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Nearly 60% of Americans had been infected with COVID as of this spring; with winter on the 2023 I cheer For The Punter Funny Saying T-Shirt But I will love this horizon, there couldn’t be a better time for the medical community to land on a successful vaccine response intended specifically for new variants. It’s been barely over six weeks since Roe v. Wade was overturned by the Supreme Court, but already the lack of legal protection for abortion care is being felt nationwide. Clinics are closing around the country, doctors are being forced to choose between doing their best to help pregnant patients and following the law, and a generation of young people has been systematically disempowered from controlling their own reproductive autonomy. To the extent that there’s any good news here, it’s this: Abortion providers and clinic staffers in states where abortion remains legal are still working around the clock (in fact, often harder than ever before) to provide their patients with a full spectrum of options. Recently, Vogue spoke to one of them—an abortion doula and clinic staffer in Maine, where 31% of counties have no abortion clinics—under the condition of anonymity to get a sense of how her vital and often challenging work has evolved since the overturning of Roe. Read the full interview below. Three days a week, I work an eight-hour shift in a clinic that provides abortion care, birth control, STI screenings and treatment, and many other forms of reproductive health care. I speak with patients on the phone and also assist our clinicians in caring for them in person, which often involves counseling and holding space for whatever they’re going through or hoping for. The other two days, I work as an abortion doula, providing folks in my community (and all over the world, remotely) with physical, emotional, and practical support. This could mean helping someone find funding for their appointment costs—which increasingly now involve paying for travel, shelter, and childcare; holding their hand and rubbing their back and offering some verbal anesthesia through an in-clinic abortion procedure; helping them create or think through a ritual of closure or grief or celebration (or all of the above); answering questions about their different options and walking them through the details of a self-managed medication abortion; connecting them to resources (like the Repro Legal Helpline, the M+A Hotline, All-Options, Faith Aloud, or Exhale); driving them to and from their appointment; or even watching their kids for them while they have their abortion.

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There is not really such a thing, for me, because human bodies and human lives are so unpredictable. But one thing I can expect every day (and what gets me out of bed most mornings) is that I will meet at least one pregnant person and will likely spend much of my day in pursuit of their surviving and thriving, no matter what pregnancy outcome they want or need. I will likely have to move some mountains (or at least some hills) to get them the 2023 I cheer For The Punter Funny Saying T-Shirt But I will love this care they need in this deeply broken state and country and to help them protect their joy, their health, their autonomy, their family, and their future. I am definitely being called upon—both in the clinic and in my doula role—by more and more folks out of state and by more and more folks in crisis. What might have been a relatively accessible 15-minute procedure in someone’s hometown has now become a three-day ordeal of traveling with young children, missing work, not being able to make rent. Or, horrifyingly and heartbreakingly, it has become a continued pregnancy and birth against someone’s will. People are suffering far more physically, emotionally, financially, and spiritually, which makes caring for them and supporting them more intense and more full of stress and grief.