‘They’re not gonna quit’: How Ohio anti-abortion activists shaped post-Roe America

When Janet Folger Porter moved back to Ohio in December 2010, she invited some of her closest friends to her new home in suburban Cleveland.

Her guests sipped coffee, made small talk and shared a breakfast of bacon and eggs. Meanwhile, Porter set up a white board in front of the fireplace. On it, the hostess wrote two words: “Heartbeat Bill.”

Porter’s gathering was a business meeting. And Porter, as everyone in the room knew, was in the business of banning abortion.

“This is how we can do it,” she told her guests.

Porter planned to get a law passed that would ban all abortions in Ohio after about six weeks gestation, when embryonic cardiac activity can be detected. There would be no exceptions for rape or incest.

It represented a bold challenge to Roe v. Wade, the 1973 Supreme Court decision that guaranteed a right to abortion. If Porter's law passed, it also would be one of the most restrictive abortion laws in the nation, an idea so radical that even Ohio Right to Life and the state’s top Republicans would spend years opposing it.

Faith2Action president Janet Folger Porter speaks in the atrium of the Ohio Statehouse in 2011.
Faith2Action president Janet Folger Porter speaks in the atrium of the Ohio Statehouse in 2011.

Yet today, the bill is the law of the land in Ohio. Considering the similar bans enacted in 23 other states after the Supreme Court overturned Roe in a 6-3 decision this summer, Porter’s vision is no longer extreme in the world of Republican politics – it’s the norm.

The story of how a onetime bellwether state like Ohio led a slow, determined push to steadily weaken and then nearly eliminate abortion rights is in many ways a case study for what has happened around the country. Long before the Supreme Court reversed Roe, anti-abortion activists like Porter recognized that demographic shifts and gerrymandered statehouse districts would entrench Republican majorities and allow them to push abortion restrictions that polls show are unpopular with most Americans.

The consequences came just a month after the Supreme Court’s decision, when a 10-year-old rape victim had to leave Ohio for an abortion in Indiana because her pregnancy had gone beyond the six-week limit. Nevertheless, members of Ohio’s Republican-dominated legislature have pressed forward with plans for a near-total abortion ban either this year or next.

“We are often viewed as a bellwether,” said David Pepper, former chairman of the Ohio Democratic Party. “I think we have become a bellwether in how an out-of-control statehouse can basically destroy your state.”

But 12 years ago, as Porter scribbled ideas on the white board, Ohio was a swing state that had gone for Barack Obama and would send a mainstream Republican like Rob Portman and a progressive Democrat like Sherrod Brown to the U.S. Senate. Democrats controlled most statewide offices, including governor.

That Ohio didn’t work for Porter, the founder of the right-wing Christian group Faith2Action. She was a longtime culture warrior who opposed gay marriage, promoted false claims questioning Obama’s birthplace and compared abortion to the execution of children during the Holocaust.

She was tired of watching fellow Republicans settle for measures such as licensing restrictions for clinics and waiting periods for patients – moves that made it harder, but not impossible, to get abortions.

She said in a recent interview that she’s been guided by the words of Martin Luther: “If we are not fighting where the battle is hottest, we are traitors to the cause.”

She told her houseguests it was time to take on Roe. To succeed, they’d launch what amounted to a decadeslong insurgency, a movement to change Ohio politics from the top down.

They’d have to start with their own Republican Party. Over time, the fight would become personal, as Porter and her allies adopted tactics that some said were as divisive as they were effective.

"I wanted them to see, these people are crazy. They're not gonna quit," Porter said. “We were not gonna give up until this bill became law."

Emboldened GOP allows fetuses to 'testify'

About three months after the gathering at Porter’s house, she sat in a packed hearing room at the Ohio Statehouse in Columbus for a March 2011 hearing. The fetuses were ready to testify.

Two pregnant women would take turns on an ultrasound machine set up in the house chamber so lawmakers could see and hear inside their wombs. The hearing was among the first for the heartbeat bill, which a team of lawyers and activists Porter assembled had written in the weeks following the meeting at her home.

The bill would require people seeking abortions to undergo ultrasounds to detect cardiac activity. If it was there – and it usually was at about six weeks – a doctor who performed an abortion would face criminal charges and up to a year in prison.

