A14 EZ SU T H E W A S H I N G T O N P O S T.S A T U R D A Y, O C T O B E R 5 , 2 0 1 9
case had requested the court’s
intervention.
“Louisiana has tried every-
thing under the sun to decimate
access to abortion care,” said
Kathaleen Pittman, clinic admin-
istrator at Hope Medical Group,
one of the plaintiffs. “The situa-
tion here is already dire and this
law would be the last straw for
most of the remaining clinics.
We’re hopeful that the court will
recognize how devastating this
law would be for women in our
state.”
Louisiana Attorney General
Jeff Landry (R) had also asked
the court to review the decision.
He wants the justices to decide
that abortion providers don’t
have the legal standing to chal-
lenge laws such as the one the
Louisiana legislature passed.
“The evidence of Louisiana
abortion clinics’ poor safety rec-
ords, inadequate credentialing
practices, and questionable ef-
forts to undermine health and
safety regulations shows that the
abortion clinics’ interests are di-
rectly adverse to the interests of
Louisiana women,” Landry said
in a statement. “Incompetent and
unsafe providers should not be
allowed to challenge health and
safety standards designed to pro-
tect women from those very pro-
viders.”
The case is June Medical Ser
vices v. Gee.
[email protected]
justice of the Supreme Court who
decided Whole Woman’s Health
would endorse our opinion,”
Judge Stephen A. Higginson
wrote in his dissent. “The majori-
ty would not, and I respectfully
suggest that the dissenters might
not either.”
Both sides in the Louisiana
Louisiana would be affected.
The full 5th Circuit declined to
reconsider the panel’s decision,
and dissenting judges said their
colleagues seemed more intent
on giving the Supreme Court a
chance to reverse its 2016 ruling
than complying with it.
“I am unconvinced that any
He said that the closing of
some clinics in Louisiana, as
opposed to Texas, would not dra-
matically increase driving dis-
tances and that it was easier for
doctors in Louisiana to procure
admitting privileges. He said that
“at most, only 30 percent of
women” seeking abortions in
could consider its merits.
The court’s 2016 decision
in the Texas case, Whole Wom
an’s Health v. Hellerstedt, said
the admitting-privileges require-
ment “provides few, if any, health
benefits for women, poses a sub-
stantial obstacle to women seek-
ing abortions, and constitutes an
‘undue burden’ on their constitu-
tional right to do so.”
Hospitalization after an abor-
tion is rare, all sides agree, and
the lack of admitting privileges
by the doctor who performed the
procedure is not a bar to the
woman getting needed medical
care. The court’s opinion said
there are numerous reasons doc-
tors might not be able to attain
admitting privileges at a nearby
hospital, including the fact that it
is so rare for their clients to need
hospitalization.
But last fall, a panel of the U.S.
Court of Appeals for the 5th
Circuit upheld the Louisiana law
in a 2-to-1 vote, finding factual
distinctions between how the re-
striction played out in Texas and
Louisiana.
Judge Jerry E. Smith, writing
for the majority, said that the
court complied with the Supreme
Court’s decision in Whole Wom
an’s Health by taking a painstak-
ingly close look at the details.
“Unlike in Texas, the [Louisi-
ana law] does not impose a sub-
stantial burden on a large frac-
tion of women,” he concluded.
to pass their own health and
safety standards designed to pro-
tect women inside abortion ven-
dors.”
Abortion rights supporters
turned up the dial as well.
“Access to abortion is hanging
by a thread in this country, and
this case is what could snap that
thread,” Alexis McGill Johnson,
acting president of Planned Par-
enthood Federation of America,
said in a statement. “There’s only
one reason the court would not
strike down the Louisiana law
and that is because Justice Ken-
nedy, who voted to protect abor-
tion access just three years ago,
has been replaced with Justice
Kavanaugh. This is what we’ve
warned about.”
It was no surprise the court
accepted the case. In February,
Chief Justice John G. Roberts Jr.
and the court’s liberals entered a
stay that kept the law from going
into effect. Roberts was a dissent-
er in the 5-to-3 ruling in the 2016
case (Scalia had died months
before) and the reason for his
most recent vote remains a mat-
ter of speculation.
He may have questioned
whether the lower court’s deci-
sion to uphold the Louisiana law
complied with the court’s prec-
edent, or he could have simply
wanted to maintain the status
quo until the Supreme Court
SUPREME COURT FROM A
Justices to examine restrictive Louisiana abortion law
BY RACHEL SIEGEL
When Rep. Rashida Tlaib (D-
Mich.) was invited to tour the
Detroit Police Department’s Real
Time Crime Center, the purpose
was to explain how officers use
facial recognition when policing
the streets of a city that is more
than 80 percent black.
But the meeting quickly deteri-
orated when Tlaib told Chief
James Craig that “analysts need
to be African Americans, not
people that are not,” because
“non-African Americans think
African Americans all look the
same.”
Craig, who is African Ameri-
can, said the suggestion that
white analysts would be less ad-
ept at their jobs than people of
color was “insulting.”
