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    Woman Who Was Charged With Murder After Abortion Sues Texas Prosecutor

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    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

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      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

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      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

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      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

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      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

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      Pressured by Their Base on Abortion, Republicans Strain to Find a Way Forward

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      Some in the party are urging compromise, warning of dire electoral consequences for 2024, while other stances, on guns and gay rights, also risk turning off moderates.Republican leaders have followed an emboldened base of conservative activists into what increasingly looks like a political cul-de-sac on the issue of abortion — a tightly confined absolutist position that has limited their options ahead of the 2024 election season, even as some in the party push for moderation.Last year’s Supreme Court decision overturning a woman’s constitutionally protected right to an abortion was supposed to send the issue of abortion access to the states, where local politicians were supposed to have the best sense of the electorate’s views. But the decision on Friday by a conservative judge in Texas, invalidating the Food and Drug Administration’s 23-year-old approval of the abortion pill mifepristone, showed the push for nationwide restrictions on abortion has continued since the high court’s nullification of Roe v. Wade.Days earlier, abortion was the central theme in a liberal judge’s landslide victory for a contested and pivotal seat on the state Supreme Court in Wisconsin. Some Republicans are warning that the uncompromising position of their party’s activist base could be leading them over an electoral cliff next year.“If we can show that we care just a little bit, that we have some compassion, we can show the country our policies are reasonable, but because we keep going down these rabbit holes of extremism, we’re just going to keep losing,” said Representative Nancy Mace, Republican of South Carolina, who has repeatedly called for more flexibility on first-term abortions and exceptions for rape, incest and the life and health of the mother. “I’m beside myself that I’m the only person who takes this stance.”She is far from the only one.The chairwoman of the Republican National Committee, Ronna McDaniel, has been showing polling to members of her party demonstrating that Americans largely accept abortion up to 15 weeks into a pregnancy and support the same exemptions that Ms. Mace wants. Dan O’Donnell, a conservative radio host in Wisconsin, wrote after the lopsided conservative defeat in the state Supreme Court contest that abortion was driving young voters to the polls in staggering numbers and that survival of the party dictated compromise.“Because we keep going down these rabbit holes of extremism, we’re just going to keep losing,” said Representative Nancy Mace of South Carolina, a Republican who supports flexibility on abortion rights.Kenny Holston/The New York Times“As difficult as this may be to come to grips with, Republicans are on the wrong side politically of an issue that they are clearly on the right side of morally,” he wrote.The problem goes beyond abortion. With each mass shooting, the G.O.P.’s staunch stand against gun control faces renewed scrutiny. Republicans courted a backlash last week when they expelled two young Democratic lawmakers out of the Tennessee state legislature for leading youthful protests after a school shooting in Nashville that left six dead. Then on Monday came another mass shooting, in Louisville, Ky.