Do Americans have structured, stable, and consequential policy preferences that shape political outcomes? We explore this question through the case of abortion, using a largeâscale panel dataset ( n  â 130,000) and applying three key diagnostics: coherence, stability, and changes in vote choice. First, we demonstrate that abortion policy preferences exhibit logical coherence, both within and across reasons for seeking an abortion. Second, we show that these preferences are highly stable over timeâmore so than personality traitsâsuggesting that abortion attitudes are deeply engrained rather than fleeting opinions. Lastly, we find that abortion policy preferences, measured before the U.S. Supreme Court overturned Roe v. Wade in 2022, predict shifts in intended voting behavior between 2020 and 2024. This overall pattern helps rule out key theoretical alternatives, such as nonâopinions, attitudes following vote choice, and elite cues. Additionally, these findings highlight the significant and independent role of abortion attitudes in shaping American political behavior.