Sudden Abortion Focus Shakes Midterm Election Landscape

Demonstrators march through downtown following a rally in support of abortion rights on May 3, 2022 in Seattle, Washington. (Getty Images)
Demonstrators march through downtown following a rally in support of abortion rights on May 3, 2022 in Seattle, Washington. (Getty Images)
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Sudden Abortion Focus Shakes Midterm Election Landscape

Demonstrators march through downtown following a rally in support of abortion rights on May 3, 2022 in Seattle, Washington. (Getty Images)
Demonstrators march through downtown following a rally in support of abortion rights on May 3, 2022 in Seattle, Washington. (Getty Images)

The leaked draft of a Supreme Court abortion opinion that would overturn the landmark Roe vs. Wade decision is shaking the US political landscape in what has been expected to be a difficult election year for Democrats.

While the Democrats decried the draft, they suddenly have a clear, unifying message. The real possibility that abortion could be outlawed in dozens of states in the coming months could animate their dejected base — especially young voters, people of color and suburban women, who are unhappy with the pace of progress under Democratic leadership in Washington.

Republicans, meanwhile, are struggling to contain their excitement at the prospect of winning a decades-long fight, even as they suggest Democrats are exaggerating the likely real-world impact of a Roe reversal.

The draft opinion surfaced just as the most competitive phase of the primary season was beginning, with races unfolding Tuesday in Ohio and Indiana. While the political fallout will take months to settle, this much is clear: Rarely in the modern era has a Supreme Court case had the potential to so dramatically reshape American life and politics.

“I hope that women across this country are going to rise up and realize this isn’t theoretical anymore,” warned Michigan Sen. Debbie Stabenow.

Republicans have been fighting to ban abortion since before the Supreme Court’s 1973 Roe ruling, but on Tuesday many offered only modest estimates of the political impact of a decision eliminating the legal guarantee of the right.

The draft ruling, which the court emphasized was not final, would become the law of the land only after a formal announcement, which is expected in late June or early July. And privately, GOP strategists have worried that overturning Roe ahead of the election could trigger an anti-Republican backlash.

South Carolina Sen. Lindsey Graham acknowledged that a sweeping change in the nation’s abortion laws might help Democrats in November, but he suggested the election would depend more on the state of the economy than the explosive social issue.

“They will have an issue to talk about. We will have an issue to talk about,” Graham said of Roe being overturned. “I think it will be a new issue, particularly at the state level, but I think most people, quite honestly are not single-issue voters.”

Voters in some states would be affected more than others.

Twenty-two states in all, largely across the South, West and Midwest, already have total or near-total bans on their books — almost all now blocked in court because of Roe. They include deep-red states with elections this fall including Idaho, Missouri, North Dakota and Utah. But they also include high-profile swing states including Pennsylvania, Arizona, Michigan, Ohio and Wisconsin.

A White House adviser said a Roe reversal would serve as a galvanizing force for key segments of President Joe Biden’s coalition, giving Democrats a clear message to link to the midterm elections. At the same time, the adviser, who requested anonymity to discuss internal strategies, acknowledged that an abortion change might not be enough on its own to overcome political headwinds come November.

Biden’s popularity remains weak amid increasing concerns about inflation and the direction of the country. History also suggests that the party that controls the White House almost always suffers losses in the first congressional elections of a new presidency.

In one ominous sign, grassroots Democratic fundraising, usually a mark of enthusiasm, was noticeably sluggish in the hours after the draft decision was leaked.

The Democratic fundraising platform, ActBlue, drew less than $3 million in donations between 6:30 a.m. and 1 p.m. on Tuesday. By contrast, the platform took in $71 million in the 24 hours after former Supreme Court Justice Ruth Bader Ginsburg’s death.

As Democratic officials across the nation tried to sound the alarm, Republicans were quietly confident.