Tlaib’s comments, however,
were consistent with an enduring
debate that rages around facial-
recognition software: the systems
more accurately identify lighter-
skinned faces than those of peo-
ple of color. Researchers and
numerous studies says that is
because the software is trained
on vast sets of images that skew
heavily toward white men, leav-
ing women and minorities vul-
nerable to holes in mammoth
databases.
That can be especially risky,
critics say, as facial recognition is
embraced by government and
law enforcement.
Critics also worry that people
are not being trained adequately
in how to use the technology and
interpret its results. Researchers
say that law enforcement agen-
cies do not always disclose how
its analysts are taught to use the
systems, or who is conducting the
training. And they worry that
even if a department claims a
strong training protocol, people
will inevitably let biases about
gender and race creep into how
they assess a match.
“There’s a huge amount of
reliance that this is going to be
accurate if it spits out a match, or
a candidate list of five people,”
said Jake Laperruque, senior
counsel at The Constitution Proj-
ect at the Project on Government
Oversight. “And that’s just not the
case.”
Camera quality, lighting and
the size of a system’s database can
all affect facial recognition’s accu-
racy. But researchers say that
improving those factors doesn’t
erase a system’s hard-wired bias-
es. One 2018 study conducted by
Joy Buolamwini of the M.I.T. Me-
dia Lab found that the technology
is correct 99 percent of the time
with photos of white men. But the
software misidentified the gen-
der as often as 35 percent of the
time when viewing an image of a
darker-skinned woman.
In January, researchers with
M.I.T. Media Lab reported that
facial-recognition software devel-
oped by Amazon and marketed to
local and federal law enforce-
ment also fell short on basic
accuracy tests, including correct-
ly identifying a person’s gender.
Specifically, Amazon’s Rekogni-
tion system was perfect in pre-
dicting the gender of lighter-
skinned men, the researchers
said, but misidentified the gender
of darker-skinned women in
roughly 30 percent of their tests.
Amazon disputed those find-
ings, saying the research used
algorithms that work differently
from the facial-recognition sys-
tems used by police departments.
(Amazon founder and chief exec-
utive Jeff Bezos owns The Wash-
ington Post.)
But the results, researchers
say, offer a cautionary tale for
millions of Americans. A 2016
report by Georgetown Law re-
searchers found that the facial
images of half of all American
adults, or more than 117 million
people, were accessible in a law-
enforcement facial-recognition
database.
Greater scrutiny on these data-
bases has spurred some progress.
ImageNet, an online image data-
base, recently said it would re-
move 600,000 pictures of people
from its system after an art proj-
ect showed the severity of the bias
wired into its artificial intelli-
gence. Artist Trevor Paglen and
AI researcher Kate Crawford
showed how the system could
generate derogatory results when
people uploaded photos of them-
selves. A woman might be called a
“slut,” for example, and an Afri-
can American user could be la-
beled a “wrongdoer” or with a
racial epithet.
Unlike many social and policy
debates gripping Washington, fa-
cial-recognition has drawn sharp
criticism from Republican and
Democratic lawmakers alike. In
May, members of the House Over-
sight and Reform Committee
jointly condemned the technol-
ogy, charging that it was inaccu-
rate and threatened Americans’
privacy and freedom of expres-
sion. But there are no current
federal rules governing artificial
intelligence or facial recognition
software.
“We have a technology that
was created and designed by one
demographic, that is only mostly
effective on that one demograph-
ic, and they’re trying to sell it and
impose it on the entirety of the
country,” Rep. Alexandria Ocasio-
Cortez (D-N.Y.) said earlier this
year.
Detroit’s police board ap-
proved the use of facial recogni-
tion software last month. But the
technology has not been em-
braced by all locales. San Francis-
co and Oakland, Calif., along with
Somerville, Mass., have banned
local government agencies, in-
cluding police departments, from
using the software. In September,
California lawmakers temporari-
ly banned state and local law
enforcement from using facial-
recognition software in body
cameras.
Beyond the software itself, crit-
ics worry that users will put too
much faith in facial recognition,
even as they acknowledge the
software’s pitfalls. Laperruque
pointed to the “CSI Effect” —
when people come to believe in
the technology’s infallibility be-
cause of how they see it used in a
crime shows on TV.
“Training in general is seen as a
pretty essential feature of getting
this to work,” Laperruque said.
“There’s an expectation when law
enforcement and the public see a
new sci-fi-looking tool to say,
‘This is a magical, futuristic tech-
nology,’ when in reality, facial
recognition is a lot more akin to
outsourcing policing to glitchy
computers.”
Jennifer Lynch, surveillance
litigation director of the Elec-
tronic Frontier Foundation,
pointed to studies showing how
poorly people identify images of
people they don’t know — espe-
cially when it comes to people of
different races or ethnicity.
Researchers say that among
police departments that use the
software, there aren’t always
clear or transparent standards
for how officials are trained on
the systems, or how much weight
is given to the results.
“The police departments say,
‘we are not considering this an
exact match because we have
humans that look at this after the
fact and verify the technology,’ ”
Lynch said, “which is problematic
because humans are not good at
identifying people.”
