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    The US supreme court has struck down the constitutional right to an abortion, one of several landmark decisions that will affect the lives of millions of Americans for decades to come.
    Jonathan Freedland and Jill Filipovic discuss whether it’s still possible for a deeply divided court of nine judges, a group that now has a 6-3 conservative majority, to keep the promise to the American people of ‘equal protection’, and what happens if it can’t

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    Archive: CNN, CBS, C-Span Listen to Tuesday’s episode of Today in Focus, with Jessica Glenza Send your questions and feedback to podcasts@theguardian.com Help support the Guardian by going to theguardian.com/supportpodcasts More

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    Joe Biden says he supports overriding filibuster to protect abortion rights – video

    The US president has said he would support changing the Senate filibuster rules to codify abortion rights nationally, calling the supreme court’s decision to overturn Roe v Wade ‘destabilising’. ‘We have to codify Roe v Wade in the law and the way to do that is to make sure Congress votes to do that. And if the filibuster gets in the way, it’s like voting rights … we should require an exception to the filibuster for this action,’ Biden said. He added he would meet with a group of governors on Friday to discuss abortion rights

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    Why were Democrats caught flat-footed by the end of Roe v Wade? | Jill Filipovic

    Why were Democrats caught flat-footed by the end of Roe v Wade?Jill FilipovicDemocrats can’t fix the past. But the least they can do is learn from it – and change course accordingly With Roe v Wade overturned by the US supreme court and American women now living in a nation where our most fundamental rights are dependent on the state in which we reside, a lot of us are looking around and asking, “how did we get here?”There is much blame to go around, and the bulk of it rests on the shoulders of the right-wing anti-abortion movement that sprung out of the white supremacist movement that fought to maintain Jim Crow and school segregation. The racist, misogynist Religious Right gained tremendous power within the Republican party; the Republican party proved itself willing to lie, cheat, and steal to get their way; and as a result, Americans are now living in an undemocratic nation of reactionary minority rule.But the Democratic party hasn’t done enough to help itself, its supporters, and women more broadly.There are a great many points where Democrats could have kept the country on the rails. Chief among them is in the aftermath of the 2000 election, when Al Gore won the popular vote, but the supreme court, along partisan lines, installed George W Bush as president. If the reverse had happened – if our arcane Electoral College system had put a Democratic loser in office over a Republican who won more votes – rest assured that the Republican party would have gotten rid of that undemocratic institution as soon as it had the chance.Democrats, though, did nothing – even though “one person, one vote” is likely how most Americans believe our system works, and is an easy advocacy line. When Obama took office, Democrats controlled both houses of Congress. In the states, Democrats controlled more legislatures than Republicans did; more states had a Democratic trifecta (Democratic governors plus both state legislative bodies) than a Republican one. There was a brief moment here to get a lot done in the name of both democracy and women’s rights: get rid of the undemocratic Electoral College; codify Roe; rescind the Hyde Amendment, which bars federal Medicaid dollars from funding abortions for poor women, and the Helms Amendment, which bars US funding from paying for abortions for women overseas. Advocates asked the Obama administration to do all of that; they did none.If there is one moment that portended all of what we’re seeing today, it was Bush v. Gore in 2001. Democrats had a chance to correct it. They had a base that was livid about what had happened, and a country primed to accept a “one person, one vote” rule for elections. And despite a huge win in 2008, they did absolutely nothing to prevent such an undemocratic result from happening again.Two years after Obama’s big win, Republicans swept the midterms in what remains one of the most significant shifts in American political power in the last century. It wasn’t just standard Republican candidates who won – it was Tea Party enthusiasts, right-wing extremists, conspiracy nuts, hardcore misogynists and unrepentant racists, all of whom set the state for Trump’s rise and his eventual party takeover. Once in power, they focused on restricting abortion rights, passing hundreds of laws and imposing a smorgasbord of new restrictions.They have controlled both chambers of the legislature in more than half