Just in case you are a pastor and don't understand the grave seriousness of having pharmaceutical ads and thereby cooperating with abortion

But the new rules could face court challenges

August 19, 2021 By Emily Bazelon Staff Writer, NYT Magazine Good morning. During the pandemic, health care providers can send abortion medication by mail. Will the courts allow that to continue? A bottle and pills of the drug Misoprostol, made by Lupin PharmaceuticalsGeorge Frey/Reuters How the pandemic changed abortion access The challenges of the pandemic have resulted in new ways of providing care that reach beyond Covid-19 treatments and vaccines. One area of medicine that could see changes is abortion care. A growing number of people seeking abortions in the U.S. — almost 40 percent in 2017, according to the Guttmacher Institute — take F.D.A.-approved pills. The regimen includes one drug to stop the pregnancy, and another that causes cramping and bleeding, like a miscarriage. For years, research has shown that this method is safe and more than 95 percent effective. The increasing use of abortion pills is raising an important question for people in places with a dearth of providers: Do women need to go to a clinic or a doctor to take them, or to get an ultrasound beforehand, as the U.S. has long required? Because of Covid, researchers now have a clearer answer. A study, led by Dr. Abigail Aiken at the University of Texas at Austin, took advantage of a natural pandemic experiment. In spring 2020, Britain began allowing health care providers to administer medication abortions via telemedicine, with pills mailed to the patient's home. Aiken and her colleagues compared thousands of medication abortions in Britain for two months before and after the new protocol went into effect. The groups had equally high success rates for completing their abortions (above 98 percent) and similarly low rates of significant complications (0.02 percent of the telemedicine-only abortions, and up to 0.04 percent for the ones with in-person visits). Other recent studies in the U.S. found similar results. And yet telemedicine-only abortions are available only temporarily in the U.S. When the F.D.A. approved mifepristone, one abortion drug, in 2000, the agency imposed significant restrictions, requiring providers to obtain a special certification to stock the drug and to give it out only in a clinic, doctor's office or hospital. For the moment, Covid has changed these rules. In response to a lawsuit by the American College of Obstetricians and Gynecologists and other groups, the F.D.A. said in April that mifepristone could be mailed to patients for the duration of the pandemic. A future before the court? Abortion opponents called the F.D.A.'s decision "irresponsible," arguing that in-person visits were needed to rule out medical risks and ensure the patient's full consent. But those who want to expand abortion access are fighting to make the pandemic rules permanent. "We're on the cusp of revolutionizing the provision of care," Destiny Lopez, co-president of the activist group All* Above All, told me. The F.D.A. has the power to lift the old restrictions for good, and it is reviewing them. But even if the agency does so, Lopez said, "we won't be there yet." Nineteen states effectively ban the use of telemedicine for abortion. If the F.D.A. says the medical evidence justifies making the pills more accessible, a plaintiff could challenge a state telemedicine ban as lacking a real basis in science. But the current Supreme Court, with its conservative majority, is more likely to cut back abortion access than to increase it, no matter what the science says. (In its next term, which opens in October, the court will hear another abortion case, challenging Mississippi's near-total ban on abortions after 15 weeks.) Court rulings and state laws can't stop people from taking abortion pills at home, because the medication is easily available online. So are consultations and information about how to use it. But where abortion by mail and telemedicine is illegal, it will remain underground. People could be prosecuted for aiding or participating in it, as a few have been. A post-Roe America in which many more women take abortion pills in the legal shadows wouldn't present the same dangers as the pre-Roe era. But it would pose its own risks. Emily Bazelon is a writer for The New York Times Magazine. Related: A federal appeals court yesterday upheld a Texas law banning the most common form of second-trimester abortion. ....