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Despite state bans, abortions nationwide are up, driven by telehealth

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Despite state bans, abortions nationwide are up, driven by telehealth

Abortion rights activists at the Supreme Court in Washington, D.C. on March 26, the day the case about the abortion drug mifepristone was heard. The number of abortions in the U.S. increased, a study says, surprising researchers.

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Abortion rights activists at the Supreme Court in Washington, D.C. on March 26, the day the case about the abortion drug mifepristone was heard. The number of abortions in the U.S. increased, a study says, surprising researchers.

Drew Angerer/AFP via Getty Images

In the 18 months following the Supreme Court’s decision that ended federal protection for abortion, the number of abortions in the U.S. has continued to grow, according to The Society of Family Planning’s WeCount project.

“We are seeing a slow and small steady increase in the number of abortions per month and this was completely surprising to us,” says Ushma Upadhyay, a professor and public health scientist at the University of California, San Francisco who co-leads the research. According to the report, in 2023 there were, on average, 86,000 abortions per month compared to 2022, where there were about 82,000 abortions per month. “Not huge,” says Upadhyay, “but we were expecting a decline.”

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The slight increase comes despite the fact that 14 states had total abortion bans in place during the time of the research. According to the report, there were about 145,000 fewer abortions in person in those states since the Dobbs decision, which triggered many of the restrictive state laws.

“We know that there are people living in states with bans who are not getting their needed abortions,” says Upadhyay. “The concern we have is that that might be overlooked by these increases.”

Florida, California and Illinois saw the largest surges in abortions, which is especially interesting given Florida’s recent 6-week ban that started on May 1.

Abortion rights opponents demonstrate in New York City, on March 23. Some states’ abortion bans are known as “heartbeat bills,” because they make abortion illegal after cardiac activity starts, usually around six weeks of pregnancy.

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Abortion rights opponents demonstrate in New York City, on March 23. Some states’ abortion bans are known as “heartbeat bills,” because they make abortion illegal after cardiac activity starts, usually around six weeks of pregnancy.

Kena Betancur/AFP via Getty Images

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The latest report also captures for the first time the impact of providers offering telehealth abortions from states with protections for doctors and clinics known as shield laws – statutes that say they can’t be prosecuted or held liable for providing abortion care to people from other states.

Between July and December 2023, more than 40,000 people in states with abortion bans and telehealth restrictions received medication abortion through providers in states protected by shield laws. Abortion pills can be prescribed via telehealth appointments and sent through the mail; the pills can safely end pregnancies in the first trimester.

The report includes abortions happening within the U.S. health care system, and does not include self-managed abortions, when people take pills at home without the oversight of a clinician. For that reason, researchers believe these numbers are still an undercount of abortions happening in the U.S.

Accounting for the increases

A major factor in the uptick in abortions nationwide is the rise of telehealth, made possible in part by regulations first loosened during the coronavirus pandemic.

According to the report, telehealth abortions now make up 19% of all abortions in the U.S. In comparison, the first WeCount report which spanned April 2022 through August 2022 showed telehealth abortions accounted for just 4% of all abortions. Research has shown that telehealth abortions are as safe and effective as in-clinic care.

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“It’s affordable, it’s convenient, and it feels more private,” says Jillian Barovick, a midwife in Brooklyn and one of the co-founders of Juniper Midwifery, which offers medication abortion via telehealth to patients in six states where abortion is legal. The organization saw its first patient in August 2022 and now treats about 300 patients a month.

“Having an in-clinic abortion, even a medication abortion, you could potentially be in the clinic for hours, whereas with us you get to sort of bypass all of that,” she says. Instead, patients can connect with a clinician using text messages or a secure messaging platform. In addition to charging $100 dollars for the consultation and medication – which is well below the average cost of an abortion – Barovick points to the cost savings of not having to take off work or arrange child care to spend multiple hours in a clinic.

She says her patients receive their medication within 1 to 4 business days, “often faster than you can get an appointment in a clinic.”

A study published in JAMA Internal Medicine on Monday followed about 500 women who had medication abortions with the pills distributed via mail order pharmacy after an in-person visit with a doctor. More than 90% of the patients were satisfied with the experience; there were three serious adverse events that required hospitalization.

In addition to expansions in telehealth, there have been new clinics in states like Kansas, Illinois and New Mexico, and there’s been an increase in funding for abortion care – fueled by private donors and abortion funds.

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The impact of shield laws

During the period from October to December 2023, nearly 8,000 people per month in states with bans or severe restrictions accessed medication abortions from clinicians providing telehealth in the 5 states that had shield laws at the time. That’s nearly half of all monthly telehealth abortions.

