More stories

  • in

    Alabama is using the notion that embryos are people to surveil and harass women | Moira Donegan

    Something that’s important to remember about last week’s ruling by the Alabama supreme court, which held that frozen embryos were persons under state law, is that the very absurdity of the claim is itself a demonstration of power. That a frozen embryo – a microscopic bit of biological information that can’t even be called tissue, a flick laden with the hopes of aspiring parents but fulfilling none of them – is equivalent in any way to a child is the sort of thing you can only say if no one has the power to laugh at you. The Alabama supreme court is the final court of review in that state. It cannot be appealed. For the foreseeable future, frozen cells in Alabama have the same legal status there as you or I do. Is this an absurd elevation of the status of an embryo, or an obscene degradation of human beings? The answer, of course, is both.The decision immediately halted almost all IVF procedures in Alabama. Aspiring patents there – including women who had undergone rounds of injected hormone treatments and the invasive, gruelingly painful egg retrieval process in order to create the embryos – will now be unable to have the material implanted in an attempt to create a pregnancy. Hundreds of other frozen embryos – those that are not viable, or not needed by families that are already complete – can now not be destroyed as is typical IVF practice. They need to be continually stored in freezers, or what the Alabama supreme court refers to, in Orwellian style, as “cryogenic nurseries”, a term you almost have to admire for the sheer audacity of its creepiness.But the concept of embryonic personhood, now inscribed in Alabama law, poses dangers well beyond the cruelty it has imposed on the hopeful couples who were pursuing IVF in Alabama, before their state supreme court made that impossible. If embryos and fetuses are people, as Alabama now says they are, then whole swaths of women’s daily lives come under the purview of state scrutiny.Forget about abortion, which would automatically be banned as murder in any situation where fetuses are considered persons – Alabama already has a total abortion ban, without exceptions for rape, incest or health. Embryonic personhood would also ban many kinds of birth control, such as Plan B, IUDs, and some hormonal birth control pills, which courts have said can be interpreted as working by preventing the implantation of a fertilized egg. (In fact these methods work primarily by preventing ovulation, but facts are of dwindling relevance in the kind of anti-abortion litigation that comes before Republican-controlled courts.)Further, if embryos and fetuses are children, then the state may have an interest in protecting their lives that extends to controlling even more of women’s daily conduct. Could a woman who is pregnant, or could be pregnant, have a right to do things that might endanger her embryo in a situation where an embryo is her legal equal, with a claim on state protection? Could she risk this embryo’s health and life by, say, eating sushi, or having some soft cheese? Forget about the wine. Could she be charged with child endangerment for speeding? For going on a jog?These scenarios might sound hyperbolic, but they are not entirely hypothetical. Even before the Alabama court began enforcing the vulgar fiction that a frozen embryo is a person, authorities there had long used the notion of fetal personhood to harass, intimidate and jail women – often those suspected of using drugs during pregnancies – under the state’s “chemical endangerment of a child” law, using the theory that women’s bodies are environments that they have an obligation to keep free of “chemicals” that could harm a fetus or infringe upon its rights.Using this logic, police in Alabama, and particularly in rural Etowah county, north-east of Birmingham, have repeatedly jailed women for allegedly using drugs ranging from marijuana to meth while pregnant – including women who have claimed that they did not use drugs, and women who turned out not to be pregnant. In 2021, Kim Blalock, a mother of six, was arrested on felony charges after filling a doctor’s prescription during a pregnancy; the state of Alabama decided that it knew better than her doctor, and they could criminalize her for following medical advice.This is not an extreme example: it is the logical conclusion of fetal personhood’s legalization – the surveillance, jailing and draconian monitoring of pregnant women, an exercise in voyeuristic sadism justified by the flimsy pretext that it’s all being done for the good of children. Except there are no children. Lest this seem like an idea that will necessarily be corrected by political response, or by the ultimate intervention of a federal court on the question, remember that Samuel Alito’s majority opinion in Dobbs referred repeatedly to “unborn human beings”.There are several ways this supreme court could ban abortion nationwide, and they do not need to enforce fetal personhood to do so – many rightwing organizations, for instance, are encouraging federal courts to revive the long-dormant Comstock Act, from the 1870s, to ban all abortions. Nor will the ultimate national abortion ban necessarily even come from the courts. Any future Republican president will be under enormous pressure to enact a national abortion ban, and they will have many means at their disposal to do so even without congressional cooperation, be it through the justice department or through the FDA. Donald Trump, the Republican nominee in all but name, has floated the idea of a 16-week national ban – a huge restriction on women’s right’s nationwide that would undoubtably be just the opening salvo for even further rollbacks. Meanwhile, his nominal rival, Nikki Haley, responded to the news of the Alabama court ruling by voicing approval of fetal personhood. “Embryos, to me, are babies.”Let’s be clear: they are not. An embryo is not a child. Neither is a fetus. Treating them as such is a legal absurdity that degrades human life and insults the reality of parenthood. But most importantly: there is no notion of when personhood begins that is compatible with women’s citizenship other than birth. If personhood begins while a pregnancy is ongoing – if a person, that is, can be someone enclosed entirely inside another person’s body – then the competition of rights will be humiliatingly, violently, brutally one-sided. None of the opportunities, freedoms or responsibilities of citizenship are available to someone whose body is constantly surveilled, commandeered and colonized by the state like that. No citizenship worth its name can belong to someone who cannot even wield within the bounds of her own skin.It is humiliating to even have to say this: that women matter more than fetuses or embryos, that a frozen cell in a petri dish is not a human being, but we are. It is an absurdity to make this argument, an exhausting waste of our time, a degradation. That, too, is part of the point.
    Moira Donegan is a Guardian US columnist More

