scholarly journals The economic context of pursuing online medication abortion in the United States

2021 ◽  
Vol 1 ◽  
pp. 100003
Author(s):  
Dana M. Johnson ◽  
Melissa Madera ◽  
Rebecca Gomperts ◽  
Abigail R.A. Aiken
2017 ◽  
Author(s):  
Alice F Cartwright ◽  
Mihiri Karunaratne ◽  
Jill Barr-Walker ◽  
Nicole E Johns ◽  
Ushma D Upadhyay

BACKGROUND Abortion is a common medical procedure, yet its availability has become more limited across the United States over the past decade. Women who do not know where to go for abortion care may use the internet to find abortion facility information, and there appears to be more online searches for abortion in states with more restrictive abortion laws. While previous studies have examined the distances women must travel to reach an abortion provider, to our knowledge no studies have used a systematic online search to document the geographic locations and services of abortion facilities. OBJECTIVE The objective of our study was to describe abortion facilities and services available in the United States from the perspective of a potential patient searching online and to identify US cities where people must travel the farthest to obtain abortion care. METHODS In early 2017, we conducted a systematic online search for abortion facilities in every state and the largest cities in each state. We recorded facility locations, types of abortion services available, and facility gestational limits. We then summarized the frequencies by region and state. If the online information was incomplete or unclear, we called the facility using a mystery shopper method, which simulates the perspective of patients calling for services. We also calculated distance to the closest abortion facility from all US cities with populations of 50,000 or more. RESULTS We identified 780 facilities through our online search, with the fewest in the Midwest and South. Over 30% (236/780, 30.3%) of all facilities advertised the provision of medication abortion services only; this proportion was close to 40% in the Northeast (89/233, 38.2%) and West (104/262, 39.7%). The lowest gestational limit at which services were provided was 12 weeks in Wyoming; the highest was 28 weeks in New Mexico. People in 27 US cities must travel over 100 miles (160 km) to reach an abortion facility; the state with the largest number of such cities is Texas (n=10). CONCLUSIONS Online searches can provide detailed information about the location of abortion facilities and the types of services they provide. However, these facilities are not evenly distributed geographically, and many large US cities do not have an abortion facility. Long distances can push women to seek abortion in later gestations when care is even more limited.


2015 ◽  
Vol 58 (1) ◽  
pp. 157-182
Author(s):  
MOSHIK TEMKIN

AbstractThis article analyses the historical conditions for, and implications of, the attitudes and conduct of a number of prominent or influential public intellectuals in the United States during the Great War. It argues that many intellectuals, particularly those who supported American entry to the war, shared a general lack of concern with the realities of full-scale warfare. Their response to the war had little to do with the war itself – its political and economic causes, brutal and industrial character, and human and material costs. Rather, their positions were often based on their views of culture and philosophy, or on their visions of the post-war world. As a result, relatively few of these intellectuals fully considered the political, social, and economic context in which the catastrophe occurred. The war, to many of them, was primarily a clash of civilizations, a battle of good versus evil, civilized democracy versus barbaric savagery, progress versus backwardness, culture versus kultur. The article describes several manifestations of American intellectual approaches to the war, discusses the correlation between intellectual and general public attitudes, and concludes with some implications for thinking about the relationship between intellectuals and war in more recent American history.


2005 ◽  
Vol 25 (1) ◽  
pp. 1-3 ◽  
Author(s):  
RICHARD ROSE

The Internet is a global phenomenon, but the way in which national governments respond to it varies with the political, social and economic context of a country. However, much that is written about the Internet and governance concentrates on a few advanced industrial societies, and especially the United States. Yet the federal and fragmented system of governance in the United States creates obstacles to the use of the Internet, while smaller countries from Estonia to Singapore produce innovations in e-governance. Moreover, even though the United States has more Internet users than any other country today, the growth points in the use of the Internet in the next few years will occur in radically different places, ranging from Russia and Brazil to India and China.


2017 ◽  
Vol 27 (1) ◽  
pp. 101-113 ◽  
Author(s):  
Linda J Beckman

In the United States, abortion rates have been falling for several decades while attitudes have remained relatively stable. Given this background, this paper examines the current status of the fluid and contentious US abortion debate. Five relevant questions are examined: (1) What is responsible for the new wave of restrictive laws and what are their effects? (2) What is most likely responsible for changes in abortion rates? (3) What are the effects of the addition of medication abortion into the mix of abortion services? (4) What forces continue to fuel economic, geographic and racial/ethnic disparities in access to abortion services? (5) Why have gay rights been embraced by a majority of the US public and supported in legislation and judicial decisions, while during this same time period abortion rights have stagnated or declined? It is crucial for feminists to continue to promote the cause of abortion and other reproductive rights. Most important, however, is a focus on broader social issues for women (e.g., adequate education, affordable day care) and the underlying causes of unequal power in society.


PLoS ONE ◽  
2017 ◽  
Vol 12 (10) ◽  
pp. e0186487 ◽  
Author(s):  
Heidi E. Jones ◽  
Katharine O’Connell White ◽  
Wendy V. Norman ◽  
Edith Guilbert ◽  
E. Steve Lichtenberg ◽  
...  

2018 ◽  
Vol 50 (4) ◽  
pp. 157-163 ◽  
Author(s):  
Abigail R.A. Aiken ◽  
Kathleen Broussard ◽  
Dana M. Johnson ◽  
Elisa Padron

2020 ◽  
Vol 110 (1) ◽  
pp. 90-97 ◽  
Author(s):  
Abigail R. A. Aiken ◽  
Jennifer E. Starling ◽  
Alexandra van der Wal ◽  
Sascha van der Vliet ◽  
Kathleen Broussard ◽  
...  

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