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.
It’s a year since the US put Donald Trump back in the White House and I’ve spent this anniversary week in Florida and in Pennsylvania – two worlds in one country where I found two such contrasting snapshots of Trump’s America.
There are many ways to reflect on the successes and failures of the past year. Different issues matter to different people. But the thing which matters to all Americans is money.
The cost of living was a key factor in Donald Trump’s victory. He promised to make the country more affordable again. So: how’s he done?
On Wednesday, exactly a year since Americans went to the polls, the president was in Miami. He had picked this city and a particular crowd for his anniversary speech.
I was in the audience at the America Business Forum as he told wealthy entrepreneurs and investors how great life is now.
“One year ago we were a dead country, now we’re considered the hottest country in the world.” he told them to cheers. “Record high, record high, record high…”
The vibe was glitzy and wealthy. These days, these are his voters; his crowd.
“After just one year since that glorious election, I’m thrilled to say that America is back, America is back bigger, better, stronger than ever.” he said.
“We’ve done really well. I think it’s the best nine months, they say, of any president. And I really believe that if we can have a few more nine months like this, you’d be very happy. You’d be very satisfied.”
There was little question here that people are happy.
Image: Liz Ciborowski says Trump has been good for the economy
“Trump’s been a good thing?” I asked one attendee, Liz Ciborowski.
“Yes. He has really pushed for a lot of issues that are really important for our economy,” she said.
“I’m an investor,” said another, Andrea.
“I’m a happy girl. I’m doing good,” she said with a laugh.
Image: Andrea says she’s happy with how the economy is faring
A year on from his historic victory, the president was, notably, not with the grassroots folk in the places that propelled him back to the White House.
He had chosen to be among business leaders in Miami. Safe crowd, safe state, safe space.
But there was just one hint in his speech which seemed to acknowledge the reality that should be a concern for him.
“We have the greatest economy right now,” he said, adding: “A lot of people don’t see that.”
That is the crux of it: many people beyond the fortunate here don’t feel the “greatest economy” he talks about. And many of those people are in the places that delivered Trump his victory.
That’s the untold story of the past year.
A thousand miles to the north of Miami is another America – another world.
Steelton, Pennsylvania sits in one of Donald Trump’s heartlands. But it is not feeling the beat of his greatest economy. Not at all.
At the local steel union, I was invited to attend a meeting of a group of steel workers. It was an intimate glimpse into a hard, life-changing moment for the men.
The steel plant is shutting down and they were listening to their union representative explaining what happens next.
Image: David Myers used to be employed at the steelworks
The conversation was punctuated with all the words no one wants to hear: laid off, severance, redundancy.
“For over 100 years, my family has been here working. And I was planning on possibly one day having my son join me, but I don’t know if that’s a possibility now,” former employee David Myers tells me.
“And…” he pauses. “Sorry I’m getting a little emotional about it. We’ve been supplying America with railroad tracks for over a century and a half, and it feels weird for it to be coming to an end.”
Cleveland Cliffs Steelton plant is closing because of weakening demand, according to its owners. Their stock price has since surged. Good news for the Miami crowd, probably. It is the irony between the two Americas.
Down at the shuttered plant, it’s empty, eerie and depressing. It is certainly not the image or the vision that Donald Trump imagined for his America.
Pennsylvania, remember, was key to propelling Trump back to the White House. In this swing state, they swung to his promises – factories reopened and life more affordable.
Up the road, conversations outside the town’s government-subsidised homes frame the challenges here so starkly.
“How much help does the community need?” I asked a man running the local food bank.
Image: Elder Melvin Watts is a community organiser
“As much as they can get. I mean, help is a four-letter word but it has a big meaning. So help!” community organiser Elder Melvin Watts said.
I asked if he thought things were worse than a year ago.
“Yes sir. I believe they needed it then and they need it that much more now. You know it’s not hard to figure that out. The cost of living is high.”
Nearby, I met a woman called Sandra.
Image: Sandra says it’s getting harder to make ends meet
“It’s been harder, and I’m a hard-working woman.” she told me. “I don’t get no food stamps, I don’t get none of that. You’ve got to take care of them bills, eat a little bit or don’t have the lights on. Then you have people like Mr Melvin, he’s been out here for years, serving the community.”
Inside Mr Melvin’s food bank, a moment then unfolded that cut to the heart of the need here.
