I think it’s harder to build support for something that’s already a fait accompli, the “soft” pro-choicers never need to think much about abortion because for most adults today, and anyone younger than an adult, abortion has been legal and easily accessible for as far back as can be easily remembered. You have to be 67 to have even been an adult (barely) back before Roe was decided, and realistically for most people a few years older than that to have a good conception of reproductive law. Most of the country is younger than this.
I think in many ways Roe bypassed the country having a serious discussion about abortion. It went from being almost universally seen as immoral, to being legally accepted in all fifty states. Gay marriage underwent a much more gradual process, first gay people became more normalized in our culture, and then very gradually a few states started to experiment with civil unions, a couple states started solemnizing marriages etc. Meanwhile a lot of people had to see overtime the injustices of not allowing gay marriage front and center.
Most people have never had to contend with that for abortion.
Even a lot of pro-life people frankly have never had to seriously think about abortion, since it’s been broadly legal, they have not had to do so. Ireland recently legalized abortion, and Mexico actually had a Supreme Court ruling just today decriminalizing abortion nationwide.
One thing about the pro-life movement, is it’s created a lot of “throwaway” laws like the heartbeat bills, that were frankly written primarily as political theater, that will actually be truly monstrous in execution. Most of them contain improper provisions for the health of the mother, and we’re going to see tragedies. If we had never had Roe, then what would’ve happened is over time these tragedies would’ve played out in a more public setting, as public awareness grew they were avoidable. You’d have seen states gradually start to implement abortion legislation, maybe some states wouldn’t go for full legalization, but they’d have regimes where medical access is more fleshed out, things of that nature.
Instead, Roe mostly quashed for a long time most abortion laws. In the last 10 years the court has been letting more laws creep in, and because no one has had to really contend with the reality of these laws, a lot of very extremist laws have gotten written that if they go into effect will kill women. This happened in Ireland, and one of the final cases in which a woman died to infection because doctors would not end her pregnancy, lead to a major change in Irish culture and a change in their law.
It is likely that over time we’ll see something like that happen as abortion rights get shut down in large swathes of red America, but how long it will take to produce any sort of political movement is hard to say.
I read an article by a Texas doctor just yesterday talking about pregnancies where the amniotic sac gets ruptured before 23 weeks. He mentioned he had a patient (with a desired pregnancy) whose amniotic sac ruptured at 19 weeks. He had to give her the grim prognosis–they could carry the pregnancy to around 23 weeks and then deliver, putting the ultra-preemie into NICU. It would be highly likely the child would have lifelong disabilities and medical issues due to the nature of the pregnancy. Meanwhile, the entire time she continued the pregnancy with the sac ruptured, she would be continually exposed to serious risk of fatal infections. In some cases, by the time signs of those infections manifest in fever and etc, even if they terminated the pregnancy then it might be too late. But of course it’s the woman’s choice. She thought about it for 12 hours, and decided to end her pregnancy. He said that under SB8 he is unsure if he would be able to do something like that going forward, and that as an OBGYN who specializes in difficult pregnancies in a hospital setting, he sees a case just like that a few times every single month, and he’s just one doctor in one hospital in Texas.