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center for reproductive rights
New Research Details 'Human and Economic Toll' of US Abortion Bans
"Abortion bans don't stay in exam rooms," said the Center for Reproductive Rights president. "They reshape communities, workplaces, and state economies."
Mar 09, 2026
With attention directed at President Donald Trump's war on immigrants across the United States and various international conflicts, including the assault on Iran, there hasn't been much prominent news coverage in recent weeks about a key issue of the 2024 campaign—GOP abortion bans—but people nationwide continue to endure the impacts of such policies, as revealed in a Monday report from the Center for Reproductive Rights.
The Price of Safety: Stories of Abortions Denied, Careers Disrupted, and States Left Behind features various profiles demonstrating "the human and economic toll" of abortion bans, which right-wing policymakers have enacted or intensified since the US Supreme Court reversed Roe v. Wade with its Dobbs v. Jackson Women's Health Organization decision in 2022.
The anthology uses stories from patients, doctors, business leaders, and others to "show the real-world consequences of laws that criminalize standard medical care," said Nancy Northup, the center's president, in a statement. "Abortion bans don't stay in exam rooms. They reshape communities, workplaces, and state economies. As long as politicians keep restricting care, families will keep moving, clinicians will keep leaving, and states will keep watching their competitive edge slip away."
"Our daughter's spine was severely abnormal, her brain hadn't formed correctly, and she only had one kidney... I did everything by the book medically, but the experience still made me feel like a criminal for seeking evidence-based care for a lethal fetal diagnosis."
Dani Mathisen, "a Fort Worth native from a family of physicians," discovered during a routine anatomy scan with her OB-GYN, who is also her aunt, that she needed an abortion, 18 weeks into a planned pregnancy. As she explained, "Our daughter's spine was severely abnormal, her brain hadn't formed correctly, and she only had one kidney."
Texas had banned abortions after six weeks and allowed private citizens to sue anyone who helped a pregnant person access care. According to Mathisen: "My mom, also a doctor, stepped in anyway. She found a clinic in New Mexico, booked the flights and hotel, called the staff, and handed us an envelope of cash. We paid for the abortion with cash out of fear of leaving a paper trail tying Texas credit cards to out-of-state abortion care. I did everything by the book medically, but the experience still made me feel like a criminal for seeking evidence-based care for a lethal fetal diagnosis."
"I had always imagined building my career in Texas," she added. "After this, I chose an OB-GYN residency in Hawaii because I needed full-spectrum training—including abortion care—and I couldn't get that in Texas."
Mathisen wasn't alone in fleeing that state. Amanda Ducach, CEO and co-founder of an artificial intelligence startup focused on women's health, shared how she "built Ema in Houston, and Texas shaped our earliest users and our mission," but when Roe fell, she "was seven and a half months into a high-risk pregnancy."
"Suddenly, even if I were to face a life-threatening emergency, I wasn't sure I'd receive timely care. My doctors weren't sure either," Ducach detailed. "It also changed how I thought about my company, and our responsibility to the people who rely on us through our partner platforms."
"After months of legal review and deep conversations with my team, I decided to relocate both my family and Ema's headquarters to Massachusetts where abortion access is protected under state law," she continued. "I also gave employees the option to work from any location, which brought immediate relief."
"Suddenly, even if I were to face a life-threatening emergency, I wasn't sure I'd receive timely care. My doctors weren't sure either."
Elizabeth Weller also left Texas. She said that "the decision cost us $25,000+ in income, distanced us from our community, and upended the future we had envisioned. But after the pregnancy complications I faced, it was painfully clear: Texas no longer provided the basic medical care necessary to have a child."
So did Dr. Judy Levison, who spent over two decades practicing and teaching obstetrics and gynecology in the state. After "watching abortion bans turn routine medical care into a legal minefield," she retired, moved to Colorado, and "began volunteering with an abortion support group."
It's not just Texas. Kayla Smith said that she left Idaho—"where I'd lived for 13 years, gone to college, met my husband, built our careers, and wanted to grow our family"—for Washington state. She explained that just 48 hours after Idaho's ban took effect and "19 weeks into my pregnancy with my second child, we discovered that our baby had a severe, inoperable heart defect."
