life after roe

The Future of Abortions in America

An access map.

Photo-Illustration: The Cut
Photo-Illustration: The Cut
Photo-Illustration: The Cut

The Cut and New York Are Committed to Making This Information Accessible
We’ve removed our paywall from this and other stories about finding abortion care. Consider becoming a subscriber to support our journalism.

The legal right to abortion is likely to disappear in half the country in a matter of weeks. Abortion itself, and the need for it, will not, and never has. The question is what it will cost medically, financially — and criminally.

For guidance on where to find a clinic now, here is the Cut’s vetted database of abortion clinics, abortion funds, and other resources. To suggest updates, please click here.

In his leaked draft opinion demolishing Roe v. Wade, expected to be finalized in June, Justice Samuel Alito said abortion’s legality is not “deeply rooted in the nation’s history and traditions.” Abortion’s reality unquestionably is. “The historical record clearly shows that generations of women desired and needed abortions, and neither law nor church nor taboo could stop them,” Leslie Reagan writes in her definitive history, When Abortion Was a Crime. She quotes a doctor’s letter from 1888: “I am sure there is no comparison between the number of abortions committed by doctors and the number committed by women themselves,” he wrote. “They talk about such matters commonly and impart information unsparingly.”

America has always had a tradition of informal information sharing about how to end a pregnancy. Its embers have been kept alive by a network of grassroots organizers who not only were expecting Roe to fall but have already been working under barriers that belie this supposedly constitutional right.

The only good news now is that, in most cases, an abortion outside the blessing of the law no longer requires begging at the feet of a doctor or the often brutal, sometimes ineffective measures women took on their own before Roe: the infamous coat hanger, the consumption of toxic substances, a stranger with faked credentials. Nor will it bifurcate quite as it did in the ’60s, when wealthy, connected white women flew to countries like Japan and Sweden for abortions performed by doctors, while Black and brown women died in special hospital wards set up for septic abortion attempts. Modern pharma and the old-fashioned USPS now enable an early pregnancy to end safely at home — that is, if you can evade surveillance and law enforcement, which have already criminalized people, mostly women of color, for their pregnancy outcomes, even where abortion is technically legal. Others will need or prefer an in-clinic abortion in a state where legal abortion still stands; this magazine has a guide to those locations, too, as well as how to get help with travel, expenses, and even child care. Note that licensed medical providers in private practice may also perform abortions.

For all the hacksawing of rights the justices are poised to do, the First Amendment still exists, and for now it is understood to protect the sharing of information about abortion. What we’re offering here is not medical advice but a pathway to understanding your options and liabilities with a comprehensive guide to getting an abortion in the U.S. now. It will be regularly updated online to bring you the information you need.

The wreckage of Roe will cause unimaginable suffering. But what will also follow is a chance for people in places that believe in reproductive freedom to cast off some of its vestiges: its inherent medical paternalism, which Ruth Bader Ginsburg disdainfully referred to as “tall doctor and little woman needing his advice and care”; the racial and class disparities in public and private funding and movement leadership; the continuing invisibility of the lives of actual patients; and the half-century-long gap between Roe’s promise and its reality. It is, at least, a moment to see things clearly. —Irin Carmon

This post has been updated.

Abortion Access Now, and After Roe

Maps by Marcus Peabody. Reporting by Camille Squires and Alice Markham-Cantor.

There are roughly 600 abortion clinics currently operational in the United States as of May.

Eighteen states have imposed a 24-hour waiting period between when patients receive a consultation and when they can obtain a surgical or medication abortion.

Clare Molnar

“A little after 15 weeks, I decided to get an abortion for a fetal anomaly. After the first appointment, there’s a 24-hour waiting period, and you have to click through a bunch of websites that list crisis pregnancy centers and parenting tips and that tell you the size of your fetus compared to a vegetable. It pissed me off. The crisis-pregnancy-center list infuriated me. It felt like an insult, and it also felt like an insult to have to click the size of my fetus and see that it’s the size of corn.”

23, Ferndale, Michigan

Six states have imposed an even more restrictive 72-hour wait. For patients forced to travel to their appointment, this can mean lost wages in addition to paying for lodging, child care, and the procedure itself.

Samantha

“I was having a miscarriage and my doctor wanted to give me the abortion pill to help evacuate the sack. But she couldn’t — when you’re pregnant, your HCG levels have to be at a certain point to administer the pill in the clinic. Otherwise, it counts as elective, which can be done only at Planned Parenthood. I couldn’t get in for three weeks, and when I finally went for my appointment, they wanted to give me the pill that day; I had been in pain for so long. But because of South Dakota’s waiting period, they had to wait 72 hours.”