“My kids had friends on Friday night running for their lives,” said Ms. Mace, referring to a shooting on South Carolina’s Isle of Palms, which elicited no response from most of her party. “Republicans aren’t showing compassion in the wake of these mass shootings.”The party’s stand against legislation to combat climate change has helped turn young voters into the most liberal bloc of the American electorate. And Republican efforts to roll back L.G.B.T.Q. rights and target transgender teenagers, while popular with conservatives, may be seen by the broader electorate as, at best, a distraction from more pressing issues.Representative Mark Pocan, an openly gay Democrat from Wisconsin, said on Monday that in the short term, the Republican attacks on transgender Americans were having a real-world effect, with a rise in violence and bigotry. But he said it is also contributing to the marginalization of the party, even in his swing state.He pointed to the “WOW counties” that surround Milwaukee — Waukesha, Ozaukee and Washington — where then-Republican Gov. Scott Walker won 73 percent in 2014, and where the Republican, Dan Kelly, won 58.7 percent in the state Supreme Court race last week.“We keep seeing our numbers increase in those counties because those Republicans largely are economic Republicans, not social Republicans,” Mr. Pocan said, adding that G.O.P. candidates “definitely are chasing their people away.”Ms. Mace does appear to be correct that her desire for compromise is not widely shared in a party where analysts continue to look past social issues to explain their electoral defeats.Ronna McDaniel, the chairwoman of the Republican National Committee, has been showing polling to members of her party about Americans’ views on abortion.Doug Mills/The New York TimesMr. Kelly was a poor candidate who lost by an almost identical margin in another state Supreme Court race in 2020, noted David Winston, a longtime pollster and strategist for House Republican leaders. And, Mr. Winston added, Republicans may have lost female voters by 8 percentage points in the 2022 midterm elections, but they lost them by 19 points in 2018.If inflation and economic concerns remain elevated, he added, the 2024 elections will be about the economy, not abortion or guns..css-1v2n82w{max-width:600px;width:calc(100% – 40px);margin-top:20px;margin-bottom:25px;height:auto;margin-left:auto;margin-right:auto;font-family:nyt-franklin;color:var(–color-content-secondary,#363636);}@media only screen and (max-width:480px){.css-1v2n82w{margin-left:20px;margin-right:20px;}}@media only screen and (min-width:1024px){.css-1v2n82w{width:600px;}}.css-161d8zr{width:40px;margin-bottom:18px;text-align:left;margin-left:0;color:var(–color-content-primary,#121212);border:1px solid var(–color-content-primary,#121212);}@media only screen and (max-width:480px){.css-161d8zr{width:30px;margin-bottom:15px;}}.css-tjtq43{line-height:25px;}@media only screen and (max-width:480px){.css-tjtq43{line-height:24px;}}.css-x1k33h{font-family:nyt-cheltenham;font-size:19px;font-weight:700;line-height:25px;}.css-1hvpcve{font-size:17px;font-weight:300;line-height:25px;}.css-1hvpcve em{font-style:italic;}.css-1hvpcve strong{font-weight:bold;}.css-1hvpcve a{font-weight:500;color:var(–color-content-secondary,#363636);}.css-1c013uz{margin-top:18px;margin-bottom:22px;}@media only screen and (max-width:480px){.css-1c013uz{font-size:14px;margin-top:15px;margin-bottom:20px;}}.css-1c013uz a{color:var(–color-signal-editorial,#326891);-webkit-text-decoration:underline;text-decoration:underline;font-weight:500;font-size:16px;}@media only screen and (max-width:480px){.css-1c013uz a{font-size:13px;}}.css-1c013uz a:hover{-webkit-text-decoration:none;text-decoration:none;}How Times reporters cover politics. We rely on our journalists to be independent observers. So while Times staff members may vote, they are not allowed to endorse or campaign for candidates or political causes. This includes participating in marches or rallies in support of a movement or giving money to, or raising money for, any political candidate or election