Last May, EFF reported that a sheriff’s office in Texas searched data from more than 83,000 automated license plate reader (ALPR) cameras to track down a woman suspected of self-managing an abortion. ALPRs are promoted as tools for keeping communities safe by finding missing persons and locating stolen vehicles, but this case showed how ALPRS can be weaponized to investigate people’s private healthcare decisions. And these aren’t the only tools in the surveillance arsenal: others include location tracking tools like Locate X, which can show a person’s visit to an abortion clinic, or search histories which might be used as evidence of a person’s interest in obtaining abortion pills. Taken together, these tools create a dangerous surveillance pipeline that threatens everyone’s health privacy. 

Too often, though, the public is unaware of the threat, and one nonprofit is working to change that. Following EFF and 404 Media’s report on Texas’s use of Flock cameras, eye-catching billboards popped up in Houston, warning drivers that if they’re pregnant, the state of Texas could be tracking them.  

Photo provided by Mayday Health

These billboards came from Mayday Health, a nonprofit dedicated to sharing information about abortion pills, birth control, and gender-affirming care. We spoke with Leo Raisner, Executive Director of Mayday Health, about the billboards to learn more about the campaign and organization and to discuss how surveillance affects reproductive freedom. 

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THOMAS: Why did Mayday Health start this campaign in Texas?  

RAISNER: Well, we read the incredible reporting coming from EFF about Texas's surveillance. We want Texans to know their rights, to know their options, and to know that there are organizations and people who have their back. So we decided to put up a few billboards around the Houston area to remind people that they still have options.  

Digital advertising in the space, as I know you're well aware of, faces enormous platform restrictions from Meta and Google, whereas billboards reach people in the physical world without algorithmic gatekeeping and without requiring anyone to search for information. So at the very least, if a driver's passing by the billboard, we’re spreading information that they should be careful that they might be surveilled, and also there are different options. There's a website where they can come learn more about those options. 

THOMAS: And how have the billboards been received so far? Have you heard anything from folks in the Houston area yet?    

RAISNER: Yeah, we've heard some messages of support on social media DMs. We're just thrilled about how many drivers these messages are going to reach. They'll be up for 4 weeks, and are expected to hit over 1,000,000 drivers during that 4-week campaign period.    

THOMAS: Are there other ways that Mayday Health has seen surveillance systems impact people seeking healthcare?  

RAISNER: You know, we go all over the country and talk to folks who are seeking reproductive healthcare options in states where clinics are banned, and we direct folks to our website where they can learn more about abortion pills. We make privacy very central to how we operate. Privacy is not just an afterthought for us. When people arrive at our website, we direct them to the Digital Defense Fund, which offers people privacy and security resources as they're navigating reproductive healthcare in states where they might be being surveilled. We don't collect cookies, we don't collect identifying information from visitors to our site. We want people to know their options, and we don't have any interest in knowing who they are.  

THOMAS: Why do you think the work of the digital rights movement is so important to the work of the reproductive health rights and justice movement?  

RAISNER: I mean, those two movements are inextricably linked. The anti-abortion movement is using every tool in their toolbox to prevent people from getting the healthcare access they need, whether that's surveilling people online or closing down brick-and-mortar clinics, but we encourage people to visit Mayday Health and learn that they still have options no matter where they live.  

THOMAS: Is there anything else that you would like the readers of our blog to know about Mayday Health?    

RAISNER: I'd love for people to know that abortion pills are FDA approved. They're safe, they're effective, and they're available through the mail. 

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EFF has said it time and time again – surveillance and reproductive freedom cannot coexist. Whether the tracking occurs over the internet or through license plate reader systems with over 83,000 cameras, it is an invasion of privacy. Protecting our digital privacy is more critical now than ever. Help EFF fight back against this digital dragnet and protect reproductive freedom for all by making a donation. 

After almost twenty years on the platform, EFF is logging off of X. This isn’t a decision we made lightly, but it might be overdue. The math hasn’t worked out for a while now.

The Numbers Aren’t Working Out

We posted to Twitter (now known as X) five to ten times a day in 2018. Those tweets garnered somewhere between 50 and 100 million impressions per month. By 2024, our 2,500 X posts generated around 2 million impressions each month. Last year, our 1,500 posts earned roughly 13 million impressions for the entire year. To put it bluntly, an X post today receives less than 3% of the views a single tweet delivered seven years ago. 

We Expected More

When Elon Musk acquired Twitter in October 2022, EFF was clear about what needed fixing. 

We called for: 

• Transparent content moderation: Publicly shared policies, clear appeals processes, and renewed commitment to the Santa Clara Principles
• Real security improvements: Including genuine end-to-end encryption for direct messages
• Greater user control: Giving users and third-party developers the means to control the user experience through filters and interoperability.

Twitter was never a utopia. We've criticized the platform for about as long as it’s been around. Still, Twitter did deserve recognition from time to time for vociferously fighting for its users’ rights. That changed. Musk fired the entire human rights team and laid off staffers in countries where the company previously fought off censorship demands from repressive regimes. Many users left. Today we're joining them. 

"But You're Still on Facebook and TikTok?" 

Yes. And we understand why that looks contradictory. Let us explain. 

EFF exists to protect people’s digital rights. Not just the people who already value our work, have opted out of surveillance, or have already migrated to the fediverse. The people who need us most are often the ones most embedded in the walled gardens of the mainstream platforms and subjected to their corporate surveillance. 

Young people, people of color, queer folks, activists, and organizers use Instagram, TikTok, and Facebook every day. These platforms host mutual aid networks and serve as hubs for political organizing, cultural expression, and community care. Just deleting the apps isn't always a realistic or accessible option, and neither is pushing every user to the fediverse when there are circumstances like:

• You own a small business that depends on Instagram for customers.
• Your abortion fund uses TikTok to spread crucial information.
• You're isolated and rely on online spaces to connect with your community.

Our presence on Facebook, Instagram, YouTube, and TikTok is not an endorsement. We've spent years exposing how these platforms suppress marginalized voices, enable invasive behavioral advertising, and flag posts about abortion as dangerous. We’ve also taken action in court, in legislatures, and through direct engagement with their staff to push them to change poor policies and practices.

We stay because the people on those platforms deserve access to information, too. We stay because some of our most-read posts are the ones criticizing the very platform we're posting on. We stay because the fewer steps between you and the resources you need to protect yourself, the better. 

We'll Keep Fighting. Just Not on X

When you go online, your rights should go with you. X is no longer where the fight is happening. The platform Musk took over was imperfect but impactful. What exists today is something else: diminished, and increasingly de minimis. 

EFF takes on big fights, and we win. We do that by putting our time, skills, and our members’ support where they will effect the most change. Right now, that means Bluesky, Mastodon, LinkedIn, Instagram, TikTok, Facebook, YouTube, and eff.org. We hope you follow us there and keep supporting the work we do. Our work protecting digital rights is needed more than ever before, and we’re here to help you take back control.