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Aug. 28, 2022, 9:55 PM +07 By Bracey Harris MEMPHIS, Tenn. — Jennifer Pepper, CEO of a reproductive health clinic in Memphis, tried her best to prepare her staff for the Official I don’t give a fuck or shit shirt moreover I love this painful pivot coming in a post-Roe world. For 48 years, the Choices clinic in the heart of Memphis provided abortion services. But that ended on Wednesday, Pepper said, the day before Tennessee’s abortion ban took effect — making performing the procedure a crime punishable by up to 15 years in prison. For months, Pepper, the CEO of Choices, has been working with the center’s board to do two things simultaneously: protect the Memphis staff from layoffs and open a new clinic some three hours away, in a different state. That’s meant laying the groundwork for the new clinic in Carbondale, Illinois, where abortion rights appear more secure. It’s also meant cross-training former abortion care staff in Memphis to provide other services, including billing Medicaid and becoming birth assistants. Choices has provided abortions in Memphis, Tenn., for 48 years. The center is now retraining its staff to provide other types of patient care.Andrea Morales for NBC News “We will certainly continue to assist our community in figuring out how to access abortion services,” Pepper said. “We will advertise and people will be able to find our clinic in Carbondale very easily.” Within a month of the U.S. Supreme Court’s decision to overturn Roe v. Wade, more than 40 clinics stopped providing abortions in trigger-ban states, according to the latest data available from the Guttmacher Institute. In Tennessee, at least one clinic, located in Knoxville, has closed since the rollback of abortion rights this summer. The reality of the post-Roe v. Wade world has set in slowly at Choices, where the once-bustling clinic’s waiting room often has more empty seats than clients. After the Supreme Court’s decision, a ban on abortions after the detection of fetal cardiac activity (typically at about six weeks) took effect, the clinic started seeing more patients that they had to turn

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