The state of pregnancy is a singular physical condition that introduces contingency to the logic. Pregnancy and childbirth used to kill women in shocking numbers; in fact the number of deaths in childbirth is on the rise in the United States. Pregnancy and childbirth can also seriously affect a woman's health short of death. The state has no right to mandate a woman sacrifice her own well-being to bear children. We are then on the road to El Salvador and the Handmaid's Tale.