Democracy Now
Democracy Now
March 11, 2026

"Killers of Roe": Amy Littlefield Investigates the "Mysterious Death of Abortion Rights" in U.S.

Quick Read

Investigative journalist Amy Littlefield details how abortion rights were dismantled over decades, revealing the complex figures and policies that led to the overturning of Roe v. Wade and the current contradictory landscape of abortion access.
Mail-order abortion pills from 'blue states' are expanding access into 'red states,' increasing abortion rates despite bans.
The anti-abortion movement was driven by a 'twisted alliance' of religious conviction and political opportunism, including figures with complex personal histories.
Policies like the Hyde Amendment and parental consent laws, often accepted even by some pro-choice advocates, laid the groundwork for Roe's demise and resulted in preventable deaths.

Summary

Amy Littlefield, author of 'Killers of Roe,' discusses the decades-long movement to criminalize abortion, culminating in the overturning of Roe v. Wade. She highlights the current contradictory state of abortion access, where restrictions are widespread, yet the number of abortions has increased due to the proliferation of abortion pills mailed from 'blue states' into 'red states.' Littlefield's book frames the investigation as a 'murder mystery,' uncovering the 'twisted alliance of believers and opportunists' behind anti-abortion policies, including figures like Senator Bob Packwood and Congressman Bob Bowman. The discussion emphasizes the human cost of these policies through stories of victims like Becky Bell and Rosie Jimenez, and reveals surprising motivations, such as the belief in earning a place in heaven and the anti-abortion movement's roots as a reaction to the civil rights movement.
Understanding the historical and political forces that eroded abortion rights, including the role of seemingly contradictory figures and the impact of policies like the Hyde Amendment, provides essential context for navigating the current landscape of reproductive healthcare. This analysis reveals how access has expanded in some ways (e.g., mail-order pills) while choice has contracted, exposing the systemic vulnerabilities and human toll of abortion restrictions.

Takeaways

  • Abortion access today is defined by contradiction: half of states restrict abortion, but the number of abortions has increased since Roe v. Wade was overturned, largely due to mailed medication.
  • Eight states permit providers to ship abortion pills nationwide, including into states where abortion is banned, often for free or low cost.
  • The Trump administration has been slow to restrict medication abortion due to the issue's unpopularity with voters, particularly after the Dobbs decision.
  • Amy Littlefield's book, 'Killers of Roe,' investigates the 'hidden figures' and 'twisted alliance of believers and opportunists' who contributed to the erosion of abortion rights.
  • Figures like Senator Bob Packwood, a staunch feminist and abortion rights ally, also faced accusations of sexual misconduct, illustrating the complex nature of individuals involved.
  • Congressman Bob Bowman, who initiated the Hyde Amendment, later faced a sex scandal and continued to advocate for policies benefiting the wealthy, highlighting a consistent conservative project.
  • The Hyde Amendment, which banned federal funding for abortion, disproportionately impacted poor women and women of color and has been renewed by every Congress since its inception.
  • Parental consent laws, even in 'blue states,' were not vigorously fought by the pro-choice movement and led to preventable deaths like Becky Bell's.
  • The anti-abortion movement was partly a reaction to the civil rights movement, creating a 'civil rights movement for white people' to avoid confronting white supremacy.
  • Many anti-abortion figures were motivated by a belief that their actions would help them 'go to heaven,' even if it meant 'putting women through hell'.

Insights

1The Paradox of Post-Roe Abortion Access

Despite widespread state-level bans and restrictions following the overturning of Roe v. Wade, the total number of abortions in the U.S. has increased. This paradox is driven by the rise of medication abortion, with providers in 'blue states' mailing pills to individuals in 'red states,' circumventing local bans and expanding practical access.

Half of states have restrictions, but 'every year since the Supreme Court overturned the right to abortion, the number of abortions in this country has gone up.' This is because 'eight states allow providers... to ship abortion pills anywhere in the country, including into states where abortion is banned.'

2Political Expediency in Restricting Abortion Pills

The Trump administration and other political figures have been hesitant to aggressively restrict medication abortion, despite calls from anti-abortion advocates. This reluctance stems from the recognition that abortion rights are 'super popular' and that taking a hardline stance on restricting pills is a 'losing issue for Republicans,' especially after the Dobbs decision.

Trump 'has not acted as quickly as abortion opponents would like to restrict medication abortion' because 'abortion rights are super popular, Amy? They are more popular than maybe the New York mayor is one exception, but just about every politician.'

3The Complicated Figures Behind Anti-Abortion Policy

The architects and allies of anti-abortion policies were often complex individuals, not easily categorized as 'good' or 'bad.' Examples include Senator Bob Packwood, a staunch feminist and pro-choice advocate accused of sexual misconduct, and Congressman Bob Bowman, who introduced the Hyde Amendment and later faced a sex scandal.

Senator Bob Packwood, 'women's greatest ally in the Senate,' was accused by '48 women... of sexual misconduct.' Congressman Bob Bowman, who helped introduce the Hyde Amendment, was later found by an FBI investigation to have been 'cruising the streets of Washington DC... picking up men and paying them for sex.'

4The Enduring Impact of the Hyde Amendment

The Hyde Amendment, which banned federal funding for abortion, was a defining anti-abortion policy that disproportionately affected poor women and women of color. It forced activists to raise millions for abortions and has been renewed by every Congress since its inception, becoming a 'mainstream accepted part of our politics.'

The Hyde Amendment 'cut off abortion access for poor women almost 50 years ago and shaped the abortion access landscape in ways that we take for granted today.' It 'endures to this day' and was 'renewed by every single Congress ever since.'

