U.S. Abortions Continue to Increase, Fueled by Telehealth and Shield State Providers

The number of abortions in the first half of 2024 was significantly higher than the same period for the previous two years—according to the Society of Family Planning’s eighth #WeCount report, released last week, which measures the number of abortions in the U.S. each month from April 2022 through June 2024.

There has been a 20.4 percent increase in just three years, despite abortion bans in 14 states and severe restrictions in many others. (And these numbers only include clinician-provided abortions—there are many more self-managed abortions occurring outside of the formal healthcare system.)

Massachusetts Abortion Provider Serves Patients Living in States Banning Abortion

Since Dobbs, an increasing number of abortion providers are providing telemedicine abortion services to women living in states banning abortion. 

Today there are four practices with over two dozen providers that provide telehealth abortion services to people in restrictive states. One of them is the Massachusetts Medication Abortion Access Project, called The MAP for short. Ms. spoke with the medical director of The MAP: Dr. Angel Foster, a Harvard-trained obstetrician/gynecologist and health sciences professor at the University of Ottawa, where she leads a large research group that’s dedicated to global abortion work. 

Healthcare Across Borders: Funding Telemedicine Abortion for People in Abortion-Ban States

“You can get on the phone with a doctor, and get abortion pills by mail within a few days,” said Healthcare Across Borders (HCAB) founder Jodi Jacobson—even in states with abortion bans.

HCAB has launched a new Abortion Pill Sustainability Fund to support shield-state clinicians serving patients in states banning abortion. Abortion services are provided to people located in states banning abortion from the six states with telemedicine provider shield laws: Massachusetts, Washington, Colorado, Vermont, New York and California.

Telehealth Providers Prepare for the Future

Providers of reproductive and gender-affirming care have long been pushing for an increase in the use of telemedicine. Patients want it too. Telehealth implementation comes with decreased costs, wait times and travel. For stigmatized issues like abortion and gender-affirming care, it also ensures patients and providers alike face less harassment and makes niche treatments more widely accessible.

To understand the telehealth landscape and how it impacts reproductive care, Ms. spoke with telehealth abortion, contraceptive, and gender-affirming care providers to understand how the fall of Roe has affected their work.

Telemedicine Abortion, Explained: The Ms. Q&A with Choix’s Cindy Adam

As abortion bans mount in states across the country in the wake of the Supreme Court’s overturning of Roe v. Wade, abortion seekers in states where the procedure is banned are increasingly turning to online telemedicine providers.

“It really helps to alleviate the stress and the barriers that come with accessing such a highly stigmatized and politicized form of care, even in the states where abortion care remains legal,” said Cindy Adam, co-founder and CEO of Choix, of telemedicine abortion. “It puts that power to decide back into the hands of the person seeking care.”

Groundbreaking Massachusetts Law Protects Telemedicine Abortion Providers Serving Patients Located in States Banning Abortion

Massachusetts just passed a sweeping new reproductive rights law. In addition to provider protections, it removes cost barriers to abortion care, expands access to third-trimester abortions in cases of grave fetal diagnosis, increases access to emergency contraception and medication abortion, and guarantees the right to gender-affirming care.

Mexican Telehealth Abortion Provider Now Serves U.S. Women: ‘We Are Here for You!’

In the wake of Dobbs, people living in states with abortion bans are finding creative ways to access abortion healthcare. For people living along the U.S. southern border, there’s a new option: Telefem—a telehealth abortion provider based in Mexico City that mails abortion pills to secure pickup locations along the U.S.–Mexico border for $150. Ms. magazine spoke with Telefem director and midwife Paula Rita Rivera about how Telefem works and why they began offering services to people from the United States.

“I want to say to the women out there: We are here for you! Don’t be afraid. We are with you till the end.”

In Absence of Roe, Healthcare Providers Have a Professional and Ethical Duty to Step Up

As the human rights crisis in the U.S. intensifies, every healthcare worker has a role in protecting people who need abortion care. We must empower ourselves, patients, and the public with accurate, actionable information to access the resources they need. Not acting in this crisis goes immediately against one of the first oaths we made joining the health professions: Do no harm.

Abortion Clinics’ Post-Roe Future: ‘We Will Be Forced to Close Our Doors Within 30 Days’

A decision in Dobbs v. Jackson Women’s Health Organization is due out any day, one that feminist organizers are now sure will reverse Roe v. Wade and strip millions of their longstanding right to abortion. Clinics in protected areas are bracing for an influx of patients while those in anti-abortion states are preparing to operate in a hostile environment — or shut down completely.

“We are aware that Washington and other states where abortion is legally protected are being seen as the safety net,” said clinic director Sanchez in Washington. “And honestly, the safety net has holes in it.”

Funding Abortion Pills By Mail: ‘Abortions Don’t Wait’

When the Supreme Court overturns Roe v. Wade later this month, clinics in states with legal abortion will be inundated with patients, creating long waits for in-clinic abortion care.

To address this anticipated influx of patients, California-based Women’s Reproductive Rights Assistance Fund (WRRAP) has created a new “abortion pills by mail” program to fund telehealth abortion providers in 20 states.