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.
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.
“We sat in the yard from 8am to 5pm under the sun with no water or food.”
Sixteen-year-old Mohammed* was separated from his mother by Israeli forces as his family tried to flee northern Gaza.
Mohammed’s mother was taken to a “sandy pit” with other women and children and sat in the heat for hours before the group were released and told to move south. She took this video as she waited.
Mohammed and his mother are among tens of thousands of Palestinians who have been forced to flee northern Gaza in the past few weeks, as Israel’s military assault against Hamas has intensified.
Using geolocated videos, an interview with a teenage boy held in a school by Israeli forces and evacuation orders issued by the military, Sky News has investigated the conditions that some civilians have faced while leaving.
Our analysis of the evacuation orders reveals that over the course of five days in mid-October, the Israeli military ordered the evacuation of 90% of the North Gaza governorate – an area half the size of Manchester. The UN says within two weeks in October alone, 60,000 people were displaced from North Gaza.
It comes as experts told Sky News Israel has a responsibility as the occupying power to look after civilians, “especially those civilians it may move for military reasons”.
In response to our report, the IDF said it makes “every effort to prevent harm to uninvolved civilians” and takes “additional measures” alongside evacuation maps to move civilians to safer areas.
It said: “Extensive efforts are being made to identify each individual examined and to detain only those who are terror operatives or suspected of being involved in terrorist activities”. It added that those who are not involved are released “as soon as possible” and IDF protocols are to “treat detainees with dignity”.
Videos show mass evacuations
Northern Gaza has become the focus of Israel’s military efforts in the strip. It says it aims to destroy Hamas who they say are regrouping in the north.
Sky News geolocated 17 videos and images taken by civilians, soldiers and shared by the IDF showing mass evacuations and detentions in northern Gaza posted online in the past three weeks.
The footage below shows hundreds of civilians fleeing on foot. Taken from an Israeli armoured vehicle, women and children are seeing carrying their belongings. It offers a glimpse into the scale of the evacuations taking place in the north.
We mapped the locations of these videos to an area just north of the Indonesian Hospital. The IDF has also published multiple videos online in the past two weeks showing its efforts to help civilians leave.
But other footage, geolocated to a similar area, captures a different part of the IDFs operation.
One video, posted online on 23 October, shows at least 23 Palestinian men barefoot, blindfolded, dressed in white suits and led away by Israeli soldiers.
The IDF had said in the days previously, that its forces had been operating against “terrorists” in the area. But the exact circumstances of this video are unclear.
Defence and security analyst Professor Michael Clarke says that while it’s not “unreasonable” to separate people for interrogation in a counter-terrorist operation, there are conditions.
He said: “They have to be interrogated properly. They can’t be held indefinitely. They have to have some form of representation and evidence has to be produced. Simply taking all the men away and locking them up is strictly against the laws of war and the Geneva Convention.”
In response, the IDF said recently its forces have been operating in Jabalia in northern Gaza against “terrorist infrastructure” and Hamas militants and has detained and questioned “individuals suspected of involvement in terrorist activities”.
It added that “relevant suspects are transferred for continued detention and investigation in Israel” and those who are not involved are released, adding that individuals detained are treated “in accordance with international law”.
Teenager separated from family
Mohammed is among Palestinians who have been separated from their family during evacuation. With his parents, the family started their journey out of northern Gaza on 22 October after an Israeli evacuation order for Beit Lahia was issued that morning.
Mohammed said they walked from a house they were staying at near the Kamal Adwan Hospital and headed towards the Indonesian Hospital. His mother said casualties were “flooding” in and out of the hospital and described it as “the most terrifying scene ever”.
Mohammed said: “The soldiers were laughing at us and hurling insults as we walked among them… When we arrived at the Indonesian hospital, the solders separated the men from the women and put them in a school and made the women continue walking along Salah al Din Road.
“I’m 16 years old, I’m still young. I continued walking with my mother, but the soldier ordered me in Arabic to go to the school.
“My mother told me, ‘don’t answer him and keep walking with me. I can’t leave you alone’. My father went, but I was still walking with my mother. But then the soldier raised his weapon at me and said to me, ‘I told you to go the school’.”
Mohammed and his father were taken to the al Kuwait School next to the hospital where they were ordered to sit outside for nine hours. His mother, separated from her son, was told to continue walking towards the Salah al Din Road.
He said: “The army was summoning 10 people then 10 more for examination for security… they put them in white uniforms blindfolded and walked barefoot the soldiers beat them if they fell.”
With a group of women and children, Mohammed’s mother was taken to a sandy area just off the Salah al Din Road where they sat in the sun for hours before eventually being released and walking to Gaza City. Three of the videos we geolocated were taken by Mohammed’s mother, 800m south of the Indonesian Hospital.
She told Sky News: “I filmed everything. I don’t know why I did it, I just wanted to show my son and husband what we were experiencing when I was reunited with them.”
Mohammed and his father were released separately that evening. He says he walked for five hours with no clothes to get to Gaza City, where he found his parents. They are unsure when or if they will be able to return safely to the north.
