Geography is one of the barriers to reproductive care in Alaska. Even people in remote areas who choose to end their pregnancies with the pill usually travel because Planned Parenthood doesn’t prescribe it by mail, even though that is legal.
Bristelle Larsen lives in Dillingham. Twenty years ago, she became pregnant.
She worked seasonally between fish processing in Dillingham and operating ski lifts in Girdwood—jobs that require physical labor that she couldn’t manage pregnant or with an infant. So, she chose to have an abortion. She said a medication abortion, known as the abortion pill, wasn’t an option for her at that time because she didn’t live close enough to Anchorage. Her doctor didn’t want to send her hundreds of miles back to Dillingham where they couldn’t check on her. But she said she could see some benefits.
That was almost 20 years ago, but the trip would be the same today. More than a quarter of people who seek abortions in Alaska travel more than 30 miles for care, according to Planned Parenthood. In rural communities off the road system, people sometimes have to fly hundreds of miles to the nearest city.Abortion is legal in Alaska, but doctors and advocates say it is not equitable or accessible because of the state’s geography and large rural population.
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