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The Worst of Times: Illegal Abortion—Survivors, Practitioners, Coroners, Cops and Children of Women Who Died Talk About Its Horrors.

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Laura: "My whole body was twitching. I remember thinking, At nineteen, this linoleum is the last thing I'm ever going to see, because I'm dying."

Marilyn: "Let me tell you about my pretty, wonderful, talented mother. She died from an illegal abortion when she was thirty-four and I was six."

Bruce: "I really don't remember much about the first illegal abortion I did, because I was drunk when I did it."

Coroner Fred: "The dead women we saw had either bled to death or they had died from overwhelming infections. Most of them were in their teens or twenties. I don't recall too many older than that. The deaths stopped overnight in 1973."

All the oceans of verbiage and tons of newsprint on the subject of abortion boil down to one simple question. That question is not whether we will have abortions but what kind of abortions we will have. It is a question framed in stark human terms in Patricia Miller's The Worst of Times, which introduces us to dozens of ordinary Americans who have had firsthand experience with illegal abortion: women who survived the pain, humiliation, shame, and terror; motherless children of women who died; doctors who treated the terrible consequences of botched abortions; the abortionists themselves - barbers, midwives, mechanics; and the cops, coroners, and DAs charged with upholding the law.

Abortion is a complex issue, but it is not an issue that exists abstractly in the eyes of ethicists or theologians. It is an issue that exists in the flesh - in the flesh of women with complicated lives and large responsibilities and a whole web of personal, familial, and moral concerns. As The Worst of Times makes powerfully and painfully clear, it is a question that women must be allowed to answer for themselves.

328 pages, Hardcover

First published January 1, 1993

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Displaying 1 - 20 of 20 reviews
71 reviews1 follower
November 10, 2021
“The question is not whether we will have abortions but what kind of abortions we will have.”
Profile Image for Wealhtheow.
2,465 reviews606 followers
August 26, 2013
A powerful collection of interviews of people who dealt with abortion while it was illegal in the US, from doctors who remember wards full of septic cases dying every day, to people who provided abortions to desperate women, to the police who prosecuted them. In addition, there's a short but comprehensive overview of the history of abortion in the US and basic morbidity and mortality statistics associated with abortion. I felt that Miller took an even-handed, un-biased approach to her interviews, which let the facts and memories speak even more clearly. I would recommend this book to anyone involved in reproductive rights discussions, no matter their beliefs.
Profile Image for Edward Champion.
1,658 reviews130 followers
June 12, 2022
This is (no bullshit) one of the best and most essential oral histories I have ever read. And it's a shame that this vital book isn't more widely available. We learn about the women who had their lives uprooted because of unsafe abortions conducted pre-Roe. We hear from the self-serving detectives who badgered women and arrested doctors. We hear from the doctors. If this is the nightmare awaiting us should Roe be overturned, then we have a duty to fight long and hard for abortion rights. Because the alternative is a devastating and soul-crushing hellscape, as this book makes very clear.
Profile Image for Kess.
8 reviews
July 21, 2009
This book discusses the experience of different stakeholders in the abortion discussion prior to the passing of Roe v. Wade. I strongly recommend this book to people who are actively considering the abortion issue. It provides a personal and powerful account of the pain illegal abortions can bring and the universal relief sought by women seeking abortion.
Profile Image for Fishface.
3,298 reviews242 followers
March 1, 2016
A very chilling read, but not nearly as grisly as I expected based on the jacket copy. This is an oral history of life before "Roe vs. Wade," as seen by women who needed abortions, by the men who may or may not have loved them, by the doctors who turned down their pleas for help, by the abortionists themselves and by the police who hunted them down.
Profile Image for Stacy.
Author 7 books22 followers
May 15, 2008
I wish every member of the house, senate, and supreme court had read this book ... Haunting and immediate, even now, a decade after it was written.
Profile Image for Jennifer Moran.
263 reviews
November 15, 2025
This one was heavy, but in a really important way. The Worst of Times looks back on the era of illegal abortion through a collection of interviews with people who lived it firsthand. You hear from survivors, practitioners, coroners, police officers, and even the children of women who didn’t make it. It’s raw, uncomfortable at times, and incredibly eye opening.

