If Roe is overturned, I think states outlawing abortion will do so in a more draconian way than in the past.
Before Roe, the chances that an anti-abortion nurse would turn in a doctor, at her hospital, for doing an illegal abortion were, while not zero, low. This was due to there being much more deference to physicians. And if someone was arrested for being an abortionist, the penalty would be low by todays standards, if only because prison sentences then were generally shorter than today for almost all crimes.
By contrast, in today’s U.S., there is a large anti-choice constituency whipping itself into an emotional frenzy over this issue. Lots of them consider abortion not just a moral wrong, but murder. In this atmosphere, doctors and nurses would be much more reluctant to break the law, living in fear that a colleague might be one of those obsessed over the issue.
Plus I think America today is more law-abiding. Hospital and insurance administrators, whose predecessors looked the other way, would go bonkers over the idea of the law being routinely broken, regardless of what the law was.
I suppose there will be, if Roe is overturned, a feminism-inspired underground consisting of idealistic medical professionals who risk their licenses and freedom to perform abortions. However, they’d have to stay so far underground as to be hard for women in need of abortions to locate. As a result, if Roe is repealed, back alley abortions would be a bigger problem than they were 50 years ago.
I consider myself a moderate on this issue. I hope women who are on the fence regarding abortion don’t do it. But I don’t trust pro-lifers to, if in power, discourage abortion in any kind of moderate way. So I support the status quo.