by Kate Michelman,  pro-choice activist and former president of the National Abortion Rights Action League (NARAL)

Amidst all the deserved attention being paid to wars in Iraq and Afghanistan, the earthquake in Haiti, health care reform, the Senate election in Massachusetts, there is another deserving issue that goes largely unnoticed unless it is in crises-- except for one day a year. Rather than bemoan the lack of attention or the reasons for it, I want to use the occasion of this anniversary of Roe v. Wade to remind all of us of the importance of this issue to every woman, indeed every American.

It has been a journey of more than 40 years since I sat in a hospital conference room, interrogated by men who held my fate, my family, and my choice in their hands. After all these years, I can still feel the humiliation, the shame, and the anger as though those doctors were sitting in front of me now, demanding to know whether I was capable of dressing my children in the morning and being intimate with my husband at night. This indignity was in the service of deciding whether I met the criteria for a diagnosis as " unfit for childbearing" necessary for permission to have an abortion in a hospital rather than a back alley. Roe v. Wade changed all that by recognizing a woman's constitutional right to make decisions in matters of pregnancy, childbearing and abortion in privacy, safety and with dignity. It saved women from the shame and degradation of illegal abortion and its humiliating consequences. And Roe was an important milestone for women in their long and difficult journey to full equality, dignity and economic security.

I have travelled a great distance since those wrenching days in 1969, and so has America. The choice denied me, that the review board and the government had the power to make, has now been recognized as every woman's constitutional right. The majority of Americans believe it should remain so.

Sadly, those who would take women back to the days of the interrogation room, the back alley, or the prospect of forced childbearing, a possibility so unfathomable for most people, so distant that we are reluctant to believe it possible, have made progress over the years. Throughout the nation, millions of women face increasing obstacles to effective education about their sexual health and access to reproductive health care. Abortion remains stigmatized and marginalized, women who decide to have an abortion are considered irresponsible, doctors who perform them are demonized, harassed and even murdered as in the tragic case of the death of Dr. Tiller in Kansas this past year. Comprehensive sex education nationwide is a long way from becoming a reality inspite of overwhelming evidence of its positive impact on the lives and health of young people. Family planning and contraceptive care remain a target of the right wing at the state and local levels.

We witnessed a generational shift with the election of President Obama. We had reason to be elated. Democrats took control of the both the House and Senate. We thought finally we could stop the assault of the Bush years.. There has been progress. Abstinence only education funding has been curbed and the government now is focused on comprehensive sex education. But health care reform proved once again that we must never take our rights and liberties for granted, that we must be actively vigilant and that elections are not an end in themselves but rather a means to an end. The willingness of National Democratic leaders to secure passage of health reform by prohibiting abortion coverage under private insurance plans represents a significant setback for women. It must be a wake-up call to the advocacy community generally, and the women's rights community in particular, that political power without accountability will always fail us. It must remain our mission to continually set the course, to define the values and to demand that our political friends stand up for what is right.

On this anniversary of Roe, in the context of the extraordinary election of President Obama, America stands at the brink; but we have not yet crossed it. Our freedom belongs to us; it is our right, and it is our responsibility to protect it; and we have the power to do so. Decades ago when Roe was not yet imagined and abortion was in so many places illegal, a small but passionate movement of Americans decided to transform the world. They did. Today the movement they have bequeathed to the next generation of pro-choice activists is large and powerful and vast; the freedom they left us remains in jeopardy; and to save it, we need only activate, with a sense of personal responsibility and dire urgency, the movement they built.

The younger generation bear an even bigger responsibility and face an even greater danger than my generation did--the possible loss of the entire right. Young people today do have the choice that Roe made possible...that we all need to be mindful of the risk to women's basic right to privacy the other side would gladly rescind...evidenced by the obstacles that women, particularly poor women, must tackle when faced with the most important and often difficult decision of their lives -lack of facilities and trained doctors, the need to travel many miles to obtain care...imagine oneself in the situation I was in 40 years ago today and the ramifications for women if this right is overturned. We have a tendency in these times of intense media hype over sensationalized events to overlook or take for granted precious but vulnerable constitutional rights such as the this one. We must not. This can be the cause of the next generation.

It's been said that all the great civil rights battles have been fought and won. But for the rights that matter most, the fight never ends. There has not been a single day since l973 when this right has been secure, nor has there been a single day when it's been more endangered than now. And the danger isn't the far right. They've been around forever, and when we're paying attention, we beat them every time. The most insidious danger is the apathy and inattentiveness of the mainstream/middle. In our history, we always turn to the young in such moments.

If we fight hard and lose, that will be a tragedy. But if we lose because we didn't fight, that will be a crime - and our guilt will far exceed that of the religious right. We depend on the new generation to know this and act.