Republicans have long billed themselves as champions of states' rights and enemies of judicial activism. Yet a Texas district judge with no medical background just overturned the FDA's 20-year-old approval of the abortion drug mifepriston, thereby banning the drug throughout the United States. The judge, a Trump appointee, was carefully selected by forum shopping. Appeal of the case is through the ultra-conservative, Republican-dominated 5th circuit to the conservative, Republican-dominated U.S. Supreme Court that gave us the Dobbs decision overturning the twenty-year precedent of Roe v. Wade. It will be interesting to see how this turns out. What does this say about courts, politics and the rule of law in the U.S.? What will it tell us about how the U.S. is really governed?