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With laws constantly changing and often unclear, being able to reach abortion seekers on an emotional level is a critical touchpoint in the new digital landscape of access.
In the three years since the Dobbs decision resulted in abortion bans in 42 states across the U.S, the ecosystem of abortion access in America has shifted and stretched to meet the ever-changing moment. The Supreme Court’s ruling in Planned Parenthood vs. Medina has paved the way for even more states to further target abortion providers by enabling states to withhold state funding to clinics that provide sexual health services from sexually transmitted infection tests to cervical cancer screenings simply because they also offer abortion care.
With laws constantly changing and often unclear in the eyes on abortion seekers, being able to reach abortion seekers on an emotional level is a critical touchpoint in the new digital landscape of access. Innovators have stepped up to meet the demand for emotional support, helping individuals feel heard and get informed throughout the abortion process as laws change and stigma abounds. They’re pairing abortion seekers with counselors, peers, and educators as the digital entry point to care, meeting and supporting the actual and immediate needs, whether they are anxious, confused about where to find care, or feeling stigmatized.
With policies currently in Congress that might lead to the closure of even more reproductive healthcare clinics, including services from cancer screenings to STI testing, the need to keep patients informed of how to get the care they want has never been more dire.
We might discuss the emotional journey of an abortion seeker around getting them from confusion and disorientation to understanding and relief, regardless of their choices.
At the same time, Crisis Pregnancy Centers, or fake clinics that pose as counseling centers for pregnant people, persist in their anti-abortion messaging and are funded nationwide at five times the rate of abortion clinics and funds. Through the language of free testing and counseling, they encourage patients to enter illegitimate medical clinics, by talking about abortion decision-making despite the fact that they do not provide it, or any other form of medical care.
Their latest move has been to go digital, expanding their already vast and well-funded footprint into a mobile chat experience that utilizes the language of values-based decision-making and regret avoidance to deter those seeking real support amid a complicated landscape.Their goal is clear: be the first to reach abortion seekers confused by the complex legal landscape when they go online looking for information. They then delay, deter, and redirect them away from real medical care.
The punchline is that their latest innovation is a rip-off. Planned Parenthood’s Chat and Text program has paired website visitors with sex educators for the past 15 years, and the M+A hotline has operated a phone line staffed by doctors and volunteers since 2019. And post-Dobbs, the internet abounds with even more determined activist-innovators. There are comprehensive resource websites for those seeking medication abortion by mail, awareness campaigns, brave providers shielded by their state’s laws, health centers with stronger telehealth capabilities, and abortion doulas and hotlines stitching pieces together with the patient’s needs in mind.
Knowing that most users’ journeys start with a Google search on their mobile devices, it’s important to ensure that emotional support tools are easily accessible in a variety channels like web chat, text, Signal, or WhatsApp, and through completely low-tech options, and ensuring immediate connection to a person who can help no matter how someone prefers to communicate. These crucial organizations engage users compassionately and non-judgmentally. Powered by counselors, volunteers, and care providers, they are digital communities formed to listen, validate, and educate, without pathologizing the user’s emotional state. Engaging emotionally also helps users talk through social and legal stigma, misinformation, and education needs no matter where they live.
Reprocare is a peer phone and textline that offers comprehensive support at every phase of the process including informed landscape navigation for people who need detailed hand-holding and practical support, and the care team sends care packages directly to users who are alone and who express a need for resources and a human touch. Reprocare’s sister company, Autonomie, also builds technology that quickly matches users with abortion funds that help them access care.
Aya Contigo calls their bilingual chat tool “an abortion doula in your pocket,” and it first launched in the U.S. in Spanish, primarily using WhatsApp to reach vulnerable Latino communities. Designed in Venezuela with feminist organizations and 1,000 co-creators, it brings lessons from the Latin American feminist movement to our country, including the tradition of “acompañantes” or accompaniment as a framework. Using bilingual educators on WhatsApp chat and the asynchronous resources on their downloadable app, Aya Contigo ensures patients are never alone, that they have check-ins and follow-ups and are treated gently and compassionately for the days and weeks following their medication abortion.
Exhale Pro Voice is a post-abortion counseling program that offers a non-judgemental support text line for after-abortion support. Exhale also promotes its services for partners, parents, and friends of those who have had an abortion, in order to meet their unique emotional needs and also learn to be a support system for the person in their lives. Exhale is also a crucial resource for counselors, providers, and reproductive health workers seeking a confidential space outside of their work to sustain their well-being, especially important after three years of confusion and challenging, uphill work.
