As Kamala Harris and Donald Trump prepare to meet on the debate stage in Philadelphia, the battle over abortion rights has vaulted to the center of the 2024 presidential election campaign, the first since the supreme court’s decision overturning Roe v Wade.
At the party’s convention last month, Democrats spotlighted the harrowing stories of women placed in medical peril as a result of post-Roe abortion bans in their states. Last week, the Harris campaign launched a 50-stop “reproductive freedom” bus tour across several battleground states, kicking off in Trump’s “back yard”, miles from the former president’s Mar-a-Lago residence in south Florida.
And this weekend, days before the first – and perhaps only – primetime presidential debate, where the issue is likely to be raised, the Harris campaign debuted three new TV ads reminding voters that Trump has repeatedly taking credit for his role in ending the 50-year-old constitutional right to an abortion. The message is blunt: because of Trump, one in three women of reproductive age now live in states where abortion is banned or significantly restricted. And it could get worse, they warn, if Trump is given a second term.
“Donald Trump is a fundamental threat to reproductive freedom – and you don’t have to take our word for it – Trump said it himself,” Lauren Hitt, a spokesperson for the Harris-Walz campaign, said in a statement. “Vice-President Harris and Governor Walz are fighting to restore reproductive freedom in all 50 states because they trust women to make the right decisions for their families.”
In the bitterly contested race for the White House, abortion remains a glaring vulnerability for the Republican nominee.
“You know it’s an important issue because Trump is trying to change his position,” said Celinda Lake, a veteran Democratic pollster.
As a candidate, Trump has held conflicting positions on abortion, alternately boasting that he appointed three of the nine supreme court justices whose votes were decisive in overturning Roe, while complaining that Republican extremism on the issue has cost his party at the ballot box.
He recently appeared to endorse a ballot measure to expand abortion rights in his adopted home state of Florida, only to announce one day later – after sparking backlash among prominent conservative groups – that he would vote against it. He has also previously hinted at support for a 15-week federal ban only to insist that the issue should be left to the states. His campaign has said Trump would not sign a national abortion ban as president.
While the economy remains the top election issue for voters this November, a New York Times/Siena College poll released in August showed that a growing share of battleground state voters, particularly women, say abortion will be central to their decision. Among women younger than 45, abortion has eclipsed the economy as their single most important issue.
In the final months of the campaign, Democrats are aiming to harness the unabated anger over the loss of federal abortion protections, especially among women and young people, and unifying around a platform that seeks to protect what remains of abortion access and the availability of reproductive healthcare, including contraception and fertility treatments such as in vitro fertilization (IVF).
In polling and focus groups, Lake said abortion rights remains an especially salient issue for women and the issue was helping to fuel a widening gender gap between Harris and Trump. Harris’s vocal support for abortion rights has not only energized young voters, a core Democratic constituency, but is also helping to persuade independent women and, as Lake put it, “older women who remember when abortion was illegal, and don’t think the idea of jailing doctors, investigating miscarriages, [and] eliminating birth control and IVF is a good idea”.
In recent weeks, Trump, who has long worried that Republican-led efforts to outlaw abortion and restrict access to reproductive care could imperil his White House bid, has sought recast his approach to the issue. During a town hall even in battleground Wisconsin, he endorsed a plan to make the government or insurance companies cover the cost of IVF – a type of fertility assistance that can cost tens of thousands of dollars and that some in the anti-abortion movement want to see limited.
“We wanna produce babies in this country, right?” Trump said.
Democrats assailed the proposal as insincere, pointing to the Republican’s record and the positions of his running mate, JD Vance.
Trump has had “more positions on reproductive rights than he has had wives”, Ana Navarro, a TV personality and anti-Trump Republican, said last week, at the Florida launch of the Harris campaign’s bus tour.
Democrats have leveraged the abortion issue to secure key victories in the 2022 midterms, when mobilization efforts around abortion rights drove strong turnout and enthusiasm, helping the party keep control of the Senate and limiting Republican gains in the House. In Michigan, Democrats secured a governing trifecta as voters in the state overwhelmingly turned out to back a ballot initiative enshrining abortion rights in the state’s constitution.
“Bringing the message to the people, talking with women and healthcare providers and our families, that’s how we had such a historic outcome in our ’22 election here in Michigan,” the state’s governor, Gretchen Whitmer, a co-chair of Harris’s campaign, said in an MSNBC interview this week. “But it’s important, even for Michiganders and New Yorkers and Floridians, to know what’s at stake if we have a second Trump presidency.”
Some Republicans have argued that the potency of abortion rights would wane in a noisy presidential election. But Lake believes the opposite could be true.
Abortion rights are a priority for young voters who are more likely to turn out in a presidential election year. Constitutional amendments seeking to guarantee abortion rights are on the ballot in 10 states this fall, including battleground states like Arizona and Nevada as well as Florida, once a presidential bellwether that has trended Republican in recent cycles.
“We are the belly of the beast here in the state of Florida,” said Nikki Fried, the chair of the Florida Democratic party. “We are the state that has drastically moved on abortion from two years ago having full access to now being one of the most extreme abortion bans in the country.”
Florida Democrats are hopeful the ballot initiative will help boost the former representative Debbie Mucarsel-Powell’s underdog campaign against the Republican incumbent senator Rick Scott. Elsewhere in the battle for control of the Senate, vulnerable Democratic incumbents Jon Tester of Montana and Jacky Rosen of Nevada will appear on the ballot alongside measures to protect abortion rights.
Fried, who joined the Harris campaign kick-off in Palm Beach county last week, said the referendum had helped draw attention to the state – and was mobilizing voters of all political stripes.
“If they can take away access to reproductive healthcare, what else is next?” she said. “What other types of rights have we moved the needle on that would be going backwards if Trump is re-elected?”
The state’s referendum would overturn the state’s unpopular six-week ban, guaranteeing the right to abortion “before viability”, usually around 24 weeks of pregnancy. A poll released in mid-August found that 56% of Sunshine state voters support the proposed amendment, just shy of the 60% threshold needed to become law. Yet it drew more support than Trump, who led Harris 51% to 47% in the state, according to the survey.
Abortion remains Harris’s strongest issue. She holds a 15-percentage-point advantage over Trump in a national poll of likely voters by The New York Times and Siena College. Yet there were also signs that Trump’s mixed signals have muddied the waters on the issue. According to the survey, released Sunday, nearly half of independent voters say they did not think the former president would sign into law a national abortion ban.
Still, the Republican nominee must contend with his base, particularly evangelicals and other conservative Christians, who expect Trump to further restrict access to abortion as president.
Kristan Hawkins, president of the prominent anti-abortion group Students for Life of America, recently told the Guardian that young conservatives were “shocked and saddened to see someone who they thought was pro-life, or who had always reaffirmed pro-life values, walking back on that”.
Tuesday’s presidential debate in Philadelphia offers one of the highest-profile opportunities for Harris to draw a sharp contrast with Trump on abortion. Reproductive rights supporters anticipate Harris will challenge the former president over his attempts to shift positions on the issue.
“I hope that Vice-President Harris makes it crystal clear for the tens of millions of people who are watching that leaving it to the states is not a moderate position – that it is extreme,” said Rob Davidson, a Michigan-based emergency physician and executive director of the Committee to Protect Health Care, a left-leaning coalition of physicians and medical professionals that recently endorsed Harris.
Davidson said voters will also want to hear Harris articulate her vision for expanding access to reproductive healthcare.
“We know what Trump did,” he said. “What are we going to do going forward?”