A major fight over mail-order abortion pills is heating up in Washington, D.C.
A new study from the Guttmacher Institute shows just how urgent this battle has become. In 2025, an estimated 91,000 abortions were provided nationally through telehealth to women in states with abortion bans, up from 74,000 in 2024.
While these numbers are deeply upsetting, they also serve as a wake-up call for national lawmakers to take action.
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These numbers make the issue impossible to ignore. No more “well, isn’t it getting better nationally?” The answer is clearly no. But we can be the change the United States needs to see.
An estimated 1,126,000 abortions were conducted by clinicians in the United States in 2025, nearly unchanged from the 1,124,000 provided in 2024 and the highest annual total since 2009, according to new estimates released this spring by the abortion-rights group Guttmacher Institute.
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The numbers also reveal a troubling shift in how babies are being killed. 91,000 abortions were provided through telehealth to patients living in states with abortion bans in 2025, up from 74,000 in 2024. Meanwhile, out-of-state travel for abortions declined from 154,000 trips in 2024 to 142,000 in 2025, largely because residents of states with abortion bans increasingly can get these drugs illegally shipped straight to their door.
After Roe v. Wade was overturned, sinister networks grew rapidly. Now, telehealth clinics in states like New York, Massachusetts, and Colorado have been prescribing abortion drugs and shipping them to women across state lines.
“The bans didn’t eliminate abortion; they rerouted them,” Ms. Rebouché, a professor at the University of Texas School of Law, told The Sun.
However, we do not have to let these organizations have the final say. Just because abortion providers have changed their strategy does not mean we cannot find new ways to fight back.
Enforcing an old law known as the Comstock Act could help crack down on the growing abortion-pill industry and protect thousands of babies in the years ahead.
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