The recent leak of a confidential US Supreme Court document has confirmed the conservative-majority court's intention to overturn Roe v. Wade, the decision that has guaranteed access to abortion throughout the United States for nearly 50 years. Such a decision would have an unprecedented impact on 75 million women of childbearing age. But at the instigation of the Republican Party, some parts of the US, such as the states of Texas and Oklahoma, are already turning into a medical desert for women who seek a termination. Our correspondents Valérie Defert and Pierrick Leurent report on the "post-Roe America".