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The Supreme Court’s recent decision to uphold access to a widely available abortion pill has frustrated anti-abortion activists, but it has allowed Republicans to avoid a potentially toxic issue in the midst of a tight presidential race. Medication abortion remains broadly popular, with surveys showing that a majority of Americans support access to it. However, there is a split among the public on whether it should be available without a prescription. A ruling limiting access to the medication would have given Democrats another way to criticize their opponents on an issue that has become politically damaging for Republican politicians.

Since the Supreme Court decision that overturned Roe v. Wade in 2022, Republican candidates have struggled to reconcile their party’s long-standing opposition to abortion rights with the changing political landscape. Donald J. Trump has notably refused to state his position on abortion medication, promising to release a policy on the issue soon. Following the Supreme Court decision, Trump’s campaign attempted to shift focus back to Joe Biden, stating that the matter had been settled unanimously by the court. Trump has urged his party to avoid discussing bans on abortion at specific gestational ages and instead leave the issue to the voters.

The next president will have the authority to restrict or even criminalize medication abortion nationwide through agencies like the Justice Department and Health and Human Services. Allies of Trump and officials who served in his administration have proposed enforcing the Comstock Act, a law dating back to 1873, to criminalize the shipping of materials used in abortion, including abortion pills. Supporters of President Biden’s campaign have warned that Trump could impose a national ban on medication abortion through executive action, pointing to policy plans released by his allies that aim to reverse the FDA’s approval of the drug.

Aides of Mr. Biden have indicated that he plans to address the issue of abortion medication at the first presidential debate, differentiating his support for abortion rights from Trump’s stance that the policy should be determined by individual states. Critics accuse Trump and his allies of laying the groundwork to ban medication abortion nationwide, attributing the overturning of Roe v. Wade in 2022 to the former president appointing three conservative justices to the Supreme Court. Despite the recent ruling, the anti-abortion movement is expected to persist in its efforts to restrict abortion medication, with states like Missouri, Kansas, and Idaho potentially reviving litigation as new plaintiffs.

Overall, the Supreme Court’s decision to uphold access to medication abortion has sparked controversy and debate among politicians and activists on both sides of the abortion rights issue. The ruling has implications for the upcoming presidential election, with candidates grappling with how to position themselves on an issue that has long divided the American public. The future of medication abortion remains uncertain, with potential for further restrictions or bans depending on the actions of the next president and the ongoing efforts of anti-abortion advocates in various states.

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