The Forgotten—and Incredibly Important—History of the Abortion Pill

Mifepristone took longer to get approved than most drugs—but not because it was unsafe.

Nina Martin,  Mother Jones
Feb 7, 2025

At his Senate confirmation hearings to head the Trump administration’s Department of Health and Human Services, Robert F. Kennedy Jr. surprised no one by admitting that he planned to order a new review of the safety of abortion pills. While Kennedy claimed that President Donald Trump has not taken a position—yet—on medication abortion, “he’s made it clear to me that he wants me to look at the safety issues,” Kennedy said. “And I’ll ask [agencies] to do that.”

This, of course, is exactly what anti-abortion groups have been pushing for. Since 2022, when the US Supreme Court overturned the constitutional right to abortion in the Dobbs v. Jackson Women’s Health Organization decision, abortion opponents have been ramping up unfounded claims that mifepristone and misoprostol are dangerous. Their efforts have included a flurry of letters to the new administration, explicit directives in the far right’s Project 2025 blueprint for the second Trump term, and a barrage of ever-more-extreme lawsuits and state bills.

Continued: https://www.motherjones.com/politics/2025/02/abortion-pill-forgotten-history-attacks-mifepristone-ru486-anti-abortion-extremists-new-book/


U.S. Supreme Court unanimously strikes down legal challenge to abortion pill mifepristone

The ruling preserves access to the mail-order medication nationwide.

By Devin Dwyer
June 13, 2024

The U.S. Supreme Court on Thursday ruled a group of doctors lacked legal standing to challenge the Food and Drug Administration's regulation of the abortion pill mifepristone, preserving access to the medication nationwide.

The unanimous opinion was authored by Justice Brett Kavanaugh.

The case put abortion access back in the spotlight for the court for the first time since its conservative majority voted to overrule Roe v. Wade in 2022.

Continued: https://abcnews.go.com/Politics/supreme-court-unanimously-strikes-legal-challenge-abortion-pill/story?id=110439079


Republican-led states are trying to crack down on abortion medication

A recent law in Louisiana highlights the effort to block access to mifepristone even as the Supreme Court considers a case that could restrict its use.

By Amanda Becker, Shefali Luthra
May 31, 2024

The Supreme Court is set to rule soon on how the abortion drug mifepristone can be used and prescribed, but conservative states — most recently Arkansas and Louisiana — haven’t waited to take their own steps to attempt to undercut access to the medication.

States have been able to ban or restrict abortion, including via medication, since the Supreme Court ended the federal right to abortion in June 2022. Yet the number of abortions has risen since Roe v. Wade was overturned — a development health researchers attribute in part to a growing share of pregnant patients seeking medication abortions through telemedicine, including those in states with bans.

Continued: https://19thnews.org/2024/05/abortion-medication-republican-led-states-crack-down/


U.S. Supreme Court Challenge to Abortion Pills Could Boost Illegal Imports

Safeguarding access to pills from online foreign distributors may become a flashpoint in the reproductive care battle

by Chloe Searchinger
April 5, 2024

After hearing oral arguments last week, the Supreme Court appeared dubious of the plaintiff's legal challenge to the abortion pill in Food and Drug Administration (FDA) v. Hippocratic Alliance of Medicine, the latest major abortion case since Dobbs v. Jackson overturned the constitutional guarantee to an abortion. Even though this outlook could lead pro-choice activists to breathe a minor sigh of relief and temporarily quell Big Pharma's fear over other challenges to FDA approvals, one indirect consequence regardless of the case outcome is the growing American reliance on imported abortion pills from overseas. 

This manner of accessing abortion has been increasing in popularity since Dobbs, and safeguarding the provision of these pills from unapproved foreign distributors could soon become a flashpoint in the American battle over reproductive care, given that these imports are illegal because they operate outside the formal U.S. health-care system and beyond FDA oversight. 

Continued: https://www.thinkglobalhealth.org/article/us-supreme-court-challenge-abortion-pills-could-boost-illegal-imports


USA – Justices appear skeptical of call to restrict abortion pill

A decision, likely to come in June, would be a major victory for the FDA’s authority to regulate prescription drugs and for abortion-rights advocates who have sought to protect access to mifepristone.

By ALICE MIRANDA OLLSTEIN and JOSH GERSTEIN
03/26/2024

The Supreme Court on Tuesday appeared skeptical of an effort to restrict access to a widely used abortion pill — with conservative and liberal justices alike raising questions about whether anti-abortion doctors can prove concrete injuries that give them standing to sue and whether a national judicial ruling rolling back availability of the drug is justified.

During the roughly 90 minutes of oral arguments, two conservative justices likely to be pivotal votes in the case — Neil Gorsuch and Amy Coney Barrett — expressed repeated doubts about harms the anti-abortion physicians claimed they’ve faced in treating patients who’ve taken abortion pills and needed follow-up care. Those two justices also questioned whether curtailing access to the drug would address those alleged harms.