cause.Learn more about our process.Republicans greeted the abortion-drug ruling on Friday, by Judge Matthew J. Kacsmaryk of the U.S. District Court for the Northern District of Texas, with near total silence. The judge gave the Biden administration seven days to appeal, and on Monday, senior executives of more than 250 pharmaceutical and biotech companies pleaded with the courts to nullify the ruling with a scorching condemnation of Judge Kacsmaryk’s reasoning.Most anti-abortion advocates are not backing down. Katie Glenn Daniel, the state policy director for Susan B. Anthony Pro-Life America, one of the most powerful anti-abortion groups, said Wisconsin’s results were more about anti-abortion forces being badly outspent than about ideology. In her state, Florida, she noted, Democrats scorched Republicans with advertising in 2022 saying they planned to ban abortion without exceptions. Republicans, from Gov. Ron DeSantis on down, easily prevailed that November.Republicans need to keep pressing with abortion restrictions that will affect Democratic states as well as Republican ones, she said.“A national minimum standard is incredibly important. Without it there will continue to be late-term abortions, and governors like Gavin Newsom are very motivated to force his views on the rest of the country,” she said of California’s Democratic governor.Last week, the Florida State Senate approved legislation pushing the state’s ban on abortion from the current 15 weeks into pregnancy to six weeks. If the state’s House of Representatives approves it, Mr. DeSantis has said he will sign it. If Mr. DeSantis runs for president as expected, his signature would thrust abortion squarely into the 2024 race for the White House.Last year, John P. Feehery, a former Republican leadership aide in the House, urged his party to find a defensible position on abortion that included flexibility on abortion pills, allowed early pregnancies to be terminated and detailed a coherent position on exceptions for rape, incest and health concerns. He said on Monday that he was repeatedly told abortion would be a state-level issue and federal candidates should just stay quiet.“They didn’t want to do the hard work on abortion,” he said, blaming “a lack of leadership” in the party that still has the Republican position muddled.Guns are another issue where silence is not working. The shooting in Louisville, which left six dead, including the gunman, and eight wounded, kept the issue of guns in the spotlight after last week’s heated showdown in Tennessee — and ahead of a three-day gathering of the National Rifle Association on Friday in Indianapolis. The Kentucky attack was the 15th mass shooting this year in which four or more victims were killed, the largest total in a year’s first 100 days since 2009, according to a USA Today/Associated Press/Northeastern University database.“You can’t stop paying attention after one horrible event happens. You have to watch what happens afterward,” said Representative Maxwell Frost, 26, a Florida Democrat who last year became the first member of Generation Z to be elected to the House.Voices for compromise are beginning to bubble up, in some cases from surprising sources. Carol Tobias, president of the National Right to Life Committee, one of the country’s largest anti-abortion groups, said on Monday that even she was “somewhat concerned” that the Republican Party might be getting ahead of the voters on abortion. Her organization has drafted model legislation to ban abortion at the state level in every case but when the life of the mother is in grave danger. But, Ms. Tobias said, that legislation comes with language to extend those exceptions to the “hard cases,” pregnancies that result from rape or incest, or that might harm a mother’s health.“We’ve always known the American public does not support abortion for all nine months of a pregnancy,” she said. “They want some limits. We are trying to find those limits.”She added, “If we can only at this time save 95 percent of the babies, I am happy to support that legislation.” More

