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"I'm hopeful that my new trial will end with me being freed, because I simply lost my pregnancy at home because of an infection," said Brooke Shoemaker, who has already spent five years in prison.
While Brooke Shoemaker and a rights group representing her in court are celebrating this week after an Alabama judge threw out her conviction and ordered a new trial, her case is also drawing attention to the dangers of "fetal personhood" policies.
"Laws and judicial decisions that grant fetuses—and in some cases embryos and fertilized eggs—the same legal rights and status given to born people, such as the right to life, is 'fetal personhood,'" explains the website of the group, Pregnancy Justice. "When fetuses have rights, this fundamentally changes the legal rights and status of all pregnant people, opening the door to criminalization, surveillance, and obstetric violence."
Since the US Supreme Court's Dobbs v. Jackson Women's Health Organization ruling ended the federal right to abortion in 2022, far-right activists and politicians have ramped up their fight for fetal personhood policies. Pregnancy Justice found that in the two years after the decision, the number of people who faced criminal charges related to their pregnancies hit its highest level in US history.
Shoemaker's case began even earlier, in 2017, when she experienced a stillbirth at home about 24-26 weeks into her pregnancy. Paramedics brought her to a hospital, where she disclosed using methamphetamine while pregnant. Although a medical examiner could not determine whether the drug use caused the stillbirth—and, according to Pregnancy Justice, "her placenta showed clear signs of infection"—a jury found her guilty of chemical endangerment of a minor. She's served five years of her 18-year sentence.
"After becoming Ms. Shoemaker's counsel in 2024, Pregnancy Justice filed a petition alongside Andrew Stanley of the Samford Law Office requesting a hearing based on new evidence about the infection that led to the demise of Ms. Shoemaker's pregnancy, leading the judge to agree with Pregnancy Justice's medical witness and to vacate the conviction," the rights group said in a Monday statement.
Lee County Circuit Judge Jeffrey Tickal wrote in his December 22 order that "should the facts had been known, and brought before the jury, the results probably would have been different."
Shoemaker said Monday that "after years of fighting, I'm thankful that I'm finally being heard, and I pray that my next Christmas will be spent at home with my children and parents... I'm hopeful that my new trial will end with me being freed, because I simply lost my pregnancy at home because of an infection. I loved and wanted my baby, and I never deserved this."
Although Tickal's decision came three days before Christmas, the 45-year-old mother of four remained behind bars for the holiday last week, as the state appeals.
"While we are thrilled with the judge's decision, we are outraged that Ms. Shoemaker is still behind bars when she should have been home for Christmas," said former Pregnancy Justice senior staff attorney Emma Roth. "She was convicted based on feelings, not facts. Pregnancy Justice will continue to fight on appeal and prove that pregnancies end tragically for reasons far beyond a mother's control. Women like Ms. Shoemaker should be allowed to grieve their loss without fearing arrest."
AL.com reported Tuesday that "Alabama is unique in that it is one of only three states, along with Oklahoma and South Carolina, where the state Supreme Court allows the application of criminal laws meant to punish child abuse or child endangerment to be applied in the context of pregnancy."
However, similar cases aren't restricted to those states. Pregnancy Justice found that in the two years following Dobbs, "prosecutors initiated cases in 16 states: Alabama, California, Florida, Idaho, Kentucky, Mississippi, Nebraska, New Mexico, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Texas, Wisconsin, and Wyoming. While prosecutions were brought in all of these states, to date, the majority of the reported cases occurred in Alabama (192) and Oklahoma (112)."
This is fantastic news!!I wrote in my book how the medical examiner ruled the cause of the stillbirth "undetermined," but the coroner (who lacks medical training) instead listed cause of stillbirth as mom's meth usage on the fetal death certificate.
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— Jill Wieber Lens (@jillwieberlens.bsky.social) December 30, 2025 at 12:25 PM
"Prosecutors used a variety of criminal statutes to charge the defendants in these cases, often bringing more than one charge against an individual defendant," the group's report continues. "In total, the 412 defendants faced 441 charges for conduct related to pregnancy, pregnancy loss, or birth. The majority of charges (398/441) asserted some form of child abuse, neglect, or endangerment."
