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abortion bans
After an Abortion Provider’s Murder, Clinics Became Safer; Let’s Not Undo That Progress
Rolling back protections in the name of political ideology puts lives at risk and undermines decades of work to keep patients and staff safe.
May 31, 2025
May 31 marks 16 years since Dr. George Tiller—an abortion provider and reproductive justice advocate in Wichita, Kansas—was assassinated by a radical anti-abortion extremist outside his church. Dr. Tiller’s murder is a stark reminder of the violence and hatred that abortion providers face daily, and was a tipping point that led to better security measures for health centers.
In the wake of Dr. Tiller’s assassination, health centers across the country strengthened their security, determined to protect patients and staff from violence. Now that protection hangs by a thread. In March, the Trump administration announced that it would stop enforcing the Freedom of Access to Clinic Entrances (FACE) Act, a federal law that prohibits the threat or use of force, obstruction, and property damage to reproductive health care centers and protects people like Dr. Tiller and clinic escorts who try to ensure patients’ access to care. Rolling back these protections in the name of political ideology puts lives at risk and undermines decades of work to keep patients and staff safe.
Let me tell you what this looks like in real life.
As we remember and honor Dr. Tiller's life, I urge Congress to uphold the FACE Act. Dismantling this critical legislation sends a message that condones political violence.
As a volunteer escort with Planned Parenthood of Greater Ohio, I try to help patients feel safe when they come to access healthcare. I do it because, regardless of the care patients are seeking, they are needlessly subjected to name-calling, shaming, and harassment. Sometimes I use a large umbrella to visually block protestors filming patients without consent. Sometimes I help someone park farther away, where it is quieter and feels safer. I do what I can to offer warmth and dignity during a moment that can feel vulnerable, stressful, and deeply personal.
In return, I have been screamed at, had my photo taken by strangers, and have been threatened. I am not alone.
Attacks against reproductive healthcare centers, staff, and clinic escorts are not an anomaly. In the United States between 2023 and 2024, there were 621 incidents of trespassing in reproductive health centers; 296 death threats or threats of harm to abortion providers, patients, and clinic escorts; and at least 37 incidents of stalking. Behind these numbers are providers and volunteers like me and Dr. Tiller, who put their lives on the line to ensure that patients receive the care they need.
Since the overturning of Roe v. Wade in 2022, states throughout the Southeast and Midwest have enacted extreme abortion bans. Patients drive to our Ohio health centers with license plates from all over the country for vital reproductive healthcare. I help them find secure parking spaces away from protestors so they can enter and exit their vehicles safely. My fellow volunteers and I distract patients from the vitriol that protestors throw their way as they walk from their cars to enter our health centers. We all show up because we believe everyone deserves access to compassionate, quality care without harassment.
The people shouting at our patients do not speak for the majority. In 2023, Ohioans voted decisively to protect reproductive rights in our state constitution. Voters sent a clear message: We believe in bodily autonomy, privacy, and access to healthcare. Yet the federal government is abandoning us at the doorway where we are most vulnerable.
The FACE Act matters. It protects patients and providers facing harassment and threats just for seeking or providing healthcare. This is not abstract policy—it is about our neighbors, friends, and family. Everyone should be able to access medical care without fear.
As we remember and honor Dr. Tiller's life, I urge Congress to uphold the FACE Act. Dismantling this critical legislation sends a message that condones political violence. Ensuring safety is the bare minimum we can offer to the doctors, nurses, and volunteers who make great sacrifices to keep our communities healthy. We cannot let personal feelings and political ideology override public health and safety.
We all deserve to feel safe when we seek medical care. And those of us who help make that care possible deserve to be protected, too.
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Abortion Pills Aren't Uncomfortable; Censorship Is
Here's my message to The Times-Picayune and every other institution that finds truth "uncomfortable": Get comfortable with discomfort. Because abortion pills aren't going anywhere.
May 22, 2025
So here's what happened.
We—Mayday Health, an abortion education nonprofit—tried to buy a newspaper ad in The Times-Picayune of New Orleans. The ad featured just a few words: "Abortion pills are more popular than ever. Thanks, Amy" with a photo of Amy Coney Barrett, who was born in New Orleans.
The Times-Picayune of New Orleans, Louisiana said… no. They refused to publish.
They sent us a rejection letter assuring us that they "support First Amendment free speech," of course. They just find our particular speech too "uncomfortable."
