The abortion debate in the United States has been a highly divisive issue in politics and culture wars, with states enacting varying laws surrounding the procedure. In June 2022, the U.S. Supreme Court overturned Roe v. Wade, eliminating the federal constitutional right to abortion and allowing states to regulate abortion access. Since then, many states have created new abortion restrictions, with 14 states currently banning abortion altogether. The battle over abortion access continues in some states, with anti-abortion and pro-choice advocates engaged in a legal tug-of-war. Florida, for instance, enacted a six-week ban on abortions in May, but abortion rights will be back on the ballots in November. The abortion debate centres around the question of patient choice and bodily autonomy versus the fetus's right to live, with most Americans agreeing with some positions of each side.
What You'll Learn
Gestational limits on abortion
In countries that allow abortion on request, the most common gestational limit is 12 weeks. However, these countries often permit abortion under a range of circumstances after this limit. For example, Denmark allows abortion on request during the first 12 weeks of pregnancy and thereafter on social and economic grounds and in cases of rape, incest, and foetal impairment. Countries with restrictive abortion laws, such as those that only permit abortion when the woman's life or health is at risk, typically do not prescribe a gestational limit.
The World Health Organization (WHO) acknowledges that efforts to impose gestational limits on abortion may have negative consequences and force women to seek unsafe alternatives. WHO emphasizes that abortion may be necessary at any point during pregnancy to save the woman's life or minimize risk to her health.
The United States is one of eight countries that allows abortion on demand without any gestational limits at the federal level, along with Australia, Canada, China, Guinea-Bissau, Mexico, South Korea, and Vietnam. However, individual states within the US can impose their own gestational limits. For instance, in May 2022, Texas passed one of the most restrictive abortion laws in the nation, banning most procedures after six weeks.
Gestational limits significantly vary globally, and there is no universal consensus on the appropriate timeframe. While the most common gestational limit for abortion on request is 12 weeks, the shortest limit is 8 weeks, and some countries do not set a legal gestational limit at all.
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Criminalisation of abortion
The criminalisation of abortion has been a highly debated topic, with strong opinions on both sides of the argument. In some countries, such as the United States, Sierra Leone, Poland, and Morocco, abortion is criminalised, and those who seek or assist with abortions can face severe penalties. However, it is important to note that even in countries where abortion is criminalised, it still occurs, often through unsafe methods that put individuals' lives at risk.
The criminalisation of abortion has been linked to human rights abuses, particularly when it comes to women's rights and bodily autonomy. By criminalising abortion, individuals are denied access to safe and legal abortion services, forcing them to resort to unsafe alternatives. This can lead to serious health complications and even death. Additionally, criminalisation disproportionately impacts marginalised communities, who already face barriers to accessing health services.
In countries where abortion is restricted, individuals may face legal consequences for seeking or providing abortions. For example, in some countries, individuals who seek abortions can be charged with murder or homicide, facing lengthy prison sentences or even life imprisonment. This further perpetuates the stigma surrounding abortion and creates a climate of fear and uncertainty for those seeking reproductive healthcare.
The criminalisation of abortion also extends beyond the individuals seeking abortions. Healthcare providers who perform abortions or assist individuals in obtaining abortions can also face legal consequences, including criminal charges and loss of medical licenses. This creates a chilling effect, deterring healthcare providers from offering abortion services even in cases where it is legally permitted.
Furthermore, the criminalisation of abortion does little to prevent abortions from occurring. Data suggests that individuals will still seek abortions, even in highly punitive legal situations. Instead, criminalisation pushes abortions underground, making them less safe and putting individuals at greater risk.
The debate around the criminalisation of abortion is complex and multifaceted, involving ethical, legal, and social considerations. However, it is clear that criminalisation has significant impacts on the lives and well-being of those affected. It is important to approach this issue with compassion and respect for human rights, ensuring that individuals have access to safe and legal abortion services.
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State abortion laws
Gestational limits
States vary on the gestational limits of abortion, but 14 states have laws in effect banning nearly all abortions starting at fertilization. Six states—Florida, South Carolina, Georgia, Nebraska, North Carolina, and Utah—ban abortions at or before 18 weeks. Kansas and Ohio ban abortions at 22 weeks, while Wisconsin bans abortions at 20 or more weeks post-fertilization (22 weeks after the last menstrual period).
