(C) Common Dreams
This story was originally published by Common Dreams and is unaltered.
. . . . . . . . . .



How Florida’s abortion law is affecting East Coast abortion clinics [1]

['Caitlin Gilbert', 'Caroline Kitchener', 'Janice Kai Chen']

Date: 2024-05-24

Survey offers first-of-its-kind look at practical impact of Florida law that banned most abortions on May 1.

Clinics up the East Coast have seen a surge in patient traffic since a law banning most abortions in Florida went into effect on May 1 — but so far they have not experienced the collapse in care that many providers had feared before the new restrictions began in the country’s third most populous state, according to new data collected by a research team at Middlebury College.

Wait times for abortion appointments have increased at approximately 30 percent of clinics across North Carolina, Virginia, Maryland and Washington, D.C., the areas closest to Florida where abortion remains legal after six weeks of pregnancy, according to the data, which is based on a survey of clinics before and after the law went into effect. North Carolina experienced the sharpest increases, with wait times rising in half of the state’s 16 clinics.

Residents in Florida and across the South face far longer wait times since new law Counties in red depict where residents who are farther than six weeks into their pregnancies will struggle the most to get an abortion appointment. Percent of facilities with no appointments available within two weeks 1% 50% 100% 0% Less availability Ban on all or most abortions Ban on abortions after 12 weeks APRIL Before Florida’s ban Penn. W. Va. Va. Ky. N.C. Tenn. S.C. Ga. Ala. Fla. MAY After Florida’s ban Penn. W. Va. Va. Ky. N.C. Tenn. S.C. Ga. Ala. Fla. Note: Only clinics in D.C., Florida, Georgia, North Carolina, Maryland, South Carolina and Virginia were surveyed in May. Some counties outside the states surveyed are shown because the nearest abortion clinic is located in one of the seven jurisdictions included in the study. Residents in Florida and across the South face far longer wait times since new law Counties in red depict where residents who are farther than six weeks into their pregnancies will struggle the most to get an abortion appointment. Percent of facilities at nearest urban area with no appointments available within two weeks 100% 0% 1% 50% Less availability Ban on all or most abortions Ban on abortions after 12 weeks APRIL MAY After Florida’s ban Before Florida’s ban Penn. Penn. W. Va. W. Va. Va. Va. Ky. Ky. N.C. N.C. Tenn. Tenn. S.C. S.C. Ga. Ga. Ala. Ala. Fla. Fla. Note: Only clinics in D.C., Florida, Georgia, North Carolina, Maryland, South Carolina and Virginia were surveyed in May. Some counties outside the states surveyed are shown because the nearest abortion clinic is located in one of the seven jurisdictions included in the study. Residents in Florida and across the South face far longer wait times since new law Counties in red depict where residents who are farther than six weeks into their pregnancies will struggle the most to get an abortion appointment. Percent of facilities at nearest urban area with no available appointments within two weeks 100% 0% 1% 50% Less availability Ban on all or most abortions Ban on abortions after 12 weeks APRIL MAY Before Florida’s ban After Florida’s ban Penn. Penn. W. Va. W. Va. Va. Va. Ky. Ky. N.C. N.C. Tenn. Tenn. S.C. S.C. Ga. Ga. Ala. Ala. Fla. Fla. Note: Only clinics in D.C., Florida, Georgia, North Carolina, Maryland, South Carolina and Virginia were surveyed in May. Some counties outside the states surveyed are shown because the nearest abortion clinic is located in one of the seven jurisdictions included in the study.

The average Florida resident now lives about 590 miles from the nearest clinic that offers abortions after six weeks and will need to wait nearly 14 days to end her pregnancy past that point — up from an average 20-mile drive and five-day wait before the ban, the data shows.

The study is a first-of-its-kind look at the practical impact of the new law in a state where 80,000 abortions had taken place each year. The survey was conducted by Caitlin Myers, a professor of economics at Middlebury College in Vermont and a team of undergraduate students, who systematically collected data from 130 clinics in six states and D.C. for the date of their next available appointment for an abortion after the six-week mark.

Although the survey offers only one window into the effect of the law, clinic directors and staff said it matched their own observations in the weeks since Florida banned most abortions on May 1.

