How US abortion bans put women at risk: ‘My wife almost bled out in our toilet – it can’t be the same for my daughter’
Warning: This story contains details of a miscarriage which some people may find distressing.
“We broke Roe vs Wade,” president-elect Donald Trump said earlier this year, referring to the Supreme Court ruling in 2022 which stripped millions of American women of the legal right to abortion.
Some 36 days later, Ryan Hamilton, a radio host from Texas, found his wife passed out “in a huge pool of blood” on their toilet floor, their dead baby still inside her after she was denied abortion care.
“What I want is for people to understand that this is really happening and that abortion bans affect incomplete miscarriages, women like my wife,” Mr Hamilton told Sky News.
“Women have literally died and the thing I want the most is to make sure that my daughter’s future doesn’t include her bleeding out on a bathroom floor like her mum almost did.”
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Trump called out over ‘abortion lies’
‘She was tortured for four days by the state of Texas’
In 2021 Texas introduced stringent laws on abortion, banning it after five weeks of pregnancy.
But after Roe vs Wade was overturned the next year, it went a step further and banned abortion in any circumstance except to save a woman’s life or prevent “substantial impairment of a major bodily function”.
Although Texas allows this exception, doctors and women argued in court last year that the state’s law is so restrictive and vaguely worded that physicians are afraid of providing abortions for fear they could face potential criminal charges.
Mr Hamilton claims the law’s vagueness is what caused his wife to almost die from her miscarriage.
“There’s no clarification as to how close to dead a woman has to be for them to legally perform the abortion care that she needs,” he said.
With his first daughter, a one-year-old, cooing in the background, Mr Hamilton described how his wife, 37, was 13 weeks pregnant when she miscarried while carrying their second child.
When they first realised something was wrong, the couple went to a medical centre near their home in a rural area of Texas, where the baby was found to have no heartbeat.
Mr Hamilton’s wife, who has asked to remain anonymous, was prescribed the drug misoprostol, more commonly known as an abortion pill.
That was a Thursday, Mr Hamilton recalls, but as it was too late in the day to get hold of the pill, his wife had to spend a “torturous” night with their dead baby still in her womb.
When morning came, Mr Hamilton went to the pharmacy and got the pill. But after his wife took the first dose, the couple called the medical centre to report something was “really wrong” as she was bleeding a lot.
They asked for an alternative to the pill but the medic on the phone said they should try again with the second dose and monitor the colour of the blood.
Mr Hamilton said: “They asked me what colour the blood was, they said it needs to be brown blood… I said ‘it’s bright red’ and they said ‘that’s not right’.
“So in the middle of losing our baby… We are being instructed on focusing on the colour of the blood in the toilet.”
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Why could abortion pill be pulled in US?
After a night when Mr Hamilton’s wife experienced something akin to early labour, the situation hadn’t changed, so the couple went back to the centre in the hope of getting more support.
The doctor on shift, however, told them that “considering the current stance” he wouldn’t prescribe any more misoprostol – and also had no alternative to offer.
“We stood in the parking lot with our then nine-month-old daughter in the truck, trying to figure out what we were going to do because the risk of sepsis could have killed my wife… if we left our dead baby in there,” Mr Hamilton said.
They then decided to go to another hospital about an hour away. His wife was subjected to “more probing and prodding only to discover what we already knew, that our baby didn’t have a heartbeat”.
He said she was “bleeding profusely at this point… bleeding non-stop, bleeding through post-birth pads”.
Mr Hamilton said the doctors “disappeared for hours” only to come back and refuse to carry out dilation and curettage (D&C), a surgical procedure to remove the baby. The couple were sent home with a third dose of misoprostol instead.
Mr Hamilton said they were essentially saying “she’s not close enough to dead to perform this procedure as she has to reach the life of the mother exception under Texas law”.
“It’s nightmare stuff and my poor wife was tortured for four days by the state of Texas,” he said.
Sky News has approached Texas state authorities for comment.
According to online abortion service Women on Web, medical abortion is “effective and safe” up to 12 weeks of pregnancy. After that, the medicine will still be effective but the risk of complications increases, as does the chance of having to see a medical professional afterwards.
‘I thought she was going to die’
Mr Hamilton described how after taking the third dose of the abortion pill, his wife woke up on Sunday to even more bleeding.
