Jennifer Ludden

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There's no shortage of speculation about how the incoming Trump administration, whose appointees so far are staunch abortion opponents, might crack down on access to the procedure.

But reproductive rights groups say the big picture is getting lost: Women in large parts of the country already have limited access to abortion, due to hundreds of Republican-backed laws passed by state legislatures over the past half-decade.

Amy Hagstrom Miller of Whole Women's Health had been having a banner year. Her organization, based in Charlottesville, Va., operates several abortion clinics around the country and brought a legal challenge that led the Supreme Court to issue a landmark ruling this past summer.

In Greensboro, N.C., Eyeisha Holt spends her days as a full-time child care worker at Head Start. But after a decade's work in early education she still earns only $11.50 an hour — barely enough, she says, to cover the basics as a single mom of two. So every weekday evening she heads to her second job, as a babysitter.

"Are you ready to go to bed?" she asks, as she oversees bath time for her 3-year-old daughter and another of her charges. For 25 hours a week, Holt cares for toddler twins, in addition to her daughter and teenage son.

American parents often have difficulty securing care for their children while they go to work. Child care in the U.S. is tremendously expensive, and in many parts of the country, extremely scarce.

Rewind almost 50 years, and the same problems existed.

But in 1971, the United States came very close to having universal, federally subsidized child care. NPR examines how Congress came to pass the legislation, and why President Nixon vetoed it.

On her first day back at work after giving birth, Tricia Olson drank copious amounts of coffee, stuffed tissues in her pocket, and tried not to cry. After all, her son Gus was just 3 weeks old.

Olson, 32, works for a small towing company and U-Haul franchise in Rock Springs, Wyo., and she could not afford to be away from work any longer.

"The house bill's not going to pay itself," she says, her voice breaking in an audio diary she kept as part of a series on the challenges facing working parents airing on NPR's All Things Considered.

A powerful drug that's normally used to tranquilize elephants is being blamed for a record spike in drug overdoses in the Midwest. Officials in Ohio have declared a public health emergency, and the U.S. Drug Enforcement Administration says communities everywhere should be on alert for carfentanil.

The synthetic opioid is 100 times more potent than fentanyl, the prescription painkiller that led to the death earlier this year of the pop star Prince. Fentanyl itself can be up to 50 times more deadly than heroin.

Orientation at Arkansas Tech University this year included a surprising topic for a Bible Belt state that pushes abstinence-only in high school. Every freshman was shown a newly produced video in which real students talk about the struggle of an unplanned pregnancy, and the challenge of staying in school as a parent.

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#NPRreads is a weekly feature on Twitter and on The Two-Way. The premise is simple: Correspondents, editors and producers from our newsroom share the pieces that have kept them reading, using the #NPRreads hashtag. Each weekend, we highlight some of the best stories.

One of the country's most outspoken abortion providers has filed a civil rights complaint against the hospital where she works, saying that it has wrongly banned her from giving media interviews.

The nation's falling teen birth rate saw an even bigger drop over the past decade, with dramatic declines among Hispanic and black teens.

Birth rates are down a whopping 51 percent among Hispanics age 15 to 19 since 2006, and down 44 percent among black teens, according to a survey of census data by the Centers for Disease Control and Prevention. Teen pregnancy rates among whites also fell by a third.

When a doctor found that Kenicer Carty's 1-year-old daughter had a dangerously high level of lead last year, it triggered an alarm of sorts. Officials sent an inspector to Carty's 1930 row house in northeast Baltimore. It turned out that every single window had hazardous chipping lead paint.

At Southwest Baltimore Charter School, preparing lunch takes a few extra steps.

"We don't use the water from the building for cooking, not at all," say cafeteria worker LaShawn Thompson, shaking her head.

Her colleague, Christine Fraction, points to a large water bottle sitting on the counter of a stainless steel sink.

"We having greens or something like that, we having vegetables, we'll just turn it over into the pan and then put it on the stove," she says.

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As we mentioned earlier, people on both sides of the issue rallied outside of the court. That's where NPR's Jennifer Ludden was posted.

UNIDENTIFIED WOMAN: If you love an abortion provider, make some noise.

(CHEERING)

The U.S. Supreme Court next month is scheduled to hear its biggest abortion case in at least a decade, and the reach of that decision is likely to be impacted by the absence of Justice Antonin Scalia, who died over the weekend.

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House Republicans questioned the head of Planned Parenthood on Tuesday, on whether the women's health group needs federal funding. The testimony comes after the release of a series of videos that allege the organization violates rules on fetal tissue donation for research.

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Soon after their wedding, Dr. Mimi Lee and Stephen Findley decided to create five embryos. Lee had just been diagnosed with breast cancer, and she worried that treatment would leave her infertile. Now that they're divorced, Lee wants to use them; Findley, however, does not.

Those embryos are at the heart of a court case that will soon decide a very modern problem: Which member of a divorced couple gets control of their frozen embryos?

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A federal appeals court on Tuesday upheld a controversial state law requiring nearly all Texas facilities that perform abortions to operate like hospital-style surgical centers.

If the ruling stands, abortion providers say another dozen could close in the next few weeks. They say that would leave nearly a million women at least 150 miles from the nearest abortion provider.

Since the law first passed in 2013, about half the state's 40 clinics have shut down.

In recent years, states have passed well over 250 laws restricting abortion. One trend in those restrictions: longer waiting periods before women can have the procedure.

Twenty-six states already have waiting periods. Most make women wait 24 hours between the time they get counseling on abortion and have the procedure. But this year, several states are extending that to 48 — even 72 — hours.

Lina describes herself as strong and independent. Born in Yemen and brought to the U.S. as a toddler, the 22-year-old now works retail at a mall to pay her way through college.

"I was raised very, very Americanized. I did sports, I did community service, I worked," Lina says. (NPR is not using her full name because she fears retribution from her family.)

When people hear her story, she says they tell her, "I never thought that this would ever happen to you."

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