How does North Dakota do it? “It’s not by having such great sex ed, contraception access, and abortion providers,” Guttmacher senior researcher Laura Lindberg told me, listing off solutions favored in more liberal states. No—North Dakota has one Planned Parenthood in a 700,000 square-mile state. Seventy-five percent of North Dakotans live in counties with no abortion provider. State law mandates abstinence-only education in its schools. And just this month, North Dakota State University president Dean Bresciani attempted to freeze federal funding for two of his own professors to stop them from starting a comprehensive sex ed program for at-risk Fargo teens.