Anne Renouf helps string red heart balloons along the south side of the Ohio Statehouse in 2011 in support of the six-week abortion ban, known by supporters as the heartbeat bill.
Anne Renouf helps string red heart balloons along the south side of the Ohio Statehouse in 2011 in support of the six-week abortion ban, known by supporters as the heartbeat bill.

Democrats, who unanimously opposed the bill, condemned the ultrasound hearing as a shameless stunt.

But there was nothing they could do about it. The Ohio House had flipped to a 59-40 Republican majority after two years of Democratic control. Energized by opposition to the Affordable Care Act and the Tea Party’s anti-government agenda, many of the new Republican members had little in common with Ohio’s moderate Republicans.

This new group of Republican lawmakers helped elect Bill Batchelder – a member of a conservative group of lawmakers known as the "Caveman Caucus" – as speaker of the House, and they were more likely than moderate Republicans to embrace legislation like Porter’s heartbeat bill.

“After Obama, Republicans statewide felt ignored,” said Clarence Mingo, an Ohio Republican and former Franklin County official who has pushed back against extremism in his party. “The result of that was a shift to hard-right conservative thinking.”

Still, the newly remade Ohio GOP was not yet strong enough to impose its will at the statehouse. Some of Porter's fellow Republicans worried the courts would reject her six-week ban as unconstitutional, potentially strengthening Roe instead of weakening it. And they feared moderate voters might object to such strict abortion limitations.

Porter had little patience for Republicans who didn’t share her zeal for the cause. “They’re pro-life pretenders,” she said. “They use babies to get elected instead of using elections to save babies.”

As the House opened hearings on her bill, Porter and her team flooded the offices of Republican lawmakers with calls and emails. In the months to come, they’d send them red balloons shaped like hearts, teddy bears that played a heartbeat recording, and more than 2,000 red roses with cards that said, “Bring this bill to a vote before the roses and babies die.”

But she expected that the fetus testimony would have the greatest impact.

When the hearing began, one of the pregnant women took a seat near a large video screen. She leaned back in the chair, a hospital gown covering her torso, as a nurse ran an ultrasound wand over her belly.

A pregnant Erin Glockner, left, is given an ultrasound by Julie Aber of Ashland Care Center during a committee hearing at the Ohio Statehouse in 2011. Anti-abortion advocates presented live ultrasounds to lawmakers in support of a bill that would outlaw abortion when cardiac activity can be detected.
A pregnant Erin Glockner, left, is given an ultrasound by Julie Aber of Ashland Care Center during a committee hearing at the Ohio Statehouse in 2011. Anti-abortion advocates presented live ultrasounds to lawmakers in support of a bill that would outlaw abortion when cardiac activity can be detected.

The lights dimmed and a fuzzy, black and white image of a fetus appeared on the video screen. Someone aimed a laser pointer at the pulsing tissue in the center of the picture.

The hearing room was silent – except for a rapid dub-dub-dub that matched the rhythmic movement on the screen.

Everyone was watching and listening. Porter had a master’s degree in communications and had done plenty of public relations work in her career, including for Ohio’s Republican governor, John Kasich. But she’d rarely seen anything grab people’s attention like this. Even a Democratic House member who opposed the bill said the presentation brought back fond memories of her own pregnancy.

Porter was thrilled.

“What we saw today was the beating hearts of these babies,” she told reporters after the hearing.

To save those babies, she said, lawmakers needed to pass her bill.

She felt certain it was just a matter of time.

Clinic lawyer fears Ohio's turn to the right

A week later, civil rights lawyer Al Gerhardstein walked into the same hearing room to deliver a different message.

A Cincinnati resident who’d spent much of his career defending abortion clinics, Gerhardstein knew Porter’s six-week ban violated the constitutional standard set by Roe. He also knew that was the point.

This was Ohio, after all, the birthplace of Right to Life and a frequent testing ground for anti-abortion legislation.

Cincinnati attorney Al Gerhardstein has spent much of his career fighting in court against Ohio abortion restrictions.
Cincinnati attorney Al Gerhardstein has spent much of his career fighting in court against Ohio abortion restrictions.

For years, Gerhardstein had watched activists like Porter chip away at Roe in Ohio’s legislature and courtrooms, imposing rules like 24-hour waiting periods, mandatory ultrasounds and limits on the use of pills to induce abortion.