Continued: https://www.politico.com/news/2024/03/26/scotus-restrict-abortion-pill-mifepristone-00149039


USA – The Current Attack on Abortion Pills Will Fail. The Next One Will Be So Much Worse.

BY DAHLIA LITHWICK AND MARK JOSEPH STERN
MARCH 26, 2024

There are always a couple of tells when the most conservative Supreme Court in more than a century finds itself adjudicating a truly mortifying and meritless case. One is that it’s coming up by way of the U.S. Court of Appeals for the 5th Circuit, a court that so consistently shovels its worst constitutional garbage upward that the high court conservatives are often forced to reluctantly lob it back. Another tell is when the facts of the case are so laugh-out-loud insane that even conservative justices can’t bring themselves to adopt them or the underpinning legal reasoning with a straight face. There’s yet a third tell: when the conservative justices start injecting a bunch of nonsense and randomized pet peeves into oral argument to distract from how embarrassing it would be to discuss the merits of the actual case.

Continued: https://slate.com/news-and-politics/2024/03/mifepristone-supreme-court-alito-national-abortion-ban.html


USA – Yes, some medication abortion patients go to the ER — but it may not be for what you think

A small portion of patients do visit ERs after an abortion, but it's not because mifepristone is unsafe

By NICOLE KARLIS
MARCH 20, 2024

Next Tuesday, the U.S. Supreme Court will finally hear a case about mifepristone — the first drug used in a medication abortion.

A ruling in favor of the plaintiffs, Alliance for Hippocratic Medicine — an organization of anti-abortion activists backed by the Christian right-wing lobbying group Alliance Defending Freedom — could severely limit access to mifepristone across the country. As women’s health specialists and doctors have told Salon before, the effects of such restrictions will be "devastating,” and have far-reaching consequences beyond impacting reproductive health.

Continued: https://www.salon.com/2024/03/20/yes-some-medication-abortion-patients-go-to-the-er--but-it-may-not-be-for-what-you-think/


Anti-abortion attorneys ascend federal government ranks with Christian right legal training

The conservative Christian law firm Alliance Defending Freedom’s expansive ties include federal judges and most recently Speaker of the House

BY: SOFIA RESNICK
DECEMBER 10, 2023

When Mississippi Solicitor General Scott G. Stewart presented Dobbs v. Jackson Women’s Health Organization to the U.S. Supreme Court in December 2021, he argued that state lawmakers should be able to ban abortion at any time in pregnancy, not just after so-called “viability,” the point where a fetus could survive outside of a uterus. The U.S. Constitution, he said, does not specifically protect the “purposeful termination of a human life.”

“The viability line discounts and disregards state interests,” Stewart said, according to the transcript of the oral arguments, contending that state lawmakers should be able to draw an earlier line on when they believe human life officially begins.

Continued: https://www.nevadacurrent.com/2023/12/10/anti-abortion-attorneys-ascend-federal-government-ranks-with-christian-right-legal-training/


USA – Many women can’t access miscarriage drug because it’s also used for abortions

BY: CAITLIN DEWEY
OCTOBER 21, 2023

Since losing her first pregnancy four months ago, 32-year-old Lulu has struggled to return to her body’s old rhythms. Lulu, who asked to be identified by her first name to protect her privacy, bled for six full weeks after her miscarriage and hasn’t had a normal menstrual cycle since.

Such disruptions aren’t uncommon after miscarriage, which affects roughly 1 in 10 known pregnancies. But for Lulu, they’ve also served as a persistent reminder that she couldn’t access the drug mifepristone — her preferred method of care — to help her body pass the miscarriage. Instead, her doctor prescribed a drug called misoprostol, which on its own is less effective.

Continued: https://ncnewsline.com/2023/10/21/many-women-cant-access-miscarriage-drug-because-its-also-used-for-abortions/


Legislators in 49 states ask SCOTUS to preserve access to abortion pill

34 Colorado lawmakers sign amicus brief

BY: KELCIE MOSELEY-MORRIS
OCTOBER 13, 2023

A group of more than 600 Democratic legislators from 49 states, including 34 from Colorado, have signed an amicus brief to the U.S. Supreme Court urging the justices to overturn an appellate court decision that would roll back access to mifepristone, one of two drugs used to safely terminate early pregnancies and treat miscarriages.

The amicus brief, also called a “friend of the court” brief, was organized by State Innovation Exchange’s Reproductive Freedom Leadership Council and assembled over the past week, said Jennifer Driver, the group’s senior director of reproductive rights. Driver said State Innovation Exchange, also known as SiX, provides tools and resources for state legislators to advocate for progressive public policies after being elected to office.

Continued: https://coloradonewsline.com/2023/10/13/legislators-in-49-states-ask-scotus-to-preserve-access-to-abortion-pill/