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Monday marks two years since five United States Supreme Court justices overturned Roe v. Wade<\/em> and ushered in an era of decimated access to abortion and reproductive health. Former president Donald Trump<\/strong>, who appointed three of the five justices who repealed the 1973 landmark case, is still bragging<\/a> about the ramifications of the Dobbs<\/em> decision.<\/p>\n Trump\u2019s own messaging on how he would continue his anti-abortion legacy in a second term has been inconsistent in his ever-evolving attempt to appeal to his evangelical base\u2014while keeping in mind the 63 percent of Americans who say abortion should be legal in all or most cases. (That group of people, as the 2022 midterms<\/a> and statewide ballot races<\/a> have shown, vote too).<\/p>\n \u201cWe have also achieved what the pro-life movement fought to get for 49 years, and we\u2019ve gotten abortion out of the federal government and back to the states,\u201d Trump told a crowd of evangelical voters at the Faith & Freedom Coalition in Washington, D.C. on Saturday. \u201cThe way everybody and all legal scholars always said it should be.\u201d<\/p>\n The last 24 months have culminated<\/a> in an America where almost half of states restrict abortion earlier in pregnancy than the standard set by Roe,<\/em> and 14 states ban abortions in practically all cases.<\/p>\n The ripple effects of the decision made by the nation\u2019s highest court led to 171,000 patients seeking abortion care out of state in 2023. Maternal health care deserts are increasing and worsening<\/a>. Women are asking<\/a> their state\u2019s supreme courts to have life-saving abortions. In states with abortion restrictions, more pregnant people are dying<\/a>. Each week<\/a> seems to bring new challenges to abortion access and new victories for the movement to maintain comprehensive reproductive health care.<\/p>\n With an election cycle in full swing and Dobbs<\/em>, in many ways, at the center of it, the future of abortion access is uncertain.<\/p>\n At this point in the race, Trump is running on leaving abortion access up to the states\u2014though he previously indicated<\/a> he would back a 15-week nationwide ban. While he hasn\u2019t followed this rhetoric while talking about Arizona<\/a>, Alabama<\/a>, and Florida<\/a>, the former president recently told House Republicans that they ought to be messaging abortion differently in a closed-door meeting. Trump wanted the house members to prop up the party\u2019s role in ending Roe<\/em> and speak of abortion as a states\u2019 rights issue, not a federal one.<\/p>\n In 2023, there were approximately 642,700 medication abortions in the US, about 63 percent of all abortions in the formal health care system, according to Guttmacher Institute. The number would likely be higher if the use of abortion pills outside of these channels was accounted for. This is a marked increase<\/a> from before Dobbs<\/em>, when medication abortions made up about 53% of all terminations in 2020.<\/p>\n Anti-abortion activists and politicians on the right are hoping to minimize access to abortion pills, which can be uniquely helpful<\/a> for those experiencing domestic violence.<\/p>\n To do this, conservatives are pushing to enforce<\/a> an 1873 anti-obscenity law called the Comstock Act. The act prohibits the mailing of \u201cEvery article or thing designed, adapted, or intended for producing abortion, or for any indecent or immoral use.\u201d This includes abortion pills, but it could also include the tools needed to perform both medical and procedural abortions. This strategy is outlined explicitly in Project 2025<\/a>\u2014a guidebook for how the next Republican presidential term should go that\u2019s stewarded by the Heritage Foundation.<\/p>\n \u201cThe Department of Justice in the next conservative Administration should therefore announce its intent to enforce federal law against providers and distributors of such pills,\u201d Project 2025\u2019s \u201cMandate for Leadership\u201d reads<\/a>.<\/p>\n On Thursday, congressional Democrats introduced new legislation to repeal the part of the law that could be used to prohibit the mailing of abortion related items. The bill, introduced by Senator Tina Smith<\/strong> and co-sponsored by more than a dozen other Senate Democrats, is named the \u201cStop Comstock Act.\u201d<\/p>\n<\/div>\n