It triggered a wave of change. Abortion bans were brought in, court cases mounted, clinics closed. Here is what has happened in the seven months since US abortion rights were overturned.
First off, what is Roe v Wade?
Roe v Wade refers to the 1973 Supreme Court case that said the government could not prohibit abortions because the constitutional right to liberty includes the right to decide whether to continue a pregnancy.
Roe refers to Texan woman Norma McCorvey – known by the pseudonym Jane Roe – who challenged the state’s abortion laws after she couldn’t get a termination in 1969 because her life was not in danger. Wade is district attorney Henry Wade, who defended the anti-abortion laws.
The court decision meant every woman in the US had the right to an abortion in the first 12 weeks of pregnancy. Another ruling – Planned Parenthood v Casey in 1982 – built on that by saying states could not have laws that create a “substantial obstacle” to a woman seeking an abortion up to 24 weeks.
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States ban abortion
In 12 states, there are now near-total bans on abortion. In five of these states, the ban is being challenged in court but remains in effect.
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The 12 states are: Alabama, Arkansas, Idaho, Kentucky, Louisiana, Mississippi, Missouri, Oklahoma, South Dakota, Tennessee, Texas and West Virginia.
Two further states – North Dakota and Wisconsin – do not have bans in place but abortions are unavailable because clinics have closed.
Georgia has banned abortions past six weeks of pregnancy, severely limiting access to terminations because so many women do not find out they are pregnant – and have time to organise the procedure – before the six-week mark.
According to the Guttmacher Institute, which specialises in reproductive health, these 15 states are home to almost 22 million women aged 15 to 49. That means almost a third of America’s women of reproductive age are living in states where abortion is either unavailable or severely restricted.
More states could follow
A further nine states have introduced restrictions to abortion that would have been unconstitutional under Roe v Wade, have bans currently blocked by the court or are likely to introduce bans in the near future.
Arizona and Florida do not allow abortions past 15 weeks, while Utah has an 18-week ban.
In three states – Indiana, Wyoming and Ohio – near-total or early-gestation bans have been blocked by state courts for now, but lawmakers have indicated they intend to fight them.
In Iowa, Montana and Nebraska, anti-abortion policymakers have indicated that they want to ban abortion soon, but abortion care remains available for now.
What’s happened to abortion clinics?
At least 66 abortion clinics have stopped offering abortion care in the 15 states where abortion is banned or severely restricted.
The loss of these clinics is felt nationwide, according to the Guttmacher Institute, as clinics in states where abortion remains legal are inundated with people travelling interstate.
As the institute explains: “These dramatic increases in caseloads mean clinic capacity and staff are stretched to their limits, resulting in longer wait times for appointments even for residents of states where abortion remains legal.”
Astudyfrom the Society of Family Planning estimated legal abortions nationwide fell by more than 10,000 in the two months following the overturning of Roe v Wade, although some women may have sought abortion pills privately.
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Abortion revolution in the US
Exacerbating inequality
Many of the states that have banned or restricted abortion have high proportions of black, Latina and indigenous women.
Research by the Kaiser Family Foundation revealed how overturning Roe v Wade disproportionately impacts women of colour, as they are more likely to get abortions, have more limited access to health care, and face barriers to travelling out of state for an abortion.
The Guttmacher Institute notes in addition that “people living with low incomes… transmen and nonbinary people, immigrants, adolescents and people living with disabilities are all particularly likely to encounter compounding obstacles to abortion care and be harmed as a result”.
Some states have introduced protections
While the US has seen significant rolling back of abortion rights, there are pockets of good news for pro-choice activists.
Voters in Kansas protected abortion rights in the state’s constitution by rejecting an amendment that would have allowed lawmakers to restrict access to abortions.
New York will provide free abortion pills at four public clinics, making its health department the first in the nation to offer free medication abortion.
In the midterms, voters in five states chose to protect reproductive rights. Vermont, Michigan and California added protections to their state constitutions while voters in Kentucky rejected an amendment that would have removed any protection for abortion rights from the constitution.
