shelby County

We are proud to launch Footnote Forum, CUNY Law Review’s new online companion featuring web-exclusive pieces by professors, students, practitioners, and others who aim to share timely legal commentary. Download the inaugural installation, CUNY Law Professor Frank Deale’s Reflections On the History and Future of the Voting Rights Act In the Wake of Shelby County, or keep reading below.

Frank Deale*

I.

At the conclusion of America’s deadliest military conflict, the United States Congress sought to reconstruct a nation torn apart by civil war by enact­ing a program of radical social change designed to eliminate the legal disabilities shouldered by the newly freed African-American male population. Included in the numerous proposals was a series of Amendments to the U.S. Constitution: the 13th Amendment would abolish the institution of slavery; the 14th Amendment would provide equal protection and due process under law to those with former slave status; and the 15th Amendment would enable them to protect these rights via a right to vote, unencumbered by “race” or “color” discrimination. The Congress was empowered to enforce this provi­sion with appropriate legislation.

Less than 50 years after the enactment of these historic provisions, a substan­tial number of African-Americans went to polling stations in the state of Alabama, the home of Shelby County, seeking to register as voters for an upcoming election. In flagrant violation of the language in the Constitution, they were turned away because of their race. Undaunted, over 5,000 of them joined a civil case to enforce the Constitution, which was heard by the Su­preme Court of the United States. The Court correctly understood the gist of the plaintiffs’ complaint, which was that “the great mass of the white popula­tion intends to keep the blacks from voting.”[1] Yet, notwithstanding the stark nature of the facts, the Court denied relief, concluding that:

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Article: Pepsico and Public Health: Is the Nation’s Largest Food Company a Model of Corporate Responsibility or Master of Public Relations?

Article, Vol. 15.1

by Michele Simon

Editor’s Note: This article is included in Volume 15.1 of the CUNY Law Review. Michele Simon is a public health attorney and author of Appetite for Profit: How the Food Industry Undermines Our Health and How to Fight Back. She is also the President of Eat Drink Politics, a consulting business on countering corporate harm to improve public health. Read the full article here.

Over the past decade, many questions have been raised about the role of the food industry in contributing to a marketing environment in which unhealthy beverages and snacks have become the norm. While industry responses have come in various forms, PepsiCo stands out, at least in terms of public relations. The company prides itself on being a leader in corporate social responsibility. The goal of this article is to take a closer look at what the company says it’s doing, what it’s actually doing, and the broader context for these actions.

 

PIPS Piece: Off The Clock, Off The Line: The Role of Legal Services in Workers’ Organizing

Editor’s Note: As part of its Fall 2009 Public Interest Practice Section (“PIPS”) series exploring the role of legal services in worker organizing, the New York City Law Review conducted the following interviews with Nadia Marín-Molina, [FN1] Executive Director of the Workplace Project, and Jaime Vargas, [FN2] Organizer, on September 23, 2009, at the organization’s Long Island office in Hempstead, New York. Ms. Marín-Molina has worked for the Workplace Project for thirteen years, and Mr. Vargas for seven years. The following is an edited transcript of the interviews, conducted by PIPS Associate Editor Jonathan Harris and Managing Articles Editor Shirley Lin.

JAIME VARGAS, ORGANIZER

Q: Tell us about the Workplace Project. When was it started? How did it begin? What kind of community needs does the Workplace Project serve?

A: The Workplace Project started in 1992. It was created as a response to a need that Jennifer Gordon [FN3] identified while working with the Central American community. Many workers had complaints related to wages. Many workers were Central American. Workers were being exploited; they were being mistreated or didn’t get paid wages. It was too much for the community of Salvadorans, Hondurans, and Mexicans. So, from that moment an organization began to form. Continue reading