  • in

    Newsom launches abortion ads in Republican states to fight ‘war on women’

    California’s governor, Gavin Newsom, is launching a series of new advertisements in Republican states targeting Republican efforts to criminalize having an abortion and “a war on travel” for reproductive care.The first advertisement by Campaign for Democracy, Newsom’s political action committee (Pac), will air this week in Tennessee, where lawmakers are considering legislation that would make it illegal for anyone who helps a minor obtain an abortion without permission from their parents. Anyone found guilty of the offense could face between three and 15 years in prison.Newsom’s ad opens with a young woman handcuffed to a hospital bed as she cries out for help. “Trump Republicans want to criminalize young women who travel to receive the reproductive care they need,” a voiceover says. “Don’t let them hold Tennessee women hostage.”Newsom unveiled the ad on NBC News’s Meet the Press on Sunday. The Pac plans to air them in other states like Alabama, Mississippi and Oklahoma that are considering similar measures.“I worry about the United States supreme court, that again, set the tone and tenor for the debate we’re having today. And again, it’s not just a war on travel. It’s not just a war on reproductive healthcare. It’s also a war on women more broadly defined, including as we know, contraceptives,” Newsom said on Sunday.Trump has reportedly expressed private support for an abortion ban after 16-weeks of pregnancy, according to the New York Times. “Know what I like about 16?” Trump told one of these people, who was given anonymity to describe a private conversation. “It’s even. It’s four months,” he has said, according to the times.Newsom was skeptical Trump would stick to 16 weeks. “He supports a national ban. And if you’re Lindsey Graham and others, they’re going to bring that down well below 16. He will sign a national ban,” he said on Meet the Press.Republicans this week have been scrambling to articulate a position on IVF after a ruling from the Alabama supreme court said that frozen embryos are children. At least three clinics in the state have stopped providing IVF services.Trump on Friday said he supports IVF and urged Alabama Republicans to “act quickly to find an immediate solution to preserve” it. The National Republican Senate Committee, the campaign arm of senate Republicans, has also urged GOP candidates to support IVF.The Texas governor, Greg Abbott, a Republican who leads a state where abortion is essentially banned and has implemented some of the nation’s harshest anti-abortion laws, also treaded carefully when he was asked on Sunday how Texas would respond to the Alabama ruling.“President Trump put out a statement on this and I think that is a goal that we all kind of want to achieve. That is, we want to make it easier for people to have babies, not make it harder,” he said during an appearance on CNN’s State of the Union. “The IVF process is a way of giving life to even more babies.”Byron Donalds, a Florida Republican who is an ally of Trump, said on Sunday he could support a bill with national protections for IVF.“Like any type of bill that gets drafted on Capitol Hill, I want to see the devil in the details. But, yes, I could – I feel I could broadly support that. Because, like I said, IVF is something that is so critical to a lot of couples. It helps them breed great families. Our country needs that,” he said on Meet The Press. More

