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How Do Abortion Pills Work? Answering Common Questions — ProPublica
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Answering Common Questions" /> <meta name="parsely-link" content="https://www.propublica.org/article/abortion-pills-safety-questions-answered" /> <meta name="parsely-type" content="post" /> <meta name="parsely-image-url" content="https://img.assets-d.propublica.org/v5/images/h_27.RTS7RT54.jpg?crop=focalpoint&fit=crop&fp-x=0.5&fp-y=0.5&h=630&imgixProfile=propublicaAssetsV5&q=90&w=1200&s=26c262e026c3c04a8f0a2a770e05bbf2" /> <meta name="parsely-pub-date" content="2024-09-16T05:05:00-04:00" /> <meta name="parsely-section" content="National" /> <meta name="parsely-author" content="Ziva Branstetter" /> <meta name="parsely-tags" content="lang:en,storytype:explainerGuide,series:Life of the Mother,series:Post-Roe America,topic:Health Care,topic:Abortion" /> <!-- Meta Tags for True Anthem --> <meta name="socialpost1" content="We answered frequently asked questions about abortion pills based on information from the FDA and medical experts." /> <meta name="socialpost2" content="Abortion pills are used in more than 60% of all abortions in the U.S. health care system. We answered frequently asked questions about how they work, common side effects and more." /> <meta name="socialpost3" content="Out of nearly 6 million women who’ve taken mifepristone in the past 25 years, only 32 deaths of women who used the drug to terminate pregnancies were reported to the FDA through 2022, regardless of whether the drug played a role in the death." /> <meta name="socialpost4" content="The FDA says abortion pills, when taken as directed, are highly effective. In about 1 in 100 women, a procedure may be required to remove remaining tissue." /> <meta name="socialpost5" content="How do abortion pills work? What are common side effects? Who shouldn’t take abortion medication? 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Abortion Pills Work? 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href="https://www.propublica.org/topics/health-care">Health Care</a> </span> <h1 class="opener__hed " > How Do Abortion Pills Work? Answers to Frequently Asked Questions. </h1> <h2 class="opener__dek " > The FDA says abortion pills are safe if taken as directed. Here’s what patients should expect. </h2> </div> <!-- Close .opener__topic-title-dek-wrapper --> </div> <div class="article-meta-1 article-meta-1--left " data-pp-location="article meta"> <span class="article-meta-1__byline" data-pp-location="article byine"> by <a class="name" href="https://www.propublica.org/people/ziva-branstetter">Ziva Branstetter</a> </span> <time class="article-meta-1__pubdate"> <time class="timestamp" datetime="2024-09-16EDT05:05">Sept. 16, 2024, 5:05 a.m. EDT</time> </time> <div class="article-meta-1__section-actions " data-pp-location="article story-tools"> <script type="application/json" class="svelte-config"> {"componentName":"ShareTools","props":{"pageTitle":"How Do Abortion Pills Work? 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Sign up to receive <a href="https://www.propublica.org/newsletters/the-big-story?source=www.propublica.org&placement=top-note&region=national">our biggest stories</a> as soon as they’re published.</p> </div> </div><!-- end .article-body__top-notes --> <figure data-pp-id="1" data-pp-blocktype="embed" class="bb-embed size04 right out02 wide-sm wrap hide-print "> <iframe class="lazyload" id="noa-web-audio-player" style="border: none" src="https://embed-player.newsoveraudio.com/v4?key=pp03n4&id=https://www.propublica.org/article/abortion-pills-safety-questions-answered&bgColor=2B3136&color=04AEE0&playColor=04AEE0&progressBgColor=E0E0E2&progressBorderColor=2B3136&titleColor=E0E0E2&timeColor=E0E0E2&speedColor=E0E0E2&noaLinkColor=E0E0E2&noaLinkHighlightColor=04AEE0" width="100%" height="110px"></iframe> <figcaption class="attribution"> </figcaption> </figure> <p data-pp-blocktype="copy" data-pp-id="2.0">When the Supreme Court overturned Roe v. Wade and the constitutional right to abortion in 2022, strict bans on the procedure kicked in across the country, leaving women in at least 22 states with fewer options to end pregnancies that in some cases endangered their lives.</p> <p data-pp-blocktype="copy" data-pp-id="3.0">ProPublica has uncovered at least two cases of women <a href="https://www.propublica.org/article/georgia-abortion-ban-amber-thurman-death">who died after their state banned abortion</a>. In both cases, the women took pills to end their pregnancies and the abortion did not fully complete, causing complications, as can occur in a small number of cases involving abortion medication.