Without Rowe, here’s who might lose access to abortion in the US

About 64 million women and girls of childbearing age live in the United States, more than half of whom live in states that might seek to ban or restrict abortion further if the Supreme Court were to overturn Roe v. valley.


Possibly banned or restricted





33.6 million Women of childbearing age live in countries at risk of losing access to abortion

30.7 million They live in the remaining countries

33.6 million Women are of childbearing age

In countries at risk of losing access to abortion

30.7 million They live in the remaining countries


Many of the millions of people who live in these states will be able to request legal abortion elsewhere, but barriers to access — including finances, time off work, and child care — can be difficult for some to overcome.

This analysis includes 28 states that could ban or further limit abortion if the Supreme Court ends Roe v. Wade, a decision he appears prepared to make, according to a leaked draft opinion from the court. But there is a lot of uncertainty about which countries will be able to enforce the ban, and experts differ on how quickly the ban could take effect.

For example, the analysis includes four “uncertain” states — Kansas, Michigan, North Carolina, and Wisconsin — which either have prior bans or other pregnancy restrictions on abortion, but whose Democratic governors are working to protect abortion rights or have pledged to oppose anti-abortion bills while in office. .

Of the 33.6 million women of childbearing age at risk, many live in Texas, which last year banned most abortions after about six weeks of pregnancy, and in Florida, which recently enacted a 15-week ban that will take effect on July 1 ). The Centers for Disease Control and Prevention sets the reproductive age from 15 to 44 years, although younger girls and older women can become pregnant.)


Women of childbearing age in countries that may prohibit or restrict access to abortion





four states They have prior abortion bans or other restrictions on pregnancy, but their Democratic governors have vowed to oppose anti-abortion bills while in office.

four states They have prior abortion bans or other restrictions on pregnancy, but their Democratic governors have vowed to oppose anti-abortion bills while in office.


If Roe were reversed and states could set their own limits on abortion, the effects would not be felt equally even within the restricted states. Some women may cross state lines or order abortion pills online.

But traveling out of state will pose financial challenges for low-income women, as well as teens, who may rely on family members or friends to drive them or pay for housing. Undocumented immigrants who cannot risk traveling through checkpoints in states like Texas may face steep barriers.

“Middle-income and wealthier women will always find a way, whether it’s traveling to another state or even another country,” said Melissa Flournoy, a former Louisiana state legislator and women’s health advocate. “The direct impact will be on mostly poor women who have no other options.”

Who risks losing the possibility of abortion in their country?

The 28 states that can ban or further restrict abortion have a higher proportion of white women and girls and a higher level of poor women than states where a ban is less likely.

Although their numbers are lower, black women and girls make up a larger proportion of the population in these same 28 states than in the remaining states, in part because the majority of the country’s black population resides in the South.


Race and ethnicity of women of childbearing age





Countries where women risk losing access to abortion

Countries where women risk losing access to abortion


Note: Women between the ages of 15 and 44. The data for each group reflects one or only one ethnicity. Percentages do not total due to rounding. | Sources: American Community Survey. IPUMS USA, University of Minnesota; Center for Reproductive Rights; Guttmacher Institute

Most women who undergo abortions live in poverty or low incomes, according to the latest survey of abortion patients by the Guttmacher Institute, a reproductive health research group that supports abortion rights.

“People who seek abortion services are disproportionately poor and likely to experience distressing life events such as job loss,” said Caitlin Knowles-Myers, professor of economics at Middlebury College. “It’s the most vulnerable group out of an already weak group that you won’t be able to access anymore.”


Percentage of women living in poverty





Countries where women risk losing access to abortion

Countries where women risk losing access to abortion


Note: Women between the ages of 15 and 44. Data are based on federal poverty thresholds. | Sources: American Community Survey and IPUMS USA, University of Minnesota; Center for Reproductive Rights; Guttmacher Institute

Many states that would ban abortion have policies that make it difficult to get health care, as well as child and pregnancy care support and services, including expanding Medicaid, said Amanda Jane Stevenson, a demographer at the University of Colorado Boulder who studies. Impact of abortion policies.

“Whether you get state health insurance, or whether the network of federally qualified health centers in your state is strong enough to actually provide care, whether the schools in your area are funded enough to provide proper child care — those things are worse on average in places where in which abortion will be prohibited,” Dr. Stephenson said.

Who performs abortions in these countries?

Everyone risks losing access to abortion in these 28 states. But women of color are more likely to undergo the procedure, in part because of unequal access to opportunities such as health care, jobs, education, and housing.

In Mississippi, for example, 74 percent of women who miscarried in 2019 were black, yet black women make up only 42 percent of the population who give birth. In Idaho, Hispanic women made up 25 percent of those who abort and 15 percent of women and girls of childbearing age.


Race and Ethnicity of Abortion Patients in Countries That Can Ban or Restrict the Procedure






Note: Data for each group reflects one or only one race. Data is not available for Iowa, Louisiana, Missouri, Nebraska, North Dakota, Ohio, Oklahoma or Wisconsin. Data with small values ​​is withheld for confidentiality reasons. | Source: 2019 CDC Abortion Surveillance

Young women in these states are – in general – more likely to have a miscarriage. Nearly 60 percent of them are in their twenties.


Age of Abortion Patients in Countries That Can Ban or Restrict the Procedure






“These are people who might be working in jobs that don’t pay well or they might be in school,” said Carrie White, who leads the Texas Policy Assessment Project at the University of Texas at Austin.

“They may feel they don’t have the resources to raise a child,” Dr. White added.

Where facilities providing abortions are at risk

Many women who lose access to an abortion in their home state will continue to travel for the procedure, but may have to travel further distances: More than 200 abortion providers—nearly 30 percent of those who provide abortion services in the United States—are in It states that abortion may be prohibited or further restricted if RO is overturned.

167

Abortion Providers in Potentially Prohibited or Restricted States

52

In states where bans or restrictions are uncertain

538

in the remaining countries


Note: The data reflects facilities that were providing abortion services to the public in 2021. Virtual clinics and telehealth are not shown. | Source: Developing New Standards in Reproductive Health at the University of California, San Francisco

“If you look at women in the deep south, there will be no access to abortion across the Gulf Coast,” the lady said. Flornoy. “Traveling to have an abortion in another state may require going as far north as Illinois.”

In Florida, where there are 55 abortion providers, most providers are unlikely to have to close, because they are still able to perform abortions for up to 15 weeks under the new state law. But if lawmakers move to restrict abortion further, that could change.

And in states where access is still available, the influx of patients would put pressure on abortion providers and could make it difficult for people living in those states to get appointments. Many of these states plan to receive additional patients by opening new health centers, establishing call centers, and launching telehealth programs.

Jennifer Welch, president and CEO of Planned Parenthood of Illinois, said Illinois, for example, could receive up to 20,000 out-of-state patients annually if all neighboring states lost access.

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