By WCCO-TV Staff

Originally published on CBS News on April 20, before the reported draft opinion that suggests SCOTUS could overturn Roe V. Wade.

SIOUX FALLS, S.D. (CBS News) — Dr. Sarah Traxler works at the only abortion clinic in the state of South Dakota, but she lives hours away in Minnesota.

READ MORE: Planned Parenthood To Step In If North Dakota Clinic Closes

Her trip involves a flight from Minneapolis to Sioux Falls, an escort at the airport for security reasons and a 20-minute drive to the clinic — all before her first patient. It’s a commute she’s done monthly for the past seven years.

“I sort of feel at some level if I don’t do it and the other three physicians who do it with me, who else is going to do it? There wouldn’t be anything for these patients,” Traxler said.

Nearly two dozen states have severely restricted access to abortions. The new laws come as the Supreme Court decides on a Mississippi abortion law that could overturn Roe v. Wade.

The South Dakota clinic says it hasn’t been able to hire in-state doctors because they fear harassment and possible retaliation from hospitals.

Even with four doctors traveling from other states, nurse Misty, who asked that her last name not be used, said there is a five-week wait for an appointment.

READ MORE: Thousands Gather At Pro-Abortion Rights Rally In St. Paul

“They are angry about it,” Misty said, speaking about how patients feel. “They’re angry about the hoops they have to jump through to obtain health care.”

South Dakota is among the states where abortion services would immediately become illegal if Roe V. Wade is overturned and has some of the nation’s strictest abortion laws.

South Dakota requires a 72-hour waiting period between initial consultation and procedure and the same doctor for both appointments. The state’s Republican governor wants a law requiring three trips for a medication abortion — the consultation and one for each dose — an unprecedented restriction.

“These restrictions are going to disproportionately impact already marginalized communities that already have a difficult time accessing health care in general, but abortion care specifically,” Traxler said.

In one day, Traxler saw 10 patients and said most sacrificed to get to the appointment — a day’s pay, traveling hundreds of miles or struggling to get childcare.

MORE NEWS: Minnesota Senate Dems Try To Force Abortion Debate

“They’re having us live in a post-Roe world, even when Roe is still the law of the land,” Traxler said.