Given that hundreds of women a year died from botched illegal abortions in the United States before Roe v. Wade, which legalized the procedure in 1973, I expected to find hospitals in Chile overflowing with dying women. Instead, I found that abortion drugs have dramatically altered the situation.
I’ve spent the past decade studying abortions in Latin American countries where abortion is always, or almost always, illegal. Yet, abortion in these countries remains commonplace. It is vastly safer than it was in the past, thanks to a revolution that has replaced back alleys with blister packs ordered online.
.. Abortifacient drugs have become so readily available in places like Chile and El Salvador that today it is impossible to enforce abortion bans. That was also the case in Ireland, where by some accounts, before last week’s legalization vote, at least two Irish women a day were self-administering abortions using pills.
.. The most widely available abortion drug in Latin America, misoprostol, is commonly used to treat ulcers. Although less effective than the combination of mifepristone and misoprostol used in the United States, misoprostol taken in the first trimester triggers an abortion in approximately 90 percent of cases.
.. Efforts to restrict access to misoprostol will fail not simply because it costs pennies to make, but also because it saves lives. The World Health Organization lists misoprostol as an “essential medicine” for treating miscarriages, and it is credited with dramatically reducing deaths from illegal abortions.
.. If a woman takes the wrong drug or the wrong dosage, particularly too late in pregnancy, she is likely to wind up in the emergency room, bleeding. There is no ready way for doctors to tell the difference between the hemorrhaging from a natural miscarriage and that from an induced abortion. But that hasn’t stopped governments from tasking them with trying.
.. Historically, as well as in most countries today, abortion prosecutions typically target the doctor. This practice is endorsed by today’s anti-abortion movement, which with virtual unanimity proclaims that women are abortion’s “second victims,” deserving compassion rather than punishment.