</p> <p data-pp-blocktype="copy" data-pp-id="4.0">Their stories speak to the challenges women face when abortion is banned, not the safety of abortion pills when taken properly and with appropriate follow-up care.</p> <p data-pp-blocktype="copy" data-pp-id="6.0">We reviewed information from the U.S. Food and Drug Administration and from groups that closely track the latest medical advice and scientific evidence to answer the most frequently asked questions about abortion pills.</p> <h3 data-pp-id="7" data-pp-blocktype="heading" class="bb-heading bb-heading--explanatory-hed" id="what-is-abortion-medication" > What is abortion medication? </h3> <p data-pp-blocktype="copy" data-pp-id="8.0">What some people call the “abortion pill” is actually a combination of two pills — mifepristone and misoprostol — commonly called “abortion medication.”</p> <p data-pp-blocktype="copy" data-pp-id="10.0">Mifepristone tablets are also sold under the brand name Mifeprex, which has been approved by the U.S. Food and Drug Administration since 2000 to be used along with misoprostol to end an intrauterine pregnancy through 10 weeks gestation. (That is measured as 70 days or less since the first day of a patient’s last menstrual period.)</p> <aside class="bb-ad full | hide-print"> <div class="htlad-inline-2"></div> </aside> <p data-pp-blocktype="copy" data-pp-id="12.0">Abortion pills are now used in <a href="https://www.guttmacher.org/2024/03/medication-abortion-accounted-63-all-us-abortions-2023-increase-53-2020">more than 60%</a> of all abortions in the U.S. health care system.</p> <h3 data-pp-id="13" data-pp-blocktype="heading" class="bb-heading bb-heading--explanatory-hed" id="how-do-abortion-pills-work" > How do abortion pills work? </h3> <p data-pp-blocktype="copy" data-pp-id="14.0">Mifepristone blocks a hormone called progesterone that is needed for a pregnancy to continue. The FDA-approved regimen is to take 200 milligrams of mifepristone on the first day. Patients are directed to take misoprostol within 24 to 48 hours of the mifepristone. The misoprostol works to expel fetal tissue from the uterus.</p> <p data-pp-blocktype="copy" data-pp-id="15.0">In some cases, patients take a regime of misoprostol only to end a pregnancy. </p> <p data-pp-blocktype="copy" data-pp-id="15.1">Patients are directed to follow up with a health care provider about seven to 14 days after taking mifepristone or earlier if any unusual symptoms are noted. (See below.)</p> <h3 data-pp-id="16" data-pp-blocktype="heading" class="bb-heading bb-heading--explanatory-hed" id="are-abortion-pills-safe" > Are abortion pills safe? </h3> <p data-pp-blocktype="copy" data-pp-id="17.0">Yes. The FDA first approved Mifeprex 25 years ago, so there’s an extensive record of safety involving this drug.</p> <p data-pp-blocktype="copy" data-pp-id="18.0">Out of nearly 6 million women who’ve taken mifepristone since then, <a href="https://www.fda.gov/media/164331/download?attachment">only 32 deaths of women</a> who used the drug to terminate pregnancies were reported to the FDA through the end of 2022, regardless of whether the drug played a role in the death.</p> <aside class="bb-ad full | hide-print"> <div class="htlad-inline-2"></div> </aside> <p data-pp-blocktype="copy" data-pp-id="20.0">Of those, 11 involved deaths of women who developed a deadly infection called sepsis. Most of the remaining cases involved intentional and accidental drug overdoses, suicide, homicide and ruptured ectopic pregnancies.</p> <p data-pp-blocktype="copy" data-pp-id="21.0">The American College of Obstetricians and Gynecologists has opposed laws and court rulings that limit or ban the availability of abortion pills. “Mifepristone has been used safely and effectively for medication abortion for more than two decades. That safety and efficacy is backed up by robust, evidence-based, clinical data and its observed use by millions of people with support from clinicians, including obstetricians-gynecologists,” the organization states on its website.</p> <h3 data-pp-id="22" data-pp-blocktype="heading" class="bb-heading bb-heading--explanatory-hed" id="who-should-not-take-abortion-medication" > Who should not take abortion medication? </h3> <p data-pp-blocktype="copy" data-pp-id="23.0">Abortion pills are not approved for use in some pregnancies. According to the FDA, people should not use abortion pills if they:</p> <ul> <li>Have an ectopic pregnancy (a pregnancy outside of the uterus). </li> <li>Have problems with the adrenal glands (the glands near the kidneys). </li> <li>Are being treated with long-term corticosteroid therapy (medications). </li> <li>Have had an allergic reaction to mifepristone, misoprostol or similar drugs. </li> <li>Have bleeding problems or are taking anticoagulant (blood-thinning) drug products. </li> <li>Have inherited porphyria (a rare disorder that can affect the liver and other organs). </li> <li>Have an intrauterine device in place. (It must be removed before taking mifepristone.)