Credit: lllustration by Brian Stauffer

It was dusk on a Friday in March 2017, and the women’s health clinic in San Antonio was mostly deserted, except for a nurse finishing some end-of-the-week paperwork, when the phone rang. The man on the other end of the line introduced himself as Dr. Meyerstein with the Office of Refugee Resettlement in Washington, D.C., the agency charged with the temporary care of children apprehended while crossing the border alone.

Earlier that day, the clinic had given a 17-year-old girl the first dose of a medication abortion — a regimen that requires two sets of pills to be taken at least 24 but no more than 48 hours apart. Meyerstein wanted to know what would happen if the girl didn’t take her second dose.

The nurse knew the patient he was asking about: petite, shy, brown hair and a face that looked younger than the age on her chart. A chaperone from the government-funded shelter where she was being held accompanied her to the appointment.

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