  • in

    A State Court Ruling on I.V.F. Echoes Far Beyond Alabama

    Frozen embryos in test tubes must be considered children, judges ruled. The White House called it a predictable consequence of the overturn of Roe v. Wade.An Alabama Supreme Court’s ruling that frozen embryos in test tubes should be considered children has sent shock waves through the world of reproductive medicine, casting doubt over fertility care for would-be parents in the state and raising complex legal questions with implications extending far beyond Alabama.On Tuesday, Karine Jean-Pierre, the White House press secretary, said the ruling would cause “exactly the type of chaos that we expected when the Supreme Court overturned Roe v. Wade and paved the way for politicians to dictate some of the most personal decisions families can make.”Speaking to reporters aboard Air Force One as President Biden traveled to California, Ms. Jean-Pierre reiterated the Biden administration’s call for Congress to codify the protections of Roe v. Wade into federal law.“As a reminder, this is the same state whose attorney general threatened to prosecute people who help women travel out of state to seek the care they need,” she said, referring to Alabama, which began enforcing a total abortion ban in June 2022.The judges issued the ruling on Friday in appeals cases brought by couples whose embryos were destroyed in 2020, when a hospital patient removed frozen embryos from tanks of liquid nitrogen in Mobile and dropped them on the floor.Referencing antiabortion language in the state constitution, the judges’ majority opinion said that an 1872 statute allowing parents to sue over the wrongful death of a minor child applies to unborn children, with no exception for “extrauterine children.”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

  • in

    Trump privately backs 16-week abortion ban with exceptions, report says

    Donald Trump likes the idea of a national ban on abortion past 16 weeks of pregnancy with exceptions for rape, incest and to save the life of the mother, the New York Times reported on Friday morning.Trump has veered away from taking a firm stance on abortion during his presidential campaign. He has taken credit for the US supreme court’s 2022 overturning of Roe v Wade, since he appointed three of the justices who took part in that decision, but he has also suggested that Republicans who take extreme stances on abortion lose elections.“Know what I like about 16?” Trump told one individual, according to the Times, which based its report on two people with knowledge of Trump’s thoughts. “It’s even. It’s four months.”Trump is waiting until after the conclusion of the Republican primary to publicly discuss his position, the Times reported.Since Roe’s demise, voters have repeatedly rejected attempts to curtail abortion rights and supported state-level ballot measures to protect the right to the procedure. Outrage over Roe is also widely credited with defeating the promised “red wave” in the 2022 midterms and leaving Republicans with fewer victories than anticipated.Last year, Virginia Republicans campaigned in a state election on a pledge to ban abortion past 15 weeks, as a kind of “compromise” position. Their efforts to retake control of the state legislature failed.However, the anti-abortion movement, with its coterie of high-powered activists, has made it clear that they would like to see the procedure totally outlawed. Although most Americans consider themselves “pro-choice”, polling shows they are far less supportive of abortions past the first trimester.After publication of the Times article, the Trump campaign sent out a statement dismissing it as “fake news”.“As President Trump has stated, he would sit down with both sides and negotiate a deal that everyone will be happy with,” said Karoline Leavitt, the campaign’s national press secretary. Leavitt then celebrated Trump’s role in overturning Roe and falsely accused Democrats, among other things, of supporting abortion “after birth”, which is infanticide and already illegal in the United States.skip past newsletter promotionafter newsletter promotionThe vast majority of abortions take place in the first trimester of pregnancy. However, someone may have an abortion later on in pregnancy due to a medical emergency.More than a dozen states have enacted near-total abortion bans, several of which do not have exceptions for rape or incest. And doctors have repeatedly said that carve-outs for abortions in cases of medical emergencies have proven so vague as to be unworkable; dozens of women have now come forward to say that they were denied medically necessary abortions.“Now, after being the one responsible for taking away women’s freedom, after being the one to put women’s lives in danger, after being the one who has unleashed all this cruelty and chaos all across America, Trump is running scared,” Joe Biden said in a statement on Friday afternoon. “He’s afraid that the women of America are going to hold him responsible for taking away their rights and endangering their rights at the ballot box in November. That’s exactly what’s going to happen.” More

