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"We have been fighting to hold together an unsustainable infrastructure as the landscape shifts around us and an onslaught of attacks continues," said the head of Planned Parenthood North Central States.
On the heels of Planned Parenthood announcing clinic closures in the Midwest last month, The Guardian published a Monday analysis showing that the reproductive healthcare provider has closed or disclosed plans to shutter at least 20 locations across seven states since the beginning of the year "amid immense financial and political turbulence."
"The Planned Parenthood network, which operates nearly 600 clinics through a web of independent regional affiliates and is overseen by the Planned Parenthood Federation of America, is facing a number of threats from the Trump administration," the newspaper reported, detailing closures in Illinois, Iowa, Michigan, Minnesota, New York, Utah, and Vermont.
In a May statement, Planned Parenthood North Central States (PPNCS) detailed cost-saving closures, consolidation, and layoffs impacting eight health centers in Iowa and Minnesota, and stressed that "dangerous attacks on care continue."
"My heart hurts as we announce the closure of health centers and the departure of trusted and talented colleagues, but our patients come first—always," said Ruth Richardson, president and CEO of PPNCS. "We have been fighting to hold together an unsustainable infrastructure as the landscape shifts around us and an onslaught of attacks continues."
Since the U.S. Supreme Court empowered abortion opponents by reversing Roe v. Wade with the Dobbs v. Jackson Women's Health Organization decision in 2022, those attacks have included the freezing of Title X funds and Republicans in the U.S. House of Representatives voting last month to advance a reconciliation package that would defund Planned Parenthood.
In response to the House's May vote, Jessica Barquist, Kayla Montgomery, and Lisa Margulies, vice presidents of public affairs at Planned Parenthood of Northern New England (PPNNE), said, "To be clear, 'defunding' Planned Parenthood and taking away health insurance from millions will do nothing to lower healthcare costs, address challenges in our healthcare system, or save lives."
"Taking healthcare away from people struggling to deal with rising costs and preventing people from using their health insurance at their trusted provider is cruel," they continued. "We know what happens when people lose access to care: they skip cancer screenings, delay STI testing, miss birth control appointments. These delays lead to worsened health outcomes and more costly emergency care down the line."
In addition to warning of "catastrophic" consequences for patients, the trio highlighted that "analysis from the Congressional Budget Office finds 'defunding' Planned Parenthood would cost $300 million and is the only provision in the healthcare portion of the bill that would increase the deficit."
PPNNE in April announced the closure of a Vermont health center, citing "serious financial hardship." Nicole Clegg, president and CEO of the regional group, said at the time that the decision was "very difficult" and "PPNNE attempted many different investments and organizational changes to tackle the complexities of delivering care in St. Johnsbury, but the challenges persisted."
That same month, Planned Parenthood Association of Utah (PPAU) said that it had to restructure due to the Trump administration's attacks, "including the recent withholding of $2.8 million in Title X funding."
"The painful decisions to close Logan and St. George health centers, reduce PPAU's staff, and increase service fees are forced on us by the Trump administration," declared PPAU interim CEO Sarah Stoesz. "We believe that by consolidating our healthcare delivery and expanding telehealth, we will be in a better position to continue serving those who rely on us for healthcare."
Planned Parenthood of Michigan (PPMI) also revealed in April that it "is reducing its brick-and-mortar footprint and reorganizing operations statewide," which includes closing three health centers in Jackson, Petoskey, and Marquette; consolidating two clinics in Ann Arbor; and expanding its telehealth offerings.
PPMI president and CEO Paula Thornton Greear said at the time that "the Trump administration and its anti-abortion allies have made clear their intention to defund Planned Parenthood and attack access to sexual and reproductive healthcare nationwide," and "these necessary changes strengthen PPMI's ability to adapt quickly in a challenging political landscape."
The Guardian noted that PPMI "was not among the Planned Parenthood affiliates that saw their Title X funding frozen," and "did not immediately respond to a request for comment about the clinic closures and the role of Title X in those closures."
According to the newspaper:
Planned Parenthood’s financial woes have raised eyebrows for some advocates of abortion rights and reproductive health. The organization has weathered several crises, including allegations of mismanagement, in the years since Roe collapsed—but as the face of U.S. abortion access it continued to rake in donations. (Most abortions in the US are in fact performed by small "independent" clinics, which are grappling with their own financial turmoil.) As of June 2023, the Planned Parenthood network had about $3 billion in assets, according to its 2024 report.
In March, Planned Parenthood of Greater New York (PPGNY) announced it would put its property that houses the Manhattan Health Center up for sale as part of an "ongoing strategy to ensure future, long-term patient access for underserved communities throughout New York state."
