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    One Week That Revealed the Struggles of the Anti-Abortion Movement

    The movement looks for a path forward: “Is the goal the absolute abolition of abortion in our nation?”The Southern Baptist Convention voted to condemn in vitro fertilization at its annual meeting in Indianapolis this week, over the objections of some members.Conservative lawyers pushing to sharply restrict medication abortion lost a major case at the Supreme Court, after pursuing a strategy that many of their allies thought was an overreach.Former president Donald J. Trump told Republicans in a closed-door meeting to stop talking about abortion bans limiting the procedure at certain numbers of weeks. In one chaotic week, the anti-abortion movement showed how major players are pulling in various directions and struggling to find a clear path forward two years after their victory of overturning Roe v. Wade.The divisions start at the most fundamental level of whether to even keep pushing to end abortion or to move on to other areas of reproductive health, like fertility treatments. A movement that once marched nearly in lock step finds itself mired in infighting and unable to settle on a basic agenda.In some cases, hard-liners are seizing the reins, rejecting the incremental strategy that made their movement successful in overturning Roe. Other abortion opponents are backing away, sensing the political volatility of the moment.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    What Is Mifepristone and How Is It Used?

    Mifepristone is one of two drugs used in a medication abortion. It is combined with a second drug, misoprostol, to end a pregnancy.Mifepristone blocks a hormone called progesterone that is necessary for a pregnancy to continue. Misoprostol brings on uterine contractions, causing the body to expel the pregnancy as in a miscarriage.In U.S. studies, the combination of these pills causes a complete abortion in more than 99 percent of patients, and is as safe as an abortion procedure administered by a doctor in a clinic. A variety of research has found that medication abortion has low rates of adverse events, and a study published in The Lancet in 2022 found that patients are generally satisfied with it.Growing evidence from outside the United States suggests that abortion pills are safe even among women who do not have a doctor to advise them.While the only F.D.A.-approved method in the United States is to use both pills, misoprostol can also end a pregnancy when used alone, and its availability was not affected by the ruling on mifepristone. Misoprostol — which is around 80 percent effective on its own, although it sometimes has to be taken more than once — is also prescribed to treat ulcers, and is available over the counter in many countries, including Mexico.The Food and Drug Administration has approved medication abortion for up to 10 weeks of pregnancy, while World Health Organization guidelines say it can be used up to 12 weeks at home and after 12 weeks in a medical office. The vast majority of abortions occur before 12 weeks.More than half of people who get legal abortions in the United States — and three-quarters in Europe — use medication abortion. During the Covid-19 pandemic, it became more common because patients wanted to avoid going to clinics in person, and a change in federal regulation made it easier for them to get prescriptions via telemedicine and to fill them in a pharmacy.Since nearly two dozen states banned or restricted abortion following the Supreme Court’s Dobbs ruling, some women in those states have turned to mail-order abortion pills instead. Clinicians in several states have mailed pills into states with bans, protected by so-called shield laws. And foreign nonprofit groups and entrepreneurs have shipped some women pills from overseas.The court’s decision does not influence the availability of the overseas pills, which operate outside the bounds of the legal U.S. health care system. More

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    Abortion Pills May Become Controlled Substances in Louisiana

    A bill that is expected to pass would impose prison time and thousands of dollars in fines on people possessing the pills without a prescription.Louisiana could become the first state to classify abortion pills as dangerous controlled substances, making possession of the pills without a prescription a crime subject to jail time and fines.A bill that would designate the abortion pills mifepristone and misoprostol as Schedule IV drugs — a category of medicines with the potential for abuse or dependence — passed the state’s Republican-controlled House of Representatives on Tuesday by a vote of 63 to 29. Should the Senate follow suit, Gov. Jeff Landry, a Republican and a vocal opponent of abortion, is likely to sign the legislation into law.The measure — which would put abortion pills in the same category as Xanax, Ambien and Valium — contradicts the way the federal government classifies mifepristone and misoprostol. The federal Food and Drug Administration does not consider abortion pills to be drugs with the potential for dependence or abuse, and decades of medical studies have found both to be overwhelmingly safe.Under the legislation, possession of mifepristone or misoprostol without a prescription in Louisiana could be punishable with thousands of dollars in fines and up to five years in jail. Pregnant women would be exempt from those penalties; most abortion bans and restrictions do not punish pregnant women because most voters oppose doing so.