  • in

    Anti-abortion centers raked in $1.4bn in year Roe fell, including federal money

    Anti-abortion facilities raked in at least $1.4bn in revenue in the 2022 fiscal year, the year Roe v Wade fell – a staggering haul that includes at least $344m in government money, according to a memo analyzing the centers’ tax documents that was compiled by a pro-abortion rights group and shared exclusively with the Guardian.These facilities, frequently known as anti-abortion pregnancy centers or crisis pregnancy centers, aim to convince people to keep their pregnancies. But in the aftermath of Roe’s demise, the anti-abortion movement has framed anti-abortion pregnancy centers as a key source of aid for desperate women who have lost the legal right to end their pregnancies and been left with little choice but to give birth.Accordingly, abortion opponents say, the centers need an influx of government cash.“Those are the centers that states rely on to assist expecting moms and dads,” Mike Johnson, the speaker of the US House of Representatives, told anti-abortion protesters at the March for Life in January. The Louisiana Republican praised the centers for providing “the important material support that expecting and first-time mothers get from these centers”.Earlier this year, under Johnson’s leadership, the House passed a bill that would block the Department of Health and Human Services from restricting funding for anti-abortion pregnancy centers. State governments are also in the midst of sending vast sums of taxpayer dollars to programs that support anti-abortion pregnancy centers. Since the demolition of Roe, at least 16 states have agreed to send more than $250m towards “alternative to abortion” programs in 2023 through 2025. Those programs funnel money towards anti-abortion pregnancy centers, maternity homes and assorted other initiatives meant to dissuade people from abortions.Still, abortion rights supporters say, much of the anti-abortion pregnancy center industry remains shrouded in mystery – including their finances.“Stewards of both taxpayer and charitable funds should insist on a real impact analysis of the industry, whether investments that are being made are achieving their desired outcomes and are cost-effective,” said Jenifer McKenna, the crisis pregnancy center program director at Reproductive Health and Freedom Watch, the group behind the analysis of tax documents. “Taxpayers deserve performance standards and hard metrics for use of their dollars on these centers.”The analysis by Reproductive Health and Freedom Watch examined 990 tax documents, which most US tax-exempt organizations must file annually, from 1,719 anti-abortion pregnancy centers in fiscal year 2019 and from 1,469 in fiscal year 2022. The analysis confirms that the anti-abortion pregnancy center industry is growing: while the centers’ revenue in 2022 exceeds $1.4bn, it was closer to $1.03bn in 2019, even though more centers were included in the earlier analysis.Centers reported receiving hundreds of millions of dollars in donations from private funders between 2018 and 2022. While only a relatively small fraction of the centers reported receiving grants from state and federal governments in both 2022 and 2019, that number is on the rise, according to the Reproductive Health and Freedom Watch analysis memo. In 2022, the centers said they received $344m in such grants, but they received less than $97m in 2019.Just 21 centers identified the federal grants that they received in 2022, the analysis found. Those grants included the Fema-funded Emergency Food and Shelter Program, which is primarily meant for organizations that alleviate hunger and homelessness, and the Temporary Assistance for Needy Families, a program for low-income families.This accounting does not represent the full financial picture of the anti-abortion pregnancy center industry. More than 2,500 anti-abortion pregnancy centers are believed to dot the United States – a number that far outstrips the number of abortion clinics in the country.‘What did they do with all that money?’Much of the modern, publicly available information on anti-abortion pregnancy centers comes from one of their biggest cheerleaders: the Charlotte Lozier Institute, which assembles reports on the industry and operates as an arm of Susan B Anthony Pro-Life America, one of the top anti-abortion organizations in the United States.In 2019, the Charlotte Lozier Institute said that 2,700 anti-abortion pregnancy centers provided consulting services to 967,251 new clients on-site. In 2022, the Institute said 2,750 centers provided consulting services for 974,965 new clients – an increase of 0.08%.Even though the US supreme court overturned Roe at the halfway point of 2022, it did not appear to result in a crush of new clients – despite anti-abortion advocates’ argument that the pregnancy centers need an infusion of funding to handle post-Roe clients.“The new client numbers alone don’t fully tell the story,” a bevy of Charlotte Lozier Institute scholars – Moira Gaul, Jeanneane Maxon and Michael J New – said in an email to the Guardian, adding that anti-abortion centers and groups have seen an increase in violence following the fall of Roe. (The abortion clinics that remain post-Roe have also faced rising violence. That has not stoppered the demand for their services, as rates of abortions have risen since Roe’s demise.)Anti-abortion pregnancy centers are seeing a dramatic rise in calls for certain kinds of help. Data from the Charlotte Lozier Institute reports show that centers handed out 64% more diapers, 52% more baby clothing and 43% more wipes in 2022, compared to 2019. Demand for new car seats and strollers also increased by about a third.All of these items would presumably go to new parents. The fall of Roe led to an estimated 32,000 more births, particularly among young women and women of color, a 2023 analysis found.The total dollar value of these goods and services was about $358m, according to the Charlotte Lozier Institute report. Reproductive Health and Freedom Watch found that the roughly 1,500 centers included in the group’s 2022 analysis reported expenses of more than $1.2bn on their 990 tax documents.