In South Dakota, where reproductive rights are constrained by some of the strictest laws in the country, medication abortion is being targeted by the Republican governor, Kristi Noem, who has said that she wants to outlaw abortion completely.
” test established thirty years ago in Planned Parenthood v. Casey. Many patients, the suit contends, would be stopped from returning to the clinic by problems with transportation, duties at work or home, or travel costs. To require three visits for a medication abortion is “unprecedented in the United States,” Stephanie Amiotte, a legal director with the A.C.L.U., told me.
On a recent weekday, I met Traxler at the one-story clinic, where windows are situated high on the walls, and cameras monitor the movements of patients and protesters. There were six abortions scheduled. Traxler’s work is tightly choreographed by the dictates of state law. On what she refers to as Day One, she asks patients a series of questions and directs them to an ultrasound machine, before passing out state-mandated information about abortion.
Traxler grew up in Louisiana, in a Southern Baptist home, “with the mentality that abortion was wrong. Abortion was not something that was supported by my peer group or my church.” After college, she moved to Texas, where she worked with homeless young people, and saw the importance of reproductive health care when she met addicts who were engaging in survival sex. Those experiences, and the abortion story of a close friend, persuaded her to go to medical school so that she could provide them.
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