"As has been the case for decades, nearly all the cases alleged that the pregnant person used a substance during pregnancy," the report adds. "In 268 cases, substance use was the only allegation made against the pregnant person. In the midst of a wide-ranging crisis in maternal healthcare and despite maternal healthcare deserts across the country, prosecutors or police argued that pregnant people's failure to obtain prenatal care was evidence of a crime. This was the case in 29 of 412 cases."
When the publication was released last year, Pregnancy Justice president Lourdes A. Rivera said in a statement that "the Dobbs decision emboldened prosecutors to develop ever more aggressive strategies to prosecute pregnancy, leading to the most pregnancy-related criminal cases on record."
"This is directly tied to the radical legal doctrine of 'fetal personhood,' which grants full legal rights to an embryo or fetus, turning them into victims of crimes perpetrated by pregnant women," Rivera argued. "To turn the tide on criminalization, we need to separate healthcare from the criminal legal system and to change policy and practices to ensure that pregnant people can safely access the healthcare they need, without fear of criminalization. This report demonstrates that, in post-Dobbs America, being pregnant places people at increased risk, not only of dire health outcomes, but of arrest."
Illinois did not just pass bail reform with the Pretrial Fairness Act—it built a safer, fairer, and more lasting pretrial system. Other states should take note.
Two years ago last month, Illinois became the first state to end cash bail. Critics warned the change would unleash chaos. It didn’t. Instead, Illinois proved that bail reform works—and endures.
Now, Congress and the White House are ignoring those facts, weaponizing fear and misinformation to attack the law and push for rollbacks nationwide. We can’t let them rewrite the story.
All my life, I’ve watched courts measure humanity against a dollar figure, jailing people—including members of my own family—not because they may be dangerous but because they’re poor. Cash bail doesn’t make us safer; it turns freedom into a commodity. That’s why I’ve spent more than a decade working in states across the country to build a pretrial system where safety, not wealth, determines who goes free before trial.
Cash bail doesn’t just punish poverty—it undermines the fundamental purpose of our pretrial system. It jails thousands of legally innocent people simply because they can’t pay, costing taxpayers billions and destabilizing lives. Even a few days behind bars can mean the loss of someone’s job, housing, or custody of their children, pushing them deeper into crisis and increasing the likelihood of future justice system involvement. Meanwhile, those with money—including people who may pose serious risks—can buy their freedom.
The lesson from Illinois is clear: Reform is not easy, but it is achievable and worth the fight.
Bail reform flips that logic. Under Illinois’ Pretrial Fairness Act, judges still decide when someone must be detained, but those decisions follow real hearings where evidence is presented—not the size of someone’s bank account. People can still be held if they pose a risk, but no one is jailed simply for being poor, and no one can buy their way out.
Despite the facts, public fear about crime is often driven not by bail reform but by visible crises like homelessness, untreated mental illness, and addiction—problems our legal system was never designed to solve. Too often, these conditions are criminalized through low-level charges instead of addressed with care. Cash bail can’t fix them—but investments in housing, treatment, and community services can. Yet just as those solutions are most needed, President Donald Trump and Congress slashed their funding. That failure, not bail reform, is the real threat to public safety.
Illinois recognized cash bail’s harm and built a different path. Its Pretrial Fairness Act is a national model, proving that reform is possible, sustainable, and broadly supported when built with care. The act was drafted with input from legal experts, lawmakers, impacted leaders, victims’ rights advocates, and grassroots organizers, balancing ideals and practical realities. Negotiations required compromise, but the core principle held: No one would be jailed simply for being poor.
Courts and communities had two years to prepare before the law took effect, and the coalition that championed it didn’t scatter—it trained judges, secured funding, and defended the law. The Bail Project, where I work, was one of many partners demonstrating the law’s potential. From 2019 to 2022, we provided free bail assistance and pretrial support to nearly 1,500 low-income Illinoisans—95% of whom returned to court without having money on the line. Building on that work, we invested $2.9 million in Chicago to pilot a supportive pretrial release model linking people to housing, jobs, healthcare, transportation, and court reminders. We also connected people released on recognizance bonds with affordable apartments—showing how stability keeps people from cycling back into jail.
