Pregnancy and Childbirth

Subterms

    More stories

    • 88 Shares129 Views

      in Elections

      What Is the Real Meaning of ‘Pro-Life’?

      by

      More from our inbox:The Texas Abortion RulingThe Campus Clash of Free Speech and AntisemitismThe Undemocratic Electoral CollegeTrump and NATO Illustration by Alicia Tatone; Photographs by Yiming Chen, SDI Productions, Joshua Roberts/Getty ImagesTo the Editor:Re “Republicans Are Finding Out That ‘Pro-Life’ Has Too Many Meanings,” by Liz Mair (Opinion guest essay, Dec. 6):Ms. Mair, a G.O.P. campaign strategist, writes about all the desperate ways Republican politicians are trying to explain their stance on abortion now that their decades-long fight to make it illegal has taken a step forward.It seems her clients are scrambling, surprised to find that “rank-and-file G.O.P. voters are not as pro-life as we might have thought.”The medical community is not surprised. You see, there are no party affiliation requirements for unplanned or medically doomed pregnancies. Doctors have seen staunch Republicans obtain safe and legal abortions for decades. I’m sure that every single white male Republican legislator who signs “heartbeat” laws, piously claims he is pro-life and rails against Planned Parenthood knows a woman who has had an abortion. And he may have caused one himself.Instead of spinning the message on their terrible policies, her advice to her G.O.P. clients should be to stop blocking funding for reliable contraception, stop interfering with medical decisions between women and their doctors and start writing laws that support women who can’t afford another pregnancy because of poverty, a lack of postpartum job security or abusive partners.You know, “pro-life” stuff.Cheryl BaileySt. Paul, Minn.The writer is a retired gynecologic oncologist.To the Editor:In recommending that Republicans finesse the abortion issue, Liz Mair doesn’t mention one point. Pro-choice advocates are not anti-life, but we disagree with those who call themselves pro-life in two fundamental ways. We do not believe that humans can claim to know what God — who certainly allows miscarriages — wants, and we do not believe that humans claiming to have this knowledge have a right to impose their religious beliefs on others.Republicans may continue to succeed politically by demagoguing the abortion issue, but most Americans, religious or not, do not believe that the law should forbid women from obtaining a safe abortion.Jamie BaldwinRedding, Conn.To the Editor:Liz Mair is absolutely correct that “pro-life” has many meanings, but she mistakenly focuses only on abortion.Being “pro-life” also means things like good pre- and post-natal care for all mothers; good health care for everyone, including babies born to the poorest among us; accessible and affordable child care and preschool for all; gun safety laws to ensure that bullets are no longer the biggest cause of accidental death among U.S. children, and, not least, more commitment to combating climate change.Republicans need to consider these matters when they (or if they) decide to come up with a better, more marketable definition of “pro-life.”Nadine GodwinNew YorkThe Texas Abortion Ruling Kate Cox, via Associated PressTo the Editor:Re “Texas Supreme Court Rules Against Woman Who Sought Abortion” (news article, Dec. 12):I hope the women of Texas go on strike and march to the state capital. Women, especially mothers, all over the country will stand with them.Eve Rumpf-SternbergSeattleTo the Editor:Is there no end to these people’s cruelty?Linda GrunbaumNew YorkThe Campus Clash of Free Speech and Antisemitism Adam Glanzman for The New York TimesTo the Editor:Re “Censorship Can’t Help University Presidents,” by David French (column, Dec. 11):Mr. French argues that what American campuses need is more viewpoint diversity and true freedom of speech — not the current hypocrisy of some speech being favored and other speech censored.But what Mr. French does not mention at all is the need for morality and truth to be part of the curriculum. President John F. Kennedy, a Harvard alumnus, said “the goal of education is the advancement of knowledge and the dissemination of truth.”The university presidents’ failure before Congress to unambiguously repudiate calls for “the genocide of Jews” reflected how far these schools have strayed from that purpose. Allowing more speech on campus without a moral compass will yield only more noise and little else.Nathan J. DiamentWashingtonThe writer is the executive director for public policy of the Union of Orthodox Jewish Congregations of America.The Undemocratic Electoral College Christopher Lee for The New York TimesTo the Editor:Re “‘The Exploding Cigar of American Politics,’” by Gail Collins (column, Nov. 30):Ms. Collins’s excellent column about the Electoral College should have commented more on the U.S. Senate, which is even more unrepresentative and undemocratic.Two out of three of our elected national arms of government are unrepresentative. (The third “arm,” the House, is roughly representative, but tainted by gerrymandering, “dark” money and increasing voter suppression.)The Electoral College has overturned the national popular vote five times in America’s nearly 250-year history, but twice already in this still young century. It’s likely to happen again, probably soon (’24?).One reason the founding fathers decided not to have direct elections to the presidency was a fear of a mostly uneducated and ill-informed electorate voting in either a fraudster or a populist demagogue as president. Some would say we got two for the price of one in 2016.We should abolish the Electoral College and directly vote for the president (as we do for the Senate and the House). Failing that, embrace the National Popular Vote Interstate Compact, by which states agree to award their electoral votes to the winner of the national popular vote.I dread the day when many more Americans despair of the ballot box and instead choose far more dangerous ways of expressing their will — i.e., more Capitol insurrections, but successful ones.The founding fathers must be spinning in their graves at our inability to modernize our now dangerously outdated Constitution.Michael NorthmoreStaten IslandTrump and NATOFormer President Donald J. Trump has made it clear that he primarily sees NATO as a drain on American resources.Doug Mills/The New York TimesTo the Editor:Re “Trump’s Stance Toward NATO Alarms Europe” (front page, Dec. 10):I’m 73 years old and frightened. So many things I have taken for granted my entire life are threatened. My dad fought overseas in World War II. He, and I, always assumed that the things he fought for would remain protected.I never contemplated that the coalitions we established with our allies after the war would be threatened. I came to believe that the isolationism thriving before the war had been essentially put to rest.But now Donald Trump and his disciples have awakened the blind nationalism that raises the specter of totalitarianism. That menace should strike terror in all who treasure our democracy.And we can’t allow a feeling of helplessness or a belief that such things could never happen here prevent us from protecting what we can no longer take for granted.Stephen F. GladstoneShaker Heights, Ohio More