</li> </ul> </p> <h3 data-pp-id="25" data-pp-blocktype="heading" class="bb-heading bb-heading--explanatory-hed" id="what-are-the-common-side-effects-of-abortion-pills-how-long-do-they-usually-last" > What are the common side effects of abortion pills? How long do they usually last? </h3> <p data-pp-blocktype="copy" data-pp-id="26.0">Bleeding and cramping initially are expected. If you have abdominal pain or discomfort, or you are feeling sick — including weakness, nausea, vomiting or diarrhea, with or without fever — more than 24 hours after taking misoprostol, doctors say to contact your health care provider without delay. These symptoms may be a sign of a serious infection or another problem.</p> <p data-pp-blocktype="copy" data-pp-id="27.0">In the days after treatment, if you have a fever of 100.4°F or higher that lasts for more than four hours, doctors say you should contact your health care provider or visit the nearest emergency room right away. Fever may be a symptom of a serious infection or another problem.</p> <h3 data-pp-id="28" data-pp-blocktype="heading" class="bb-heading bb-heading--explanatory-hed" id="how-much-bleeding-is-normal-with-abortion-pills" > How much bleeding is normal with abortion pills? </h3> <p data-pp-blocktype="copy" data-pp-id="29.0">Contact your health care provider right away if you bleed enough to soak through two thick full-size sanitary pads per hour for two consecutive hours or if you are concerned about heavy bleeding. If you can’t reach your health care provider, go to the emergency room to seek care.</p> <h3 data-pp-id="30" data-pp-blocktype="heading" class="bb-heading bb-heading--explanatory-hed" id="how-effective-are-abortion-pills" > How effective are abortion pills? </h3> <p data-pp-blocktype="copy" data-pp-id="31.0">Taken as directed, they are highly effective. In about 1 in 100 women, a procedure will be required to remove remaining tissue. That’s why it’s important to seek follow-up care for any of the symptoms described above.</p> <h3 data-pp-id="32" data-pp-blocktype="heading" class="bb-heading bb-heading--explanatory-hed" id="what-happens-if-abortion-pills-dont-work" > What happens if abortion pills don’t work? </h3> <p data-pp-blocktype="copy" data-pp-id="33.0">Doctors say you should seek immediate medical attention if you experience any of the unusual symptoms described above. (<a href="https://www.accessdata.fda.gov/drugsatfda_docs/rems/Mifepristone_2023_01_03_Patient_Agreement_Form.pdf">This patient agreement form</a> required by the FDA describes what to look for.)</p> <p data-pp-blocktype="copy" data-pp-id="34.0">While abortion medication is banned in 14 states, it is not a crime to seek medical attention because you took abortion pills. In fact, the federal government requires hospitals to treat urgent medical conditions like infection. Do not avoid seeking help from your doctor or at the emergency room if you have sustained bleeding, pain and/or fever. An infection of this kind is not likely to go away on its own and could be fatal.</p> <h3 data-pp-id="35" data-pp-blocktype="heading" class="bb-heading bb-heading--explanatory-hed" id="is-it-legal-to-order-the-abortion-pills-online" > Is it legal to order the abortion pills online? </h3> <p data-pp-blocktype="copy" data-pp-id="36.0">Yes, in some states. In January 2023, <a href="https://www.pbs.org/newshour/politics/fda-finalizes-rule-change-allowing-mail-order-abortion-pills">the FDA lifted restrictions</a> that prevented patients from obtaining medication abortion pills from a retail pharmacy and allowed them to be dispensed by mail, with certain requirements.</p> <aside data-pp-id="37" data-pp-blocktype="promo" data-pp-location="story promo" dir="ltr" class="bb-promo-story story-promo-group size04 right out02 wide-sm wrap | hide-print" > <div class="story-promo-group__logo user-level--0__show user-level--1__show"> <svg role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 574.24 75" fill="currentColor"> <title>ProPublica</title> <path 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d="M574.24,61.15v4.2H551.48v-4.2L557,60l-2.85-8.13h-16.6l-3.12,8.2,5.42,1.15-.07,4.2-16.53-.07v-4.2l4.27-1.08,14.9-37.33-4-1.29V17.93h13.69L569.3,60Zm-27.57-31-.47-1.56-.47,1.56-6.23,16.73h12.94Z"/> </svg> </div> <div class="user-level--2__show user-level--3__show"> <div class="lead-in"> <p class="lead-in__title" id="read-more">Read More</p> </div> </div> <a href="https://www.propublica.org/article/georgia-maternal-mortality-committee-members-names-not-released" class="story-promo section-articles" > <div