Since implementation, crime did not surge—in fact, Chicago had its lowest summer murder rate since the 1960s—and court appearance rates held steady. The evidence is clear: Communities are not less safe because people are no longer detained for being poor. Illinois shows that when freedom is determined by risk and evidence rather than wealth, safety and fairness go hand in hand.
Yet even in the face of evidence, critics continue to exploit public anxieties about crime. In several states, misinformation has derailed reform—from outright repeal in Alaska to rapid rollbacks in New York and California. Illinois broke that pattern. Lawmakers held firm, recognizing that retreat would betray the communities most harmed by cash bail. That resolve is what separates reforms that endure from those that collapse.
Illinois did not just pass bail reform with the Pretrial Fairness Act—it built a safer, fairer, and more lasting pretrial system. Other states should take note. The lesson from Illinois is clear: Reform is not easy, but it is achievable and worth the fight.
History shows this pattern again and again: Every generation confronts reforms once branded as dangerous. Seat belt laws. Social Security. Medicaid. Each was dismissed as risky. Each is now recognized as essential. Illinois’ Pretrial Fairness Act belongs in that lineage.
The author and NYU professor explains why America’s modern regime of policing and punishment is altogether extraordinary when measured against the practices of other developed nations.
The United States is a global outlier in several significant areas, not least of which is its extraordinary penal state with its penchant for extreme punitiveness.
Indeed, as Professor David Garland, one of the world’s most influential criminologists, argues in the interview that follows, for historical parallels with the penal state in the US one must look to the case of the Gulag system during Joseph Stalin’s reign as dictator of the Soviet Union. Moreover, Professor Garland contents that behind the harshness and cruelty of the US criminal legal system lies the nation’s racialized political economy, and that transforming the latter is a prerequisite for restructuring the former.
David Garland is the Arthur T. Vanderbilt professor of law and professor of sociology at New York University and an honorary professor at Edinburgh University. He is author of the newly published book Law and Order Leviathan: America’s Extraordinary Regime of Policing and Punishment.
C. J. Polychroniou: The United States has long portrayed itself as the greatest and freest country in the world, a model democracy for other countries across the globe. The reality, however, is that the US is the most economically unequal society in the developed world and one of the worst countries for racial equality. In addition, its weak and fragile liberal-democratic institutions have been exposed in recent times for all to see, while its penal system is what may easily be described as a national disgrace and an international embarrassment. Indeed, as you argue in your recently published book Law and Order Leviathan, the US is also an outlier among modern democracies in its policing and punishment practices, and this is indeed by no means a new phenomenon. How should we understand the country’s long-standing obsession with law and order?
David Garland: Yes, people think of America as Alexis de Tocqueville’s civil society when in fact it’s often closer to Thomas Hobbes’ authoritarian state. We see these repressive characteristics today in the conduct of Immigration and Customs Enforcement agents, but for the last 40 years the leading example has been the massive deployment of penal power by America’s criminal legal system—a deployment that has occurred at every level of government with broad bipartisan support.
The fundamental cause that has shaped America’s penal state is the nation’s racialized political economy and the material conditions created by its economic and political structures.
America’s modern regime of policing and punishment is altogether extraordinary when measured against the practices of other developed nations. American police kill civilians at a much higher rate; American courts impose longer and more frequent prison sentences; American prisons house massively more individuals, particularly Blacks and Latinos; and Americans with felony convictions are subject to many more controls and constraints after they serve their sentence. No other democracy exercises penal power to this extent. To find historical parallels, we have to look to the Soviet gulags or Mao’s political prison system.
There are many causes that converged to bring about America’s penal Leviathan—fear of crime, racism, neoliberalism, the appeal of law and order politics, a culture of cruelty and indifference—but the fundamental cause that has shaped America’s penal state is the nation’s racialized political economy and the material conditions created by its economic and political structures.
C. J. Polychroniou: The US has a weak welfare system and a distinct political economy in general compared to many European countries. Is there a direct link between weak welfare structures and the employment of aggressive policing and harsh punishment?