Uncomfortable.
Let me tell you about uncomfortable.
Uncomfortable is 900,000 Louisiana women of childbearing age waking up in a state that treats their uteruses like crime scenes. Uncomfortable is pregnant Kaitlyn Joshua bleeding through her jeans in a Louisiana hospital parking lot because doctors were too scared of criminal repercussions. Uncomfortable is driving five hours across state lines for healthcare that used to be 10 minutes away. Uncomfortable is a group of Louisiana Republicans investigating a New York-based doctor for legally shipping pills to patients in the state—prosecutors hunting doctors for simply providing care.
In trying to end abortion access, Barrett accidentally revealed just how determined Americans are to control their own bodies. (Thanks for nothing, Amy.)
Louisiana already had one of the highest maternal mortality rates in the nation before this medieval abortion ban. Black and Native American women die here at rates that would make developing countries blush. And now? Doctors turn away women with pregnancy complications because providing necessary care might land them in a state prison.
So yes, Amy Coney Barrett voted to overturn Roe v. Wade. Yes, clinics shuttered overnight from coast to coast. But here's what nobody saw coming: When you eliminate physical access to abortion care, people don't simply accept defeat. They fight for their reproductive freedom. Today, more Americans are ending pregnancies with pills delivered to their mailboxes than ever before—not because it's ideal, but because it's necessary. The data is unequivocal; Abortion rates have actually risen since Roe fell in 2022, though countless people still face dangerous barriers to care. In trying to end abortion access, Barrett accidentally revealed just how determined Americans are to control their own bodies. (Thanks for nothing, Amy.)
But The Times-Picayune finds our ad uncomfortable. The Times-Picayune chose comfort over truth. They chose to protect their readers from reality, rather than prepare them for it.
Here are the facts The Times-Picayune doesn't want you to read: Abortion pills work. They're Food and Drug Administration-approved. They're safe. And—here's the kicker—they're available by mail in all 50 states, including Louisiana. Right now, as you read this, about 8,000 women per month in abortion-banned states are getting these pills delivered to their doorsteps.
I run Mayday Health. We're the people who put up billboards and buy ads and generally make powerful people squirm by stating the obvious. Like the time we put up three billboards in Jackson, Mississippi that read "Pregnant? You still have a choice." When Mississippi's attorney general tried to intimidate us with subpoenas, we didn't blink. We bought 20 more billboards and ran a state-wide TV ad. We turned their threats into a marketing campaign about abortion pills.
When Spotify rejected our audio ads about abortion pills, claiming we violated their policies, we posted a Tweet thread called the "Spotify Rapist Playlist," a list of convicted felons whose music is still available to stream. A week later, Spotify admitted their "ad reviewer made an error." (Spotify ultimately rejected our ads, and we ended up going on Pandora).
We've danced this dance before. The powerful get nervous when they think they have something to lose.
Here's what kills me: The same people who spread complete bullshit about abortion—that it causes breast cancer, that fetuses feel pain at six weeks, that women regularly use it as birth control—these people get full-page spreads. But a few words of truth about FDA-approved pills? Too spicy for the newspaper of record in the Big Easy.
Amy Coney Barrett and her robed colleagues said they were giving the power back to the states, back to the people. Noble, right? Except how are people supposed to make informed decisions when newspapers won't even print basic medical facts?
The truth is simple: Abortion bans don't stop abortions. They stop safe abortions. Women have been ending pregnancies since before we figured out how to make fire, and they're not stopping anytime soon. The only question is whether they'll have accurate information to aid them in the process.
We're not backing down. Mayday Health will keep taking out ads, conducting undercover investigations into fake crisis centers, flying airplane banners over MLB games, driving digital billboard trucks to fake crisis pregnancy centers, building pop-up abortion stores in Texas, and spreading information to rape crisis pregnancy centers. Because while The Times-Picayune worries about its comfort level, Louisiana women are out here living in the real world—a world where information isn't just power, it's survival.
So here's my message to The Times-Picayune and every other institution that finds truth "uncomfortable:" Get comfortable with discomfort. Because we're not going anywhere, and neither are abortion pills.
How's that for uncomfortable?
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Republicans Are Trying, But They Can’t Stop Abortion Pills
Despite RFK Jr.’s review of mifepristone, two things will remain true: Abortions pills will still be extremely safe, and abortion pills will still be available—everywhere.
