AUSTIN, Texas -- New Mexico and Colorado are likely to become major destinations for Texas women seeking an abortion if the conservative majority on the U.S. Supreme Court overturns the 1973 Roe versus Wade decision.

Aimee Arrambide, executive director for NARAL Pro-Choice Texas said women there already had a preview of what future abortion access could look like when the governor and attorney general used COVID-19 quarantine measures to block access to abortion care under the guise of public health.

"So for about a month, abortion was completely inaccessible in Texas," Arrambide explained. "And what we saw is an increase in Texans traveling to states where it was more accessible, like New Mexico or Colorado."

Ten states, including Texas, currently have abortion "trigger laws," meaning abortion bans or restrictions that are unenforceable now but designed to go into effect if constitutional precedent changes.

Brandi Collins-Calhoun, senior movement engagement associate for the National Committee for Responsive Philanthropy, noted abortion rights activists across the nation projected a post-Roe world since the appointment of anti-abortion justice Amy Coney Barrett to the U.S. Supreme Court.

"We've been using language around when Roe gets overturned because it's something that has always seemed inevitable to us," Collins-Calhoun remarked. "But now it's certain that it's going to happen."

Arrambide contended the Texas Legislature is controlled by anti-abortion legislators who don't acknowledge what severe restrictions will mean for women's access to health care.

"One in four people will have an abortion in our lifetime, but because of the stigma surrounding abortion, that's not really front and center," Arrambide asserted. "The anti-abortion people use the word abortion four-to-one times more than our side does, and I think that helps contribute to the stigma."

The Texas Legislature is set to convene mid-January, and a Senate committee previewed bills this week it plans to introduce including a "heartbeat bill" to ban abortions once a fetal heartbeat can be detected.

Texas is home to one in 10 Americans of reproductive age, and mandated births due to the state's abortion ban will increase the number of maternal deaths, according to new research from the University of Colorado.

Currently, 26 Republican-led states plan to outlaw abortion, and there is a growing movement by conservatives to make it illegal nationwide.

Amanda Stevenson, assistant professor of sociology at the University of Colorado-Boulder and the study's lead author, said should it happen, maternal deaths would jump 13% in the first year, and increase to 24% in subsequent years.

"In the United States, the rate of maternal deaths in 2020 was 23 deaths per 100,000 births," Stevenson pointed out. "In rich countries that have good access to health care, the rate of maternal deaths is well below 10."

Texas has the eighth-highest maternal mortality rate in the nation, with just over 34 deaths due to complications of pregnancy or childbirth for every 100,000 births.

Stevenson noted just how society will facilitate access to abortion for those living in states where it is illegal, or how criminalizing it will impact health care, were not factored in.

Overall, the United States has the highest maternal death rate of any developed country, which Stevenson said climbs still higher for rural residents, and even higher for Black Americans.

"Staying pregnant is more deadly than having an abortion," Stevenson explained. "Abortion is very safe, staying pregnant is relatively deadly in the United States, and so, more people will die."

Stevenson recommended investments in maternal health care in states where abortion is illegal, especially to address racial inequalities. Neighboring New Mexico, where abortion remains legal, is now a destination state for many Texans seeking the procedure.

By Liz Carey for The Daily Yonder.
Broadcast version by Mike Moen for Prairie News Service for the Public News Service/Daily Yonder Collaboration

Already strained rural obstetrics units could find themselves dealing with even more maternity cases if the U.S. Supreme Court overturns Roe v. Wade

The court is expected to make a decision on a challenge to Roe v. Wade at the end of June, or the beginning of July. In May, a leaked draft opinion suggested that the Court is poised to overturn the 1973 Roe v. Wade case that established abortion rights protections nationwide. If the case is overruled, it could lead to abortion bans in nearly half of the country's states.

The resulting pregnancies, experts said, could add to the problems rural communities are experiencing when it comes to quality maternity care in their areas.

"We are already under-staffed and under-resourced for deliveries in rural areas," said Brock Slabach, COO of the National Rural Health Association. "We have maternity deserts in rural areas all over the country. If, as expected, Roe is overturned, we could have real capacity issues with many more live births."

In Michigan, he said, officials anticipate between 8,000 and 20,000 additional live births per year.

