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After Dobbs

How the Supreme Court Ended Roe but Not Abortion

Author David S. Cohen, Carole Joffe
Ebook (EPUB)
Beacon Press
On sale Mar 25, 2025 | 240 Pages | 9780807017654
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How hard-working individuals have kept abortion afloat in the wake of Roe v. Wade’s destruction, and the continued help needed if we want to sustain it

When the Supreme Court overturned Roe v. Wade in June 2022, many feared it meant the end of abortion access in the United States. Yet the courageous work of people on the ground has allowed abortion to survive post-Dobbs in ways that no one predicted.

In After Dobbs, law professor David S. Cohen and sociologist Carole Joffe interview 24 people across all different fields in abortion and in different state political environments to uncover how the abortion providing community and its allies prepared for, and then responded to this momentous event. Taking place across three intervals throughout 2022—pre-Dobbs in early 2022, right after Dobbs, and then six months later—these interviews showcase how nimble thinking on the part of providers, growth and new delivery models of abortion pills, and the never-ending work of those who help with abortion travel and funding have ensured most people who want them are still getting abortions, even without Roe.

But, as much as this is cause for celebration, the work required to make abortion possible is difficult and costly—in time, money, and emotion. There may soon come a time when the overturning of Roe means a much more severe decline in the number of people able to obtain the abortions they seek. But because of the work of the people in this book and those like them, even though Roe is dead, abortion is not . . . yet.
“Harsh truths paired with a hopeful call to action . . . the authors evoke a sense of urgency while providing evidence of the injustices that people endured as a result of Dobbs.”
—Kirkus Reviews

“This is a crucial book about democracy. If females are able to give birth, they must be able to decide whether they wish to give birth, otherwise half the human race is not living in a democracy.”
—Gloria Steinem

“This is a raw and gripping account about the impacts of Dobbs in the lives of everyday Americans throughout the United States. Filled with narratives, the book beautifully balances humanizing the struggle for reproductive freedom and justice, which for far too many women and girls has been traumatic, alongside elevating the courageous efforts taken by medical providers and advocates as they fight back.”
—Michele Goodwin, author of Policing the Womb: Invisible Women and the Criminalization of Motherhood

“Exactly as pro-choice activists predicted, abortion bans did not end abortion. David S. Cohen and Carole Joffe offer an in-depth view of the women, activists, and providers who are going to heroic efforts to claw back the dignity and autonomy the Supreme Court stole away.”
—Amanda Marcotte, author of Troll Nation: How the Right Became Trump-Worshipping Monsters Set on Rat-F*cking Liberals, America, and Truth Itself

“After Dobbs is a timely and desperately needed road map for hope and resilience. With clarity and insight, Cohen and Joffe offer a vital reminder that even in the face of seemingly insurmountable hurdles and injustices, people find a way to resist.”
—Jessica Valenti, author of Abortion: Our Bodies, Their Lies, and the Truths We Use to Win

“The demise of Roe v. Wade did not in fact end abortion care in America, and as Cohen and Joffe detail, it didn’t end compassionate, creative, and heroic hacks and workarounds from a small army of organizers, providers, clinic owners, and website wizards who ensured that for every injunction, lawsuit, bully, and threat, a dozen opportunities for better care would flourish. After Dobbs introduces us to the purveyors of hope and the believers in luck who refused to allow the Supreme Court to turn the lights off on American women and their healthcare. Read it and take heart; we have not yet begun to fight.”
—Dahlia Lithwick, author of Lady Justice: Women, the Law, and the Battle to Save America
David S. Cohen is a professor of law at Drexel University’s Thomas R. Kline School of Law where he teaches constitutional law and reproductive rights and justice. Carole Joffe is a professor of obstetrics, gynecology and reproductive sciences at the University of California, San Francisco, and a professor emerita of sociology at the U. of California, Davis. They have previously written a book together, Obstacle Course: The Everyday Struggle to Get an Abortion in America.
David S. Cohen View titles by David S. Cohen
Carole Joffe View titles by Carole Joffe
Introduction

CHAPTER ONE
Overturning Roe v. Wade

CHAPTER TWO
Clinic Closures

CHAPTER THREE
Creative Alternatives

CHAPTER FOUR
Pivot Masters

CHAPTER FIVE
Surge States

CHAPTER SIX
Pills

CHAPTER SEVEN
Supporting Patients

CHAPTER EIGHT
Abortion’s Uncertain Future

Epilogue
Acknowledgments
Notes
Index

About

How hard-working individuals have kept abortion afloat in the wake of Roe v. Wade’s destruction, and the continued help needed if we want to sustain it

When the Supreme Court overturned Roe v. Wade in June 2022, many feared it meant the end of abortion access in the United States. Yet the courageous work of people on the ground has allowed abortion to survive post-Dobbs in ways that no one predicted.

