Book Review :: Abortion Pills: US History and Politics by Carrie N. Baker
Review by Eleanor J. Bader
The story Professor and Journalist Carrie N. Baker tells in Abortion Pills: US History and Politics takes place at the intersection of public health and political posturing. Players include feminists, doctors, the pharmaceutical industry, the Food and Drug Administration, Congress, state lawmakers, and anti-abortion actors who, for four decades, have grappled over protocols for pill distribution and use, a battle that largely sidesteps the fact that abortion medication has been used to safely end unwanted pregnancies in 96 countries.
But overly-cautious US lawmakers aside, Baker reports that the pills – called mifepristone and misoprostol – are typically taken within the first 10 weeks of pregnancy and now account for 63 percent of abortions that are arranged via telemedicine or by visiting US health centers or contacting online clinics.
It’s a remarkable figure, and Baker writes that she expects it to grow.
Moreover, the rapid development of informal pill distribution networks, largely promoted on the internet, presently help an untold number of people acquire pills. According to Baker, these efforts began to skyrocket after the 2022 Supreme Court decision in Dobbs v. Jackson Women’s Health Center (which upended legal protections for abortion.) “The overturn of Roe removed abortion pills from the medical system in many states and spurred the development of informal networks of pill distribution and support for using them,” she reports. “Rather than moving patients to providers, advocates worked to move pills to people.” The upshot is that people have become increasingly aware that pills can be easily purchased and used at home.
That said, Baker acknowledges that abortion medication is not a panacea and recognizes that abortion surgery will sometimes be necessary; she also cautions readers that people have been arrested and convicted for acquiring pills unlawfully. Still, despite legal risks, Abortion Pills celebrates the determined feminists and public health activists who have put abortion medication directly into women’s hands.
Abortion Pills: US History and Politics by Carrie N. Baker. Amherst College Press, December 2024.
Reviewer bio: Eleanor J. Bader is a Brooklyn, NY-based journalist who writes about books and domestic social issues for Truthout, Rain Taxi, The Progressive, Ms. Magazine, the Los Angeles Review of Books, and The Indypendent.
