Well, that’s a major overstatement. The abortion rate in Mississippi (i.e. abortions performed in the state) was 1,000 per million people. In Germany, there were 1,200 per million. Spain is about twice as high at 2,000 per million. (It’s also not clear that difference can be explained by differences in access. People might be less likely to seek an abortion in a state where 60% of people in Mississippi self-identify as “pro life.”) There are definitely restrictions; I’m just pushing back on your assumption that those restrictions are so effective in practice that “you can’t get an abortion in Mississippi.”

Apart from that, those restrictions are part of my point. Germans have achieved a compromise, involving fairly high paper requirements for getting an abortion—including limiting most abortions to the first trimester and requiring counseling and a waiting period. German state-sponsored health insurance also generally does not cover abortions absent medical necessity. But the other side of the compromise is that, once those requirements are met, the procedure is relatively accessible.

In the US, the German compromise would be unthinkable to both sides. Here, the battleground for the right is laws limiting abortions to six weeks and abusing zoning laws to shut down clinics. The battleground for the left is things like public funding (not universal in Europe), making third trimester abortions a matter of discretionary medical judgment (highly unusual in Europe), and eliminating medical providers’ rights to refuse to perform abortions for conscience or religious reasons (a right that is nearly universal in Europe).