"That could overwhelm a lot of hospitals," he said. "Let me be clear - the maternity care crisis is already here. I don't want to say that it's going to get bad. It's already bad, but we are going to have to do a lot to... beef up our resources to be able to accommodate the volume of people that are going to be delivering if Roe is overturned."

According to the Commonwealth Fund, rural hospitals are closing their obstetric (OB) units, leaving fewer than half of the country's rural counties with those services. With fewer OB units, rural women are facing longer travel times to get to a hospital that can deliver their babies. The OB unit closures also mean increases in births outside hospitals, births in hospitals without obstetrics care, and preterm births - all of which put both mother and child at risk.

Katy Backes Kozhimannil, professor at the University of Minnesota School of Public Health and director of the University of Minnesota Rural Health Research Center, said restricted access to abortion services would affect miscarriages and reproductive health as well.

"These services will be needed by rural residents, increasingly, at a time when rural hospitals are closing obstetric units, and rural emergency departments are ill-equipped to support emergency births and other obstetric care emergencies," she said.

"Beyond the walls of the clinic or hospital, further restrictions on reproductive health care in rural communities carry important risks for pregnant people and families, who bear the burden of suffering when needed health care is not available."

Already maternal sickness and mortality is higher for rural residents, she said. Those rates would likely increase if access to abortions is restricted. The impact would most be felt by marginalized communities within rural areas, she said.

According to the U.S. Government Accountability Office (GAO), the more rural an area is, the higher the rate of deaths among pregnant women. The GAO found that rural areas with small urban clusters saw 19.8 maternal deaths per every 100,000 live births, where rural areas with no urban clusters saw 23.8 deaths. In comparison, large metropolitan areas with over 1 million residents saw 14.6 deaths per every 100,000 live births, while small and mid-sized metropolitan areas saw 16.2 deaths.

Greater disparities exist by race and ethnicity, the Centers for Disease Control and Prevention (CDC) found. Black women in rural counties had 59.3 deaths per 100,000 live births, compared to 19.7 for white women in those same counties.

"Rural communities where a majority of people are Black or Indigenous already suffer higher rates of premature death, and these are the same communities where access to rural maternity care is declining most rapidly," Kozhimannil said. "Lack of access to abortion care and other reproductive health care services is likely to amplify risk of severe maternal morbidity and mortality among those who are already at greatest risk: rural residents who are Black or Indigenous."

The impact would also be felt in emergency departments, she said, that would likely see increases in births, miscarriages, and the complications that could result from illegal abortions.

Liz Carey wrote this article for The Daily Yonder.


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A Florida judge plans to put a hold on the state's new, 15-week abortion ban, set to take effect today. He said it is unconstitutional and will issue a temporary injunction.

Groups including Planned Parenthood of America, the Center for Reproductive Rights and the American Civil Liberties Union sued the state over the law passed by Republican lawmakers, claiming it violates the right to privacy in the state constitution.

Circuit Judge John Cooper agreed, just days after the U.S. Supreme Court overturned federal protections for abortions.

Rep. Yvonne Hinson, D-Gainesville, predicted despite the new Florida ruling, Gov. Ron DeSantis will follow through on his promise to fight to keep the ban.

"He not only will appeal, but come back full force with the full weight of his office, to try and do a full ban," Hinson stressed. "We can expect that if we don't go to the polls with that understanding."

The Florida abortion ban includes no exceptions for cases of rape or incest. In response to the ruling, DeSantis said he expected it, and does not think the state constitution mandates things like, in the governor's words, "dismemberment abortions." Judge Cooper plans to issue the injunction Tuesday.

Hinson urged anyone concerned about a possible outright ban on abortions in Florida to make their voices heard at the polls, because in her view, DeSantis has been able to get what he wants, so far.

"I mean, he has followed through on everything that he has said," Hinson pointed out. "We have to believe him and, we need to vote like we believe him, because everything he does is intentional."

Judge Cooper cited Section 23 of the Florida Constitution, which states: "Every natural person has the right to be let alone and free from governmental intrusion into the person's private life except as otherwise provided herein." Republicans have long struggled to restrict abortions in the state because of the privacy clause.