    • 75 Shares189 Views

      in Elections

      Shining a Light on Postpartum Depression

      by

      More from our inbox:How Climate Change Feeds ‘Eco-Anxiety’Domestic ViolenceTrump’s Strategy: StallMaking a Minyan to Mourn Together Travis Dove for The New York TimesTo the Editor:Re “A Look at Life in the Throes of Postpartum Depression” (news article, July 6):Thank you for bringing attention to postpartum depression. Unfortunately, it is estimated that up to half of women with it never get screened and identified. And fewer get effective and adequate treatment.Because so many of its symptoms, such as lack of energy and trouble concentrating, overlap with what normally occurs after delivery, it may not be suspected.But when these symptoms coexist with a predominantly depressed mood that is present all day, when there is a loss of interest and a lack of pleasure, and when the symptoms last for at least two weeks, that is not a normal consequence of childbirth. And it needs to be evaluated and treated.Without treatment, depression can last for months or years. In addition to the personal suffering, the depression can interfere with the mother’s ability to connect and interact with her baby, which can negatively affect the child’s development.Deciding between the two types of treatment mentioned in your article, psychotherapy and medication, need not always be an either/or choice. As with many other forms of depression, a combination of the two may be most effective.Monica N. StarkmanAnn Arbor, Mich.The writer is an active emerita professor of psychiatry at the University of Michigan.To the Editor:As the mom of a 6-week-old (she is asleep in my arms as I write this), I appreciate the increased coverage of postpartum depression and anxiety that I’ve noticed lately in this newspaper and other sources.Since giving birth, I’ve been screened for those conditions more times than I can count — in the hospital, at my OB-GYN’s office and at my daughter’s pediatrician visits.However, in my household, there are two moms: me (the birthing parent) and my wife. Though she may not be experiencing the same shifting hormones or bodily changes and demands as I am, my wife is certainly undergoing the radical life transformations associated with new parenthood.Despite that, she has never been screened for postpartum depression or anxiety, though she currently suffers from the latter to the point that she can hardly sleep.We should be screening all parents — birthing and non-birthing, regardless of gender or biological affiliation with the child — for postpartum depression and anxiety. And we should be including discussion about those individuals in publications such as this one to increase awareness.Andrea B. ScottAustin, TexasHow Climate Change Feeds ‘Eco-Anxiety’A search and rescue worker in Cambridge, Vt. Officials said access to some communities remained almost completely cut off.Hilary Swift for The New York TimesTo the Editor:Re “Urgent Call in Vermont for Better Preparedness” (news article, July 13):Vermont’s catastrophic flooding, and the flooding, fires, tornadoes and severe heat currently engulfing much of the nation, are obvious byproducts of climate change. Our growing fears over these destructive events are less obvious, since they are often left out of the conversation over climate change, even with the devastation left in our communities and the loss of lives that almost always follows these tragic events.An unanticipated consequence of deadly climate change is “eco-anxiety,” the chronic fear of environmental collapse and community destruction. As therapists, we see more and more patients struggling with overwhelming feelings ranging from terror, disgust and rage to grief, sadness and despair.A study of eco-anxiety published in The Lancet showed that 46 percent of young adults in the U.S., and 56 percent globally, believe we are all doomed by climate change, especially with young people experiencing greater anxiety over their futures.Fighting climate change requires science and action. It also requires integrating climate-aware therapy into the equation. We must provide mental resilience for our minds so that we can sustain the fight to repair climate change.Barbara EasterlinLeslie DavenportSan FranciscoThe writers lead the California Institute of Integral Studies’ climate psychology certificate program.Domestic Violence Illustration by Shoshana Schultz/The New York Times; photographs by Michael Ochs Archives and Adam Gault/Getty ImagesTo the Editor:Re “Another Threat to Domestic Abuse Survivors,” by Kathy Hochul (Opinion guest essay, July 12):Firearms and domestic violence are a deadly mix. Every day on average three women are killed by a current or former partner. When a male abuser has access to a gun, the risk he will kill a female partner increases by 1,000 percent. Abusers also use guns to wound, threaten, intimidate and terrorize victims.Governor Hochul is right to be concerned for the safety of domestic violence survivors. The Fifth Circuit Court of Appeals ruling in United States v. Rahimi was dangerous and callously put millions of survivors and their children at risk. It also recklessly disposed of a law effective in reducing intimate partner homicides.Dangerous abusers and others intent on harm should not have access to firearms. The National Network to End Domestic Violence urges the U.S. Supreme Court to put survivor safety front and center and overturn the Fifth Circuit’s misguided decision. Lives are at stake.Melina MilazzoWashingtonThe writer is deputy director of public policy, National Network to End Domestic Violence.Trump’s Strategy: Stall Jordan Gale for The New York TimesTo the Editor:Re “Trump Bid to Delay Florida Trial Poses Key Early Test for Judge” (front page, July 12):Donald Trump’s legal strategy is now clear: Delay, delay, delay until after the 2024 presidential election and do everything possible, legal or otherwise, to win that election, so that he will be able to either pardon himself or install a puppet attorney general who will dismiss all charges.It may not be constitutional for him to pardon himself, but that would ultimately likely be decided by the Supreme Court, with its six-member right-wing supermajority, half of which was appointed by him.It follows that for there to be any hope of justice being done, Mr. Trump can’t be allowed to use his presidential candidacy as an excuse to stall prosecution and can’t be allowed to regain the White House and use the power of the presidency to escape justice.Eric B. LippsStaten IslandMaking a Minyan to Mourn Together Illustration by Shoshana Schultz/The New York Times; photograph by Jeff Swensen/GettyTo the Editor:Re “By Killing 11 Jews, He Killed Something Else, Too,” by Mark Oppenheimer (Opinion guest essay, July 1):Mr. Oppenheimer writes that the massacre of 11 Jews at the Tree of Life synagogue in Pittsburgh (the city where I was born and raised) not only tragically took the lives of these individuals but also has made it difficult for the synagogue to make a minyan, the quorum of 10 Jews required to recite the Mourner’s Kaddish, among other prayers.The reality is that making a minyan has been a problem for synagogues in this country long before the most recent wave of antisemitic events. As the ritual vice president for a Conservative synagogue in a heavily Jewish suburb of Chicago, I see this problem firsthand.We constantly struggle to get a full minyan at our weeknight services, potentially depriving those in mourning or observing a yahrzeit (anniversary of a death) the opportunity to recite Kaddish.The requirement of a minyan reinforces a central value of Judaism: that we do not mourn alone, but as part of a supportive community. It’s incumbent on synagogues to convey this message to their congregations and preserve this age-old tradition.Josh CharlsonDeerfield, Ill. More