In After Dobbs, law professor David S. Cohen and sociologist Carole Joffe interview 24 people across all different fields in abortion and in different state political environments to uncover how the abortion providing community and its allies prepared for, and then responded to this momentous event. Taking place across three intervals throughout 2022—pre-Dobbs in early 2022, right after Dobbs, and then six months later—these interviews showcase how nimble thinking on the part of providers, growth and new delivery models of abortion pills, and the never-ending work of those who help with abortion travel and funding have ensured most people who want them are still getting abortions, even without Roe.

But, as much as this is cause for celebration, the work required to make abortion possible is difficult and costly—in time, money, and emotion. There may soon come a time when the overturning of Roe means a much more severe decline in the number of people able to obtain the abortions they seek. But because of the work of the people in this book and those like them, even though Roe is dead, abortion is not . . . yet.

Reviews

“Harsh truths paired with a hopeful call to action . . . the authors evoke a sense of urgency while providing evidence of the injustices that people endured as a result of Dobbs.”
—Kirkus Reviews

“This is a crucial book about democracy. If females are able to give birth, they must be able to decide whether they wish to give birth, otherwise half the human race is not living in a democracy.”
—Gloria Steinem

“This is a raw and gripping account about the impacts of Dobbs in the lives of everyday Americans throughout the United States. Filled with narratives, the book beautifully balances humanizing the struggle for reproductive freedom and justice, which for far too many women and girls has been traumatic, alongside elevating the courageous efforts taken by medical providers and advocates as they fight back.”
—Michele Goodwin, author of Policing the Womb: Invisible Women and the Criminalization of Motherhood

“Exactly as pro-choice activists predicted, abortion bans did not end abortion. David S. Cohen and Carole Joffe offer an in-depth view of the women, activists, and providers who are going to heroic efforts to claw back the dignity and autonomy the Supreme Court stole away.”
—Amanda Marcotte, author of Troll Nation: How the Right Became Trump-Worshipping Monsters Set on Rat-F*cking Liberals, America, and Truth Itself

“After Dobbs is a timely and desperately needed road map for hope and resilience. With clarity and insight, Cohen and Joffe offer a vital reminder that even in the face of seemingly insurmountable hurdles and injustices, people find a way to resist.”
—Jessica Valenti, author of Abortion: Our Bodies, Their Lies, and the Truths We Use to Win

“The demise of Roe v. Wade did not in fact end abortion care in America, and as Cohen and Joffe detail, it didn’t end compassionate, creative, and heroic hacks and workarounds from a small army of organizers, providers, clinic owners, and website wizards who ensured that for every injunction, lawsuit, bully, and threat, a dozen opportunities for better care would flourish. After Dobbs introduces us to the purveyors of hope and the believers in luck who refused to allow the Supreme Court to turn the lights off on American women and their healthcare. Read it and take heart; we have not yet begun to fight.”
—Dahlia Lithwick, author of Lady Justice: Women, the Law, and the Battle to Save America

Author

David S. Cohen is a professor of law at Drexel University’s Thomas R. Kline School of Law where he teaches constitutional law and reproductive rights and justice. Carole Joffe is a professor of obstetrics, gynecology and reproductive sciences at the University of California, San Francisco, and a professor emerita of sociology at the U. of California, Davis. They have previously written a book together, Obstacle Course: The Everyday Struggle to Get an Abortion in America.
David S. Cohen View titles by David S. Cohen
Carole Joffe View titles by Carole Joffe

Table of Contents

Introduction

CHAPTER ONE
Overturning Roe v. Wade

CHAPTER TWO
Clinic Closures

CHAPTER THREE
Creative Alternatives

CHAPTER FOUR
Pivot Masters

CHAPTER FIVE
Surge States

CHAPTER SIX
Pills

CHAPTER SEVEN
Supporting Patients

CHAPTER EIGHT
Abortion’s Uncertain Future

Epilogue
Acknowledgments
Notes
Index

Additional formats

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