What could possibly go wrong, right? 

This is the set-up of Dorothy Bridges’ The Expendable Man, and the answer is, of course, “plenty.” It is not a big reveal to say that the girl’s motives seem dubious, and she proves hard to be rid of, being dropped off and then repeatedly showing up again, including at Hugh’s Phoenix motel room, where he refuses to speak to her. It is not even a big reveal to say that the morning after she shows up at his motel room her body is found in a canal on the outskirts of Phoenix, and the autopsy reveals her to have been pregnant—and to have had an abortion. Unsurprisingly, the suspicion of the local police falls on Hugh, the last person—and conveniently, a physician—known to have seen her alive. It will be up to Hugh to prove his innocence despite the damning circumstances.  

Dorothy Hughes was known as a writer of noir fiction, and The Expendable Man is no exception. From the first page she creates a sense of uneasiness which pervades the entire novel. The dry airless heat of the southwestern desert, the rowdy and vaguely threatening teenagers in their jalopies who buzz about the town of Indio like so many flies, the trackless expanse of territory with the lone hitchhiker in the middle of nowhere, the local police, who seem to have had their humanity burned out by the heat—all of this contributes to the subtle but steadily mounting dread which characterizes so much of the novel.  

The book was written in 1963, when Los Angeles was very much the land of dreams, and Phoenix was still a relatively young and underdeveloped city just beginning to stretch out in the Maricopa Valley; it’s a short distance from the downtown neighborhoods to farms and empty lands where bad things can happen. And when this particular bad thing happens, people want to find the perpetrator. If it could possibly be an outsider, someone educated and from the big city, who drives a big Cadillac—someone “not one of us”—so much the better. Of course it looks too easy, but the community needs someone to blame. They need a sacrifice, and Hugh is just that: convicting him of the crime will spare the police having to look too hard in their own backyard for the culprit. Hugh is literally an expendable man. 

Fortunately, Hugh has his family and his new love interest to support him, and he enlists them in his attempt to solve the crime, because solving the crime is the only way to get him off the hot seat. How this happens is well-plotted and holds the reader’s attention.  

The fact that this is written in 1963 influences the lens through which the novel should be read; that is, with mid-twentieth-century mores and cultural referents in mind. Reaction to the news that the dead girl has had an abortion galvanizes the community—abortion is illegal, and the Arizona of the novel considers it immoral as well. The combination of people’s revulsion at the very fact of the abortion, and the thirst for punishment that accompanies it, magnifies the crime of murder; everyone talks about the heinous nature of what has happened. Also, the Cadillac was at the time a symbol of having “arrived,” and a medical school education was expensive; not all families could afford to pay for one. And golf was, and still is, an expensive indulgence. With touches like these Hughes paints a very specific picture of her protagonist.  

The Expendable Man is, however, so much more than simply a mystery. Hughes’ ability to create the setting and build the uneasiness is superb literary craft. Interestingly, it’s possible that the way she does this has partly to do with her excellent writing and partly to do with popular culture that postdated the novel’s publication—i.e., it may have as much to do with what the reader brings to the novel as (or rather, in addition to) what the author puts in it. Every film that included a hitchhiker story gone bad—and there are any number of them—contributes to the aura of dread in the early pages. And it is hard to read the descriptions of the action in Phoenix without channeling the early parts of Hitchcock’s Psycho. And we all know how that turned out.  

But The Expendable Man is also the novel as social commentary, never directly stated, but always there. The conflict between the middle- or upper-middle-class, cultured, educated, “city slicker” and the locals who think and live very differently—and are looking to hang someone—is riveting.  

There is one big reveal which comes out of left field. It happens relatively early on and changes everything in the way the reader views the story. It’s actually too good, too cleverly imagined, to give away, but watch for it (it’ll be hard to miss) and prepare to have everything you’ve thought about the story suddenly change with the breathless rapidity of a pulled-out rug. It will ratchet up the discomfort and make you re-evaluate the entire story and your reactions to it. 

Don’t say you haven’t been warned.  

The Expendable Man 
Dorothy B. Hughes 
New York, NYRB Classics, 2012 (orig published 1963), 264 pp. 