    • 125 Shares149 Views

      in Elections

      What Republicans Say About Their Risky Balancing Act on Abortion

      by

      The historic Dobbs ruling has hurt the party electorally, but G.O.P. lawmakers are still moving to pass more restrictive laws. These two realities represent the defining political fallout of the end of Roe v. Wade.In the year since the Supreme Court overturned Roe v. Wade, one of the country’s most emotionally charged issues has come to be defined by two seemingly contradictory political realities.In competitive general elections, abortion rights emerged as among the greatest electoral strengths for Democrats and, often, a clear liability for Republicans: Americans say at record levels that they support at least some access to the procedure, and the issue has fueled Democratic victories across the nation.At the same time, Republican-dominated state legislatures have moved rapidly to sharply limit or ban access to abortion. Activists are demanding that G.O.P. presidential candidates make firm commitments about federal restrictions, and are urging ever-further-reaching legislation in the states.This headlong rush into risky territory for the national Republican Party — and the extraordinary backlash against some of those measures — represents the enduring political fallout of the Supreme Court decision, which transformed a partisan standoff 50 years in the making.Anti-abortion activists and some Republican strategists applaud the approach of many state legislatures, arguing that voters expect their lawmakers to deliver on upholding one of the core tenets of the conservative movement.“If you can, you must,” said Marjorie Dannenfelser, the president of the major anti-abortion rights group Susan B. Anthony Pro-Life America. “To fail to do that would, politically, would be a disaster for pro-life voters who put them in office.”Marjorie Dannenfelser, the president of Susan B. Anthony Pro-Life America, said Republican candidates needed to be “very clear on what it means to be ambitious for life.” Drew Angerer/Getty ImagesBut as the anniversary of the Dobbs decision overturning Roe arrives on Saturday, interviews with more than a dozen Republican lawmakers, strategists and anti-abortion activists paint a portrait of a party still struggling to find a consensus on abortion policy, and grappling with how to energize core base voters on the issue without alienating swing voters.Many observers see the wave of new restrictions, which vary in gestational limit and exceptions and have sometimes been held up in court, as a function of several factors: years of promises and pent-up energy on the right; deeply held convictions about when life begins; and gerrymandering that has often left Republican lawmakers more worried about far-right primary challenges than about turning off moderate voters in general elections.But for a critical slice of Republicans — those who represent competitive districts in state legislatures or in Congress, who support some degree of abortion rights, or, in some cases, presidential candidates — the issue presents a particularly difficult balancing act.Their decisions and calculations are at the heart of the tensions over the abortion debate within the Republican Party in the post-Roe era.“I was hearing from both sides strongly,” said State Representative Mike Caruso of Florida, a Republican who opposed a measure — ultimately signed by Gov. Ron DeSantis — that forbids abortions after six weeks of pregnancy, with a few exceptions. “It was pretty much a ban on abortion.”“I’ve got seven children, been through nine pregnancies,” he added. “I don’t think I ever knew, we ever knew, that we were pregnant prior to six weeks.”But, demonstrating the vastly different views on the issue within the party, State Representative Mike Beltran of Florida said that while he voted for the measure, “frankly, I don’t think it goes far enough.”“All these bills were huge compromises,” said Mr. Beltran, who said he personally opposed abortion rights without exception, suggesting that if a mother’s life was in danger, barring ectopic pregnancies, the answer could often be to deliver the fetus, even months prematurely. “We should suffer electoral consequences if we don’t do what we said we would do.”State Representative Mike Beltran of Florida opposes abortion rights without exception.Tori Lynn Schneider, via SipaAnti-abortion activists and lawmakers have vigorously made a version of that argument to Republican candidates, sometimes citing polling to show lawmakers what they believe voters in a particular state will accept. (Some of these surveys are commissioned by abortion opponents, and their findings can be at odds with public polling.)“It’s a fundamental issue to Republicans to protect life,” said Tami Fitzgerald, the executive director of the North Carolina Values Coalition. She supported the state’s new ban on most abortions after 12 weeks of pregnancy, though she wants restrictions that go much further, calling a six-week ban “step two.”“A candidate needs the pro-life voters in order to win,” she added.In an interview this month, Ms. Dannenfelser of Susan B. Anthony urged candidates to be “very clear on what it means to be ambitious for life” while seeking to draw contrasts with Democrats on the issue, warning of the risks of being defined by the other side.This is not a “theoretical messaging moment,” she said. “This is real life.”In the presidential contest, though, some of the candidates have tried to skirt questions about what national restrictions they would support. Contenders including former President Donald J. Trump — who helped muscle through Supreme Court justices who made overturning Roe possible — have indicated that they think the issue should be resolved by the states, though Mr. Trump has also been vague on the issue.“Their hesitancy to communicate has been frustrating,” Ms. Dannenfelser said, referring broadly to the field. But the debate stage, she said, is “going to be where the rubber meets the road, and our bright-red line saying that you must have a 15-week or better limit or we can’t support you.”Yet when Senator Lindsey Graham of South Carolina last year proposed a federal ban on abortions after 15 weeks of pregnancy with some exceptions, he ignited immediate resistance from numerous fellow Republicans, evidence that some in the party see political peril in a national ban.Senator Lindsey Graham last year proposed a federal ban on abortion at 15 weeks of pregnancy, and faced immediate resistance.Evelyn Hockstein/ReutersAnd polling has shown that most Americans support at least some abortion rights, especially early in pregnancy.A Gallup survey released last week found that a record-high 69 percent of Americans, including 47 percent of Republicans, believed that abortion should generally be legal in the first three months of pregnancy.“That just makes me wonder if maybe there is some room for nuance there within the party,” said Lydia Saad, the director of U.S. social research at Gallup. “But nuance isn’t generally very successful in politics.”In some states, Republican lawmakers have cast bans with some exceptions that begin after 12 weeks, toward the end of the first trimester, as something of a middle ground. And from Nebraska to South Carolina, there have indeed been lawmakers who said they could not back a six-week ban but indicated that they were more comfortable with 12 weeks, even as such proposals have drawn condemnation from some in local business and medical communities.In North Carolina, Gov. Roy Cooper, a Democrat, vetoed the 12-week ban. He and other abortion rights supporters warned that the measure would interfere with critical medical decisions and create dangerous barriers for women seeking abortions.But Republicans, who recently gained narrow veto-proof majorities in North Carolina, quickly sought to override Mr. Cooper’s move. The effort forced some of their members into contortions.Republicans in North Carolina overrode Gov. Roy Cooper’s veto of a 12-week abortion ban.Kate Medley for The New York TimesState Representative Ted Davis Jr., a Republican, indicated during his campaign last year that he backed the state’s law allowing abortions up to 20 weeks of pregnancy. When the state legislature took up the 12-week measure, he skipped the vote.But citing factors including loyalty to his caucus, frustration with the other side and constituents who, he said, seemed split on the veto override, he ultimately joined fellow Republicans to override the veto, helping to ensure that the more restrictive measure prevailed.Still, he tried to draw a distinction between the two votes.“What concerns me is what’s going to happen in the future as far as access to abortion,” he said. “Are Republicans now going to try to restrict it even further?”Other lawmakers have sought to punish women who seek abortions, or those who help them. Some Republican lawmakers in South Carolina moved — unsuccessfully — to treat abortion at any stage of pregnancy as homicide, which can carry the death penalty.That measure would have given “more rights to a rapist than a woman who’s been raped,” said Representative Nancy Mace, a South Carolina Republican who flipped a seat from a Democrat in 2020. “That’s where the conversation has gone.”Abortion-rights supporters protesting outside the Supreme Court last June on the day Roe was overturned.Shuran Huang for The New York Times“They listen to some of the extreme voices, and they operate and vote and legislate out of fear,” she said. “They’re not hearing from the rest of the electorate, the 95 percent of the folks who vote in elections. They’re hearing from the 5 percent who say, ‘You’re not Republican if you don’t want to ban abortions with no exceptions.’”Even in her conservative state, there were pockets of Republican resistance to efforts to pass a near-total abortion ban. A six-week ban passed the legislature but is now tied up in court.“I probably will draw a primary challenger,” conceded State Senator Katrina Shealy, who opposed that measure, with its many requirements for women seeking abortions. She has already been censured by a local Republican county party.Some on the far right, she suggested, “don’t want people to wear masks. They don’t want people to get vaccines.”They believe, she said, that “they should have full rights — but don’t let women make this decision. And that’s not right.” More