of US states ever since.Once in power, Republicans focused on keeping themselves there, democracy be damned. They scaled up efforts to restrict voting rights, carefully calibrating their laws to decrease Democratic turnout – that is, to make it harder for people of color to vote. They used whatever power they had to deliver for their constituents – not stuff like healthcare or poverty alleviation that people might actually need, but the culture war stuff that satisfied a punitive desire to screw over perceived enemies.Democrats, on the other hand, made endless compromises.When supreme court justice Antonin Scalia died in 2016, Barack Obama was still the president, and he had the right to appoint a judge to fill Scalia’s seat. The Republican Party, though, had control of the Senate and blocked him, claiming that, because it was an election year, the American people had the right to pick the president who would pick the next Supreme Court judge. They did not apply this same rule to themselves just four years later, when Trump was in the same position – he appointed Amy Coney Barrett to replace Ruth Bader Ginsburg. And while some Democrats complained, they certainly did not play hardball; Sen. Dianne Feinstein even applauded Barrett’s speedy and illegitimate confirmation hearings.And Donald Trump, of course, lost the popular vote; millions more American voted for Hillary Clinton. But, thanks to an Electoral College system kept in place despite its long-apparent flaws, the majority lost in 2016. We all know what happened next.In early May, a draft of the supreme court opinion to overturn Roe leaked to the press. It was a shock, but not a total surprise – supreme court watchers and reproductive rights advocates had been warning that this particular court was ready and willing to overturn Roe, and that they might use the Dobbs case to do it.But even with that heads up, the day the Dobbs opinion was published, Democrats seemed to be caught flat-footed. Democrats offered poems and made fundraising pleas. They asked us to vote – even though we did, in huge numbers, in 2016 and 2018 and 2020; even though three million more Americans voted for the Democratic nominee in 2016 than the Republican one.Only a small handful of Democrats, led most notably by Elizabeth Warren and Alexandria Ocasio-Cortez, suggested anything even remotely resembling an innovative response. And even they seemed to be coming up with it on the fly.The unfortunate reality is that there is no immediate perfect solution for the problem at hand. The supreme court has struck down basic rights for women, giving conservative states enormous control over women’s bodies. Even a federal law codifying Roe is vulnerable to Republican takeover, and tricky to pass given the current make-up of Congress and the fact that the slim Democratic majority in the senate includes conservative Democrats Joe Manchin and Krysten Sinema.But that doesn’t mean there is nothing Democrats can do. Joe Biden, for example, could make securing abortion rights for as many women as possible his number-one priority; he could rescind federal amendments that limit abortion access; he could give permission for clinics to open on federal lands; he could go to the mat for medication abortion availability; he could be clear that he will expand the court and end the filibuster.Instead, he’s setting off on a national tour to remind Americans that they think he’s to blame for inflation.Voting for Democrats matters. One problem that Democrats are currently facing is that they simply don’t have enough of a majority to get done what their base wants, and they have two feckless narcissists with Ds next their names who are hampering the party’s agenda. The midterms matter; more Democrats in office means more opportunities to pass laws that protect women and human rights more generally.But that doesn’t mean Democrats powerless now, or that they have any right to pin the blame on voters. At the very least, Democrats should take a look at what has happened since 2001, and recognize the situation for the emergency that it is. Most of the conservative judges on the court – most of the judges who just overturned Roe v. Wade – were appointed by presidents who initially lost the popular vote but took office anyway. This has happened twice in just 20 years.Abortion rights and democracy go hand in a hand. A nation is not democratic if half of its population do not have basic rights, let alone equal rights. As the US faces a series of crises of democracy, from an attempted coup to a hostile takeover by a reactionary minority to an unprecedented rollback of civil rights, there is a straight line that runs from Bush v Gore to Dobbs v Jackson Women’s Health.Democrats can’t fix the past. But the least they can do is learn from it – and change course accordingly.
    Jill Filipovic is the author of the The H-Spot: The Feminist Pursuit of Happiness
    TopicsUS politicsOpinionAbortionDemocratsRoe v WadecommentReuse this content More

