Abortion Care Advocacy 101
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Anti-abortion activists have been chipping away at abortion access since the Supreme Court issued its decision for Roe v. Wade in 1973. They have crafted and successfully lobbied for legislation that targets patient care by imposing burdens like unnecessary ultrasounds; targets providers by requiring redundant reporting; and targets the service itself, by banning various abortion care methods and setting gestational limits.
TLDR: What to know about access to abortion care in the United States
Historical events that have impacted access to abortion care
The Supreme Court decision in Roe v. Wade established the legal right to abortion care, and creating the trimester framework in the process
1973
1976
The Hyde Amendment was first included in annual appropriations legislation, blocking federal Medicaid from funding abortion care
1982
FDA first approved misoprostol to treat peptic ulcers. It is believed to have been first used for abortion care in Brazil in the 1980s
In Planned Parenthood v. Casey, the Supreme Court reaffirmed Roe, but replaced the trimester framework with the viability framework that we know today. Casey also established the “undue burden” standard for legislation interfering with abortion care
1992
FDA first approved mifepristone for use for abortion care in the 2-medication regimen with misoprostol. The approval included tight restrictions on the medication, including limiting dispensing to physicians registered with the drug distributor
2000
2016
The Supreme Court decision in Whole Woman’s Health v. Hellerstedt struck down a number of restrictions in Texas, citing an undue burden
2022
The decision in Dobbs v. Jackson overturned Roe and federal protections for abortion care, leaving states to take matters into their own hands
In FDA v. Alliance for Hippocratic Medicine, the Supreme Court ruled that the plaintiffs did not have standing to bring the case forward and dismissed the case
2024
How does your state measure up?
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Guttmacher Institute - Interactive Map: US Abortion Policies and Access After Roe
Center for Reproductive Rights - After Roe Fell: U.S. Abortion Laws by State
KFF - Abortion Policies
Abortion Defense Network - Know Your State’s Abortion Laws: Guides for Medical Providers
AbortionFinder - State-by-State Guide
PPAF - Is Abortion Still Accessible in My State Now That Roe v. Wade Was Overturned?
Center for Reproductive Rights - State Constitutions and Abortion Right
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SMFM - State Policy Tracker
Guttmacher Institute - State Legislation Tracker
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Brennan Center for Justice - State Court Abortion Litigation Tracker
KFF - State and Federal Reproductive Rights and Abortion Litigation Tracker
Advocating as a Clinician
In the face of bans, restrictions, and other anti-abortion efforts to dismantle access to care, abortion care advocates are working tirelessly to ensure that patients can still get the care they need.
As clinicians, you have the expertise and the responsibility to take part in this advocacy.
First, learn the facts…
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ACOG - Abortion Access Fact Sheet
KFF - Key Facts on Abortion in the United States
Guttmacher Institute - Abortion in the United States
PRH - Resource for Anyone Talking About Abortion
NNAF - Fast Facts About Abortion Funds
PPAF - What are TRAP Laws?
In Our Own Voice - Reproductive Justice Is The Way: A Community Practice Workbook
SMFM - Access to Abortion Care
ACOG - Abortion Policy
…then develop the skills.
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SMFM - Abortion Care Messaging Guidance
SMFM - Abortion Care Talking Points
SMFM - Op-Ed Toolkit
SMFM - Advocacy Playbook
All* Above All - Abortion Justice Playbook
A great place to start your advocacy journey is with
Storytelling
Storytelling is a powerful tool.
While data and facts are critical - especially in the face of widespread misinformation - stories help to ground them in reality. It is easy for anti-abortion activists to dismiss facts - we see them do this all the time. It is harder for them to ignore the very real people who are impacted by restrictions on abortion care.
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SMFM - Op-Ed Toolkit