class="story-promo__art"> <img class="lazyload" alt="" src="data:image/svg+xml;charset=utf-8,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271%27%20height%3D%271%27%20style%3D%27background%3Atransparent%27%2F%3E" width="75" height="75" data-sizes="auto" data-srcset="https://img.assets-d.propublica.org/v5/images/GettyImages-1240668906_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fp-x=0.716&fp-y=0.2197&h=75&q=70&w=75&s=8b4e12502015a679a438c2e4db3a1271 75w, https://img.assets-d.propublica.org/v5/images/GettyImages-1240668906_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fp-x=0.716&fp-y=0.2197&h=150&q=70&w=150&s=8a512d37a53dba8e8b8c48813df94da7 150w, https://img.assets-d.propublica.org/v5/images/GettyImages-1240668906_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fp-x=0.716&fp-y=0.2197&h=400&q=70&w=400&s=7516b9a04858c723543d21e57b042325 400w" /> </div> <div class="story-promo__info" dir="auto"> <strong class="story-promo__hed">Georgia Won’t Say Who’s Now Serving on Its Maternal Mortality Committee After Dismissing All Members Last Year</strong> </div> </a> </aside> <p data-pp-blocktype="copy" data-pp-id="38.0">But patients can’t legally order abortion medication in 14 states that ban abortion: Alabama, Arkansas, Idaho, Indiana, Kentucky, Louisiana, Mississippi, Missouri, North Dakota, Oklahoma, South Dakota, Tennessee, Texas and West Virginia. In 15 states, <a href="https://www.kff.org/womens-health-policy/dashboard/abortion-in-the-u-s-dashboard/#medication">there are various restrictions</a> that make it more difficult for patients to obtain abortion medication.</p> <aside class="bb-ad full | hide-print"> <div class="htlad-inline-2"></div> </aside> <p data-pp-blocktype="copy" data-pp-id="40.0">Some pharmacies and organizations that provide abortion medication through the mail are not approved by the FDA. Patients should exercise caution when ordering pills from unregulated pharmacies to determine whether the medication is authentic and safe.</p> </div> <footer class="article-footer" data-pp-location="article footer"> <div class="topics-list size02 out02 wrap left wide-md | hide-print"> <p class="topics-list__label"><strong>Filed under —</strong></p> <ul class="topics-list__group"> <li class="topics-list__topic"> <a class="topics-list__topic-link" href="https://www.propublica.org/topics/health-care">Health Care</a> </li> <li class="topics-list__topic"> <a class="topics-list__topic-link" href="https://www.propublica.org/topics/abortion">Abortion</a> </li> </ul> </div> <div class="rich-byline-group"> <div class="rich-byline"> <a class="rich-byline__headshot" href="https://www.propublica.org/people/ziva-branstetter"><img alt="Portrait of Ziva Branstetter" src="https://assets-c3.propublica.org/images/bio/_oneOne75w/Ziva-Branstetter-1x1.jpg" width="75" height="75" srcset="https://assets-c3.propublica.org/images/bio/_oneOne75w/Ziva-Branstetter-1x1.jpg 75w, https://assets-c3.propublica.org/images/bio/_oneOne150w/Ziva-Branstetter-1x1.jpg 150w" loading="lazy"/></a> <div class="rich-byline__info"> <div class="stack stack--row"> <a class="rich-byline__name" href="https://www.propublica.org/people/ziva-branstetter">Ziva Branstetter</a> <ul class="rich-byline__social-list | stack stack--row stack--spacing-2"> <li> <a class="btn btn--icon-only btn--circular" style="--button-color: var(--color-neutral-10); --button-text-color: var(--color-neutral-full); --button-size: 1.2rem;" title="X (Twitter)" href="https://twitter.com/zivabranstetter" > <span class="icon" style="--icon-size: 1em"> <svg role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24" fill="currentColor"> <title>X</title> <path d="M18.2439 2.25H21.5532L14.3251 10.5094L22.8282 21.75H16.172L10.9548 14.9344L4.99229 21.75H1.67822L9.40791 12.9141L1.25635 2.25H8.08135L12.7923 8.47969L18.2439 2.25ZM17.0813 19.7719H18.9142L7.08291 4.125H5.11416L17.0813 19.7719Z"/> </svg> </span> </a> </li> </ul> <!-- end .rich-byline__social-list --> </div> <p class="rich-byline__bio-short">Ziva Branstetter is a senior editor at ProPublica, supervising a team of national reporters. 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Here are some of the issues our reporters will be watching — and how to get in touch with them securely.</p> </div> <div class="intro-module__container"> <div class="intro-module__card intro-module__card--current"> <img class="intro-module__art" alt="" width="400" height="400" loading="lazy" js-autosizes src="https://img.assets-d.propublica.org/v5/images/ProPublica-Reporters-Trump_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=800&q=75&w=800&s=4ded2e639bc7a5ceafbc0e26fede28fb" srcset="https://img.assets-d.propublica.org/v5/images/ProPublica-Reporters-Trump_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=400&q=75&w=400&s=41ee031e0b19bd7a9b593023cb32ec74 400w, 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as the news develops.