Abortion Restrictions Exacerbate Racial Disparities in Health and Care Access

Washington, DC – The Supreme Court ruling in the case Dobbs v. Jackson Women’s Health Organization in June 2022 has had far-reaching consequences for abortion access in the United States. The decision overturned long-standing Constitutional rights to abortion and eliminated federal standards on abortion access across the nation. As a result, many states have implemented abortion bans or placed gestational limits on abortion, creating disparities in access to care, particularly affecting those residing in the South and Midwest.

By April 2024, 14 states have implemented abortion bans, 11 states have gestational limits on abortion between 6 and 22 weeks, and 25 states and the District of Columbia provide broader access to abortions after 22 weeks. This shift in abortion policies has forced pregnant individuals seeking abortion in restrictive states to travel out-of-state or seek medication abortion pills via telehealth appointments, further hindering access to essential healthcare services.

Moreover, the implementation of abortion bans and restrictions has disproportionately affected people of color due to pre-existing social and economic inequities. Notably, Black and American Indian and Alaska Native women ages 18-49 are more likely to live in states with abortion bans or restrictions, amplifying barriers to care for marginalized communities. Additionally, women of color face higher uninsured rates compared to their White counterparts, with disparities heightened in states with restrictive abortion policies.

The economic and social implications of abortion restrictions contribute to widening disparities in maternal health outcomes, exacerbating existing health inequities across racial and ethnic groups. State-level restrictions not only limit access to essential healthcare services but also contribute to provider shortages in certain regions, particularly impacting rural communities and marginalized populations.

Furthermore, limitations in abortion coverage and access create additional challenges for women of color, who often face financial constraints, limited transportation options, and linguistic barriers that further hinder their ability to access necessary healthcare services. The criminalization of abortion and the lack of comprehensive reproductive healthcare further jeopardize the well-being and autonomy of individuals seeking essential reproductive services.

The Dobbs ruling has not only reshaped abortion policies but also highlighted the urgent need to address systemic inequities in healthcare access and outcomes, particularly among communities of color. As the debate surrounding abortion rights intensifies, it is crucial to consider the intersectional impact of restrictive policies on racial disparities in health, finances, and criminal penalties.