It’s been nearly one year since the U.S. Supreme Court overturned Roe v. Wade, the landmark ruling that protected abortion rights for half a century. Many states have passed laws severely restricting or banning abortion. And in states like Texas, pregnant patients are being put in peril. 

Freelance journalist Sophie Novack reports on the hard decisions Texas doctors and nurses are making in the aftermath of the state’s ban. Providers are facing impossible choices when it comes to caring for pregnant patients with medical complications. Some fear that performing an abortion, even to save the life of a mother, could lead to criminal prosecution. 

Reveal reporter Laura C. Morel has spent the last year investigating anti-abortion crisis pregnancy centers. Now that abortions are severely restricted or banned in much of the country, these centers are trying to fill some of the health care gap that’s emerged in conservative areas. In states that continue to allow abortions, crisis pregnancy centers have doubled down on their mission to discourage patients from terminating their pregnancies – often using deceptive practices to lure them into their facilities. Morel talks to a Florida woman who describes her experience at a Jacksonville crisis pregnancy center, where a volunteer deceived her into thinking it was an abortion clinic. As Morel and episode host Nadia Hamdan discover, deceiving pregnant women is part of these centers’ long history. 

Finally, we explore how a 2018 U.S. Supreme Court decision has made it harder to regulate anti-abortion centers – and how the lack of regulation harms clients. Morel tells the story of an anti-abortion nurse in Kentucky who reported infection control problems at the crisis pregnancy center where she volunteered, only to find that the facility is allowed to operate in a regulatory gray zone.

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