</p> </div> </div> <div class="intro-module__card intro-module__card--reporter "> <img class='intro-module__art intro-module__art--headshot' alt='Photo of Maryam Jameel' width='400' height='400' src='https://img.assets-c3.propublica.org/images/bio/maryam-jameel-sized.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=800&q=75&w=800&s=f76107a3ce87b74ecea00f3151342016' srcset='https://img.assets-c3.propublica.org/images/bio/maryam-jameel-sized.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=400&q=75&w=400&s=0799731aedffff4b6f9e9e5543561d5f 400w, https://img.assets-c3.propublica.org/images/bio/maryam-jameel-sized.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=800&q=75&w=800&s=f76107a3ce87b74ecea00f3151342016 800w, https://img.assets-c3.propublica.org/images/bio/maryam-jameel-sized.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1200&q=75&w=1200&s=3f0b20c9c263cbd501f8266d3d2dc80e 1200w, https://img.assets-c3.propublica.org/images/bio/maryam-jameel-sized.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1300&q=75&w=1300&s=31e273e5b9d3d5bfdb0bd6b173e0ae50 1300w, https://img.assets-c3.propublica.org/images/bio/maryam-jameel-sized.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1450&q=75&w=1450&s=4dc206dffedfd6773ef2357841158031 1450w, https://img.assets-c3.propublica.org/images/bio/maryam-jameel-sized.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1600&q=75&w=1600&s=ea238008565d2cdcc2e1a5eb5202e617 1600w, https://img.assets-c3.propublica.org/images/bio/maryam-jameel-sized.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=2000&q=75&w=2000&s=25e432eca8ec6ce956e791bd8edbdc81 2000w'> <div class="intro-module__card-description"> <h5>Maryam Jameel</h5> <p>I’m an engagement reporter interested in immigration, labor and the federal workforce.</p> <ul class="stack stack--row stack--wrap stack--spacing-1"> <li><a class="btn" href="tel:12028869548">Phone</a></li> <li><a class="btn" href="https://signal.me/#p/+12028869548">Signal</a></li> <li><a class="btn" href="/cdn-cgi/l/email-protection#fe939f8c879f93d0949f939b9b92be8e8c918e8b9c92979d9fd0918c99">Email</a></li> </ul> </div> </div> <div class="intro-module__card intro-module__card--reporter "> <img class='intro-module__art intro-module__art--headshot' alt='Portrait of Mark Olalde' src='https://assets-c3.propublica.org/images/bio/_oneOne75w/mark-olalde.jpg' width='75' height='75' srcset='https://assets-c3.propublica.org/images/bio/_oneOne75w/mark-olalde.jpg 75w, https://assets-c3.propublica.org/images/bio/_oneOne150w/mark-olalde.jpg 150w' loading='lazy'> <div class="intro-module__card-description"> <h5>Mark Olalde</h5> <p>I’m interested in Trump’s and his allies’ promises to dismantle the federal bureaucracy and laws that protect the environment.</p> <ul class="stack stack--row stack--wrap stack--spacing-1"> <li><a class="btn" href="/cdn-cgi/l/email-protection#dbb6baa9b0f5b4b7bab7bfbe9baba9b4abaeb9b7b2b8baf5b4a9bc">Email</a></li> <li><a class="btn" href="https://signal.me/#p/+16306054470">Signal</a></li> </ul> </div> </div> <div class="intro-module__card intro-module__card--reporter "> <img class='intro-module__art intro-module__art--headshot' alt='Photo of Jesse Coburn' width='400' height='400' src='https://img.assets-c3.propublica.org/images/bio/Jesse-Coburn-1x1.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=800&q=75&w=800&s=10f6ed75833d0c1965211df2b79660e7' srcset='https://img.assets-c3.propublica.org/images/bio/Jesse-Coburn-1x1.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=400&q=75&w=400&s=60beeb4d6f81e4c09ac4c15512adbd97 400w, https://img.assets-c3.propublica.org/images/bio/Jesse-Coburn-1x1.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=800&q=75&w=800&s=10f6ed75833d0c1965211df2b79660e7 800w, https://img.assets-c3.propublica.org/images/bio/Jesse-Coburn-1x1.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1200&q=75&w=1200&s=099f2b4e7684e137bb19100524a961c0 1200w, https://img.assets-c3.propublica.org/images/bio/Jesse-Coburn-1x1.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1300&q=75&w=1300&s=f9c56c686d6881eb42dc122f55459f33 1300w, https://img.assets-c3.propublica.org/images/bio/Jesse-Coburn-1x1.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1450&q=75&w=1450&s=63b2a160afcbbe699afb2bbf30d2fbd6 1450w, https://img.assets-c3.propublica.org/images/bio/Jesse-Coburn-1x1.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1600&q=75&w=1600&s=e9d7e6cc061cda74eaf398ee03a64c07 1600w, https://img.assets-c3.propublica.org/images/bio/Jesse-Coburn-1x1.