It takes eight hours, give or take, to fly across the nearly 4,000-mile stretch of ocean between Guam and Hawaii. “She induced an abortion on herself by inserting a sharpened stick coated with local herbal medicines into her uterus. Since mid-2018, Kaneshiro and Raidoo said that, between themselves and their colleagues, they’ve seen just between five and 10 abortion patients from Guam. “They are usually, understandably, devastated that they can’t get the care they need,” Raidoo said. In 2019, the island was rocked by the case of a local 12-year-old girl who’d been raped, impregnated, and unable to secure an abortion.