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Abortion pill shipments undermine the Dobbs decision

Massachusetts Citizens for Life believes the Supreme Court is wrong to allow dangerous abortion drugs to be shipped to women who have never even been examined by a doctor or mailed to men who intend to coerce or trick pregnant women into having abortions they have not chosen.

We are equally concerned that Supreme Court Justices who sided with Dobbs but aligned with the abortion industry contradicted themselves. As Justice Alito noted in his dissent, Dobbs enabled states like Louisiana to prohibit abortion, only to now have those pro-life protections completely undermined because of out-of-state abortion pill shipments.

Alito wrote, “What is at stake is the perpetration of a scheme to undermine our decision in Dobbs v. Jackson Women’s Health Organization… This scheme would not have been possible under FDA regulations had the federal government not taken steps in 2021 and 2023 to facilitate mail-order abortions.”

In the coming months, we look forward to the FDA’s promised review of mifepristone’s safety.

Justice Clarence Thomas, also dissenting, noted mifepristone shipments violate the 1873 Comstock Act, which prohibits the mailing of abortifacients.

Tens of thousands of those shipments originate in Massachusetts, each package boosting abortion industry profits and its support for Governor Healey, who continues to highlight “access” as she seeks reelection.

At a press conference last week, with Planned Parenthood staff members at her side, Governor Healey essentially asked the Supreme Court to prioritize abortion industry profit over women’s safety. Governor Healey allocated $2 million to Planned Parenthood in her current budget.

Abortion rights activists champion “reproductive freedom.” Yet mifepristone kills women who have not been properly examined. “Telehealth” suffocates freedom and is a grave, misleading offering to frightened women looking for support.

But as reported in Planned Parenthood’s most recent annual report, telehealth does breathe life into annual revenue: the nation’s largest abortion business most recently recorded over $2 billion. Not coincidentally, it sold a record 402,230 abortions in 2023.
That year, abortion accounted for 97% of its “pregnancy” services; prenatal care, 1.6%; adoption referrals: 0.4%.

Chemical abortions sold in Massachusetts parallel the national record-setting trend. Because Governor Healey and her administration lean so heavily on “access,” 2024 sales (49,450) more than doubled those in 2023 (24,355). Over 60% were chemical abortions, pills ordered online. No doctor examination. No verification that a pregnant woman even ordered the pills.

Consistent with abortion industry practices, critical information is hidden from women who purchase the pills. Because Governor Healey enacted “shield” laws, an abortionist cannot be held accountable or prosecuted by states where pro-life protections are in place.

As of last summer, a Massachusetts abortionist’s very identity is withheld from women who buy pills online. If she is injured, even if she has basic questions regarding follow-up treatment, she is unable to track down whoever sent her the drugs because that individual remains shielded by the state. Women healing from abortion, who might need counseling, comfort and compassion, are once again left alone by the abortion industry.

All nine Supreme Court justices, and Governor Healey, are unlikely to ever agree with us that abortion is ethically and morally wrong. But they should agree that our top priority when considering abortion must be women’s well-being and their safety.

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May 15, 2026

Myrna Maloney Flynn

President

Massachusetts Citizens for Life