If Trump Restricts Mifepristone, Clinicians Are Ready to Pivot to Misoprostol-Only Abortions

7/7/2025
by Carrie N. Baker

For decades, clinicians relied on the gold standard of medication abortion care: a two-pill regimen. Mifepristone is taken first, followed by misoprostol 24 to 48 hours later. However, misoprostol can be used alone for abortion. Recent research on patients in the U.S. confirms that misoprostol-only abortion is not only safe and effective, but that patients respond positively to using it.

In light of the FDA’s recent decision to reopen its safety review of mifepristone—a move advocates warn may lead to new restrictions—abortion providers say they are ready to offer the misoprostol-only regimen to keep telehealth abortion available in all 50 states.

Continued: https://msmagazine.com/2025/07/07/trump-restricts-mifepristone-misoprostol-only-abortions/


USA – Inside the legal fight over the telehealth clinics that help women defy abortion bans

Every month, thousands of women evade abortion bans in their home states by turning to telehealth clinics willing to send them pregnancy-ending drugs through the mail

By MICHAEL HILL and SUSAN HAIGH, Associated Press
June 12, 2025

Every month, thousands of women thwart abortion bans in their home states by turning to telehealth clinics willing to prescribe pregnancy-ending drugs online and ship them anywhere in the country.

Whether this is legal, though, is a matter of debate. Two legal cases involving a New York doctor could wind up testing the shield laws some states have passed to protect telehealth providers who ship abortion pills nationwide.

Continued: https://abcnews.go.com/Health/wireStory/inside-legal-fight-telehealth-clinics-women-defy-abortion-122763768


USA – A Conversation About Abortion Care — and It’s Not All Bad News

Angel Foster of the Massachusetts Medication Abortion Access Project on how abortion with pills is here to stay, even as anti-abortion forces double down.

April 28, 2025
By Colleen DeBaise

It can be difficult to find good news in women’s health these days, but here’s a sliver: Abortion, to some extent, is easier and cheaper to access than ever before.

To talk us through how that’s possible in a post-Dobbs world, we spoke to Angel Foster, a professor at the University of Ottawa who in 2023 co-founded the Massachusetts Medication Abortion Access Project, also known as the MAP. The MAP currently assists 2,500 patients a month, prescribing and sending abortion pills primarily to U.S. states where abortion is banned or restricted.

Continued: https://thestoryexchange.org/protecting-abortion-care-in-the-u-s-a-conversation-with-a-top-provider/


Volunteers rush to send abortion pills to US women in need as ‘war between the states’ looms

Massachusetts abortion project pushes for access across country as controversial shield laws are put to legal test
Carter Sherman
Sat 26 Apr 2025
Each of the volunteers – five women and one man – have a unique role in the assembly line. One volunteer drops slim, orange boxes of mifepristone, the first drug typically used in a medication abortion, into the envelopes, while another volunteer adds green-capped bottles of the second drug, misoprostol. A few volunteers add brochures on topics such as how to use abortion pills or what to do if a woman suspects she has an ectopic pregnancy. Finally, one volunteer drops small purple cards into each envelope. They all bear the same handwritten message: “We wish you the best.” The cards are signed with a swooping heart and a nondescript name: “the Map”, or the Massachusetts Medication Abortion Access Project.
https://www.theguardian.com/us-news/2025/apr/26/abortion-clinic-pills-shield-laws


USA – Inside a medical practice sending abortion pills to states where they’re banned

August 7, 2024
Elissa Nadworny

The packages, no bigger than a hardcover book, line the walls of the nondescript office near Boston. It's not an Etsy retailer or a Poshmark seller or, as the nearby post office workers believe, a thriving jewelry business.

These boxes contain abortion pills.

"Welcome to modern abortion care," says Angel Foster, as she holds up a box for mailing. Foster, who has an M.D. degree, leads operations at what's known as the MAP, a Massachusetts telehealth provider sending pills to people who live in states that ban or restrict abortion.

Continued: https://www.npr.org/2024/08/06/nx-s1-5037750/abortion-pills-bans-telehealth-mail-mifepristone-misoprostol


The Abortion Pill Underground

Since Roe was overturned, thousands of people in red states have found a way to get an abortion—often thanks to providers operating at the edge of the law.

AMY LITTLEFIELD
May 7, 2024

When Kay found out she was pregnant at the end of last year, she knew three things clearly. “I was poor and I had an unwanted pregnancy and knew I couldn’t afford a standard abortion for hundreds of dollars,” she told me. A 29-year-old student already raising one child, Kay lives in Texas, where abortion is banned. The nearest clinic she could find was at least a 12-hour drive away. But Kay thought there might be another option. “I went to Google and started searching if it was possible somehow to receive abortion pills through the Internet.”

It was not only possible; it was much easier and more affordable than Kay had expected. She found online services that offered to ship the same medications that were available in clinics right to her doorstep in Texas for $150 or, if she couldn’t afford that, for free. It seemed so simple that Kay thought it might be a scam. “I was scared I would wait for the pills and they wouldn’t work when I got them,” she said.

Continued: https://www.thenation.com/article/society/telehealth-abortion-shield-laws/