Reports that hospitals in Italy have had to ration medical care amid the worst COVID-19 outbreak in Europe have people around the world wondering: What if we run out of doctors or medicine? Who gets cared for, who is left to die, and who decides?

People on both sides of the abortion debate rallied outside the U.S. Supreme Court on the first Wednesday of this month, much as they did on the first Wednesday of March four years ago. Joe Pojman from the Texas Alliance for Life attended both rallies and said they had striking similarities. Both happened on clear mornings the day after Super Tuesday primaries in presidential election years. And both times, the Supreme Court heard lawsuits over whether abortionists must have admitting privileges at nearby hospitals.

In 2019, a Christian pregnancy center moved into two sand-colored buildings on a shaded lot off the interstate in Austin, Texas. Those buildings previously housed the flagship location of an abortion business, but a competitive lease offer from the pro-life group forced the abortion mill out. Since then, the pro-life pregnancy care center now known as The Source has offered free medical and counseling services to women in the Texas capital.

The Trump administration has the right to withhold federal family planning funding from facilities that provide or refer for abortions, a U.S. appeals court ruled on Monday. In a 7-4 decision, the 9th U.S. Circuit Court of Appeals said the U.S. Supreme Court already approved nearly identical regulations in 1991.

Bridget Van Means, the head of a pregnancy center in St. Louis, has seen numerous ambulances pull up to the Planned Parenthood facility about a half-mile down the street. She said the abortion center gave emergency vehicles a stand-down notice to keep their sirens off when arriving at the facility. Planned Parenthood staff would wheel out women covered in white sheets. Van Means said the facility had about 75 ambulance visits in about nine years, illustrating its “total disregard for these women’s health.”

In 1977, Melissa Ohden was born in St. Luke’s Hospital in Sioux City, Iowa, after soaking in a toxic solution intended to scald her to death inside her mother’s womb. Most babies aborted by the saline infusion method die after two to three days. But Ohden soaked in the saline solution for five days and was still alive when the abortionist induced her mother’s labor. According to accounts that Ohden heard later, one nurse demanded that Ohden be left in the hospital room to die. But a tall, blond nurse picked her up and rushed her to the neonatal intensive care unit.

Since the U.S. Supreme Court’s 1973 Roe v. Wade decision led to the legalization of abortion nationwide, the pro-life movement has grown and developed in several directions: political and legal groups, pregnancy care centers that serve abortion-vulnerable women and babies, and direct action such as sit-ins and blockades at abortion centers.