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roe v. wade
How Innovators Are Emotionally Supporting Abortion Seekers in a Post-Roe World
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.
Jul 10, 2025
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.
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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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Three Years After Roe Reversal, Abortion Rights Defenders Say Dobbs Legitimized Extremism
"These anti-choice fanatics will stop at nothing. They don't think their work is finished even after such a horrible and wide-ranging decision as Dobbs," warned the Senate's top Democrat.
Jun 24, 2025
Reproductive freedom advocates on Tuesday marked the third anniversary of the U.S. Supreme Court reversing Roe v. Wade by calling out Republican decision-makers—including President Donald Trump—for the harmful impacts of the Dobbs v. Jackson Women's Health Organization decision.
"Three years after the Supreme Court's devastating Dobbs decision stripped away constitutional protections for reproductive freedom, we face not only the predicted economic catastrophe but a terrifying escalation of political violence targeting women's rights advocates," said Equal Rights Advocates executive director Noreen Farrell, pointing to the recent assassination of former Minnesota House Speaker Melissa Hortman (DFL-61) and attempted murder of state Sen. John Hoffman (DFL-34).
"Equal Rights Advocates warned that Dobbs would unleash more than legal restrictions—it would legitimize extremism. Now we see the tragic fulfillment of that prediction," Farrell continued. "This administration's policies represent calculated economic warfare against women, particularly low-income women and women of color. The case of Adriana Smith last week illustrates the extreme consequences of the Dobbs decision—a pregnant Black woman denied medical care, becoming a brain-dead incubator for a fetus against her medical directive and her family's wishes."
"In the 21 states with abortion bans and extreme restrictions, women continue to die, and along with their providers, are being threatened, targeted, and criminalized."
The Georgia law doctors at Emory University Hospital cited to keep Smith on life support—allegedly without the input or consent of her family—until her fetus could be delivered is one of various anti-choice state laws that took effect after Dobbs.
"For the last three years, we have witnessed firsthand what happens when politicians try to control the rights of people to practice basic bodily autonomy—with dire results," said Dr. Jamila Perritt, an OB-GYN and abortion provider who serves as president and CEO of Physicians for Reproductive Health, in a Tuesday statement.
"We have seen countless people forced to leave their communities to get basic healthcare, forced to remain pregnant when they wouldn't have otherwise, criminalized for experiencing pregnancy loss, and ultimately, we have seen people dying after being turned away when seeking emergency abortion care," Perritt detailed.
The Guttmacher Institute on Tuesday released new data about the 155,000 abortion patients who traveled out of state to obtain care last year. The group said that "similar to 2023, Illinois remained a critical access point in 2024, with 35,470 patients traveling from across the South and Midwest to obtain abortion care in the state."
Guttmacher Institute data scientist and study lead Isaac Maddow-Zimet noted that "while these findings show us where and how far patients are traveling, they are not able to capture the numerous financial, logistical, social, and emotional obstacles people face. In addition to the travel costs, driving or flying across state lines often requires taking time off work, navigating complex logistics and arranging childcare, not to mention paying for the abortion itself."
As states continue to pass restrictions post-Dobbs, patients' options are dwindling. For example, Guttmacher director of state policy Candace Gibson explained that "Florida had been an important access point for abortion in the Southeast, so when the state's six-week ban went into effect in May 2024, it was not just Floridians who were impacted, but also the thousands of out-of-state patients who would have traveled there for care."
While running to retake the White House last year, Republican President Donald Trump—who appointed three of the Supreme Court's six right-wing justices during his first term—came out against a Florida ballot measure that would end his state's strict abortion ban and bragged about his role in reversing Roe but also tried to downplay the importance of reproductive rights to voters.
"It's been three years since people in the United States have lost their federal constitutional right to abortion; three years since President Trump's handpicked Supreme Court justices stripped Americans of this fundamental right to freedom," Alexis McGill Johnson, president and CEO of Planned Parenthood Action Fund, said in a Tuesday statement. "The consequences have been devastating, even lethal."
"We can't know all the names of the women who have died because of abortion bans, but we will never forget that people have endured injury, pain, and suffering because of the Dobbs decision," she declared. "We continue to fight President Trump and his backers' attacks on reproductive rights, including their effort to 'defund' Planned Parenthood in Congress and end abortion access for everyone, everywhere. Planned Parenthood Action Fund will never stop advocating for a country where all people have the power to control their own bodies, lives, and futures."
Reproductive Freedom for All president and CEO Mini Timmaraju was similarly determined on Tuesday, launching a campaign to mobilize against Trump and the GOP.
"In the 21 states with abortion bans and extreme restrictions, women continue to die, and along with their providers, are being threatened, targeted, and criminalized," Timmaraju said. "And while the Trump administration continues to gut our fundamental freedoms, we continue to fight against the GOP's attacks on Planned Parenthood, Medicaid, and essential reproductive care."
Congressional Democrats—who have minorities in both chambers—joined advocacy group leaders in using the Dobbs anniversary to direct anger at the president and Republican policymakers working to strip away reproductive freedom from people nationwide.
During a Tuesday press conference, Senate Minority Leader Chuck Schumer (D-N.Y.) said the high court's June 2022 ruling "will go down in history as one of the worst, most harmful, most regressive decisions in modern history" and stressed that "people are dying as a result of the Dobbs decision."
Noting that many patients have had to travel or wait for care, Schumer said that "this is abominable. We know that this is what Republicans want, a total ban on abortion. These anti-choice fanatics will stop at nothing. They don't think their work is finished even after such a horrible and wide-ranging decision as Dobbs. Reproductive freedom is under attack on all sides. Extremists are banning and restricting abortion, criminalizing providers, defunding care, and interfering with lifesaving medicines."
"These attacks are also devastating our economy. With fewer reproductive healthcare protections, fewer women are participating in the workforce. State-level restrictions on abortion access combined with the lack of federal protection cost the economy more than $133 billion nationally," he continued. "The 16 states with the most restrictive abortion policies were responsible for $64 billion in economic loss."
The Senate's top Democrat also called out his GOP colleagues for what he called "a Republican backdoor abortion ban done in the reconciliation bill," taking aim at "two nasty provisions to defund Planned Parenthood and eliminate coverage for comprehensive reproductive care" from the Affordable Care Act marketplace.
"I'm here to say that Democrats are going to fight like hell to strip these cruel provisions from the Republican bill, including in the Byrd bath, which will be occurring today or tomorrow," he pledged, referring to the Senate parliamentarian's review of the GOP megabill. "Just as we fought back against attacks on abortion before, we will fight these nasty provisions with every fiber in our being."
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