Issue 1 signs sit outside Knox Presbyterian Church on Election Day, Tuesday, Nov. 7, 2023, in Cincinnati. Issue 1 specifically declares an individual's right to "make and carry out one's own reproductive decisions," including abortion. Anti-abortion leaders know that their side has a seven-state losing streak in votes on abortion-related ballot measures. Even in red states such as Ohio, Kansas and Kentucky, the outcomes favored keeping abortion access legal. (AP Photo/Joshua A. Bickel, File)
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