Casey was a United States District Judge of the United States District Court for the Southern District of New York. Casey was nominated by President Bill Clinton on July 16, 1997, to a seat vacated by Charles S. Haight, Jr.. He was confirmed by the United States Senate on October 21, 1997, and received commission on October 24, 1997. Casey's service was terminated on March 22, 2007, due to death.
Blindness
In 1964, Casey was diagnosed with retinitis pigmentosa. His condition deteriorated into total blindness in 1987. His blindness does not seem to have slowed his career or personal ambition. At his Senate confirmation hearing, Casey expressed confidence in his ability to effectively judge the credibility of witnesses despite his loss of sight. He used a guide dog in court, and he was assisted by computers that read documents aloud. A Catholic, Casey initially struggled with his blindness and was inspired by a pilgrimage to the Sanctuary of Our Lady of Lourdes. In 1999, Casey travelled to Rome to meet Pope John Paul II and accept the Blessed Hyacinth Cormier, O.P., Medal for "outstanding leadership in the promotion of Gospel Values in the field of justice and ethics".
Casey presided over one of the three constitutional challenges to the 2003 Partial-Birth Abortion Ban Act, National Abortion Federation v. Ashcroft. A coalition led by NAF argued that the statute was unconstitutional under the Supreme Court's 2000 decision in Stenberg v. Carhart because the Act explicitly excluded a "health exception". The Bush administration argued that the courts should defer to a congressional finding of fact that this particular abortion procedure is never medically necessary to protect the health of a mother. Casey had granted a temporary restraining order prohibiting enforcement of the Act on November 6, 2003, the day after it was signed into law. The trial began on March 29, 2004 and lasted 16 days. Casey made headlines throughout the trial by his aggressive questioning. He repeatedly asked witnesses—mostly doctors who perform abortions—about the possibility that fetuses feel pain during abortion, and whether patients are truly informed of that possibility. For example, the following is from an exchange during the redirect examination of Dr. Timothy Johnson: On August 26, 2004, Casey entered a judgment declaring the Partial-Birth Abortion Ban Act unconstitutional, in deference to Supreme Courtprecedent, but also condemning the procedure as "gruesome, brutal, barbaric and uncivilized". The Bush administration appealed to the Second Circuit Court of Appeals, which affirmed the judgment. In a related case, Gonzales v. Carhart, the Supreme Court reversed a similar Eighth Circuit Court of Appeals decision and upheld the federal Partial-Birth Abortion Ban Act as constitutional, at least on a facial challenge.