Many said fewer Florida women appeared to be leaving the state for abortion care than was widely expected — a finding they largely attributed to increasing availability of telemedicine and abortion pills, in addition to long driving distances that may leave some women feeling they have no choice but to carry their unwanted pregnancy. At least 8,000 women every month are now obtaining abortion pills through the mail in states with strict abortion bans or significant restrictions in place, according to a recent study by the Society of Family Planning.

“Driving distance and appointment availability remain salient components of abortion access, but less so than they were three years ago,” said Myers, who has spent years quantifying the changing landscape of abortion access.

Advertisement

“Telehealth is really a game changer for abortion access,” she said. “But it might be a fragile one.”

Abortion pills have become a major target for many antiabortion advocates frustrated that studies show abortion numbers have continued to rise since Roe v Wade was overturned. A court challenge seeking to restrict access to the pills, brought by a major antiabortion group, is currently pending before the Supreme Court, with a decision expected by late June.

Eileen Diamond, who runs an abortion clinic in Florida in the Fort Lauderdale area, said patients she has seen since the ban took effect have been extremely reluctant to leave the state if they are still within the 10-week window for taking abortion pills recommended by the U.S. Food and Drug Administration. Especially relatively early in pregnancy, she said, many experience “this feeling of disbelief” when they’re told they have to travel at least three states away to get an abortion.

“It’s very daunting for them,” said Diamond. “We are seeing a lot of patients turning to finding alternate ways to get pills by mail.”

Myers began conducting surveys of wait times at regular intervals at over 700 clinics across the United States in March 2022, anticipating that Roe would fall that summer. The results have helped illustrate the changing landscape of abortion access in the two years since.

As soon as Texas enacted its six-week “heartbeat ban” in the fall of 2021 — outlawing most abortions nine months before the fall of Roe — Texas patients quickly overwhelmed clinics in Oklahoma, Kansas and New Mexico, many of which had wait times of several weeks or ran out of appointments altogether, Myers said.

Before the Texas law, approximately 50,000 abortions occurred in the state every year — significantly fewer than had been performed annually in Florida. Despite those numbers, Myers said, “we’re not seeing that level of shock to access with the Florida ban.”

Advertisement

The reason, she said: “a general awareness” of medication and telehealth abortion.

“There are many more options to obtain the pills quickly and cheaply than there used to be,” Myers said.

Since last summer, U.S.-based doctors have been mailing thousands of pills into antiabortion states under “shield laws” recently enacted in a handful of blue states, designed to protect doctors from prosecution. Women in antiabortion states are also accessing pills through at least 25 nonmedical websites and several community-based networks that distribute the pills free.

Amy Hagstrom Miller, who leads Whole Woman’s Health, a national network of abortion clinics, opened a new clinic in New Mexico after she was forced to shutter several clinics in Texas when Roe was overturned. The deluge of patients she expected from antiabortion states at that clinic, along with other clinics elsewhere, has yet to materialize, she said.

“We prepared for more of a surge than we’ve seen in any of our clinics,” she said. At her new clinic in New Mexico, which borders Texas, she said, “we’re not even close to capacity.”

With the help of state and national abortion funds, which provide financial support to people seeking abortions, advocates have been able to book flights for patients who want to leave the state for an abortion, Diamond said. Some have been able to fly to D.C. in the morning, have their procedure and return home that night.

Advertisement

For others, travel is more difficult. Several patients she has seen since the ban took effect have not been able to fly because they don’t have valid identification, Diamond said. Others can’t leave because they can’t miss work or don’t have anyone to help with child care.

A Washington Post analysis found that, in total, about 7 million women of reproductive age in Florida and surrounding states will now have to travel longer to receive abortions after six weeks of pregnancy. The average affected woman saw a drive time increase of more than seven hours, analysis using data from OpenStreetMap shows. The group includes an outsize number of Black women and poor women, compared with the United States as a whole.

Diamond recounted that one of her patients recently arrived in Fort Lauderdale after driving 18 hours from Houston. She had not heard about the new six-week ban, Diamond said, and was already nine weeks pregnant.

“This woman was desperate,” Diamond said. “She had used everything she had to come to us.”

In the end, she drove on for at least 12 hours from Fort Lauderdale to Virginia, Diamond said — and was planning to drive another 17 hours home after the procedure.

