This week, the nation’s largest abortion mill, Planned Parenthood, released its annual report, and it was a banner year for the abortion giant, setting a record of over 400,000 abortions.

During the period covered by the report, Planned Parenthood received more than $2.1 billion in total revenue, with about 40% of that coming from taxpayers. The report reflects a time before the “One Big Beautiful Bill” temporarily defunded them for one year. But as we warned when the Senate reduced that defunding from 10 years to one, it would be short-lived. That provision expires in July, unless Congress includes it in reconciliation 2.0, which begins in the Senate this coming week as lawmakers return from the Easter recess.

However, Congressional leaders have made clear that reconciliation 2.0 is focused on ending the prolonged shutdown of the Department of Homeland Security, making sure the entire department is funded, including immigration enforcement. With the GOP’s historically slim 218-214 majority in the House, leadership must keep nearly the entire conference unified. That leaves little room for additional priorities, meaning the bill will likely be narrowly focused and not include the defunding of the abortion giant.

So where does that leave the roughly two-thirds of Republican voters who identify as pro-life? The faded, brittle confetti of pro-life victories from five years ago offers little consolation amid a growing string of setbacks. What began as a 10-year defunding effort was reduced to one and is now about to expire. And earlier this month, the Trump administration effectively stepped back from the fight to remove Title X funding from abortion chains.

But there is more.

The increase in abortions reported by Planned Parenthood, and confirmed by the Guttmacher Institute, is being driven largely by chemical, mail-order abortions. These now account for 65% or more of all abortions. In other words, the abortion industry has adapted, shifting to an Amazon-like business model that no longer depends on facility visits but on delivering abortion drugs directly to mailboxes.

The result? Despite the overturning of Roe v. Wade and the return of authority to the states, abortion rates in the U.S. have actually increased. Before Roe was overturned, there were approximately 930,000 abortions annually. That number has now risen to nearly 1.2 million.

How is that possible?

After Roe fell, 26 states acted to protect the unborn, with about a dozen enacting strong protections. But those laws are being undercut by a Biden-era FDA policy allowing abortion drugs to be prescribed and shipped without in-person medical oversight. At least three Republican-led states are now challenging that policy in federal court.

As these realities become clearer to pro-life voters, a reckoning is coming.

There is, however, a clear path forward for Republicans. One decisive step would be for the Trump administration to reverse the Biden policy that has effectively nullified state-level protections duly enacted by Republican states. Because until that happens, the promise of Roe’s reversal remains unfulfilled, and the consequence is clear: more trust broken with those who were promised action, more laws undermined, and a nation bearing the weight of more innocent blood.