Inside the Fight to Make Abortions-by-Mail Possible -- No Matter Which State You Live In

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Inside the Fight to Make Abortions-by-Mail Possible -- No Matter Which State You Live In
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For nearly a decade, advocates have been working on a way to get abortion pills to pregnant people in need. That work is more in-demand than ever

that has shown that telehealth medication abortions have been overwhelmingly safe and effective — she has found that most clinicians are still reluctant to provide abortion care remotely. “The medical community is usually the last to change on things like this,” she says. But “we got good at figuring out who the forward-looking providers were. Now there’s a group of about nine or 10 of them that are licensed in 20 different states.

This week, in the wake of the leaked SCOTUS decision, Wells is testing for kinks in the process with her bottle of beans: are there unexpected costs that could create a financial barrier? Do certain carriers ask questions that an abortion seeker might not be able to answer honestly? Or notice the rattling beans and stop the mail forwarding because they think it’s a prescription? “We do all that testing so we can report to people, ‘Here’s what we did, here’s what you need to know about,’ so that...

The trick for plan Plan C is to keep these workarounds just within the bounds of legality, but the borders are almost always murky, and the legal landscape is bound to become less predictable ifis overturned this summer. “We’re in uncharted territory,” says Farah Diaz-Tello, senior counsel for the reproductive justice group If/When/How.

Instead, Diaz-Tello says, in many states, the consequences of self-administering an abortion is up to “the prosecutorial imagination.

But a decade of groundwork by abortion access advocates has established a support network, both for those navigating abortion restrictions now, and those who will in a post-America. “Even people who are self-managing are not alone, and they can be surrounded by systems of care and support,” says Diaz-Tello. And as restrictions expand, the tools to get around them will keep evolving. “We like a creative challenge,” says Wells.

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