America's largest abortion provider is struggling against a downward trend since the Supreme Court's Dobbs decision clarified that abortion is not a constitutional right but a matter for state laws.

Last August the NY Times reported that abortion clinics all over the country were going broke. In February of this year the Times offered a follow-up focusing on botched abortions, substandard care and shrinking numbers of patients at Planned Parenthood in particular. Not long ago the organization had 5 million patients in a year. These days they have about 2 million.

Today the Associated Press reports that 8 more clinics in Iowa and Minnesota are closing.

Four of the six Planned Parenthood clinics in Iowa and four in Minnesota will shut down in a year, the Midwestern affiliate operating them said Friday, blaming a freeze in federal funds, budget cuts proposed in Congress and state restrictions on abortion.

The clinics closing in Iowa include the only Planned Parenthood facility in the state that provides abortion procedures, in Ames, home to Iowa State University...

"We have been fighting to hold together an unsustainable infrastructure as the landscape shifts around us and an onslaught of attacks continues," Ruth Richardson, the affiliate's president and CEO, said in a statement.

Things are likely about to get much worse. The Republican mega bill making its way through congress this week will make further cuts to Planned Parenthood.

...the bill contains provisions that have alarmed health care advocates since they first showed up in earlier versions of the bill. Among them is a plan seeking to defund Planned Parenthood, which the organization warns will affect its ability to provide critical services, including pap smears, cancer screenings, and birth control.

But on Thursday, two last-minute additions went even further: The reconciliation bill that was passed now seeks to ban Affordable Care Act health care plans from covering abortion and gender-affirming care for all Medicaid patients, including adults, after initially proposing to ban care for just minors.

The Reproductive Freedom Caucus co-led by Rep. Ayanna Pressley issued a statement calling the possible cuts to PP the equivalent of an abortion ban.

Donald Trump and @HouseGOP’s claims that they will not ban abortion nationwide were always a lie.

Overnight, the receipts came in. We will continue to call out this attack on the people for exactly what it is: a Big Bogus Backdoor abortion ban.

Read our full statement