“I wrapped her in the heating blanket, and she was cold, clammy cold. I propped her head up on the pillow and it was the first time I thought she was going to die.”
While checking on their daughter, he got a missed call from his wife, so he ran over and found she had “fallen off the toilet” and was lying in a “huge pool of blood”.
He picked her up and “put her unconscious body in the truck”, strapped their daughter in and drove to a third hospital in the hope of getting help.
As “she was close enough to dead”, she got life-saving care, regained consciousness and her body gradually recovered.
According to analysis shared with NBC, the number of women who died while pregnant, during labour or soon after giving birth skyrocketed following Texas’s five-week ban in 2021.
From 2019 to 2022, the rate of maternal mortality cases in Texas rose by 56%, compared with just 11% nationwide during the same time period, according to an analysis of federal public health data by the Gender Equity Policy Institute.
“We will carry that torturous experience with us for the rest of our lives,” Mr Hamilton said.
What could happen to abortion rights under second Trump administration?
It is hard to say what Trump’s second administration, due to start once he is inaugurated on 20 January, could mean for the future of abortion rights in the US as the president-elect has flip-flopped on the issue.
As president, he backed a House bill which would’ve banned abortion in the whole country after 20 weeks.
In March, he suggested he would support a nationwide ban on abortions after 15 weeks’ gestation.
But in the final stages of his latest campaign, which saw his Republican Party take control of both Houses, the 78-year-old said he would not sign a federal ban on abortion and would leave it to the states to decide what policies to adopt.
At the end of August, Mr Trump, whose wife Melania recently published a memoir where she came out in support of abortion rights, told Sky News’ US partner network NBC he believed the six-week abortion ban adopted by his home state of Florida was “too short”.
But as he faced fierce backlash from anti-abortion advocates, Mr Trump came out a day later to say he would be voting “no” on an unsuccessful ballot measure which would have expanded abortion access until foetal viability, around the 24th week of pregnancy.
Read more:
‘My baby lived for just 93 minutes’
US Supreme Court preserves women’s access to abortion pill
Nancy Northup, CEO of the Center for Reproductive Rights, said his re-election is a “deadly threat” to reproductive health.
She said that as a result of Roe vs Wade being overturned, abortion is nearly or completely banned in 17 of the 50 US states.
As the results of the presidential election became clear, there were reports of Americans stockpiling abortion pills, while Plan C, which promotes access to abortion medication online, said searches to its homepage following the landslide vote for Mr Trump surged from 500 to 80,000 in a day.
Keep up with all the latest news from the UK and around the world by following Sky News
Ms Northup said: “The unnecessary and cruel harm caused by the first Trump administration includes a reproductive healthcare crisis in vast swathes of the United States that has led to the deaths of numerous women who are likely the tip of the iceberg.
“A second Trump administration will compound these harms with new, potentially far worse ones.
“It will seek to stop the availability of medication abortion by mail, which has been a lifeline in post-Roe America,” she said.
There are also fears it will try to gag organisations based both in and outside of the US from advocating for abortion rights and providing care abroad, even with their non-US funds.
“Without Trump overturning Roe vs Wade then none of this starts to happen,” Mr Hamilton said, referring to the women who died or, like his wife, narrowly escaped death as a result of complications from being denied the care they needed.
“The priority is not my wife’s health, the priority becomes the legality of the procedure.”
At the heart of anti-abortionists’ campaigning is the belief in the sanctity of human life.
“In opposing abortion, we acknowledge the humanity of the child in the womb which fuels our effort to protect the pre-born child’s life,” Americans United for Life says.
Mr Trump’s campaign team has been approached for comment.
“Liberation day” was due to be on 1 April. But Donald Trump decided to shift it by a day because he didn’t want anyone to think it was an April fool.
It is no joke for him and it is no joke for governments globally as they brace for his tariff announcements.
It is stunning how little we know about the plans to be announced in the Rose Garden of the White House later today.
It was telling that we didn’t see the President at all on Tuesday. He and all his advisers were huddled in the West Wing, away from the cameras, finalising the tariff plans.
Follow the events of Liberation Day live as they unfold
Three key figures are central to it all.
