Throughout Joe Biden\u2019s presidency, he leaned on the outspoken former prosecutor and senator he selected as his vice president, Kamala Harris, to be the White House\u2019s voice of unflinching support for reproductive health rights.<\/p>\n
Now, as Democrats rebuild their presidential ticket just a few months before Election Day, Harris would widely be expected to take an aggressive stance in support of abortion access if she became the party\u2019s new presumptive nominee \u2014 hitting former President Donald Trump on an issue that could undermine his chances of victory. Biden endorsed Harris on Sunday when he announced his decision to leave the race.<\/p>\n
While Biden sought to keep abortion center stage in his reelection bid, abortion advocates had harbored doubts that the president \u2014 a practicing Catholic who has said he is not \u201cbig on abortion\u201d<\/a> \u2014 could be an effective standard-bearer as Republican efforts erode access to abortion and other women\u2019s health care around the country.<\/p>\n Harris, on the other hand, became the first vice president to visit a clinic run by the Planned Parenthood Federation of America. She undertook a nationwide tour focused on reproductive rights. And when Sen. JD Vance of Ohio was named Trump\u2019s running mate, Harris used her next campaign appearance to criticize him for blocking protections for in vitro fertilization.<\/p>\n \u201cMost significantly, Harris would be the face of the drive to protect abortion rights,\u201d Larry Levitt, executive vice president for health policy at KFF, a health information nonprofit that includes KFF Health News, said in an interview before Biden stepped aside. \u201cAbortion access would likely be front and center in her campaign.\u201d<\/p>\n A strong stance on abortion is not the only major contrast to the GOP that Harris offers: She is well versed in health policy. As a child, Harris often accompanied her mother to work on the weekends, visiting the lab where she was studying breast cancer.<\/p>\n While running for president in 2019, she backed \u201cMedicare for All,\u201d a single-payer insurance proposal that established her bona fides as a more progressive voice on health policy. And as California\u2019s attorney general, she fought against consolidation in the health industry over concerns it would drive up prices.\u00a0<\/p>\n She stumped for a Biden administration rule setting minimum staffing levels at federally funded nursing homes in April.<\/p>\n \u201cShe deserves credit, she\u2019s talked about them on the campaign trail. I don\u2019t see any change there in the priorities on what Democrats want to do on health care if she becomes the nominee,\u201d said Debbie Curtis<\/a>, vice president at McDermott + Consulting.\u00a0<\/p>\n An intensified focus on women\u2019s health and abortion could help galvanize Democratic voters in the final sprint to the election. Since the three Supreme Court justices named by Trump helped overturn Roe v. Wade<\/em> in 2022, public opinion has turned against Republicans on abortion, even contributing to an unexpectedly poor showing<\/a> in the 2022 midterm elections.<\/p>\n Thirty-two percent of voters said they would vote only for a candidate for a major office who shares their views on abortion, according to a Gallup Poll conducted in May<\/a>. That\u2019s a record high since Gallup first asked the question in 1992. Nearly twice as many voters who support abortion, compared with those who oppose abortion, hold that view.\u00a0<\/p>\n Sixty-three percent of adults said abortion should be legal in all or most cases, based on a poll conducted in April by Pew Research Center<\/a>. Thirty-six percent said it should be illegal in all or most cases.<\/p>\n Republicans, in turn, have been eager to distance themselves<\/a> from their own victory on the issue. Trump angered some members of his base by saying he would leave decisions on abortion to the states.<\/p>\n Regardless, advocates caution that the GOP\u2019s new moderation-by-omission on the issue masks their actual, more extreme stance. Vance has been clear in the past about his support for a national abortion ban<\/a>. And while the GOP platform adopted during the party\u2019s convention last week may not explicitly call for a nationwide ban on abortion, party leaders\u2019 recognition of \u201cfetal personhood<\/a>,\u201d the idea that as soon as an egg is fertilized it becomes a person with full legal rights, would create such a ban automatically if the Supreme Court found it constitutional.<\/p>\n Those views stand in contrast to those of many Republicans, especially women. About half of Republican women voters think abortion should be legal in all or most cases, according to a recent national survey by KFF<\/a>. And majorities of women who vote Republican believe abortion should be legal in cases of rape, incest, or a pregnancy emergency.<\/p>\n If Harris heads the ticket, she would be expected to hammer on those issues in the coming months.