In Montana, a bill that could have criminalised doctors for providing abortions was defeated.
Image: Voters in Kansas react with joy after abortion rights vote
Medical abortions
Medical abortions account for the majority of abortions in the US – in 2020, the most recent year for which data is available, abortion pills were used in 53% of cases.
Early evidence suggests they have become even more popular since Roe v Wade was overturned – one studysuggested the number of people seeking medical abortions has increased threefold.
At the beginning of January, the Food and Drug Administration changed its rules to allow retail pharmacies in the US to dispense abortion pills for the first time.
However, abortion pills are now seen as the next frontier in the fight by anti-abortion activists and they are pushing hard to curtail access.
Donald Trump has announced that most goods imported from Mexico and some from Canada are to be exempt from his trade tariff regime for at least four weeks, just days after the charges were imposed.
“We are working hard, together, on the border, both in terms of stopping illegal aliens from entering the United States and, likewise, stopping fentanyl,” the president posted on his Truth Social platform after first relaxing his sanctions against Mexico.
He often gives both issues as reasons for the tariffs.
The latest climbdown came after he surprised financial markets 24 hours earlier by waiving tariffs against carmakers following pleas from motor industry bosses.
The White House said that 62% of Canadian imports would still be subject to 25% tariffs because they were not compliant with a trade deal – USMCA (US Mexico and Canada) – struck in 2020.
News that Canadian goods which met the USMCA criteria were being spared tariffs until 2 April followed hours after the same concession was agreed between Mr Trump and his Mexican counterpart.
A tariff of 10% was to remain on potash – a fertiliser used by farmers – and Mr Trump added that the auto tariffs would definitely return next month.
The White House revealed some details. Parts due to flow into the US from Mexico and Canada as part of the manufacturing supply chain would not qualify for tariffs so long as they complied with the USMCA deal.
‘Rules of origin’ guidelines under the agreement allow goods to move between the three countries tariff-free if they qualify with a designation that they were made in North America.
US commerce secretary Howard Lutnick told Sky’s US partner network CNBC that, taken together, more than half of usual cross border trade volumes would be exempt under the expanded concessions.
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Why are tariffs such a big deal?
He too signalled there were signs of progress in the dispute with America’s closest trading partners, saying each had worked hard to make progress in tackling imports of Fentanyl – blamed for high crime and deaths in US communities.
But Mr Lutnick explained that, as things stand, the reprieve would only last until 2 April when the Trump administration plans to impose reciprocal tariffs – on top of the 25% charges that came into force on Tuesday.
At the same time, Mr Trump is under intense pressure to relax his tariff regime permanently amid a backlash from US firms and financial market investors who fear it is self defeating.
A closely-watched forecast has even suggested that the threats of a trade war were enough to push the US economy into recession before Mr Trump took office.
The dollar has sunk in value and US government borrowing costs have risen on the back of the turmoil.
US stock markets were also feeling the pressure again with the tech-heavy Nasdaq on course to fall by more than 3% on the day.
It is widely expected that the European Union will be next to face tariffs – possibly from 2 April – after Mr Trump threatened action “very soon” just last week.
Commenting on the threat to the eurozone from such a move, the president of the European Central Bank Christine Lagarde said on Thursday: “Just the threat of those tariff increases and potential retaliations are putting a brake on – on investment, on consumption decisions, on employment, hiring, all the rest of it.”
While Mr Trump has not issued a specific threat against the UK, her counterpart at the Bank of England Andrew Bailey told a committee of MPs on Wednesday that the US should work “multi-laterally” rather than bilaterally to resolve its disputes.
The United States is “finally destroying” the international rules-based order by trying to meet Russia “halfway”, Ukraine’s ambassador to the UK has warned.
Valerii Zaluzhnyi said Washington’s recent actions in relation to Moscow could lead to the collapse of NATO– with Europe becoming Russian President Vladimir Putin‘s next target.
