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I presume this will effectively end IVF treatment in Alabama by IAND75

This ruling just affects Alabama and IVF treatment. (I’ve linked a CNN article for those that don’t have access to the NYT.) But it is likely to spread to other states. The risks involved in continuing to provide standard of care IVF service seem to me to be too high to continue to offer the service. Destroying a frozen embryo may carry the potential of a wrongful death charge. The implication is that any frozen embryo that isn’t implanted in someone, will have to be maintained properly frozen forever. I suspect that couples in Alabama who want to pursue IVF will have to go out of state. And I can’t imagine that this won’t be pursued in other states with strong conservative majorities and anti-abortion networks.