What stood out most to me was how deeply researched and thoughtfully put together it was. Patricia G. Miller doesn’t sensationalize anything. She simply lets people tell their stories, and the impact of that honesty is powerful. It’s not an easy read, but it’s such an interesting one because it gives you a fuller picture of a part of history that’s often talked about in whispers or headlines.

Overall, I’m really glad I read it. It’s the kind of book that stays with you and makes you think long after you’ve set it down.
Profile Image for Hannah.
21 reviews3 followers
February 11, 2012
Great oral history of the pre-Roe days that illustrates what happens when abortion is illegal. Spoiler alert: women die (or get sick or shamed). Banning abortion doesn't stop abortion - it drives abortion underground, and illegal abortions tend to be dangerous and unsafe. (And thus is the label "pro-life" horrifically ironic. If you hear anyone talk about making abortion illegal or inaccessible, don't be civil with them.)

here's a quote from a doctor remembering a patient who died in 1948/49:

"In those days I thought the solution was to jail the abortionist. It took me another twenty years to fully understand that it was the system and not the abortionist who killed her. The system forced her away from the medical community and into the shadowy world of the illegal abortionist. By the time she got to a doctor, it was too late. The system killed her just as surely as if they had held the catheter or coat hanger or whatever. I'm still angry. It was all so unnecessary."
Profile Image for Katie_marie.
87 reviews18 followers
December 1, 2008
Patricia Miller makes her case solidly in this book. Through a series of interviews with women who had abortions before it became legal, with underground 'abortionists' and investigators she creates a scary image of what would happen if women lost the right to control their reproduction. The stories of the women are heartbreaking; each one of them desperate and risking their lives, some of them dying, by trusting anyone who would help them. One theme that was almost entirely missing from the accounts was guilt, it may not be the lifetime regret that it is often painted as. If the law changed out of favour for reproductive rights the we would return to some frightening times for women.
Profile Image for Diane.
397 reviews
April 14, 2016
This is an excellent book about the realities of illegal abortion. It includes many of the stories which society as a whole would just like to forget, and presents real people talking about their dilemma and their choices, as well as the ramifications of those choices. Abortion is not a cut and dry issue. This makes that statement a real with its portrayals of real people, real situations, real consequences.
Profile Image for Snail in Danger (Sid) Nicolaides.
2,081 reviews79 followers
November 19, 2008
The author is a Pittsburgh resident, and so much but not all of this book presents stories of illegal abortion from the Western Pennsylvania area. The author consulted various officers of the law, people who performed abortions, and women who sought illegal abortions (and their survivors), so I would say that it is probably a fairly balanced portrayal. (This came out of the free books pile.)
Profile Image for Jerra Runnels.
61 reviews4 followers
January 8, 2017
These stories are so powerful and sad. It gives the reader the sense of desperation women felt, who would go to great lengths to control their own body. Roe v. Wade has helped save so many women's lives. We can not go back to these days!

https://www.google.com/amp/mobile.nyt...
Profile Image for Liz.
194 reviews2 followers
January 28, 2022
Absolutely devastating and important. It's even sadder to think about how all the hoops people have to go through to get safe, legal procedures now and how those hoops mimick the experiences of people trying to get abortions before it was legal.
Profile Image for B.
2,348 reviews
October 23, 2008
363.46 Explicit accounts of abortions by desperate women before abortions became legal. This kind of information is generally not out there so it's eye-opening.
5 reviews
December 8, 2008
A phenominal book that chronicles viewpoints of a variety of people who where impacted by the difficult era before abortion was legalized.
459 reviews16 followers
March 18, 2012
I'm not saying this book is going to change anyone's mind, because nothing seems to change people's minds on the issue of abortion, but it's an important book anyway.
Profile Image for Fay.
1,324 reviews3 followers
March 7, 2013
Very well researched but too repetitive.
Profile Image for Jackie.
29 reviews11 followers
May 3, 2014
Wow! This is heartbreaking. I can't even imagine how terrible this was and what it could be like again.
Displaying 1 - 20 of 20 reviews

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