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reproductive justice
A Post-Roe world Is a Post-Rights World
The loss of Roe wasn’t just about abortion, it was a green light to dismantle reproductive freedom at every level.
Jun 24, 2025
It has been three years since Roe v. Wade was overturned. A seismic ruling shattering the constitutional right to abortion sent this country into a public health crisis. In the aftermath, millions of people have been stripped of autonomy over their own bodies, forced into pregnancies they did not choose, denied medication for miscarriages, and criminalized for seeking basic healthcare.
This is not a post-Roe world. It is a post-rights world. And we are still living through the consequences.
Across the nation, 19 states now have near or-total abortion bans. In many more, access has been drastically limited by targeted restrictions, clinic closures, and political interference. But the loss of Roe wasn’t just about abortion, it was a green light to dismantle reproductive freedom at every level. The attacks have expanded to birth control, emergency contraception, gender-affirming care, IVF, and even medical privacy.
Gerrymandered districts, activist judges, and extremist lawmakers continue to pass laws that do not reflect the will of the people.
Everyday clinics and doctors are under siege. Providers are being driven out by threats, legal risks, and burnout. Many Planned Parenthoods and independent clinics in banned states no longer provide abortion care at all. That burden has fallen on organizations like ours—small, often women-, queer-, and BIPOC-led abortion funds doing the lifesaving work of helping patients afford care and travel across state lines. But the need has skyrocketed, and funding has not. Foundations give less than 2% of their dollars to direct abortion support. We are asked to do more with less while the people we serve pay the price.
Survivors of rape or domestic violence are forced to carry pregnancies because they don’t qualify for their state’s narrow exceptions. Minors have to beg courts for permission to terminate pregnancies. Patients sleep in cars while waiting for appointments in the closest legal state. And we are their safety net and will continue to be in this man-made disaster.
Meanwhile, politicians—mostly white, mostly male—continue to play God with our lives. They are not doctors. They are not ethicists. They are not the people bearing the risks, the trauma, or the responsibility of pregnancy. And yet they are the ones deciding who deserves healthcare and who doesn’t.
Nowhere is that clearer than in Georgia, where a heartbreaking story made national headlines. Adriana Smith, a 31-year-old woman, was declared brain dead four months ago. But because she was pregnant, her body was kept alive by machines—not out of medical necessity, but due to Georgia’s abortion ban, which includes personhood language that grants legal rights to embryos at six weeks gestation. Her family was forced to watch as she was kept on life support against her wishes. In Georgia, the embryo inside her had more legal value than Adriana herself.
This is what happens when politicians legislate ideology. When we prioritize hypothetical life over a real one: a daughter, a sister, a human being, we lose not just rights, but our humanity.
And still, we hear silence when it comes to men’s responsibility.
No law mandates men to support a child they helped create before birth. No one is tracking their behavior, forcing paternity tests, or denying their autonomy. They are not losing jobs, skipping school, or facing stigma for becoming parents. Yet the full burden of pregnancy, childcare, and judgment falls squarely on the pregnant person who are forced to risk their health, financial stability, and futures to carry pregnancies. Where patients are denied their fundamental rights under the guise of “protecting life.” Where the father of a child can disappear without consequence.
It has been three years since Roe fell. And still, we are shouting the same truths:
- Abortion is healthcare.
- Bodily autonomy is a human right.
- Pregnancy should never be a punishment.
The majority of Americans agree. Poll after poll shows that most people support legal abortion and reproductive freedom. Yet the system is rigged. Gerrymandered districts, activist judges, and extremist lawmakers continue to pass laws that do not reflect the will of the people.
But here’s the truth: Roe was never enough. It was the floor, not the ceiling. Even before its fall, access was unequal based on race, income, zip code, and immigration status. Roe protected a legal right, but it didn’t guarantee access, safety, or justice. And we should not be fighting to go back to that flawed baseline. We must demand a future that does better for all of us.
So, what do we do?
We keep fighting—harder than ever. We vote like our lives depend on it, because they do. We support abortion funds that are on the frontlines, providing help when no one else will. We demand accountability—not just from politicians, but from the people in our communities who stay silent. We uplift the stories of those who’ve been harmed by these cruel policies, and we refuse to let them be erased.