APRIL Before Florida’s ban Before the Florida ban, a Houston resident would have driven 18 hours to get an abortion. MISS. ALA. GA. LA. TEXAS Houston FLA. 300 MILES Fort Lauderdale MAY After Florida’s ban In May, a woman drove from Houston to Fort Lauderdale to get an abortion, having not heard about the ban. She drove on for at least 12 hours to a clinic in Virginia for the procedure. Virginia KAN. MO. KY. N.C. TENN. OKLA. S.C. ARK. ALA. MISS. GA. LA. TEX. Houston FLA. The total drive time was at least 48 hours. Fort Lauderdale Note: The nearest abortion clinic to Fort Lauderdale is located in Danville, Va. The exact clinic where this patient received the procedure is unknown. Route is based on a Google Maps estimate of driving directions. APRIL Before Florida’s ban MISS. ALA. GEORGIA LA. 300 MILES TEXAS Houston FLA. Before the Florida ban, a Houston resident would have driven 18 hours to get an abortion. Fort Lauderdale MAY After Florida’s ban In May, a woman drove from Houston to Fort Lauderdale to get an abortion, having not heard about the ban. She drove on for at least 12 hours to a clinic in Virginia for the procedure. KANSAS Virginia MO. KY. N.C. TENN. OKLAHOMA S.C. ARK. ALA. MISS. GEORGIA LA. 300 MILES TEXAS Houston FLA. The total drive time was at least 48 hours. Fort Lauderdale Note: The nearest abortion clinic to Fort Lauderdale is located in Danville, Va. The exact clinic where this patient received the procedure is unknown. Route is based on a Google Maps estimate of driving directions.

North Carolina, where abortion is legal until 12 weeks of pregnancy, is the closest state that offers abortions beyond Florida’s six-week limit. But another law, which requires patients to wait at least 72 hours between an initial in-person consultation with a doctor and the procedure, can make traveling there logistically difficult.

One Florida patient recently traveled 23 hours on a Greyhound bus for a consultation appointment at A Woman’s Choice in Charlotte, according to Lakeynn Huffman, the clinic manager — returning home that night because she could not find child care to cover the full 72 hours she had to wait between appointments.

The woman made the same trip two days later, Huffman said — traveling for a total of 92 hours to get an abortion.

APRIL Before Florida’s ban Before the ban, a Jacksonville area resident would have been able to remain in the city for an abortion procedure. Jacksonville FLORIDA Orlando 100 MILES Tampa MAY After Florida’s ban The patient instead traveled this route to Charlotte twice — first for a consultation appointment, then for the abortion procedure two days later. NORTH CAROLINA Charlotte S.C. Atlanta GEORGIA She traveled for a total of 92 hours by bus. Jacksonville FLORIDA Orlando Tampa Note: Route based on a Google Maps estimate of driving directions. APRIL MAY Before Florida’s ban After Florida’s ban Before the ban, a Jacksonville area resident would have been able to remain in the city for an abortion procedure. The patient instead traveled this route to Charlotte twice — first for a consultation appointment, then for the abortion procedure two days later. TENN. NORTH CAROLINA NORTH CAROLINA Charlotte Charlotte SOUTH CAROLINA S.C. Columbia Atlanta Atlanta GEORGIA GEORGIA She traveled for a total of 92 hours by bus. 100 MILES Jacksonville Jacksonville FLORIDA FLORIDA Orlando Orlando Tampa Tampa Note: Route based on a Google Maps estimate of driving directions.

Ordering pills online can be a nerve-racking experience for some patients, Diamond said.

“They’re worried the pills won’t get there, worried they don’t have a clinic to back them up,” she said.

Nearly three weeks since the new ban took effect, Diamond said she has started hearing from far fewer patients in the second trimester, which begins at 13 weeks of pregnancy, beyond the FDA’s 10-week limit for taking abortion pills.

“They’re not coming to clinic. They’re not calling about travel,” she said.

Many, she said, may now assume there is nothing they can do in the face of a six-week ban.

“I think they are carrying these pregnancies,” she said.

Clara Ence Morse contributed to this report.

[END]
---
[1] Url: https://www.washingtonpost.com/nation/2024/05/24/abortion-clinics-wait-time-florida-law/

Published and (C) by Common Dreams
Content appears here under this condition or license: Creative Commons CC BY-NC-ND 3.0..

via Magical.Fish Gopher News Feeds:
gopher://magical.fish/1/feeds/news/commondreams/