In January 1973, the Supreme Court made access to abortion a federally protected right. As I write in this week’s TIME cover story, that seemingly decisive victory 40 years ago kicked off a war that the pro-choice movement has been losing ever since. In many parts of the country today, obtaining an abortion is more difficult than at any point since the 1970s.
There are fewer doctors willing to perform the procedure and fewer abortion clinics open for business. Pro-choice activists have been outflanked by their prolife counterparts, who have successfully lobbied for state-based regulations that limit access. Scores of states now require women to undergo counseling, waiting periods or ultrasounds prior to obtaining abortions. Minors across the country must often get permission from their parents if they want to terminate pregnancies. And pro-life state legislators are passing laws that require clinics to comply with arcane requirements—such as a hallway having to be more than five feet wide— that make it difficult for them to stay open.