\u00a0<\/p>\n \u201cIt\u2019s been one of if not the main issue she\u2019s emphasized in the last year or two,\u201d said Matthew Baum, Marvin Kalb professor of global communications at Harvard University. \u201cClearly the Republicans are trying to defang the issue. It\u2019s been a disaster for them.\u201d<\/p>\n It is likely, though, that Republicans would paint Harris\u2019 views on abortion as extremist. During the presidential debate against Biden, Trump falsely claimed<\/a> Democrats support abortions late in pregnancy, \u201ceven after birth.\u201d<\/p>\n Shortly after news broke that Biden had endorsed Harris, Susan B. Anthony Pro-Life America issued a statement calling out Harris\u2019 record and offering evidence of what is to come. \u201cWhile Joe Biden has trouble saying the word abortion, Kamala Harris shouts it,\u201d said Marjorie Dannenfelser, the group\u2019s president.<\/p>\n Some pollsters have said Harris would have to do more than just campaign against Republican efforts to roll back abortion access to truly motivate voters because so many issues, such as inflation, the economy, and immigration, are competing for attention.<\/p>\n \u201cShe has to say she is running for a federal law that will bring back Roe v. Wade<\/em>,\u201d said Robert Blendon, an emeritus public health professor at Harvard University. \u201cShe needs something very specific and clear.\u201d<\/p>\n Harris\u2019 elevation to the top of the ticket would come at a critical juncture in the fight over reproductive rights.<\/p>\n The Supreme Court heard two abortion cases in the term that ended this month. But the justices did not address the merits of the issues in either case, ruling instead on technicalities. Both are expected to return to the high court as soon as next year.<\/p>\n In one case, challenging the FDA\u2019s 2000 approval of the abortion pill mifepristone<\/a>, the justices ruled that the group of anti-abortion medical professionals who challenged the drug lacked standing to sue because they failed to show they were personally injured by its availability.\u00a0<\/p>\n But the Supreme Court returned the case to the district court in Texas where it was filed, and the GOP attorneys general of three states \u2014 Idaho, Kansas, and Missouri \u2014 have joined the case as plaintiffs. Whether the courts accept the states as viable challengers remains to be seen, but if they do, the justices could soon be asked again to determine the fate of the abortion pill.\u00a0\u00a0<\/p>\n The other abortion-related case<\/a> pitted a federal law requiring hospitals to provide emergency care against Idaho\u2019s strict ban, which allows abortions when a pregnant patient\u2019s life is in danger \u2014 but not in cases in which it is necessary to protect her health, including future fertility.<\/p>\n In that case, the justices apparently failed to reach any majority agreement, declaring instead that they were premature in accepting the case and sending it back to the lower court for further consideration. That case, too, could return in relatively short order.<\/p>\n Harris would also have substantial leeway to talk about what are considered to be the Biden administration\u2019s core health policy accomplishments. These include enhanced Affordable Care Act tax credits<\/a> aimed at helping consumers get health insurance coverage, which were extended through the Inflation Reduction Act into 2025, the $35 monthly cap on copays<\/a> some patients pay for insulin, and drug price negotiation in Medicare.<\/a><\/p>\n \u201cI think she is well positioned. She is core to the administration and will be able to take credit for those things,\u201d said Dan Mendelson, CEO of Morgan Health<\/a>, a subsidiary of J.P. Morgan Chase.<\/p>\n That said, it may be hard for any candidate to get voters to focus on some of those accomplishments, especially drug price efforts.<\/p>\n While the administration has taken some important steps, \u201cnew expensive drugs keep coming out,\u201d Mendelson said. \u201cSo if you look at the perception of consumers, they do not believe the cost of drugs is going down.\u201d<\/p>\n Joseph Antos, of the American Enterprise Institute, said Harris would likely say the Biden-Harris administration \u201cis already saving people money\u201d on insulin. But she will have to go beyond these accomplishments and double down on drug pricing and other cost issues \u2014 not talk solely about reproductive rights.<\/p>\n \u201cShe\u2019s got to concentrate, if she wants to win, on issues that have a broad appeal,\u201d Antos said. \u201cCost is one and access to treatments is another big issue.\u201d<\/p>\n Samantha Young of KFF Health News contributed to this report.<\/em><\/p>\n KFF Health News<\/a> is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF\u2014an independent source of health policy research, polling, and journalism. Learn more about KFF<\/a>.<\/p>\nUSE OUR CONTENT<\/h3>\n