UNDUE BURDEN

The human consequences of the Dobbs decision.

Health care reporter Luthra makes her book debut with an intense look at the lives of patients and providers after the Supreme Court’s decision to overturn Roe v. Wade. She takes her title from the 1992 case of Planned Parenthood v. Casey, in which the Court held that states could limit access to abortion, as long as the limitation did not impose what the Court called “an undue burden,” a phrase that they left undefined. As Luthra traveled throughout the country, she found frustration and anguish in states where women had no or limited access to abortion. In Texas, which enacted a six-week ban on abortions even before the Supreme Court’s decision, 16-year-old Tiffany was trapped in a system that she felt powerless to negotiate, lacking resources to find help or leave Houston. Kaleigh, 29, drove 500 miles, with her boyfriend, from Dallas to a clinic in New Mexico, the nearest she could find, where she was given mifepristone and misoprostol; her abortion cost her $700. In Florida, which had a 15-week ban, the author met Jasper, a transgender man who did not realize he was pregnant until it was almost too late to get an abortion in his state. In Oklahoma, which had only four clinics in the entire state that provided abortions, and which, like Texas, soon copied a six-week ban, Luthra met providers overwhelmed with demand. Patients and providers revealed the fear, anger, and betrayal they felt as laws changed. One woman in Kansas had an abortion scheduled for just two days after a critical vote affirmed access. The author underscores the way the Dobbs decision has exacerbated inequality, victimizing Black and Latine women who cannot afford to travel to New Mexico, Illinois, California, and Colorado, where abortion is legal.

Vivid portrayals of lives disrupted and freedom denied.