在唐纳德·特朗普总统的第二个任期内（这一任期已持续近两年），以及在此之前的竞选活动中，他在堕胎权利问题上一直采取了一种非常谨慎的立场：他试图既不吓跑那些支持堕胎合法化的选民，同时又保持保守派的支持。特朗普对当前围绕堕胎权利问题的混乱局面负有重要责任——因为他提名了三位最高法院大法官，这些大法官投票推翻了“罗诉韦德案”（Roe v. Wade）的裁决。
For nearly two years in his second term, and for months on the campaign trail before that, President Donald Trump has done a delicate dance on reproductive rights: trying not to scare voters who support abortion access while keeping conservatives on his side Trump was instrumental in the current chaos around abortion access because he nominated three Supreme Court justices who voted to overturn Roe v. Wade.
因此，各州现在可以自行实施堕胎禁令；然而，极右翼势力并不完全满意，因为他们的最终目标是让所有50个州都彻底禁止堕胎。最近的发展表明，共和党人曾宣称“推翻‘罗诉韦德案’的裁决会将堕胎问题交回各州处理”，但实际上这一承诺隐藏着重要的限制条件：堕胎问题确实会被交回各州处理，但只是暂时如此而已。
States can enforce abortion bans as a result, but the far right is not entirely satisfied because its goal is to end abortion in all 50 states Recent developments underscore that the GOP rallying cry that ending Roe would “send abortion back to the states” came with a hidden asterisk — it would be sent back to the states .
看起来，用特朗普提名的法官们来进一步限制全国范围内的堕胎行为，只是时间问题罢了。
It appears it’s only a matter of time until the president’s nominees make it even harder to get an abortion nationwide.
与普遍的看法相反，特朗普从未承诺会维持现有的堕胎药物获取政策（即让民众能够方便地获得堕胎所需的药物）。
Contrary to popular belief, Trump has never pledged to preserve the status quo when it comes to abortion pill access.
罗诉韦德案被推翻后，许多由民主党主导的州选择保护其提供者免受刑事调查，并扩大获取途径。根据计划生育协会的最新数据，截至2025年12月，每月有近15,000例药物流产是在“盾牌法”保护下提供的。
After the fall of Roe, many Democratic-led states chose to protect their providers from criminal investigations and to expand access. According to the latest data from the Society of Family Planning, as of December 2025, nearly 15,000 medication abortions per month were being provided under shield laws.
上周，路易斯安那州、阿拉巴马州和阿肯色州请求最高法院批准挑战由民主党主导的州颁布的“盾牌法”法规，这些法规保护提供者免受刑事调查和引渡，因其跨州开具堕胎药处方。（最高法院通常审理上诉案件，但如果有五名大法官投票赞成，它也可以审理州际争端——尽管这种情况很少见）这三个州还起诉了约30家药丸提供者，并请求法官阻止这些提供者向其居民开具药物流产处方——包括仅使用米索前列醇的备选流产方法。
路易斯安那州的总检察长在给另一法院的信中写道，该案件“将消除近三十个最著名行为体非法向该州邮寄堕胎药的能力。”
‘选民档案’：缅因州选民在罗诉韦德案被推翻后对参议员苏珊·柯林斯的看法 2026年9月18日然后，周五，《华盛顿太阳报》报道称，政府官员告诉司法部“在中期选举前对任何与堕胎相关的行动放缓脚步。”
Last week, Louisiana, Alabama and Arkansas asked the Supreme Court for permission to challenge “shield” laws statutes enacted in Democratic-led states that protect providers from criminal investigations and extradition for prescribing abortion pills across state lines. (The high court usually hears appeals, but it can hold trials on issues between states if there are five votes to do so — though there rarely are The same three states also sued about 30 pill providers and asked a judge to prevent the providers from prescribing medication abortion to the states’ residents — including a backup method of misoprostol-only abortions. Louisiana’s solicitor general wrote in a letter to a different court that the case “will eliminate the ability of nearly three dozen of the most prominent actors to illegally send abortion drugs into the State.” ‘The Voter Files’: Maine voters on Sen. Susan Collins after reversal of Roe v. Wade September 18, 2026 Then, on Friday, The Washington Sun reported that administration officials told the Justice Department “to move slowly on any abortion-related actions ahead of the midterm elections.” White House chief of staff Susie Wiles reportedly told Attorney General Todd Blanche — who said during his confirmation process that he supported restricting access to abortion pills — to hold his fire until after November.
