The abortion pill crisis Big Pharma doesn’t want you to see



A bombshell new study has found that women are suffering serious harm from chemical abortions at a rate 22 times higher than what the U.S. Food and Drug Administration or abortion pill manufacturers are reporting to patients.

The federal government must step in now to protect women. It can no longer shirk its responsibility by “leaving it up to the states.”

If a drug is this dangerous, Big Pharma should not be allowed to hide its risks from women.

The study from the Ethics and Public Policy Center, which analyzed insurance claims of 330 million U.S. patients and over 850,000 cases of mifepristone abortions since 2017, is the largest and most comprehensive study ever conducted on the effects of America’s most common chemical abortion drug.

The numbers don’t lie

While the FDA and abortion drug manufacturers tout serious side effects in only 0.5% of cases, actual insurance claims from patients reveal the number is much higher: Nearly one in nine women experience severe or life-threatening events within 45 days of taking mifepristone, including sepsis, hemorrhaging, blood transfusion, infection, and surgeries tied directly to the abortion drug.

Nearly two-thirds of abortions in the United States are now chemical, according to the Planned Parenthood-founded Guttmacher Institute, suggesting that hundreds of thousands of women over the past 10 years have suffered serious complications. That is neither “rare” nor “safe” by any definition.

By contrast, according to the EPPC, the federal government’s claims of the drug’s “safety” rely on small, outdated trials — some conducted over 40 years ago — on a combined total of only 31,000 mostly healthy women in doctor-controlled environments.

In real-world environments, however, the abortion drug has proven significantly more dangerous.

The EPPC study found 10.93% of women suffered significant harm from taking the drug. What other FDA-approved drug would remain on the market with such a high rate of serious adverse events?

No state is safe

In light of this data, the federal government can no longer justify the lifting of oversight protocols for the abortion drug. Under Presidents Barack Obama and Joe Biden, critical safety measures — such as in-person supervision by a doctor and adverse event reporting — were eliminated. These federal safeguards must be restored, and the drug’s safety and FDA approval must be re-evaluated.

This is not a mere “states issue.” Abortion drugs are often shipped across state lines without a doctor’s involvement. Pro-abortion states like California should not be allowed to pump this dangerous drug into Texas or other states that have enacted reasonable protections for women and their babies.

The leaders we send to Washington, D.C., cannot hide behind federalism on this issue under the guise of “leaving it up to the states.” If just one aggressively pro-abortion state is allowed to ship abortion pills nationwide, women across all 50 states remain at risk — even if the other 49 state legislatures vote to protect them.

Women deserve the truth

Regardless of opinions on abortion, all Americans should agree on this: Women have a right to accurate information about the drugs they take. If a drug is this dangerous, Big Pharma should not be allowed to hide its risks from women. And the FDA cannot turn a blind eye, becoming complicit in a cover-up.

We must demand that the FDA take action. I’ve joined with dozens of pro-family leaders nationwide in writing a letter to President Donald Trump urging him to act. The letter reads, in part:

All the original safety protocols on mifepristone must be restored, and the FDA must investigate mifepristone, reconsidering its approval altogether. The lives of women and unborn children and the rights of states depend on it.

Furthermore, here in Iowa — home of the first-in-the-nation presidential caucus — we are committed to making safeguarding women from the dangers of mifepristone an issue for any candidate who seeks to follow President Trump in the White House. We urge voters to ask the same of any of their candidates: If you seek federal office, will you insist on seeing the safeguarding of women as a federal issue?

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[rebelmouse-proxy-image https://thefederalist.com/wp-content/uploads/2025/04/Screenshot-2025-04-29-at-9.01.30 AM-e1745938254545-1200x675.png crop_info="%7B%22image%22%3A%20%22https%3A//thefederalist.com/wp-content/uploads/2025/04/Screenshot-2025-04-29-at-9.01.30%5Cu202fAM-e1745938254545-1200x675.png%22%7D" expand=1]This isn’t the first time Makary has encountered questions about the status of mifepristone under his leadership.

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The abortion pill’s body count — and the progressive cover-up behind it



Progressives routinely advance their agenda by obscuring the suffering of women and children. Every cultural revolution they champion, from redefining marriage to dismantling biological sex to flooding the country with abortion pills, demands one thing: suppression of consequences.

During the gay marriage debate, we were told it was all about adult love and equality. In reality, children paid the price.

This is the progressive playbook: Minimize harm, deny casualties, and move the Overton window.

