NPR

Telehealth abortions are simple and private — but restricted in many states

Recent rule changes made it easier for patients to get abortion pills through the mail, using telehealth services. Now there is growing demand for these services – and new legal battles brewing.
Source: Shane Tolentino for NPR

On the day of the leaked draft of the Supreme Court decision to overturn Roe v. Wade, a woman named Nora was at home in her one-bedroom apartment getting through a medical abortion. She'd stocked up on menstrual pads and painkillers, and steeled herself to get through a tough day.

Having children "is something I so badly want," Nora told NPR, "but I'm 22 and I'm poor, and I just can't even wrap my head around it."

(NPR is using Nora's first name only out of concern for her personal safety.)

For Nora, who lives in upstate New York, deciding to end the pregnancy was hard. But getting the Food and Drug Administration-approved abortion pills was not.

She got a medical consult online and received the pills by mail, through a provider called Aid Access. It's one of a handful of U.S. telehealth abortion services that have sprung up in recent years.

The services, with names like HeyJane and Abortion on Demand, have used pandemic-era changes to rules around telehealth and abortion medications to fulfill a growing demand for safe, at-home abortions.

As many U.S. states gear up to restrict abortion access in anticipation of the Supreme Court decision, the physicians,

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