Keeping Score: Devastating Attacks on USAID; Louisiana Indicts N.Y. Doctor; Autumn Lockwood Is First Black Woman Coach to Win Super Bowl

In every issue of Ms., we track research on our progress in the fight for equality, catalogue can’t-miss quotes from feminist voices and keep tabs on the feminist movement’s many milestones. We’re Keeping Score online, too—in this biweekly roundup.

This week: Musk and Trump’s USAID attacks have devastating impacts; 80% of the clean energy investments from the 2022 Inflation Reduction Act—which Trump wants to roll back—are in Republican congressional districts; Louisiana indicts a New York doctor for prescribing abortion pills; new executive orders go after workers and LGBTQ people; the Laken Riley Act was signed into law; childcare costs affect the health of parents; and more.

Ahead of the Ban: How Advance Provision Abortion Pills Are Reshaping Access

An increasing number of healthcare providers are prescribing abortion pills in advance of pregnancy, and many people are ordering these pills to have on hand in case they or a loved one needs them. Between September 2021 and April 2023, over 40,000 people ordered advance provision abortion pills. In one recent national survey, 65 percent of respondents said they would be interested in having these medications on hand. Advance provision abortion pills can significantly shorten the time between the decision to end a pregnancy and having an abortion. Growing legal restrictions on abortion and threats of even more restrictions once Trump is back in office have made this option more important than ever. 

Texas Is Coming for the Abortion Pill

A new battlefront in the war on women is being led by right-wing extremist Texas Attorney General Ken Paxton, who’s coming with guns blazing after a New York doctor who prescribed and sent abortion pills to a 20-year-old Texas woman who requested and used them. In the first-of-its-kind lawsuit, Paxton is suing Dr. Margaret Carpenter for $100,000 in a Collin County, Texas, court for enabling an abortion in Texas … even though Carpenter practices medicine in New York, and what she’s doing—providing abortion pills to women in all 50 states—is legal in New York as a result of the state’s shield law.

In the Wake of Abortion Bans, Meet the College Students Fighting for Medication Abortion on Campus

Even in states where abortion is still legal, abortion is not necessarily available through college health services, leaving students to find their own care. In New York City, students at Barnard College—the historically women’s college affiliated with Columbia University just across the street—are working to help their peers access abortions. Because Barnard does not currently offer abortion, finding care is still a struggle even for students in New York—a state that’s become a haven for out-of-state abortion patients—even at a women’s college that was one of the Seven Sisters.

U.S. Abortions Continue to Increase, Fueled by Telehealth and Shield State Providers

The number of abortions in the first half of 2024 was significantly higher than the same period for the previous two years—according to the Society of Family Planning’s eighth #WeCount report, released last week, which measures the number of abortions in the U.S. each month from April 2022 through June 2024.

There has been a 20.4 percent increase in just three years, despite abortion bans in 14 states and severe restrictions in many others. (And these numbers only include clinician-provided abortions—there are many more self-managed abortions occurring outside of the formal healthcare system.)

Massachusetts Abortion Provider Serves Patients Living in States Banning Abortion

Since Dobbs, an increasing number of abortion providers are providing telemedicine abortion services to women living in states banning abortion. 

Today there are four practices with over two dozen providers that provide telehealth abortion services to people in restrictive states. One of them is the Massachusetts Medication Abortion Access Project, called The MAP for short. Ms. spoke with the medical director of The MAP: Dr. Angel Foster, a Harvard-trained obstetrician/gynecologist and health sciences professor at the University of Ottawa, where she leads a large research group that’s dedicated to global abortion work. 

Healthcare Across Borders: Funding Telemedicine Abortion for People in Abortion-Ban States

“You can get on the phone with a doctor, and get abortion pills by mail within a few days,” said Healthcare Across Borders (HCAB) founder Jodi Jacobson—even in states with abortion bans.

HCAB has launched a new Abortion Pill Sustainability Fund to support shield-state clinicians serving patients in states banning abortion. Abortion services are provided to people located in states banning abortion from the six states with telemedicine provider shield laws: Massachusetts, Washington, Colorado, Vermont, New York and California.

Telehealth Providers Prepare for the Future

Providers of reproductive and gender-affirming care have long been pushing for an increase in the use of telemedicine. Patients want it too. Telehealth implementation comes with decreased costs, wait times and travel. For stigmatized issues like abortion and gender-affirming care, it also ensures patients and providers alike face less harassment and makes niche treatments more widely accessible.

To understand the telehealth landscape and how it impacts reproductive care, Ms. spoke with telehealth abortion, contraceptive, and gender-affirming care providers to understand how the fall of Roe has affected their work.

Telemedicine Abortion, Explained: The Ms. Q&A with Choix’s Cindy Adam

As abortion bans mount in states across the country in the wake of the Supreme Court’s overturning of Roe v. Wade, abortion seekers in states where the procedure is banned are increasingly turning to online telemedicine providers.

“It really helps to alleviate the stress and the barriers that come with accessing such a highly stigmatized and politicized form of care, even in the states where abortion care remains legal,” said Cindy Adam, co-founder and CEO of Choix, of telemedicine abortion. “It puts that power to decide back into the hands of the person seeking care.”

Groundbreaking Massachusetts Law Protects Telemedicine Abortion Providers Serving Patients Located in States Banning Abortion

Massachusetts just passed a sweeping new reproductive rights law. In addition to provider protections, it removes cost barriers to abortion care, expands access to third-trimester abortions in cases of grave fetal diagnosis, increases access to emergency contraception and medication abortion, and guarantees the right to gender-affirming care.