    • 75 Shares149 Views

      in Elections

      The Trump Indictment: A Changed Landscape

      by

      More from our inbox:Our Failure to Support New Parents and BabiesThe indictment followed criminal charges against former President Donald J. Trump in a hush-money case brought by local prosecutors in New York.Doug Mills/The New York TimesTo the Editor:Re “Trump Is Indicted Over Classified Files” (front page, June 9):The indictment of Donald Trump heralds a new chapter in American history. His trial could come sometime next year during the Republican primary season. He will continue to tell his followers that he has done nothing wrong and that this is all part of a vendetta by the Washington elite.His followers will continue to support him. If he is found guilty in any of his trials, he will appeal. If he is nominated, the appeals process will play out during the election campaign. He could be elected and then have a guilty verdict upheld as he is about to be sworn into office.Mr. Trump and the special counsel Jack Smith serve as the protagonists in the first act of a Shakespearean tragedy. The full effects on America of Mr. Smith’s essential action will not be known until the final act.Sidney WeissmanHighland Park, Ill.To the Editor:Is no one above the law? We are about to find out. The stakes couldn’t be higher if the country hopes to remain a legitimate democracy.Tom McGrawGrand Rapids, Mich.To the Editor:The indictment of Donald Trump on federal criminal charges might improve his odds of receiving the Republican nomination, but it almost certainly means that if nominated, he would lose the general election.It may increase the sympathy and anger of millions of his hard-core supporters. They will give him even more money to run and turn out in even greater numbers in the primaries, but it will not persuade many, if any, supporters of President Biden to vote against him in November 2024.This is not yet a banana republic. The greater number of Americans who voted for Mr. Biden in 2020 will continue to believe that this and future indictments are legitimate.Even if Mr. Trump manages to beat all the charges against him, he has been further disgraced by all these legal battles. And the effect of the indictments after the lessons of the Jan. 6 hearings will bring new voters, particularly first-time voters, to Mr. Biden.If he remains healthy, President Biden wins again.Allen SmithSalisbury, Md.To the Editor:Journalists need to get to the meat of the Republicans’ support of Donald Trump’s behavior in the classified documents case and ask them the following questions:Are you saying you do not trust the Florida grand jury, made up of ordinary citizens from a state that twice voted for Mr. Trump? The prosecutor presents the facts, but the grand jurors vote on whether to indict. Do you really think all of them are on an anti-Trump witch hunt?Why are you making judgments about this case when you don’t know the charges or the facts? It sounds as if you are advocating for Mr. Trump to be able to break the law at will with no consequences; do you deny that?Stop allowing Republican politicians to hide behind specious arguments bereft of facts or even common sense. They are spouting anti-democratic nonsense, and the press should be exposing them for what they are.Jean PhillipsFlorence, Ore.To the Editor:In all the discussions, among all the various talking heads, about the various aspects of this new criminal indictment, one significant factor has been overlooked.At no time, during any judicial proceedings, will Donald Trump ever take the witness stand. It will never happen.Stuart AltshulerNew YorkTo the Editor:It is vital that Donald Trump’s trial be scheduled to start no later than four months after his arraignment, so that the trial can be finished well before the Iowa caucuses. This can be done by actions of the judge assigned to the case immediately after the arraignment, setting strict time limits for all pretrial matters.Both parties have experienced attorneys who can promptly complete pretrial matters, including discovery and pretrial motions, within that four-month period so that the trial can end well before the voters have to make their decisions.Robert LernerMilwaukeeThe writer is a retired lawyer who tried many cases in federal courts as a prosecutor or as a defense attorney.To the Editor:Jack Smith, all I can say is thank you. Thank you for believing in our country. Thank you for trying to uphold our democracy. Thank you for your courage.I have tears in my eyes. You have restored my hope. Grateful. Stay well.Dody Osborne CoxGuilford, Conn.Our Failure to Support New Parents and Babies Shuran Huang for The New York TimesTo the Editor:Re “Risk to Mothers Lasts a Full Year After Childbirth” (front page, May 28) and “A 3-Month-Old Baby Was Found Dead Near a Bronx Expressway” (nytimes.com, May 29):As a midwife working with pregnant people and new parents, I found these articles — about increasing rates of maternal mortality from hypertension, mental illness and other causes and about parents charged with murder or reckless endangerment — heartbreaking.This represents the total failure of our society to support pregnant people and new parents. After receiving only rudimentary maternity services with limited access to care, new parents are turned out of the medical system without proper follow-up and support. Our health care system has not responded to the increasing challenges of parenting in the modern world, leaving parents and children to face preventable dangers.Patient-centered care in pregnancy and improved postpartum services could prevent the suffering and deaths through early identification of risks and swift intervention. Access to care is far too limited.There has been enough hand-wringing about our horrible statistics. We need immediate investment in maternity services, expanded access to obstetric and midwifery care, mental health services, postpartum care and support for new parents.How many more deaths will it take for us to invest in the well-being and safety of our parents and children?Laura WeilSan FranciscoThe writer is an assistant clinical professor at the University of California, San Francisco School of Medicine.To the Editor:Our nation’s failure to properly care for expectant and new mothers and their babies speaks to a larger problem: Our health care system is siloed and focused on delivering urgent services. We treat pregnancy as an event, focused on a safe delivery and a healthy baby and mother, and our systems respond to problems only when they arise.There is a pressing need to address increasing maternal and infant morbidity and mortality — and the many other health issues across the country that are rapidly getting worse — by considering the entirety of factors that make up a person’s health and well-being. We need to spend more time upstream, creating the vital conditions that are key to good health and well-being, like a healthy environment, humane housing, meaningful work and sufficient wealth.If we increase our investments in order to create the conditions people need to thrive, we can build the long-lasting change that is needed to prevent many serious health problems. This is much harder than treating a single person presenting in the emergency room, but it is a much smarter investment for our long-term health and well-being.Alan LieberMorristown, N.J.The writer is chief operating officer and chief health care strategist for the Rippel Foundation, which is working to rethink systems that have an impact on health and well-being. More