Just two days after U.S. President Donald Trump returned to office in January—following a campaign in which the Republican tried to downplay how much voters care about reproductive rights while also bragging about his role in reversing Roe—Planned Parenthood of Illinois (PPIL) said it would close four health centers, downsize administrative staff, and boost telehealth.
Illinois, a blue state surrounded by red ones, saw an influx of "abortion refugees" post-Dobbs. PPIL interim president and CEO Tonya Tucker said in January that "we made plans for the patient surge, however, rising care costs and lower reimbursement rates from insurers is jeopardizing PPIL's sustainability."
"Unfortunately, this is the reality many other Planned Parenthood affiliates are facing in the rapidly evolving healthcare environment," Tucker added. "We are making the difficult decisions today so we can continue providing care tomorrow and well into the future."
Other recent reporting has also highlighted how reproductive healthcare providers, particularly those that offer abortion, are struggling to stay open, even in places where politicians haven't passed laws that make it harder to end pregnancies.
"At least 17 clinics closed last year in states where abortion remains legal," NPR reported last month, citing the Guttmacher Institute. "Experts say the closures indicate that financial and operational challenges, rather than future legal bans, may be the biggest threats to abortion access in states whose laws still protect it."
"The Trump administration will treat this decision as an invitation to ignore environmental concerns as it tries to promote fossil fuels, kill off renewable energy, and destroy sensible pollution regulations."
In a 8-0 ruling on Thursday, the U.S. Supreme Court not only reversed a block on a proposed oil train in Utah but also narrowed a landmark federal environmental law, sparking intense alarm about what the ruling will mean for communities and all living things across the country.
"Today's decision undermines decades of legal precedent that told federal agencies to look before they leap when approving projects that could harm communities and the environment," said Earthjustice senior vice president of program Sam Sankar in a statement. "The Trump administration will treat this decision as an invitation to ignore environmental concerns as it tries to promote fossil fuels, kill off renewable energy, and destroy sensible pollution regulations."
Since the National Environmental Policy Act (NEPA) was signed into law in 1970 by Republican then-President Richard Nixon, it has become a key target for GOP policymakers aligned with the planet-wrecking fossil fuel industry, including President Donald Trump, who swiftly took aim at the law after returning to office in January.
"We urgently need to strengthen laws like NEPA, not weaken or narrow them, so that we can prioritize the health of people over polluters and corporate greed."
NEPA requires federal agencies to prepare an environmental impact statement (EIS) for certain infrastructure projects. In 2023, the U.S. Court of Appeals for the District of Columbia Circuit tossed both an EIS for the proposed Uinta Basin Railway and the U. S. Surface Transportation Board's approval of the project, which would connect Utah's oil fields to the national rail network.
After hearing arguments for Seven County Infrastructure Coalition v. Eagle County in December, the nation's highest court reversed that decision on Thursday, continuing a trend of rulings slammed by environmentalists as gifts to corporate polluters.
Conservative Justice Neil Gorsuch recused himself without explanation. Politico noted that "it followed a public pressure campaign from environmental groups and Democrats who argued his close connections to the owner of oil and gas producer Anschutz—which filed a brief in the case saying NEPA's scope was critical to developing oil and gas reserves—disqualified him."
Justice Brett Kavanagh delivered the opinion, joined by the other right-wingers who participated in the case. Justice Sonia Sotomayor filed a concurring opinion, joined by the other two liberals.
Kavanaugh wrote for the majority that "the D. C. Circuit failed to afford the board the substantial judicial deference required in NEPA cases and incorrectly interpreted NEPA to require the board to consider the environmental effects of upstream and downstream projects that are separate in time or place from the Uinta Basin Railway."
Sotomayor, joined by Kagan and Jackson, refuses to join Kavanaugh's majority opinion, saying it "unnecessarily" grounds its analysis "largely in matters of policy." (It's clear that Kavanaugh wants to weaken NEPA's restrictions on energy permitting.) www.supremecourt.gov/opinions/24p...
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— Mark Joseph Stern (@mjsdc.bsky.social) May 29, 2025 at 10:09 AM
Environmental and public health advocates were quick to warn of the impacts of not only this 88-mile rail project, if completed, but also the decision more broadly.
"This decision is terrible news for the entire Colorado River Basin," said John Weisheit, conservation director at Living Rivers. "To avoid the pending collapse of the Colorado River, we have to immediately reduce water consumption by 25% and cut carbon emissions by 50% by the end of this decade. Our federal decision-makers must deny any project that counters these objectives. The Uinta Basin Railway unquestionably falls into that category and should never see the light of day."
