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Abortion bans reduce access to all maternal healthcare

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President Donald Trump and Amy Coney Barrett stand on the Blue Room Balcony after Supreme Court Justice Clarence Thomas administered the Constitutional Oath to her on the South Lawn of the White House White House in Washington, Monday, Oct. 26, 2020. Barrett was confirmed to be a Supreme Court justice by the Senate earlier in the evening. (AP Photo/Patrick Semansky)

As part of a larger article about the brain drain that is happening from every Republican-controlled state except Texas, Timothy Noah observes that OB-GYNs are fleeing the Dobbs states:

The Dobbs Fourteen made it nearly impossible to get an abortion, as intended. But they simultaneously made it much more difficult for a pregnant woman to give birth, because abortion bans drove OB-GYN like Kate Arnold and Caroline Flint away.

It was hard enough for red states to hold onto their OB-GYNs even before Dobbs. A little more than one-third of all counties nationwide are “maternity care deserts,” typically in rural areas, with no hospitals or birthing centers that offer obstetric care and no individual obstetric providers (not even midwives), according to the March of Dimes. This data was collected before the Supreme Court overturned Roe. But even then, those states with the most restrictive abortion laws invested the least in maternal care, affirming former Representative Barney Frank’s memorable complaint that for conservatives “life begins at conception and ends at birth.”

Maternity care deserts are typically in rural areas, not all of which impose strict abortion restrictions. But they’re much more common in states that imposed abortion restrictions after Dobbs, representing 39 percent of all counties in those states, compared to 25 percent in states that imposed no abortion restrictions. Texas has, after California, the highest GDP of any state. Yet 46.5 percent of its counties are maternity care deserts; for some women, the nearest birthing hospital is a 70-minute drive from their home. In some states, including Oklahoma and Mississippi, the majority of counties are maternity care deserts.

Where resources are inadequate for giving birth, infant mortality tends to be high. Among the Dobbs Fourteen, all but Idaho, North Dakota, and Texas have infant-mortality rates higher than the (shockingly high) national average of 5.42 deaths per 1,000 births. In some of these states, infant mortality is substantially higher. In Mississippi, it’s 9.39 deaths per 1,000 births. In Oklahoma, it’s 7.13 deaths per 1,000 births.

Abortion bans both control the sexuality of women and reduce access to healthcare with sometimes fatal consequences. In terms of the policy preferences of most contemporary Republicans, this is known as a “win-win.”

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