This death-by-a-thousand-cuts approach was the brainchild of John and Barbara Willke, a Cincinnati couple who founded the nation’s first Right to Life chapter in the late 1960s. The Willkes weren’t firebrands like Porter. They were devout Catholic grandparents who lectured college students about abstinence, went on "Donahue" to talk about fetal development and came up with billboard slogans like “Abortion stops a beating heart.”

John and Barbara Willke, founders of Cincinnati Right to Life, in 2000.
John and Barbara Willke, founders of Cincinnati Right to Life, in 2000.

But the Willkes, who mentored Porter when she was a budding activist in college, also worked behind the scenes, writing anti-abortion laws and lobbying politicians to pass them. Their mission was to keep up a steady attack on Roe – one voter, one law, one court ruling at a time.

“It was a brilliant strategy,” Gerhardstein said.

While he respected the Willkes’ approach, Gerhardstein fought them at every turn, representing Planned Parenthood and other abortion clinic operators. To him, the clinics were more than clients. They were on the front lines of a battle to protect a woman’s right to make decisions about her own health and body.

Born and raised Catholic, Gerhardstein appreciated the religious and moral objections to abortion, especially among Catholics who formed the vanguard of the early Right to Life movement.

Yet he also felt the government shouldn’t impose those beliefs on millions of women who wanted for themselves something different.

Before his first case involving an abortion clinic in the 1980s, Gerhardstein called his mother, Carolyn, who had worked for years in Catholic hospitals as an obstetrics and gynecology nurse. He asked how she felt about him taking on the case.

He said she told him she was glad he was doing it. She’d seen many patients, before Roe, who’d been victims of botched abortions they’d attempted on their own or with unqualified practitioners. By the time some got to the hospital, they were in terrible shape.

“It wasn’t about some abstract right,” Gerhardstein said of how his mother viewed the abortion debate. “It was about what she saw.”

Activists like Porter were aggressively going after that right. Even John and Barbara Willke, who died in 2015 and 2013, respectively, abandoned their incremental approach and supported Porter’s push for a six-week ban years before Right to Life and others would follow suit.

Right to Life founder Jack Willke, left, with Faith2Action President  Janet Porter in the atrium of the Ohio Statehouse in 2011.
Right to Life founder Jack Willke, left, with Faith2Action President Janet Porter in the atrium of the Ohio Statehouse in 2011.

Gerhardstein saw the rationale behind the shift. Ohio was moving to the right. Republicans now controlled not only the statehouse, but the redistricting process that would allow them to gerrymander districts and tighten their grip on power. The heartbeat bill, Gerhardstein believed, showed that Republicans planned to use that power to topple Roe at the Supreme Court.

“This was the final plunge,” he said. “It was a direct attempt to challenge the constitutionality of Roe v. Wade.”

Gerhardstein began his testimony at the hearing in 2011 by warning lawmakers the bill they were considering was unconstitutional. But he also urged them to think about the consequences if the heartbeat bill ever became law and Roe one day fell.

It would strip away a woman’s right to follow her doctor’s advice, he said, or even to follow her conscience. It would replace her judgment with theirs.

“Trust women to make their decisions,” Gerhardstein said.

A moderate pushes back on 'no exceptions'

When Stephanie Kunze came to Columbus as a freshman member of the Ohio House in 2013, the heartbeat bill was stuck. It had passed the House two years earlier, but that’s as far as it got.

Republicans in the Ohio Senate refused to bring it to a vote, and Gov. Kasich said he’d veto the bill if it ever reached his desk. They said the bill wouldn’t survive a court challenge and would mire the state in costly litigation for years.

Sen. Stephanie Kunze drops off campaign literature in suburban Columbus during her 2020 reelection bid.
Sen. Stephanie Kunze drops off campaign literature in suburban Columbus during her 2020 reelection bid.

Kunze, a Republican from suburban Columbus, who describes herself as “pro-life with exceptions,” had her own problems with Porter’s bill – mainly the lack of exceptions for rape, incest or serious fetal abnormalities. It was, she said, “an impractical way to legislate something that’s important to families and women.”

Kunze, the mother of two daughters, was passionate about curbing infant mortality and advocating for survivors of sexual violence. But when she arrived at the statehouse, the heartbeat bill was getting most of the attention.

Porter was lobbying hard for another vote in the House so she could try again to get the Senate and Kasich on board. She had enough votes to win, but not enough to override a Kasich veto.

