And I predict that on reproductive rights, if it comes to it, private groups will be in place to give all women access to family planning services, including abortion.
There are basically no government facilities that do elective abortion. A major part of the (fairly successful) push against abortion is to limit the ability of
private groups to do abortions. The majority of the push, for years, has been against these private groups you speak of. A whole lot of private clinics have been shut down.
As for Roe vs Wade, they don't need to overturn it to overturn it. They don't need to make any ruling that officially contradicts that decision in order to nullify the effect of that decision. All they have to do is to allow the continuation of the death by a thousand cuts end of abortion, by:
- allowing ever-increasing restrictions on the ability of clinics to function (overly onerous regulations, such that only purpose built facilities can do it),
- longer and longer waiting periods, even if that means that some pregnancies continue into the "late-term" phase during the waiting period,
- continuing to define "late term" as earlier and earlier in the pregnancy, such that more and more potential abortions fall under the term
- using the longer waiting periods to force women to watch anti-abortion propaganda
- increasing restrictions on abortions by underage people - even if that pregnancy is the result of abuse (including incest)
- allowing "fathers" the right to prevent a woman from aborting
- easing and encouraging punitive lawsuits by people who feel they have been psychologically harmed by abortion,
- ever increasing restrictions on where abortion clinics can be located (even if that means an entire state ends up off limits),
- ever increasing limits on what sorts of abortions can be considered to be medically necessary,
- ever increasing regulatory requirements on the health professionals who actually perform abortions
And so on. All of these things already happen, but are sometimes slapped back a bit by courts if they are not careful enough about making it appear to not have the goal of completely banning abortion. If the courts start allowing more and more of that sort of thing, then it's very easy to foresee a situation in which abortion becomes completely illegal, without ever actually overturning Roe v Wade.
For example, a state could pass a law that states that abortions cannot be done in regular hospitals. Then pass another law requiring clinics that do abortion to have facilities just like hospitals - doorways wide enough to fit gurneys though, requiring abortions to be done in rooms equipped just like surgical suites (even if the "abortion" is nothing more than taking a pill), and so on. Then require the doctors who perform the abortions to have visiting privileges at a hospital within X distance of the clinic, require them to have vastly more expensive malpractice insurance than other doctors. Then just go ahead and change the state's legal definition of "hospital", such that all of the clinics that worked to meet the abortion requirement now meet that definition, and since you have already banned abortion in regular hospitals - you've just banned abortion, with no law specifically stating that's your goal.
Variations of all of this have been passed in various places already. The idea is that abortion remains legal on paper, but is regulated out of existence anyway.
The lower bar is just to narrow the scope of R v W, stating that it only applies at the federal level. This would prevent the federal government from banning abortion, but would allow state, county, and city governments to do so.
With a more conservative SC all or any of this is easily plausible, likely even.