Tracy Young, "a first-generation American, a mother of four, and the co-founder of two technology companies," highlighted how abortion bans also outlaw proper treatment for people experiencing miscarriages. While she is based in San Francisco, California, Young began "losing a pregnancy I had deeply wanted" while traveling for work in Louisiana.
"Back home in California, my doctors told me that my body had not completed the miscarriage naturally. They prescribed misoprostol, and when that wasn't enough, performed a surgical procedure to prevent infection and complications," she said. "Today, abortion bans have made that same care illegal or heavily restricted in many states, including Louisiana where I miscarried."
Another business leader, Chris Webb, CEO and co-founder of ChowNow—an online ordering platform with offices in California and Missouri—publicly supported abortion access in 2019 by signing on to a coalition's "Don't Ban Equality" letter. After Roe's reversal, he sent out a company-wide email disclosing a girlfriend's abortion and offering to personally cover the travel costs of any employee who needed such care.
"Leaders owe employees honesty about where they stand—and action when basic rights are on the line," he said. "Abortion policies aren't just about healthcare. They're good for employers and good for people. When more companies speak up, there is safety in numbers. And in the long run, protecting your team protects your business—and is just the right thing to do."
"Reproductive rights are so crucial that Americans are uprooting their lives to ensure they have access to care."
The report's release coincided with the publication of a paper adapted from one prepared for the center by researchers who estimated "the market value of reproductive rights as capitalized into US housing markets."
The paper, published by the National Bureau of Economic Research, shows that "total abortion bans reduced rents by an average of 2.2% from July 2022 through June 2025, with the effect reaching 4.0% in the most recent year. Over the same horizon, bans increased rental vacancy rates by an average of 1.1 percentage points, with the effect reaching 1.8 percentage points in the most recent year. Estimates for home values and homeowner vacancy rates are similar in magnitude but less precise."
The center's senior director, Julia Taylor Kennedy, said that "the economic data and the firsthand accounts are telling the same story... Reproductive rights are so crucial that Americans are uprooting their lives to ensure they have access to care. That means that, for employers and policymakers, abortion bans carry measurable workforce and competitiveness implications."
Despite such findings, Republican state and federal policymakers continue to restrict reproductive freedom. In recent months, the Trump administration quietly imposed an abortion ban at the US Department of Veterans Affairs and expanded the global gag rule.
Meanwhile, at the state level last month, Tennessee Republicans introduced legislation to make abortion a capital offense, and a sheriff's office in South Carolina launched an investigation into a fetus, estimated to be just 13-15 weeks, found at a water treatment plant, highlighting the rising criminalization of pregnancy loss.
Last week, the Marion County Superior Court granted a permanent injunction preventing enforcement of Indiana's near-total abortion ban, and Republican Attorney General Todd Rokita swiftly appealed.
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Texas House Passes Attack on Mailed Abortion Pills That 'Will Fuel Fear' Nationwide
"Texas: Land of the free! Also Texas: We want you to surveil your neighbor, see if they've missed their period, snoop through their trash and mail, and sue whoever sent them medication abortion."
Aug 29, 2025
Republicans in the Texas House of Representatives on Thursday night advanced another anti-abortion bounty hunter bill, this one taking aim at medications mailed from states that support reproductive freedom so Texans can choose to end pregnancies.
House Bill 7 passed 82-48 along party lines during Texas' second special legislative session of the year. The proposal from state Rep. Jeff Leach (R-67) still needs approval from the Senate—which previously passed similar legislation—before it heads to the desk of Republican Gov. Greg Abbott. He has signed various attacks on reproductive rights, including Senate Bill 8, a 2021 state law that entices vigilantes with $10,000 bounties to enforce a six-week abortion ban.
Like S.B. 8, the new bill relies on lawsuits filed by private citizens. H.B. 7 would empower them to sue out-of-state healthcare providers, medication manufacturers, and anyone who mails or otherwise provides abortion pills to someone in the state for up to $100,000 in damages per violation—even if no abortion occurs. Under pressure from some anti-choice groups, Republicans added language allowing vigilantes to keep only $10,000; the rest would go to a charity they choose.
