If Roe v. Wade falls, what happens to abortion in America?
That’s the question on a lot of Americans’ minds after the death of Justice Ruth Bader Ginsburg, with the Supreme Court on the brink of a 6-3 conservative majority. If the Senate confirms President Trump’s nominee, Amy Coney Barrett, the Court will likely have the votes to overturn the landmark 1973 decision that established Americans’ right to terminate a pregnancy.
Some have predicted a Handmaid’s Tale-esque future in which women are forced to bear children. Meanwhile, anti-abortion groups have begun quietly preparing for a baby boom once all Americans are forced to carry their pregnancies to term.
But the reality is that overturning Roe won’t end abortion in America. What it will end, across much of America, is legal abortion.
That will have devastating consequences for many people, especially low-income Americans and people of color in red states where the fall of Roe would likely shut down the few remaining clinics. “This is already an abortion desert,” Laurie Bertram Roberts, the executive director of the Mississippi Reproductive Freedom Fund, told Vox. If Roe falls, “you’re just talking about an abortion wasteland.”
But that doesn’t mean people who want to end a pregnancy would be completely without options. Abortion funds around the country would continue their work, in some cases helping patients travel to blue states to get the procedure. Community-based providers, who perform abortions outside the official medical system, would likely continue to operate. And self-managed abortion, in which people perform their own abortions with pills, would take a bigger role.
Preparing for that reality will require a lot from advocates and providers, from raising money to campaigning against laws that can send people to jail for self-managing an abortion. But people have
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