That increased pressure on moderate Republicans like Kunze. Without getting them on board, Porter’s bill couldn’t get past the governor.

Most of Kunze’s Republican colleagues in the House didn’t share her concerns about the bill and were in no mood to compromise.

After the 2012 elections, they didn’t have to.

While Kunze’s House district was politically competitive, redistricting had placed many of her fellow Republicans in safe districts, where primary elections were the only elections that mattered. In those districts, voters who represented the activist wing of the Republican party often rewarded politicians for stances that once seemed radical.

“Extreme gerrymandering is so toxic,” said Kathleen Clyde, a Democrat who served in the House from 2011 to 2018. “It gives legislative leaders this outsized view of their own place in our government and of their own power.”

But there was little Democrats could do. Republicans controlled the redistricting process, and now those same Republicans were dealing with a new political dynamic: Ohio’s most consequential legislative battles no longer were being fought by Democrats and Republicans, but by conservative Republicans and more-conservative Republicans.

Those fights intensified as Republican lawmakers debated Kasich’s 2013 budget, clashing on issues from Medicaid expansion to a new oil tax. They then packed several new abortion restrictions into the budget late in the process, with no time for public input.

One measure required abortion providers to perform ultrasounds and predict the fetus’ likelihood of surviving to full term.

Ruth Clevenger waves an American flag during a protest at the Ohio Statehouse in Columbus in 2013. The rally was organized to draw attention to legislation that will affect Ohio laws dealing with women's health care.
Ruth Clevenger waves an American flag during a protest at the Ohio Statehouse in Columbus in 2013. The rally was organized to draw attention to legislation that will affect Ohio laws dealing with women's health care.

Abortion rights activists erupted. They swarmed the statehouse, shouting, “Shame on you!” as Republican lawmakers approved the abortion measures. They then bombarded Kasich’s office with 17,000 letters urging him to veto them.

The governor let the new restrictions stand, giving abortion hard-liners almost everything they wanted. Kunze, who voted for the budget, called it one of the most “pro-life” budgets in state history.

But it didn’t include the heartbeat bill.

That meant Porter and her allies soon would be back, trying again to flip moderate Republicans to secure a veto-proof majority.

Porter made a list. And Kunze’s name was on it.

Turning up the pressure: No more 'Mr. Nice Guy'

The way Porter saw it, Republicans were wasting an opportunity. By early 2015, they held lopsided majorities in both the Ohio House and Senate, and voters had overwhelmingly sent Kasich back to the governor’s office for a second term. They could do what they wanted.

Yet Senate President Keith Faber wouldn’t bring her heartbeat bill to a vote; Kasich still vowed not to sign it; and Ohio Right to Life still wouldn’t get behind it.

Porter was sick of it. These Republicans had been running for years on anti-abortion platforms. They were, in Porter’s view, hypocrites and liars. No better than Democrats, who at least didn’t pretend to be on her side.

Ohio Gov. John Kasich smiles while signing the new two-year state budget during a ceremony at the Ohio Statehouse in Columbus in 2013.
Ohio Gov. John Kasich smiles while signing the new two-year state budget during a ceremony at the Ohio Statehouse in Columbus in 2013.

She and her top lieutenant, Lori Viars, decided to get tougher.

“Playing Mr. Nice Guy wasn’t helping,” Viars said. “We had to make their lives miserable.”

Republicans who didn’t back the bill, like Kunze and Kasich, found themselves on online lists under the headline, “Meet the Republicans responsible for abortion in Ohio.”

Direct mail campaigns featuring photos of rhinos accused them of being RINOs, or Republicans In Name Only. Television ads and emails lampooned them, and their voicemail boxes filled with messages from Porter’s allies. Some faced primary challenges from candidates Porter endorsed.

Porter had helped make strict abortion restrictions a fundamental principle of Ohio’s Republican Party, and accusations of being insufficiently anti-abortion could be fatal in a GOP primary.

“Every Republican lawmaker in the state can tell you who is their Right to Life group in their district,” said Aaron Baer, president of the Center for Christian Virtue.

The primary challenges may have been Porter’s most effective weapon. Over several election cycles, she rounded up candidates to run at least a dozen times against members of the House and Senate in Republican primaries.

When she couldn’t find someone to run in the primary against Republican State Senator Larry Obhof in 2016, Porter did it herself.

