The 3d Circuit’s decision on September 21 in Anspach v. City of Philadelphia is a tragic and unfortunate ruling that further undermines parental rights to consent to the health care of their children. The traditional rule, in virtually all 50 states, is that no doctor can touch a child without parental CONSENT (not just NOTICE), except in the case of a life-threatening medical emergency. Some states have introduced exceptions, through legislation, in the case of reproductive care. This ruling exalts adolescent sexual autonomy over parental authority, although the facts in the case show why parental consent is vitally important.After the city health clinic gave the 16 year old a second dose of Plan B, she suffered (as the AP reported) “severe abdominal pains and vomiting. She told her parents about the medication and they took her to a hospital, where she was treated and released.” Plan B is a high dose of progesterone, a powerful hormone. If taken after the egg is released, it may interfere with implantation, according to the FDA website. It was approved by the FDA for over the counter use (OTC) without any study of its effect on teenagers.