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Benedict Kudish vs. Board of Registration in Medicine

Massachusetts Supreme Judicial Court1969-06-02
356 Mass. 98

Summary

Holding. The court affirmed the board's revocation of the physician's license. The guilty plea to performing an unlawful abortion provided sufficient justification for the revocation, and the statute was not unconstitutionally vague because prior decisions had adequately defined what constitutes lawful abortion in medical practice.

A physician's medical license was revoked after he pleaded guilty to performing an unlawful abortion. The physician challenged the revocation on constitutional grounds, arguing that the statute prohibiting abortion was unconstitutionally vague because it used the term 'unlawfully' without defining it. The court rejected this argument, finding that prior case law had sufficiently clarified the statute's meaning by establishing that physicians may lawfully perform abortions only when acting in good faith with an honest belief the procedure is necessary to preserve the woman's life or health. The physician also raised separate constitutional objections based on due process and equal protection grounds regarding a community standard test applied to physician judgment. The court determined the physician had no standing to raise these additional challenges because he had made no showing of good faith or demonstrated any actual peril to the woman, both of which are essential to any defense under the statute.

Summary generated by law.co from the public-domain opinion. The opinion text itself is public domain.

Key issues

  • Whether a statute prohibiting unlawful abortion is unconstitutionally vague
  • Judicial clarification of statutory meaning through prior case law
  • Standing to challenge community standard in medical judgment
  • Grounds for revocation of medical license

Procedural posture

The petitioner appealed from a Superior Court decree that affirmed the Board of Registration in Medicine's decision to revoke his medical license.

Authorities cited

No cited authorities resolved to law.co cases yet.

Opinion

majority opinion

Wilkins, C.J.

This petition is to review a decision of the respondent board of registration in medicine which revoked the petitioner’s registration as a physician. In the Superior Court a final decree affirmed the board’s decision. The petitioner appealed.

At the hearing before the board there was evidence (1) that the petitioner had pleaded guilty in the Superior Court to two counts in the form provided in G. L. c. 277, § 79, charg ing him with performing an abortion (G. L. c. 272, § 19) and (2) that he was placed on probation for three years. No objection was made to the admissibility of this evidence.

The petitioner, after his admission of violation of § 19, made no effort to present facts which might avoid his being adjudged “guilty of deceit, malpractice, gross misconduct in the practise of his profession, or of any offence against the laws of the commonwealth relating thereto,” all of which are grounds for revocation of his license. G. L. c. 112, § 61 (as amended through St. 1963, c. 241, §§ 2, 3). The petitioner instead chose to rest his case upon the chance of successfully challenging the validity of § 19.

Before us the petitioner argues that the use of the word “unlawfully” renders § 19 unconstitutionally vague, because there is no definition of what is unlawful. He cites no authority which supports this contention. The broad contention that the statute is void for vagueness lacks support in the authorities. See, for example, Commonwealth v. Daniel O’Connell’s Sons, Inc. 281 Mass. 402; Commonwealth v. Carpenter, 325 Mass. 519; Alegata v. Commonwealth, 353 Mass. 287; Connally v. General Constr. Co. 269 U. S. 385; Lanzetta v. New Jersey, 306 U. S. 451; Thornhill v. Alabama, 310 U. S. 88; Note, Due Process Requirements of Definiteness in Statutes, 62 Harv. L. Rev. 77; Comment, Legislation — Requirement of Definiteness in Statutory Standards, 53 Mich. L. Rev. 264; Collings, Unconstitutional Uncertainty — An Appraisal, 40 Cornell L. Q. 195; Note, The Void-for-Vagueness Doctrine in the Supreme Court, 109 U. of Pa. L. Rev. 67.

We are of opinion that any uncertainty has been made sufficiently definite by decisions of this court. In our cases it has been stated over the years that a physician may lawfully perform an abortion if he acts in good faith and in an honest belief that it is necessary for the preservation of the life or health of the woman. Commonwealth v. Sholes, 13 Allen, 544, 558. Commonwealth v. Brown, 121 Mass. 69, 76-77, 82. Commonwealth v. Nason, 252 Mass. 545, 551. Commonwealth v. Corbett, 307 Mass. 7, 12. Commonwealth v. Wheeler, 315 Mass. 394, 395. Commonwealth v. Brunette, 341 Mass. 675, 677-678.

As another indication of vagueness as well as a violation of the due process and the equal protection clauses, the petitioner refers to the requirement introduced in Commonwealth v. Nason, supra, that the doctor’s judgment correspond “with the average judgment of the doctors in the community in which he practises.” Commonwealth v. Wheeler, supra. Commonwealth v. Brunelle, supra. Compare Brune v. Belinkoff, 354 Mass. 102. The petitioner has demonstrated neither the existence of any peril to the woman nor his good faith in performing the abortion, both of which are fundamental to exoneration. Commonwealth v. Brown, supra. Commonwealth v. Wheeler, supra, 396-397. Therefore, he is unaffected by any defect in the Nason test and has no standing to raise any question concerning it. Massachusetts Commn. Against Discrimination v. Colangelo, 344 Mass. 387, 390. Peterson, petitioner, 354 Mass. 110, 114.

The pleas of guilty were enough to justify the decision of the board.

Decree affirmed.

Section 19 provides: “Whoever, with intent to procure the miscarriage of a woman, unlawfully administers to her, or advises or prescribes for her, or causes any poison, drug, medicine or other noxious thing to be taken by her or, with the like intent, unlawfully uses any instrument or other means whatever, or, with like intent, aids or assists therein, shall . . .” be punished.