On the recommendation of Senators Arlen Specter and Rick Santorum, Rufe was nominated to the United States District Court for the Eastern District of Pennsylvania by President George W. Bush on January 23, 2002 to a seat vacated by Norma Shapiro.
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Along with several step-daughters, she has a step-son Charles Chestnut IV.
In a study of fertility and family planning in rural Tibet published in 2002, Melvyn C. Goldstein, Ben Jiao, Cynthia M. Beall and Phuntsog Tsering claim that there was no evidence in any of the sites surveyed that Lhasa was applying a two-child birth rule in rural Tibet.