    • 113 Shares129 Views

      in Elections

      Abortion Surges to the Center of the 2024 Campaign

      by

      Nearly a year after the Supreme Court turned abortion into a dominant issue of the 2022 midterms, the battle over abortion rights has catapulted to the center of the emerging 2024 election season, igniting Democrats, dividing Republicans and turbocharging sensitive debates over health care.From North Carolina to Nevada, Democrats running at every level of government are vowing to make support for abortion rights a pillar of their campaigns, and to paint their opponents as extremists on the issue.And as races intensify, Republicans are caught between the demands of their socially conservative base and a broader American public that generally supports abortion rights, exposing one of the party’s biggest political liabilities as it tries to win back the White House, recapture the Senate and expand its narrow House majority.This month, a Wisconsin judge won a crucial State Supreme Court race after running on her support for abortion rights.Jamie Kelter Davis for The New York TimesAll of those dynamics have crystallized over the last month. First, a liberal Wisconsin judge won a crucial State Supreme Court race by a commanding margin after running assertively on her support for abortion rights. A few days later, a conservative judge in Texas took the extraordinary step of moving to invalidate the Food and Drug Administration’s approval of the abortion pill mifepristone. The Supreme Court on Friday said the pill would remain widely available for now, halting two separate rulings, including the Texas ruling, while an appeal moves forward.Democrats cast the Supreme Court’s order as a close call, and warned that many Republicans still want as many abortion restrictions as possible, including a national ban. At the same time, Republican presidential hopefuls — whose teams generally did not respond to requests for comment on the Supreme Court’s ruling on Friday night — are straining to find their footing on the issue.Gov. Ron DeSantis of Florida recently signed a ban on abortion after six weeks of pregnancy, when many women do not know they are pregnant, staking out a position that conservatives applauded, but one that could hurt him in a general election with moderate voters. Others, like Senator Tim Scott of South Carolina, have struggled to articulate firm positions. And former President Donald J. Trump, whose choices for the Supreme Court helped overturn Roe v. Wade, recently angered anti-abortion leaders by emphasizing state power over the issue rather than a national ban.“I’m worried that we let the Democrats use the issue to define us, because we aren’t very good at our own messaging,” said the Republican governor of New Hampshire, Chris Sununu, who signed a measure that banned abortions after 24 weeks, with some exceptions. Mr. Sununu, who calls himself “pro-choice,” was the rare possible Republican presidential candidate to offer a comment on the court’s ruling on Friday: “Good call by the Supreme Court.”Representative Suzan DelBene, a Washington Democrat who leads the House Democratic campaign arm, said Republicans had moved in an increasingly “extreme” direction on abortion. She pointed, for instance, to an Idaho law criminalizing those who help a minor get an out-of-state abortion without parental permission, and to threats more broadly to abortion medication.“It’s dangerous, and people are angry,” she said. “We’re going to see that in 2024 in elections across the country.”Anti-abortion demonstrators gathered in front of the Supreme Court as part of the 50th March for Life in Washington in January. Haiyun Jiang/The New York TimesAs President Biden moves toward announcing a re-election bid as soon as Tuesday, one of his advisers predicted that the issue of abortion rights would be more significant in 2024 than it was last year, as Americans experience the far-reaching results of overturning Roe.Democrats are carefully monitoring — and eagerly broadcasting — the positions on abortion taken by Republicans in the nascent stages of primary season. And they are pressing their own succinct message.“We support women making decisions regarding their health care,” said Senator Gary Peters, a Michigan Democrat who leads the Democratic Senate campaign arm. “Not politicians, not judges.”Republicans are far more divided on what their pitch should be — and party officials acknowledge this poses a steep challenge.“We support women making decisions regarding their health care,” said Senator Gary Peters, a Michigan Democrat. “Not politicians, not judges.”Julia Nikhinson for The New York TimesConflict always emerges between the demands of primary voters and the preferences of general-election swing voters. But the overturning of Roe has drastically complicated this calculus for Republican candidates. They now face detailed questions about whether to support national bans; how soon into a pregnancy abortion bans should apply; what exceptions, if any, to permit; and how they view medication used in instances of abortions and miscarriages.“We wrap ourselves around the axle trying to nuance our position as a candidate or a party through the primary, knowing that we’re going to have to reexplain ourselves in the general,” Mr. Sununu said. “It comes off as disingenuous, convoluted, and at the end of the day, it really chases away voters.”The fault lines in the party were illuminated again this past week. After a spokesman for Mr. Trump indicated to The Washington Post that the former president believed abortion should be decided at the state level, the anti-abortion group Susan B. Anthony Pro-Life America issued a stern rebuke.Gov. Ron DeSantis of Florida signing a 15-week abortion ban into law in April 2022. This month, he signed a more restrictive six-week ban.Paul Hennessy/SOPA Images, via Sipa USA“We will oppose any presidential candidate who refuses to embrace at a minimum a 15-week national standard to stop painful late-term abortions while allowing states to enact further protections,” Marjorie Dannenfelser, the president of the organization, said in a statement.In a separate statement, Mr. Trump’s campaign said he “believes it is in the states where the greatest advances can now take place to protect the unborn,” while declaring him the “most pro-life president in American history.”There will be no shortage of opportunities for Republican candidates to highlight their anti-abortion credentials and to navigate the fallout from the Supreme Court’s decision, starting as soon as Saturday, at a gathering of the Iowa Faith and Freedom Coalition. On Tuesday, Nikki Haley, the former United Nations ambassador, is also expected to give a speech on abortion.Bob Vander Plaats, a socially conservative leader in Iowa whose organization is expected to host a gathering with presidential candidates this summer, said, “There’s a lot of ways to determine a person’s bona fides when it comes to the sanctity of human life, but I guarantee you the Texas ruling will be discussed.”The issue of abortion, he said, “will be a cornerstone issue in the Iowa caucuses. It will be a cornerstone issue in the Republican primary.”On Thursday, Ronna McDaniel, the chair of the Republican National Committee, tried to help her candidates navigate the subject, suggesting that opposing abortion after 15 weeks of pregnancy was a strong position politically, somewhat mirroring polling she has been showing to members of her party.“In 2022, a lot of Republican candidates took their D.C. consultants’ bad advice to ignore the subject,” she said in a speech. Noting the onslaught of Democratic ads on the subject, she said, “most Republicans had no response.”She urged Republicans to cast Democrats as “extreme” on the issue, a message echoed by some working on House and Senate races who say Democrats should be pressed on what limitations they support.Nicole McCleskey, a Republican pollster who worked for the successful re-election campaign of Gov. Kim Reynolds of Iowa last year, pointed to Ms. Reynolds, Gov. Mike DeWine of Ohio and Gov. Brian Kemp of Georgia as examples of leaders who embraced tight abortion restrictions but were not defined by that issue alone. All three swept to comfortable victories in states that often lean right, but are not the nation’s most conservative states.“This last election saw some candidates who were unclear or changed their position, lacked conviction and were unprepared to talk about this issue,” she said. “If you have those things — if you have conviction, if you have empathy, if you are prepared and you know how to define yourself and your opposition,” she added, “we can successfully navigate this issue.”But some candidates have shown little interest in managing a rhetorical balancing act.The issue is likely to come to a head in North Carolina, home to what may be the most consequential governor’s race of 2024, with Gov. Roy Cooper, a Democrat, term-limited.“I’m worried that we let the Democrats use the issue to define us, because we aren’t very good at our own messaging,” said Gov. Chris Sununu of New Hampshire, a Republican. Sophie Park for The New York TimesMark Robinson, the state’s often incendiary lieutenant governor and a Republican, is expected to announce a run for governor as soon as Saturday. Mr. Robinson, who has said that he and his now-wife aborted a pregnancy decades ago, has since made clear that he wants greater restrictions on abortion rights in North Carolina, where Republicans now have supermajorities in the state legislature. The procedure is currently legal up to 20 weeks of pregnancy in the state.Josh Stein, the state’s Democratic attorney general who is running for governor, said in an interview that there was “no question” that he saw abortion rights as being directly on the ballot. That message was effective for Democrats in governor’s races in several critical states last year.“The only reason North Carolina doesn’t have a ban on abortion now is because we have a Democratic governor,” Mr. Stein said.A spokesman for Mr. Robinson declined to comment for this article.For Democrats elsewhere, it can be more challenging to argue that their races will decide the fate of abortion rights in their state, especially in places where abortion protections are codified. And it is far too soon to know what mix of issues will ultimately determine 2024 campaigns.Still, Democrats noted that if the Supreme Court had let the Texas ruling stand, that would have had major nationwide implications — and many stress the possibility of national abortion bans, depending on the makeup of the White House and Congress.“Even though we may have current protections for this in Nevada, if a nationwide abortion ban is imposed, Nevadans will suffer, and women will die,” Senator Jacky Rosen of Nevada, a Democrat who recently announced her re-election bid, said in an interview.In a statement, Ms. Rosen called the Supreme Court order “a temporary relief.” But in the interview, she said the Texas ruling underscored how one conservative judge could threaten the power of a major government agency.“It’s pretty frightening,” she said. More

