State borders are the new front lines in the nation’s abortion battle. On this encore episode of Us & Them, host Trey Kay looks at the evolving geography of abortion. Since a 2022 U.S. Supreme Court decision overturned federal abortion rights, 21 states have either banned or restricted abortion access, including West Virginia. Meanwhile, West Virginia’s neighbor, Maryland, is one of 22 states that are protecting abortion rights and expanding access. Kay follows the decision of Women’s Health Center of West Virginia to move its abortion services from Charleston to a new clinic just over the border near Cumberland, Maryland. The move was intentional because Western Maryland, like West Virginia, is a so-called abortion desert. The two regions have some deep political and cultural similarities. Western Maryland Republicans say they feel ignored by the overwhelmingly liberal, Democratic legislature in Annapolis. They say the new abortion clinic is not wanted or needed in their part of Maryland, and they blame the clinic’s presence on the fallout from Roe v. Wade’s defeat. This Us & Them episode was recently honored by the Virginias Associated Press Broadcasters as Best Podcast of 2024.