Abortion in the United States

Evangelical Christians were initially generally either supportive or indifferent to Roe — citing what they saw as a lack of biblical condemnation on the matter, its perceived affirmation of religious liberty, and furthering of non-intrusive government — but by the 1980s began to join anti-abortion Catholics to overturn the decision.

[50] Founding Father and Second President of the United States John Adams praised the Spartan lawgiver Lycurgus for refusing his sister-in-law from having an abortion even though it prevented him from assuming power.

[42][66][67] In The Revolution, a newspaper operated by Elizabeth Cady Stanton and Susan B. Anthony, an 1869 opinion piece was published arguing that instead of merely attempting to pass a law against abortion, the root cause must also be addressed.

[70] The free love wing of the feminist movement refused to advocate for abortion and treated the practice as an example of the hideous extremes to which modern marriage was driving women.

Some states included provisions allowing for abortion in limited circumstances, generally to protect the woman's health or to terminate pregnancies arising from rape or incest.

In 1966, the National Conference of Catholic Bishops assigned Monsignor James T. McHugh to document efforts to reform abortion laws, and anti-abortion groups began forming in various states in 1967.

When those trained in the respective disciplines of medicine, philosophy, and theology are unable to arrive at any consensus, the judiciary, at this point in the development of man's knowledge, is not in a position to speculate as to the answer."

Instead, it chose to point out that historically, under English and American common law and statutes, "the unborn have never been recognized ... as persons in the whole sense", and thus the fetuses are not legally entitled to the protection afforded by the right to life specifically enumerated in the Fourteenth Amendment.

[111] Under Roe v. Wade, state governments may not prohibit late terminations of pregnancy when "necessary to preserve the life or health of the mother", even if it would cause the demise of a viable fetus.

[112] This rule was clarified by the 1973 judicial decision Doe v. Bolton, which specifies "that the medical judgment may be exercised in the light of all factors—physical, emotional, psychological, familial, and the woman's age—relevant to the well-being of the patient".

[113][114][115] It is by this provision for the mother's mental health that women in the U.S. legally choose abortion after viability when screenings reveal abnormalities that do not cause a baby to die shortly after birth.

[116][117][118][119] In the 1992 case of Planned Parenthood v. Casey, the Court abandoned Roe's strict trimester framework but maintained its central holding that women have a right to choose to have an abortion before viability.

[123] The Supreme Court granted certiorari to Dobbs v. Jackson Women's Health Organization in May 2021, a case that challenges the impact of Roe v. Wade in blocking enforcement of a 2018 Mississippi law (the Gestational Age Act) that had banned any abortions after the first 15 weeks.

John Roberts, the Chief Justice of the United States, concurred in the decision to uphold the law at question as constitutional, by a 6–3 vote, and did not support overruling both Roe and Casey.

[161] In light of the Dobbs decision, the Alliance Defending Freedom launched a lawsuit in November 2022 in the Northern District of Texas under Judge Matthew J. Kacsmaryk to seek to overturn the FDA's original approval of mifepristone.

[163] Kacsmaryk's ruling was partially reversed by a panel on the Fifth Circuit Court of Appeals, leaving mifepristone on the market but reverting efforts made by the FDA to liberalize its use over seven years.

[171] As of 2006[update], the youngest child to survive a premature birth in the United States was a girl born at Kapiolani Medical Center in Honolulu, Hawaii, at 21 weeks and 3 days gestation.

[178] Legal experts cited as a potentially persuasive precedent the 2014 district decision in Zogenix v. Patrick, in which the court ruled that under the doctrine of federal preemption, Massachusetts could not ban the opioid Zohydro because it had been approved by the FDA.

In 2019, New York passed the Reproductive Health Act (RHA), which repealed a pre-Roe provision that banned third-trimester abortions except in cases where the continuation of the pregnancy endangered a pregnant woman's life.

[238] The next day, Alabama governor Kay Ivey signed the bill into law, primarily as a symbolic gesture in hopes of challenging Roe v. Wade in the Supreme Court.

[239][240] Since Alabama introduced the first modern anti-abortion legislation in April 2019, five other states have also adopted abortion laws including Mississippi, Kentucky, Ohio, Georgia and most recently Louisiana on May 30, 2019.

[269] Legal challenges on behalf of abortion providers, many of which were represented by the American Civil Liberties Union and Planned Parenthood, successfully stopped most of the orders on a temporary basis.

[336] A January 2003 CBS News/The New York Times poll examined whether Americans thought abortion should be legal or not, and found variations in opinion which depended upon party affiliation and the region of the country.

A Rasmussen Reports poll four days after the Supreme Court's opinion in Gonzales v. Carhart found that 40% of respondents "knew the ruling allowed states to place some restrictions on specific abortion procedures."

The abortion-rights movement in the United States initially emphasized the national policy benefits of abortion, such as smaller welfare expenses, slower population growth, and fewer illegitimate births.

[365] On January 28, 2021, President Joe Biden signed a Presidential Memorandum that repealed the restoration of Mexico City policy and also called for the United States Department of Health and Human Services to "suspend, rescind or revoke" restrictions made to Title X.

The order was to stay in place until U.S. District Judge Daniel Porter Jordan III could review newly drafted rules on how the Mississippi Department of Health would administer a new abortion law.

"[385] For the Dobbs v. Jackson Women's Health Organization case,[386] which confirmed the May 2022 leaks obtained by Politico and overruled Roe and Planned Parenthood v. Casey in June 2022,[387][388][389] among the over 130 amici curiae briefs, hundreds of scientists provided evidence, data, and studies, in particular the Turnaway Study, in favor of abortion rights and to rebuke arguments made to the Court that abortion "has no beneficial effect on women's lives and careers—and might even cause them harm".