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      The Abortion Pill Fight

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      Since Roe v. Wade ended, the battle over legal abortion has largely shifted to access to pills.Since the end of Roe v. Wade last June, access to abortion pills has muted some of the effect of the severe restrictions on abortion that 14 states have imposed. Abortion opponents have responded by trying to reduce access to those pills. The resulting struggle has become the main battle to watch in the post-Roe landscape.Today’s newsletter examines the latest developments — including a court ruling expected soon — and explains what’s likely to happen next.How pill access grewThe most effective and safest method of medication abortion requires two drugs. The first, mifepristone, ends the pregnancy. The second, misoprostol, causes cramping and bleeding to empty the uterus, like a miscarriage. In approving this regimen in 2000, the F.D.A. imposed restrictions on mifepristone because of questions then about its safety. Among other rules, patients had to visit a clinic, doctor’s office or hospital to receive the medication.In 2021, during the pandemic and after President Biden took office, the F.D.A. lifted the in-person requirement. The shift opened a new avenue for telemedicine abortions. In about 30 states, women could legally end their pregnancies at home, with pills prescribed through an online consultation and mailed to them. If they had questions, they could call a private national hotline to talk to medical professionals.After the Supreme Court overturned Roe last year, demand surged for abortion pills by mail. An international organization, Aid Access, provided prescriptions for the pills from European doctors, often filled in India, to patients in states with bans. Overseas pharmacies, advertising online, also ship abortion pills without a prescription to every state.These offshore routes to access, which operate in a legal gray area in states with abortion bans, will probably remain open. But they carry potential legal risks for women and it can take a few weeks for the drugs to arrive from overseas, a delay that can create problems since medication abortion is more effective and less likely to cause complications early in pregnancy.How opponents are fighting backOpponents of abortion have a bold counterstrategy. They want to block the use of mifepristone not only in states with abortion bans but also nationwide.In November, anti-abortion organizations and doctors sued in Texas to challenge the F.D.A.’s approval of medication abortion 23 years ago. They argue that mifepristone is unsafe. In fact, research has clearly established the safety and efficacy of the F.D.A.’s approved regimen. Serious complications are possible but rare. So, on the merits, the suit may seem far-fetched.But the plaintiffs made sure to file suit (a practice some experts call “judge shopping”) in a division of a Federal District Court with one judge, a Trump appointee named Matthew Kacsmaryk who has longstanding views against abortion. If he blocks the F.D.A.’s approval, it would be unprecedented, experts said in an amicus brief.The drugstore battleSeparate from the Texas case, the national divide over abortion is playing out in pharmacies.In January, Walgreens, CVS and other companies said they would apply for a newly available certification from the F.D.A. to dispense both drugs in states where abortion remains legal. But 21 Republican attorneys general — including four in states where abortion is still legal — threatened legal action against the pharmacy chains. Walgreens promised not to provide the pills within those states.The chains see an opportunity for another new market. Their interest signals that medication abortion is becoming mainstream. In large parts of the country, that’s unwelcome.What’s nextOther lawsuits are trying to protect access to abortion pills. One, filed by states where Democrats are in power, asks a judge to affirm the F.D.A.’s approval of mifepristone and remove the remaining restrictions on the medication. Another, by a U.S. manufacturer of the medication, is challenging state bans on the pill.For now, mifepristone and misoprostol remain widely and quickly available in states where abortion is legal. And the medications can be obtained through avenues like Aid Access, with a delay, in states where abortion is not legal.Taken together, the drugs are more than 95 percent effective, research shows. Alternatively, people can take only misoprostol in higher doses, but this method is 88 percent effective, according to a study in the U.S. published last month, and is also more likely to cause side effects like nausea and diarrhea.A ruling from Judge Kacsmaryk could come any day. If he issues a nationwide injunction to block the provision of mifepristone, his ruling could increase health risks and physical discomfort for women.