5Pro-Choice Complicity and Preventable Deaths

The pro-choice movement and Democrats are implicated in the long-term erosion of abortion access by not fighting policies like the Hyde Amendment and parental consent laws 'voseiferously from day one.' These policies led to preventable deaths, such as Becky Bell, Tiara Walker, Candy Miller, Porsche Gumazi, and Rosie Jimenez, highlighting the human cost of political compromises and inaction.

Part of the story of who killed Roe is also about 'democratic and pro-choice complicity' in the fact that the Hyde Amendment, 'the policy that we knew was deadly almost from day one,' endures. Becky Bell 'died because of a parental consent law in Indiana' that the 'pro-choice movement didn't fight as voseiferously from day one.'

6Hidden Motivations: Heaven and White Supremacy

Two surprising motives behind the anti-abortion movement were the belief among some men that their actions would help them 'go to heaven,' and the movement's origins as a reaction to the civil rights movement. This allowed them to use 'social justice rhetoric' to 'avoid confronting white supremacy' and instead 'save the fetus who they always imagined as white.'

Many men 'worked against abortion because they believed it was going to help them get through the door of heaven.' The anti-abortion movement 'was a reaction to the civil rights movement,' creating 'a civil rights movement for white people' to 'avoid thinking about whiteness, avoid confronting white supremacy, and instead save the fetus who they always imagined as white.'

Key Concepts

Murder Mystery as Investigative Framework

Framing a complex historical investigation as a 'murder mystery' allows for the exploration of 'hidden figures' and unexpected 'killers' (policies, individuals, and complicity) behind a significant societal outcome. It encourages looking beyond obvious culprits to understand the full scope of responsibility.

The Contradiction Principle

A situation where seemingly opposing trends coexist, such as legal choice contracting while practical access expands. This model highlights the nuanced and often counter-intuitive outcomes of policy changes and societal shifts.

Lessons

  • Recognize the nuanced and often contradictory nature of abortion access, understanding that legal restrictions do not always equate to a complete cessation of services, particularly with the rise of medication abortion.
  • Investigate the historical context and individual motivations behind current political issues, as 'good guys' and 'bad guys' are often more complicated in reality.
  • Support organizations and policies that address the disproportionate impact of abortion restrictions on poor women and women of color, acknowledging the long-standing effects of policies like the Hyde Amendment.
  • Advocate for comprehensive reproductive healthcare access, understanding that even seemingly minor restrictions like parental consent laws can lead to tragic and preventable outcomes.
  • Challenge narratives that simplify complex social movements, recognizing how movements can co-opt rhetoric or be driven by motivations beyond their stated goals, such as the anti-abortion movement's ties to racial dynamics.

Notable Moments

Amy Littlefield explains the current contradictory landscape of abortion access, where bans coexist with increased abortion rates due to mail-order pills.

This moment immediately establishes the core paradox of post-Roe America, challenging common assumptions about the effectiveness of abortion bans and highlighting the ingenuity of access networks.

The host and guest discuss the political calculations behind the Trump administration's reluctance to restrict abortion pills, linking it to the issue's unpopularity.

This reveals the strategic political dimension of abortion policy, showing how public opinion can influence even staunch anti-abortion politicians, especially in an election cycle.

Littlefield describes her 'murder mystery' approach to writing 'Killers of Roe' and the complexity of figures like Bob Packwood and Bob Bowman.

This segment explains the book's unique methodology and sets the stage for understanding the non-linear, often morally ambiguous path to Roe's overturning, emphasizing that the 'killers' were not always obvious villains.

Karen Bell's testimony about her daughter Becky's death due to a parental consent law is played, followed by Littlefield's commentary on the complicity of the pro-choice movement.

This powerfully humanizes the impact of abortion restrictions and highlights the often-overlooked role of internal divisions and strategic missteps within the pro-choice movement in allowing such policies to endure.

Littlefield reveals the surprising motivations of anti-abortion figures, including the desire to 'go to heaven' and the movement's origins as a reaction to the civil rights movement.

These insights offer a deeper, less commonly discussed understanding of the ideological and historical underpinnings of the anti-abortion movement, linking it to religious fervor and racial dynamics.

Quotes

"

"Today a woman in rural Mississippi can get an abortion sent to her through the mail by pills from a clinician operating in a blue state like New York or Massachusetts for free right to her door. Someone who would have had to drive hours and endure waiting periods and all kinds of hurdles in the time before the Supreme Court overturned Roie Wade."

Amy Littlefield
"

"Abortion rights are super popular, Amy? They are more popular than maybe the New York mayor is one exception, but just about every politician. Um, abortion rights are more popular than that. Is a losing issue for Republicans, especially after the DOS decision."

Amy Littlefield
"

"If she didn't want me to feather her nest, why did she come into the Xerox room?"

Amy Littlefield (quoting Bob Packwood's diary)
"

"To mourn the death of five or 90 is one thing when 300,000 deaths on the average are being financed by federal funding. Seems to me somewhat disproportionate. A death is just as tragic whether it's a mother or a child in my view."

Bob Bowman
"

"My little girl, just 17, died of an illegal botched abortion right here in Indianapolis."

Karen Bell
"

"They have put women through hell so that they can go to heaven and they have put the rest of us in hell, too."

Amy Littlefield
"

"They created a civil rights movement for white people. A way that they could use social justice rhetoric and the right to life to avoid thinking about whiteness, avoid confronting white supremacy, and instead save the fetus who they always imagined as white."

Amy Littlefield (referencing Jennifer Holland)

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