Sweeping changes in abortion politics are underway in the Americas. Argentina, Mexico, Colombia, and Uruguay have legalized abortion in recent years, marking a sea change in the most Catholic region of the world. At the same time, several states in the United States have restricted abortion access following the US Supreme Court’s decision to overturn Roe vs. Wade, and numerous Central American countries have moved to fully criminalize the practice. Abortion is now legal in countries where it was long taboo, whereas the United States is characterized by a patchwork of laws that spans from some of the most progressive in the world to near-total bans. What explains this changing panorama in terms of reproductive rights in the Americas?