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Think of any other public health issue in America. It's decided by the people through their representatives—even Obamacare. Whatever you think of the Affordable Care Act in the last year when the Court ruled, it left the issue to Congress and to the democratic process.

But the Court completely took the issue of abortion away from the American people. The justices control it, every aspect of it.

Despite such control, have you seen some progress on the pro-life front?

There has been considerable progress in limiting Roe v. Wade and the number of abortions. In the past five years, 12 states have passed 20-week limits. Those limits are ultimately going to end up in the Supreme Court, and the Court's going to give a thumbs up or thumbs down.

Public opinion has improved. The Gallup poll in May on the abortion issue shows a more pro-life America. [There is still] cultural work, educational work, political work, legal work—it's all needed. The direct services for women that CareNet and Heartbeat International provide are vital. Alternatives are vital.

There is a growing body of international medical studies showing long-term health risks to women after abortion. That data weren't available to the justices in 1972. It's really grown in the last two decades. It's not just American women. It's European women, Scandinavian women, Latin American women, and studies from Australia, New Zealand, Japan, and other Asian countries. They show an increased risk of pre-term birth after abortion. They show an increased risk of mental trauma after abortion.

What about some of the other measures moving forward—the fetal pain legislation, the personhood-at-conception bills, efforts to defund Planned Parenthood?

It's the nature of legislation in a democracy to have all kinds of proposals proposed. It's all good. But the devil is in the details. How these things are drafted make a big difference, and so it's not possible to get away from those details.

Christians have seen challenge after challenge to Roe over the years, and they just don't seem to go anywhere. What is the best strategy to accomplish an overturn?

The question is: Are we getting to a tipping point? If you're at the top of the Willis Tower [in Chicago] and look down at the street, you can't see much movement. But when you get down to ground level, you see hubbub and people moving through the streets and on the sidewalks, and you see a lot of movement.

There has been substantial movement. The Court has retreated from Roe v. Wade in three or four cases, and that has opened up the way for the states to move ahead with regulations or prohibitions. Take the 12 states with 20-week limits on abortion—that was impossible in the 1980 and '90s.

It's a long game. I do think Roe v. Wade will definitely be overturned, because I think the fissures and the defects are just so profound that it is just like the fall of the Soviet Union. Gorbachev wanted to hold on but couldn't.

Ultimately, the Court will not be able to keep Roe v. Wade, because its defects are so profound. It is in such conflict with where the public is going.

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Roe v. Wade's Days Are Numbered