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=2000&q=75&w=2000&s=7a3afc11e47aafbee2095d35a7a6beaf 2000w'> <div class="intro-module__card-description"> <h5>Jesse Coburn</h5> <p>I’m tracking how the Trump administration reshapes policy at the Department of Housing and Urban Development and the Department of Transportation.</p> <ul class="stack stack--row stack--wrap stack--spacing-1"> <li><a class="btn" href="/cdn-cgi/l/email-protection#d7bdb2a4a4b2f9b4b8b5a2a5b997a7a5b8a7a2b5bbbeb4b6f9b8a5b0">Email</a></li> <li><a class="btn" href="https://signal.me/#p/+19172396642">Signal</a></li> <li><a class="btn" href="https://wa.me/19172396642">WhatsApp</a></li> <li><a class="btn" href="tel:19172396642">Phone</a></li> </ul> </div> </div> <div class="intro-module__card intro-module__card--reporter "> <img class='intro-module__art intro-module__art--headshot' alt='Portrait of Andy Kroll' src='https://assets-c3.propublica.org/images/bio/_oneOne75w/Andy-Kroll-1x1.jpg' width='75' height='75' srcset='https://assets-c3.propublica.org/images/bio/_oneOne75w/Andy-Kroll-1x1.jpg 75w, https://assets-c3.propublica.org/images/bio/_oneOne150w/Andy-Kroll-1x1.jpg 150w' loading='lazy'> <div class="intro-module__card-description"> <h5>Andy Kroll</h5> <p>I cover justice and the rule of law, with a focus on the Justice Department, the U.S. Attorney’s Office for the District of Columbia and the federal courts.</p> <ul class="stack stack--row stack--wrap stack--spacing-1"> <li><a class="btn" href="https://signal.me/#p/+12022156203">Signal</a></li> <li><a class="btn" href="tel:12022156203">Phone</a></li> <li><a class="btn" href="/cdn-cgi/l/email-protection#f899969c81d6938a979494b8888a97888d9a94919b99d6978a9f">Email</a></li> </ul> </div> </div> <div class="intro-module__card "> <img class="intro-module__art" alt="" width="400" height="400" loading="lazy" js-autosizes src="https://img.assets-c3.propublica.org/images/externals/20191029-federal-govt-callout-1x1.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=800&q=75&w=800&s=d53f4f2e61169b796ae4d7a314ae618d" 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It Renewed His License — Twice. </a> </h3> <p class="story-card__dek" > The Montana hospital that fired Dr. Thomas C. Weiner turned over thousands of pages of documents, but members of the board say they were unaware of them. </p> <p class="story-card__byline"> <span class="story-card__byline-author"> by <a class="name" href="https://www.propublica.org/people/j-david-mcswane">J. David McSwane</a>, ProPublica, and <span class="name">Mara Silvers</span>, <a href="https://montanafreepress.org/">Montana Free Press</a>, </span> <span class="story-card__byline-dateline"> <time class="timestamp" datetime="2025-03-21EDT05:00">March 21, 2025, 5 a.m. EDT</time> </span> </p> </div> </div> <div class="story-card story-card--standard"> <div class="lead-art"> <a class="aspect-3-2" href="https://www.propublica.org/article/before-a-breath-stillbirth-documentary"> <img alt="" src="data:image/svg+xml;charset=utf-8,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%273%27%20height%3D%272%27%20style%3D%27background%3Atransparent%27%2F%3E" srcset="https://img.assets-d.propublica.org/v5/images/BeforeaBreath_Still_Promo_3by2_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=267&q=75&w=400&s=7f921b2a31a3cd94faa7ad9922ee7644 400w, https://img.assets-d.propublica.org/v5/images/BeforeaBreath_Still_Promo_3by2_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=533&q=75&w=800&s=a13a833500e73581f336f2755e1625f3 800w, https://img.assets-d.propublica.org/v5/images/BeforeaBreath_Still_Promo_3by2_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=800&q=75&w=1200&s=502fd27f943baf1734cd920a68d99584 1200w, https://img.assets-d.propublica.org/v5/images/BeforeaBreath_Still_Promo_3by2_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1067&q=75&w=1600&s=4ec470543d346d28f72baf0db3c5c565 1600w" width="400" height="267" loading="lazy" js-autosizes /> </a> </div> <div class="story-card__description"> <a class="story-card__series" href="https://www.propublica.org/series/stillbirths">Stillbirths</a> <h3 class="story-card__hed" > <a href="https://www.propublica.org/article/before-a-breath-stillbirth-documentary"> Thousands of Families Experience Stillbirth. Three Moms Tell Their Stories in a New Documentary. </a> </h3> <p class="story-card__dek" > More than 20,000 stillbirths occur in the U.S. each year, but 1 in 4 may be preventable. “Before a Breath” sheds light on three mothers fighting to change those statistics. </p> <p class="story-card__byline"> <span class="story-card__byline-author"> by <a class="name" href="https://www.propublica.org/people/nadia-sussman">Nadia Sussman</a>, <a class="name" href="https://www.propublica.org/people/liz-moughon">Liz Moughon</a>, <a class="name" href="https://www.propublica.org/people/duaa-eldeib">Duaa Eldeib</a>, <a