"It's designed to trap Texans into forced pregnancy," Shellie Hayes-McMahon, executive director of Planned Parenthood Texas Votes, told the Houston Chronicle. "Instead of fixing the crisis they (Texas lawmakers) manufactured, they're doubling down to punish anyone who dares to help a Texan. This bill is not about safety, it's about control."
Republicans in the Texas House have introduced another way to try to harm patients, providers, and manufacturers in the state. HB 7 would allow anyone to sue a manufacturer, distributor, or provider of medication abortion—even without proof of care being provided.
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— Reproductive Freedom for All (@reproductivefreedomforall.org) August 29, 2025 at 10:34 AM
The bill is part of a broader effort to stop the flow of abortion medications—mifepristone and misoprostol—into states that have ramped up restrictions in the wake of the U.S. Supreme Court's right-wing supermajority reversing Roe v. Wade in 2022.
As GOP lawmakers have worked to further restrict reproductive freedom, Democrat-controlled states have enacted "shield laws" to protect doctors and patients. Laws enabling telehealth abortions are key targets for Republican officials and far-right activists—including "anti-abortion legal terrorist" Jonathan Mitchell, the chief architect of S.B. 8 who's now representing a Texas man in a wrongful death case against a California doctor accused of providing pills that his girlfriend used to end her pregnancy.
The New York Times reported that "supporters hope and opponents fear" H.B. 7 "will serve as a model for other states to limit medication abortion by promoting a rash of lawsuits against medical providers, pharmaceutical companies, and companies such as FedEx or UPS that may ship the drugs."
Supporters and opponents also anticipate court battles over the bill itself. "Texas is sort of the tip of the spear," Marc Hearron, the associate director of litigation at the Center for Reproductive Rights, told the Times. "It's setting up a clash."
H.B. 7 is "pushing up against the limits of how much a state can control," Hearron added. "Each state can have its own laws, but throughout our history, we have been able to travel across the country, send things across the country."
Texas: Land of the free! Also Texas: We want you to surveil your neighbor, see if they've missed their period, snoop through their trash and mail, and sue whoever sent them medication abortion. https://bit.ly/4lM2sXF
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— Center for Reproductive Rights (@reprorights.org) August 28, 2025 at 4:45 PM
After Thursday's vote, Blair Wallace, policy and advocacy strategist on reproductive freedom at the ACLU of Texas, warned in a statement that "H.B. 7 exports Texas' extreme abortion ban far beyond state borders."
"It will fuel fear among manufacturers and providers nationwide, while encouraging neighbors to police one another's reproductive lives, further isolating pregnant Texans, and punishing the people who care for them," she said. "We believe in a Texas where people have the freedom to make decisions about our own bodies and futures."
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'Unconscionable': Trump Admin Blasted for Plan to Ban Abortions at VA Hospitals
"Those who fight for all our freedom must have the most basic freedom to control their own bodies and futures—and this rule robs them of it," said the head of Planned Parenthood Federation of America.
Aug 04, 2025
Advocates for veterans, reproductive rights campaigners, and Democrats in Congress on Monday continued to lambaste the Trump administration's quiet move to end abortion care for former U.S. service members and their relatives.
"Since taking office, the Trump administration has repeatedly attacked service members, veterans, and their families' access to basic reproductive care, including gender-affirming care," said Planned Parenthood Federation of America president and CEO Alexis McGill Johnson in a Monday statement.
Planned Parenthood and its leader have frequently criticized actions by President Donald Trump, including his signature on Republicans' recently passed budget reconciliation package that targets the group's clinics—which provide a range of healthcare services—by cutting them off from Medicaid funds if they continue to offer abortions.
"Those who fight for all our freedom must have the most basic freedom to control their own bodies and futures—and this rule robs them of it. Taking away access to healthcare shows us that the Trump administration will always put politics and retribution over people's lives," McGill Johnson said of the new proposal for veterans' care. "Planned Parenthood will never stop fighting to ensure everyone has access to the full spectrum of sexual and reproductive healthcare—no matter what."
The Trump Administration just moved to BAN abortion care for VETERANS, even in instances of rape and incest.This is just another attack on our veterans and reproductive health care.We owe it to our servicemembers to provide them the care they need.