“There are now three things in life you can count on: death, taxes and Dems overplaying any hand,” said Republican strategist Chris Wilson, who is involved in several top elections this year. He noted that Democrats in states like New York and California wouldn’t be affected by abortion bans in Republican-led states.

For most Democrats, Wilson said, “life goes on exactly as usual.”

But there are several swing states with Republican-controlled legislatures where November elections for governor may ultimately decide a woman’s right to abortion, Georgia, North Carolina, Arizona, Wisconsin, Pennsylvania and Michigan, among them.

Even in states unlikely to outlaw abortions in the short term, Democrats are hopeful that a renewed focus on the issue will help their candidates overcome the party’s other political challenges.

New Jersey Democratic Rep. Tom Malinowski, a top target of Republicans, cast this year’s election as centering on abortion rights, arguing that a GOP majority in Congress could pursue a nationwide ban that would overrule New Jersey’s law on the right.

“That’s the stake in this election in November that all of us have to remember,” Malinowski said in an interview. “Are we going to preserve a majority in the House of Representatives, in the Senate that will protect 50 years of settled law in this country, that will protect a woman’s right to choose?”

Nevada Sen. Catherine Cortez Masto and New Hampshire Sen. Maggie Hassan, among the nation’s most vulnerable Democrats this fall, also seized on the issue as critical in their upcoming elections.

“Do not underestimate what this decision would mean for women in Nevada and across the country,” Cortez Masto said in an interview. “If this court issues a ruling to overturn Roe vs. Wade, it will enrage women across the country who have lived for the last almost 50 years the right to choose.”

From New Hampshire, Hassan said the leaked opinion clarifies the stakes this fall for voters in her state and beyond. She called a potential Roe reversal “devastating to women all across New Hampshire, all across the country and for all people who really believe in our individual freedoms.”

An abortion focus would also offer a sharp contrast with her Republican opponents, whom she described as “extremists” on abortion.

“This is really a difficult day for Granite State women, American women,” Hassan said.

Some Republicans welcomed the fight.

Marjorie Dannenfelser, who leads the anti-abortion Susan B. Anthony List, said her group’s fundraising has surged all year in line with excitement over a potential Roe reversal. Social conservatives have been waiting for this moment for decades, she said.

“It’s a potential cultural, political sea change,” she said.

Sen. Rick Scott, chairman of the Republican Senate campaign arm, was more cautious.

“I think this is an important issue to many people, but so is inflation, so is crime, so is the border,” Scott said.



3 days, 640,000 Children, 1.3M Doses...the Plan to Vaccinate Gaza's Young against Polio

FILE - Palestinians displaced by the Israeli air and ground offensive on the Gaza Strip, walk through a dark streak of sewage flowing into the streets of the southern town of Khan Younis, Gaza Strip, on July 4, 2024. Health authorities and aid agencies are racing to avert an outbreak of polio in the Gaza Strip after the virus was detected in the territory's wastewater and three cases with a suspected polio symptom have been reported. (AP Photo/Jehad Alshrafi, File)
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3 days, 640,000 Children, 1.3M Doses...the Plan to Vaccinate Gaza's Young against Polio

FILE - Palestinians displaced by the Israeli air and ground offensive on the Gaza Strip, walk through a dark streak of sewage flowing into the streets of the southern town of Khan Younis, Gaza Strip, on July 4, 2024. Health authorities and aid agencies are racing to avert an outbreak of polio in the Gaza Strip after the virus was detected in the territory's wastewater and three cases with a suspected polio symptom have been reported. (AP Photo/Jehad Alshrafi, File)

The UN health agency and partners are launching a campaign starting Sunday to vaccinate 640,000 Palestinian children in Gaza against polio, an ambitious effort amid a devastating war that has destroyed the territory's healthcare system.

The campaign comes after the first polio case was reported in Gaza in 25 years — a 10-month-old boy, now paralyzed in the leg. The World Health Organization says the presence of a paralysis case indicates there could be hundreds more who have been infected but aren’t showing symptoms.

