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An “abortion care worker” describes an ecosystem of activists working toward reproductive justice.

“Forget the abortion care we need,” writes abortion doula, mother, and clinic worker Matthews. “What is the abortion care we dream of? How can we…sustain that dream care, in our own communities?” In this powerful treatise, the author examines the status of American abortion before and after the Supreme Court’s decision to overturn Roe v. Wade in 2022. Matthews starts her exploration of reproductive justice—a term coined by women of color that describes the set of conditions necessary for pregnant individuals to be able to both give birth to and raise children in peace and safety—with the story of her own abortion, which required both pills and an “in-clinic procedure” to complete. Using this experience as context, the author introduces readers to her community of abortion care workers, which includes fund providers, who connect individuals who need abortions with the money necessary to do so; herbalists who create homemade abortifacients for communities with little access to clinics or drugs; Muslim and Jewish leaders who consider abortion to be holy; and self-described witches, who create ceremonies to release the pain abortions sometimes cause. Throughout, Matthews strives to center the knowledge and narratives of Black and brown practitioners because they not only bear the brunt of reproductive violence; they also come up with some of the most creative solutions to patriarchy-induced problems. The result is a text that substantially widens our ideas of what abortion does, can, and should look like. The author’s tender voice exudes knowledge and forgiveness, turning a controversial topic into something bordering on cozy. Though the prose is occasionally overwritten, the narrative reflects a refreshing paradigm shift, providing a comprehensive view of abortion in modern America.

A moving, timely vision of what abortion care could become in the U.S.