    • 138 Shares169 Views

      in Elections

      Republicans Under Pressure as Anti-Abortion Activists Call for a National Ban

      by

      Activists are pushing for tougher abortion restrictions, while politicians fear turning off swing voters who don’t support strict limits like a national ban.For decades, opposition to abortion was a crucial but relatively clear-cut litmus test for Republican candidates: support overturning a constitutional right to an abortion, back anti-abortion judges and vote against taxpayer funding for the procedure.But now, six months after the Supreme Court overturned federal abortion rights, the test has grown a whole lot harder — and potentially more politically treacherous.Even after a backlash in support of abortion rights cost Republicans key seats in the midterm elections, a restive socially conservative wing is pushing the party’s lawmakers to embrace deeper restrictions. That effort is likely to be on stark display on Friday in Washington, when anti-abortion activists gather for what is expected to be a lower-key version of their annual march. Historically, the event attracted top Republicans, including former President Donald J. Trump, former Vice President Mike Pence and former Speaker Paul Ryan. This year, the list of speakers circulated in advance included two lawmakers: Representative Steve Scalise, the Republican majority leader, and Representative Chris Smith, one of the leaders of the Congressional Pro-Life Caucus.These activists and their allies are pressuring potential Republican presidential contenders to call for a national ban. Raising the stakes nearly two years before the 2024 contest, Susan B. Anthony Pro-Life America, one of the most powerful anti-abortion groups, said that any candidate who does not support federal restrictions should be “disqualified” from winning the party’s nomination.But some Republican strategists worry that such a position could repel general-election swing voters, who polls show are turned off by the idea of a national ban.Other conservative activists are pushing for a new series of litmus tests that include restrictions on medication abortion, protections for so-called crisis pregnancy centers that discourage women from having abortions, and promises of fiercely anti-abortion appointees to run the Justice Department and the Food and Drug Administration.For Republican politicians, these activists are forcing the question of what, exactly, it means to be “pro-life” in a post-Roe v. Wade era.In Grand Rapids, Mich., last November, opponents rallied against Proposition 3, a ballot measure that sought to protect abortion rights. Democratic candidates, who supported Proposition 3, did well in the election.Brittany Greeson for The New York Times“This is coming. The pro-life movement is not going to be happy or thanking a candidate simply for saying they are pro-life,” said Kristan Hawkins, the president of Students for Life of America, an anti-abortion group. “We’re in a position where we’re going to get down to the various candidates on how far they are going to go to protect women and children.”Some Republican officials and strategists argue that pitched debates over abortion rights in the midterms — and the party’s inability to quickly adopt a unified message on the issue — contributed to the G.O.P.’s weaker-than-expected performance in battleground states including Michigan, Pennsylvania and Arizona.More on Abortion Issues in AmericaAt a Crossroads: As the 50th anniversary of the Roe v. Wade ruling approaches, anti-abortion activists who fought to have the decision overturned are split about what they should focus on next.In Congress: Republicans used their new power in the House to push through legislation that could subject doctors who perform abortions to criminal penalties.Morning-After Pills: The Food and Drug Administration revised its guidance on the most commonly used emergency contraceptives, making clear they are not abortion pills.Abortion Pills: In a move that could significantly expand access to medication abortions, the F.D.A. moved to allow retail pharmacies to offer abortion pills in the United States.This view is shared by former President Donald J. Trump, who distanced himself this month from a social conservative wing that has been a pillar of his base when he blamed the “abortion issue” for the party’s loss of “large numbers of voters” in November.The comments set off an instant backlash from loyal supporters who once lauded him as the most anti-abortion president in history. Ms. Hawkins described Mr. Trump as “listening to swamp consultants.” The remarks also prompted ridicule from some Republican strategists who noted that Mr. Trump was often a liability in major races last year.Some potential 2024 candidates have begun tussling over the issue as they try to position themselves as the conservative movement’s next standard-bearer. Mr. Trump’s comments drew a rebuke from his former vice president, Mike Pence, who retweeted a statement from Susan B. Anthony Pro-Life America urging the former president and his possible rivals to embrace an “ambitious consensus pro-life position.”“Well said,” added Mr. Pence, who has cast himself as a true champion of the cause as he promotes the Supreme Court’s ruling in appearances at “crisis pregnancy centers” and movement galas.A spokesman for Gov. Kristi Noem of South Dakota has accused Gov. Ron DeSantis of Florida of “hiding” behind his state’s ban on abortion past 15 weeks of pregnancy, while Ms. Noem has promoted her “aggressive” record on abortion restrictions.“Talking about situations and making statements is incredibly important, but also taking action and governing and bringing policies that protect life are even more important,” she said recently on CBS News..