For the longest time, I thought the right answer was to let states regulate it as they see fit. I thought differentiation/competition between the states was sufficient to provide access to the service, while sidestepping the political conundrum. I thought abortion should be thought of as a mostly elective procedure, as
both the red and blue political marketing would lead you to believe. But then life happened, which put me in touch with the actual medical details.
A basic scenario: A pregnant woman with ultrasound and genetic tests indicating severe birth defects. But there is still a "fetal heartbeat", an electrical signal that is necessary but not sufficient for life. It is now illegal to provide treatment for this condition in Texas [0], in favor of attempting to carry the non-viable growth to term and possibly dying as a result. So no, my characterization is not "policy extremism". Rather, what's extremist is this desire to prohibit straightforward medical care in favor of uninvolved collectivist woo.
The reference to third trimester elective abortion "baby killing" is political nonsense. If someone is "using abortion instead of birth control", they're doing it in the first trimester, where they can take a pill rather than waiting and undergoing an invasive medical procedure. As for third trimester abortions, Pete Buttigieg put it extremely well:
> So, let's put ourselves in the shoes of a woman in that situation. If it's that late in your pregnancy, that means almost by definition you've been expecting to carry it to term. We're talking about women who have perhaps chosen the name, women who have purchased the crib, families that then get the most devastating medical news of their lifetime, something about the health or the life of the mother that forces them to make an impossible, unthinkable choice. That decision is not going to be made any better, medically or morally, because the government is dictating how that decision should be made
[0] eg https://www.wbtv.com/2022/09/08/texas-woman-travels-abortion...