“It’s telemedicine overall that is meeting the need of people who either want to or need to remain in their banned or restricted state for their care,” says Angel Foster, who founded The MAP, a group practice operating a telehealth model under Massachusetts’ shield laws. “If you want to have your abortion care in your state and you live in Texas or Mississippi or Missouri, right now, the shield law provision is by far the most dominant way that you’d be able to get that care.”

Foster’s group offers medication abortions for about 500 patients a month. About 90% of their patients are in banned or restrictive states; about a third are from Texas, their most common state of origin, followed by Florida.

“Patients are scared that we are a scam,” she says, “they can’t believe that we’re legit.”

Since the WeCount data was collected, additional states including Maine and California have passed shield laws protecting providers who offer care nationwide. The new shield laws circumvent traditional telemedicine laws, which often require out-of-state health providers to be licensed in the states where patients are located. States with abortion bans or restrictions and/or telehealth bans hold the provider at fault, not the patient.

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Existing lawsuits brought by abortion opponents, including the case awaiting a Supreme Court decision, have the potential to disrupt this telehealth surge by restricting the use of the drug mifepristone nationwide. If the Supreme Court upholds an appeals court ruling, providers would be essentially barred from mailing the drug and an in-person doctor visit would be required.

There is also an effort underway in Louisiana to classify abortion pills as a controlled substance.

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Scott Adams, the controversial cartoonist behind ‘Dilbert,’ dies at 68

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Scott Adams, the controversial cartoonist behind ‘Dilbert,’ dies at 68

Cartoonist Scott Adams poses with his a life-size cutout of his creation, Dilbert, in 2014.

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Scott Adams, the controversial cartoonist who skewered corporate culture, has died at age 68, He announced in May 2025 that he had metastatic prostate cancer and only months to live.

Months later, in November, Adams took to X to request — and receive — some very public help from President Trump and Health and Human Services Secretary Robert F. Kennedy Jr. in addressing health insurance issues that had delayed his treatment with an FDA-approved cancer drug called Pluvicto.

Adams said he was able to book an appointment the next day. Despite the Trump administration’s public intervention, Adams shared on his YouTube show in early January 2026 that “the odds of me recovering are essentially zero.”

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Adams’ former wife, Shelly Miles, announced his death Tuesday during a YouTube livestream, and then read a statement from Adams who said, “I had an amazing life. I gave it everything I had. If you got any benefits from my life, I ask you pay it forward as best you can.”

Adams rose to fame in the early 1990s with his comic strip Dilbert, satirizing white-collar culture based on his own experiences working in company offices. He made headlines again in the final years of his life for controversial comments about race, gender and other topics, which led to Dilbert‘s widespread cancellation in 2023.

Dilbert, which at its height was syndicated in some 2,000 newspapers across 65 countries, spawned a number of books, a video game and two seasons of an animated sitcom.

“I think you have to be fundamentally irrational to think that you can make money as a cartoonist, and so I can never answer succinctly why it is that I thought this would work,” Adams told NPR’s Weekend Edition in 1996. “It was about the same cost as buying a lottery ticket and about the same odds of succeeding. And I buy a lottery ticket, so why not?”

He said that he had “pretty much always wanted to be a famous cartoonist,” even applying to the Famous Artists School, a correspondence art course, as a pre-teen.

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“I was 11 years old, and I’d filled out the application saying that I wanted to be a cartoonist,” he said. “It turns out, as they explained in their rejection letter, that you have to be at least 12 years old to be a famous cartoonist.”

Turning to more practical matters, Adams studied economics at Hartwick College in Oneonta, N.Y. and earned an MBA from UC Berkeley. He also trained as a hypnotist at the Clement School of Hypnosis in the 1980s.

Adams began his career at Crocker National Bank, working what he described in a blog post as a “number of humiliating and low paying jobs: teller (robbed twice at gunpoint), computer programmer, financial analyst, product manager, and commercial lender.”

He then spent nearly a decade working at Pacific Bell — the California telephone company now owned by AT&T — in various jobs “that defy description but all involve technology and finances,” as Adams put it in his biography. It was there that he started drawing Dilbert, working on the strip on mornings, evenings and weekends from 1989 until 1995.

“You get real cynical if you spend more than five minutes in a cubicle,” he told NPR’s Weekend Edition in 2002. “But I certainly always planned that I would escape someday, as soon as I got escape velocity.”

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Adams satirized corporate culture for decades 

Scott Adams works on his comic strip in his California studio in 2006.

Scott Adams works on his comic strip in his California studio in 2006. He announced in May that he was dying of metastatic prostate cancer.

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Dilbert revolves around its eponymous white-collar engineer as he navigates his company’s comically dysfunctional bureaucracy, alongside his sidekick: an anthropomorphized, megalomaniac dog named Dogbert.

