How Angel Foster’s MAP is reshaping U.S. abortion access with mailed pills

Angel Foster, a medication-abortion specialist, launched the Massachusetts Medication Abortion Access Project (The MAP) in 2023 to create a resilient, mail-order supply of abortion pills for patients in states with strict bans. Operating from a small Boston facility, the group stocks tens of thousands of mifepristone and misoprostol doses and relies on twice-weekly volunteer packing sessions to ship the medication discreetly across the country.

Since its debut, The MAP has sent pills to more than 60,000 people, 95% of whom reside in hostile jurisdictions, and has attracted major philanthropic pledges after media coverage of a Louisiana lawsuit that sought to block mail-order mifepristone. A 5th Circuit order temporarily halted FDA rules permitting telehealth prescriptions, but the Supreme Court later stayed the decision, keeping the mail-order model alive while The MAP readies a misoprostol-only protocol as a contingency. Foster emphasizes that the network’s “shadow” infrastructure—shield laws, low-cost pricing, and distributed risk—makes medication abortion difficult to eradicate, even if a federal ban were imposed.