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.
Authorities have identified the 16 people killed in a massive blast at a munitions factory in rural Tennessee.
They were killed in an explosion on Friday at an Accurate Energetic Systems facility around 60 miles southwest of Nashville. The company researches and supplies explosives for the military.
Investigators are still working to discover the cause of the explosion.
Image: A satellite image showing the plant before the explosion, in April 2021. Pic: Vantor/Reuters
Image: A satellite image showing the aftermath of the blast. Pic: Vantor/Reuters
Those killed were: Jason Adams, Erick Anderson, Billy Baker, Adam Boatman, Christopher Clark, Mindy Clifton, James Cook, Reyna Gillahan, LaTeisha Mays, Jeremy Moore, Melinda Rainey, Melissa Stanford, Trenton Stewart, Rachel Woodall, Steven Wright and Donald Yowell.
Image: Reyna Gillahan. Pic: Facebook
Image: Donald Yowell. Pic: Facebook
At a news conference, Humphreys County Sheriff Chris Davis said people in the community probably at least knew relatives of the victims killed in the explosion.
“It’s just small county, rural America, where everybody knows each other and everybody’s gonna take care of each other,” he said.
Image: A candlelit vigil was held to honour the victims. Pic: AP
Authorities said there were no survivors of the blast, which left twisted and burning metal in its wake.
They said they were working to clear the area of hazards, including explosives, and identify remains.
Once the area is clear they can begin investigating what caused the explosion, said Matthew Belew, acting special agent in charge of the Bureau of Alcohol, Tobacco, Firearms and Explosives.
He said some of the relevant evidence was spread out over miles.
“It’s almost like putting a puzzle back together,” he added.
“We have worked closely with AES to look at pictures, look at blueprints, any of the identifying things that were in the building. And then we slowly methodically start to put some of that stuff together.”
Sir Keir Starmer will join world leaders at a historic summit in Egypt today – to witness the signing of the Gaza peace plan to end two years of conflict, bloodshed and suffering that has cost tens of thousands of lives and turned Gaza into a wasteland.
Travelling over to Egypt, flanked by his national security adviser Jonathan Powell, the prime minister told me it was a “massive moment” and one that is genuinely historic.
In the flurry of the following 48 hours, Sir Keir and another 20 or so leaders were invited to Egypt to bear witness to the signing of this deal, with many of them deserving some credit for the effort they made to bring this deal around – not least the leaders of Qatar, Egypt and Turkey, who pressed Hamas to sign up to this deal.
Today, the remaining 20 living hostages are finally set to be released, along with the bodies of another 28 who were either killed or died in captivity, and aid is due to flow back into a starving Gaza.
Some 1,200 Israelis were killed on 7 October 2023, with another 250 taken hostage. In the subsequent war, most of Gaza’s two million population has been displaced. More than 67,000 Gazans have been killed, according to Palestinian health officials.
Then, the signing ceremony is due to take place this afternoon in Sharm el Sheikh. It will be a momentous moment after a long and bloody war.
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But it is only just the beginning of a long process to rebuild Gaza and try to secure a lasting peace in the region.
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Humanitarian aid rolls into Gaza
The immediate focus for the UK and other nations will be to get aid into Gaza, with the UK committing £20m for water, sanitation and hygiene services for Gazans.
But the focus for the UK and other European allies is what happens after the hostages are released and Israel withdraws its troops.
What happens next is a much bigger and more complicated task: rebuilding Gaza; turning it into a terrorist-free zone; governing Gaza – the current plan is for a temporary apolitical committee; creating an international stabilisation force and all the tensions that could bring about – which troops each side would allow in; a commitment for Israel not to occupy or annex Gaza, even as Netanyahu makes plain his opposition to that plan.
The scale of the challenge is matched by the scale of devastation caused by this brutal war.
The prime minister will set out his ambition for the UK to play a leading role in the next phase of the peace plan.
Image: Starmer arrives in Sharm el-Sheikh. Pic: PA
Back home, the UK is hosting a three-day conference on Gaza’s recovery and reconstruction.
Last week, France hosted European diplomats and key figures from Middle Eastern countries, Egypt, Jordan, Saudi Arabia and Qatar – and later this week, the German chancellor is hoping to organise a conference on the reconstruction of Gaza with the Egyptians.
But in reality, European leaders know the key to phase two remains the key to phase one, and that’s Donald Trump.
As one UK figure put it to me over the weekend: “There is lots of praise, rightly, for the US president, who got this over the line, but the big challenge for us post-war is implementing the plan. Clearly, Arab partners are concerned the US will lose focus.”
Image: Bridget Phillipson and Mike Huckabee. Pics: Sky/AP
The prime minister knows this and has made a point, at every point, to praise Mr Trump.
His cabinet minister Bridget Phillipson learned that diplomatic lesson the hard way yesterday when she was publicly lambasted by the US ambassador to Israel Mike Huckabee for suggesting to my colleague Trevor Phillips that the UK “had played a key role behind the scenes” and failed to mention Mr Trump by name.
“I assure you she is delusional,” tweeted Governor Huckabee. “She can thank @realDonaldTrump anytime just to set the record straight”.
Today, leaders will rightly be praising Mr Trump for securing the breakthrough to stop the fighting and get the remaining hostages home.
Image: People hug next in Hostages Square. Pic: Reuters
But this is only the beginning of a very long journey ahead to push through the rest of the 19-point plan and stop the region from falling back into conflict.
Britain has, I am told, been playing a role behind the scenes. The PM’s national security adviser Mr Powell was in Egypt last week and has been in daily touch with his US counterpart Steve Witkoff, according to government sources. Next week the King of Jordan will come to the UK.
Part of the UK’s task will be to get more involved, with the government and European partners keen to get further European representation on Trump’s temporary governance committee for Gaza, which Tony Blair (who was not recommended or endorsed by the UK) is on and Mr Trump will chair.
The committee will include other heads of states and members, including qualified Palestinians and international experts.
As for the former prime minister’s involvement, there hasn’t been an overt ringing endorsement from the UK government.
It’s helpful to have Mr Blair at the table because he can communicate back to the current government, but equally, as one diplomatic source put it to me: “While a lot of people in the Middle East acknowledge his experience, expertise and contact book, they don’t like him and we need – sooner rather than later – other names included that Gulf partners can get behind.”
Today it will be the US, Egypt, Qatar and Turkey that sign off on the peace plan they directly negotiated, as other Middle Eastern and European leaders, who have flown into Sharm el Sheikh to bear witness, look on.
But in the coming days and weeks, there will need to be a big international effort, led by Mr Trump, not just to secure the peace, but to keep it.
The world turns to the Middle East as hostages held by Hamas are returned to their families in Israel on Monday after over two years in captivity.
Thousands of Palestinian prisoners will also be released from Israeli prisons in exchange.
Mark Stone is in Sharm el Sheikh, Egypt, and Dominic Waghorn is in Jerusalem, Israel, as President Trump flies first to Israel to speak at the Israeli Parliament and celebrate the return of the hostages, before he flies to the Sinai Peninsula.
Dozens of world leaders will follow him to Sharm el Sheikh to witness a peace summit that many hope is the start of true peace in the Middle East.