What if a tribe wishes to establish an abortion clinic on their tribal lands? Can a state government stop them? Would the staff have to all be members of the tribe? Could the non-Native general public legally use it? Could the state get involved at all if it was only members of the tribe performing abortions on other members of the tribe? Could a Republican federal government shut them down? Could they make funding of other tribal services contingent on shutting them down by executive order or through reconciliation or would any federal legislation shutting them down have to get past a filibuster?
Of course, some tribes are very socially conservative and would have no interest in this. That is also their right. They may even want to try and explicitly ban abortions on their lands now.
Yes, a tribe could do this, it would be similar to casinos. It would obviously cause extreme tension and unfriendly relations with the surrounding state (for instance the red state governor might block all the roads into/out of the tribal area, block commerce, and persecute any member of the tribe who leaves the area) and if the GOP ever regains power then with the federal government as well. All for what, the opportunity to offer some abortion services that wouldn't be covered by any recognized insurance anyway? What tribe would volunteer for such a thing? People aren't thinking this through.
Given that some tribes chose to open casinos in states that otherwise banned or heavily restricted gambling, I think it's reasonable some (but not most or all) tribes would consider this as a business opportunity, particularly those red state tribes that vote near unanimously Dem.