“They took in – according to the 990s – $1.4bn, and they spent $1.2bn on expenditures,” McKenna said. “What did they do with all that money? There’s so many questions begged by their own reporting.”The Charlotte Lozier scholars said there were other expenses not listed in the report, such as maternity clothing, property-related payments, fundraising, marketing and staff salaries. Data from their report indicates that, between 2019 and 2022, the number of volunteers who work at the centers fell while the number of paid staffers rose. (Volunteers still make up the overwhelming bulk of the workforce.)“Most non-profits prefer to use staff when possible. Centers are attracting more professionals that desire to help women,” the scholars said. “Many centers are now in a place where they can pay them so they are less reliant on volunteers.”The institute’s report on anti-abortion pregnancy centers in 2022 is a very different document to the reports that it released to cover the centers in 2019 and 2017. The earlier reports span dozens of pages; the 2022 report is only four. A longer report is now in the works, the Charlotte Lozier scholars said, which will include information about government funding of centers.A lack of regulationAlthough anti-abortion pregnancy centers may appear to be local mom-and-pop organizations, in reality many are affiliated with national organizations like NIFLA, Care Net and Heartbeat International. These centers thrive in a kind of regulatory dead zone, providing medical services like ultrasounds. But many are not licensed as medical facilities, leaving them unencumbered by the rules or oversight imposed on typical medical providers.“They are changing their names a lot and changing their names in ways like including ‘clinic’ or ‘medical’ or ‘healthcare’ into their names and dropping things like ‘Care Net’ and other types of wording that might instantly identify them as a CPC,” said Andrea Swartzendruber, an associate professor at the University of Georgia College of Public Health who tracks anti-abortion pregnancy centers.These centers, she said, are “changing their names in ways that make them seem more like medical clinics”.The Charlotte Lozier Institute scholars said “calls for governmental regulation are nothing new” post-Roe and that “such efforts have been ongoing for decades”.“They have been found to be politically motivated and have been largely unsuccessful,” the scholars said. “Abortion facilities are in need of far greater government regulation.”Anti-abortion pregnancy centers’ taxes can also be deeply intricate. The analysis by Reproductive Health and Freedom Watch found that the centers used a variety of tax codes to describe themselves, frequently describing themselves as organizations that provide “family services” or “reproductive healthcare”. They were sometimes listed as organizations that work to outlaw abortions, or as explicitly Christian, religious organizations.The National Committee for Responsive Philanthropy, a charity watchdog group, has previously found that many centers share tax identification numbers with much larger organizations that do multiple kinds of charity work, such as non-profits run by Catholic dioceses. By sharing numbers, these organizations are effectively collapsed into one legal and tax entity, the committee said.The Charlotte Lozier Institute scholars told the Guardian that “this is not our understanding at all”. NIFLA, Care Net and Heartbeat International do not share tax identification numbers with affiliated centers, they said.Just because these particular groups do not share tax identification numbers does not preclude centers from sharing them with other organizations. For example, Care Net is affiliated with a string of Florida pregnancy centers – which, rather than sharing Care Net’s tax ID, are instead listed on tax documents for a wide-ranging charity run by a local Catholic diocese.Anti-abortion pregnancy centers tend to be faith-based. Given the industry’s religious bent, courts have proven reluctant to restrict centers in order to avoid treading on their free speech rights.In 2018, the US supreme court ruled to toss a California law that would have forced centers to disclose whether they were a licensed medical provider. Then, last year, a federal judge in Colorado paused a law that would have banned “abortion reversal”, an unproven drug protocol that aims to halt abortions and is often offered by anti-abortion pregnancy centers. (The first randomized, controlled clinical study to try to study the “reversal” protocol’s effectiveness suddenly stopped in 2019, after three of its participants went to the hospital hemorrhaging blood.)“More regulation could lead to better reporting, which would also then help with reducing all of these risks,” said Teneille Brown, a University of Utah College of Law professor who studies anti-abortion pregnancy centers. “Then the consumers could get some sense of like, ‘Oh, this clinic has had a bunch of violations,’ and if there were regulation, they could actually even shut them down.” More