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    California to vote on adding abortion rights protection to state constitution

    California to vote on adding abortion rights protection to state constitutionThe amendment added to this year’s ballot is part of Democrats’ aggressive strategy to expand access to abortion California voters will decide in November whether to guarantee the right to an abortion in their state constitution, a question sure to boost turnout on both sides of the debate during a pivotal midterm election year as Democrats try to keep control of Congress after the US supreme court overturned Roe v Wade.The court’s ruling on Friday gives states the authority to decide whether to allow abortion. California is controlled by Democrats who support abortion rights, so access to the procedure won’t be threatened anytime soon.But the legal right to an abortion in California is based upon the “right to privacy” in the state constitution. The supreme court’s ruling declared that a right to privacy does not guarantee the right to an abortion. California Democrats fear this ruling could leave the state’s abortion laws vulnerable to challenge in state courts.California abortion clinics braced for out-of-state surge as bans kick inRead moreTo fix that, California lawmakers on Monday agreed to put a constitutional amendment on the ballot this year that would leave no doubt about the status of abortion in California.The amendment would declare that the state “shall not deny or interfere with an individual’s reproductive freedom in their most intimate decisions, which includes their fundamental right to choose to have an abortion and their fundamental right to choose or refuse contraceptives”.California joins Vermont in trying to protect abortion in its state constitution. The Vermont proposal, also on the ballot this November, does not include the word “abortion” but would protect “personal reproductive autonomy” – although there is an exception “justified by a compelling state interest achieved by the least restrictive means”.Meanwhile, four conservative states – Alabama, Louisiana, Tennessee and West Virginia – have constitutions that say a right to an abortion is not protected, according to the Guttmacher Institute, an abortion rights group.The amendment in California is part of Democrats’ aggressive strategy to expand access to abortion in response to the US supreme court’s ruling. Last week, Gavin Newsom signed a law aimed at shielding California abortion providers and volunteers from lawsuits in other states – a law aimed at blunting a Texas law that allows private citizens to sue people who help women in that state get an abortion.California’s massive budget includes more than $200m to expand access to abortion in the state. The money would help pay for abortions for women who can’t afford them, scholarships for abortion providers and a new website listing all of the state’s abortion services in one place.The budget also includes $20m to help women pay for the logistics of an abortion, including travel, lodging and child care. But the Newsom administration says the money can’t be used to help women from other states where abortion is illegal or severely restricted come to California to get the procedure.A dozen other bills are pending that would support those seeking and providing abortions such as allowing some nurse practitioners perform abortions without the supervision of a doctor and block disclosure of abortion-related medical records to out-of-state entities.TopicsCaliforniaAbortionRoe v WadeHealthUS politicsLaw (US)newsReuse this content More

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    Louisiana judge blocks abortion ban amid uproar after Roe v Wade ruling

