On October 23, 1998, the Buffalo abortion provider Barnett Slepian was killed by a sniper’s bullet fired through the kitchen window of his home. Days later, police informed another local doctor, Shalom Press, that they had received a threat warning that he was “next on the list.” Within hours the Press household was under twenty-four-hour federal marshal protection. America’s violent struggle over abortion – which had already claimed the lives of five doctors and clinic workers – had come to Buffalo.