David Garland: Yes, and the book shows in detail what these linkages are and how they operate. Like its penal state, America’s political economy is an international outlier, with characteristics that set it apart from the economic arrangements of other high-income nations. This is especially true of its labor market—which provides fewer protections for working people, and more low-paid, precarious employment, making for a level of insecurity and instability that is unknown elsewhere in the developed world. On top of this, America’s welfare state provides less support for poor people and for those in need.
Material conditions for working people grew worse after the 1960s when the economic dislocations of deindustrialization were exacerbated by the collapse of the New Deal order, the decline of trade unions, and federal government’s abandonment of the inner cities. In the 1980s and 1990s, America exhibited social-problem levels markedly higher than other developed nations, the most striking of which was a rate of lethal violence—mostly gun homicides—that was off-the-charts high compared to other affluent countries.
The outlier status of America’s penal state will persist unless and until the nation’s political economy is transformed.
Drawing on urban studies and the sociology of violence, I show how pressures produced by America’s political economy—unemployment, disinvestment, deteriorating housing, limited social services, and so on—destabilize poor neighborhoods, undermining community life and family functioning, especially in racially segregated areas with concentrated poverty and population turnover. The result is that the vital processes of socialization, social integration, and informal social control normally carried out by families, schools, neighbors, and employers grow weak and fail, leading to social problems, social disorder, and criminal violence. These problems are deepened by the widespread availability of guns—another exceptional feature of the American landscape.
When homicides and armed robbery rates rose, and cities became disorderly and unsafe, voters demanded that something be done to improve public safety and protect their businesses and property values. But the same political economy that disorganized communities and triggered criminogenic processes also limited the governmental responses to these problems. In America’s racialized ultra-liberal political economy, redistributive policies are generally unpopular. And because responsibility for public safety is, in the US, a local function, few municipalities had the resources needed to respond to crime using the social policies and economic investments that are common in social democratic nations. Instead, they defaulted to the cheap policy instruments that were within their toolkit, namely police and punishment.
Moreover, American-style policing and punishment turns out to be remarkably aggressive. Why? Because of public indifference to the fate of those caught up in the carceral net; because the courts refuse to hold police and prisons to account; but mainly because penal state agents operate against a social background that is more disorganized, more dangerous, and more gun-laden than that of any other developed nation.
C. J. Polychroniou: As you point out in your book, public sentiments about police brutality, mass incarceration, and the penal state experienced a major shift away from punitive measures following the police murder of George Floyd on May 25, 2020. Indeed, as street protests ensued, the tenets of police and prison abolition gained currency, although alternatives still needed to be worked out. Be that as it may, the politics of law and order have since returned with a vengeance, as evidenced by the reelection of US President Donald Trump, who ran a campaign based on fear and anxiety. How do we explain this reversal?
David Garland: The plague year of 2020 was an extraordinary time, during which public anxiety and hopes for radical change often coexisted. (During the pandemic, the US created a pop-up European-style welfare state, with stimulus checks for every household; enhanced unemployment, housing, and child-allowance benefits; and massively extended healthcare coverage—only to dismantle it once the crisis had passed.) In retrospect, we can see that the massive street demonstrations that followed the police killing of George Floyd were possible because so many people were no longer at work or in school, making them available to join in the protests. Of course, many Americans were genuinely shocked by the brazen violence and racist disregard for human life that Minneapolis police officer Derek Chauvin displayed. But it is worth remembering, that by 2020, homicide levels and crime rates in general had been falling for more than a decade, relaxing public demands for tough-on-crime policies and enabling activists, such as the Black Lives Matter movement and local groups of abolitionists, to draw public attention to the pathologies of police violence, mass incarceration, and racialized criminal justice.
Democrats need to take the crime problem seriously and offer their own strategies and solutions—not just watered down versions of right-wing bromides.
