Document ID: ./input/supremecourt_opinions/opinions/19pdf/18-1323_c07d.pdf
Page Number: 99.0

18 

JUNE MEDICAL SERVICES L. L. C. v. RUSSO 

ALITO, J., dissenting 

strong personal incentive would have tried and not simply 
gone through the motions. 

Instead of applying to Christus Health, Doe 2 made a for-
mal  application  to  Willis-Knighton  Bossier  City  (WKBC)
and an informal inquiry at University Hospital, but the rec-
ord does not show that he pursued those requests with any 
zeal.  At  WKBC,  he  did  not  apply  for  courtesy  privileges,
which  do  not  require  a  minimum  number  of  admissions, 
Record 9642–9643, but instead sought an active staff posi-
tion, id., at 9751, and according to Doe 2, this application
was  doomed  because  he  could  not  satisfy  the  minimum-
admissions requirement for such a position, App. 384–390. 
Doe  2  later  sent  a  three-paragraph  e-mail  to  a  WKBC  e-
mail address purporting to amend his 102-page application
so as to seek only courtesy privileges, id., at 1446, but the 
record does not reflect whether that e-mail was received or 
processed,  and  subsequent  correspondence  from  WKBC 
does not acknowledge it, id., at 1435.  Doe 2 stated that he 
sought an active staff position “to keep [his] practice options 
for the future open,” Record 9756, but that does not explain
his  lack  of  diligence  in  seeking  courtesy  staff  privileges.
Although it is true that WKBC requested inpatient records
from  Doe  2  for  an  active  staff  position,  we  do  not  know 

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afternoon” and “all day on Saturday” at the abortion clinic, App. 206, and
therefore presumably is unavailable for his on-call duties at Christus at
those times, Record 12123.  Doe 3 is affiliated with the National Abortion 
Federation  and  has  attended  “many”  of  their  national  conferences  to 
obtain continuing medical education credits.  App. 203.  And Doe 3 indi-
cated that all eight OB/GYNs in Bossier City learned of his abortion prac-
tice when discussing a possible on-call rotation system.  See id., at 200– 
202.  If those facts did not tip off the hospital, perhaps Christus learned
about Doe 3’s abortion practice when one of his patients was transferred
directly from June Medical to Christus, bleeding and in need of a hyster-
ectomy,  id.,  at  217–218,  or  when  Doe  1’s  privileges  application  named 
Doe 3 as a peer reference, Record 13025.  Whatever the Christus bylaws 
say, abortion practice does not appear to have presented an obstacle to a
successful association with the hospital.