“These drugs are increasingly being shipped from outside our state and country to women and girls in our state,” Attorney General Liz Murrill, a Republican, said in a statement on social media. “This legislation does NOT prohibit these drugs from being prescribed and dispensed in Louisiana for legal and legitimate reasons.”Louisiana already bans most abortions, except when women’s lives or health are in danger or fetuses have some fatal conditions. As a result, abortion rights advocates and legal scholars said that in practice, the measure might not prevent many abortions among Louisiana women. Since the state imposed its strict abortion ban after the Supreme Court overturned Roe v. Wade, many patients have traveled to states where abortion is legal or have obtained pills under shield laws from doctors or nurses in other states who prescribe and mail the medications to Louisiana. Such circumstances would not be affected by the new bill, experts say.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Woman Who Was Charged With Murder After Abortion Sues Texas Prosecutor

    Lizelle Gonzalez was arrested after using an abortion pill in 2022, and her charge was since dropped. Now she is seeking $1 million in damages. A woman in Texas who was falsely charged with murder over a self-induced abortion in 2022 has filed a lawsuit against the local prosecutor’s office and its leaders, seeking more than $1 million in damages. Lizelle Gonzalez was arrested in April 2022 in Starr County, near the southeastern border with Mexico, and charged with murder after using the drug misoprostol to self-induce an abortion, 19 weeks into her pregnancy. She spent two nights in jail before the charge was dropped. Self-induced abortions can refer to those performed outside of professional medical care, including the use of abortion pills. Under Texas law at the time, abortions after six weeks were illegal, but pregnant women are exempt from criminal prosecution. (Health care professionals who provide abortion procedures and medication, and others who help someone get an abortion, can still be liable.) Ms. Gonzalez, who was known as Lizelle Herrera and 26 at the time of her arrest, filed a complaint on Thursday against Starr County, along with its district attorney, Gocha Ramirez, and assistant district attorney, Alexandria Lynn Barrera. She argues that the arrest and charge resulted in her suffering reputational harm and distress, and seeks to “vindicate her rights but also to hold accountable the government officials who violated them,” according to her lawsuit.Ms. Gonzalez and her lawyers were not immediately available for comment on Saturday.Mr. Ramirez and Ms. Barrera also did not immediately respond to requests for comment on the lawsuit. A month ago, the state bar of Texas found that Mr. Ramirez had unlawfully prosecuted Ms. Gonzalez without probable cause and fined him $1,250. His law license will also be held in probated suspension for a year, which means he must comply with specific requirements but can practice law during that time. That period starts April 1. According to the complaint, Ms. Gonzalez took the abortion medication in January 2022 and went to the hospital for an examination. Doctors found a positive heartbeat for the baby and no contractions, so she was discharged the next day. But later that day, she returned to the hospital with complaints of vaginal bleeding, and doctors performed a C-section to deliver a stillborn child.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Use of Abortion Pills Has Risen Significantly Post Roe, Research Shows

    The NewsOn the eve of oral arguments in a Supreme Court case that could affect future access to abortion pills, new research shows the fast-growing use of medication abortion nationally and the many ways women have obtained access to the method since Roe v. Wade was overturned in June 2022.The DetailsPackages of abortion pills being prepared to send to patients.Sophie Park for The New York TimesA study, published on Monday in the medical journal JAMA, found that the number of abortions using pills obtained outside the formal health system soared in the six months after the national right to abortion was overturned. Another report, published last week by the Guttmacher Institute, a research organization that supports abortion rights, found that medication abortions now account for nearly two-thirds of all abortions provided by the country’s formal health system, which includes clinics and telemedicine abortion services.The JAMA study evaluated data from overseas telemedicine organizations, online vendors and networks of community volunteers that generally obtain pills from outside the United States. Before Roe was overturned, these avenues provided abortion pills to about 1,400 women per month, but in the six months afterward, the average jumped to 5,900 per month, the study reported.Overall, the study found that while abortions in the formal health care system declined by about 32,000 from July through December 2022, much of that decline was offset by about 26,000 medication abortions from pills provided by sources outside the formal health system.