All-Options goes a step further, with a reproductive justice framework that understands that access to abortion has always been inequitable, be it because of location, resources, family, or tradition. Through their talk line, users are given emotional support to understand their access abortion care, and can also speak with a spiritual counselor, access adoption resources, pregnancy resources and infant care support, and a diaper program in their Indianapolis community.
Meeting the emotional impact of bans means considering a reframing of what we could term “the journey map” of an abortion seeker. The Turnaway Study highlights the mental health impact on those denied abortions over a period of 10 years. It elevates an important point: The most common emotion after an abortion is a sense of relief. Framed this way, we might discuss the emotional journey of an abortion seeker around getting them from confusion and disorientation to understanding and relief, regardless of their choices.
Today, researchers are only beginning to track the mental health impact of the Dobbs decision, and recent studies highlight depression and anxiety among women of reproductive age in general. Nearly 25% of women 18-25 years old have had a major depressive episode in the past year, and women of reproductive age in states where abortion is banned report increased anxiety. Further behaviors among young adults post-Dobbs, like increased permanent contraception like tubal ligation and vasectomy in banned states, are proof of the social pressures and sense of personal insecurity, and a lack of bodily autonomy created by bans.
Emotional support is key not just to providing immediate care, but to transforming the abortion access landscape. The coalition building of organizations that prioritize emotional and cultural competency can provide innovative, scalable solutions to a complex societal problem. While funders understand emotional support as a component of the wider access landscape, they don’t always see it as a fulcrum for change and outsize impact. Investing in innovators who have built this direct accompaniment ecosystem, powered by real, caring humans, is vital to maintaining access for critical abortion and reproductive healthcare.
"What is the impetus for the decision to give renewed focus into a three-year-old incident with no apparent criminal violation?" asked the organizations.
A coalition of 12 press freedom groups warned the FBI Wednesday that contrary to claims by deputy director and former right-wing prosecutor Dan Bongino, a new probe into the leaked 2022 U.S. Supreme Court opinion in a landmark reproductive rights case appears aimed not at confronting "potential public corruption," but threatening constitutionally protected newsgathering activities.
Defending Rights and Dissent led a coalition including Fight for the Future and the Freedom of the Press Foundation in writing to FBI Director Kash Patel about Bongino's recent announcement that he is receiving weekly briefings on a probe into Politico's May 2, 2022 publication of the Supreme Court's draft opinion in the Dobbs v. Jackson Women's Health Organization nearly two months before the ruling was officially handed down and ended the constitutional right to abortion care.
Bongino said the FBI is spending more resources on investigations into possible public corruption including the Dobbs leak, the planting of pipe bombs near the headquarters of the Democratic and Republican national committees in January 2021, and a bag of cocaine that was found in the White House in 2023—but didn't specify how any of the cases address corruption specifically.
The groups asked Patel for "clarifying information" about the probe into the Dobbs draft decision leak.
Considering that FBI investigations are typically limited to violations of federal laws, national security threats, and foreign intelligence, the groups asked whether the probe is "predicated on a federal statute, and if so, what statute is it predicated on."
"Absent clarifying information, the Dobbs-related enquiry could give the appearance of an impermissible investigation into First Amendment-protected activities."
They also asked: "What is the impetus for the decision to give renewed focus into a three-year-old incident with no apparent criminal violation? Is there new evidence of violations of federal statutes?"
"While there are federal statutes governing national defense information, classified information, tax information, or certain government records whose release could cause unwarranted invasions of privacy, none of these statutes on their face criminalize sharing an unpublished court opinion with a journalist," said the groups.
Legal analysts said shortly after the draft opinion leak that—despite then-former President Donald Trump's demand for a "thorough criminal investigation" and his claim that journalists who published the opinion should be jailed until they released their sources—there was likely no crime committed in the leak.
"I am extremely skeptical of what basis or what authority the Justice Department would have to inquire into this matter," national security and whistleblower lawyer Bradley P. Moss told The Washington Post at the time. "It is certainly a fireable offense—without question—but there is no obvious criminal provision that would apply."
The Supreme Court and the Secret Service both conducted investigations that did not identify who was responsible for leaking the opinion to journalists.
The FBI's probe is reportedly "focused on finding the source who gave the unpublished opinion to Politico," wrote the groups. "As organizations that defend press freedom, free expression, and civil liberties, we are deeply concerned by the potentially chilling nature of this investigation on First Amendment-protected newsgathering."