Neither she nor her endorsed candidates ever won, but that wasn’t the only goal. The real purpose, Porter said, was to make abortion a campaign issue and to force Republicans to spend cash to defend seats they thought were safe because of redistricting.

“They hate working to keep their job,” Porter said. “We made them pay for their inaction.”

She also did her best to embarrass them. Her most creative attack was a 2014 TV ad that took aim at Kasich, Faber and Batchelder, who at the time was reluctant to bring the heartbeat bill up for another vote in the House.

In the ad, the three most powerful Republicans in Ohio appeared as cartoon figures unwilling to prevent the state’s 20,000 annual abortions.

“We regulate how and where we kill babies,” said the cartoon Batchelder.

“Yes,” said the cartoon Faber, “now we only kill a stadium full of Ohio children each year!”

Then all three cartoon politicians looked on happily as school buses filled with children – meant to symbolize the number of abortions performed in Ohio each day – drove off a cliff and burst into flames.

Not long after the ad ran, Porter met with a friend who’d recently chatted with a House member. The lawmaker said he’d always be willing to put Porter’s bill up for a vote.

“Because I don’t want a cartoon made of me,” the lawmaker said.

Tactics create divide in anti-abortion movement

By early 2016, Ohio Right to Life President Mike Gonidakis had been saying the same thing about the heartbeat bill for five years: It was a good idea, but the timing wasn’t right.

He knew this made Porter and her allies unhappy, because they told him so at every opportunity. He also knew his stance put him and Right to Life in an awkward spot, because arguing against a bill that would end most abortions wasn’t the kind of thing anti-abortion activists usually did.

“I understand the passion to want to end abortion,” Gonidakis said. “I want to end it yesterday.”

Ohio Right to Life President Mike Gonidakis, pictured in 2022 at the Ohio Statehouse, played a central role in reshaping abortion access in Ohio for more than a decade.
Ohio Right to Life President Mike Gonidakis, pictured in 2022 at the Ohio Statehouse, played a central role in reshaping abortion access in Ohio for more than a decade.

The problem wasn’t the bill, he said. The Supreme Court in 2016 still had a slim majority that could be counted on to uphold Roe. Gonidakis feared a defeat at the Supreme Court would further affirm Roe, making it even harder to overcome.

He’d seen it happen before, in 1992, with Planned Parenthood v. Casey. Activists hoped it would end Roe. Instead, the court upheld the right to abortion and ruled states could not create an “undue burden” preventing someone from obtaining an abortion.

“At the end of the day,” Gonidakis said, “nine men and women get to make the decision on this.”

After five years of debate, Gonidakis and Porter had come to represent a growing divide within Ohio’s anti-abortion movement, a divide created in part by the heartbeat bill.

Porter was the outsider who saw little room for compromise, an insurgent who would rather storm the palace gates than petition for change. Gonidakis was the insider, the steady hand who wanted to move cautiously and change the system from within.

After working as a lawyer, a campaign manager and a lobbyist, Gonidakis understood the system better than most. He’d run the political campaigns of two Ohio Supreme Court justices and served as a top deputy to former Republican Attorney General Jim Petro.

He’d also been appointed by Kasich to one of three seats on the state’s medical board not held by a doctor, a position that gave him influence over the way Ohio’s abortion restrictions were enforced.

Gonidakis said he and Porter were working toward the same goal, just in different ways.

Porter “caused division in the movement,” Gonidakis said. “We just didn’t believe in vilifying other pro-life people like she did. She made no friends in her approach.”

As 2016 ended, though, Gonidakis and Porter found common ground in Donald Trump’s surprising win over Hillary Clinton in the presidential election, a win he secured by flipping Midwestern states like Ohio. Trump’s victory was the biggest of any president in Ohio since George H.W. Bush’s election in 1988.

No matter which side they’d been on in the fight over the heartbeat bill, anti-abortion activists celebrated. Trump immediately would nominate an anti-abortion justice for a seat Republicans had refused to let Obama fill. And if more nominees followed, the court soon could overturn Roe and clear the way for Ohio’s six-week ban.

Trump transforms courts: 'It is within our grasp'

There’s a man goin’ ‘round, takin’ names

And he decides who to free and who to blame

A band played "The Man Comes Around" – a Johnny Cash song about the fate of mankind on Judgment Day – at Cincinnati Right to Life’s annual dinner in October 2018.