Viability
More than a dozen states ban abortions after the fetus is considered viable, generally between 24 and 26 weeks. Some laws that don't specify a limit say it's up to the abortion provider's "judgment" to determine whether a fetus is viable.
Third trimester
Virginia is the only state that prohibits abortions starting in the third trimester, which starts at around 25 weeks.
No limit
Six states and Washington, D.C., do not impose any term restrictions.
Exceptions
Most states with restrictions have exceptions, including to preserve a pregnant person's life or health, though they are often narrowly defined.
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Public opinion on abortion
A 2024 survey by the Pew Research Center found that 63% of respondents say abortion should be legal in all or most cases, while 36% say it should be illegal in all or most cases. The survey also found that majorities of both men (61%) and women (64%) express support for legal abortion.
A similar poll by Gallup in 2024 found that a majority of Americans (57%) self-identify as "pro-choice", and a record-high number of pro-choice voters show intensity on the abortion issue.
A 2022 study by the Pew Research Center found that only 14.8% of survey respondents consistently oppose abortion, while 43.8% consistently support both elective and traumatic abortion. The study also found that 90% approve of abortion when the woman's health is endangered, 77.4% when there is a strong chance of defects in the baby, and 79.5% when the pregnancy is the result of rape.
A 2022 poll by the Pew Research Center found that 47% of respondents said that women who had an illegal abortion should face a penalty, with 14% saying they should face jail time, 16% saying a fine or community service, and 17% were unsure of the penalty.
A January 2023 Gallup poll found that nearly 70% of Americans disapprove of the country's abortion policies, the highest rate in 23 years.
There are wide partisan differences in views of abortion. A 2024 survey by the Pew Research Center found that 85% of Democrats and Democratic leaners say abortion should be legal in all or most cases, compared to 57% of Republicans and Republican leaners.
A 2024 survey by the Pew Research Center found that about three-quarters of White evangelical Protestants (73%) think abortion should be illegal in all or most cases. By contrast, 86% of religiously unaffiliated Americans, 71% of Black Protestants, 64% of White non-evangelical Protestants, and 59% of Catholics say abortion should be legal in all or most cases.
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Impact of abortion bans
Abortion bans have a significant impact on people's lives, especially those from marginalised groups, such as people of colour, who already face systemic racism and oppression. More than 60% of those seeking abortions are people of colour, and about half live below the federal poverty line. Research shows that abortion restrictions place a burden on mental health, with women who are denied abortions reporting higher stress and anxiety, lower self-esteem, and lower life satisfaction.
Abortion restrictions also disproportionately affect women of colour, who are three times more likely to die in childbirth than their white counterparts and face much higher rates of severe maternal complications. Women of colour are more likely to need life-saving abortions, including in the case of ectopic pregnancies, which can be life-threatening. Restricted access to abortion can be particularly distressing for people of colour due to the unsafe conditions they may face during and after pregnancy.
Abortion bans also have economic impacts, with people seeking abortions commonly spending thousands of dollars on transportation, lodging, childcare, and time off work to travel and obtain treatment. About half of those who have abortions live below the federal poverty line, and women of colour experience some of the greatest economic inequities.
Abortion restrictions can also lead to unsafe abortions and negative health consequences. For example, in the case of Amari Marsh, who was charged with murder/homicide by child abuse after losing her pregnancy, highlights how pregnancy loss can quickly become a criminal investigation. Marsh spent 22 days in jail and faced 20 years to life in prison. Her case was ultimately dismissed by a grand jury, but it illustrates the potential consequences of abortion bans and the criminalisation of pregnancy loss.
Abortion bans also create confusion and uncertainty for both patients and healthcare providers, as different states have varying exceptions and restrictions. This can deter physicians from practicing in states with restrictive abortion laws and exacerbate existing disparities in access to obstetric care and health outcomes.
Abortion bans also have political implications, as they are often enacted by Republican-controlled legislatures and opposed by Democratic-controlled states. The issue of abortion has become deeply politicised and polarising, with the Republican Party generally seeking to restrict abortion access, while the Democratic Party defends access to abortion and has made contraception more accessible.
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