“The Texas lawsuit is based on the false claim that mifepristone is unsafe and leads to a high need for physician intervention,” Abigail Aiken, one author of the new study, said. “And yet, if we move to a miso-alone protocol, the need for physician intervention will, if anything, be increased.”A nationwide injunction would be immediately appealed. It’s also possible that Judge Kacsmaryk can’t actually stop the legal provision of mifepristone, at least in the short term, three law professors argue. Congress set procedures for the F.D.A. to withdraw approval from a drug, and the process takes time to follow. A judge can order a review but shouldn’t have the power to circumvent the rules, the law professors say.The F.D.A. also has a workaround: When the risk is low, the agency can give manufacturers permission to keep distributing products, like some baby formula, which violate the law in some way.It’s a strange idea: a federal agency using its discretion to avoid enforcing a court ruling. But it could also be the only way for women in the U.S. to continue accessing the safest and most effective method of medication abortion — as long as a president who supports abortion access is in office.For moreThe New York Legislature is considering a bill to protect clinicians who mail abortion pills to patients elsewhere.See the states where restrictions on abortion pills could have the most impact.Makena, the only drug aimed at preventing preterm birth, will be pulled from the market after F.D.A. advisers said it largely didn’t help.THE LATEST NEWSInternationalThe Nord Stream 2 gas pipeline in Germany.Krisztian Bocsi/BloombergIntelligence suggests that a pro-Ukrainian group sabotaged gas pipelines linking Russia to Western Europe last year. Ukraine’s government denies involvement.Millions of people in France demonstrated against a plan to raise the retirement age. The resistance stems from a commitment to work-life balance.Mexican authorities found four missing Americans: two killed by gunmen, two kidnapped but alive.The Mexican military illegally used surveillance tools against citizens trying to expose its misdeeds.An Israeli raid in the West Bank aimed at arresting a shooting suspect ended in a firefight, killing six Palestinians.PoliticsBiden will propose tax increases for corporations and high earners to reduce deficits over the next decade.“The whole thing seems insane”: More messages from Rupert Murdoch and Fox News hosts reveal their skepticism of Donald Trump’s false claims of a stolen election.House Republicans promoted Tucker Carlson’s report falsely portraying the Jan. 6 attack as largely peaceful, while Senate Republicans condemned it.Oklahoma voters decided against legalizing recreational marijuana.Other Big StoriesTo slow inflation, the Federal Reserve will probably raise interest rates more than projected.The Justice Department sued to block JetBlue Airways from buying Spirit Airlines, saying a merger would reduce competition.“There’s a lot of value to be won or lost”: Tech giants are competing to use A.I. for their benefit.OpinionsPrime Minister Narendra Modi’s war against Kashmiri journalism portends a larger campaign to limit press freedom in India, Anuradha Bhasin writes.ChatGPT is a statistical engine based on big data. True intelligence is creative, explanatory and moral, Noam Chomsky, Ian Roberts and Jeffrey Watumull write.MORNING READSMartin Schneider is a firefighter who moonlights as a pitcher.Nina Riggio for The New York TimesA scrappy nine: The Czech Republic’s roster for the World Baseball Classic is full of guys with regular jobs.No spots: Parking lots are shrinking across the U.S.Keanu Reeves’s latest role: He’s a fungus-killing bacterial compound (sort of).Ask Well: Is cannabis good or bad for sleep?Advice from Wirecutter: These stain-resistant shirts repel almost everything.Lives Lived: David Lindley’s mastery of stringed instruments made him a sought-after sideman in 1970s Los Angeles, and his long association with Jackson Browne won him a degree of stardom. Lindley died at 78.SPORTS NEWS FROM THE ATHLETICJackson hits the market: The Ravens placed a nonexclusive franchise tag on Lamar Jackson, which means the quarterback can field offers from other teams. It’s a big risk for Baltimore.Heels in danger: A microscope is focused on North Carolina this week, as the Tar Heels try to sneak into the N.C.A.A. Tournament.High stakes: Daniel Jones will remain the Giants’ quarterback after agreeing to a four-year, $160 million deal. ARTS AND IDEAS The restored Procuratie Vecchie in Venice.Richard DaviesArchitecture’s top prizeDavid Chipperfield, a British architect known for merging modern spaces with historic buildings, won the Pritzker Prize.The jury cited Chipperfield’s recent restoration of the 16th-century Procuratie Vecchie in Venice, a beloved landmark on St. Mark’s Square, and noted his renovation of the Neues Museum in Berlin, which saved elements of the World War II-damaged building. “With it, Berlin has one of the finest public buildings in Europe,” the Times architecture critic Michael Kimmelman wrote in 2009.PLAY, WATCH, EATWhat to CookDavid Malosh for The New York TimesParmesan cabbage soup, thickened with rice, is nourishing.What to Watch“History of the World, Part II” is a screwball tour of civilization.What to ReadThese new psychological thrillers deliver chills.Late NightStephen Colbert called Kari Lake the “governor of the state of denial.”Now Time to PlayThe pangram from yesterday’s Spelling Bee was microfilm. Here is today’s puzzle.Here’s today’s Mini Crossword, and a clue: On edge (five letters).And here’s today’s Wordle. Thanks for spending part of your morning with The Times. See you tomorrow.P.S. Iran cut diplomatic ties with Britain after demanding that its government denounce Salman Rushdie and “The Satanic Verses,” The Times reported 34 years ago today.Here’s today’s front page.“The Daily” is about the Nord Stream pipelines.Matthew Cullen, Lauren Hard, Lauren Jackson, Claire Moses, Ian Prasad Philbrick, Tom Wright-Piersanti and Ashley Wu contributed to The Morning. You can reach the team at themorning@nytimes.com.Sign up here to get this newsletter in your inbox. More