The issue, and why the Texas Supreme Court had to rule against her, is Cox’s doctor didn’t make the case that she truly qualified for the exemption. When Dr. Damla Karsan requested “pre-authorization” for the abortion, “Dr. Karsan did not assert that Ms. Cox has a ‘life-threatening physical condition’ or that, in Dr. Karsan’s reasonable medical judgement, an abortion is necessary because Ms. Cox has the type of condition the exception requires.”