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.And Mr. DeSantis, who shied away from addressing abortion for most of the fall campaign, has said he is “willing to sign great life legislation” and has not ruled out support for a six-week ban.Gov. Ron DeSantis of Florida signed a bill last year for a ban on abortions after 15 weeks, and he has said he would consider a six-week ban.John Raoux/Associated PressStill, it remains unclear what, exactly, is the new standard for being anti-abortion — even among those pushing for more restrictions. Is it enough to seek to ban abortions after 15 weeks? Or should the bar be roughly six weeks, like the measure that Gov. Brian Kemp of Georgia signed into law? Should Republicans support exceptions for rape, incest and health of the mother — which Mr. Trump backs — or none at all? And how do you define health anyhow? Do psychiatric crises count?As some Republican-dominated statehouses prepare to further limit abortion, future presidential candidates are also likely to be asked about restrictive measures being proposed, including prosecuting those seeking abortion care in states where it is banned, targeting allies who help women travel across state lines for the procedure, criminalizing the mailing of abortion medication, and granting fetuses the same legal rights as people through fetal personhood bills.“Conservatives will not allow a Republican to be elected as their candidate that’s not pro-life,” said Penny Nance, the chief executive of Concerned Women for America, a group that argues that life begins at conception.Asked how conservatives now defined “pro-life” credentials — in terms of embracing abortion restrictions after a certain pregnancy threshold, simply looking for candidates who seemed to be fighters on the issue, or something else — Ms. Nance replied, “I think we’ll grapple with that.”Several activists have suggested that they expect this grappling to unfold in the context of a presidential primary campaign, as possible candidates race to demonstrate their anti-abortion bona fides.Democrats are avidly watching from the sidelines, keeping close tabs on the abortion stances of potential 2024 rivals. Their hope is that Republicans adopt positions that might be popular with their base but that will cost them the moderate suburbanites who are critical in the general election. Polling conducted by some Democratic strategists during the midterms found that voters strongly rejected any discussion of a national abortion ban.“They’re going to go for a national ban,” Celinda Lake, a longtime Democratic strategist and pollster, said in an interview around Election Day. “That is the most mobilizing statement, the most persuasive.”She added, “And their candidate is going to be pushed into saying it.”Still, after the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization, it remains an open question whether social conservatives hold the same king-making power in the primary as they did in 2016, or if they may be forced to accept a candidate who doesn’t go as far on their top issues as they would prefer.Gov. Kristi Noem of South Dakota has promoted her “aggressive” record on abortion restrictions.Phelan M. Ebenhack/Associated PressThe party remains divided over whether to support any national restrictions. In the House, the new Republican majority opened the session with a package of abortion legislation that did not include a national ban. Because Democrats control the Senate, none of the measures are expected to become law.“A great many Republicans still think the victory in Dobbs was pushing this down to the states,” Scott Jennings, a Republican strategist and longtime adviser to Senator Mitch McConnell, said when asked for his thoughts on the relatively limited action on Capitol Hill. “It is contradictory to simultaneously believe that and then push for a national regime on it.”Mr. Jennings said he thought restricting abortion access after 15 weeks of pregnancy, with some exceptions, was smart politics, a proposal that candidates could endorse for the states.But when Senator Lindsey Graham of South Carolina put forward that position in the form of a federal ban before the midterms, the proposal earned a backlash among some Republicans who viewed it, and its timing, as politically foolhardy.Still, in the final weeks of the midterms, many Republicans embraced a central message: a 15-week limit with exceptions for rape, incest and life of the mother. They sought to push Democrats to define their own limits on gestational age — and falsely accused them of supporting “abortion until birth” if they refused. Nearly all Democrats support federal legislation that would reinstate a version of the standard set by Roe: permitting abortion until fetal viability, roughly 23 weeks, and after that point only if the pregnancy poses a risk to the mother’s health.Robert Blizzard, a veteran Republican pollster, noted that several Republican candidates who generally opposed abortion rights won major statewide races in places including Florida, Georgia and Iowa. But elsewhere, for candidates without clearly defined personal brands, he said, “voters can use the abortion issue as a test of how compassionate they are, and how pragmatic they are, in order to solve problems and get things done.”“There were some candidates we had running, specifically in statewide races, that just could never get past the favorability” issue with independent voters, he added.Mr. Blizzard emphasized that it was impossible to know what issues would motivate voters in the 2024 general election. But there is little doubt, he said, that Democrats will continue to use the abortion issue against Republicans — and that in the midterms they often did so effectively.“Every metric you would look at indicates that that energizes the left and energizes the Democratic base, which it certainly did,” he said. “In some cases, where we made the fight over other issues — whether the economy, inflation, the border, whatever else was going on in a particular state or district — we did, I think, well. But in places where we were not able to change the narrative of a race, we didn’t do well.”“In terms of going forward,” he went on, describing the political uncertainties surrounding the issue, “I don’t think anyone has a really solid answer for it.” More

