SUBSCRIBE TO OUR FREE NEWSLETTER
Daily news & progressive opinion—funded by the people, not the corporations—delivered straight to your inbox.
5
#000000
#FFFFFF
");background-position:center;background-size:19px 19px;background-repeat:no-repeat;background-color:#222;padding:0;width:var(--form-elem-height);height:var(--form-elem-height);font-size:0;}:is(.js-newsletter-wrapper, .newsletter_bar.newsletter-wrapper) .widget__body:has(.response:not(:empty)) :is(.widget__headline, .widget__subheadline, #mc_embed_signup .mc-field-group, #mc_embed_signup input[type="submit"]){display:none;}:is(.grey_newsblock .newsletter-wrapper, .newsletter-wrapper) #mce-responses:has(.response:not(:empty)){grid-row:1 / -1;grid-column:1 / -1;}.newsletter-wrapper .widget__body > .snark-line:has(.response:not(:empty)){grid-column:1 / -1;}:is(.grey_newsblock .newsletter-wrapper, .newsletter-wrapper) :is(.newsletter-campaign:has(.response:not(:empty)), .newsletter-and-social:has(.response:not(:empty))){width:100%;}.newsletter-wrapper .newsletter_bar_col{display:flex;flex-wrap:wrap;justify-content:center;align-items:center;gap:8px 20px;margin:0 auto;}.newsletter-wrapper .newsletter_bar_col .text-element{display:flex;color:var(--shares-color);margin:0 !important;font-weight:400 !important;font-size:16px !important;}.newsletter-wrapper .newsletter_bar_col .whitebar_social{display:flex;gap:12px;width:auto;}.newsletter-wrapper .newsletter_bar_col a{margin:0;background-color:#0000;padding:0;width:32px;height:32px;}.newsletter-wrapper .social_icon:after{display:none;}.newsletter-wrapper .widget article:before, .newsletter-wrapper .widget article:after{display:none;}#sFollow_Block_0_0_1_0_0_0_1{margin:0;}.donation_banner{position:relative;background:#000;}.donation_banner .posts-custom *, .donation_banner .posts-custom :after, .donation_banner .posts-custom :before{margin:0;}.donation_banner .posts-custom .widget{position:absolute;inset:0;}.donation_banner__wrapper{position:relative;z-index:2;pointer-events:none;}.donation_banner .donate_btn{position:relative;z-index:2;}#sSHARED_-_Support_Block_0_0_7_0_0_3_1_0{color:#fff;}#sSHARED_-_Support_Block_0_0_7_0_0_3_1_1{font-weight:normal;}.sticky-sidebar{margin:auto;}@media (min-width: 980px){.main:has(.sticky-sidebar){overflow:visible;}}@media (min-width: 980px){.row:has(.sticky-sidebar){display:flex;overflow:visible;}}@media (min-width: 980px){.sticky-sidebar{position:-webkit-sticky;position:sticky;top:100px;transition:top .3s ease-in-out, position .3s ease-in-out;}}.grey_newsblock .newsletter-wrapper, .newsletter-wrapper, .newsletter-wrapper.sidebar{background:linear-gradient(91deg, #005dc7 28%, #1d63b2 65%, #0353ae 85%);}
To donate by check, phone, or other method, see our More Ways to Give page.
Daily news & progressive opinion—funded by the people, not the corporations—delivered straight to your inbox.
The high-profile lawyer behind the case "wants to shut down doctors in shield law states," said one expert, and "he wants a federal court to weigh in on the Comstock Act."
As polling reaffirms U.S. public support for abortion rights, a new case in Texas is generating alarm and outrage, as it involves a federal "zombie law" that the forced birth movement aims to use to block people across the country from accessing abortion pills.
Jonathan Mitchell is serving as lead counsel in the proposed class action lawsuit, filed Sunday in the Southern District of Texas. Described as an "anti-abortion legal terrorist" by Susan Rinkunas in Jezebel, Mitchell is Texas' former solicitor general and the chief architect of a state law that entices anti-choice vigilantes with $10,000 bounties to enforce a six-week abortion ban.
"He's represented at least three other men who've sued over women's abortions—including Marcus Silva, who sued his ex-wife's friends for helping her get abortion pills. That case was eventually dropped, but not before it came out that Silva tried to use the lawsuit to blackmail his ex into having sex with him," Jessica Valenti noted in her Abortion, Everyday newsletter. "Since then, Mitchell and other anti-abortion activists have been cozying up to men's rights groups, 'abortion recovery' ministries, and crisis pregnancy centers—on the lookout for more angry men eager to sue their partners or exes for ending a pregnancy."