In general, though, the American public is very conservative on matters of crime control and public safety, and demands for the “abolition” or “defunding” of police and prisons were never liable to have much traction beyond the world of activists, advocates, and academics—even when the liberal media briefly introduced these ideas into the mainstream. And while the life chances of middle-class white people are not normally affected by police violence or harsh prison sentences—in sharp contrast to poor communities of color—they are affected by crime and violence. So when, in the fall of 2020, there were reports of an uptick in shootings and homicides, public support drained away from Black Lives Matter and voters reverted to their long-standing preference for law-and-order candidates—as we saw in the election of Eric Adams to NYC Mayor, in the deselection of several progressive prosecutors, and eventually in the victory of Donald Trump. So the reversal was a political regression to the mean following an extraordinary historic moment.
However, I believe the protests of 2020, and the radical critique of the penal state that accompanied them, have changed the public discourse in important ways, introducing new ideas and radicalizing many young people who form part of the Democratic Party base. My hope is that this new level of concern about penal state repression will be joined with realistic, progressive proposals for dealing with crime and disorder. Democrats need to take the crime problem seriously and offer their own strategies and solutions—not just watered down versions of right-wing bromides. The emphasis should be on non-penal crime-control measures such as situational crime prevention; designing public spaces to make them safer; improving police training and effectiveness; relieving police of tasks for which they are not suited; enabling communities and not-for-profits to launch crime-reduction initiatives; supporting victims to reduce the likelihood of revictimization; and so on. Crime and disorder are real problems for working people; and the victims of homicide and assaults are most often poor and Black. Sustainable reform of the penal state must go hand in hand with effective crime control.
C. J. Polychroniou: What realistic possibilities are available to us for bringing about penal change if we do not first succeed in restructuring the political economy of the United States?
David Garland: To be clear, the outlier status of America’s penal state will persist unless and until the nation’s political economy is transformed. It is that peculiar political economy that makes American violence, policing, and punishment so extreme compared to other affluent nations. However, there is a range—I call it a “bandwidth”—of possible variation within which American crime, policing, and punishment can be changed: a structurally determined floor and ceiling between which lies the possibility of significant reform. That bandwidth of variation is a key part of the theoretical analysis set out in the book, and an empirical fact confirmed by recent developments.
Criminogenic processes and crime control policies are loosely coupled with political economy, not mechanically and directly determined by it. Crime-control policies can be altered, criminogenic processes interrupted, community work activated without any alternation in larger socioeconomic arrangements. For those hoping to bring about penal change, the existence of this relative autonomy is vitally important. It means that even if Nordic or Western European levels remain out of reach, there is nevertheless the real possibility of life-altering improvements in policing, punishment, and public safety.
There is a bandwidth of possibility within which variations in violence levels and penal state policies can occur even in the absence of larger structural change.
We know this because the last few decades have witnessed many instances of significant change. Over the last 20 years, the nation’s imprisonment rates declined from a high point of 765 per 100,000 to a new level closer to 600 per 100,000. Between 1995 and 2020 the nation’s annual homicide rate declined from around 10 murders for every 100,000 people to 5 per 100,000. Shootings of civilians by the New York Police Department (NYPD) dropped dramatically—from an average of 62 people shot and killed each year in the early 1970s to an average of nine per year between 2015 and 2021—after new forms of training, guidelines, and accountability were introduced. The NYPD also reduced its deployment of stop and frisk from over 680,000 per year in 2011 to 11,000 in 2018—the result of a court ruling not a social transformation. Between 1997 and 2023, 2 million formerly incarcerated people regained the right to vote, thanks to campaigns against felon disfranchisement. And since 2000, the imprisonment rate for Black men has fallen by almost half, thanks in large part to the scaling back the war on drugs.
Each of these changes was significant, even radical, affecting the lives of hundreds of thousands and sometimes millions of people. Together, they amount to an empirical demonstration of the book’s theoretical claim that there is a bandwidth of possibility within which variations in violence levels and penal state policies can occur even in the absence of larger structural change.
Nevertheless, the gravitational force exerted by structural arrangements—and the powerful interests that support them—is, in the final analysis, ineluctable. America’s political economy sets definite limits to what can be achieved and imposes upper bounds on what is possible. Until its structures are transformed, America’s penal state will continue to impose a level of punishment and control that has no equivalent in the developed world.