Web image by Medhum.org

The latter decision unarguably constitutes a significant setback in the struggle for reproductive rights for American women, but the history of access to abortion—and a sense of what the future might hold—may best be understood by taking the long view, across cultures. In Pushback: The 2,500-Year Fight to Thwart Women by Restricting Abortion, historian Mary Fissell does just that. Starting with the story of an enslaved woman in ancient Greece who becomes pregnant after being hired out as a prostitute by her enslaver, Fissell presents a series of case studies. Each one illustrates how women continued to have abortions through the centuries despite changing mores, laws, the influence of the church, and the irregular availability of experienced or qualified providers. The stories also demonstrate a pattern: as women gained more social and economic freedoms, the laws governing abortion became more restrictive, with the pendulum eventually swinging back in the opposite direction to a more liberal stance on abortion.

The enslaved woman in ancient Greece would likely have faced no moral sanction for seeking an abortion—her value lies in her continued availability as a sex worker, and, in her case, a singer. Documents suggest that women in her position would have had the knowledge to end her pregnancy, most likely with an herbal abortifacient, though squatting, jumping and sneezing were also recommended methods of preventing pregnancy immediately after sex. In ancient Rome, the focus on controlling fertility was somewhat different; Roman women had greater freedoms than their Greek sisters, raising concerns about adultery, which Augustus declared as a criminal offense. With  a focus on increasing the number of upper-class Romans who would rule the growing empire, controlling the fertility of elite married women was one way to achieve this end.

Leaving antiquity behind, Fissell nimbly guides us through the Middle Ages. In an era where Christianity is on the rise, and the issue of ensoulment is linked to the experience of quickening (when the pregnant woman first feels the fetus moving), the story of Brigid of Kildare was recorded. Brigid, a holy woman whose historical existence cannot be confirmed, was said to have helped a young woman miraculously end her unwanted pregnancy (a subsequent miracle attributed to Brigid helped a woman preserve her chastity).  The Church’s codified position on abortion was still more than 500 years away and for many of these early Christians, discussions of ensoulment notwithstanding, concerns around abortion as a means of covering up illicit sex appear to have weighed more heavily than any harm to the fetus.

In early modern Europe, in some parts of the continent, abortion had become a capital crime punishable by execution, a development that reflected “a larger cultural shift that sought to control female sexuality in the interests of Church and state.”  The story of Anna Harding who went on trial in 1618 was a case in point. Against the background of a witchcraft panic, Harding  admitted to providing both married and unmarried women with herbal and floral preparations to end their pregnancies. A “confession” under torture to having consorted with a demon led to Harding’s conviction and being burned at the stake. 

Indeed, herbal preparations to end unwanted pregnancies were common to societies as disparate as enslaved women in the Caribbean, who used abortions as an act of resistance, to Victorian women of all classes who sought abortions for many of the same reasons as women do today. Use of one of the herbs best known to induce abortion, pennyroyal, persisted up through the early 20^th century, although not without risk to the pregnant woman.

By this time, the idea that life begins at conception had gained a greater hold in the United States. Hugh Hodge, a professor of medicine at the University of Pennsylvania, argued this “scientifically-based” premise as early as 1839, while the Pope’s 1869 declaration that life begins at conception would have been presented as divine revelation, though Fissell posits that concern on the part of European monarchs in Catholic countries worrying about depopulation and “degeneration” may well have influenced the pronouncement.

The story of Beatrice J, a Baltimore woman, who safely achieved two self-managed abortions in the 1940s through the aid of a catheter and ergot pills to induce uterine contractions, serves as a more modern example of women who had ended a pregnancy going on to administer abortions to others. In Beatrice’s case, after her trusted pharmacist helped set her up as an abortion provider, an undercover police operation exposed her practice. A trial followed, but charges were ultimately dismissed by a progressive judge on the basis that the “client”  who visited Beatrice was not actually pregnant.

