Soon, the Santa Cruz area’s Planned Parenthood’s offices will see 250 to 500 more patients per week, out-of-state refugees pushed west by Friday’s Supreme Court decision to reverse Roe v. Wade. But those are only the ones who have the money and connections to get to us. Jessica Dieseldorff, a nurse practitioner at Planned Parenthood Mar Monte in Watsonville, writes about our new reality, both for those coming to California and for those of us here.

