Abstract

Although three previous justices of the United States Supreme Court have had formal medical training, none has had more influence on medicine than Justice Harry A. Blackmun. Blackmun, a mathematics major at Harvard College, considered medical school but instead chose legal training. After becoming familiar with the legal work of the Mayo Clinic while practicing with a Minneapolis firm, he was internal legal counsel for the clinic from 1950 to 1959. Blackmun's work contributed to the development of the clinic, especially in the establishment of Rochester Methodist Hospital. As a Supreme Court Justice, Blackmun's concern for medicine was evident in many of his judicial opinions, including Roe v Wade and Regents of the University of California v Bakke. In Roe, he rested much of the constitutional foundation for legalized access to abortion on the integrity of the physician-patient relationship. In Bakke, Blackmun contributed an opinion that recognized the responsibility of medical schools to consider racial and ethnic factors in admissions decisions to increase the diversity of the profession. Blackmun's efforts to span the gap between law and medicine will earn him a place in the history of both disciplines.

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