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medication abortion
In a Post-Roe America, Knowledge Isn’t Just Power—It’s Survival
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.
Jul 02, 2025
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.
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Alarm as Texas Files State's First Criminal Abortion Charges Against Midwife
"Republicans are strategically targeting people they think the public won't rally behind," said rights advocate Jessica Valenti. "Let's make sure to prove them wrong."
Mar 18, 2025
A midwife in the Houston area on Monday became the first person to be criminally charged under Texas' abortion ban, with Republican state Attorney General Ken Paxton accusing Maria Margarita Rojas of providing illegal abortion care and practicing medicine without a license.
If convicted, Rojas faces up to 20 years in prison under the state's near-total ban on abortion.
Writer and abortion rights advocate Jessica Valenti said Rojas is likely being "targeted" by Paxton, noting that the midwife provides "healthcare to a primarily Spanish-speaking, low-income community."
"Paxton, a political operator who picks cases strategically, likely chose Rojas because he believes Americans won't find her sympathetic—whether due to racism, classism, or the stories his office plans to spin," wrote Valenti. "In other words: Republicans are strategically targeting people they think the public won't rally behind. Let's make sure to prove them wrong."
Rojas owns and operates Clínicas Latinoamericanas, which includes four health clinics in the Houston suburbs of Spring, Waller, and Cypress. She has reportedly been a certified midwife in Texas since 2018 and was an obstetrician in Peru before immigrating to the United States.
According to The Washington Post, Rojas was first arrested on March 6 on charges of practicing medicine without a license, and was held on $10,000 bond. The new charges were added Monday, and Rojas and another employee of the clinic, Jose Ley, were being held in a jail in Waller County, with their bond set at a combined $1.4 million.
The New York Times noted that Waller County, where the charges were brought, is more conservative than Harris County, the largest county in Texas and the one where a majority of Rojas' clinics are located.
Court documents show that Paxton's office has accused Rojas of having "attempted an abortion on" a woman identified as E.G. in March.
"Paxton and Texas Republicans will be working overtime to paint Rojas as a villain, regardless of the truth. They know that abortion bans are incredibly unpopular, as is arresting healthcare providers."
Rojas was "known by law enforcement to have performed an abortion" on another occasion earlier this year, according to the attorney general, who has filed for a temporary restraining order against Clínicas Latinoamericanas "to prevent further illegal activity."
When she was first arrested, Rojas was "pulled over by the police at gunpoint and handcuffed" while she was on her way to the clinic and was taken to Austin and held overnight before being released, her friend and fellow midwife Holly Shearman told the Post.
Shearman said she did not believe Rojas is guilty of the charges against her.
Valenti emphasized that most details of Rojas' case at this point are being shared by Paxton's office, and warned that the vehemently anti-abortion attorney general will likely attempt to portray the midwife in a negative light to garner support—considering that a majority of Americans don't support criminal charges for health professionals who provide abortion care.
A survey last March by the KFF found that 8 in 10 Democrats, two-thirds of Independents, and about 50% of Republicans did not believe doctors who provide abortion care should face fines or prison time.
"You cannot trust any information coming from Paxton's office or Texas law enforcement," said Valenti. "Paxton and Texas Republicans will be working overtime to paint Rojas as a villain, regardless of the truth. They know that abortion bans are incredibly unpopular, as is arresting healthcare providers. They're not just fighting a legal battle here, but a PR one."
Valenti noted that when Paxton filed a civil lawsuit against Dr. Maggie Carpenter, a physician in New York who he accused of prescribing and sending pills for a medication abortion to a patient in Texas, he claimed the Texas resident "suffered 'serious complications' despite providing no evidence." Carpenter was fined more than $100,000 last month.
"There's every reason to believe Paxton's team will pull similar tactics here, coming out with all sorts of claims about this midwife and her practice," wrote Valenti.
Marc Hearron, interim associate director of ligation at the Center for Reproductive Rights, told the Post that "Texas officials have been trying every which way to terrify healthcare practitioners from providing care and to trap Texans."
