The United States finds itself in a transformed landscape for reproductive healthcare following a pivotal Supreme Court verdict in June 2022. 

The ruling overturned the long-standing Roe v. Wade decision, fundamentally altering the way American women access abortion care. A year after this landmark shift, the repercussions are becoming increasingly evident.

Many American women now grapple with the reality of arranging costly journeys to states where abortion procedures remain legal. Conservative-leaning states have celebrated the reversal of Roe v. Wade, enacting strict bans and restrictions on abortion. 

Meanwhile, liberal states have moved to safeguard women’s reproductive rights.

Comprehensive national abortion statistics in the US are challenging to obtain due to the fragmented nature of data collection, with abortion services provided by a range of medical facilities and organizations. However, a recent study by the Guttmacher Institute, a prominent reproductive health research and advocacy group, has shed light on emerging trends.

The Guttmacher study highlights a notable increase in abortion rates in states neighboring those with stringent abortion laws. For instance, New Mexico, which shares borders with Texas and Oklahoma, both states with abortion bans, reported a staggering 220 percent increase in abortions in 2023 compared to 2020. 

Similarly, Illinois, situated near states like Indiana and Missouri with restrictive policies, saw a 69 percent surge. Colorado, surrounded by conservative neighbors like Wyoming, Utah, Kansas, and Nebraska, reported an 89 percent increase in abortion rates.

The National Abortion Federation has also noted this trend, documenting a significant rise in people seeking abortion care outside their home states. Financial assistance requests for travel-related expenses surged by 235 percent from July 2022 to May 2023 compared to the previous year.

In situations where travel is not an option, some women are turning to abortion pills. The demand for these pills from abroad has soared since the Roe v. Wade decision was overturned. 

To address this growing need, several liberal states like New York and Massachusetts have enacted “shield laws” designed to protect healthcare professionals who provide abortion pills from legal prosecution.

However, the need to travel for abortion care imposes substantial logistical and financial burdens on women. These burdens include taking time off work, arranging childcare, and covering the expenses of travel and accommodation.

As the data scientist Isaac Maddow-Zimet from the Guttmacher Institute points out, multiple factors may contribute to the increase in abortion numbers. 

These factors range from pre-existing restrictions in certain states to improved accessibility of abortion services in rural areas. 

Nonetheless, one clear trend emerges: women in states with abortion bans or restrictions are increasingly crossing state lines in pursuit of their reproductive choices, enduring both financial and emotional costs in this evolving legal landscape.