  • in

    Don’t Underestimate the Mobilizing Force of Abortion

    Poland recently ousted its right-wing, nationalist Law and Justice Party. In 2020, a party-appointed tribunal severely restricted the country’s abortion rights, sparking nationwide protests and an opposition movement. After a trip to Poland, the Times Opinion columnist Michelle Goldberg came to recognize that similar dynamics could prevail in the United States in 2024. In this audio essay, she argues that Joe Biden’s campaign should take note of what a “powerful mobilizing force the backlash to abortion bans can be.”(A full transcript of this audio essay will be available by Monday, and can be found in the audio player above.)Illustration by Akshita Chandra/The New York Times; Photograph by Getty ImagesThe Times is committed to publishing a diversity of letters to the editor. We’d like to hear what you think about this or any of our articles. Here are some tips. And here’s our email: letters@nytimes.com.Follow the New York Times Opinion section on Facebook, X (@NYTOpinion) and Instagram.This episode of “The Opinions” was produced by Jillian Weinberger. It was edited by Kaari Pitkin and Alison Bruzek. Engineering by Isaac Jones and Sonia Herrero. Original music by Isaac Jones, Sonia Herrero. Fact-checking by Mary Marge Locker. Audience strategy by Shannon Busta and Kristina Samulewski. More

  • in

    Inside the youth anti-abortion movement in the US: ‘Victory is on its way’ – video

    Since the US supreme court’s overturning of Roe v Wade, 16 states have enacted stringent bans on nearly all abortions. But that is not enough for a new generation of organised and passionate activists intent on pushing even stricter laws across the country. Carter Sherman spends time with students and organisers at the annual March for Life in Washington DC and meets the influential woman spearheading the national movement More

  • in

    Abortion rights are Biden’s most powerful re-election issue. He should act like it | Moira Donegan

