If Roe is overturned, the economic toll for women is ‘potentially devastating,’ advocates say
Parker Dockray has heard the budget trade-offs before: Does the cash go toward groceries, bills or rent? Or does it pay for an abortion?
She’s heard from the parents who already know the costs involved in raising a child — on the financial, time, emotional and career fronts — and say it’s a commitment they are not prepared to make. But the Supreme Court’s conservative majority appears poised to overturn the ruling and leave decisions on abortion access in the hands of state legislators and voters, according to a leaked draft opinion. More than 20 states already have statutes regulating abortion access, and many have “trigger laws” ready to ban abortion if Roe is overturned.
Median out-of-pocket charges for medication abortion, which is now estimated to make up more than half of all U.S. abortions, rose from $495 to $560 between 2017 and 2020, according to research published last month in the journal Health Affairs. The median charges for first-trimester procedural abortion increased from $475 to $575, while charges for second-trimester abortion declined from $935 to $895. The share of clinics accepting insurance ticked down from 89% to 80%.
There’s “a substantial body of well developed and credible research that shows that abortion legalization and access in the United States has had — and continues to have — a significant effect on birth rates as well as broad downstream social and economic effects, including on women’s educational attainment and job opportunities,” according to an amicus brief 154 economists submitted last year to the underlying Supreme Court case involving Mississippi’s 15-week abortion ban.
Compared to counterparts who did receive abortions, the “turnaway group” of 180 women faced a 78% increase in past-due debts in the following five years, as well as “an 81% increase in public records related to bankruptcies, evictions, and court judgments,” the amicus brief said. “The potential overturn of Roe ‘will also dramatically impact the ability of women to participate fully in the American economy by reducing their labor-force participation, cutting into their earnings, and increasing turnover.’”
There is, regrettably, a “motherhood penalty” forcing too many women to choose between career, earnings and children, said Teresa Collett, an author on the anti-abortion amicus brief and a professor at the University of St. Thomas who directs the school’s Prolife Center — but an abortion isn’t the solution, she said. Indeed, life post-Roe would “actually incentivize both the state and federal government to get serious about pregnancy discrimination,” Collett said.
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