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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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Slow-moving prisoner releases in Venezuela enter 3rd day after government announces goodwill effort

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Slow-moving prisoner releases in Venezuela enter 3rd day after government announces goodwill effort

SAN FRANCISCO DE YARE, Venezuela — As Diógenes Angulo was freed Saturday from a Venezuelan prison after a year and five months, he, his mother and his aunt trembled and struggled for words. Nearby, at least a dozen other families hoped for similar reunions.

Angulo’s release came on the third day that families had gathered outside prisons in the capital, Caracas, and other communities hoping to see loved ones walk out after Venezuela ’s government pledged to free what it described as a significant number of prisoners. Members of Venezuela’s political opposition, activists, journalists and soldiers were among the detainees that families hoped would be released.

Angulo was detained two days before the 2024 presidential election after he posted a video of an opposition demonstration in Barinas, the home state of the late President Hugo Chávez. He was 17 at the time.

“Thank God, I’m going to enjoy my family again,” he told The Associated Press, adding that others still detained “are well” and have high hopes of being released soon. His faith, he said, gave him the strength to keep going during his detention.

Minutes after he was freed, the now 19-year-old learned that former President Nicolás Maduro had been captured by U.S. forces Jan. 3 in a nighttime raid in Caracas.

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The government has not identified or offered a count of the prisoners being considered for release, leaving rights groups scouring for hints of information and families to watch the hours tick by with no word.

President Donald Trump has hailed the release and said it came at Washington’s request.

On Thursday, Venezuela ’s government pledged to free what it said would be a significant number of prisoners. But as of Saturday, fewer than 20 people had been released, according to Foro Penal, an advocacy group for prisoners based in Caracas. Eight hundred and nine remained imprisoned, the group said.

A relative of activist Rocío San Miguel, one of the first to be released and who relocated to Spain, said in a statement that her release “is not full freedom, but rather a precautionary measure substituting deprivation of liberty.”

Among the prominent members of the country’s political opposition who were detained after the 2024 presidential elections and remain in prison are former lawmaker Freddy Superlano, former governor Juan Pablo Guanipa, and Perkins Rocha, lawyer for opposition leader María Corina Machado. The son-in-law of opposition presidential candidate Edmundo González also remains imprisoned.

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One week after the U.S. military intervention in Caracas, Venezuelans aligned with the government marched in several cities across the country demanding the return of Maduro and his wife Cilia Flores. The pair were captured and transferred to the United States, where they face charges including conspiracy to commit narco-terrorism.

Hundreds demonstrated in cities including Caracas, Trujillo, Nueva Esparta and Miranda, many waving Venezuelan flags. In Caracas, crowds chanted: “Maduro, keep on going, the people are rising.”

Acting president Delcy Rodríguez, speaking at a public social-sector event in Caracas, again condemned the U.S. military action on Saturday.

“There is a government, that of President Nicolás Maduro, and I have the responsibility to take charge while his kidnapping lasts … . We will not stop condemning the criminal aggression,” she said, referring to Maduro’s ousting.

On Saturday, Trump said on social media: “I love the Venezuelan people and I am already making Venezuela prosperous and safe again.”

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After the shocking military action that overthrew Maduro, Trump stated that the United States would govern the South American country and requested access to oil resources, which he promised to use “to benefit the people” of both countries.

Venezuela and the United States announced Friday that they are evaluating the restoration of diplomatic relations, broken since 2019, and the reopening of their respective diplomatic missions. A mission from Trump’s administration arrived in the South American country on Friday, the State Department said.

Venezuelan Foreign Minister Yván Gil responded to Pope Leo XIV, who on Friday called for maintaining peace and “respecting the will of the Venezuelan people.”

“With respect for the Holy Father and his spiritual authority, Venezuela reaffirms that it is a country that builds, works, and defends its sovereignty with peace and dignity,” Gil said on his Telegram account, inviting the pontiff “to get to know this reality more closely.”

