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The Abortion Underground

The Atlantic – A covert network of activists is preparing for a post-Roe future. “…For many Americans, Roe already feels meaningless. Nearly 90 percent of U.S. counties lack a clinic that offers abortions. States have passed more than 1,300 restrictions on abortion since it was made a constitutional right; for people struggling to get by, those restrictions can be insurmountable. Obtaining an abortion often means traveling long distances, which also means finding money for transportation, lodging, and child care, not to mention taking time off from work. In some states, people may reach a clinic only to learn that they are legally required to make two visits—one for counseling, the second for the abortion—with a mandatory waiting period of up to three days in between. The cost of an in-clinic abortion ranges from about $500 in the first trimester to more than $1,000 if the pregnancy is further along; that expense is ineligible for federal funding under a long-standing restriction called the Hyde Amendment, which makes abortions inaccessible for many low-income people. A sprawling grassroots infrastructure has already grown in the cracks created by such challenges, even with Roe still the law of the land. More than 90 local organizations known as abortion funds raise money to pay for procedures and related expenses. Practical-support groups offer rides to medical facilities, along with housing, child care, and translation services. Clinic escorts guide patients past throngs of angry protesters. Doctors and other abortion providers travel hundreds of miles to work in underserved areas that are openly hostile to abortion. This improvised safety net doesn’t catch everyone, though. Below the grass roots is the underground: a small network of community providers who connect with abortion seekers by word of mouth. This network, too, is growing. Its ranks include midwives, herbalists, doulas, and educators. When necessary, they are often willing to work around the law…”

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