“We see what we see elsewhere in the world in the U.S. — that when anti-abortion laws go into effect, oftentimes outside of the formal health care setting is where people look, and the locus of care gets shifted,” said Dr. Abigail Aiken, who is an associate professor at the University of Texas at Austin and the lead author of the JAMA study. The co-authors were a statistics professor at the university; the founder of Aid Access, a Europe-based organization that helped pioneer telemedicine abortion in the United States; and a leader of Plan C, an organization that provides consumers with information about medication abortion. Before publication, the study went through the rigorous peer review process required by a major medical journal.The telemedicine organizations in the study evaluated prospective patients using written medical questionnaires, issued prescriptions from doctors who were typically in Europe and had pills shipped from pharmacies in India, generally charging about $100. Community networks typically asked for some information about the pregnancy and either delivered or mailed pills with detailed instructions, often for free.Online vendors, which supplied a small percentage of the pills in the study and charged between $39 and $470, generally did not ask for women’s medical history and shipped the pills with the least detailed instructions. Vendors in the study were vetted by Plan C and found to be providing genuine abortion pills, Dr. Aiken said.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Biden Campaign Sharpens Its Post-Roe Message: Abortion Is About Freedom

    In events next week, the president and vice president will argue that abortion access is crucial to personal freedoms, and warn of what is at stake if Donald J. Trump is re-elected.President Biden and Vice President Kamala Harris will headline events next week centered around protecting abortion rights, throwing more heft behind an issue that has galvanized voters in the 18 months since the Supreme Court struck down Roe v. Wade.On Monday, Ms. Harris will visit Wisconsin to begin a national tour focused on preserving access to reproductive health care as Republicans call for more restrictions. Then on Tuesday, she will join Mr. Biden at a rally for abortion rights in Virginia, where Democrats recently took control of the state legislature and have proposed to enshrine abortion protections in the state constitution.Ms. Harris offered a preview of the administration’s election-year messaging to Americans when she visited “The View,” the most popular daytime talk show in the country.“We are not asking anyone to abandon their personal beliefs,” she said during an appearance on Wednesday, adding that “the government should not be telling women what to do with their bodies.”The idea that preserving access to abortion is tantamount to preserving personal freedoms has been embraced by Biden administration officials, lawmakers and activists who hope it will energize a flagging base and draw independent voters into the fold. They also want to contrast the administration’s policies with the political peril that the Republican Party faces by embracing hard-line measures.“I start from the place that most Americans believe that women should have the freedom to make their own decisions about health care, including abortion, without government interference,” Senator Tina Smith, Democrat of Minnesota, who traveled to the Iowa caucuses as a surrogate for Mr. Biden, said in an interview. (About 69 percent of voters think abortion should be legal in the first three months of pregnancy, according to a Gallup poll last year.)We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber?  More

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    Biden Warns That Republicans Are Not Finished on Abortion

    A year after the end of Roe v. Wade, Biden administration officials are working with a limited set of tools, including executive orders and the bully pulpit, to galvanize supporters on abortion rights.Minutes after the Supreme Court voted to overturn Roe v. Wade last summer, a group of West Wing aides raced to the Oval Office to brief President Biden on the decision. As they drafted a speech, Mr. Biden was the first person in the room to say what has been his administration’s rallying cry ever since.Passing federal legislation, he told the group, was “the only thing that will actually restore the rights that were just taken away,” recalled Jen Klein, the director of the White House Gender Policy Council.But if the prospect of codifying Roe’s protections in Congress seemed like a long shot a year ago, it is all but impossible to imagine now, with an ascendant far-right bloc in the House and a slim Democratic majority in the Senate.Instead, with the battle over abortion rights turning to individual states, officials in the Biden administration are working with a limited set of tools, including executive orders and the galvanizing power of the presidency, to argue that Republicans running in next year’s elections would impose even further restrictions on abortion.