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South Dakota is America’s heartland—waving cornfields, hard-working farmers, family values and a population of 750,000, the majority of whom identify as conservative and anti-abortion. Native daughter Rebecca Lee returns home in 2006 on the brink of a historic state vote: House Bill 1215 could make South Dakota the first state to outlaw most abortions since Roe vs. Wade passed almost 30 years earlier. In The Middle of Everywhere, Lee discovers the debate to be complex, with both sides claiming compassion for women and the same desire to stop the need for abortion.

When 1215 fails to pass, Lee sets out to uncover what would make a self-proclaimed pro-life state vote against the very measure that would end most legal abortions. South Dakotans appear conflicted in their beliefs: passing the Pharmacist Refusal Law, allowing pharmacists and doctors the right not to dispense birth control if doing so goes against their religious views, yet voting along pro-choice lines to keep abortion safe and legal. Was the vote a simple misunderstanding of what it means to be pro-choice? Was it a deeply-held resentment against government intrusion into people’s private lives? Whatever the final reason, The Middle of Everywhere reveals that the issue goes beyond the simple choices of being for or against abortion to the much deeper question of what values we hold dear as Americans and as humans beings.