Next battle over access to abortion will focus on pills

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Next battle over access to abortion will focus on pills
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More than half of abortions in America are now done with pills, rather than surgery

Boxes of the drug mifepristone line a shelf at the West Alabama Women's Center in Tuscaloosa, Ala., on Wednesday, March 16, 2022. The drug is one of two used together in"medication abortions." According to Planned Parenthood, mifepristone blocks progesterone, stopping a pregnancy from progressing. SIOUX FALLS, S.D. — — It took two trips over state lines, navigating icy roads and a patchwork of state laws, for a 32-year-old South Dakota woman to get abortion pills last year.

Use of abortion pills has been rising in the U.S. since 2000 when the Food and Drug Administration approved mifepristone — the main drug used in medication abortions.are now done with pills, rather than surgery, according to the Guttmacher Institute, a research group that supports abortion rights. Those moves have spurred online services that offer information on getting abortion pills and consultations to get a prescription. After the woman in South Dakota found that the state's only abortion clinic could not schedule her in time for a medication abortion, she found an online service, called Just The Pill, that advised her to drive across to Minnesota for a phone consultation with a doctor. A week later, she came back to Minnesota for the pills.

Abortion law experts say it’s an unsettled question whether states can restrict access to abortion pills in the wake of the FDA’s decision. The Planned Parenthood regional organization that includes South Dakota doesn’t believe it can legally mail abortion pills to patients there. “This is a new frontier and states are grappling with enforcement mechanisms,” she said, adding, “The advice that I always give — if you shut the front door, the pills are going to come in the back door.”

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