“Make no mistake, this election is about freedom on the ballot,” Mr. Biden said Friday at a Democratic National Committee event, where he collected the endorsements of several abortion rights groups.On Saturday, Vice President Kamala Harris was set to deliver a speech in North Carolina marking the one-year anniversary of the Supreme Court’s decision to eliminate the constitutional right to an abortion after almost 50 years. Ms. Klein, who recalled refreshing news websites on the day the decision came down last June, said that she was “shocked but not surprised” by the court’s ruling in Dobbs v. Jackson Women’s Health Organization.She added that “efforts to really take extreme action do not represent the majority of opinion of where people are on this.”The White House has argued that Mr. Biden is reaching the legal limits of his powers through executive actions. On Friday, his latest executive action in response to the Dobbs decision ordered federal agencies to look for ways to ensure and expand access to birth control.Mr. Biden previously has issued a memorandum to protect access to abortion medication at pharmacies and taken action to protect patients who cross state lines to seek care. The Justice Department has taken legal action against some states restricting abortion. And the Food and Drug Administration’s approval of the abortion-pill drug mifepristone was quickly challenged in the courts. (In April, the Supreme Court issued an order to preserve access to the pill as litigation continues.)The Biden campaign and the Democratic National Committee will make abortion a primary focus of the president’s re-election effort.Haiyun Jiang/The New York TimesAs the White House has clarified its message around abortion rights, framing the fight as one in support of privacy, safety and civil rights, so has the president. Mr. Biden, a Catholic who attends mass almost every week, has struggled throughout his career with defending abortion rights. Since Roe was overturned, he has grown more outspoken.“I think that he is somebody who really has his own personal views, and has also been quite clear that Roe v. Wade was rightly decided,” Ms. Klein said.Recent polling shows that a majority of Americans may feel similarly. A USA Today/Suffolk University poll conducted earlier this month found that one in four Americans said that restrictive abortion bans enacted at the state level have made them more supportive of abortion rights. Another poll, conducted by PBS NewsHour, NPR and Marist, said that 61 percent of American adults support abortion rights.Some activists suspect that some Republican presidential candidates are paying attention to the polling. Mike Pence, the former vice president and presidential candidate, said on Friday that he would support a 15-week national ban on the procedure. Senator Tim Scott of South Carolina has also backed such a ban.Other candidates have avoided a definitive stance. Gov. Ron DeSantis of Florida signed a six-week abortion ban into law in his state, though he has not said whether he would support a national ban.“It was the right thing to do,” Mr. DeSantis said Friday of signing the law.The G.O.P. primary front-runner, former President Donald J. Trump, takes credit for appointing the Supreme Court justices who overturned Roe v. Wade, but he has so far also resisted embracing a federal ban.As the G.O.P. field assembles, the Biden campaign and the Democratic National Committee will make abortion a primary focus of the president’s re-election effort. Earlier this month, the Biden campaign launched an advertisement campaign focused on battleground states, including the funding of billboards in Times Square that will highlight Republican efforts to restrict abortion access.The Democratic National Committee is also encouraging local Democrats to press Republicans to specify what their position is on national bans, believing it will help contrast Mr. Biden’s approach with extremist positions, according to a D.N.C. official.Inside the White House, Ms. Klein said officials are tracking court cases in individual states and bringing abortion-rights activists together to compare notes on which policies have succeeded.Still, activists are wary that court victories can be short-lived and do not take away the threat of a wider abortion ban the way legislation would.In recent months, administration officials have regularly highlighted the stories of women who have been denied emergency medical care when suffering pregnancy loss.Ms. Harris, who has made several trips and delivered speeches in defense of abortion rights, has frequently introduced medical care providers at her events to bolster the argument that the decision to end a pregnancy is a private one and not to be toyed with by local politicians.Vice President Kamala Harris, displaying a map showing abortion access, has emerged as a strong voice in the administration on abortion rights.Oliver Contreras for The New York TimesJill Biden, the first lady, has also been enlisted in the effort. On Tuesday, she hosted a group of women in the Blue Room of the White House and asked them to share their stories. One of the women, Dr. Austin Dennard, a physician in Texas, said she was forced to travel out of state for an abortion when her fetus was diagnosed with anencephaly, a condition that causes a baby to be born without parts of the brain and skull.Another, a Houston-based Democratic campaign worker named Elizabeth Weller, had gone into labor at 18 weeks and was directed to go home until she developed an infection so severe that a hospital ethics panel allowed a doctor to end the pregnancy.“Joe is doing everything he can do,” the first lady told the group.Mini Timmaraju, the president of the abortion rights group NARAL Pro-Choice America, agreed that the Biden administration is “doing everything they can,” but she said the limitations are real.“We have to give them a pro-choice majority Congress,” she said. “That’s it. They’ve done everything they can up until that point, but without the support of Congress, they are limited and we are limited in what we can do.” More