In addition, Fissell points out this was not an isolated example by any means. Even in the most restrictive settings and time periods, there appears to have been a fair amount of  tacit acceptance.  In the U.S., for example, “Physicians performed legal abortions for a variety of indications, and the rest, so-called criminal abortions, went largely unremarked. In the 1920s and ‘30s, abortion providers were rarely prosecuted, whether physicians or not, and the former were at risk only if a woman died.” Moreover, once antibiotics and blood transfusions became available in the 1930s and 1940s, the morbidity and mortality associated with these procedures would have been reduced.

The presence of abortion providers who practiced under the radar persisted throughout the ‘30s and early ‘40s, albeit with some providers using their own judgement as to who was morally deserving of their covert services.  But the 1940s and 1950s also brought a more punitive attitude toward abortion in the United States. With an increasing number of arrests of providers administering safe abortions, dangerous practices became more widespread, as did abuses by practitioners, including sexual assault on clients. In turn, these tragic stories led to the underground movement of women and their allies who supported those in need, including the Jane Collective in Chicago, a group of women who risked criminal prosecution to help others obtain safe abortions. 

While the individual stories of women seeking abortions constitute the throughline of Pushback, Fissell consistently addresses the broader factors that affected access in each of the societies she describes, including eugenics, racism, nativism, and concerns about fidelity and heredity. Enslavement and labor demands, the appropriation by physicians in the 19^th century of care that was formerly the domain of midwives, and superstitions linking women’s fertility to fertility of livestock and crops, also come under scrutiny, as does the relatively recent shift of emphasis from the importance of the life of the mother to that of the fetus.

Readers might also consider the role of medical advances as factors that have altered our understanding of pregnancy, development of the fetus, and access to abortion. Among them was the development of simple urine tests that eliminate the uncertainty surrounding pregnancy, a means of confirmation light-years away from those early societies where pregnancy was confirmed by quickening. Sophisticated imaging of the fetus via ultrasound not only confirms pregnancy at an early stage, but packs an emotional punch. Moreover, the availability of medication through pharmacies and online sources for self-managed abortions, while under threat, has created a new landscape for pregnant women. This last means of obtaining an abortion, though formulated in a laboratory, suggests a new iteration of the herbal abortifacients used by so many generations past.

Pushback succeeds at being both highly readable and meticulously researched—the volume includes an extensive list of notes and references for each chapter. Fissell, who is the Inaugural J. Mario Molina Professor in the History of Medicine at Johns Hopkins University, also writes the Substack A is for Abortion: Snapshots from the Past. As a pre-modern historian of the 17^th century, she particularly enjoys the kind of “detective work” that accompanies that study. But she was also pleasantly surprised by how much she enjoyed researching and writing on the modern period, where sources are more readily available, including data she found through Ancestry.com.

Fissell completed her manuscript before the start of the second Trump administration and aside from allusions to Roe v. Wade and Dobbs v. Jackson, Pushback does not explore the ways in which abortion became a flashpoint in our most recent national elections. (A description of politically motivated anti-vice campaigns that targeted abortion practitioners and pregnant women in the late 1940s and 1950s is included in the chapter dealing with that time period.)

But in a discussion with this writer, Fissell weighed in on current data that shows more American women than ever are having abortions despite the 2022 Dobbs ruling. “Restriction has an impact and makes abortion much more difficult and dangerous to access,” she said. “But it never stamps it out.” She also cited data that suggests roughly 66% of Americans think abortion is a decision that should be made between a woman and her doctor.  

Interestingly, Fissell did wonder at the onset of her research for Pushback whether she might change her mind on the issue. In the end, she describes holding the same views as when she started.  “Given that abortion was often shameful and secret if not [completely] illegal, I was amazed by how much I was able find out.” Her appreciation for insights from the reproductive justice movement deepened considerably as well, as it informed her understanding of women in earlier societies and the use of the term “choice,” then and now, for women in untenable circumstances.

“[Choice is] something a white woman with money can afford to have,” Fissell said. “Choice [does not apply to] a struggling waitress in a small Southern town who was raped and has two kids at home, and her wages won’t even cover their care…Casting the decision as choice means we don’t understand many women’s experiences.”     

Pushback by Mary Fissell was published by Seal Press (2025).
Web image by Medhum.org.