Ruth Stoops (Laura Dern) is paint-huffing homeless white trash. She has four kids but doesn't have custody of any of them. She goes to her brother to ask for money and he offers $15. She passes out in public and gets arrested. She's pregnant again. The angry judge overcharges her and she's pressured to get an abortion. In jail, she is befriended by Diane Siegler (Swoosie Kurtz) and her team of religious pro-life protesters. Norm (Kurtwood Smith) and Gail Stoney (Mary Kay Place) bail them out and take Ruth into their home. The Stoneys have two kids, rebellious Cheryl (Alicia Witt) and Matt. They take Ruth to a fake clinic to talk her out of the abortion and make her a media case for their group "The Baby Savers". Ruth struggles with her addition and her aversion for notoriety. Diane is actually a pro-choice spy and helps her get away from the Stoneys. Diane calls in Harlan (M.C. Gainey), her lesbian partner Rachel (Kelly Preston), and other pro-choice activists. Her abortion becomes a national issue, and the two sides bring their national leaders Jessica Weiss (Tippi Hedren) and Blaine Gibbons (Burt Reynolds).
Alexander Payne tackles this divisive issue with humor. It skewers both side although the pro-lifers get the greater ridicule. The tricky subject matter is tough to get right and the humor is hard to calibrate. I don't think this is funny for everybody. Laura Dern delivers a complicated and endearing character. The level of difficulty is very high and Payne navigates it with great skills.