U.S. would be an outlier in global trend on abortion access if Roe v. Wade is overturned

As women in the United States find themselves on the verge of possibly losing the constitutional right to abortion, courts in many other parts of the world have been moving in the opposite direction.

When the U.S. Supreme Court's final decision is handed down, expected in late June or early July, the world will be watching. The Biden administration's budget for U.S. Agency of International Development (USAID) includes monies for "increased access to maternal health care and voluntary family planning."

In a report in late 2019, the Council of Foreign Relations tracked nearly 30 instances of countries this century that have expanded access to abortion services, with just a handful opting to tighten restrictions.

It's not yet clear what impact there will be outside the United States from the leaked draft opinion suggesting the U.S. Supreme Court could overturn the landmark 1973 Roe v. Wade decision.

But for women's activists who for years have led campaigns demanding open access to abortion, often looking to the United States as a model, it's a discouraging sign and a reminder that hard-won gains aren't necessarily permanent.

"While moves to decriminalize and legalize abortion in places like Argentina, Ireland, Mexico and Colombia in the last few years have been a huge win for the global community," Agnes Callamard, secretary-general of the human rights group Amnesty International, said in a statement, "there are grim signs that the United States is out of step with the progress that the rest of the world is making in protecting sexual and reproductive rights."

In Colombia, the Constitutional Court in February legalized the procedure until the 24th week of pregnancy, part of a broader trend seen in areas of heavily Catholic Latin America.

The February ruling in Colombia established a broad right for women to have abortions within the 24-week period, whereas previously they could do so only in specific cases, such as if a fetus presented malformations or a pregnancy resulted from rape. Abortion is still allowed after that period under those special circumstances.

'An awful precedent'

The decision fell short of advocates' hopes for a complete decriminalization, but Catalina Martinez Coral, Latin America and Caribbean director for the New York-based Center for Reproductive Rights, which was among the groups that litigated the abortion case in Colombia's high court, said it still left the country with the "most progressive legal framework in Latin America."

Martinez Coral worries about the potential American shift.

"It is an awful precedent for the coming years for the region and the world," she said.

Mexico's Supreme Court held last year that it was unconstitutional to punish abortion. As the country's highest court, its ruling bars all jurisdictions from charging a woman with a crime for terminating a pregnancy.

Statutes outlawing abortion are still on the books in most of Mexico's 32 states, however, and non-governmental organizations that have long pushed for decriminalization are pressing state legislatures to reform them. Abortion was already readily available in Mexico City and some states.

To the south, in Argentina, lawmakers in late 2020 passed a bill legalizing abortion until the 14th week and after that for circumstances similar to those described in the Colombia ruling.

It's also widely available in Cuba and Uruguay.

But expansion of abortion access has not extended to all of Latin America, with many countries restricting it to certain circumstances — such as Brazil, the region's most populous nation, where it's permissible only in cases of rape, risk to the woman's life and certified cases of the birth defect anencephaly. Former president Luiz Inacio Lula da Silva, who is seeking a new term in October, recently said he sees legalizing abortion as a public health issue, eliciting criticism in a country where few approve of the procedure.

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An unprecedented leak of a draft U.S. Supreme Court decision suggested plans to overturn Roe v. Wade, the landmark decision that enshrined abortion rights across the country in 1973. If Roe v. Wade is reversed, abortion could be banned in as many as 26 states, some starting almost immediately. Today on Front Burner, we talk to journalist and Nomadland author Jessica Bruder about the networks of underground abortion providers and what comes next for people seeking help.

Other places have total bans with no exceptions, such as Honduras, Nicaragua and El Salvador. Courts in the latter have given women long prison sentences for aggravated homicide even in cases where prosecutors suspect a miscarriage was actually an abortion.

Many African nations also maintain complete bans, but in October 2021, Benin legalized abortion in most circumstances up to 12 weeks. That significantly increased safe access to the procedure after the health minister reported that nearly 200 women were dying each year of complications from clandestine abortions. Previously, abortion was permitted in cases of rape or incest, risk to the woman's life or severe fetal malformation.

Liberalization in Europe, Israel

Most European countries have legalized abortion, including predominantly Catholic ones. Ireland did so in 2018, followed by tiny San Marino in a voter referendum last fall. It remains illegal in Andorra, Malta and Vatican City, while Poland last year tightened its abortion laws.

It's also been widely available in Israel since 1978 and relatively uncontroversial, allowed by law before the 24th week with the approval of hospital "termination committees" that consist of medical professionals including at least one woman.

Laws and interpretations vary across the Muslim world.

Abortion has been legal up to 12 weeks in Tunisia for decades, but in Iran it's been forbidden since the 1979 Islamic Revolution. Last year, the leader of Cairo's top institution of Islamic clerics, Al-Azhar, said abortion is not the solution, even in cases where a child is likely to be seriously ill or disabled.