    Louisiana judge blocks abortion ban amid uproar after Roe v Wade rulingState temporarily blocked from enforcing ban as other US states pass ‘trigger laws’ designed to severely curtail access to abortion A Louisiana judge on Monday temporarily stopped the state from enforcing Republican-backed laws banning abortion, set to take effect after the US supreme court ended the constitutional right to the procedure last week.Alexandria Ocasio-Cortez calls for supreme court justices to be impeachedRead moreLouisiana is one of 13 states which passed “trigger laws”, to ban or severely restrict abortions once the supreme court overturned the 1973 Roe v Wade ruling that recognized a right to the procedure. It did so on Friday, stoking uproar among progressives and protests and counter-protests on the streets of major cities.In New Orleans on Monday, an Orleans Parish civil district court judge, Robin Giarrusso, issued a temporary restraining order, blocking the state ban.The case before Judge Giarruso, a Democrat, was brought by Hope Medical Group for Women in Shreveport, one of three abortion clinics in Louisiana.“We’re going to do what we can,” Kathaleen Pittman, administrator of Hope Medical Group, told the Associated Press. “It could all come to a screeching halt.”The Louisiana lawsuit is one of several challenging Republican-backed abortion laws under state constitutions.In Utah, a branch of Planned Parenthood sued on Saturday over a trigger ban. In Ohio, abortion rights advocates plan to challenge a ban on abortions after six weeks that took effect on Friday. A Florida ban on abortions after 15 weeks is also the subject of a request for a temporary block.In Arizona, the American Civil Liberties Union (ACLU) and an abortion-rights group filed an emergency motion on Saturday, seeking to block a 2021 law they worry can be used to halt all abortions.On the national stage on Monday, a group of 22 attorneys general issued a statement promising to “leverage our collective resources” to help women in states where abortions are banned.A statement said: “Abortion care is healthcare. Period.”The statement was signed by the attorneys general of California, Colorado, Connecticut, Delaware, the District of Columbia, Hawaii, Illinois, Maine, Maryland, Massachusetts, Michigan, Minnesota, Nevada, New Jersey, New Mexico, New York, North Carolina, Oregon, Pennsylvania, Rhode Island, Vermont and Washington.They said: “We stand together, as our states’ chief law officers, to proudly say that we will not back down in the fight to protect the rights of pregnant people in our states and across the country.“While the US supreme court’s decision reverses nearly half a century of legal precedent and undermines the rights of people across the United States, we’re joining together to reaffirm our commitment to supporting and expanding access to abortion care nationwide.”The statement added: “Ultimately, what harms people in some states harms us all. The future and wellbeing of our nation is intrinsically tied to the ability of our residents to exercise their fundamental rights.“… If you seek access to abortion and reproductive healthcare, we’re committed to using the full force of the law to … fight for your rights and stand up for our laws.“We will support our partners and service providers. We will take on those who seek to control your bodies and leverage our collective resources – thousands of lawyers and dedicated public servants across our states. Together, we will persist.”02:03As of Saturday, abortion services had stopped in at least 11 states. Speaking to the Associated Press, Brigitte Amiri, deputy director of the ACLU Reproductive Freedom Project, said the group was looking at “all options” to protect access.But lawsuits may only buy time. Even if courts block restrictions, lawmakers could address any cited flaws.That is likely to be the case in Louisiana. The plaintiffs in the suit there do not deny that the state can ban abortion. Instead, they contend Louisiana has multiple and conflicting trigger mechanisms in law.The suit says the trigger laws, the first of which was passed in 2006, make it impossible to tell when they are in effect, if one or all are in force and what conduct is prohibited. The lawsuit contends that such vagueness has resulted in state and local officials issuing conflicting statements about whether the trigger bans are in effect.Judge Giarruso wrote: “Each of the three trigger bans excepts different conduct, making it impossible to know what abortion care is illegal and what is allowed, including what care can be provided to save a woman’s life or end a medically futile pregnancy.”Giarruso scheduled an 8 July hearing to decide whether to further block enforcement of the ban. The Center for Reproductive Rights, which filed the suit on behalf of the clinic, said abortion care was resuming in Louisiana.The Republican state attorney general, Jeff Landry, did not immediately comment. On Friday, he said those who challenged state bans would be “in for a rough fight”.Prosecutors in some Democratic-led cities in Republican-led states have indicated they will not enforce abortion bans.The New Orleans district attorney, Jason Williams, said he would not criminalize abortions and that the overturning of Roe v Wade “is a cruel and irresponsible stripping of a woman’s agency”.‘A matter of life and death’: maternal mortality rate will rise without Roe, experts warnRead moreCondemning leaders for not focusing on issues such as lifting children out of poverty, he added: “It would not be wise or prudent to shift our priority from tackling senseless violence happening in our city to investigating the choices women make with regard to their own body.”On Monday, in light of moves by Cincinnati city leaders to support abortion access, Joseph Deters, the Republican county prosecutor, said: “I have repeatedly stated it is dangerous when prosecutors pick and choose what laws they want to enforce. When prosecutors do not follow their oath, it will promote lawlessness and challenge the basic structures of separation of powers.”Regarding the Louisiana case, Nancy Northup, chief executive of the Center for Reproductive Rights, said: “A public health emergency is about to engulf the nation. We will be fighting to restore access in Louisiana and other states for as long as we can.“Every day that a clinic is open and providing abortion services can make a difference in a person’s life.”TopicsRoe v WadeLouisianaAbortionWomenHealthUS politicsUS supreme courtnewsReuse this content More

