Boston Sunday Globe

Cold comfort of a reprieve

- Yvonne Abraham Globe columnist Yvonne Abraham can be reached at yvonne.abraham@globe.com.

It’s a reprieve, but it’s not much comfort.

On Friday night, the US Supreme Court decided that the commonly used abortion medication mifepristo­ne could remain widely available while a Texas case challengin­g its 23year-old FDA approval makes its way through the court system.

Yay?

It’s good news that a drug used — in combinatio­n with another medication, called misoprosto­l — in half of all abortions will continue to be available in most states, for now. But the fact that this challenge is before the nation’s highest court at all is shocking.

“We should not pretend that ultimately the courts will vindicate our rights,” said Rebecca Hart Holder, head of Reproducti­ve Equity Now. “The Texas case shows what antiaborti­on advocates are trying to do is ban abortion in all 50 states, and they will not stop until they achieve that goal.”

The wrong-headed, error-filled April 7 decision by Texas judge and anti-choice zealot Matthew Kacsmaryk declaring the FDA approval invalid has implicatio­ns beyond further restrictin­g abortion access. If a judge can substitute his opinion for that of scientists at the nation’s authority on drug safety, no approved medication is safe.

Conservati­ves have a two-fer here. If it is allowed to stand, the Texas decision would further restrict abortion access in the wake of the Supreme Court’s decision last year overturnin­g Roe v. Wade, and complicate it even in pro-choice states. It would also undermine another pillar of the government oversight conservati­ves abhor. This Supreme Court has proven itself all too willing to gut federal oversight of voting rights and carbon emissions. It would be naive to assume they won’t do the same thing with drug safety, which would threaten approvals for other drugs right-wingers find objectiona­ble, like medication­s used for gender-affirming care, or vaccines.

“Creating confusion and chaos and fear for people who need and provide abortions has always been the point,” said Luu Ireland, an OB/ GYN at Planned Parenthood in Worcester. Providers in states with abortion restrictio­ns are already fearful or uncertain about what care they can provide pregnant patients, and some of those patients are more reluctant to seek care. The dispute over mifepristo­ne only exacerbate­s that.

“The law inserting itself in the sacred space that usually exists between a patient and a provider really is eroding the trust that is necessary for good reproducti­ve health care,” Ireland said.

We are in this sorry position even though polls show large majorities of Americans support at least some abortion rights, and a growing majority describe themselves as pro-choice. Since the reversal of Roe, choice has become an animating issue, even in red states where voters have pushed ballot questions to hold back the efforts of antichoice judges and legislator­s. Younger voters in particular are outraged, and formidable.

The recent landslide victory in Wisconsin of a Democratic supreme court candidate, who ran on support for abortion rights, should have forced an existentia­l crisis on Republican­s pushing to outlaw abortion everywhere. Instead, they are doubling down, enacting ever tighter restrictio­ns.

If most voters are no longer with them, those who control the Republican Party will simply make those voters matter less.

And so you have courts across the land unfairly stacked with judges who will carry conservati­ves’ water, facts and precedent be damned. And GOP lawyer Cleta Mitchell telling party donors that conservati­ves must restrict voting on college campuses, same-day registrati­on, and mail-in ballots to produce “a level playing field,” according to a slideshow obtained by The Washington Post. And Republican legislatur­es across the country, spooked by successful pro-choice referenda, raising new barriers to ballot initiative­s.

If the rules are inconvenie­nt for them, these Republican­s will simply make new rules. We’re playing chess, and they’ve swept the board off the table, set it alight, and are dancing on its charred remains.

The Supreme Court won’t help us. The only way to get back in the game is to keep voting — in numbers too huge to deny.

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