Dr. Damla Karsan lives in fear for her patients—and for all pregnant Texans.
The Houston OB-GYN has spent the last four years painfully navigating the state’s draconian abortion bans, oftentimes for patients who face severe complications. With vaguely defined exceptions for medical emergencies, the law has forced doctors to either delay or deny life-saving care out of worry they could face lawsuits or prison time for performing pregnancy termination.
Karsan knows the risks well: When she promised to perform abortion care in 2023 for Kate Cox, a Dallas mother who saw her health steadily deteriorate after doctors failed to terminate her fatal pregnancy, she was met with direct threats of prosecution from Attorney General Ken Paxton. Cox eventually fled the state. Paxton’s attacks on reproductive healthcare workers have only escalated since then, most recently with the arrest of a Houston-area midwife for allegedly giving abortion pills to a patient—the first criminal charges under the state’s ban that took effect after the 2022 fall of Roe v. Wade.
