Kate Cox of Dallas, Texas, learned recently that the baby she is carrying has a genetic condition that is typically deadly, trisomy 18. She asked a court to allow her to have an abortion, and the judge agreed to permit the abortion (the judge is female).

But Ken Paxton, the State Attorney General, has threatened to punish any doctor and hospital that participate in the abortion. The Texas Supreme Court issued a temporary injunction blocking an abortion. Fox has had two caesarean births and fears that she may never be able to conceive again if forced to deliver a baby that has little chance of survival.

Who decides? Kate Cox’s doctor? Ken Paxton? The Texas Supreme Court?

Alexandra Petri, humorist for The Washington Post, comments on Paxton’s intervention:

“Judge Guerra Gamble is not medically qualified to make this determination and it should not be relied upon. A TRO is no substitute for medical judgment.”

— Texas Attorney General Ken Paxton, writing to doctors who have received a court order allowing an abortion to end a nonviable pregnancy

There is no substitute for medical judgment, except the judgment of me, Ken Paxton.

Am I a doctor? No. I’m something better than a doctor: a Ken. My accessories include: no medical expertise and a boundless reservoir of cruelty. And one time, I saw a horse. I have also been told that my handwriting is bad and that I am not patient. This all screams “doctor” to me.

If we were on a plane or in a theater and someone yelled, “There is an emergency! Is there a doctor in the house?” I would absolutely raise my hand. “I am a man in a position of political authority in Texas happy to make life hell for all pregnant people. In the state of Texas, that’s better than a doctor!”

Indeed, the process for obtaining an abortion in Texas is simple. All you have to do is get a recommendation from your doctor that one is medically necessary, hire a legal team, get your case in front of a judge and obtain a court order! And then a man named Ken gets to say, “No! Let’s take this to the Supreme Court. Also, if you proceed, I will threaten your doctors!” And then the Texas Supreme Court gets to affirm Ken’s preference and halt your order. Simple. Routine. Elegant.

Texas Supreme Court temporarily halts order that allows pregnant woman to have an abortion

“This seems like a horrible, ghoulish way to behave when a person needs to access emergency medical care,” you might say. Sure! But we are not talking about a person in this case. We are talking about a woman. Totally different, in my medical opinion.

Am I a doctor? Look, I’ve always felt that nothing should limit what you can be or do, except the objections of a man named Ken in the state of Texas. Well, I’m a man named Ken in the state of Texas, and I think I am probably a doctor. And the state Supreme Court agrees.

I mean, of course, in all ways that count (chiefly, I get to make medical decisions for you), I am a doctor. Actually, maybe it would even be better if I weren’t! That would keep me from being unduly hidebound and unimaginative when faced with questions like: Which pregnancies are viable? Which are life-threatening? For too long, we’ve been constrained by what was medically possible. No more. I always try to bring an open mind and lots of questions. Should blood really be inside the body rather than outside? Maybe, instead of an epidural, we should try prayer? If a body has a uterus, then is there any room in it for legal rights? Questions of that kind!

What I don’t know about women’s health could fill a book! A book that I would refuse to read, on principle.

I am a small-government conservative. I believe that the government should be so small that it can fit into your uterus and make all medical decisions for you. Don’t try to expel it! That’s not allowed. Not in Texas! I am not a doctor, but, as a doctor, I will tell you: It is not medically safe.

I can’t believe that these judges are trying to interfere in a medical decision, as we have forced them to do under Texas state law. The effrontery! The gall! A substance I believe that I know a lot about, from my years practicing medicine! It’s what the brain is made of!

TO BE CLEAR, I AM TECHNICALLY NOT A DOCTOR, but I do get mad when people call Jill Biden one. I am only not a doctor in the sense that I haven’t been to medical school, was never a resident and think that there is a strong chance babies are carried by storks. Teach the controversy! I also have not read an anatomy book. (I hear they contain inappropriate pictures! More information requested from those in the know!) But in every other sense, I am a doctor: I am a male Republican Texan in a position of authority.

Want an abortion? In Texas, we believe in bodily autonomy and control over your medical choices. For me, Ken. Not for you, yourself. You can’t be trusted with it! But don’t worry. In Texas, there is no substitute for medical judgment. Oh, sorry! Typo. In Texas, there is no (substitute for medical judgment). The “No!” is from me, Ken Paxton.