After Roe v Wade, women in anti-abortion states can’t access life-saving medication for everything from chronic pain to lupus to ulcers

Maybe the pharmacist at the Tucson, Arizona, Walgreens was acting out of religious conviction. Maybe they were afraid that they could get arrested. We may never know. What we do know is that on 26 September, two days after Arizona’s abortion ban went into effect, Emma Thompson, a 14-year-old girl with rheumatoid arthritis and osteoporosis, was denied her prescription for methotrexate.

Thompson had been on methotrexate for some time; this was a longstanding prescription that she was getting refilled. The drug, a potent anti-inflammatory drug, is used to treat a wide array of issues, from autoimmune disorders, like Thompson’s, to arthritis and cancer. It’s estimated that 60% of all rheumatoid arthritis patients are prescribed the drug, and for Thompson, it was working well. After a childhood spent in and out of hospitals, enduring years of debilitating pain, her doctors had finally found a medication and a dosage that seemed to be working for her. Her symptoms abated enough that she was able to attend school. “It’s her first year and she’s in high school and it feels like a dream,” said Thompson’s mother, Kaitlin Preble. “She’s not in a wheelchair, she has a social life and friends for the first time, and a life all young people should have.”

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