It felt like a victory party. The emcee praised anti-abortion activists as patriots. A Catholic priest led a prayer thanking God for Donald Trump and his Supreme Court nominees.

Meg DeBlase, then the director of Right to Life in Cincinnati, shared the crowd’s enthusiasm. Porter’s six-week abortion ban had passed the Ohio House and Senate. In a few weeks, Kasich would likely be replaced by a new Republican governor, Mike DeWine, who had pledged to sign the bill into law as soon as it landed on his desk.

Ohio Gov. Mike DeWine greets a young attendee during the Greater Columbus Right to Life remembrance of Roe v. Wade at the Ohio Statehouse in 2019.
Ohio Gov. Mike DeWine greets a young attendee during the Greater Columbus Right to Life remembrance of Roe v. Wade at the Ohio Statehouse in 2019.

Ohio Right to Life was behind the bill now, too. Trump was making good on his promise to fill the court with conservative justices, improving the bill’s prospects and giving activists hope that Roe could be overturned.

DeBlase had been involved in the anti-abortion movement since she was a child. She went to the National March for Life in Washington with her parents and prayed often with protesters outside Cincinnati’s Planned Parenthood clinic.

She sensed the movement had more momentum than ever. The number of abortion clinics in Ohio had fallen from 16 to 11 in just eight years, as Republican-backed abortion restrictions had made it increasingly difficult for clinics to operate.

For DeBlase and the others who attended the dinner in 2018, a total ban on abortions felt like a real possibility.

“Just think about it,” DeBlase told the crowd when she took the stage. “It is within our grasp.”

Tightening rules burden clinics and patients

Dr. David Burkons needed a better way to treat his patients.

He was struggling in early 2021 to comply with the array of rules the state had imposed on his three abortion clinics in northern Ohio. Even though Porter’s six-week ban was still tied up in court, the existing regulations often felt overwhelming.

Few frustrated him more than the rules dictating how his patients could receive abortion-inducing pills.

The treatment was safe and effective early in pregnancy. But Ohio law required patients to visit clinics in person, undergo an ultrasound, sign consent forms, receive a booklet about adoption, wait another 24 hours and then return to the clinic to receive the pills.

Those rules were part of the incremental change strategy the Willkes adopted at Right to Life decades earlier. Such requirements buried clinics in bureaucracy and confused patients, so much so that, by 2019, a survey found that one in 10 women in Ohio thought abortion was illegal.

Burkons didn’t consider the rules medically necessary. The real goal, he believed, was to make it as difficult as possible to get abortions.

He’d been dealing with this sort of thing since graduating medical school in 1973, the same year of the Roe decision. Burkons performed abortions as part of his gynecology practice and later at his three clinics in northern Ohio.

In the years that followed, Ohio became one of the most prolific producers of anti-abortion legislation in the nation, with more than a dozen rules and restrictions covering patient care, insurance, licensing and other matters.

“They kept passing rules that really had nothing to do with patient safety,” Burkons said.

He considered rules governing abortion-inducing pills especially onerous. Some patients drove for hours to see him, leaving behind jobs and kids. If they missed the appointments, they risked getting so far into their pregnancies they’d need surgical abortions.

Then inspiration struck. Burkons bought lockboxes – like the ones real estate agents use to hold house keys – and put the pills inside them. He gave the boxes to his patients and told them to call the next day after the 24-hour waiting period had passed. He would then provide the code needed to open the boxes so they could take their pills without making another trip to the clinic.

But Burkons knew more obstacles would come. By the end of 2021, President Trump’s three nominees to the Supreme Court had shifted the court’s balance so far to the right that he feared Roe could fall.

If it did, Ohio’s six-week ban on abortion almost certainly would go into effect. Lockboxes would no longer be enough.

After Roe falls, a 10-year-old must leave Ohio

A few days after the Supreme Court overturned Roe v. Wade in June, a 10-year-old girl from Ohio became a cautionary tale for life in a post-Roe America.

She’d been impregnated by her rapist and sought an abortion. But at just over six weeks, she was beyond the limit imposed by Porter’s heartbeat bill. She and her family traveled to Indiana for treatment.

Abortion rights activists made her case a rallying cry, and President Joe Biden lamented the cruelty of Ohio’s law, which went into effect now that Roe had been overturned. Republicans, meanwhile, questioned the girl’s story and suggested that journalists made the whole thing up.

