Picture a map of the United States. It’s 2022, and in southern states like Texas and Tennessee, there are clusters of black dots that represent independent clinic closures. These are abortion care black holes: communities where it’s no longer possible to get an abortion at a nearby clinic.
Fast forward to present. It’s 2026, four years after the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization, and black dots have multiplied in states across the country. It no longer matters if the state is red or blue, governed by conservatives or progressives. None are immune to the increasing weight of political pressure, financial strain and operational difficulty that are forcing independent clinics to close or stop providing abortion care.
Each of these black dots is a community suffering a healthcare crisis, and they are proliferating across the United States at a rapid rate.
Independent clinics are often the only places to get clinical abortion care, unbiased information and support for pregnancy options. They are where people go to feel safe and respected, whether they are getting an abortion, continuing a pregnancy or getting gender-affirming care. In small towns and rural spaces, these clinics are often the only safe place for many people, especially those who are LGBTQIA+. If clinics close, there is often nowhere else to go.
And once abortion clinics close, it’s not as simple as reopening when they can, if they can. Even if a specific restriction is lifted, severe financial constraints, continued political hostility, threats of violence and legal uncertainty still stand.