Hearron told The Cut that "doctors all across the state are saying that they are afraid that their judgment is going to be second-guessed, and all of these actions show that Paxton is chomping at the bit to go after anybody who provides an abortion."
"It's just a litany of situations where it shows the state of Texas does not care about women's lives," said Hearron. "What it cares about is stopping women from getting the care that they need, no matter what."
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Attacks on Shield Laws Ramp Up as NY Doctor Fined $100,000 for Providing Abortion in Texas
The Louisiana attorney general also tried to extradite the physician for sending medication abortion pills to a patient in the state.
Feb 14, 2025
Republican-controlled states' testing of abortion rights "shield laws" that have been passed in eight states in recent years ramped up on Thursday as a judge in Texas ordered a New York doctor to pay more than $100,000 in fines and fees for prescribing medication abortion pills to a 20-year-old woman in the Dallas area last year.
On the same day, the physician, Dr. Margaret Daley Carpenter of the Abortion Coalition for Telemedicine (ACT), was subject to a demand for extradition to Louisiana after a state grand jury last month indicted her for mailing misoprostol and mifepristone, pills that are used in a majority of abortions in the U.S., to the state.
The charges in Louisiana are the first criminal charges filed against an abortion provider in a state with a shield law, which bar officials and agencies from cooperating with lawsuits and prosecutions against healthcare professionals who send abortion pills to patients in states that ban abortion care. The laws have been passed as advocates in states where abortion care remains legal fight to ensure Americans across the country can still obtain care after the U.S. Supreme Court's overturning of Roe v. Wade in 2022.
Texas Attorney General Ken Paxton did not file criminal charges against Carpenter, but accused her in a lawsuit of violating the state's near-total abortion ban by providing the medication to a resident through the mail.
In the country's first ruling on a case involving a shield law, State District Judge Bryan Gantt ordered Carpenter to pay $100,000 in fines and $13,000 in attorneys' and other fees. He also ruled that Carpenter, who did not attend Thursday's court proceedings, "is permanently enjoined from prescribing abortion-inducing drugs to Texas residents."
Violating the ruling could result in a jail sentence for Carpenter.
Despite the ruling, ACT executive director Julie Kay told The Associated Press on Thursday that "patients can access medication abortion from licensed providers no matter where they live."
"ACT has and continues to stand behind New York and other shield laws across the country that enable the distribution of safe and effective telemedicine abortion care."
In December, ACT said medication abortion pills, which have been approved by the Food and Drug Administration since 2000 and have "been proven safe and effective globally for decades," are "an essential part of women's healthcare."
The Texas case is expected to eventually reach the U.S. Supreme Court, where the right-wing majority could rule against legal protections for abortion providers who provide telemedicine for out-of-state patients—even as Republicans including President Donald Trump claim they believe abortion law should be left up to the states.
In Louisiana, Carpenter was indicted for allegedly violating the state's near-total abortion ban by sending pills for a girl who reportedly then experienced a medical emergency. The patient's mother has also been charged. If convicted, Carpenter could face up to 15 years in prison.
Republican state Attorney General Jeff Landry demanded her extradition to Louisiana, but New York Gov. Kathy Hochul, a Democrat, said Thursday that she "will not be signing an extradition order that came from the governor of Louisiana. Not now, not ever."
ACT said Thursday that "ongoing attempts by anti-abortion state officials to restrict access to abortion care are inconsistent with New York state law."
"ACT has and continues to stand behind New York and other shield laws across the country that enable the distribution of safe and effective telemedicine abortion care," said the group.
The Texas case also reflects a dynamic that could lead to new prosecutions against abortion providers: those resulting from legal challenges filed by men whose partners receive abortion care.
In the case of the 20-year-old Texas resident, the patient was taken to a hospital in July by a man identified in legal filings as the "biological father of her unborn child."
After the man "started to suspect" the patient had used abortion pills and found the medications that had been prescribed by Carpenter and ACT, he "filed a complaint with the Texas attorney general's office."
The New York Times reported that with Texas Right to Life, several men plan to file wrongful death lawsuits in the coming weeks against doctors and others who assisted their female partners in obtaining abortion care.
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