“Dilbert is a composite of my co-workers over the years,” Adams wrote on his website. “He emerged as the main character of my doodles. I started using him for business presentations and got great responses … Dogbert was created so Dilbert would have someone to talk to.”

Dilbert — with his trademark curly head, round glasses and always-upturned red and black tie — fights a constant battle for his sanity amidst a micromanaged, largely illogical corporate environment full of pointless meetings, technical difficulties, too many buzzwords and an out-of-touch manager known only as Pointy-haired Boss.

Even after Adams quit his day job, he kept a firm grasp on the absurdities and mundanities of cubicle life with help from his devoted audience.

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He included his email address on the strip and said he got hundreds of messages each day. Recurring reader suggestions ranged from stolen refrigerator lunches to bosses’ unrealistic expectations.

“So they all, for example, say, ‘I need this report in a week, but make sure that I get it two weeks early so I could look at it,’” Adams said. “Just bizarre stories where it’s clear that they either have never owned a watch or a calendar or they are in some kind of a time warp.”

Dilbert‘s storylines evolved alongside office culture, taking aim at a growing range of societal and technological topics over the years. In 2022, Adams introduced Dave, the strip’s first Black character, who identifies as white — a choice critics interpreted as poking fun at DEI initiatives.

That ushered in an era of anti-woke plotlines that saw dozens of U.S. newspapers drop the strip in 2022, foreshadowing its widespread cancellation just a year later.

The comic strip was cancelled over Adams’ comments

Adams didn’t limit himself to cartoons. He was a proponent of what he called the “talent stack,” combining multiple common skills in a unique and valuable way: like drawing, humor and risk tolerance, in his case.

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He ventured briefly into food retail at the turn of the millennium, selling vegetarian, microwavable burritos called Dilberitos. He published several novels and nonfiction books unrelated to the Dilbert universe over the years.

Adams was open about his health struggles throughout his career, including the movement disorder focal dystonia — which particularly affected his drawing hand — and, years later, spasmodic dysphonia, an involuntary clenching of the vocal cords that he managed to cure through an experimental surgery.

And he opined on social and political events on “Real Coffee with Scott Adams,” his YouTube talk series with over 180,000 subscribers.

His commentary, which often touched on race and other hot-button issues, led to Dilbert‘s widespread cancellation in February 2023.

In a YouTube livestream that month, Adams — while discussing a Rasmussen public opinion poll asking readers whether they agree “It’s OK to be white” (which is considered an alt-right slogan) — urged white people to “get the hell away from Black people,” labeling them a “hate group.” The backlash was swift: Dozens of newspapers across the country ditched Dilbert, and the comic’s distributor dropped Adams.

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The incident also renewed focus on numerous controversial comments Adams had made in the past, including about race, men’s rights, the Holocaust and COVID-19 vaccines. Adams defended his remarks as hyperbole, and later said getting “canceled” had improved his life, with public support coming from conservative figures like Elon Musk and Charlie Kirk.

Adams, in his final years, was a vocal supporter of President Trump and a critic of Democrats.

But he extended his “respect and compassion” to former President Joe Biden in a video the day after Biden’s prostate cancer diagnosis became public in May 2025.

The prognosis was personal for Adams: He shared that he too had metastatic prostate cancer and only months to live, saying he expected “to be checking out from this domain sometime this summer.”

“I’ve just sort of processed it, so it just sort of is what it is,” he said on his YouTube show. “Everybody has to die, as far as I know.”

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Iran acknowledges mass protest deaths, but claims situation under control as Trump mulls response

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Iran acknowledges mass protest deaths, but claims situation under control as Trump mulls response

Iran’s theocratic rulers are under the most intense pressure they’ve felt in years, as President Trump leaves the option of a U.S. military intervention on the table in the face of a fast-mounting death toll amid more than two weeks of anti-government protests across the Islamic Republic.

Mr. Trump said Sunday that Iranian officials had called him looking “to negotiate” after his repeated threats to intervene if authorities kill protesters. In an unusual move, meanwhile, Iran‘s state-controlled media aired video on Sunday showing mass casualties in and outside a morgue in a Tehran suburb.

The video shared widely online shows dozens of bodies outside the morgue, which CBS News has geolocated to the southern Tehran suburb of Kahrizak. The bodies were wrapped in black bags, and people can be seen grieving and searching for their loved ones at the site.

The state TV reporter says in the clip that some of those seen dead may have been involved in violence, but that “the majority of them are ordinary people, and their families are ordinary people as well.” 

An image from video posted on social media on Jan. 11, 2026, shows people outside the Kahrizak Forensic Medical Center in Tehran, trying to identify loved ones amid the bodies of dozens killed in a wave of deadly anti-government demonstrations across Iran.