"Absent clarifying information," they added, "the Dobbs-related enquiry could give the appearance of an impermissible investigation into First Amendment-protected activities."
"We cannot quit. We cannot be silent. If we quit, we lose more women," said one mother whose daughter died after being denied care under Georgia's six-week ban.
Congresswoman Nikema Williams joined patients, healthcare providers, and activists—including the mother of a woman who died after being refused abortion care in Georgia—at a Tuesday press conference held a day before what would have been the 52nd anniversary of Roe v. Wade, and amid fears of a national abortion ban during U.S. President Donald Trump's second term.
"I refuse to stand by while extremist politicians attack our freedoms, our health, and our future," Williams (D-Ga.) told attendees of the virtual press conference, which was hosted by the abortion rights group Free & Just. "Reproductive freedom is about healthcare, it's about dignity, it's about autonomy. It's about ensuring that everyone, every person, has the ability to make the best decisions for themselves and their families without government interference."
Speakers at Tuesday's event included Shanette Williams, whose 28-year-old daughter Amber Nicole Thurman died in 2022 after being forced to travel out of state to seek care due to a recently passed Georgia law banning almost all abortions after six weeks of pregnancy, a period during which many people don't even know they're pregnant.
"I want to send a clear message to men to get off the sidelines and enter the fight for reproductive justice."
Thurman, who was the single mother of a young son, is one of at least several U.S. women—most of them Black or brown—whose deaths have been attributed to draconian anti-abortion laws.
"She left a son, who every day is confused by why his mother is not here," Williams said of her daughter. "I'm here to be that voice, to fight, to push, to do whatever I need to do to help save another life. Because I never want a mother to feel what I feel today."
"We cannot quit. We cannot be silent. If we quit, we lose more women," Williams added. "In November, following reporting from ProPublica, officials in Georgia dismissed all members of the state's Maternal Mortality Review Committee, which investigates the deaths of pregnant women across the state."
Last September, Fulton County Judge Robert McBurney struck down the state's six-week abortion ban as a violation of "a woman's right to control what happens to and within her body," a decision that made the procedure legal up to approximately 22 weeks of pregnancy. Republican Georgia Attorney General Chris Carr appealed the ruling to the state Supreme Court.
Avery Davis Bell, a Savannah mother who had to travel out of Georgia for care after her fetus was diagnosed with a fatal condition that threatened her own life as well, said during Tuesday's press conference: "I could have been Amber Nicole Thurman. It is important for me to continue sharing my story and advocating for us to be able to build the families we want, protect our lives, and be here for our living children."
Atlanta-area ultrasound technician and abortion care provider Suki O. said during the event that Georgia's ban "has been in place for three years now and it doesn't get any easier."
"To turn women away is the hardest thing for me to do," she added. "How many Black women will die, have died, and will continue to die due to these abortion bans?"
Davan'te Jennings, president of Young Democrats of Georgia and youth organizing director at Men4Choice, told the press conference that abortion "is not just a women's issue, this is a man's issue as well."
"I want to send a clear message to men to get off the sidelines and enter the fight for reproductive justice," Jennings added. "What would it look like for you to have to watch your mother go through this? To watch your sister go through this?"
While Trump has said he would veto any national abortion ban passed by the Republican-controlled Congress, reproductive rights advocates have expressed doubt that the president—a well-documented liar—would actually do so, and warned that his administration could use a 151-year-old law known as the Comstock Act to outlaw the procedure without needing congressional approval.
Critics also note that Trump has repeatedly bragged about appointing three of the U.S. Supreme Court justices who voted to overturn Roe in Dobbs v. Jackson Women's Health Organization, the 2022 decision that canceled nearly a half-century of federal abortion rights.
The Trump administration is also widely expected to revive the so-called Global Gag Rule, which bans foreign nongovernmental organizations from performing or promoting abortion care using funds from any source, if they receive funds from the U.S. government for family planning activities.
Conservative groups, including the Heritage Foundation-led coalition behind Project 2025—a blueprint for a far-right overhaul of the federal government—have proposed policies including a national abortion ban, restricting access to birth control, defunding Planned Parenthood, monitoring and tracking pregnancy and abortion data, and eviscerating federal protections for lifesaving emergency abortion care.
While campaigning for president, Trump said he would allow states to monitor women's pregnancies and prosecute anyone who violates an abortion ban. According to the Guttmacher Institute, 12 states currently have near-total abortion bans, and 29 states have enacted prohibitions based on gestational duration.