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    Alexandria Ocasio-Cortez calls for supreme court justices to be impeached

    Alexandria Ocasio-Cortez calls for supreme court justices to be impeachedThe congresswoman says Brett Kavanaugh and Neil Gorsuch lied under oath to Congress about their views on Roe Political pressure is mounting on Joe Biden to take more action to protect abortion rights across the US as firebrand New York congresswoman Alexandria Ocasio-Cortez called for supreme court justices to be impeached for misleading statements about their views on Roe v Wade.Ocasio-Cortez’s remarks took aim at justices Brett Kavanaugh and Neil Gorsuch. Both were appointed by former president Donald Trump and had signaled that they would not reverse the supreme court’s landmark 1973 decision in Roe v Wade during confirmation hearings as well as in meetings with senators.On Friday, Kavanaugh and Gorsuch formed part of the conservative majority which in effect ended legal access to abortion in most states, and Ocasio-Cortez said “there must be consequences” for that.‘They set a torch to it’: Warren says court lost legitimacy with Roe reversalRead more“They lied,” the leftwing, second-term representative said on NBC’s Meet the Press. “I believe lying under oath is an impeachable offense … and I believe that this is something that should be very seriously considered.”Ocasio-Cortez added that standing idly by “sends a blaring signal to all future nominees that they can now lie to duly elected members of the United States Senate in order to secure … confirmations and seats on the supreme court”.She also mentioned impeaching Justice Clarence Thomas, whose wife Ginni emailed 29 Republican lawmakers in Arizona as she tried to help undermine Biden’s victory over Trump in the 2020 presidential election. Thomas has not recused himself from election-related cases, drawing criticism.“I believe that not recusing from cases that one clearly has family members involved in with very deep violations of conflict of interest are also impeachable offenses,” Ocasio-Cortez said.House members can impeach a judge with a simple majority vote. But to be removed from office a justice would need to be convicted by a two-thirds majority of the Senate.Biden’s Democratic party controls the House with a clear majority, but its standing in the Senate is much more tenuous. The Senate is split 50-50, though Biden’s vice-president, Kamala Harris, can serve as a tiebreaker for votes that can be carried by a simple majority.The president dismissed the overturning of Roe v Wade as “cruel” but stopped well short of calling for the impeachment of any justices. He has also rejected the strategy proposed in some quarters to expand the supreme court in a way that would allow for the addition of more liberals and blunt the bench’s current conservative majority.Joining Kavanaugh, Gorsuch and Thomas as conservatives on the supreme court are justices Samuel Alito, Amy Coney Barrett and John Roberts. The liberals are Stephen Breyer, Sonia Sotomayor and Elena Kagan.Breyer is retiring and due to be replaced by Ketanji Brown Jackson, another liberal.Nonetheless, on Sunday, Ocasio-Cortez urged Biden to personally take steps to address what she called the supreme court’s “crisis of legitimacy”.“President Biden must address that,” she said.Ocasio-Cortez suggested Biden could order the opening up of abortion clinics on federal lands in states where terminating pregnancies has been outlawed “to help people access the healthcare services they need”, echoing an idea from the Democratic senator Elizabeth Warren.In states where abortion is no longer allowed because of Friday’s ruling, residents who need to terminate pregnancies must now travel hundreds of miles – if not more – to get access to the procedure.Many US corporate giants have taken steps to provide support and financial assistance to employees seeking abortions in states where that is outlawed in most cases. But such measures won’t help millions of people who need abortions but are not employed by a large international or national company.That’s where an order from Biden to allow abortion on federal lands in anti-abortion rights states would come in and help.Ocasio-Cortez also discussed possibly expanding access to abortion pills that could be mailed to those in need, though Republican politicians are gearing up to limit access to those as well.For instance, South Dakota’s governor, Kristi Noem, said her state would move to block medical providers in states where abortion is legal from mailing to South Dakotans pills that could end a pregnancy.The pressure on Biden follows Ocasio-Cortez’s remark earlier this month that she could not yet commit to endorsing him for another run at the White House in the 2024 election.Roe v Wade: senators say Trump supreme court nominees misled themRead moreHer comments on Sunday also came after senators such as Susan Collins of Maine and Joe Manchin of West Virginia said they felt deceived by Friday’s controversial supreme court decision to end nearly 50 years of protections granted by Roe v Wade.Collins, a Republican, said she felt “misled” after Kavanaugh and Gorsuch had said they would leave in place “longstanding precedents that the country has relied upon” during their confirmation hearings and in meetings with her.Meanwhile, Manchin said he had trusted both Kavanaugh and Gorsuch when they “testified under oath that they … believed Roe v Wade was settled legal precedent”.Manchin was the lone Democrat to support Kavanaugh’s appointment.TopicsRoe v WadeAlexandria Ocasio-CortezUS supreme courtAbortionUS politicsnewsReuse this content More

