Reproduction Reconceived, 5: Family Making and the Limits of Choice After Roe V. Wade

The landmark case Roe v. Wade helped cement a redefinition of family: it is now commonplace for Americans to treat having children as a choice. But the historic decision coincided with what would become a decades-long trend of widening inequality, ensuring that many families still struggle to obtain even basic necessities. Reproduction Reconceived examines how family making actually became harder after the arrival of choice, as different families confronted incarceration, for-profit and racist medical care, disease, poverty, and a welfare state in retreat. Drawing on diverse archival sources and interviews, Sara Matthiesen illustrates how the last fifty years of state neglect have ensured that, for most families, meaningful choice is nowhere to be found.