Here’s the landscape 2 years after the Supreme Court overturned a national right to abortion

FILE – People march through downtown Amarillo to protest a lawsuit to ban the abortion drug mifepristone, Feb. 11, 2023, in Amarillo, Texas. Two years after the U.S. Supreme Court ended a nationwide right to abortion, travel and pills have become big parts of the issue.

That’s changed the landscape of abortion access, making it more of a logistical and financial ordeal for many in conservative states. But it has not reduced the overall number of procedures done each month across the U.S.Limited abortion access prompts more out-of-state travelThat translates into higher costs for gas or plane tickets, hotels and meals; more logistics to figure out, including child care; and more days off work.

Low-income patients and those lacking legal permission to be in the country are more likely to be unable to travel. There can be lasting costs for those who do. One report found that pills are prescribed via telehealth and mailed to about 6,000 people a month who live in states with abortion bans. They’re sent by medical providers in states with laws intended to protect them from prosecution for those prescriptions. The laws in Colorado, Massachusetts, New York, Vermont and Washington specifically protect medical providers who prescribe the pills to patients in states with bans.

The issue will also be put directly before voters in at least four states. Colorado, Florida, Maryland and South Dakota have ballot measures this year asking voters to approve state constitutional amendments that would protect or expand access to abortion. There are attempts to put questions about abortion access on the ballots this year in Arkansas, Missouri, Montana, Nebraska and Nevada, plus a legal challenge of a court ruling that knocked a New York measure off the ballot.

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