Treasury Secretary Scott Bessent is the so-called ‘measured voice’. A former hedge fund manager, he has argued for targeted not blanket tariffs.
Peter Navarro is Trump’s senior counsellor for trade and manufacturing. A long-time aide and confidante of the president, he is a true loyalist and a firm believer in the merits of tariffs.
His economic views are well beyond mainstream economic thought – precisely why he appeals to Trump.
The third key character is Howard Lutnick, the commerce secretary and the biggest proponent of the full-throttle liberation day tariff juggernaut.
The businessman, philanthropist, Trump fundraiser and billionaire (net worth ranging between $1bn and $2bn) has been among the closest to Trump over the past 73 days of this presidency – frequently in and out of the West Wing.
If anything goes wrong, observers here in Washington suspect Trump will make Lutnick the fall guy.
What are Donald Trump’s tariffs, what is ‘liberation day’ and how does it all affect the UK?
And what if it does all go wrong? What if Trump is actually the April fool?
“It’s going to work…” his press secretary said when asked if it could all be a disaster, driving up the cost of living for Americans and creating global economic chaos.
“The president has a brilliant team who have been studying these issues for decades and we are focussed on restoring the global age of America…” Karoline Leavitt said.
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‘Days of US being ripped off are over’
Dancing to the president’s tune
My sense is that we should see “liberation day” not as the moment it’s all over in terms of negotiations for countries globally as they try to carve out deals with the White House. Rather it should be seen as the start.
Trump, as always, wants to be seen as the one calling the shots, taking control, seizing the limelight. He wants the world to dance to his tune. Today is his moment.
But beyond today, alongside the inevitable tit-for-tat retaliation, expect to see efforts by nations to seek carve-outs and to throw bones to Trump; to identify areas where trade policies can be tweaked to placate the president.
Even small offerings which change little in a material sense could give Trump the chance to spin and present himself as the winning deal maker he craves to be.
One significant challenge for foreign governments and their diplomats in Washington has been engaging the president himself with proposals he might like.
Negotiations take place with a White House team who are themselves unsure where the president will ultimately land. It’s resulted in unsatisfactory speculative negotiations.
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Treasury minister: ‘We’ll do everything to secure a deal’
Too much faith placed in the ‘special relationship’?
The UK believes it’s in a better position than most other countries globally. It sits outside the EU giving it autonomy in its trade policy, its deficit with the US is small, and Trump loves Britain.
It’s true too that the UK government has managed to accelerate trade conversations with the White House on a tariff-free trade partnership. Trump’s threats have forced conversations that would normally sit in the long grass for months.
Yet, for now, the conversations have yielded nothing firm. That’s a worry for sure. Did Keir Starmer have too much faith in the ‘special relationship’?
Downing Street will have identified areas where they can tweak trade policy to placate Trump. Cars maybe? Currently US cars into the UK carry a 10% tariff. Digital services perhaps?
US food? Unlikely – there are non-tariff barriers on US food because the consensus seems to be that chlorinated chicken and the like isn’t something UK consumers want.
Easier access to UK financial services maybe? More visas for Americans?
For now though, everyone is waiting to see what Trump does before they either retaliate or relent and lower their own market barriers.
US
Democrat Cory Booker rails against Donald Trump and Elon Musk during marathon Senate speech lasting more than 17 hours
A senior Democrat has taken to the Senate floor to speak against US President Donald Trump – with the 17-plus-hour speech still ongoing.
Cory Booker, a New Jersey senator, began speaking around 7pm (midnight in the UK) and said he intended to disrupt the “normal business of the United States Senate for as long as I am physically able”.
Referring to Mr Trump’s presidency, he said: “I rise tonight because I believe sincerely that our country is in crisis.”
As of 5pm in the UK, Mr Booker was still speaking, having spoken for more than 17 hours. He has remained standing for the entire duration, as he would lose control of the floor if he left his desk or sat down.
Read more: Who is the Democrat making a marathon speech against Trump?
As of 4pm, Cory Booker has held the Senate floor for more than 16 hours. Pic: Senate Television / AP
Other Democrat senators have joined Mr Booker to ask questions so he can rest his voice, including Senate minority leader Chuck Schumer.
At the start of his speech, Mr Booker said: “These are not normal times in our nation. And they should not be treated as such in the United States Senate.
