Federal judicial review of abortion medication restrictions presents genuine constitutional concerns (A=26.01) across civil_rights (4), rule_of_law (4), and separation of powers (3). Judicial mechanism modifier 1.15 and federal scope 1.2 apply. Severity multipliers reflect moderate durability (1.1), high reversibility (0.9 - judicial decisions can be appealed/overturned), and significant precedent (1.2 - affects nationwide medication abortion access). B-score (23.87) is elevated due to abortion's inherent polarization (outrage_bait:7, media_friendliness:8) and strategic timing indicators (mismatch:6 - Hawaii venue for nationwide policy, pattern_match:7 - fits ongoing abortion narrative). Intentionality moderate (8/15) given abortion's known wedge status. D-score: +2.14 places this in Mixed territory - both constitutional substance and distraction/hype elements are significant and nearly balanced.