38, South Dakota

Arizona, Arkansas, and Texas have made mailing abortion pills illegal. Those and 16 other states require that a clinician be physically present for a patient to receive at least one of the abortion pills, which effectively eliminates the possibility of getting them by mail.

Six states have attempted to ban the procedure after 15 weeks of pregnancy. Bans in Arizona and Florida are expected to take effect this summer, with exceptions in the case of a medical emergency and if the pregnant person’s health is at risk, respectively.

In recent years, nine states have pushed for laws that ban the procedure after about six weeks — when most patients don’t yet know they’re pregnant. In Texas, a six-week abortion ban has been in effect since September.

Anne

“At ten weeks, my husband and I learned that the baby had a 95-percentile risk of trisomy 18. Either you have a miscarriage or stillbirth, or if they are born, most babies die within the first month. My OB/GYN said she was sorry but did not counsel me about abortion. I saw two separate high-risk doctors; neither spoke about termination. But I went on Reddit and someone recommended a clinic in New Mexico. I took three days off and flew to Albuquerque. The procedure cost $600, but with the flight, car, airport parking lot, and loss of wages, it was probably $3,800.”

43, San Antonio, Texas

On May 19, Oklahoma passed a bill that bans all abortions starting at fertilization. If signed, it will become the country’s strictest abortion law. 

Nineteen states have either trigger laws that would prohibit abortion almost immediately if Roe falls or strict bans that would now be enforced. Six other states would likely move to ban abortion, either through pre-Roe bans or new legislation.

Once Roe falls, this is the likely picture of abortion access in the United States.
There are roughly 600 abortion clinics currently operational in the United States as of May.

Eighteen states have imposed a 24-hour waiting period between when patients receive a consultation and when they can obtain a surgical or medication abortion.

Clare Molnar

“A little after 15 weeks, I decided to get an abortion for a fetal anomaly. After the first appointment, there’s a 24-hour waiting period, and you have to click through a bunch of websites that list crisis pregnancy centers and parenting tips and that tell you the size of your fetus compared to a vegetable. It pissed me off. The crisis-pregnancy-center list infuriated me. It felt like an insult, and it also felt like an insult to have to click the size of my fetus and see that it’s the size of corn.”

23, Ferndale, Michigan

Six states have imposed an even more restrictive 72-hour wait. For patients forced to travel to their appointment, this can mean lost wages in addition to paying for lodging, child care, and the procedure itself.

Samantha

“I was having a miscarriage and my doctor wanted to give me the abortion pill to help evacuate the sack. But she couldn’t — when you’re pregnant, your HCG levels have to be at a certain point to administer the pill in the clinic. Otherwise, it counts as elective, which can be done only at Planned Parenthood. I couldn’t get in for three weeks, and when I finally went for my appointment, they wanted to give me the pill that day; I had been in pain for so long. But because of South Dakota’s waiting period, they had to wait 72 hours.”

38, South Dakota

Arizona, Arkansas, and Texas have made mailing abortion pills illegal. Those and 16 other states require that a clinician be physically present for a patient to receive at least one of the abortion pills, which effectively eliminates the possibility of getting them by mail.

Six states have attempted to ban the procedure after 15 weeks of pregnancy. Bans in Arizona and Florida are expected to take effect this summer, with exceptions in the case of a medical emergency and if the pregnant person’s health is at risk, respectively.

In recent years, nine states have pushed for laws that ban the procedure after about six weeks — when most patients don’t yet know they’re pregnant. In Texas, a six-week abortion ban has been in effect since September.

Anne

“At ten weeks, my husband and I learned that the baby had a 95-percentile risk of trisomy 18. Either you have a miscarriage or stillbirth, or if they are born, most babies die within the first month. My OB/GYN said she was sorry but did not counsel me about abortion. I saw two separate high-risk doctors; neither spoke about termination. But I went on Reddit and someone recommended a clinic in New Mexico. I took three days off and flew to Albuquerque. The procedure cost $600, but with the flight, car, airport parking lot, and loss of wages, it was probably $3,800.”

43, San Antonio, Texas

On May 19, Oklahoma passed a bill that bans all abortions starting at fertilization. If signed, it will become the country’s strictest abortion law. 

Nineteen states have either trigger laws that would prohibit abortion almost immediately if Roe falls or strict bans that would now be enforced. Six other states would likely move to ban abortion, either through pre-Roe bans or new legislation.

Once Roe falls, this is the likely picture of abortion access in the United States.

Maps by Marcus Peabody

The Future of Abortions in America