据报道，白宫幕僚长苏西·怀尔斯告诉司法部长托德·布兰奇——他在确认听证会上表示支持限制获取堕胎药——等到11月之后再采取行动。
“Wiles suggested that an aggressive approach on abortion would generate unwanted attention,” the Sun reported. (The White House denied that these conversations with DOJ officials took place.)
“怀尔斯建议，在堕胎问题上采取激进做法会招致不必要的关注，”《太阳报》报道称。（白宫否认曾与司法部官员进行过这些对话。）考虑到共和党预计将失去众议院控制权，参议院控制权也悬而未决，白宫的紧张不安并不令人意外。
The White House’s skittishness isn’t surprising, given that Republicans are expected to lose the House, and control of the Senate is in play And when Republicans underperformed in the 2022 midterms, just months after the fall of Roe, Trump himself blamed “the abortion issue.”
就在罗诉韦德案被推翻几个月后，共和党在2022年中期选举中表现不佳，特朗普本人将其归咎于“堕胎问题”。如果反堕胎团体得逞，红州和特朗普政府可能会试图让在堕胎仍合法的州进行堕胎变得更加困难。尽管如此，白宫同时也在告诉反堕胎团体要保持信心。
一位与政府关系密切的保守派人士在获准匿名讨论私下对话的情况下告诉《太阳报》：“一旦中期选举结束，真正进入‘跛脚鸭’时期，我们听说将会撕破脸。我们听说我们有朋友，而且肯定有人是坚定的生命权捍卫者。”
If anti-abortion groups get their way, red states and the Trump administration could try to make it harder to get an abortion in states where it’s still legal. Still, the White House is simultaneously telling anti-abortion groups to keep the faith. “One conservative in touch with the administration, granted anonymity to discuss private conversations,” told the Sun that “once the midterms are over and it’s truly lame-duck time, we’ve heard the gloves will be off. We have heard we have friends, and there are definitely people who are staunch pro-lifers.”
与普遍看法相反，特朗普从未承诺在堕胎药获取问题上维持现状。当然，在2024年竞选期间，他说过不会签署联邦堕胎禁令，但食品药品监督管理局（FDA）无需国会投票即可限制这些药物。而且，是的，在2024年6月的CNN辩论中，当被问及米非司酮时，特朗普表示他“不会阻挠”最高法院维持该药物获取渠道的裁决。但该案是基于程序理由作出裁决，而非基于FDA允许远程医疗开具处方这一变更的实质内容。
Contrary to popular belief, Trump has never pledged to preserve the status quo when it comes to abortion pill access. Sure, during the 2024 campaign he said he wouldn’t sign a federal abortion ban, but the Food and Drug Administration can restrict the medications without a vote in Congress. And, yes, during a June 2024 CNN debate answer about mifepristone, Trump said he would “not block” a Supreme Court decision preserving access to the drug. But that case was decided on procedural grounds, not on the merits of the FDA changes that allowed prescriptions by telehealth.
当选几周后，特朗普告诉NBC新闻，他“大概率”不会限制药物流产的可获得性，但也指出“情况会变”。
A few weeks after he was elected, Trump told NBC News that he “probably” would not restrict the availability of medication abortions but noted that “things change Indeed, anti-abortion groups have been pressing the White House to change things. They want Blanche to settle an earlier lawsuit that Louisiana filed against the FDA by brokering a consent decree that ends telemedicine prescriptions of mifepristone nationwide. Mifepristone is the first of two drugs used in a typical abortion pill regimen, but the second drug, misoprostol, is also safe and effective on its own.
确实，反堕胎团体一直在施压白宫改变现状。他们希望布兰切通过促成一项同意令，解决路易斯安那州早先起诉FDA的一桩诉讼，从而在全国范围内终止米非司酮的远程医疗处方。米非司酮是典型堕胎药方案中使用的第一种药物，但第二种药物米索前列醇单独使用也是安全有效的。
特朗普提名的FDA局长人选海迪·奥弗顿博士，如果获得参议院确认，通过主导一项毫无根据的药物安全“审查”，并声称审查结果支持恢复面诊要求，也能达到与和解相同的效果。
Dr. Heidi Overton Trump’s nominee to run the FDA, could achieve the same outcome as a settlement if she is confirmed by shepherding a baseless safety “review” of the drug and saying that it supports reimposing in-person appointments.