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    ‘A matter of life and death’: maternal mortality rate will rise without Roe, experts warn

    ‘A matter of life and death’: maternal mortality rate will rise without Roe, experts warn Pregnancy in the US is already dangerous, disproportionately so for people of color – and without abortion access for those who need it, there will likely be more deathsAfter the revocation of the constitutional right to abortion in the United States, pregnancy-related deaths will almost certainly increase – especially among people of color, experts say. They called for urgent action to protect reproductive rights and the health of patients around the country.“There are going to be more people who are forced to carry a pregnancy to term, which means that there’s going to be a greater number of people who are at risk,” said Rachel Hardeman, a reproductive health equity professor and researcher at the University of Minnesota School of Public Health. “More pregnancy means more likelihood of deaths.”Existing state bans could lead to an additional 75,000 births a year for those who can’t access abortions, according to one estimate. The bans will disproportionately affect younger, poorer people of color and those who already have children.But America is an incredibly difficult place to be pregnant, with the highest maternal mortality rate by far of any developed country – and it’s rising sharply. For every 100,000 births, 23.8 people died from pregnancy or childbirth-related causes in 2020 – a total of 861 women – according to the US Centers for Disease Control and Prevention (CDC).As Roe fell, states immediately moved to ban abortion, with more than half of US states expected to ultimately do so. But some, like former Vice-President Mike Pence, want lawmakers to go even further, calling for a nationwide ban on abortion.A nationwide ban would result in a 21% increase in pregnancy-related mortality across the country, but it would be even worse for people of color, with a 33% rise in deaths, according to a study by Amanda Jean Stevenson, an assistant professor of sociology at the University of Colorado Boulder.“Pregnancy is really quite dangerous,” Stevenson said.And it’s disproportionately more dangerous for people of color, including Black, Indigenous and Latino people.Country comparison“The truth of the matter is, it’s already hitting people [of color] harder than others – that’s been the reality,” said Monica McLemore, an associate professor of family healthcare nursing at University of California, San Francisco.Black people in the US were already 3.5 times more likely than white peers to die because of pregnancy and childbirth, according to one study looking at data from 2016-2017, and 2.9 times more likely according to a CDC analysis in 2020. They are also more likely to need abortion services.“Because Black, Indigenous, and Latinx communities are going to be disproportionately impacted by lack of access to abortion services, it’s going to exacerbate the maternal mortality racial gap that we’ve already seen in the United States,” Hardeman said.Pregnant people of color have long been marginalized and neglected in the medical system, frequently experiencing racism and discrimination at all points of care.“It’s translating into not getting the care they need, which can be a matter of life and death,” Hardeman said. And racism also takes an immense physical toll, so “by the time that person becomes pregnant, they are at less optimal health than their white counterparts who haven’t experienced racism across the life course”.The cumulative and chronic effects of living in America as a person of color increases stress, which can also affect reproductive health. “We know that the stress pathway is what leads to infant mortality, preterm birth, and other outcomes,” Hardeman said.Even living in a community or neighborhood with disproportionate levels of police surveillance and police contact, for instance, is associated with a greater risk of preterm birth – which can be dangerous for both the birthing person and the infant.