One year after the fall of Roe v. Wade
25 million living in states with varied limits
One year ago, the US Supreme Court rescinded a fivedecade-old right to abortion, prompting a seismic shift in debates about politics, values, freedom, and fairness.
Twenty-five million women of childbearing age now live in states where the law makes abortions harder to get than they were before the ruling.
Decisions about the law are largely in the hands of state lawmakers and courts. Most Republican-led states have restricted abortion. Fourteen ban abortion in most cases at any point in pregnancy. Twenty Democratic-leaning states including Massachusetts have protected access.
Here’s a look at what’s changed since the Dobbs v. Jackson Women’s Health Organization ruling.
Laws have been enacted to restrict abortion access
Last summer, as women and medical providers began to navigate a landscape without legal protection for abortion, Nancy Davis’ doctors advised her to terminate her pregnancy because the fetus she was carrying was expected to die soon after birth.
But doctors in Louisiana, where Davis lived, would not provide the abortion due to a new law banning it throughout pregnancy in most cases.
At the same time, abortion opponents who worked for decades to abolish a practice they see as murder cheered the Supreme Court’s Dobbs ruling. Anti-abortion groups said the 1973 Roe v. Wade ruling that legalized abortion nationwide was undemocratic because it prevented states from enacting bans.
“The Dobbs decision was a democratic victory for life that generations fought for,” said E.V. Osment, a spokesperson for Susan B. Anthony Pro-Life America, a major anti-abortion group.
While some states scrambled to pass new restrictions, others already had enacted laws that were designed to take effect if the court overturned Roe.
More than 25 million women ages 15 to 44, or about 2 in 5 nationally, now live in states where there are more restrictions on abortion access than there were before Dobbs.
Davis got help from a fund that raises money for women to travel for abortions and went to New York for a procedure. The whole experience was heartbreaking, she said.
“A mother’s love starts as soon as she knows she’s pregnant. That attachment starts instantly,” she said. “It was days I couldn’t sleep. It was days I couldn’t eat.”
Abortion access has been protected in 20 states
As some states restricted abortion, others locked in access. In 25 states, abortion remains generally legal up to at least 24 weeks of pregnancy. Twenty of those states solidified abortion rights through constitutional amendments or laws.
CHOICES Center for Reproductive Health had for decades treated patients seeking abortions in Memphis. After Tennessee’s abortion ban kicked in, the clinic opened an outpost three hours away, in Carbondale, Ill.
“They’re coming from Tennessee, Mississippi, Arkansas, and even Texas,” said CEO Jennifer Pepper. “But now they’re having to travel much farther.”
The number of abortions is not clear
With lags and gaps in official reporting, the impact of the Dobbs ruling on the number of abortions is not clear.
A survey conducted for the Society of Family Planning, a nonprofit organization that promotes research and supports abortion access, found that the number of abortions fell to nearly zero in states with bans and rose in neighboring states with fewer restrictions The survey, however, does not capture self-managed abortions outside the traditional medical system, usually done through a two-pill regimen.
Courts have not been busy with abortion cases
There’s little evidence that doctors, women, or those who help them get abortions are being prosecuted.
The Mississippi attorney general’s office says no charges have been brought under a new law that calls for up to 10 years in prison for anyone who provides or attempts to provide an abortion in cases where it wasn’t to save the woman’s life or to end a pregnancy caused by rape or incest.