In the years since Roe was overturned, physicians across a wide range of medical specialties have described how abortion bans are undermining their ability to follow evidence-based standards of care. Dermatologists, oncologists, neurologists, cardiologists and others told Physicians for Human Rights (PHR) that they are regularly forced to alter treatment plans, delay urgent care or avoid prescribing the most effective medications simply because those treatments could harm a pregnancy. These constraints are creating a chilling effect that reaches far beyond reproductive health and into the everyday practice of medicine.
As PHR’s Michele Heisler and Payal Shah explained, abortion bans are also fueling discriminatory care. Reproductive-age women are routinely denied the best available treatments, while men with the same conditions face no such barriers. Even within the group of reproductive-age women, clinicians are making decisions based on subjective judgments about a patient’s “contraceptive reliability”—a practice that opens the door to bias and disproportionately harms marginalized patients.
This two-tiered system of care is not hypothetical: It is already shaping medical decision-making in ban states, with dangerous consequences for patients’ health and lives.