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— Rep. Ted Lieu (@reptedlieu.bsky.social) August 4, 2025 at 1:06 PM
In the wake of the U.S. Supreme Court's 2022 reversal of Roe v. Wade, the Biden administration allowed the Department of Veterans Affairs to provide abortion counseling and care for service members and beneficiaries in cases of rape, incest, or if the pregnancy threatened the health of the patient. On Friday, the VA proposed a rule that would "reinstate the full exclusion on abortions and abortion counseling from the medical benefits package," and the Civilian Health and Medical Program.
The document says the VA would continue treating ectopic pregnancies and miscarriages, and would allow abortion care "when a physician certifies that the life of the mother would be endangered if the fetus were carried to term."
The proposal quickly drew rebuke from a range of critics, including U.S. lawmakers. Blasting the proposed rule as "disgusting and dangerous," Senate Veterans' Affairs Committee Ranking Member Richard Blumenthal (D-Conn.) said on social media Friday that the government "should not be able to impose a pregnancy on anyone—least of all survivors of rape, abuse, or those whose health is at risk."
Sen. Patty Murray (D-Wash.), who had advocated for the Biden administration's policy, declared Saturday that "Republicans don't care if your health is in danger, if you're a veteran, or if you've been raped—they want abortion outlawed everywhere, for everyone."
As the 30-day public comment period for the proposed rule began Monday, U.S. House Veterans' Affairs Committee Ranking Member Mark Takano (D-Calif.) warned that "stripping away access to essential reproductive healthcare at VA, the largest integrated healthcare network in the United States, puts veterans' lives at risk and violates the promise we made to them. Veterans have earned the right to healthcare. Full stop. This ban on reproductive healthcare will harm veterans and is dangerous."
The proposal makes clear that VA Secretary Doug Collins "is substituting his judgment for that of the hundreds of thousands of women veterans who have earned the freedom to make personal medical decisions in consultation with their providers," Takano said in a statement. "It also gags medical providers and does not allow them to provide complete and honest care to veterans who get their care from VA. Rolling back this rule is a direct attack on veterans' rights. It will jeopardize the lives of pregnant veterans across our country, especially those residing in states with total abortion bans and other reproductive healthcare restrictions, which have already led to preventable deaths."
Reproductive rights advocates have similarly weighed in over the past few days and highlighted the anti-choice state laws enacted since the Dobbs v. Jackson Women's Health Organization decision reversed Roe.
Katie O'Connor, senior director of federal abortion policy at the National Women's Law Center, said that "at a time when extremist lawmakers are passing cruel abortion bans and restrictions, this move only deepens the crisis those laws have created—stripping veterans of their reproductive freedom and creating even more confusion about where they can turn for care."
"Veterans already face unique challenges to their health and well-being, including experiencing PTSD, recovering from military sexual trauma, and facing an increased risk of suicide," she noted, referring to post-traumatic stress disorder. "Banning access to the full range of reproductive services, including abortion, further jeopardizes their health and safety. No one should have to travel hundreds of miles, endure financial hardship, or risk their health just to get the medical care they need. Our veterans deserve better."
Center for Reproductive Rights president and CEO Nancy Northup declared that "this administration is sending a clear message to veterans—that their health and dignity aren't worth defending. To devalue veterans in this way and take away life-changing healthcare would be unconscionable. This shows you just how extreme this administration's anti-abortion stance is—they would rather a veteran suffer severely than receive an abortion."
Dr. Raegan McDonald-Mosley, a practicing OB-GYN and CEO of Power to Decide, also warned that the new "needlessly cruel policy change," if it goes through as expected, will harm veterans and "once again betrays our nation's commitment to them."
"Since the Supreme Court overturned Roe v. Wade, 12 states have enacted total abortion bans, one additional state has no abortion clinics, and seven states have gestational restrictions often in effect so early that people don't even know they are pregnant," she explained. "All of this exacerbates an ongoing public health crisis. For some veterans, VA was the only place they were able to obtain abortion care in these states."
"Restrictions on abortion coverage—the effects of which fall hardest on people who already face unequal access to healthcare, including Black women, people of color, and people with low incomes—hinder a person's reproductive well-bring and deepen inequities," the doctor added. "Power to Decide condemns this policy and urges Congress to pass legislation to ensure all veterans have access to the abortion care they need when and where they need it."
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