Irma, the receptionist at Acacia Women’s Center in Phoenix, Arizona, is repeating a spiel she gives dozens of times a week to different women before their appointments.
“We are going to do the procedure so you need to prepare,” she says, “arrive early, wear little to no make-up so that we can check the colour in your face.”
“There are protesters here, but mainly on a Saturday,” she tells the women.
Abortion is no longer simply a personal medical matter. Across this country, reproductive rights is a burning election issue.
Especially in the battleground state of Arizona, where abortion is literally on the ballot.
Signs inside and outside the clinic urge people to “vote yes to prop 139”. It’s a special measure which, if passed, would enshrine abortion rights in the state constitution.
The down-ballot measure was added at the demand of Arizona voters after two years of reproductive rights hanging in the balance.
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The overturning of Roe v Wade, which gave women the constitutional right to choose, awoke a dormant law in Arizona from 1864.
The civil war era ruling banned all abortions even in the case of rape or incest. It has since been repealed but the fear over the rowing back of women’s rights remains.
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Image: Irma welcomes people to the Acacia Women’s Center in Arizona
“It’s horrific and women are losing their lives because of these bans,” said Kristin Gambardella, “we need to fight for them.”
Last year, at 17 weeks pregnant, Ms Gambardella, who is from Tucson, Arizona, was told by a doctor her unborn child had foetal abnormalities.
“Our baby, it was guaranteed she would live a short life and it would be full of pain and surgeries,” she said.
Already a mother to a son, born in 2021, this had been a desperately wanted pregnancy, but Ms Gambardella and her husband, Dave, made the heartbreaking decision to get an abortion.
Image: Kristin Gambardella and her husband Dave
However, the law in Arizona now bans abortion after 15 weeks, even in cases of foetal abnormalities.
The couple drove seven hours across state lines to New Mexico to have the procedure.
“On the last night of my pregnancy, I fell asleep in a strange short-term rental in New Mexico, trying to cherish my last moments with my baby,” she said,
“I should have been with my family, giving our baby girl love and mourning our loss. I was angry with my state but that anger has turned into action.”
Ms Gambardella is determined to tell her story in the hope that people in Arizona will be moved to support abortion access.
She worries that, if elected, Donald Trump would pursue a national abortion ban, although he has insisted that isn’t part of his platform.
“I’m in disbelief that it’s 2024 and this is at stake,” Ms Gambardella said.
“I didn’t have the opportunity to take my own health care in my own state. The idea of being pregnant under a Donald Trump presidency, which is what it would be for me at this stage, is terrifying.”
Donald Trump has claimed Russia is “making concessions” in talks to end the Ukraine war – and that Kyiv is “happy” with how talks are progressing.
Speaking to reporters on Air Force One as he flew out to his Florida estate for Thanksgiving, Mr Trump said “we’re making progress” on a deal and said he would be willing to meet with both Vladimir Putin and Volodymyr Zelenskyy once they are close to an agreement.
He also said his previously announced deadline of Thursday, which is Thanksgiving, was no longer in place – and that the White House’s initial 28-point peace plan, which sparked such concern in Kyiv, “was just a map”.
Asked if Ukraine had been asked to hand over too much territory, Mr Trump suggested that “over the next couple of months [that] might be gotten by Russia anyway”.
Moscow’s concessions are a promise to stop fighting, “and they don’t take any more land”, he said.
“The deadline for me is when it’s over,” he added. “And I think everybody’s tired of fighting at this moment.”
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3:29
‘Ukraine still needs defence support,’ says Zelenskyy
Before boarding the plane, Mr Trump had claimed only a few “points of disagreement” remain between the two sides.
Mr Trump’s negotiator Steve Witkoff will be meeting with Mr Putin in Moscow next week, the president said, while American army secretary Daniel Driscoll is due to travel to Kyiv for talks this week.
The chief of Ukraine’s presidential staff, Andriy Yermak, wrote: “Ukraine has never been and will never be an obstacle to peace. We are grateful to the US for all its support.
“The meeting between the presidents will be thoroughly and promptly prepared on our part.”
Zelenskyy warns against ‘behind our back’ deal
Yesterday, a virtual “coalition of the willing” meeting that featured Ukraine’s allies took place, which was attended by US secretary of state Marco Rubio.
In a speech, Mr Zelenskyy told attendees: “We firmly believe security decisions about Ukraine must include Ukraine, security decisions about Europe must include Europe.
“Because when something is decided behind the back of a country or its people, there is always a high risk it simply won’t work.”
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2:36
What is Russia saying about the latest peace talks?
A joint statement from coalition leaders Sir Keir Starmer, Emmanuel Macron, and Friedrich Merz said they had agreed with Mr Rubio “to accelerate joint work” with the US on the planning of security guarantees for Ukraine.