“Another lie,” tweeted Jim Jordan, a U.S. congressman from north-central Ohio.

“There is not a damn scintilla of evidence,” Ohio Attorney General Dave Yost said.

The girl’s tragic story was confirmed days later, when the man accused of raping her appeared in court.

Porter maintained that her heartbeat bill had produced a desired outcome.

"We punish rapists, not babies,” she said. “There's no reason to execute an innocent child for the crime of her father."

Porter noted that Ohio’s six-week ban allows exceptions if the woman’s life is in danger, but some have questioned how those exceptions would be approved and whether a 10-year-old could get one.

Lost in the uproar over this one girl’s case was the fate of hundreds of others whose lives had been upended by the fall of Roe and the imposition of Ohio’s six-week abortion ban.

After years of worrying about the threat to Roe, abortion providers struggled to adapt to an America without it. “It’s not theoretical anymore,” said Catherine Romanos, a doctor at a Dayton clinic.

Clinics had to cancel scheduled abortions with barely a day’s notice. Women scrambled to find alternatives. Burkons said he had to cancel a scheduled abortion for a 15-year-old girl who’d come with her mother to his clinic the previous week. She was 13 weeks pregnant. He never heard from her again.

He’s also unsure what happened to many of the patents who’d left his office with abortion-inducing pills in lockboxes the day before Ohio’s ban went into effect. If they were more than six weeks pregnant, Burkons wasn’t allowed to give them the codes to unlock their boxes the next day.

Some begged for the numbers, he said, but he couldn’t help. Ohio’s new law wouldn’t allow it.

Burkons said many of the lockboxes that were supposed to be mailed back to him never arrived.

“I have a feeling there were people who took hammers and chisels to the boxes,” he said.

Not done yet: Republicans consider a total ban

Today, almost four months after the fall of Roe, Ohio remains a bellwether in the nation’s abortion wars.

The state’s six-week abortion ban, still known to many as the heartbeat bill, is again tied up in court. A common pleas judge in Cincinnati halted enforcement in September, saying Ohio’s constitution may protect health care decisions like abortion. Yost, the state attorney general, is appealing that decision.

Mari Schoen hugs a fellow supporter as they celebrate the overturning of Roe v. Wade outside a Planned Parenthood clinic in Columbus in June.
Mari Schoen hugs a fellow supporter as they celebrate the overturning of Roe v. Wade outside a Planned Parenthood clinic in Columbus in June.

In the days after Roe was overturned, Ohio Republicans began discussing the possibility of a total ban on abortions in Ohio. Critics of the Supreme Court's decision warned of harsher action to come and decried Justice Clarence Thomas's concurring opinion, which seemed to raise the possibility that same-sex marriage and access to contraception could be banned under the same legal principle that toppled Roe.

More recently, with the midterm elections looming, Republican politicians on the ballot have largely stayed silent on abortion restrictions. Polls show most Americans – and most Ohioans – oppose restrictions like Ohio’s six-week ban.

Not all conservatives are hesitant to talk, though. Porter continues to speak about the need for tougher abortion laws, while also promoting conspiracy theories about a stolen 2020 election and that Trump remains the “real and rightful” president.

At the Christian Patriot Rally in Houston in September, Porter spoke in front of a video screen that displayed giant, side-by-side photos of President Biden and Adolf Hitler.

For Porter, though, the political fights always are in service of her primary mission.

“There’s nothing that compares with the importance of that issue,” she said of banning abortions.

After the Supreme Court overturned Roe, Porter threw a party in the same house where she and her guests conceived the heartbeat bill more than a decade earlier.

A celebratory banner still hangs on the wall: Roe is dead. Babies will live. Thank you, Jesus.

But the excitement that day wasn’t just about the Supreme Court’s ruling. It was about what comes next.

In Ohio, anything seemed possible.

This story includes previous reporting by The Columbus Dispatch, The Cincinnati Enquirer, The Cleveland Plain Dealer and The Associated Press.

Dan Horn is a reporter for The Cincinnati Enquirer and the USA TODAY Network. He can be reached at dhorn@enquirer.com or on Twitter @danhornnews. Haley BeMiller is a reporter for the USA TODAY Network Ohio Bureau. She can be reached at hbemiller@dispatch.com or on Twitter @haleybemiller.

This article originally appeared on USA TODAY: Ohio abortion law started as a fringe idea. Post-Roe, it’s reality.