古普塔医生批评特朗普的FDA提名人在疫苗问题上：「意识形态凌驾于证据之上」 这种改变不仅会终止跨州的米非司酮虚拟获取，也会终止州内的虚拟获取。人们将不得不前往诊所获取他们将在家中服用的药物。生殖自由倡导者几乎肯定会就此举提起法律挑战，但最高法院的保守派超级多数最终将裁决此事。
Dr. Gupta calls out Trump’s FDA nominee on vaccines: ‘Ideology overriding evidence’ Such a change would end virtual access to mifepristone not just across state lines but also within state borders. People would have to travel to a clinic to get medications they will take at home. Reproductive freedom advocates would almost certainly file legal challenges over the move, but the Supreme Court’s conservative supermajority would ultimately decide the issue.
布兰奇在确认听证会上也承诺审查政府对执行《康斯托克法案》的立场，这是一项1873年的反淫秽法律，堕胎反对者想利用它来阻止邮寄堕胎药。保守派正推动他撤销拜登时代司法部关于《康斯托克法案》的指导意见，该意见称美国邮政服务和其他承运商（如UPS和联邦快递）向禁令州邮寄堕胎药并非推定违法。如果该指导意见被撤销，可能会随之而来刑事起诉。
Blanche also pledged during his confirmation hearing to review the government’s stance on enforcing the Comstock Act, an 1873 anti-obscenity law that abortion opponents want to use to stop the mailing of abortion pills. Conservatives are pushing him to rescind Biden-era DOJ guidance on Comstock, which said it wasn’t presumptively illegal for the U.S. Postal Service and other carriers like UPS and FedEx to deliver abortion pills to states with bans. If that guidance is rescinded, criminal prosecutions could follow.
令人担忧的是，联邦调查局局长卡什·帕特尔对联邦政府的调查表示了开放的态度。在9月份的一次听证会上，密苏里州参议员乔什·霍利质问帕特尔，他的部门是否会调查那些教唆人们通过邮件将堕胎药寄往禁止堕胎的州的制药公司。帕特尔回答说：“虽然我不会具体提及任何公司的名字，但我可以肯定的是，我们已经在展开调查了。任何利用联邦邮政系统进行此类活动的行为都属于联邦犯罪，应由联邦调查局负责调查，尤其是当这种行为同时违反了相关州法律时。因此，我们一定会对此采取行动。”
Chillingly, FBI Director Kash Patel has expressed openness to federal probes In a September hearing, Missouri Sen. Josh Hawley pressed Patel on whether his agency would investigate drug manufacturers that “coach” people how to send abortion pills in the mail to states where it’s banned. Patel responded, “Without naming any of the companies, I’m not saying we’re not [investigating] already, but any use of the federal mail system is a federal crime that falls to the FBI to investigate, especially in conjunction with a violation of a state law that’s already on the books. So we’re committed to that.”
如果反堕胎组织得逞，那些保守派控制的州以及特朗普政府很可能会试图进一步限制那些仍允许堕胎的州的堕胎服务——即使这些州的宪法中明确规定了公民的生殖权利。对于共和党人来说，他们试图在允许堕胎的州实施自己的堕胎法律，似乎并不会对当地的堕胎服务产生太大影响。纽约州总检察长莱蒂西亚·詹姆斯在关于这项法律挑战的声明中明确表示：“路易斯安那州、阿拉巴马州和阿肯色州正请求最高法院允许他们在纽约州实施堕胎禁令，并惩罚那些提供合法医疗服务的医生。”到目前为止，特朗普政府对此一直保持沉默，但情况很可能即将发生变化。
If anti-abortion groups get their way, red states and the Trump administration could try to make it harder to get an abortion in states where it’s still legal. Yes, even if reproductive rights are protected in the state Constitution. The notion that GOP-led states’ efforts to enforce their own abortion laws could hamper access in states where it’s still legal seems of little consequence to Republicans. New York Attorney General Letitia James said it plainly in a statement about the shield law challenge: “Louisiana, Alabama, and Arkansas are asking the Supreme Court to let them impose their abortion bans on New York and punish our doctors for providing legal health care.”Until now, the Trump administration has frequently played coy on this effort, but things could very well be about to change. The post Todd Blanche’s marching orders on abortion restrictions couldn’t be clearer MS NOW