Michelle Gomez remembers the exact moment when she realized the problem. It was the fall of 2022. Gomez (who, like me, is a family physician and abortion provider in California) had recently provided a virtual medication abortion to a patient from Texas. The patient had flown to her mom’s house in California, where she had her appointment, took her mail-order medications and passed the pregnancy.
Back in Texas, she became concerned about some ongoing bleeding and went to the emergency room. The bleeding was self-limited; she required no significant medical interventions. Gomez learned all this the following morning.
"I sat down at my computer and saw her note from the ER," Gomez said. "And I thought, 'Oh God, if I can seetheir note, then they must be able to see my note"—a note that included prescriptions and instructions for the medication abortion. For weeks afterward, she waited for a call, fearing Texas law enforcement would come after her—or worse, after her patient.
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