Dr. Leilah Zahedi-Spung spent four years in medical school, four years in an OB-GYN residency, and three years in a maternal-fetal medicine fellowship learning how to care for high-risk pregnant patients. In her decade-plus of medical training, she learned that in some cases, the only rational and responsible option for medical intervention is an emergency abortion. In July 2021 she moved to Chattanooga, Tennessee, and discovered she was the sole provider in her area trained to perform second-trimester dilatation and evacuation abortions for patients who needed them to survive.

But in 2022, the Supreme Court delivered its Dobbs v. Jackson Women’s Health Organization decision, and Tennessee’s trigger ban—written in preparation for the possibility that the Supreme Court would overturn Roe—went into effect a month later. Suddenly, providing an abortion in Tennessee became an immediate Class C felony punishable by up to 15 years in prison. There were no exceptions, even when an abortion was necessary to save a life or prevent serious bodily harm. Only after being arrested could a physician provide something called an “affirmative defense” to fight the charges. (Eight months after the trigger law took effect, the GOP […]