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    How a Year Without Roe Shifted American Views on Abortion

    New and extensive polling shows public opinion increasingly supports legal abortion, with potential political consequences for 2024.For decades, Americans had settled around an uneasy truce on abortion. Even if most people weren’t happy with the status quo, public opinion about the legality and morality of abortion remained relatively static. But the Supreme Court’s decision last summer overturning Roe v. Wade set off a seismic change, in one swoop striking down a federal right to abortion that had existed for 50 years, long enough that women of reproductive age had never lived in a world without it. As the decision triggered state bans and animated voters in the midterms, it shook complacency and forced many people to reconsider their positions.In the year since, polling shows that what had been considered stable ground has begun to shift: For the first time, a majority of Americans say abortion is “morally acceptable.” A majority now believes abortion laws are too strict. They are significantly more likely to identify, in the language of polls, as “pro-choice” over “pro-life,” for the first time in two decades.And more voters than ever say they will vote only for a candidate who shares their views on abortion, with a twist: While Republicans and those identifying as “pro-life” have historically been most likely to see abortion as a litmus test, now they are less motivated by it, while Democrats and those identifying as “pro-choice” are far more so.For More Democrats, Abortion Is a Litmus TestThose who say they will vote only for a candidate who shares their view on abortion

    Source: GallupBy Molly Cook EscobarOne survey in the weeks after the court’s decision last June found that 92 percent of people had heard news coverage of abortion and 73 percent had one or more conversations about it. As people talked — at work, over family Zoom calls, even with strangers in grocery store aisles — they were forced to confront new medical realities and a disconnect between the status of women now and in 1973, when Roe was decided.Many found their views on abortion more complex and more nuanced than they realized. Polls and interviews with Americans show them thinking and behaving differently as a result, especially when it comes to politics.“This is a paradigm shift,” said Lydia Saad, director of United States social research for Gallup, the polling firm. “There’s still a lot of ambivalence, there aren’t a lot of all-or-nothing people. But there is much more support for abortion rights than there was, and that seems to be here to stay.”Gallup happened to start its annual survey of American values just as the court’s decision in the case, Dobbs v. Jackson Women’s Health Organization, leaked last May. That was when the balance began to tilt toward voters identifying as “pro-choice.” And when the question was divided into whether abortion should be legal in the first, second or third trimester, the share of Americans who say it should be legal in each was the highest it has been since Gallup first asked in 1996.The New York Times reviewed polls from groups that have been asking Americans about abortion for decades, including Gallup, Public Religion Research Institute, Pew Research, Ipsos, KFF and other nonpartisan polling organizations. All pointed to the same general trends: growing public support for legalized abortion and dissatisfaction with new laws that restrict it.Polls show that a majority of Americans now believe abortion laws are too strict.Jamie Kelter Davis for The New York TimesPollsters say the biggest change was in political action around abortion, not necessarily in people’s core views. Polls regarding whether abortion should be legal or illegal in most or all cases — long the most widely-used metric — have remained relatively stable, with the percentage of voters saying abortion should be legal in all or most cases slowly ticking up over the past five years to somewhere between 60 percent and 70 percent.And generally, most Americans believe abortion should be limited, especially in the second and third trimesters — not unlike the framework established by Roe.But there were sudden and significant jumps in support for legalized abortion post-Dobbs among some groups, including Republican men and Black Protestants. Polling by the Public Religion Research Institute found that the percentage of Hispanic Catholics saying abortion should be legal in all cases doubled between March and December of last year, from 16 percent to 31 percent. And the share of voters saying abortion should be illegal in all cases dropped significantly in several polls.That largely reflected the dramatic change in abortion access. Fourteen states enacted near-total bans on abortion as a result of the court’s decision. News stories recounted devastating consequences: Women denied abortions despite carrying fetuses with no skull; a 10-year-old pregnant by rape forced to cross state lines for an abortion; women carrying nonviable pregnancies who could not have an abortion until they were on the brink of death.