“We have to be thinking about the Scotus decision and abortion bans generally as a racist policy, because the burden will fall the hardest on Black pregnant people, it’s going to fall hard on Indigenous people and other people of color, people living in rural areas as well and people of lower socioeconomic status,” Hardeman said.The supreme court decision on Friday and bans on abortion instituted at the state level “disproportionately harm people of color and reinforce a system of inequity and, frankly, of white supremacy”, Hardeman said.The states that have now banned or restricted abortion also have some of the highest mortality rates around pregnancy and childbirth, as well as the highest child mortality rates. Mississippi, for instance, where the supreme case that overturned Roe originated, has one of the highest maternal mortality rates – almost twice as high as the rest of the country – and the highest infant mortality rate in the country.US ethnicitySome people seek abortions because they are at high risk of dying from a pregnancy – because of a health condition, an unsafe home environment, harassment because of their identity, or another reason.“If you think about why people get abortions, it’s often because it’s not safe for them to stay pregnant,” Stevenson said. “The people who are currently having abortions are very likely to actually have higher rates of pregnancy-related deaths and maternal mortality than the people who are currently giving birth.”Having an abortion is “much, much, much safer than staying pregnant”, Stevenson said. Researchers estimate that childbirth is 14 times more deadly than having an abortion.But childbirth is just one risk of pregnancy. “It’s way, way more than 14 times more deadly to stay pregnant – that’s a massive underestimate,” Stevenson said.While roughly half of the country is poised to ban abortion, other states and cities have worked to expand access – including to out-of-state patients.But significant limitations on getting to those sanctuaries remain.“The question is, who is going to be able to access it?” Hardeman asked. Many people of color who face systemic barriers to healthcare may not have the tools, resources, money, time off work and childcare to travel to a sanctuary state or city to receive care, she said.“We have to be thinking about the fact that because we live in a society where access to resources is based on racism and race, there are people who are not going to be able to access the services that are available.”For many reproductive rights researchers, the court’s decision came as no surprise. “This has been coming for a long time,” McLemore said. “I get very grumpy when people just want me to regurgitate statistics about how Black people are going to be dying – we know that. What are we doing?”First, she said, “Congress could act right now and render Scotus’s decision irrelevant” by enshrining reproductive rights into national law. If this Congress doesn’t, she said, the six in 10 Americans who support abortion rights should vote for a new Congress that will.Members of the Black Maternal Health Caucus in Congress have been advocating for laws that would protect the well-being of birthing people, including the Momnibus Act of 2021.Lawmakers could also expand the social safety net, including paid family leave and health insurance for lower-income and postpartum patients, for the swelling number of people giving birth.All of these strategies wouldn’t just ensure that reproductive health continues to be offered to those who need it – they will also keep patients from dying, McLemore said.“We need an all-hands-on-deck approach here – with brilliance, not fear.”TopicsRoe v WadeUS supreme courtLaw (US)US politicsfeaturesReuse this content More