A woman called Geraldine Santiago arrived, distressed, emotional and then overwhelmed by the boxes of food available to her.
“We’ll help you…” Mr Melvin said as she sobbed.
Image: Geraldine’s welfare has been affected by the shutdown
Geraldine is one of 40 million Americans now not receiving the full nutritional assistance programme, known as SNAP, and usually provided by the federal government.
SNAP benefits have stopped because the government remains shut down amid political deadlock.
I watched Geraldine’s rollercoaster emotions spilling out – from desperation to gratitude at this moment of respite. She left with a car boot full of food.
A year on from his victory, Donald Trump continues to frame himself as the “America First” president and now with an economy transformed. But parts of America feel far, far away.
Nancy Pelosi, the first woman in the Speaker’s office, has announced her retirement from American politics after a nearly 40-year career.
The 85-year-old, who has represented San Francisco since 1987, revealed her decision two days after Californian voters overwhelmingly approved “Proposition 50”, a state redistricting effort aimed at flipping five House seats to Democrats in the midterm elections next year.
“I will not be seeking re-election to Congress,” Pelosi said in a video address to voters.
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“With a grateful heart, I look forward to my final year of service as your proud representative.
“My message to the city I love is this: San Francisco, know your power,” she said. “We have made history. We have made progress. We have always led the way.”
“And now we must continue to do so by remaining full participants in our democracy and fighting for the American ideals we hold dear.”
Image: Nancy Pelosi at the Democratic National Convention in 2024. Pic: Reuters
Mrs Pelosi served as the 52nd Speaker of the House of Representatives from 2007 to 2011, and again from 2019 to 2023, and was the first woman elected to the role.
She was also the first woman to lead a major political party in either chamber of Congress, heading the House Democrats from 2003 to 2023.
During her second tenure as Speaker, the House twice impeached Donald Trump – in December 2019, and January 2021 – though the Senate acquitted him both times.
And in February 2020, during President Trump’s State of the Union address, she famously tore up her official copy of it, arguing “it was such a dirty speech”.
An architect of the Affordable Care Act, Mrs Pelosi has also been credited with quietly persuading Joe Biden to withdraw from the 2024 presidential race.
End of an era
Nancy Pelosi was a central figure during two of the most turbulent political periods – the Trump presidency and President Biden’s departure from the 2024 election.
During the Trump era, she emerged as the Democratic Party’s most visible counterweight to the administration.
She led the House through two impeachments and became was prime target for those who stormed the Capitol Building on January 6th 2021.
In 2024, her behind-the-scenes influence was decisive as Democrats confronted Joe Biden’s declining political position.
While careful in her public statements, her subtle signalling to leaders and donors accelerated his departure from the race.
From a wider perspective, her retirement marks the end of one of the most influential congressional careers in modern US politics.
As the first woman Speaker of the House, she shaped legislative priorities for two decades and her departure signals a generational shift within the Democratic Party.
Now her political contemporaries have paid tribute.
Former President Joe Biden said America “will always be grateful” to her.
He posted on X: “I often said Nancy Pelosi was the best Speaker of the House in American history – it’s why I awarded her the Presidential Medal of Freedom.
“When I was President, we worked together to grow our economy, create millions of jobs, and make historic investments in our nation’s future.”
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California’s Democrat Governor Gavin Newsom, said she “inspired generations” and “set the standard for what public service should be”.
While party colleague, Senator Adam Schiff, who also represents California, called her “the greatest Speaker in American history” and highlighted her “tenacity, intellect, strategic acumen and fierce advocacy”.
And Representative Don Beyer of Virginia, another Democrat, said she was “a major figure in American history”, a “barrier breaker”, and “one of our most brilliant and accomplished leaders”.
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“Why did you refuse the National Guard on January 6?”
First elected in 1987, she came into politics later in life, and has long resisted calls to step aside, turning questions about her future into spirited rebuttals.
But she’s faced new challenges in recent years and her decision to step down is not fully unexpected.
Last year she fractured her hip when she fell during a European trip, and was rushed to a military hospital for surgery.
And in 2022, her husband Paul Pelosi was gravely injured by a home intruder who beat him over the head with a hammer and demanded to know “Where is Nancy?”
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Nonetheless, she’s maintained a rigorous political schedule of public events and party fundraisers.