Critics of the ruling are worried about increased oil extraction in Utah as well as additional refining in Gulf of Mexico communities.
"Regrettably, the Supreme Court has scored one for the oil companies who don't want you to look too closely at the harm their product will do to Black and Brown communities in Cancer Alley," said Sierra Club senior attorney Nathaniel Shoaff. "Our bedrock environmental laws, like NEPA, are meant to ensure people are protected from corporate polluters."
"Fossil fuel infrastructure projects do not exist in a vacuum and have far-reaching impacts on communities, especially those on the frontlines of climate change or those who face serious health harms from increased pollution," Shoaff stressed.
"The last thing we need is another climate bomb on wheels that the communities along its proposed route say they don't want."
Center for Biological Diversity senior attorney Wendy Park declared that "the last thing we need is another climate bomb on wheels that the communities along its proposed route say they don't want," and vowed to "keep fighting to make sure this railway is never built."
Park also looked beyond the train project, warning that "this disastrous decision to undermine our nation's bedrock environmental law means our air and water will be more polluted, the climate and extinction crises will intensify, and people will be less healthy."
WildEarth Guardians staff attorney Katherine Merlin similarly emphasized that "today's decision is a devastating loss for our wild places, our wild rivers, and for all of the human and nonhuman communities that depend on a clean environment and stable climate."
The ruling comes as the Trump administration and congressional Republicans are working to boost planet-heating fossil fuels, ignoring scientists' warnings about the worsening climate emergency.
"After the hottest year on record, when the U.S. should be improving environmental safeguards and empowering frontline communities, this decision is a giant step backwards," said Ashfaq Khalfan, Oxfam America's director of climate justice. "Everyone deserves to live and work in communities with clean air and safe drinking water. We urgently need to strengthen laws like NEPA, not weaken or narrow them, so that we can prioritize the health of people over polluters and corporate greed."
"We're here in so-called 'conservative' Utah, and tomorrow we're gonna be in Idaho," said Sen. Bernie Sanders. "Because we believe that in every state of this country, people are prepared to stand up and fight."
Sen. Bernie Sanders and Rep. Alexandria Ocasio-Cortez drew a crowd of more than 20,000 people in Salt Lake City, Utah on Sunday for the latest stop on the progressive duo's "Fight Oligarchy" tour, which has attracted energized audiences across the United States as public anger at the Trump administration mounts.
"We're here in so-called 'conservative' Utah, and tomorrow we're gonna be in Idaho. Because we believe that in every state of this country, people are prepared to stand up and fight," Sanders (I-Vt.) told the crowd gathered in Salt Lake City's Huntsman Center.
Roughly 4,000 people were in the overflow crowd outside the Huntsman Center, according to the Vermont senator's communications director. President Donald Trump won the state of Utah by more than 20 percentage points in the 2024 election.
"We are living in the most dangerous moments in the modern history of this country," Sanders told the Salt Lake City audience. "We are living in a moment where a handful of billionaires control our government... We do not want a government of the billionaire class, by the billionaire class, for the billionaire class—we want a government that represents all of us."
Sanders' remarks followed a fiery speech by Ocasio-Cortez (D-N.Y.), who has emerged as a leading voice against the Trump administration and outspoken critic of the Democratic leadership's capitulation in the face of what the progressive lawmakers characterized as a growing authoritarian threat.
"We are at a crossroads in America," said Ocasio-Cortez. "We can either have extreme and growing wealth inequality with the toxic division and corruption that it requires to survive, or we can have a fair economy for working people along with the democracy and freedoms that uphold it."
"Oligarchy or democracy," she added, "but we cannot have both."
Watch the rally in full:
The Salt Lake City event came after a week in which Trump continued to wreak global havoc with his billionaire-enriching tariff chaos and Republicans in Congress moved ahead with another round of tax breaks for the wealthy—giveaways they want to pay for, in part, with massive cuts to Medicaid and federal nutrition assistance.
"It does not surprise us that their first economic mission has been to target Medicaid, Medicare, Social Security, firing our federal workers, and cutting benefits from our veterans for hundreds of billions of dollars, so that they can hand that money off to the wealthiest," Ocasio-Cortez said Sunday.
The Utah event came days after Sanders and Ocasio-Cortez appeared before a crowd of 36,000 in Los Angeles, which the Vermont senator described as "our biggest rally ever."
"When Donald Trump looks out at this crowd—and they pay attention to this stuff, Elon Musk does—you are scaring the hell out of them," Sanders said at the Los Angeles rally. "Because they know what we know: They are the 1% and we are the 99%."