In the new wrongful death case in Texas, Mitchell represents Jerry Rodriguez, who is suing Rémy Coeytaux, a California doctor accused of mailing to Galveston County medication that his girlfriend used to end her pregnancy last September. The complaint claims the girlfriend's estranged husband and mother "pressured her to kill the baby with the drugs obtained from Coeytaux."
The complaint also claims the girlfriend ended a second pregnancy with "pills that were illegally obtained" in January—and she is now two months into a third pregnancy, and Rodriguez believes she may seek another medication abortion. He asked for $75,000 in damages and "an injunction to stop Coeytaux from distributing abortion-inducing drugs in violation of state or federal law."
The new "wrongful death" abortion pill lawsuit out of Texas is a BFD for several reasons, but one twist is that the doctor being targeted is the brother of lifelong reproductive health advocate Francine Coeytaux of @plancpills.bsky.social Collab by Nina Martin & me on what the case is all about:
[image or embed]
— Madison Pauly (@msjpauly.bsky.social) July 23, 2025 at 5:25 PM
Among the legislation cited in the filing is the Comstock Act, or 18 U.S. Code § 1461, a dormant 1873 law that criminalized the shipping of "obscene" materials, including abortifacients. While some anti-choice advocates aim to outlaw abortion nationwide with legislation in Congress, Mitchell has said that "we don't need a federal ban when we have Comstock on the books."
Since the U.S. Supreme Court's right-wing majority reversed Roe v. Wade with Dobbs v. Jackson Women's Health Organization in 2022, Republican lawmakers have ramped up their efforts to restrict abortion rights within their states—with deadly consequences. Residents of those parts of the country have increasingly turned to telehealth. States with pro-choice policymakers have enacted "shield laws" to protect abortion providers and patients who are traveling or receiving care online.
"These anti-abortion folks are really upset that all these pills are being sent to their states, and they're doing whatever they can to try to stop it," Jill Wieber Lens, a University of Iowa College of Law professor and reproductive rights expert, told Jezebel.
Lens also framed the Texas case as a fear tactic. "I think so much of this is about the chilling effect, as opposed to actually winning this lawsuit," she said. "This might scare other doctors in shield states from wanting to continue what they're doing."
According to Mother Jones, "The case is the first known test of whether abortion opponents can use federal court lawsuits to circumvent state shield laws aimed at protecting providers—a major escalation of attacks on abortion-friendly states."
Mary Ziegler, an abortion historian and law professor at the University of California, Davis, told the outlet that "the whole game for Jonathan Mitchell is to get into federal court... both because he wants to shut down doctors in shield law states, like everyone in the anti-abortion movement, and because he wants a federal court to weigh in on the Comstock Act."
Ziegler added on social media that the suit is also intended to "force a response" from the U.S. Supreme Court and President Donald Trump, who has so far resisted pressure from forced birth activists to use the Comstock Act to ban abortion nationwide. Further, she said, "it reinforces arguments for fetal personhood (note that is a class action on behalf of all 'fathers of unborn children')."
Three years after the fall of Roe v. Wade, most Americans still support legal abortion.-64% say abortion should be legal in all or most cases.-80%+ support it in cases of rape, incest, or health risks.-Even after Dobbs, public opinion hasn’t budged; the people are not with the ban.
[image or embed]
— Anna DNP, FNP, BC@ AccessToCareAdvocate (@anna1900.bsky.social) July 24, 2025 at 7:33 AM
The case comes as Thursday polling from the Associated Press-NORC Center for Public Affairs Research shows that 64% of U.S. adults across the political spectrum say that abortion should be legal in all or most cases.
While 52% of all respondents agreed abortion should be allowed if the patient does not want to be pregnant "for any reason," large majorities believe it should be allowed if the pregnant person's health is seriously endangered (89%), the pregnancy is a result of rape or incest (86%), and an abnormality would prevent the fetus from surviving outside of the womb (85%).
Additionally, according to the poll, a majority of Americans support protecting abortion access for people who endure miscarriages or other pregnancy-related emergencies (69%), protecting a patient's right to obtain care in another state (56%), and protecting doctors from fines or prison time (55%).
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.
This is a critical moment in history for both patients and physicians alike to stay informed—because the moves happening now could reshape access to reproductive healthcare nationwide.
Three years ago, I remember exactly where I was when the Supreme Court overturned Roe v. Wade. My stomach sank. As an OB/GYN PA with more than a decade in reproductive care, I knew this wasn’t just devastating—it was going to reshape the healthcare landscape completely.
