Donald Trump has tried to have it both ways on abortion—bragging about his role in overturning Roe while trying to maintain some political distance from the devastation of reproductive rights he helped bring about. But make no mistake: A second Trump term would be a disaster for choice.

As Politico reports, the anti-abortion right is already making plans to not only reinstate Trump-era anti-choice policies President Joe Biden reversed upon entering office; it wants to effectively eliminate access nationwide without needing to pass the politically-toxic abortion ban some Capitol Hill Republicans have proposed. “We expect them to act swiftly,” Students for Life President Kristan Hawkins told Politico. “Due to not having 60 votes in the Senate and not having a firm pro-life majority in the House, I think administrative action is where we’re going to see the most action after 2024 if President Trump or another pro-life president is elected.”

That “administrative action” could amount to an aggressive, absurd assault on reproductive healthcare—including rollbacks of the Title X family planning program and efforts to restrict abortion pills, possibly by getting the Environmental Protection Agency to declare their ingredients “forever chemicals.” “I would anticipate both the very aggressive use of executive authority to undermine access to abortion and a reliance on conservative-leaning courts to lock those executive actions in place,” health policy expert Chris Jennings told Politico. “Even people who think they’re safe because they live in blue states would lose access should that happen.”

The Supreme Court’s Dobbs decision in 2022 dramatically reshaped abortion access in America, with about half the country now severely limiting or entirely banning the care—despite overwhelming public support for reproductive rights, as voters in both blue states and red have made clear in recent election cycles and ballot initiatives. But the right-wing plotting—part of the so-called Project 2025 plan to build a more “effective” Trump administration, less shackled by bureaucracy and free of dissenters—makes clear that things can still get far worse, and underscores the massive stakes of the upcoming election.

Trump, far from the abortion “moderate” he’s told allies he wants to position himself as, would almost certainly undercut abortion access further—and do so without the need for congressional approval. “The extremists,” as Vice President Kamala Harris warned this month in a speech marking the 51st anniversary of the Roe decision, “are not done.”