[email protected]
Congresswoman isn’t only one who thinks race a≠ects facial-recognition results
JONATHAN NEWTON/THE WASHINGTON POST
The Supreme Court in 2016 struck down an almost identical Texas law requiring doctors at abortion
clinics to have admitting privileges at nearby hospitals, but the court’s makeup has changed since then.
Tlaib, critics say software
uses photos that heavily
skew toward white men
BY SEAN SULLIVAN
Sen. Bernie Sanders suffered a
heart attack earlier this week be-
fore a stent procedure was con-
ducted to clear an artery, doctors
said Friday in a statement released
by his presidential campaign.
Sanders, 78, was released from a
Las Vegas hospital Friday.
“Sen. Sanders was diagnosed
with a myocardial infarction,” his
treating physicians, Arturo E.
Marchand Jr. and Arjun Gururaj,
said in the statement Friday.
The independent senator from
Vermont, dressed in a blue button-
down shirt and a dark blazer,
waved to cameras as he departed
the hospital Friday afternoon
alongside his wife, Jane. He told
reporters he felt “great, thank you”
before entering a dark SUV.
The statement, released after
Sanders left the hospital, marked
the first time the campaign had
acknowledged he had a heart at-
tack. Aides had previously de-
clined to answer questions about
his diagnosis.
Asked Friday why they waited
to announce the diagnosis, Sand-
ers campaign spokesman Mike
Casca said, “We just wanted to
wait until he was discharged to
give out the information all at
once.”
On Wednesday, Sanders’s cam-
paign said he was hospitalized af-
ter experiencing chest pains at a
Tuesday night campaign event. Af-
ter doctors discovered an artery
blockage, the campaign said then,
they inserted two stents.
“The Senator was stable upon
arrival and taken immediately to
the cardiac catheterization labo-
ratory, at which time two stents
were placed in a blocked coronary
artery in a timely fashion,” his
doctors said Friday. “All other ar-
teries were normal.”
They said his hospital stay was
“uneventful with good expected
progress. He was discharged with
instructions to follow up with his
personal physician.”
It was not immediately clear
what effect Sanders’s health issues
would have on his second straight
campaign for the presidency.
While he was hospitalized, a sen-
ior aide said his campaign events
were canceled “until further no-
tice.”
Sanders planned to fly home to
Vermont on Saturday, his cam-
paign said. Over the weekend, sur-
rogates are fanning out across ear-
ly nominating states to campaign
on his behalf.
Shortly after leaving the hospi-
tal, Sanders posted a video on
Twitter in which he said he was
feeling better. “See you soon on the
campaign trail,” he added.
His wife, Jane, said before his
release that Sanders would “take a
few days to rest” but would take
part in the Oct. 15 Democratic
presidential debate. It was not
clear whether he would resume
his normal campaign activities be-
fore then.
An arterial blockage such as
Sanders’s typically has a good
prognosis and does not normally
require a long recovery period,
medical experts said earlier this
week, before it was known that he
had suffered a heart attack.
Sanders’s condition has revived
a debate over age and health in the
Democratic Party. The three can-
didates leading the polls in the
Democratic primary — Sanders,
former vice president Joe Biden
and Sen. Elizabeth Warren (D-
Mass.) — are in their 70s. Presi-
dent Trump is also a septuagenari-
an.
Earlier in the campaign, some
younger candidates made the ar-
gument that it was time to turn the
party’s leadership over to a new
generation. But that pitch was
mostly aimed at Biden, at the time
the clear leader in the polls.
Sanders’s medical crisis oc-
curred amid some good news for
his campaign — an announce-
ment this week that he raised
$25.3 million, more than any oth-
er candidate for the Democratic
nomination, in the third quarter.
In recent weeks, Sanders has
slipped in the polls.
Sanders campaign manager
Faiz Shakir sought to emphasize
his position in the money chase on
Friday.
“Our third quarter fundraising
totals make clear that Bernie’s
campaign is part of a working
class movement taking on the
greed and corruption of the corpo-
rate elite,” Shakir said in a state-
ment.
Sanders, in a tweet issued from
the hospital this week, used his
hospitalization to argue for his
agenda, specifically the Medicare-
for-all plan he has long champi-
oned. He noted that a health emer-
gency can come as a surprise, as
his did.
In the statement released by his
campaign Friday, Sanders
thanked the doctors and nurses
who treated him.
“After two and a half days in the
hospital, I feel great, and after
taking a short time off, I look
forward to getting back to work,”
Sanders said.
[email protected]
Sanders su≠ered a heart attack, his doctors announce
SALWAN GEORGES/THE WASHINGTON POST
Sen. Bernie Sanders (I-Vt.) walks at the Iowa State Fair in August with his wife, Jane. He experienced chest pains at a campaign event on
Tuesday, and an arterial blockage was discovered. Two stents were placed, and he is expected to return to Vermont on Saturday.
Senator is out of hospital;
timing of his return to
campaign trail is unclear