But a Ukrainian diplomat has warned major sticking points remain in the peace deal being thrashed out – primarily the prospect of territorial concessions.
A warning from the Kremlin
Meanwhile, Moscow has stressed that it will not allow any agreement to stray too far from its own objectives.
Russia’s foreign minister Sergei Lavrov warned any amended peace plan must reflect the understanding reached between Mr Trump and Mr Putin over the summer.
“If the spirit and letter of Anchorage is erased in terms of the key understandings we have established then, of course, it will be a fundamentally different situation,” he said, referring to the two leaders’ meeting in Alaska.
Seven people were killed with power and heating systems disrupted, as residents sheltered underground.
Meanwhile, three people died and homes were damaged after Ukraine launched an attack on southern Russia.
‘A critical juncture’
French President Emmanuel Macron has said peace efforts are gathering momentum, but “are clearly at a critical juncture”.
And during the annual White House turkey pardon ahead of Thanksgiving, Mr Trump told reporters: “I think we’re getting close to a deal. We’ll find out.
“I thought that would have been an easier one, but I think we’re making progress.”
Washington woke up this morning to a flurry of developments on Ukraine.
It was the middle of the night in DC when a tweet dropped from Ukraine’s national security advisor, Rustem Umerov.
He said that the US and Ukraine had reached a “common understanding on the core terms of the agreement discussed in Geneva.”
He added that Volodymyr Zelenskyy would travel to America “at the earliest suitable date in November to complete final steps and make a deal with President Trump”.
By sunrise in Washington, a US official was using similar but not identical language to frame progress.
The official, speaking anonymously to US media, said that Ukraine had “agreed” to Trump’s peace proposal “with some minor details to be worked out”.
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In parallel, it’s emerged that talks have been taking place in Abu Dhabi. The Americans claim to have met both Russian and Ukrainian officials there, though the Russians have not confirmed attendance.
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8:13
Peace deal ‘agreement’: What we know
“I have nothing to say. We are following the media reports,” Dmitry Peskov, Vladimir Putin’s spokesperson, told Russian state media.
Trump is due to travel to his Florida resort Mar-a-Lago tonight, where he will remain until Sunday.
We know the plan has been changed from its original form, but it’s clear that Zelenskyy wants to be seen to agree to something quickly – that would go down well with President Trump.
“Drill, baby, drill” was Donald Trump’s campaign pledge – and he’s following through with a proposal to expand fossil fuel production, which environmentalists say would have devastating consequences.
The Trump administration has tabled a plan to open federal waters off the coasts of California, Florida, and Alaska to oil and gas drilling for the first time in decades – including areas that have never been touched.
A total of one billion acres of water would be offered for lease under the proposal. That’s equivalent to more than half the total land mass of the US.
While the rest of the Western world is striving to move away from fossil fuels, the US appears to be gravitating back towards them, with the administration describing climate change as a “hoax,” “a scam,” and a “con job”.
In Huntington Beach – a coastal community in California that calls itself “Surf City USA” – a huge oil spill in 2021 shut down a miles-long stretch of the coastline, killing wildlife and soiling the sand.
From the beach, where surfers lay out alongside tourists and dog walkers, you can see Platform Esther, a hulking oil rig built in 1965 that ceased production in August this year. Sea lions hug the metal pillars on the rig and dozens of birds perch on the platform.
‘What we have here is irreplaceable’
Pete Stauffer, ocean protection manager at the Surfrider Foundation, said: “Here in California, we depend on a clean and healthy coastal environment – whether it’s coastal tourism, whether it’s fisheries, or local businesses and jobs.
“All these things are tied to what we have here, which is really an outstanding marine ecosystem.
“No disrespect to Mickey Mouse, but you can build another theme park. What we have here is irreplaceable. Why would you put that at risk?”
As a state, California views itself as a leader on climate action. A massive spill off the coast of Santa Barbara sparked the modern environmental movement.
‘We need as much oil as possible’
But the Trump administration says more oil drilling will help make the country energy independent, bringing new jobs and reducing petrol prices. That messaging has resonated with some here.
Johnny Long is a surfer who lives in Huntington Beach. “Drill, baby, drill,” he says, when I ask about Trump’s plans for more offshore drilling. “We need as much oil as possible. It’s right below us. We need to take it and extract it and bring the gas prices down, it’s absolutely fantastic.”
I ask about concerns that it will be detrimental to the local environment and beyond.
“I’d say phoeey on that,” Johnny responds. “It’s ridiculous. Climate change is a hoax.”
But others vehemently disagree – including Linda from nearby Seal Beach: “It’s so bad for the environment. It’s already bad enough, you know, and they’re gonna drill, and what happens when they drill? They always have accidents because people are human and accidents happen.
“Trump and his goonies don’t care about the environment, all they care about is money.”