But back on topic.
This is kind of morbid but it's something that's been on my mind.
It's not the 1920s anymore. Are we really going to have to go back to "back alley" abortions or are undergound, illegal abortions going to be more medical?
Now to be clear I do not want to downplay this, but I am wondering if a safe, illegal abortion is going to be easier to find than it was in the pre-Roe V Wade past.
Again to clarify not saying that makes it better, just... thinking out loud.
Yes. Illegal abortions will be safer and easier to find than in the old days. For a couple of reasons.
First, more states will have legal abortions, so you can get to them more easily.
Second, transportation costs are lower, so, likewise, getting to them will be easier.
Third, in today's world, the stigma associated with pregnancy has gotten to be very close to zero. In the days you were talking about, there was still this idea that sex outside of marriage was sinful. The number of people who say that is much, much, smaller today, and the ones who do are busy coming up with reasons why, in their case, it's not all that sinful. As a consequence, there will be more people willing to help. Some friends of mine last year were already talking about setting up "underground railroads", to help abortion seekers. Basically, what they meant was providing temporary housing and transportation for poor women who wanted to leave their state to get an abortion in another state where it's legal. I'm sure those plans are being accelerated today.
Finally, technology has advanced so that if someone is performing abortions in their basement with the blinds drawn, it's easier to keep things sterile and to monitor the patient for signs of trauma that need medical care beyond what the abortion provider can give.
Sadly, there will be women, especially high school aged women, who get pregnant and don't know how to avail themselves of these clandestine resources, so the "back alley" abortions won't disappear completely. After all, they still occur today very rarely, even with abortion legal. In those states where it's illegal, I'm sure the rate will go up. Young people often take matters into their own hands before seeking outside help.
ETA: And, I forgot about the availability of pharmaceutical abortifacients, i.e. "abortion pills". People will be willing to stock those things and give them to people in need.