“While Roe was settled law, you kind of didn’t have to worry about the consequences,” said Mollie Wilson O’Reilly, a writer for Commonweal, the Catholic lay publication, and a mother of four. “You could say, ‘I think abortion should be illegal in all circumstances,’ if you didn’t really have to think about what it would mean for that to happen.”Raised in the church and still active in her parish, Ms. O’Reilly, 42, embraced its teachings that abortion was equivalent to murder, as part of a broader church doctrine on the protection of life that also opposes capital punishment and mistreatment of migrants.Her evolution to supporting abortion rights started two years ago when she had a miscarriage that required emergency dilation and curettage; only when she saw her chart later did she realize the term was the technical name for abortion. “When people have the idea that abortion equals killing babies, it’s very easy to say, ‘Of course I’m against that,’” she said. “If you start seeing how reproductive health care is necessary to women, you start to see that if you’re supporting these policies that ban abortion, you’re going to end up killing women.”“While Roe was settled law, you kind of didn’t have to worry about the consequences,” said Mollie Wilson O’Reilly, a writer for Commonweal, the Catholic lay publication, and a mother of four.Amir Hamja/The New York TimesShe wrote about her experience and joined other Catholic women, largely writers and professors, in publicizing an open letter to the Catholic church, declaring that “pro-life” policies centered on opposition to abortion “often hurt women.” They called on the church and elected officials to embrace “reproductive justice” that would include better health care and wages for pregnant women and mothers.Ms. Wilson O’Reilly now believes decisions on abortion should be up to women and their doctors, not governments. It’s impossible to draw a “bright line” around what exceptions to the bans should be allowed, she said.Still, she doesn’t call herself a “pro-choice Catholic”: “I think you can hold the view that a developing life is sacred and still not feel that it is appropriate or necessary to outlaw abortion.” In a poll by KFF, the health policy research firm, a plurality of Americans — four in ten — and more among Democrats and women, said they were “very concerned” that bans have made it difficult for doctors to care for pregnant women with complications. Gallup found Americans more dissatisfied with abortion laws than at any point in 22 years of measuring the trend, with new highs among women, Catholics and Protestants saying the laws are “too strict.”A Pew poll in April concluded that views on abortion law increasingly depend on where people live: The percentage of those saying abortion should be “easier to get” rose sharply last year in states where bans have been enacted or are on hold because of court disputes.In South Carolina, which recently banned abortion at six weeks of pregnancy, Jill Hartle, a 36-year-old hairdresser, had only ever voted Republican. She called herself “pro-choice,” she said, but did not think about how that collided with the party’s opposition to abortion, even though she considered herself an informed voter, and her family talked politics regularly.She became pregnant shortly before the court’s decision to overturn Roe. At 18 weeks, anatomy scans determined that the fetus had a heart defect that kills most infants within the first two weeks of life, one that Ms. Hartle knew well because it had killed her best friend’s child.At the time, her state’s legislature was debating a ban. “The first words the doctor said were, ‘There are things I can discuss with you today that I may not be able to discuss with you tomorrow or in a week because our laws are changing so rapidly in South Carolina,’” she said.Ms. Hartle and her husband ended up traveling to Washington for an abortion.Jill Hartle, center, hugs a Republican lawmaker after describing her experience having an abortion during a legislative committee hearing in South Carolina.Joshua Boucher/The State, via Associated PressPeople, she said, told her she could not be a Christian and have an abortion; others said what she had was “not an abortion” because her pregnancy was not unwanted. After she recovered, she started a foundation to fight against what it calls the “catastrophic turnover” of Roe and to help other women find abortions. She began testifying against proposed bans and campaigning for Democratic candidates.“I want to tell people it’s OK to vote against party lines,” she said. South Carolina legislators passed the state’s ban in May, over the opposition of a small group of female legislators, both Republican and Democrat. Polls show that the state’s voters oppose the ban, but as in many states, legislative districts are gerrymandered and seats often go uncontested, so Republican lawmakers are often more concerned about a primary challenge from the right than a general election fight. Groups that oppose abortion rights emphasize that most Americans want restrictions on abortion — and indeed, just 22 percent of Americans in Gallup’s poll said abortion should be legal in the third trimester.