WASHINGTON (AP) 鈥� For much of her life, Angela Crawford considered herself a fairly conservative Republican 鈥� and she voted that way. But then a wave of court rulings and Republican-led actions in states restricted and later in vitro fertilization, the very procedure that had helped her conceive her daughter.
Now, Crawford, 38, is working to gather signatures in her home state of Missouri for a ballot initiative in the fall that would enshrine access to abortion and other reproductive health care. And she's voting for Democrats.
, Republicans insisted the ruling would mostly affect those seeking abortions to end unwanted pregnancies. But that hasn鈥檛 been the case.
have nearly died because they could not get emergency treatment. Miscarriage care has been delayed. in states with strict bans. . As the fallout grows, so does the opportunity for Democrats.
鈥淚 wish everyone would realize how big this topic is,鈥� Crawford said of reproductive rights. 鈥淧eople really minimized it initially, because they didn鈥檛 realize the scope.鈥�
Democratic candidates are increasingly running on the and they are seeing results.
For Biden, who is trying to overcome consistently low approval ratings and Republican Donald Trump鈥檚 loyal following in order to win reelection in November, the broader matter of reproductive health is becoming an increasingly potent issue as rights diminish in states such as Indiana, Florida and, soon, .
, developed sepsis and nearly died because she was unable to get an abortion, and a Louisiana woman who said restrictive laws prevented her from getting miscarriage care are campaigning for Biden in North Carolina. At a Durham community center, blue and red signs with phrases such as 鈥淪top Trump鈥檚 Abortion Ban鈥� lined the wall.
Doctors attending the event said that helping pregnant patients has become much harder. And tasks they have never had to consider, such as printing out driving instructions to Virginia for patients unable to get an abortion in North Carolina, have become more common.
The uncertainty has also motivated Amaia Clayton, a student from Duke University, to get more politically involved.
鈥淚 mean, I鈥檓 19. I鈥檓 in college,鈥� she said. 鈥淩eproductive health care is very, very applicable to me right now, and it will be very applicable to me for the foreseeable future.鈥�
In Alabama, the pause in IVF services was temporary, but it sent shock waves across the country as other states are
Voters have consistently sent strong messages of disapproval over the past two years about restricting abortion rights, and Republicans, including Trump, are struggling to find a satisfying and consistent response.
鈥淲hat we continue to see are more and more extreme positions on this issue, now around contraception and IVF,鈥� said Biden's campaign manager, Julie Chavez Rodriguez. 鈥淎nd these are policies that voters have continued to reject time and time again."
drove women to the polls during the 2022 midterm elections, delivering Democrats unexpected success.
say abortion should generally be legal, according to polling by The Associated Press-NORC Center for Public Affairs Research. Only about one-quarter say abortion should always be legal and only about 1 in 10 say it should always be illegal.
Since the fall of Roe, several states have enacted strict abortion bans or worked to make their laws stricter. , the state Supreme Court on Tuesday ruled that officials may enforce an 1864 law criminalizing all abortions except when a woman鈥檚 life is at stake.
, they have approved statewide ballot initiatives to preserve or expand the right to abortion.
In a follow-up to the end of Roe, Alabama's highest court in February ruled that frozen embryos were children, a decision that led to the temporary pause in in vitro fertilization services. Alabama also has one of the strictest abortion bans in the nation.
of her campaign to flip a seat in the Alabama House in a suburban district that, while increasingly politically moderate, had long been held by the GOP. And she won. Two years earlier, she had lost her bid for that seat.
Lochrane Chase, 36, of Birmingham, Alabama, had her IVF treatments paused because of the state court's decision. That changed how she engages with politics. She said she routinely votes for Republicans. But this time, she supported Lands.
鈥淭he IVF ruling made me realize that the Roe v. Wade decision has set such a dangerous precedent for states who now have the power to make their own rules," Chase said.
Reproductive rights advocates are not surprised. They expected the ripple effects.
鈥淒espite all of our knowledge -- and this has been in plain sight 鈥� we face a believability gap with the American people,鈥� said Mini Timmaraju, president of Reproductive Freedom for All. It was the same before the fall of Roe, she said. People just did not believe it could happen.
Where abortion has been a difficult topic for some more centrist Democrats, including Biden, to talk about, the larger issue of reproductive freedom works. Not just for lawmakers, but also for voters for whom abortion isn't top of mind.
鈥淭he beauty of using the freedom framework is that we can talk about a broader set of issues to a broader range of Americans," Timmaraju said.
Biden has said . After the new Arizona ban that is expected to take effect in the next two months, Biden's campaign sent out an email that read: 鈥淭rump did this.鈥� When asked his message to Arizona voters, Biden's response Wedneday was: 鈥淓lect me. I鈥檓 in the 20th century ... the 21st century.鈥�
Vice President Kamala Harris will be in Arizona on Friday addressing the issue.
Republicans are struggling with how to manage the broadening question of abortion and reproductive health after decades of pushing to overturn Roe.
Trump, whose judicial nominations as president paved the way for the Supreme Court鈥檚 conservative majority decision, But in a video statement on his social media site, , and on Wednesday, he said the .
鈥淚t鈥檒l be straightened out and as you know, it鈥檚 all about states鈥� rights,鈥� he said.
In Missouri last week, Republican legislators refused to codify language in the state budget that would have stated that nothing in state laws could preclude Medicaid coverage for contraceptives or IVF-related services.
State House Minority Leader Crystal Quade, a Democrat who is running for governor, said it was a small way that Republicans could have shown they were supportive of IVF.
But the Democrats' reason for seeking the vote was also political: They wanted voters to see the track record in black and white.
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Associated Press writer Makiya Seminera in Durham, North Carolina, contributed to this report.
Colleen Long, The Associated Press
