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We are heading into day two of the confirmation hearings that will decide whether of not Amy Coney Barret will fill the vacant spot on the U.S. Supreme Court. The vacancy was left when Justice Ruth Bader Ginsburg passed away on September 18th.

The lead up to the hearings has been wrought with controversy, as it was Ginsburg’s dying wish that she wasn’t replaced until after the upcoming election. But President Trump and the rest of GOP hastily pushed through a nomination anyway.

Although Amy Coney Barret is a woman, the similarities between her and the late Justice Ruth Bader Ginsburg mostly end there. After her nomination, media outlets quickly discovered that Amy Coney Barret holds extremely conservative personal views–ones that may affect her future rulings. Here is what is at stake is Amy Coney Barret is confirmed:

What is at stake: A woman’s access to a legal, safe abortion.

Barret holds notoriously conservative views on abortion, which she has previously stated was “always immoral“. In 2006, she signed an advertisement that called Roe v. Wade a “barbaric legacy”. When she was a federal judge, and ruled in favor of further restricting access to abortion rules. Namely, she advocated for a parent to be informed if their minor child wanted to have an abortion.

Some critics of her nomination argue that her extreme devotion to the Catholic faith make her biased against more progressive issues. What Democrats and Pro-Choice groups both fear is that Barret might side with overturning Roe v. Wade, thus stifling abortion rights on a national level.

What is at stake: Access to affordable healthcare for everyone–including those with pre-existing conditions.

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Considering the Affordable Care Act is on the dockets for Supreme Court review a week after election day, Americans who support the Affordable Care Act are worried that Barret will give conservatives the vote they need to cut the program.

Barret has dropped clues of her thoughts about healthcare in the past. In 2012, Barret signed a statement arguing that the Obamacare was “a grave violation of religious freedom and cannot stand.” She has also previously argued that Chief Justice John Roberts loosely interpreted the law in order to keep the ACA intact.

What is at stake: Laws protecting the LGBTQ+ community from discrimination.

During the ongoing confirmation hearing, Barret has already said that she “would never discriminate on the basis of sexual preference”. Critics quickly took issue with her word-choice, arguing that sexuality is not a “preference” but something one is born with.

Her record on LGBTQ+ issues isn’t exactly promising. In 2015, she signed a letter entitled “Letter to Synod Fathers from Catholic Women”. Part of the letter read: “We give witness that the Church’s teachings…on the meaning of human sexuality, the significance of sexual difference and the complementarity of men and women…and on marriage and family founded on the indissoluble commitment of a man and a woman provide a sure guide to the Christian life.”

She was also was a legal fellow at Alliance Defending Freedom–a group that notoriously opposes LGBTQ+ rights. She has since denied she knew of their homophobic stances.

Considering that a high profile case is on the docket that will decide whether churches can discriminate against gay, it is no wonder that gay rights activists are worried.