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Video: Raising a Baby in Altadena’s Ashes

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Video: Raising a Baby in Altadena’s Ashes

“So, my daughter, Robin, was born Jan. 5, 2025.” “Hi, baby. That’s you.” “When I first saw her, I was like, ‘Oh my God, she’s here.’” “She was crying and immediately when she was up on my face, she stopped crying.” “I got the room with the view.” “But it wasn’t until way later, I saw a fire near the Pasadena Mountains.” “We’re watching the news on the TV, hoping that it’s just not going to reach our house.” “The Eaton fire has scorched over 13,000 acres.” “Sixteen people confirmed dead.” “More than 1,000 structures have been destroyed.” “And then that’s when we got the call. Liz’s mom crying, saying the house is on fire.” “Oh, please. No, Dios mio. Go back. Don’t go that way. It’s closed. Go, turn. Turn back.” “Our house is burning, Veli.” “Oh my God.” “It was just surreal. Like, I couldn’t believe it.” “There’s nothing left.” “Not only our house is gone, the neighbors’ houses are gone, her grandma’s house is gone. All you could see was ash.” “My family has lived in Altadena for about 40 years. It was so quiet. There’s no freeways. My grandmother was across the street from us. All our family would have Christmas there, Thanksgivings. She had her nopales in the back. She would always just go out and cut them down and make salads out of them. My grandmother is definitely the matriarch of our family. My parents, our house was across the street. And then me and Javi got married right after high school.” “My husband’s getting me a cookie.” “Me and Javi had talked a lot about having kids in the future. Finally, after 15 years of being married, we were in a good place. It was so exciting to find out that we were pregnant. We remodeled our whole house. We were really preparing. My grandmother and my mom, they were like, crying, and they were like, so excited.” “Liz!” “I had this vision for her, of how she would grow up, the experiences maybe she would have experiencing my grandmother’s house as it was. We wanted her to have her childhood here. But all of our preparation went out the window in the matter of a few hours.” “And we’re like, ‘What do we do?’ And then we get a phone call. And it was Liz’s uncle. He was like, ‘Hey, come to my house. We have a room ready for you.’” “In my more immediate family, nine people lost their homes, so it was about 13 people in the house at any given point for the first three months of the fire. It was a really hard time. We had to figure out insurance claim forms, finding a new place to live, the cost of rebuilding — will we be able to afford it? Oh my gosh, we must have looked at 10 rentals. The experience of motherhood that I was hoping to have was completely different. Survival mode is not how I wanted to start. “Hi, Robin.” “Robin — she was really stressed out. “She’s over it.” “Our stress was radiating towards Robin. I feel like she could feel that.” “There was just no place to lay her safely, where she could be free and not stepped over by a dog or something. So she was having issues gaining strength. So she did have to go to physical therapy for a few months to be able to lift her head.” “One more, one more — you can do it.” “All the stress and the pain, it was just too much.” “Then Liz got really sick.” “I didn’t stop throwing up for five hours. Javi immediately took me to the E.R. They did a bunch of tests and figured out it was vertigo, likely stress-induced. It felt like, OK, something has to slow down. I can’t just handle all of it myself all the time. My mom is so amazing and my grandmother, they really took care of us in a really wonderful way. So — yeah.” “We’ve been able to get back on our feet. “Good high-five.” “I think it has changed how I parent. I’m trying to shed what I thought it would be like, and be open to what’s new. Robin is doing much better. She’s like standing now and trying to talk. She says like five words already. Even if it’s not exactly home for Robin, I wanted to have those smells around. You walk in and it smells like home. For us, it’s definitely tamales. My grandmother’s house is not being rebuilt. I can tell she’s so sad. “Let me just grab a piece of this.” “So right now, where Javi’s standing is the front. One bedroom there, here in the middle, and Robin’s bedroom in the corner. My grandma will live with us versus across the street, which is silver linings. Yeah, and we did make space for a garden for her.” “What are you seeing? What do you think? What do you think, Robin?” “The roots of Altadena — even though they’re charred — they’re going to be stronger than before.” “How strong you can be when something like this happens, I think is something that’s really important for her to take on. And that I hope Altadena also takes on.”