class="name" href="https://www.propublica.org/people/margaret-cheatham-williams">Margaret Cheatham Williams</a> and <a class="name" href="https://www.propublica.org/people/lisa-riordan-seville">Lisa Riordan Seville</a>, </span> <span class="story-card__byline-dateline"> <time class="timestamp" datetime="2025-03-20EDT08:00">March 20, 2025, 8 a.m. EDT</time> </span> </p> </div> </div> <div class="story-card story-card--standard"> <div class="lead-art"> <a class="aspect-3-2" href="https://www.propublica.org/article/glenmark-pharmaceuticals-recalls-fda-inspection"> <img alt="" src="data:image/svg+xml;charset=utf-8,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%273%27%20height%3D%272%27%20style%3D%27background%3Atransparent%27%2F%3E" srcset="https://img.assets-d.propublica.org/v5/images/fda-glenmark-folo_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true-1.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.9229&fp-y=0.6626&h=267&q=75&w=400&s=6ed4a5da21cf205785332f452fdd185d 400w, https://img.assets-d.propublica.org/v5/images/fda-glenmark-folo_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true-1.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.9229&fp-y=0.6626&h=533&q=75&w=800&s=4f8766eade447d0dd8cb249896a3cfb3 800w, https://img.assets-d.propublica.org/v5/images/fda-glenmark-folo_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true-1.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.9229&fp-y=0.6626&h=800&q=75&w=1200&s=48b61caae07fb9b77b8451aea8983f89 1200w, https://img.assets-d.propublica.org/v5/images/fda-glenmark-folo_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true-1.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.9229&fp-y=0.6626&h=1067&q=75&w=1600&s=277470649a636e3267c3b831eb8127d5 1600w" width="400" height="267" loading="lazy" js-autosizes /> </a> </div> <div class="story-card__description"> <h3 class="story-card__hed" > <a href="https://www.propublica.org/article/glenmark-pharmaceuticals-recalls-fda-inspection"> The FDA Finally Visited an Indian Drug Factory Linked to U.S. Deaths. 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Thompson</span>, ProPublica and FRONTLINE, and <span class="name">Max Maldonado</span>, <a href="http://www.pbs.org/wgbh/frontline/">FRONTLINE</a>, </span> <span class="story-card__byline-dateline"> <time class="timestamp" datetime="2025-03-25EDT05:00">March 25, 2025, 5 a.m. EDT</time> </span> </p> </div> </div> </div> <div class="most-read-story"> <div class="story-card story-card--standard"> <div class="lead-art"> <a class="aspect-3-2" href="https://www.propublica.org/article/ice-warrantless-arrests-chicago-law"> <img alt="" src="data:image/svg+xml;charset=utf-8,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%273%27%20height%3D%272%27%20style%3D%27background%3Atransparent%27%2F%3E" srcset="https://img.assets-d.propublica.org/v5/images/GettyImages-2195569531_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=267&q=75&w=400&s=b6fd230e3b96ec9889308a3f4f309c42 400w, https://img.assets-d.propublica.org/v5/images/GettyImages-2195569531_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=533&q=75&w=800&s=a94a88d1d0130b1d97f875d4b86925ab 800w, https://img.assets-d.propublica.org/v5/images/GettyImages-2195569531_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=800&q=75&w=1200&s=10bd1566a5f179da716fe96c737fc355 1200w, https://img.assets-d.propublica.org/v5/images/GettyImages-2195569531_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1067&q=75&w=1600&s=901c560cb3c42bd667bd92e8400f7635 1600w" width="400" height="267" loading="lazy" js-autosizes /> </a> </div> <div class="story-card__description"> <h3 class="story-card__hed" > <a href="https://www.propublica.org/article/ice-warrantless-arrests-chicago-law"> Under Pressure From Trump, ICE Is Pushing Legal Boundaries </a> </h3> <p class="story-card__dek" > Confrontations with judges are grabbing attention, but more quietly a pattern of questionable arrests shows the extent to which the administration is willing to test norms and laws. </p> <p class="story-card__byline"> <span class="story-card__byline-author"> by <a class="name" href="https://www.propublica.org/people/vernal-coleman">Vernal Coleman</a>, </span> <span class="story-card__byline-dateline"> <time class="timestamp" datetime="2025-03-25EDT06:00">March 25, 2025, 6 a.m. EDT</time> </span> </p> </div> </div> </div> <div class="most-read-story"> <div class="story-card story-card--standard"> <div class="lead-art"> <a class="aspect-3-2" href="https://www.propublica.org/article/illinois-disabilities-doj-investigation-choate-abuse"> <img