And we imagine a future where our rights are not just restored but expanded. A future rooted in justice, equity, and compassion. A future where no one is forced to give birth against their will, and no one dies waiting for the law to catch up to basic humanity.
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Don’t Be Fooled: Trump’s Attacks on Medicaid Are an All-Out War on Reproductive Justice
Attacks on Medicaid are just the latest tactic used by anti-choice politicians to strip us of our bodily autonomy and further deny us access to lifesaving reproductive healthcare.
Apr 15, 2025
When U.S. Congress recently approved a budget proposing nearly $880 billion in spending cuts to execute President Donald Trump’s agenda, which will almost certainly mean funding tax cuts for the wealthy, it didn’t just target unnecessary spending—it targeted our healthcare.
Republicans claim this is about combating fraud, but we know the truth. Let’s be clear: Slashing Medicaid by billions of dollars is a direct attack on critically needed health services, as it covers essential healthcare like doctors visits, hospital care, cancer screenings, reproductive healthcare, and more. These cuts threaten not only our access to care, but our fundamental rights to live and thrive.
Attacks on Medicaid will impact millions of Americans, but will disproportionately harm marginalized groups, including people with disabilities; the elderly; low-income families; and most severely Black women, girls, and gender-expansive people. Given the wide-ranging impact these cuts will have on people’s ability to control their health, bodies, lives, and reproduction, this isn’t just a healthcare issue—it’s a matter of reproductive justice.
Expanding Medicaid in more states, increasing access to doula care, and committing to researching racial discrimination in the healthcare system are just a few of the steps we must take.
Medicaid is a lifeline in addressing the deep inequities in healthcare coverage, and any cuts to this vital program threaten to unravel the limited progress we’ve fought so hard to make. Currently, Medicaid funds almost two-thirds of Black births, provides coverage for almost a third of Black women, and insures over half of Black girls. The fact of the matter is that Black women, girls, and gender-expansive people have the most to lose, and it’s undeniable that Medicaid cuts will only exacerbate the Black maternal mortality crisis our communities are already struggling to survive.
It is true that providing lifesaving healthcare to millions of people comes at a cost. But when politicians start looking for ways to trim the federal budget, Medicaid is often first on the chopping block. And yet, slashing Medicaid has proven politically impossible—because the truth is, 8 in 10 Americans overwhelmingly support it. People like being able to see a doctor when they need to, and they recognize Medicaid is essential in making that possible.
Despite its popularity, cuts to Medicaid may soon become reality because of decades of relentless attacks on reproductive justice by our elected leaders. From forced sterilization, to shackling women during birth, from the Hyde Amendment and to overturning the federal right to an abortion, this country has an insidious history of reproductive abuse—particularly against Black women. Now, attacks on Medicaid are just the latest tactic used by anti-choice politicians to strip us of our bodily autonomy and further deny us access to lifesaving reproductive healthcare.
Access to healthcare should never be determined by income or zip code, but these cuts force states to make up this deficit by either raising taxes or slashing education budgets, further burdening our communities. Rural Americans, particularly, will suffer as rural hospitals often rely heavily on Medicaid funding to stay afloat. These cuts will worsen maternal healthcare deserts, which have 1 in 6 Black babies born in areas with limited or no access to essential maternal care.
What’s worse, adding “work requirements,” which were narrowly avoided under Trump’s first administration, will also be used as a tool to remove people from Medicaid. Not because they are not working, but because new bureaucratic reporting requirements will create confusion, and ultimately cause people, including people with disabilities and the elderly, to be disqualified from coverage.
In reality, 92% of Medicaid beneficiaries under 65 are employed, debunking the harmful stereotype that people on Medicaid are not working. There is a long history of scapegoating poor people for receiving social services and adding increased burdens to show they “deserve” help. This is the same racist welfare reform narrative we have heard for decades—the false “welfare queen” myth, used to police Black women, incarcerate Black mothers, and justify cuts to social services.
Make no mistake, Black women will bear the brunt of these Medicaid cuts. Yes, our healthcare system, including Medicaid, has flaws, but slashing coverage for the most vulnerable Americans is not the solution. During a time when access to reproductive healthcare is under attack like never before and Black maternal mortality rates are still continuing to rise, we need policy solutions rooted in reproductive justice.