Now eyes will turn to the question of her successor, both at home in San Francisco, and in the US Congress where she plays a behind-the-scenes leadership role.
She’s already faced a potential primary challenge from Saikat Chakrabarti, a left-wing newcomer who played a part in the rise of Alexandria Ocasio-Cortez – another rising star in the progressive firmament.
The Mamdani victory is historic for him, a dreamy American journey for an immigrant rising to the top, and, along with the governor victories in New Jersey and Virginia, it undoubtedly represents a gear shift for the Democrats who have been lost in a Trumpian vortex since Joe Biden’s disastrous presidential debate 18 months ago.
All of this is true. And in that sense, it was of course a very good night for the Democratic Party. Winning is clearly better than losing.
But what if Mamdani is actually a poison chalice for the Democrats? They are drinking this socialist’s champagne now because they finally have some momentum.
But he isn’t a champagne socialist. He is a purist socialist; proudly one.
With his skilful communication skills and his apparent authenticity, he has energised New York City. And no wonder. The alternative was the flawed, compromised Andrew Cuomo. Mamdani offered hope for a deeply liberal city that’s lost in Trump World.
Trumpendorsed Cuomo not because he agrees with Mamdani’s own tagline: “I am Trump’s worst nightmare…”
Trump endorsed Cuomo because he knew that it would probably increase Mamdani’s share of the vote – and it did.
Why would Trump do this? Maybe because he thinks Mamdani is the perfect foil for him.
Image: Trump’s endorsement of Andrew Cuomo wasn’t all it seemed on the surface. Pic: AP
What Trump can get out of apparent defeat
Mamdani’s victory gives Trump and his allies two things.
First, they can sit back and watch the Democrats squabble about whether Mamdani’s leftward Democratic socialism is the future of their party. And be in no doubt, they will.
Second, they can warn centrists and right-leaning folk: ‘Look, the Democrats really are socialists…’. The president continues to frame him as a “communist”.
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And so it begins, the Trump/Mamdani rivalry…
The Democrats may choose the Mamdani lane and stick with it, especially if he is successful in New York. But the Big Apple is not remotely representative of America.
Beyond New York City, Mamdani is, history would suggest, off the spectrum when it comes to electable Democratic Party candidates – America remains a conservative society; political spectrums here naturally tack right.
Team Trump knows all this, so they’ll relish the prospect of the Democratic Party machine (which has form in picking the wrong candidate) being lured by Mamdani-mania.
Cost of living a key issue
Beyond that, there is a vital takeaway for Trump from this mini and not wholly representative referendum on his presidency so far.
Many ordinary Americans are still hurting economically, big time.
The Democrats won in New York, New Jersey and Virginiabecause their candidates all focused on kitchen table issues.
The president clearly recognises this, to an extent. “Day by day, we’re going to make America affordable again,” he said after the Mamdani victory.
But he was speaking not to the people who are feeling the squeeze. Instead, he chose to mark a year since he was elected with a speech to a wealthy business crowd in Miami. Safe crowd, safe state, safe space.
Image: Trump perhaps realises he’s failing on one key promise. Pic: AP
JD Vance’s telling reaction
Maybe the most telling thing to come out of the past 24 hours in American politics was from the vice president.
In a social media post, JD Vance first warned followers not to overreact to the results.
He then went on to offer his own notable interpretation of the Democratic Party victories.
“We need to focus on the home front.” he wrote. “The president has done a lot that has already paid off in lower interest rates and lower inflation, but we inherited a disaster from Joe Biden and Rome wasn’t built in a day.
“We’re going to keep on working to make a decent life affordable in this country, and that’s the metric by which we’ll ultimately be judged in 2026 and beyond.”
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Two points: first, that Vance thinks that Trump needs to get back to his base. Ten months of presidential jet-setting and global-conflict-solving may have been necessary, but it won’t spell victory in the midterms next year or beyond.
The second point – Vance is so clearly in it for the long game. The “beyond” he talks about has him at its centre.
I’m not sure Vance would have chosen a Miami arena full of business leaders to mark a year since the election. The business and investment community is happy and wealthy.
I think Vance would have been with the other America, where people are feeling the squeeze still.
Trump continues to talk about the economy being “Biden’s economy”. Vance seems to be hinting at the inevitable – that at some point they need to own it and to fix it. They need to make people feel better off.
Vance wants to run and to win in 2028, and that fight begins now.