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New video shows fatal Minnesota ICE shooting from officer’s perspective

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New video shows fatal Minnesota ICE shooting from officer’s perspective

People participate in a protest and noise demonstration calling for an end to federal immigration enforcement operations in the city, Friday, Jan. 9, 2026, in Minneapolis.

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MINNEAPOLIS — A Minnesota prosecutor on Friday called on the public to share with investigators any recordings and evidence connected to the fatal shooting of Renee Good as a new video emerged showing the final moments of her encounter with an immigration officer.

The Minneapolis killing and a separate shooting in Portland, Oregon, a day later by the Border Patrol have set off protests in multiple cities and denunciations of immigration enforcement tactics by the U.S. government. The Trump administration has defended the officer who shot Good in her car, saying he was protecting himself and fellow agents.

The reaction to the shooting has largely been focused on witness cellphone video of the encounter. A new, 47-second video that was published online by a Minnesota-based conservative news site, Alpha News, and later reposted on social media by the Department of Homeland Security shows the shooting from the perspective of ICE officer Jonathan Ross, who fired the shots.

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This image from video made by Immigration and Customs Enforcement officer Jonathan Ross via Alpha News shows Renee Good in her vehicle in Minneapolis on Wednesday, Jan. 7, 2026.

This image from video made by Immigration and Customs Enforcement officer Jonathan Ross via Alpha News shows Renee Good in her vehicle in Minneapolis on Wednesday, Jan. 7, 2026.

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Sirens blaring in the background, he approaches and circles Good’s vehicle in the middle of the road while apparently filming on his cellphone. At the same time, Good’s wife also was recording the encounter and can be seen walking around the vehicle and approaching the officer. A series of exchanges occurred:

“That’s fine, I’m not mad at you,” Good says as the officer passes by her door. She has one hand on the steering wheel and the other outside the open driver side window.

“U.S. citizen, former f—ing veteran,” says her wife, standing outside the passenger side of the SUV holding up her phone. “You wanna come at us, you wanna come at us, I say go get yourself some lunch big boy.”

Other officers are approaching the driver’s side of the car at about the same time and one says: “Get out of the car, get out of the f—ing car.” Ross is now at the front driver side of the vehicle. Good reverses briefly, then turns the steering wheel toward the passenger side as she drives ahead and Ross opens fire.

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The camera becomes unsteady and points toward the sky and then returns to the street view showing Good’s SUV careening away.

“F—ing b—,” someone at the scene says.

A crashing sound is heard as Good’s vehicle smashes into others parked on the street.

Federal agencies have encouraged officers to document encounters in which people may attempt to interfere with enforcement actions, but policing experts have cautioned that recording on a handheld device can complicate already volatile situations by occupying an officer’s hands and narrowing focus at moments when rapid decision-making is required.

Under an ICE policy directive, officers and agents are expected to activate body-worn cameras at the start of enforcement activities and to record throughout interactions, and footage must be kept for review in serious incidents such as deaths or use-of-force cases. The Department of Homeland Security has not responded to questions about whether the officer who opened fire or any of the others who were on the scene were wearing body cameras.

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Homeland Security says video shows self-defense

Vice President JD Vance and Homeland Security spokesperson Tricia McLaughlin said in posts on X that the new video backs their contention that the officer fired in self-defense.

“Many of you have been told this law enforcement officer wasn’t hit by a car, wasn’t being harassed, and murdered an innocent woman,” Vance said. “The reality is that his life was endangered and he fired in self defense.”

Minneapolis Mayor Jacob Frey has said any self-defense argument is “garbage.”

Policing experts said the video didn’t change their thoughts on the use-of-force but did raise additional questions about the officer’s training.

“Now that we can see he’s holding a gun in one hand and a cellphone in the other filming, I want to see the officer training that permits that,” said Geoff Alpert, a criminology professor at the University of South Carolina.

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The video demonstrates that the officers didn’t perceive Good to be a threat, said John P. Gross, a professor at the University of Wisconsin Law School who has written extensively about officers shooting at moving vehicles.