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Reuters/Social media


Video posted by social media users on Sunday showed scenes from the same morgue, and people could be heard wailing in the background as others appeared to be looking for loved ones amid the bodies.  

It is unclear why Iranian authorities might have chosen to show the mass casualties, but it could be an attempt to show sympathy with the protesters and to bolster their narrative that it is more radical actors, inspired by Mr. Trump’s messages of support, behind the violence, not the government.

President Trump and Iranian officials have escalated their warnings over the past week, with both sides insisting they’re ready for, but not seeking a military confrontation. 

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On Sunday, however, Mr. Trump said Iran’s leadership had called looking to talk.

Trump issues fresh warning, says Iran seeking negotiations

“The leaders of Iran called” yesterday, he told reporters Sunday on Air Force One, saying “a meeting is being set up … They want to negotiate.”

“We may have to act before a meeting,” Mr. Trump warned. He first warned 10 days ago that if Iran killed protesters, the U.S. would “come to their rescue,” but he’s yet to say what exactly would prompt some action against the regime, or what that might entail.

A senior U.S. official confirmed to CBS News on Sunday that the president had been briefed on new options for military strikes in Iran, after Mr. Trump warned that if the regime started “killing people like they have in the past, we would get involved.”

“We’ll be hitting them very hard where it hurts,” he said at the White House. “And that doesn’t mean boots on the ground, but it means hitting them very, very hard where it hurts.”

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The U.S. has not yet moved any forces in preparation for potential strikes on Iran, officials with the military’s Central Command told CBS News over the weekend.   

Iran’s top diplomat claims protests “under total control”

Iran did not confirm any direct outreach to the Trump administration, but speaking on Monday, Foreign Minister Abbas Araghchi suggested the regime had brought the protests under control – repeating the government’s claim that the U.S. was to blame for the violence.

The “situation is now under total control,” Araghchi said, according to the Reuters news agency, as Iranian state TV aired video of massive pro-government demonstrations around the country.

iran-pro-regime-demo-jan-2026.jpg

An image from video aired on Jan. 12, 2026 by Iranian state TV, shows a funeral procession for protesters killed in what the network said were “terrorist acts” amid anti-regime protests across the country, in Ardabil, northwest Iran.

Reuters/Iranian state TV

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Government-controlled broadcaster IRIB called one demonstration and funeral march an “Iranian uprising against American-Zionist terrorism.”

In the face of Mr. Trump’s repeated threats, Araghchi said Iran was “ready for war, but also for dialogue” with the U.S. at any time.

Iranian Foreign Minister Abbas Araghchi makes a speech amid amid evolving anti-government unrest, in Tehran

Iranian Foreign Minister Abbas Araghchi speaks on state television amid anti-government protests, in Tehran, Iran, Jan. 12, 2026, in a screengrab obtained from a handout video.

IRIB/Handout/REUTERS


In another indication that the regime may believe it is weathering the storm, the foreign minister said internet service would be resumed in coordination with Iran’s security services, though he offered no specific timeline. 

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Rights groups say death toll from protests could be in the thousands

According to human rights groups based outside the country, which rely on contacts inside Iran, the death toll has already climbed into the hundreds. 

The Washington D.C.-based Human Rights Activists News Agency said that, as of Sunday, the 15th day of protests, at least 544 people had been killed, including 483 protesters and 47 members of the security forces. HRANA said the unrest had manifested in 186 cities across all of Iran’s 31 provinces.

The Center for Human Rights in Iran (CHRI), which is also based in the U.S., said over the weekend that it had “eyewitness accounts and credible reports indicating that hundreds of protesters have been killed across Iran during the current internet shutdown,” accusing the regime of carrying out “a massacre.” 

The Iran Human Rights (IHR) organization, based in Norway, said Saturday that it had confirmed at least 192 protesters were killed, but that the number could be over 2,000.

“Unverified reports indicate that at least several hundreds, and according to some sources, more than 2,000 people may have been killed,” IHR said in a statement, adding that according to its estimate, more than 2,600 protesters had been arrested. 

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HRANA estimates that over 10,000 people have been detained.

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Video: What Our Photographer Saw in Minneapolis

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Video: What Our Photographer Saw in Minneapolis

new video loaded: What Our Photographer Saw in Minneapolis

David Guttenfelder, a visual journalist for The New York Times, was at the scene in Minneapolis immediately after an ICE agent killed a 37-year-old woman in her vehicle. He walks us through the photos and videos he took over the next few days as outrage and protests mounted in the city.

By David Guttenfelder, Coleman Lowndes and Nikolay Nikolov

January 12, 2026

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