“The threats to the American people and American democracy are grave and urgent, and we all must do more to stand against them.”
Overnight, he referenced Strom Thurmond of South Carolina, who filibustered for 24 hours and 18 minutes against the Civil Rights Act of 1957.
Read more:
‘Liberation day’ is coming – one number to keep in mind
Prosecutors directed to seek death penalty for Luigi Mangione
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“You think we got civil rights one day because Strom Thurmond – after filibustering for 24 hours – you think we got civil rights because he came to the floor one day and said ‘I’ve seen the light’,” he said.
“No, we got civil rights because people marched for it, sweat for it and [civil rights leader] John Lewis bled for it.”
Only Mr Thurmond and Republican Senator Ted Cruz – who spoke for 21 hours and 19 minutes against the Affordable Care Act in 2013 – have held the Senate floor for longer than Mr Booker.
Luigi Mangione could face the death penalty over the killing of UnitedHealthcare boss Brian Thompson.
The 26-year-old has pleaded not guilty to New York state charges of murder as an act of terrorism and weapons offenses.
New York does not have the death penalty for state charges, and so he could face life in prison without parole if convicted in that case.
But he also faces federal charges over Mr Thompson’s killing – and US attorney general Pamela Bondi has directed federal prosecutors to seek the death penalty.
Mangione has not yet been asked to enter a plea to the federal charges.
Here’s what we know about him.
Wealth, private school and Ivy League education
Mangione was born and raised in Maryland and has links to San Francisco and Hawaii.
His social media lists him as being from Towson, a well-to-do area to the north of the city of Baltimore.
He is the grandson of a wealthy property developer and philanthropist and the cousin of a current Maryland state legislator.
He attended Gilman School – a private all-boys school in Baltimore. The school’s annual fees are up to $37,690 (around £29,000) and it boasts alumni including NFL stars and former senators.
After graduating in 2016, Mangione went to the University of Pennsylvania, one of America’s elite Ivy League schools.
According to his social media, he studied computer science and launched a group named UPGRADE (UPenn Game Research and Development Environment).
A university spokesperson said he earned undergraduate and graduate degrees there.
He later co-founded his own computer game company, which focused on small, simplistic games.
Mangione went to a prestigious Ivy League university. Pic: LinkedIn
‘No complaints – a great guy’
According to his LinkedIn page, Mangione moved to California in 2020 and worked for the car-buying website TrueCar. The firm’s boss said he left last year.
Mangione currently lists himself as from Honolulu on LinkedIn, with pictures on Instagram showing him on the Hawaiian island.
In the first half of 2022, he reportedly lived at Surfbreak, a co-living space aimed at remote workers in Honolulu’s Waikiki neighbourhood.
“Luigi was just widely considered to be a great guy. There were no complaints,” Josiah Ryan, a spokesperson for Surfbreak’s owner, told the AP news agency.
“There was no sign that might point to these alleged crimes they’re saying he committed.”
Mr Ryan said Mangione left to get surgery on the US mainland for chronic back pain he suffered from since childhood.
Document reveals back condition
Mangione wrote about his health issue online, saying he has spondylolisthesis – a condition where one of the bones in the spine slips forwards.
Sky News’ Data and Forensics team obtained a 14-page document uploaded to his Google Drive account in 2021.
He details the severity of his “injury” as “low grade two” and goes into fitness goals, diet advice and notes about the condition.
The suspect’s notes say he has back condition spondylolisthesis
His X banner image shows a back X-ray
It’s unclear if the condition is linked to the motive, which police have not publicly identified, but it gives context about his health issues.
Analysis of his Goodreads profile also shows he read books including Crooked: Outwitting The Back Pain Industry and Getting On The Road To Recovery, and Why We Get Sick: The Hidden Epidemic At The Root Of Most Chronic Disease – And How To Fight It.
A banner image on his X account also features an X-ray of a lower back with screws.
Law enforcement officials told NBC News they are looking at whether the X-ray is Mangione’s or from a relative and whether it’s connected to the shooting.
‘Violence is necessary to survive’
Mangione appears to have had an active social media presence.
His X account regularly shared and reposted pieces about topics such as artificial intelligence (AI), philosophy, and the future of humanity.