This means centering Black women, girls, and gender-expansive people who are disproportionately impacted by Medicaid cuts and the policies driving these changes. Expanding Medicaid in more states, increasing access to doula care, and committing to researching racial discrimination in the healthcare system are just a few of the steps we must take. Our lives—and our future—depend on it.
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The Fight for Abortion Care Is a Fight for Equality
Women’s History Month exists because, for centuries, women’s contributions were erased, dismissed, or outright stolen. Today, we see that same erasure in real-time when lawmakers craft policies that disregard the needs and realities of half the population.
Mar 29, 2025
Every March, we celebrate Women’s History Month—a time to honor the trailblazers who fought for our rights and recognize how far we have come. But it is also a time to take stock of the battles we’re still fighting, and one of the most urgent is the fight for abortion care.
Abortion access isn’t just about healthcare; it’s about power, equality, and dignity. It’s about recognizing that pregnant people should have the same autonomy, agency, and opportunities as anyone else. Yet, time and time again, legislation is used as a weapon to strip us of our rights, rendering us invisible in the eyes of those who hold power.
When abortion rights are restricted, the effects ripple far beyond the individual. The economic consequences are devastating. Studies have shown that being denied an abortion drastically increases the likelihood of a person living in poverty. The landmark Turnaway Study found that people who were unable to access an abortion were four times more likely to experience financial insecurity, struggle with housing instability, and be trapped in cycles of domestic violence.
In a system where half the population can be denied life-saving medical care, how can we claim to value equality?
This is not just a coincidence—it’s by design. Anti-abortion legislation is not about “life”; it’s about control. It’s about keeping people, especially women and those who can become pregnant, economically vulnerable and dependent. It’s about ensuring that the structures of power remain unchallenged, forcing people to carry pregnancies they cannot afford while denying them the resources to escape poverty.
The hypocrisy is staggering. Many of the same politicians who push for abortion bans are the ones gutting social safety nets—cutting funding for childcare, slashing paid family leave, refusing to raise the minimum wage, and the list goes on. They claim to care about “life” while making it impossible for parents to provide for their children. This is not pro-life; it is anti-equality.
The United States already has the highest maternal mortality rate among developed nations, and the numbers are even more alarming for Black and Indigenous people, who die at three to four times the rate of their white counterparts during childbirth. When states restrict abortion access, they force more people into dangerous pregnancies, increasing these mortality rates even further.
The recent surge of abortion bans and restrictions has created a healthcare crisis. Patients experiencing pregnancy complications—such as miscarriages or ectopic pregnancies—are being turned away from hospitals or left to suffer until their lives are at imminent risk. Doctors fear prosecution for providing necessary care, and pregnant people are treated as legal liabilities rather than human beings.
In a system where half the population can be denied life-saving medical care, how can we claim to value equality?
Women’s History Month exists because, for centuries, women’s contributions were erased, dismissed, or outright stolen. Today, we see that same erasure in real-time when lawmakers craft policies that disregard the needs and realities of half the population.
Look at how abortion laws are written—by men who will never face the consequences of an unwanted pregnancy, let alone a dangerous one. Look at how reproductive healthcare is treated as an afterthought, even though it is central to economic stability, personal freedom, and public health.
Every time a law is passed that strips away abortion access, it is another message that we do not matter. That our health, our futures, our choices are secondary. That we are expected to sacrifice our bodies and our well-being to maintain a system that was never built for us in the first place.
This isn’t just an attack on reproductive rights; it’s an attack on gender equality itself.
Abortion access is not a fringe issue—it is fundamental to equality. If we want a world where women and pregnant people are not just tolerated but truly valued, we must fight for policies that recognize our full humanity.
That means protecting abortion access at every level—through legislation, through the courts, through elections, and through supporting each other. It means funding organizations that help people get the care they need, regardless of where they live—organizations like WRRAP. It means holding politicians accountable and refusing to let them silence us.
Women’s History Month is a reminder that progress is not given—it is won. The right to vote, the right to work, the right to own property, the right to make decisions about our own bodies—none of these rights were freely handed to us. They were fought for, tooth and nail, by those who refused to be invisible.
Now, it is our turn. The battle for abortion justice is the battle for equality itself, and we cannot afford to lose.
This op-ed was distributed by American Forum.
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