In response, the IDF said it addresses and examines events that deviated from IDF values through “command and disciplinary measures”. It said requested details necessary to examine the claim “were not provided” and therefore are unable to further review them.
Journey to Mawasi over 16km
The Israeli military has urged civilians to go to al Mawasi – a strip of land on the coast in southern Gaza which it deems a “humanitarian zone”. The United Nations humanitarian agency has said Gaza’s population of 2.3 million is increasingly concentrated in al Mawasi.
The military has frequently posted evacuation maps online – telling civilians which zones to leave and where they should go.
These maps are not the only form of evacuation notices issued by the IDF, who also use other methods like leaflets. But the Israeli military says they are created to minimise civilian casualties and Gazans are often told to refer to them.
Since the start of October, our analysis found the IDF’s Arabic spokesperson has posted three evacuation maps for northern Gaza – on 7, 8 and 12 October.
Two of the maps, posted on 7 and 8 October, show the same area, covering the majority of North Gaza governorate. The third map, posted on 12 October, covers the neighbourhood of Jabalia. Sky News compared these maps with UN maps of Gaza’s official administrative boundaries.
It is possible that the IDF has issued more evacuation orders in the period we analysed using maps and other methods which were not posted online. Our analysis is based on the information they have posted on their social media accounts.
Our analysis found that the areas evacuated between 7 and 12 October encompass 90% of the North Gaza governorate. The UN told Sky News that an estimated 90,000 people remain in the region.
Of the three maps we found, only one of them details the time period in which civilians were safe to travel on the given route. The other two do not provide a length of the evacuation order or an expiry date.
In response, the IDF said since the start of the war over two million evacuation notifications have been distributed, more than 12 million flyers have been dropped, over 100,000 phone calls made and over 800,000 voice messages sent for evacuations.
Measuring the distance between our geolocated videos of the evacuations and the Mawasi zone, we found civilians would have to walk at least 16km to get there.
We also found that the three hospitals that have recently been operational in northern Gaza – Kamal Adwan Hospital, Indonesian Hospital and al Awda Hospital, were included on two of the three evacuation maps we found.
The IDF expanded the area of the al Mawasi zone in October but has been criticised for its lack of support for civilians who have moved there.
Professor Clarke said: “If the Israelis are moving these people out, that can be permissible if they can provide evidence that they are providing for these people at the other end of their journey.
“Now, so far in the evacuations that we’ve seen in the last 12 months in Gaza, that has not been the case. The best the Israelis have managed is to allow the UN and relief organisations to do something. But the fact is it’s their responsibility, not the UN responsibility. It’s their responsibility as the occupying power to look after civilians, particularly civilians it may move for military reasons.”
The IDF said as part of its efforts in the humanitarian zone of al Mawasi, “proactive calls” were made for civilians to evacuate “to an area into which humanitarian aid was transported, including food, water, medical supplies, and shelter equipment, which included the provision of 40,000 tents purchased by the State of Israel”.
It added that due to recent operations in the Jabalia area, “prior notifications indicated the need for evacuation… which also includes several hospitals”. It said officials from the Palestinian healthcare system and international community requested IDF assistance in safely evacuating the hospitals in the area.
The military said “no specific time frame was set for the evacuation of the hospitals, and evacuations have been ongoing”.
There have also been significant changes to infrastructure in northern Gaza. Satellite imagery taken 10 days apart shows the disappearance of two large displacement camps and tents set up in schools.
Over 50 tents in a civilian displacement camp less than 500m north of the Indonesian Hospital is visible in imagery taken on 14 October but is not visible in an image taken on 24 October.
Another camp with over 100 tents less than 2km south is also not visible in the latest imagery of the area.
It’s unclear whether the camp was cleared by the military or civilians. The IDF facilitated evacuations in the area near the Indonesian Hospital within the 10-day period when the images were taken.
It’s not yet clear how long the Israeli offensive in the north will continue for. Aid organisations and members of the international community like the UN Palestinian refugee agency (UNRWA), have raised concerns about the humanitarian situation in northern Gaza, citing limited humanitarian aid getting through.
*Mohammed’s name has been changed to protect his identity.
Additional reporting by Celine Alkhaldi, Middle East producer, Michelle Inez Simon, visual investigations producer, Sam Doak, OSINT producer and Adam Parker, OSINT editor.
The Data and Forensics team is a multi-skilled unit dedicated to providing transparent journalism from Sky News. We gather, analyse and visualise data to tell data-driven stories. We combine traditional reporting skills with advanced analysis of satellite images, social media and other open-source information. Through multimedia storytelling, we aim to better explain the world while also showing how our journalism is done.
Donald Trump says he would end Russia’s war in Ukraine should he return to the White House – but any rushed deal will likely leave Kyiv much weaker and European security in even greater peril.
Another major flashpoint a Trump presidency would immediately seek to influence is the escalating conflict between Iran and Israel.
Mr Trump came close to direct war with Tehran during his first term in office and prior restraint could well give way to direct confrontation this time around.