The conversations I’d been having with patients for years—about abortion, birth control, miscarriage, pregnancy loss, pain—were about to get harder, more complicated, and more dangerous.
I had the honor of joining over 100 incredible storytellers in Washington, D.C. for the Our Voices, Our Stories, Our Future: Free & Just Storyteller Summit, to mark three years since the deadly Dobbs decision.
In emergencies, minutes matter. I’ve been in those rooms. And I can tell you: When someone is crashing in front of you, the last thing you should be doing is calling legal.
I am still in awe of the number of people who were courageous enough to travel from across the country to tell their stories and fight for reproductive freedom. We laughed together, we cried together, and we shared our visions for a better future.
We also came to D.C. to meet with lawmakers to remind them that Dobbs didn’t just overturn Roe: It changed lives.
Although the fall of Roe didn’t end abortion in this country, it made it exponentially harder to access. It made it scarier. It deepened the segregation of healthcare access in America. If you’re wealthy enough to travel for care, you might still be okay. But if you’re not—if you’re young, uninsured, working class, Black, or Brown—you’re at greater risk. And we know abortion bans lead to higher maternal mortality, especially for Black women.
Let’s be clear: The anti-abortion zealots behind Dobbs were never going to stop there. In the three years since, I’ve watched extremists celebrate it as a win for “states’ rights,” while women are forced to flee their home states for basic care. “Leaving it to the states” doesn’t mean freedom. It means chaos. It means harm. It means people die.
That’s not an exaggeration—that’s reality.
And President Donald Trump? He doesn’t need to sign a national abortion ban to wreak havoc. He and his allies are already gutting protections through rollbacks, legal loopholes, and silence where there should be leadership.
Recently, Trump’s Supreme Court ruled that states can block people relying on Medicaid from choosing Planned Parenthood as their trusted healthcare provider, a devastating blow to abortion rights and reproductive healthcare—specifically, the freedom of millions of people who use Medicaid to choose Planned Parenthood as their healthcare provider.
The court put millions of Americans’ essential right to reproductive care at risk, and it will devastate communities all across the country just so Republicans in Congress can completely gut Medicaid for millions more Americans. Earlier this month, the Trump administration rescinded federal guidance that protected abortion access in emergencies. That guidance made clear what EMTALA—our federal emergency care law—already guarantees: If a pregnant patient shows up to the ER in crisis and needs an abortion to survive, they must get care.
Now that guidance is gone. And providers are left wondering if they’ll be sued—or even arrested—for doing their jobs.
In emergencies, minutes matter. I’ve been in those rooms. And I can tell you: When someone is crashing in front of you, the last thing you should be doing is calling legal.
And now they’ve set their sights on medication abortion—specifically mifepristone. This medication has been safely used by more than 8 million people over the last 20+ years. It’s not only essential for abortion care—it’s critical for miscarriage management too. But extremists don’t care about science, or safety. They care about control.
If they succeed in restricting mifepristone, it won’t just impact abortion access. It will gut miscarriage care. It could force providers to delay or deny treatment. And it could shut down clinics that rely on it to function—clinics already hanging on by a thread.
This is how they win. Not just with bans, but with quiet sabotage. With red tape. With fear. With confusion. With back-handed backdoor restrictions on our rights to bodily autonomy.
This is a critical moment in history for both patients and physicians alike to stay informed—because the moves happening now could reshape access to reproductive healthcare nationwide.
That’s why I started Take Back Trust—because people need more than outrage. They need answers, and they need tools. Patients need to walk into an ER or a clinic and know what to say, what to ask, and what their rights are.
Take Back Trust is a national resource hub helping people navigate this broken system. Whether you’re facing a miscarriage, scheduling a birth control visit, or trying to figure out if your state still protects you—we’ve got your back.
I am inspired by the words of former Vice President Kamala Harris, who surprised us via video at the Summit. “I know these are difficult times, and it requires a whole lot of courage, and it requires a level of optimism, to remember that we’re fighting for something, not against something,” the former Vice President reminded us. “And in that way we are doing good and important work that is about upholding fundamental rights, such as the freedom of an individual to make decisions about her own body and not have her government tell her what to do.”
As a clinician, a content creator, and a full-time reproductive rights advocate working at the intersection of medicine and movement, I’ll keep showing up. I’ll keep saying the quiet parts out loud. Because we’re not going back—and we’re not backing down.
We can’t afford to.
Lives are on the line. Not someday, today.