Keen On America

Murder on the Abortion Express: Amy Littlefield on Who Killed Roe

Mar 13, 2026
Amy Littlefield, abortion access correspondent at The Nation and author of Killers of Roe, reframes the fall of Roe as a true-crime mystery inspired by Agatha Christie. She names the political players, traces the Hyde Amendment’s role, and explores alliances, race, and patriarchy. Narrative-driven reporting and surprising personal confessions bring the 50-year story to life.
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INSIGHT

Roe Created Legal Rights But Not Access

  • Roe v. Wade created a trimester legal framework that protected first-trimester abortion nationwide.
  • The framework allowed states to regulate later trimesters and never guaranteed practical access or funding, leaving gaps activists later exposed.
INSIGHT

Dobbs Increased Harm Despite More Medication Abortions

  • Post-Dobbs, abortions overall have risen due to medication abortion and cross-state services, but harm persists: approx. 22,000 additional births and 59 excess pregnancy-associated deaths.
  • These numbers reflect real human costs beyond headlines.
INSIGHT

Social Issues Fueled Republican Realignment

  • In the 1970s Republicans formed a strategic three-legged stool: fiscal conservatism, hawkish foreign policy, and social issues like anti-abortion to attract single-issue voters.
  • This alliance helped elect Reagan and realigned party coalitions for decades.
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