Then there is the overwhelming longer-term challenge posed by China, with North Korea another growing headache especially after Mr Trump tried but failed to woo the leader of the hermit state during his first stint as commander-in-chief.
With the US election on a knife edge, hostile and friendly capitals around the world have been gaming what a second Trump White House might mean for their respective national interests and for the most pressing global security threats.
Mr Trump’s track record of unpredictability is a challenge for traditional foes – but also for Washington’s closest allies, in particular fellow members of the NATO alliance.
The Republican nominee has made no secret of his frustration at how the US has for decades bankrolled the security blanket that protects Europe.
During his first term as president, Mr Trump threatened to withdraw the US from the alliance – a move that would almost certainly sound its death knell. His rhetoric did help to spur allies to dig deeper into their pockets and spend more on their militaries, though.
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But the damage of years of underinvestment is deep and the pace of recovery is too slow for European NATO allies and Canada to credibly stand on their own as a potent military force any time soon.
In terms of immediacy when it comes to global crises, the impact of a Trump victory on 5 November would be felt most acutely by Ukraine and also by Iran.
The presidential candidate has repeatedly claimed that he would quickly end the Ukraine war, though without explaining how or what peace would look like.
In an indication of where his priorities lie, however, he has accused Ukrainian President Volodymyr Zelenskyy of being the “greatest salesman on earth” for securing tens of billions of dollars in weapons and other assistance that Washington has given to Kyiv.
Yet – coupled with Ukraine’s willingness to fight – that military aid is the biggest reason why Ukraine has managed to withstand almost 1,000 days of Vladimir Putin’swar.
Stop the flow of American weapons, and Ukrainian troops – despite their own ingenuity and the support of other allies – will simply lack the firepower to keep resisting the onslaught.
By contrast, US vice president Kamala Harris, who is vying for the top job, has made clear that she views continued support to Ukraine as being as vital to US and Western interests as it is to Kyiv’s – a far more familiar stance that echoes the view of her NATO partners.
While US support for Ukraine would undoubtedly change under a Trump administration, that is not the same as facilitating a complete surrender.
The former president – who portrays himself as the ultimate dealmaker and has adopted a new election slogan – “Trump will fix it” – will not want to be held responsible for the total absorption of Ukraine into Mr Putin’s orbit.
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How does the US election work?
Putin and Iran
His relationship with the Russian president is a particularly interesting dynamic.
But with the right advice, might a future President Trump be able to use his connection with Mr Putin to the West’s advantage?
At the very least, it adds a new level of unpredictability – which is perhaps the most important element when it comes to assessing the potential impact on the world of a second Trump term.
On Iran, in stark contrast to his approach to Russia’s war in Ukraine, a future President Trump may well back much greater US military support for Israel’s conflict against Tehran and its proxies – perhaps even direct involvement by US forces in strikes on Iran.
Mr Trump has an even tougher stance towards Tehran and its nuclear ambitions than Joe Biden’s administration.
His decision to rip up a major nuclear deal with Iran was one of his most significant foreign policy acts during his four years as president.
It is also personal, with Iran accused of hacking the Trump campaign in recent months – an attack that would surely only heighten tensions with Iran during any second Trump term.
On election night, Sky News will have access to the most comprehensive exit poll and vote-counting results from every state, county and demographic across America through its US-partner network NBC.
You can find out more about Sky News’ coverage here.
A red alert warning of “extreme danger” because of torrential rain has been issued for Barcelona, as elsewhere in Spain search teams continue to scour flooded areas for bodies.
At least 217 people have died after heavy rain in eastern Spain caused flash floods that swept away almost everything in their path.
People were trapped in cars, homes and businesses as the waters surged through the disaster zone last week.
Six days later, the search and rescue operation continues for the unknown number of missing people, with thousands of soldiers brought in to help.
And as communities continue to reel from the catastrophic floods – and mourn their losses – more rain is forecast for parts of the country.
Today, the local government in Catalonia has warned of “continuous and torrential” rain in two regions, saying people should avoid travel and stay away from streams and ravines.
A red alert “extreme danger” warning has been issued for Barcelona.
“Do not travel unless strictly necessary,” the alert told people nearby.
Footage on social media shows heavy rainfall overwhelming stairwells and leaving streets strewn with water.
Dozens of flights have been cancelled at El Prat airport after the terminal building was flooded.
Elsewhere in eastern Spain, much attention has been paid to an underground car park in Aldaia, where emergency services have been trying to drain the floodwater to gain access.
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Search for bodies in flooded car park
There has been anger at the response from authorities and a group of survivors hurled mud and insults at Spain’s King Felipe when the monarch visited one of the worst-affected towns.
By the time authorities sent alerts to mobile phones warning of the seriousness of the flooding and asking people to stay at home, many were already on the road or in places like underground garages that became death traps.
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Protesters throw mud at King of Spain
Valencia’s MotoGP race, which had been scheduled for later this month, has been cancelled after floods wrought destruction on the track.
Thousands of volunteers have been helping to clear away thick layers of mud from streets and homes.