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Hearing

How America politicised abortion

  • 2020 Election Stakes:
    • A record number of voters state their 2020 presidential vote will hinge on the abortion issue.
    • 27% of Americans now say a candidate must share their views on abortion, a 33% increase from the 2016 election.
  • Missouri Clinic Crisis:
    • Dr. Colleen McNicholas is testifying against the state's refusal to renew the license for Missouri's last remaining abortion provider.
    • In 1982, Missouri had 29 abortion providers; the state currently has only one.
    • If the court upholds the state's decision, Missouri will become the first U.S. state with no legal abortion clinics.
    • Clinic closure would leave nearly 1.4 million women without statewide access.
    • Patients face mandatory 72-hour waiting periods between consultation and procedure, often requiring 300-mile travel round trips.
  • Global and Historical Context:
    • Abortion is legal on request or under broad circumstances in 80 countries; legalization in nations like Britain (1967) and Ireland largely settled the political debate.
    • Unlike legislative processes abroad, U.S. abortion rights stem from the 1973 Supreme Court ruling Roe v. Wade (decided 7-2), which the transcript argues lacks democratic legitimacy.
    • The Court's decision established some of the most permissive laws globally, allowing abortions later into pregnancy than in most other nations.
    • Prior to the 1970s, the issue did not define party lines; Republicans were initially more pro-choice, and Catholic Democrats were the primary opponents to abortion.
  • Political Realignment:
    • Strategic shift began in 1979 when conservative strategist Paul Weyrich targeted 29% of the population (Evangelicals) to enter the political arena, viewing abortion as a "ticket to win their vote."
    • Ronald Reagan shifted from a pro-choice stance to an anti-abortion crusader to capitalize on this demographic, becoming the Republican standard-bearer for the issue.
    • Donald Trump similarly shifted from pro-choice to a "pro-life crusader," securing 81% of the evangelical vote in the 2016 election.
  • Current Legislative and Judicial Landscape:
    • Since 2017, 35 Republican states have proposed over 250 new regulations to restrict access.
    • Nine states have passed "heartbeat bills" banning abortion after 6–8 weeks, though currently unenforceable under Roe.
    • The strategy involves passing unconstitutional state laws to provoke a Supreme Court challenge intended to overturn Roe.
  • Supreme Court Dynamics:
    • The Court's composition has shifted with President Trump's appointment of two justices (Brett Kavanaugh and Neil Gorsuch) presumed to vote against Roe.
    • The newly composed Court is scheduled to hear its first abortion case by June 2020.
    • Experts predict a significant scaling back of rights or the eventual overturning of Roe, which would return authority to individual states.
  • Cross-State Implications:
    • Illinois is establishing itself as a refuge, with a new megaclinic located 10 minutes from the Missouri border to treat out-of-state patients.
    • Democratic states are creating legal frameworks to protect abortion access in anticipation of a post-Roe era.
  • Health Consequences:
    • Experts warn that banning legal abortion leads to dangerous, illegal procedures that risk patient fertility, health, and life.
    • Dr. McNicholas emphasizes that for patients, the issue is not political but pivotal to their immediate existence.