“The failure to qualify actions of Russiaas an aggression is a huge challenge for the entire world and Europe, in particular,” he told a conference at the Chatham House think tank.
“We see that it is not just the axis of evil and Russia trying to revise the world order, but the US is finally destroying this order.”
Image: Valerii Zaluzhnyi. Pic: Reuters
Mr Zaluzhnyi, who took over as Kyiv’s ambassador to London in 2024 following three years as commander-in-chief of the Ukrainian armed forces, also warned that the White House had “questioned the unity of the whole Western world” – suggesting NATO could cease to exist as a result.
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But on the same day, the US president ordered a sudden freeze on shipments of US military aid to Ukraine,and Washington has since paused intelligence sharing with Kyiv and halted cyber operations against Russia.
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Mr Zaluzhnyi said the pause in cyber operations and an earlier decision by the US to oppose a UN resolution condemning Russian aggression in Ukraine were “a huge challenge for the entire world”.
He added that talks between the US and Russia – “headed by a war criminal” – showed the White House “makes steps towards the Kremlin, trying to meet them halfway”, warning Moscow’s next target “could be Europe”.
Lesotho’s foreign minister has said it is “insulting” for Donald Trump to say nobody has heard of the country.
In his address to the US Congress on Tuesday, the US president mentioned Lesotho while listing some of the foreign spending he had cut as “appalling waste”.
“Eight million dollars to promote LGBTQI+ in the African nation of Lesotho, which nobody has ever heard of,” Mr Trump said, drawing laughs in the Congress.
The president also appeared to struggle to pronounce the country’s name.
Lesotho’s foreign minister, Lejone Mpotjoane, said: “I’m really shocked that my country can be referred to like that by the head of state.
“Lesotho is such a significant and unique country in the whole world. I would be happy to invite the president, as well as the rest of the world, to come to Lesotho,” Mr Mpotjoane told the Reuters news agency.
He later told The Associated Press: “It is surprising and disappointing that he claimed no one knows Lesotho, especially given that the US has an embassy here.
“He should speak for himself and not generalise.”
The Trump administration has cut billions of dollars in foreign aid worldwide as part of the president’s America First policy.
Lesotho, which has a population of around 2.3 million people, has received American assistance for nearly 20 years through USAID, which gave it more than $44m (£34.1m) last year.
Image: The Maluti Mountains in Butha Buthe, Lesotho. File pic: Reuters/Sumaya Hisham
Image: The Katse dam in Lesotho. File pic: ReutersVictor Antonie
Mr Mpotjoane said while civil society organisations funded by the US embassy in Lesotho did work to support the LGBT+ community, the US also provided important funding to the country’s health and agriculture sectors.
The cuts have forced Lesotho’s HIV programme to lay off at least 1,500 health workers – about 7% of the country’s health staff – in what the government has described as a severe blow.
US aid has been credited with helping Lesotho provide life-saving treatment to more than 200,000 people living with HIV.
Mr Mpotjoane said the government was looking at how to become more self-sufficient.
“The decision by the president to cut the aid… it is [his] prerogative to do that. We have to accept that. But to refer to my country like that, it is quite unfortunate.”
This wasn’t the first time Mr Trump has reportedly been disparaging about Africa. During his first term, it was reported that he referred to African nations, as well as Haiti and El Salvador, as “shithole countries” – though Mr Trump denied this.
Elon Musk, a key adviser to Mr Trump and proponent of the foreign aid cuts in his role as head of the new department of government efficiency, has been trying to do business in Lesotho in recent months.
Mr Musk’s Starlink internet satellite service, a subsidiary of SpaceX, has applied for a license to operate in Lesotho. It is one of several African countries where the company is bidding to win contracts.
The Lesotho Communications Authority said last month it recently received Starlink’s bid for a 10-year license.
Prince Harry also co-founded the charity Sentebale to support children who live in extreme poverty or suffer from HIV/AIDS in Lesotho.