“If you are an officer who views this woman as a threat, you don’t have one hand on a cellphone. You don’t walk around this supposed weapon, casually filming,” Gross said.

Ross, 43, is an Iraq War veteran who has served in the Border Patrol and ICE for nearly two decades. He was injured last year when he was dragged by a driver fleeing an immigration arrest.

Attempts to reach Ross at phone numbers and email addresses associated with him were not successful.

Prosecutor asks for video and evidence

Meanwhile, Hennepin County Attorney Mary Moriarty said that although her office has collaborated effectively with the FBI in past cases, she is concerned by the Trump administration’s decision to bar state and local agencies from playing any role in the investigation into Good’s killing.

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She also said the officer who shot Good in the head does not have complete legal immunity, as Vance declared.

“We do have jurisdiction to make this decision with what happened in this case,” Moriarty said at a news conference. “It does not matter that it was a federal law enforcement agent.”

Moriarty said her office would post a link for the public to submit footage of the shooting, even though she acknowledged that she wasn’t sure what legal outcome submissions might produce.

Good’s wife, Becca Good, released a statement to Minnesota Public Radio on Friday saying, “kindness radiated out of her.”

“On Wednesday, January 7th, we stopped to support our neighbors. We had whistles. They had guns,” Becca Good said.

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“I am now left to raise our son and to continue teaching him, as Renee believed, that there are people building a better world for him,” she wrote.

Protesters confront law enforcement outside the Bishop Henry Whipple Federal Building in Minneapolis, Friday, Jan. 9, 2026.

Protesters confront law enforcement outside the Bishop Henry Whipple Federal Building in Minneapolis, Friday, Jan. 9, 2026.

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The reaction to Good’s shooting was immediate in the city where police killed George Floyd in 2020, with hundreds of protesters converging on the shooting scene and the school district canceling classes for the rest of the week as a precaution and offering an online option through Feb. 12.

On Friday, protesters were outside a federal facility serving as a hub for the immigration crackdown that began Tuesday in Minneapolis and St. Paul. That evening, hundreds protested and marched outside two hotels in downtown Minneapolis where immigration enforcement agents were supposed to be staying. Some people were seen breaking or spray painting windows and state law enforcement officers wearing helmets and holding batons ordered the remaining group of fewer than 100 people to leave late Friday.

Shooting in Portland

The Portland shooting happened outside a hospital Thursday. A federal border officer shot and wounded a man and woman in a vehicle, identified by the Department of Homeland Security as Venezuela nationals Luis David Nico Moncada and Yorlenys Betzabeth Zambrano-Contreras. Police said they were in stable condition Friday after surgery, with DHS saying Nico Moncada was taken into FBI custody

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DHS defended the actions of its officers in Portland, saying the shooting occurred after the driver with alleged gang ties tried to “weaponize” his vehicle to hit them. It said no officers were injured.

Portland Police Chief Bob Day confirmed that the two people shot had “some nexus” to Tren de Aragua, a Venezuelan gang. Day said they came to the attention of police during an investigation of a July shooting believed to have been carried out by gang members, but they were not identified as suspects.

The chief said any gang affiliation did not necessarily justify the shooting by U.S. Border Patrol. The Oregon Department of Justice said it would investigate.

On Friday evening, hundreds of protesters marched to the ICE building in Portland.

The biggest crackdown yet

The Minneapolis shooting happened on the second day of the immigration crackdown in the Twin Cities, which Homeland Security said is the biggest immigration enforcement operation ever. More than 2,000 officers are taking part and Homeland Security Secretary Kristi Noem said they have made more than 1,500 arrests.

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The government is also shifting immigration officers to Minneapolis from sweeps in Louisiana, according to documents obtained by The Associated Press. This represents a pivot, as the Louisiana crackdown that began in December had been expected to last into February.

Good’s death — at least the fifth tied to immigration sweeps since President Donald Trump took office — has resonated far beyond Minneapolis. More protests are planned for this weekend, according to Indivisible, a group formed to resist the Trump administration.

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