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The issue of abortion has jumped in importance for Americans as midterm elections approach in November, vying with the economy for voters’ top issue in a new poll in the wake of a leaked Supreme Court opinion suggesting the landmark Roe v. Wade decision will be overturned.

A new survey from Monmouth University showed 25% of adults saying abortion was their top issue when voting in congressional elections, up from 9% in 2018. The economy was just slightly ahead, with 26% saying it was their most important consideration.