The answer to vrai's question aside, the original district court decision in this case was pure garbage. I don't say that lightly and it has nothing whatsoever to do with whether mifepristone should be available. It was just riddled with nonsensical legal reasoning and nonsensical factual arguments. It appears to be written by someone who doesn't even understand the basics of the various legal issues involved. But I don't believe that to actually be the case. In other words, I don't think Judge Kacsmaryk is as ignorant or - frankly - dumb as he makes himself out to be in that opinion.
I think he was just willing to take disingenuousness to a whole other level, even for a purely results seeking judicial decision. I've read countless court decisions - likely thousands of them. And, of course, many of them were bad and clearly just results seeking. But this was one of the worst. I could probably write for a day about the various problems with it, but no one wants to see that so I won't. I'll just provide one example for now (though I'm happy, time allowing, to get into other problematic aspects of the decision).
Assuming arguenda that the plaintiffs could overcome various threshold issues like standing (which they couldn't), on the merits there are a number of questions to consider. One is, essentially, whether the FDA fairly concluded that medical abortion with mifepristone provided therapeutic benefits over then-existing alternatives. To suggest that the FDA was wrong in concluding that, Judge Kacsmaryk looked to highlight problems with its use. So he says, without further qualification except to site a study in a footnote:
Other studies show eighty-three percent of women report that chemical abortion “changed” them— and seventy-seven percent of those women reported a negative change.
Okay. First, it turns out the study he relies on is from 2020. So it's irrelevant to the question at hand: Did the FDA act arbitrarily and capriciously in concluding what it concluded? Somehow Judge Kacsmaryk thinks it did because it didn't go forward in time two decades to consider this study. Second, the study wasn't even offered - best I can tell - as support by any of the parties in the case (for reasons I think will soon become apparent). It would seem the judge went googling or something to find some extra-evidential support - any support - for what he wanted to conclude.
Third, and here's the kicker, what was this study all about? You can't make this stuff up. It's too preposterous. Someone made a website called... called... called... Abortion Changes You. It's a website for people to go post about how abortion changed them and "begin the process of healing." Someone then did a study based only on postings - fewer than a hundred - made to that website. And, voila, apparently 83% of those posters mentioned something about their medical abortion changing them - 74% mentioned something ostensibly negative.
So what the judge meant to say was "83% of the anonymous posters on the Abortion Changes You website indicated that their medical abortion had changed them." That's, of course and for obvious reasons, not what he said. But, hey, I'm sold. The FDA was obviously acting arbitrarily and capriciously in concluding that medical abortion provides therapeutic benefits over surgical abortion because the FDA didn't travel forward in time two decades and find this study demonstrating that the vast majority of fewer than a hundred women who posted to the Abortion Changes You website claimed that their medical abortion changed them.
To be clear, I'm not nitpicking here to point out one absurdity I found in the judge's ruling. The whole thing is garbage. He, e.g., completely misconstrues third-party standing. He bungles the timeliness analysis. He styles his order as a stay even though it's pretty clearly, effectively, an injunction. Why does that matter? Because a stay typically wouldn't have been subject to interlocutory review (by the Fifth Circuit) and could thus remain in place while he was hearing the case. The Fifth Circuit didn't even bother going into much explanation on that issue; it didn't need to. It just - albeit politely - dispensed with that nonsense in a footnote with a Dikembe Mutombo like get-that-crap-out-of-here finger wag.
This is the problem with government. People aren't held accountable. If someone in the private sector did work like this, they'd most likely be fired immediately. Or they might end up in jail for gross negligence. But government actors are generally allowed to get away with most anything - whether it be intentional abuse of power or incredible incompetence.