May 20, 2025
In a disturbing advancement of the Project 2025 playbook for eradicating abortion, Health and Human Services Secretary Robert F. Kennedy Jr. is using the release of a new pseudo-study as a pretense for the Food and Drug Administration to review mifepristone’s safety and efficacy. The use of this widely discredited self-published report is a clear political maneuver by the Trump administration and anti-abortion extremists to curb access to telehealth abortion and end access to mifepristone more widely, against the scientific evidence and the will of the American public.
I am a public health researcher and abortion access advocate and have been tracking access to the abortion pill since it was first approved in France in 1988. I feel confident that, regardless of the outcome of this illegitimate review, two things will remain true: Abortions pills will still be extremely safe, and abortion pills will still be available—everywhere.
Abortion pills are safe. Period. The fact that Secretary Kennedy has asked the FDA to reevaluate the medications based on a single, unpublished junk science report is absurd. We have mountains of data and decades of clinical experience documenting their safety, whether provided through an in-person visit at a clinic or, since 2020, via telehealth. The World Health Organization has also said that abortion pills are safe even when taken without medical supervision, also known as self-managed abortion. Data support the safety of all of these forms of access.
As activists and clinicians expand these new routes of access to abortion pills, we are providing an immediate, practical solution for people who need abortion access, and thereby reducing the harm that abortion bans create.
Abortion pills are everywhere. As courts and legislatures have been systematically blocking access to abortion across the country, clinicians and activists—myself included—have been setting up and illuminating innovative routes of access that reach people where they are with safe abortion access, including in states with restrictions. As a result of our collective efforts, abortion pills are now readily available by mail for $150 or less—and free for those who can’t afford any amount—in all 50 states, even states with bans. Access routes currently include telehealth from U.S. providers operating from states with laws that shield them from prosecution, international telehealth services that mail pills to the U.S., community networks that send pills by mail for free, and e-commerce vendors that mail pills to all states.
An organization I co-founded, Plan C, tracks these different services to learn about their offerings, including whether they do a medical screening, what type of pills they offer, and how much they cost. Our ongoing investigations—which include mystery shopping and laboratory testing to verify that the pills are real—document a rich ecosystem of abortion pill access. These are real services providing practical, affordable, medically-safe abortion access, even in states with bans. They are all discoverable online. We index and share this information through our Guide to Pills so that people can learn about this ecosystem, and those who are seeking abortions know that they still have options.
These routes of access, combined with the clinic-based care options that exist in states that still allow it, have been so successful in reaching people that there are now even more abortions occurring in the United States than prior to the Supreme Court decision that overturned Roe v. Wade. Guttmacher, a leading abortion research organization, reports that clinician-provided abortions in the United States rose by more than 100,000 between 2020 and 2024, and that figure does not even include self-managed abortions or abortions facilitated by telehealth shield providers prescribing across state lines into states with bans. The Society of Family Planning also has been documenting abortion post-Roe and reports that these shield providers are serving approximately 10,000 people per month in states that totally or partially ban access to care.
As activists and clinicians expand these new routes of access to abortion pills, we are providing an immediate, practical solution for people who need abortion access, and thereby reducing the harm that abortion bans create, particularly for populations underserved by healthcare systems. We are also showing a new way forward for modern abortion access and laying the groundwork for eventual policy change (which will likely only be possible after our U.S. democracy is restored).
This scenario has already played out in other countries, with resulting improvements in abortion access. For instance, it was largely based on the experiences of patients in Ireland who received abortion pills by mail from Women on Web to safely terminate their pregnancies that parliament liberalized abortion access. In Mexico, the widespread grassroots sharing of information about how to use misoprostol—a widely available ulcer medication—for abortion, ultimately paved the way to policy reform, with abortion pills now officially registered in the country.
For decades, abortion pills have been so severely restricted by politics and overregulation that envisioning a radically different future in which the pills are universally available by mail—or even over the counter—is difficult for most. But this future is coming. Many would say it is largely already here. And, what is particularly notable, given the current FDA safety review based on fabricated claims about the “dangers” of abortion pills, is that these new, modern routes of access are possible precisely because abortion pills are so safe. They are safer than Tylenol, safer than Viagra, and research has demonstrated time and again that they are absolutely safe enough to put directly in the hands of the person who needs them.
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