    For years, the beltway set had a standard line of advice for Democratic candidates: stick to the economy. The idea was that white, male, blue-collar voters – those magical creatures, somewhere out there in the windswept lands of the upper midwest, who always qualify in the pundit imagination as “real Americans” – would be turned off by so-called culture-war issues.These guys, we were told, didn’t want to hear about civil rights or social equality: they wanted to hear about economic growth. According to this advice, Democrats could be pro-choice, pro-racial justice, or pro-LGBTQ+ rights, but not openly, avowedly so. They had to play their progressive social positions in a minor key.It’s not clear that this advice ever really paid off for Democratic candidates. At any rate, you don’t hear it much any more. That’s because, for the past two years, Democratic electoral victories up and down the ballot have been driven disproportionately by one of those culture-war issues that candidates were typically told to avoid: abortion.American women’s anger over the US supreme court’s Dobbs ruling is the single most potent political force in America right now, and if Joe Biden wins re-election – a distinct if imperiled possibility – it will be because his campaign succeeded in making the election a referendum on Republicans’ abortion bans. There is no one issue with greater importance; there are few issues that have ever motivated voters so dramatically.You would think that this would be a gift to the Biden campaign. On paper, Republicans are almost solely responsible for the overturning of Roe and the draconian, morbid and dangerous abortion bans that have followed.Donald Trump continually brags about appointing three of the six justices who ruled to eliminate the abortion right; Republican politicians nationwide, not content with being able to ban abortion, have sought to eliminate life and health exemptions, to further restrict gestational age limits, and to impose criminal and civil penalties for things like advocating for abortion rights or transporting a patient across state lines. These are hateful, bigoted, invasive and lawless moves, ones that degrade women’s citizenship and are hated by the public. And they’re Republican moves.But the new prominence of abortion in electoral politics presents something of a conundrum for the Biden campaign: because while Republicans are vehemently anti-choice, Biden himself is not a particularly convincing abortion rights advocate.He is, at best, unenthused about the issue. Biden speaks of abortion in stilted, euphemistic terms, talking about “restoring the protections of Roe” or “a woman’s right to choose” more than “abortion”. (He did not use the word in public remarks until he was forced to after facing pressure from activists.) On the stump, he frequently ad libs, straying from prepared remarks to make his dislike of abortion clear. In one set of remarks last year, he unhelpfully offered that he was “not big on abortion”.In remarks this past week, he characterized his own position using anti-choice buzzwords, saying he was opposed to “abortion on demand”. Most of the campaigning on the issue has been passed off to Kamala Harris, admittedly a more comfortable messenger for a women’s rights platform. But outsourcing such a prominent issue to the vice-president is itself fraught with symbolic dangers: the campaign risks signaling that they consider abortion to be a second-tier issue by assigning it to their second-tier principal. And Harris is limited in what she can say by the somewhat narrow extent of the president’s comfort.And so Biden has taken on the task of marketing himself as a champion of abortion rights with all the relish of a third-grader told to eat his broccoli: he has been informed that doing so is good for him, but he really, really doesn’t want to. This week, as the Biden administration launched a series of policy and public relations efforts meant to frame the stakes of the elections for voters invested in reproductive freedom, things got off to something of a rocky start.Last Monday, on what would have been Roe’s 51st anniversary, Biden held a task force meeting in which he said that his administration would defend laws legalizing things like the FDA approval of mifepristone, which is being challenged by anti-choice lawyers in court. He said he would create a team to educate the public about when emergency abortions are legal in hospitals – a growing need in an era when more and more pregnant women are facing disastrous health risks because of abortion bans that prohibit the procedure from being used to spare them from catastrophic harm. He said he would encourage access to birth control.It was a tepid announcement, one where Biden seemed self-satisfied for doing the bare minimum. It was a policy agenda, too, that leaves all the agenda-setting power in the anti-choice movement’s hands: what the Biden campaign is offering American women – the ones who are angry and distraught, the ones that have suffered a blow to their dignity and an endangering of their safety – is that his administration might be willing to make minimal efforts to stop the people who are working maximally hard to make it worse.At a rally in Wisconsin the next day, Harris seemed more interested in describing the post-Dobbs landscape as one of a “healthcare crisis” – emphasizing, as Biden has, the stories of women denied life – and health-preserving abortions in moments of medical emergency. And it is true that the post-Dobbs world is one where it has become dramatically more dangerous to be pregnant, one where a capricious law, or a doctor’s fear of one, could cost you your life, your health or your fertility in the event that something goes wrong. And it is true, too, as Harris told the crowd, that a Republican victory would almost certainly result in a national ban on abortion – something a Republican president could effect in practice even without a filibuster-proof majority in Congress.But the campaign’s focus on these aspects of the Dobbs catastrophe – the women suffering complications from wanted pregnancies, the potential that things could get worse – does too little to grapple with the harm that’s happening right now, to women who simply do not want to be pregnant, and who deserve to be treated with the respect and dignity of citizens, not talked down to like children who cannot be trusted to act as custodians of their own bodily functions.Biden was not wrong when he said that women who were forced to become sicker and sicker during miscarriages before they were allowed to obtain abortions were subjected to an indignity. But so, too, are those who the law treats as de facto incompetent or suspicious: those who want and deserve their abortions, in Biden’s contemptuous phrasing, “on demand”.If anything, Biden is talking like he believes that abortion remains a delicate issue, as if it is something he thinks he will lose by being too strong on. But that advice, which maybe never quite worked, was from another time. It is not advice for this moment. Biden needs to change his strategy on abortion, to bring it more in line with both the sentiments of voters and the demands of our era. It is time for him to grow up, and eat his vegetables.
    Moira Donegan is a Guardian US columnist More