drew,
What do you think women did before abortion was legal?
The anti-abortion forces in this country have always worked for the total repeal of Roe v. Wade. Until they succeed at that, they are working to make it more and more difficult for women to access abortion providers. They are influencing legislators at the state level to enact onerous and capricious bills that virtually bar women's health clinics from operating. There are some regions of the country that have no providers due to intimidation and threats. Providers in Mississippi have dwindled from 6 down to one (at last report - it may be 0 by now.)
So, poor women, with no services in their area, who do not have the wherewithal to travel 500 miles, but who are determined to have an abortion, can choose from the methods used before abortion was legal: self-induced or back-alley (which is about what I would consider Kermit Gosnell's services).
Either way puts women's lives at risk.
Self-induced leads to this -
http://www.motherjones.com/politics/2004/09/way-it-was
(warning - very graphic photo)
Back-alley leads to butchers like Gosnell or just incompetent, ill-trained practitioners.