“People will react to a once-in-a-generation event. That’s true, and it should be a wake-up call for Republicans,” said Marjorie Dannenfelser, president of Susan B. Anthony Pro-Life America, which was founded to help elect lawmakers who oppose abortion rights. Republicans, she said, have to paint Democratic candidates as the extremists on abortion: “If they don’t, they may very well lose.”A coalition of Republicans and evangelicals has waged a four-decade campaign to end abortion, but the number of Americans identifying as evangelical has declined sharply. And polls on abortion suggest political dynamics may be shifting.High proportions of women ages 18 to 49, and especially Democrats, say they will vote only for candidates who support their views on abortion. On the flip side, Republicans are less enthusiastic. The Public Religion Research Institute found that the share of Republicans who think abortion should be illegal in all or most cases and who said they would vote only for a candidate whose view matched their own had dropped significantly, to 30 percent last December from 42 percent in December 2020.“That’s a direct effect of Dobbs,” said Melissa Deckman, the chief executive of PRRI and a political scientist. “Does it mean that suddenly Republicans will change their minds about abortion? No, partisans vote for partisans,” she said. “But this is an issue of salience and turnout.”John Richard, a 73-year-old disabled Vietnam veteran who lives in the swing district of Bucks County, Pa., said he had always voted Republican until he became a “Never Trumper.” The court’s decision in Dobbs made him go so far as to switch his voter registration to Democrat.“If my daughters came to me and said they want an abortion, I’d try and talk them out of it,” Mr. Richard, a retired supermarket manager, said. “But I don’t think anyone has the right to tell you how to control your own body. I fought in a war for that. I didn’t do that for no reason.”“It’s not enough anymore to ask what people think about abortion, because to them abortion is part of a larger set of concerns about the country,” said Tresa Undem, who conducts polls for businesses as well as Democratic-leaning groups.Jenn Ackerman for The New York TimesAsked in polls to name their biggest concern, most people still don’t say abortion. But in polls and in interviews, many relate abortion rights to other top concerns: about dysfunctional government, gun violence, civil rights and income inequality.“It’s not enough anymore to ask what people think about abortion, because to them abortion is part of a larger set of concerns about the country,” said Tresa Undem, whose firm conducts polls for businesses as well as for Democratic-leaning groups.Starting with the leak and ending after the midterm elections last year, Ms. Undem conducted three surveys that tracked engagement with the issue by how many ads people saw, conversations they had and what concerns they raised about abortion.Increasingly, people mentioned concerns about losing rights and freedoms, the influence of religion in government, threats to democracy, as well as maternal mortality and whether they want to have more children. The biggest change in polls has been the swing in who votes on abortion. In the most recent example, Gallup found that in 2020 roughly 25 percent of Democrats and Republicans alike had said they would vote only for a candidate who shared their view on abortion. The share of Democrats saying this has jumped since the leak of the Dobbs decision, to 41 percent. Among Republicans the percentage was down slightly.In San Antonio, Sergio Mata, a 31-year-old artist, said he was shocked when Texas passed a ban on abortion in 2021, and by how much anti-abortion sentiment he suddenly heard around him. As a gay man and the American-born son of Mexican immigrants, he fears that gay rights will be reversed and birthright citizenship will be taken away: “I kind of feel what will happen if my existence gets illegal.”He considers himself a Democrat, but the overturning of Roe, he said, “pushed me to be more extreme,” he said. That meant paying more attention to the news and voting in the midterm elections for the first time.Sergio Mata, a 31-year-old artist, said he was shocked when Texas passed a ban on abortion in 2021, and by how much anti-abortion sentiment he suddenly heard around him.Ilana Panich-Linsman for The New York TimesIn Portland, Ore., Ruby Hill, who is Black, said she had been alarmed at the flourishing of the Proud Boys and other white supremacist groups around her. She lives not far from where two members of an extremist gang ran over a 19-year-old Black man with a Jeep in 2016. Ms. Hill, also a Democrat, said she was then redistricted into a largely white congressional district represented by a Republican.The Dobbs decision, she said, made her start recruiting supporters of abortion rights among her friends, her grandchildren and their friends, and family members in Tennessee and California and Virginia over a weekly Zoom, “so they can convince people they know to stand up for more rights before more get taken from us,” she said. “If they got away with this and they feel that nobody cares, it’s more rights they are going to proceed to take away — civil rights, voting rights, abortion, birth control, it’s all part of that one big package. If you sit on the sideline, it says that you think it’s OK.” More