At the beginning of a new century, Germany and the United States have arrived at uneasy policy compromises on the vexed issue of abortion. The compromises are in some regards surprisingly similar: In Germany, a woman with an unwanted pregnancy can decide to have an abortion in the first trimester, although she is required to have counseling designed to encourage her to have the child. Access to abortion is relatively simple after a short waiting period. In the United States, the choice of abortion also rests with the woman in the first trimester. The 50 individual states may impose various restrictions as long as these do not place an undue burden on the woman's decision to end an unwanted pregnancy.

In other respects, the situations are sharply different. The similarity of practical outcomes is surprising because the public discussion of abortion and the constellation of actors attempting to shape it provide dramatic contrasts.