Most people who have polio do not experience symptoms, and those who do usually recover in a week or so. But there is no cure, and when polio causes paralysis it is usually permanent. If the paralysis affects breathing muscles, the disease can be fatal.

The vaccination effort will not be easy: Gaza’s roads are largely destroyed, its hospitals badly damaged and its population spread into isolated pockets.

WHO said Thursday that it has reached an agreement with Israel for limited pauses in the fighting to allow for the vaccination campaign to take place. Even so, such a large-scale campaign will pose major difficulties in a territory blanketed in rubble, where 90% of Palestinians are displaced.

How long will it take? The three-day vaccination campaign in central Gaza will begin Sunday, during a “humanitarian pause” lasting from 6 a.m. until 3 p.m., and another day can be added if needed, said Dr. Rik Peeperkorn, WHO’s representative in the Palestinian territories.

In coordination with Israeli authorities, the effort will then move to southern Gaza and northern Gaza during similar pauses, he said during a news conference by video from Deir al-Balah in central Gaza, according to The AP.

Who will receive the vaccine? The vaccination campaign targets 640,000 children under 10, according to WHO. Each child will receive two drops of oral polio vaccine in two rounds, the second to be administered four weeks after the first.

Where are the vaccination sites? The vaccination sites span Gaza, both inside and outside Israeli evacuation zones, from Rafah in the south to the northern reaches of the territory.

The Ramallah-based Health Ministry said Friday that there would be over 400 “fixed” vaccination sites — the most in Khan Younis, where the population density is the highest and there are 239,300 children under 10. Fixed sites include healthcare centers, hospitals, clinics and field hospitals.

Elsewhere in the territory, there will also be around 230 “outreach” sites — community gathering points that are not traditional medical centers — where vaccines will be distributed.

Where are the vaccines now? Around 1.3 million doses of the vaccine traveled through the Kerem Shalom checkpoint and are currently being held in “cold-chain storage” in a warehouse in Deir al-Balah. That means the warehouse is able to maintain the correct temperature so the vaccines do not lose their potency.

Another shipment of 400,000 doses is set to be delivered to Gaza soon.

The vaccines will be trucked to distribution sites by a team of over 2,000 medical volunteers, said Ammar Ammar, a spokesperson for UNICEF.

What challenges lie ahead? Mounting any sort of campaign that requires traversing the Gaza strip and interacting with its medical system is bound to pose difficulties.

The UN estimates that approximately 65% of the total road network in Gaza has been damaged. Nineteen of the strip's 36 hospitals are out of service.

The north of the territory is cut off from the south, and travel between the two areas has been challenging throughout the war because of Israeli military operations. Aid groups have had to suspend trips due to security concerns, after convoys were targeted by the Israeli military.

Peeperkorn said Friday that WHO cannot do house-to-house vaccinations in Gaza, as they have in other polio campaigns. When asked about the viability of the effort, Peeperkorn said WHO thinks “it is feasible if all the pieces of the puzzle are in place. ”

How many doses do children need and what happens if they miss a dose? The World Health Organization says children typically need about three to four doses of oral polio vaccine — two drops per dose — to be protected against polio. If they don’t receive all of the doses, they are vulnerable to infection.

Doctors have previously found that children who are malnourished or who have other illnesses might need more than 10 doses of the oral polio vaccine to be fully protected.

Are there side effects? Yes, but they are very rare.

Billions of doses of the oral vaccine have been given to children worldwide and it is safe and effective. But in about 1 in 2.7 million doses, the live virus in the vaccine can paralyze the child who receives the drops.

How did this outbreak in Gaza start? The polio virus that triggered this latest outbreak is a mutated virus from an oral polio vaccine. The oral polio vaccine contains weakened live virus and in very rare cases, that virus is shed by those who are vaccinated and can evolve into a new form capable of starting new epidemics.