| According to the Society of Family Planning, these restrictions led to more than 80,000 people encountering “disruptions in accessing abortion care” between July 2022 and March 2023 and, as a result, “there were 25,640 cumulative fewer abortions” during this period.
The Associated Press has a good interactive map showing the extent of abortion restrictions in different states.
It shows that abortion is severely restricted at all stages of pregnancy in Alabama, Arkansas, Idaho, Kentucky, Louisiana, Mississippi, Missouri, North Dakota, Oklahoma, South Dakota, Tennessee, Texas, West Virginia, and Wisconsin. In Georgia, it’s largely banned after fetal cardiac activity can be detected (around six weeks) and, in Nebraska, at around 12 weeks. Restrictions after 15–22 weeks of pregnancy are now in effect in Arizona, Florida, Indiana, Iowa, Kansas, Ohio, North Carolina, South Carolina, and Utah. In the remaining states, restrictions only kick in at 24 weeks of pregnancy or later.
These restrictions have not just curtailed access to abortion for people with unwanted pregnancies. They’ve also made things difficult for women with pregnancy complications or nonviable pregnancies, and for the doctors who treat them. (The American College of Obstetricians and Gynecologists rounds up some doctors’ stories here.)
In some cases, pregnant women with risky but not-yet-life-threatening issues have been forced to wait until their conditions worsen before they can terminate pregnancies under abortion-ban exemptions meant to save mothers’ lives. In other cases, women carrying fetuses with little to no chance of surviving outside the women were reportedly forced to carry these doomed pregnancies to term, or travel hours out of state to obtain an abortion.
Such was the case for a young Alabama woman whose membranes ruptured early in her pregnancy. “No healthcare provider was going to be able to do anything in Alabama and waiting for something to happen is really dangerous for the mother,” Northwestern Medicine’s Melissa Simon told MedPage Today. “So [the woman and her mother] came to Chicago to get an abortion procedure because there was no chance that this pregnancy was going to survive and that this baby was going to survive. There was a high chance that the mother would develop an infection or could die in that scenario.”
The Biden administration is currently investigating two hospitals that declined to perform an abortion on a Missouri woman whose health and life were threatened by pregnancy.
That investigation comes as part of a standoff between the federal government and some state governments over what is required by the federal Emergency Medical Treatment and Active Labor Act (EMTALA). “The EMTALA statute requires that Medicare hospitals provide all patients an appropriate medical screening, examination, stabilizing treatment, and transfer, if necessary, irrespective of any state laws or mandates that apply to specific procedures,” the U.S. Department of Health and Human Services said. “Stabilizing treatment could include medical and/or surgical interventions, including abortion. If a state law prohibits abortion and does not include an exception for the health or life of the pregnant person — or draws the exception more narrowly than EMTALA’s emergency medical condition definition — that state law is preempted.”
We’ve also seen a major legal dispute playing out over abortion pills.
A federal court in Texas held in April that the Food and Drug Administration erred in approving the abortion-inducing drug mifepristone back in 2000 and ordered mifepristone access to be suspended. Meanwhile, a federal court in Washington said U.S. authorities can’t do anything to restrict access to mifepristone.
The situation came to a head later that month at the Supreme Court, which granted the government’s request for a stay as the U.S. Court of Appeals for the 5th Circuit considers the case on its merits. The 5th Circuit heard arguments in the case in May and has not yet issued a decision.
Battles over abortion access and legality have reverberated throughout the U.S. political landscape.
Following the Dobbs decision, a number of polls have shown Americans increasingly identify as “pro-choice” or say they disfavor total abortion bans. Voters concerned about abortion rights may have played a big role in the 2022 election and are viewed as a major challenge to Republicans in elections to come, too. “Democrats credit abortion with helping them keep control of the Senate and protecting against steep losses in the House in last year’s midterm elections. And they plan to make it a major campaign issue in 2024,” notes The Washington Post.
Votes specifically related to abortion haven’t always gone the way pro-lifers wanted, even in red states like Kansas. Some more extreme anti-abortion legislation has been failing in red-state legislatures, too.
Before Dobbs, Republican politicians were always free to cater to their most anti-abortion constituents with little worry that it would affect their bottom line, since those with less extreme views were hardly likely to vote against them over policies that couldn’t actually be put into practice. But the overturning of Roe has made abortion extremism a liability for some Republicans.
“The divide between GOP moderates and the most ardent antiabortion lawmakers over how far to pursue restrictions continues to fester,” notes the Post. “When Roe was in place, the politics were simpler for Republicans. They could just say they wanted it gone and press Democrats on whether they would support any limits,” points out NPR. Now Republicans are being pressed for more specifics, and liable to anger parts of their base no matter which way they go.
Post-Dobbs, many Americans “are reporting more liberal views on abortion than major pollsters have seen in years,” notes FiveThirtyEight after analyzing a range of polls. “Even conservatives, although the changes are slight, are increasingly supportive of abortion rights. There are other signs that longstanding views are shifting: For instance, Americans are more open to the idea of unrestricted third-trimester abortion than they were even a year ago. And although it’s hard to predict what will shape upcoming elections, there are indications that abortion has the potential to be a major motivator for some Americans when they go to vote in 2024.” |