[80] AHA and OAH jointly issued a statement against the Supreme Court's decision, which was reported by Anchorage Daily News,[395] Inside Higher Ed,[396] Insight Into Diversity,[397] and the Strict Scrutiny podcast from Crooked Media,[398] saying they have "declined to take seriously the historical claims of our [amicus curiae] brief".

Joined by at least 30 other academic and scholarly institutions, they condemned "the court's misinterpretation about the history of legalized abortion" and said it has "the potential to exacerbate historic injustices and deepen inequalities in our country".

A state map of the United States color-coded for abortion access. A number of U.S. states in the center and especially south of the country have banned abortion apart from certain medical exceptions. In contrast, abortion is available on demand without a mandated time limit in Alaska, Colorado, Minnesota, New Jersey, New Mexico, Oregon, Vermont, and Washington, D. C. Because the situation is changing rapidly, please see the article text for details.
Status of elective abortion in the United States
Illegal, limited exceptions [ a ]
Legal, but no providers
Legal through 12th week LMP*
Legal through 18th week LMP*
Legal through 22nd week LMP* (5 months)
Legal through 24th week LMP* (5½ months)
Legal through second trimester [ d ]
Legal at any stage
*LMP is the time since the last menstrual period began.
This color-coded map illustrates the current legal status of elective-specific abortion procedures in each of the individual states, U.S. territories, and federal district. [ a ] A colored border indicates a more stringent restriction or ban that is blocked by legal injunction.
Abortion legal on request: AK, HI, NY, WA; allowed for danger to woman's health, rape or incest, or likely damaged fetus: AR, CA, CO, DE, FL, GA, KS, MD, NC, NM, OR, SC, VA; allowed for danger to woman's health: AL, MA; allowed for rape but not life: MS; allowed for danger to the woman's life: AZ, CT, IA, ID, IL, IN, KY, LA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NV, OH, OK, RI, SD, TN, TX, UT, VT, WI, WV, WY; complete ban: PA.
Abortion laws in the U.S. before Roe : [ 110 ]
Fully illegal (1 state).
Legal in cases of risk to woman's life (29 states).
Legal in cases of rape (1 state).
Legal in cases of risk to woman's health (2 states).
Legal in cases of risk to woman's health, rape or incest, or likely damaged fetus (12 states).
Legal on request (5 states).
States in which the right to an abortion is protected, either through state law, a state supreme court ruling, or both. [ 223 ] [ 35 ]
Abortion access protected by state law
Abortion access protected by state Constitution
Abortion access protected via both state law and state Constitution
No state level protections
Abortion access restricted by state Constitution
Mandatory waiting period laws in the US
No mandatory waiting period.
Waiting period law currently enjoined.
Waiting period of 18 hours.
Waiting period of 24 hours.
Waiting period of 48 hours.
Waiting period of 72 hours.
No elective abortion.
See link in caption for a text equivalent
State Medicaid coverage of medically necessary abortion services ( text-based list ):
Medicaid covers medically necessary abortion for low-income women through legislation.
Medicaid covers medically necessary abortions for low-income women under court order.
Medicaid denies abortion coverage for low-income women except for cases of rape, incest, life or health endangerment, or severe fetal abnormality.
Medicaid denies abortion coverage for low-income women except for cases of rape, incest, life endangerment, or severe fetal abnormality.
Medicaid denies abortion coverage for low-income women except for cases of rape, incest, or life or health endangerment.
Medicaid denies abortion coverage for low-income women except for cases of rape, incest, or life endangerment.
Medicaid denies abortion coverage for low-income women except for cases of life endangerment.
caption=Chart source: CDC, 2005.[300]
caption= Chart source : CDC, 2005. [ 300 ]
caption=Graph of U.S. abortion rates, 1973–2017, showing data collected by the Guttmacher Institute.[298][299]
caption=Graph of U.S. abortion rates, 1973–2017, showing data collected by the Guttmacher Institute. [ 298 ] [ 299 ]
A histogram showing fraction of US abortions at various times in 2016: 25,000 in the first 6 weeks, peaking at 76,000 in the 7th week, then steadily declining to 1,500 in the 18th through 20th weeks, and the quantity after 20 weeks invisible at this scale.
Abortion in the U.S. by gestational age, 2016 [ 324 ]
A graph of the poll results from 1995 to 2019, starting at 56% "pro-choice" and 33% "pro-life" and ending at 49% "pro-life" and 46% "pro-choice".
Trend percent of Americans self-identifying as either "pro-life" or "pro-choice"
A graph showing poll results from 1975 to 2008. The results are "legal only under certain circumstances" (varying between 50% and 60%), "legal under any circumstances" (varying between 20% and 30%), "illegal in all circumstances" (varying between 10% and 20%), and "no opinion" (under 5%).
Results of Gallup opinion poll in the U.S. since 1975, legal restriction of abortion [ 348 ]
Cover of the 2013 winter issue of Ms. Magazine. On a pink background is the black silhouette of a coat-hanger with the title, "without access, there is no choice."
The 2013 winter issue of Ms. was about abortion rights.
State map of Mexico. Most states are grey: technically illegal but effectively legal, as the state law is not prosecuted. As of 2022, 9 states have legalized abortion; this includes Coahuila, which borders Texas.
Availability of abortion in Mexican states.
Illegal but providers are not prosecuted
Legal during first 15 weeks LMP (first 12 weeks of pregnancy)