Bristol is a small town with a split personality. Home to around 44,000 residents, this community sits on the border of Virginia and Tennessee, with the state line running straight down its main street. This division has serious implications, especially when it comes to the topic of abortion, which is illegal in Tennessee. Following the 2022 Supreme Court ruling that allowed each state to decide its own laws on abortion, many states have imposed strict bans. In response, Bristol Women’s Health, the town’s only abortion clinic, moved just a mile away into Virginia, where the procedure is still legal.
Even with this move, the fight for abortion access in the area is far from finished. Barbara Schwartz, co-founder of the State Line Abortion Access Partnership, describes the situation as a game of “whack-a-mole.” New challenges pop up as soon as others are addressed. This ongoing struggle has included a contentious legal battle surrounding the clinic’s lease, set for a hearing on December 22.
The clinic’s owners are facing eviction from their landlords, who oppose abortions. In a similar legal case last September, the landlords claimed the clinic hid its services from them, a claim quickly dismissed by Judge Sage Johnson. The judge pointed out that the clinic’s website clearly stated the services it provides, raising questions about the landlords’ transparency.
According to statistics from the Guttmacher Institute, the landscape surrounding abortion in the U.S. is changing dramatically. After Roe v. Wade was overturned, over 155,000 people traveled state lines for abortions last year, with more than 9,200 of those seeking care in Virginia alone. Bristol’s clinic is crucial to many in the South, serving as the nearest option for safe and legal abortion services.
Anticipating these challenges, Bristol has become a focal point of larger discussions. Victoria Cobb, from the Family Foundation, is pushing against the clinic’s presence, claiming it contradicts local zoning laws. She argues that if communities can restrict facilities based on concerns for life, that should apply to unborn lives as well. This logic has been adopted by anti-abortion groups elsewhere, affecting access to care.
In fact, legal experts like Professor Laura Hermer have criticized these local initiatives as largely symbolic, suggesting that they do little to improve healthcare availability. She argues that many of these towns lack any medical providers, let alone facilities offering abortion services. In Bristol, city officials have faced significant stress over these unresolved issues. Jay Detrick, the city’s planning director, noted that it has been a unique and complex challenge for them.
Adding another level of conflict, Texas Pastor Mark Lee Dickson is advocating for enforcement of the age-old Comstock Act, which prohibits sending materials that could induce an abortion. His campaign to impose this law has succeeded in other places, and he is optimistic about its potential impact in Bristol as well. He believes that, regardless of local government decisions, the push against abortion services will continue.
This mix of community dynamics, legal battles, and activist pressures paints a vivid picture of the changing landscape of reproductive rights in the U.S. As Bristol navigates its unique position, it reflects broader battles occurring across the nation. Access to reproductive healthcare has become not just a matter of personal choice but a point of intense community debate and regional identity.
For those interested in more insights on abortion access across the nation, NPR provides valuable coverage on the subject. Explore their latest reports to understand how different states are shaping the future of reproductive rights.

