The book focuses on helping people navigate abortion access in a post-Roe America, including legal and self-managed abortion options, advocacy, and digital security to avoid surveillance. It also provides to-do lists for concrete actions like protesting, civil disobedience, and preparing for self-managed abortions.
Digital security is emphasized due to the rise of personhood laws and the criminalization of self-managed abortions. The book provides steps to protect personal information online, such as using anonymous profiles, burner accounts, and avoiding sharing specific details that could lead to identification or legal consequences.
People in red and rural states face significant challenges, including clinic closures, long travel distances, waiting periods, economic barriers, and restrictive laws like heartbeat bans. Many states also lack Medicaid expansion, making abortion even more inaccessible for low-income individuals.
The Supreme Court's conservative majority poses a significant threat to abortion rights, as it could uphold restrictive state laws or overturn Roe v. Wade. Even with Democrats controlling the federal government, the Court's decisions can override federal protections, leaving states to enact bans or severe restrictions.
Six-week bans effectively outlaw abortion before many people even realize they are pregnant. These bans are often based on detecting fetal heart tones, which can occur as early as three weeks post-conception. This leaves a very narrow window for accessing abortion care, making it nearly impossible for many to obtain one.
The Yellowhammer Fund provides financial assistance for abortions, emergency contraception, and other reproductive health services. It also purchased the West Alabama Women's Center to ensure continued abortion access and expand services like birth control, STI testing, and trans health care in a state with limited resources.
Abortion providers face significant challenges, including politicized medical boards, licensing issues, and threats to their safety and livelihoods. Many providers are reluctant to live in hostile states, leading to a reliance on traveling doctors, which further complicates access to care.
Self-managed abortions carry risks such as incomplete abortions, ectopic pregnancies, and legal consequences. While medication abortion is generally safe, individuals may face criminalization or lack access to follow-up care, especially in states with restrictive laws.
The lack of Medicaid expansion in Southern states exacerbates economic barriers to abortion. Without Medicaid coverage, low-income individuals struggle to afford abortion care, especially in states with already limited clinic access and restrictive laws.
Second-trimester abortions are difficult to access due to restrictive laws, limited providers, and higher costs. Many clinics avoid offering these services due to increased risks and legal scrutiny, leaving independent clinics as the primary providers in many areas.