    • 100 Shares149 Views

      in Elections

      Does the War Over Abortion Have a Future?

      by

      In decades past, as the calendar turned to January, the anniversary of Roe v. Wade would come into view. Abortion opponents would be planning to acknowledge the date with the annual March for Life in Washington, D.C. Supporters of abortion rights would schedule seminars or meet for quiet conversations about whether and when the Supreme Court might actually go so far as to repudiate the decision it issued 50 years ago on Jan. 22, 1973.There will, of course, be no Roe to march against this year, the right to abortion having died a constitutional death in June at the hands of five Supreme Court justices. There has been ample commentary on how anger at the court for its decision in Dobbs v. Jackson Women’s Health Organization helped to block the predicted “red wave” in the midterm elections. Not only did Dobbs-motivated voters enable the Democrats to hold the Senate, but they also, given the chance to express themselves directly, accounted for abortion rights victories in all six states with an abortion-related question on the ballot (California, Kansas, Kentucky, Michigan, Montana and Vermont).But the justifiable focus on the role of abortion in the country’s politics has crowded out much talk about what this unexpected political turn actually means for the future of abortion. There is a case to be made, it seems to me, that abortion access has won the culture war.I know that might sound wildly premature, even fanciful: Abortion access has vanished across the South in the wake of the Dobbs decision, and anyone anywhere in the world remains free to pursue Texas women seeking abortions, along with anyone who helps them, for a minimum $10,000 bounty under the state’s S.B. 8 vigilante law. The picture is bleak indeed. But it’s when it appears that things couldn’t get worse that weakness can become strength.Consider that as the midterms approached, Republican candidates for whom taking an extreme anti-abortion position had been as natural as breathing started scrambling for cover, blurring their positions and scrubbing their websites, as Blake Masters did to no avail in his campaign for an Arizona seat in the U.S. Senate. (Doug Mastriano, the Republican candidate for governor of Pennsylvania, held to his extreme no-exceptions position, and that didn’t help either.)The full dimension of the post-Dobbs world will come into ever clearer view, as news accounts mount up of what happens when women whose wanted pregnancies have gone drastically wrong are denied the prompt terminations that barely seven months ago would have been the obvious treatment. People who have regarded abortion as something that befalls wayward teenagers will come to realize that abortion care is — or was — an ordinary and necessary part of medical care. And while all the justices in the Dobbs majority were raised in the Catholic church, nearly two-thirds of American Catholics believe that abortion should be legal in all or most cases.In suggesting that abortion has won its corner of the culture wars, I don’t mean that those wars are over in general or that the road ahead for abortion access is easy. Trans teenagers and their struggle to find a place in the world will continue to be fodder for cynical politicians. School boards taken over by conservative activists will continue to vet reading lists for any hint that the country’s past was less than perfect. Those Supreme Court justices who remain unreconciled to marriage equality will keep looking for ways to enable self-described Christians to avoid treating same-sex couples equally in the marketplace for goods and services. Texas voters just re-elected Greg Abbott as their governor, and the Texas Legislature is not about to repeal S.B. 8.What I mean is that the polarity has shifted. The anti-abortion position that was so convenient for Republican politicians for so long is, with surprising speed, coming to seem like an encumbrance. The once-comfortable family-values rhetoric no longer provides cover for the extremism that the Dobbs decision has made visible. Yes, the new Republican majority in the House of Representatives this week passed two anti-abortion measures, both recognized as dead on arrival. The important point about this bit of legislative theater was the label a conservative South Carolina Republican, Representative Nancy Mace, affixed to it: “tone-deaf.” Even so, she voted for the two bills.In a recent article published by ProPublica, Richard Briggs, a Tennessee state senator and cardiac surgeon who co-sponsored the state’s exceptionally strict abortion ban in 2019, now says he had assumed the law would never actually take effect and believes it is too harsh “because the medical issues are a lot more complex.” Not incidentally, 80 percent of Tennessee voters believe that abortion should be legal at least under some circumstances.Abortion is surely not going away as an issue in politics. But it will be just that: an issue, like food safety, reliable public transit, affordable housing and adequate energy supplies. All these, and countless others, are issues in politics, too. We need these things, and if the government won’t provide them, we assume at least that the government won’t stand in the way of our getting them.Democrats played defense on abortion for so long (remember the apologetic Clinton-era mantra “safe, legal and rare”?) that defense became part of the Democratic DNA. What this posture ultimately led to was Dobbs. And now the midterm elections have made Dobbs not an end point but an opportunity, a gift, albeit an unwelcome one, in the form of a national admonition on what extremism looks like.The decision and its aftermath have freed people to acknowledge — or even shocked them into realizing for the first time — that a civilized country requires access to abortion. It is possible, and I’ll even be bold enough to say that it is probable, that in Roe v. Wade’s constitutional death lies the political resurrection of the right to abortion.Linda Greenhouse, the recipient of a 1998 Pulitzer Prize, reported on the Supreme Court for The Times from 1978 to 2008 and was a contributing Opinion writer from 2009 to 2021.The 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, Twitter (@NYTopinion) and Instagram. More