alt="" src="data:image/svg+xml;charset=utf-8,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%273%27%20height%3D%272%27%20style%3D%27background%3Atransparent%27%2F%3E" srcset="https://img.assets-d.propublica.org/v5/images/Choate-Landing-Page-2x3_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=267&q=75&w=400&s=aa412a42206d3bcf6cd521335dce11d2 400w, https://img.assets-d.propublica.org/v5/images/Choate-Landing-Page-2x3_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=533&q=75&w=800&s=fb2d3b9f4b41ba6616671b0157a131d9 800w, https://img.assets-d.propublica.org/v5/images/Choate-Landing-Page-2x3_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=800&q=75&w=1200&s=2951e6cb6ba1bcd47ff8bf2f9ed61e6a 1200w, https://img.assets-d.propublica.org/v5/images/Choate-Landing-Page-2x3_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1067&q=75&w=1600&s=596d26acec77ee40cc158c2cca2a488e 1600w" width="400" height="267" loading="lazy" js-autosizes /> </a> </div> <div class="story-card__description"> <a class="story-card__series" href="https://www.propublica.org/series/culture-of-cruelty">Culture of Cruelty</a> <h3 class="story-card__hed" > <a href="https://www.propublica.org/article/illinois-disabilities-doj-investigation-choate-abuse"> We Found Widespread Abuse of Disabled Patients at an Illinois Facility. The DOJ Is Investigating. </a> </h3> <p class="story-card__dek" > A federal probe into Illinois’ treatment of disabled people will examine abuse and neglect allegations at state-run residential institutions — including Choate, the subject of a yearlong Capitol News Illinois and ProPublica investigation. </p> <p class="story-card__byline"> <span class="story-card__byline-author"> by <span class="name">Beth Hundsdorfer</span> and <span class="name">Molly Parker</span>, <a href="https://capitolnewsillinois.com/">Capitol News Illinois</a>, </span> <span class="story-card__byline-dateline"> <time class="timestamp" datetime="2025-03-24EDT06:00">March 24, 2025, 6 a.m. EDT</time> </span> </p> <p class="story-card__unit">Local Reporting Network</p> </div> </div> </div> <div class="most-read-story"> <div class="story-card story-card--standard"> <div class="lead-art"> <a class="aspect-3-2" href="https://www.propublica.org/article/nih-funding-climate-change-public-health"> <img alt="" src="data:image/svg+xml;charset=utf-8,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%273%27%20height%3D%272%27%20style%3D%27background%3Atransparent%27%2F%3E" srcset="https://img.assets-d.propublica.org/v5/images/GettyImages-1740048611_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true2mb.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=267&q=75&w=400&s=0e1294ca528f07e47e3dc66014c9fa8c 400w, https://img.assets-d.propublica.org/v5/images/GettyImages-1740048611_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true2mb.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=533&q=75&w=800&s=8d5cff506724f988818d382c77b44d86 800w, https://img.assets-d.propublica.org/v5/images/GettyImages-1740048611_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true2mb.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=800&q=75&w=1200&s=99a0b19d8695f7a2240ba3ed678ec321 1200w, https://img.assets-d.propublica.org/v5/images/GettyImages-1740048611_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true2mb.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1067&q=75&w=1600&s=7a64124bf05c95025d0d8199b8b35242 1600w" width="400" height="267" loading="lazy" js-autosizes /> </a> </div> <div class="story-card__description"> <h3 class="story-card__hed" > <a href="https://www.propublica.org/article/nih-funding-climate-change-public-health"> NIH Ends Future Funding to Study the Health Effects of Climate Change </a> </h3> <p class="story-card__dek" > It’s unclear whether the guidance will impact active grants, but it appears to halt opportunities for future studies. One climate health expert said the directive would have a “devastating” impact on much-needed research. </p> <p class="story-card__byline"> <span class="story-card__byline-author"> by <a class="name" href="https://www.propublica.org/people/annie-waldman">Annie Waldman</a> and <a class="name" href="https://www.propublica.org/people/sharon-lerner">Sharon Lerner</a>, </span> <span class="story-card__byline-dateline"> <time class="timestamp" datetime="2025-03-24EDT16:15">March 24, 2025, 4:15 p.m. EDT</time> </span> </p> </div> </div> </div> </ol> <!-- end .most-read-group --> </div> <!-- end .most-read --> </div> </div> </div> <style> /* re-assert som CSS Custom Properties from v5 */ .admin-shortcuts { --fonts-sans: "Graphik", sans-serif; --scale0: 1rem; --scale-1: 13px; --scale-2: 11px; --scale-3: 9px; --spacing-2: 4px; --spacing-1: 8px; --spacing0: 16px; --spacing1: 24px; --spacing2: 32px; --spacing3: 64px; } .admin-shortcuts { position: fixed; z-index: 10000; bottom: 0; right: 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