A comprehensive Cochrane review of 87 randomized trials has confirmed what clinical science has long suggested: mifepristone prevents more pregnancies after unprotected sex than the most commonly available emergency contraceptive, and with a gentler side-effect profile. The findings, drawn from roughly 36,000 women, carry high-certainty weight — the kind that rarely shifts with further study. And yet the medication remains largely inaccessible as emergency contraception across much of the world, not because the evidence is weak, but because the drug carries a political identity that precedes i