His Goodreads account also gave a four-star review to Industrial Society And Its Future – by notorious US terrorist Theodore Kaczynski.
The piece, which rails against technological advancement, became known as the Unabomber Manifesto after its author began a mail bombing campaign which lasted nearly 20 years.
Three people were killed and dozens were injured before Kaczynski’s arrest in 1996.
The Goodreads review said: “When all other forms of communication fail, violence is necessary to survive. You may not like his methods, but to see things from his perspective, it’s not terrorism, it’s war and revolution.
“‘Violence never solved anything’ is a statement uttered by cowards and predators.”
Luigi Mangione. Pic: Facebook
Why are some calling Mangione a ‘hero’?
A search of social media sites such as Reddit reveals a thread of people who are sympathetic to the suspect.
Highly rated comments on the site include: “Screw the McDonald’s employee that ratted him out” and “Only a matter of time till shirts with #FreeLuigi start popping up”.
To many, these are shocking comments about someone accused of carrying out a cold-blooded killing. But what’s behind them?
Many in the US pay thousands in expensive insurance premiums to cover themselves and their family, while others rely on the Medicare federal insurance programme.
Support for Mangione appears to come from resentment over this and accusations that companies go to great lengths to avoid paying for treatments in order to maximise their profits.
“He got charged with murder quicker than insurance companies deny claims”, said a comment on Reddit with nearly 7,000 likes.
One post that went viral on X before the suspect’s arrest was from Anthony Zenkus, a Columbia University professor.
He wrote: “We mourn the deaths of the 68,000 Americans who needlessly die each year so that insurance company execs like Brian Thompson can become multimillionaires.”
Read more from Sky News:
Shooting prompts US healthcare debate
Police shared this picture of the suspect following the shooting. Pic: NYPD
A chart shared widely on X claims to show denial rates by UnitedHealthcare exceed those of competitors, using data from consumer finance website ValuePenguin. This is consistent with publicly available data from 2023 analysed by Sky News.
Other people online appear to be angry about what they say is the disparity between the resources put into Mr Thompson’s case and how less well-off people are treated.
One comment on Reddit with 4,000 likes says: “The murdered guy in death, like in life, is still sucking up a huge undeserved and unwanted portion of resources.
“How many underprivileged people’s murders are going unsolved because NYPD and the feds are spending millions on this overpaid, rich, morally questionable millionaire’s murder.”
Arrested in McDonald’s with ‘ghost gun’
Mangione was detained in a Pennsylvania McDonald’s after a five-day search, carrying a gun that matched the one used in the shooting and a fake ID, police said.
He was arrested in Altoona, around 230 miles (370km) west of New York, after a tip-off from a McDonald’s employee who recognised him from the police appeals.
Mangione also had a fake New Jersey ID matching one used by the suspect to check into a hostel before the killing, said New York police commissioner Jessica Tisch.
He was found carrying a “handwritten document” that Ms Tisch said “spoke to both his motivation and mindset”.
Joseph Kenny, New York’s chief of detectives, said it appeared to show “some ill-will towards corporate America”.
Pennsylvania prosecutor Peter Weeks said Mangione was found with a passport and $10,000 (£7,840) – $2,000 of it in foreign currency.
‘Message’ on bullets
Brian Thompson, 50, was chief executive of UnitedHealthcare – the fourth-largest public company in the US behind Walmart, Amazon, and Apple – and was paid about $10m (£7.8m) a year.
It’s the largest provider of Medicare Advantage plans and manages insurance for employers and state and federally funded programmes.
Mr Thompson – who was married with two sons – was shot on 4 December as he was walking to a New York hotel where his company was holding an investors’ conference.
CCTV showed a person shooting Mr Thompson from behind. Pic: NYPD/Reuters
As Mr Thompson walked towards the Hilton hotel on Sixth Avenue, a gunman appeared behind him from between parked cars.
He was shot in the back and calf and died from his injuries.
The words “defend”, “deny”, and “depose” were written on the cases of bullets found at the scene – similar to the title of a book that criticises health insurance companies.
Mr Thompson’s wife said he was an “incredibly loving father to our two sons” and a “loving, generous, talented man who truly lived life to the fullest”.
UnitedHealthcare called him a “highly respected colleague and friend to all who worked with him”.
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