With the transgender surge, Americans were assured it was just about “letting people pee in peace.” In reality, it meant lost female swim and track records, male rapists in women’s prisons, and irreversible surgeries on minors.

And now it's the abortion pill. Sold as “a safe, effective, FDA-approved method for people to end a pregnancy in the comfort of their own homes,” it has quietly become one of the most dangerous medical products routinely given to American women — no doctor visit required.

A groundbreaking new study by the Ethics and Public Policy Center shatters the illusion of safety around mifepristone, the abortion drug created by Danco Laboratories and greenlighted by the FDA. Based on real-world insurance claims (versus the previous shallow clinical trials) the data shows that one in 10women who take the abortion pill suffer a serious or life-threatening complication: sepsis, hemorrhaging, emergency surgery, hospitalization — even death.

“Simply stated,” the report says, “mifepristone, as used in real-world conditions, is not ‘safe and effective.’”

Naming the victims

The study analyzed a staggering 865,727 chemical abortions between 2017 and 2023, drawn from an all-payer insurance claims database covering private insurers, Medicaid, Medicare, Tricare, and the Department of Veterans Affairs. Unlike the cherry-picked participants in controlled trials, these women represent the actual population using mifepristone today.

The EPPC found that 10.93% of women experienced serious adverse events within 45 days of their abortions — a rate 22 times higher than what the FDA reports on its drug label, which still cites outdated trials from as far back as 1983. As the authors note, those clinical trials enrolled just 30,966 people and were conducted under tightly controlled conditions. The real world doesn’t work that way.

And the real world has already buried the dead.

Amber Nicole Thurman, a 28-year-old medical assistant and mother from Georgia, died on August 19, 2022, from septic shock after experiencing complications from a medication abortion. After taking abortion pills, she developed a severe infection due to retained fetal tissue.

In 2017, 23-year-old Keisha Atkins underwent a late-term abortion in New Mexico, using mifepristone and misoprostol. She developed sepsis and required transfer to the University of New Mexico Hospital. Her condition rapidly worsened, and she died during emergency surgery.

Atkins and Thurman are not rare exceptions. Candi Miller, a 41-year-old mother, and Porsha Ngumezi, 35, also suffered fatal complications. Other unnamed victims fill the record. These women represent just a fraction of the tens of thousands who faced serious complications after taking mifepristone.

The EPPC report confirms what these stories reveal: The FDA has abandoned its responsibility to women in pursuit of politically pressured expediency.

In the name of “access,” the FDA has dismantled the original safeguards it once demanded when approving mifepristone in 2000.

Back then, patients were required to make three in-person visits. Only physicians could prescribe the drug. Pills had to be administered in a clinic or hospital setting. Providers had to be able to diagnose ectopic pregnancies and provide emergency surgical care if needed. Adverse events had to be reported.

Now? One telehealth call. Pills mailed to your house. And no obligation to report complications — unless the woman dies.

Returning to reality

In light of such overwhelming evidence of harm, the EPPC report recommends that “the FDA immediately reinstate its earlier, stronger patient safety protocols to ensure physician responsibility for women who take mifepristone under their care, as well as mandate full reporting of its side effects.”

The EPPC is right. Because the data is damning.

The study used the FDA’s own criteria to identify serious adverse events: infections, transfusions, ER visits, repeat surgeries, and psychiatric emergencies, all coded through ICD-10 and CPT medical billing systems. And while the report was cautious — tracking events within 45 days instead of the 72-day window used by FDA trial data — the outcome was still catastrophic.

“We included CTCAE Grade 3 (severe) and Grade 4 (life-threatening),” the report notes. “We did not include Grade 1 (mild) or Grade 2 (moderate).”

In other words, these weren’t headaches or stomach cramps. These were emergencies. And the women were often alone.

Chemical abortions now account for roughly two-thirds of all abortions in America. That means mifepristone is not a niche product — it’s mainstream. And yet the public has been systematically lied to about the risks, even as the federal government continues to loosen restrictions.

This is the progressive playbook: Minimize harm, deny casualties, and move the Overton window. It worked with marriage. It worked with gender. It’s working with abortion pills — unless we stop pretending.

Justice requires living in reality. And the reality is that women and children are the consistent casualties of the progressive utopia.

We owe women more than euphemisms about “empowerment.” We owe them truth, compassion, accountability — and, in this case, stricter regulations that once existed for their protection.

The EPPC’s report is only the beginning. As more real-world data emerges, the FDA and drug manufacturers will be forced to answer the one question they’ve dodged for decades: How many women must suffer and die before “safe and effective” actually means something again?