Unsafe abortions across the world are in decline as pills become more readily available
, its convoluted ruling in 1973 that made abortion legal in all states. Pro-choice campaigners fret that, one day, they will succeed. Presidential elections hinge, in part, on the kind of judges each candidate vows to appoint. And test cases crop up regularly. This week the Supreme Court heard arguments for a law making it harder to run abortion clinics in Louisiana, which could lead to the closure of two of the three in that state.
Misoprostol, the drug in question, is a stomach-ulcer drug which can also be used to cause abortions. It is tightly regulated in America. In Mexico, where abortion is mostly illegal, pharmacies stock it next to cough drops and painkillers. The generic version costs 990 pesos . Some 15 miles away in McAllen in Texas, a state that is dogged in its efforts to stop women getting abortions, the region’s sole surviving abortion clinic charges $700 for treatment that includes the same drug.
Better access to contraception, by contrast, does make abortions rarer. Every year nearly half of pregnancies worldwide are unintended. That share has been falling for years, mostly thanks to the increased availability of effective contraceptives. In 1969 only 4% of women in the least-developed countries who wanted modern contraception got it; by 2019 that figure was 59%. In much of the rich world it is nearly 90%. Abortion was a prime form of birth control in the Soviet Union.
Since then the shift from surgical abortions to medical ones has been dramatic; in the Nordic countries over 90% of abortions are now drug-induced, in India 80% and in America a third. When taken with mifepristone, misoprostol ends 97% of pregnancies in the first ten weeks without complications. More women are seeking abortions earlier in their pregnancies.
Other websites provide women with information on how to get the medication to induce abortions and how to take it safely. One such site, Plan, regularly tests pills ordered from online pharmacies and rates providers on the quality of the tablets, price, shipping time and advice. It also answers questions about how to avoid getting in trouble with the law.
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