This Map Depicts Abortion Access Across America and It’s Really Bleak

Twenty-seven major cities in the country are 100 miles or more from their nearest abortion provider.

It’s not just rural women who must travel long distances to get an abortion. Researchers mapped out 780 abortion facilities across America in a new study out Monday and found that 27 major cities are 100 miles or more from their nearest abortion provider. The South and the Midwest have the largest “abortion deserts,” according to the study.

For instance, residents of Kentucky, Mississippi, Missouri, North Dakota, South Dakota, and West Virginia are all limited to one in-state abortion facility, researchers from UC Berkeley and UC San Francisco found. The 27 “abortion deserts”—defined as major cities with populations over 50,000 where residents would have to travel 100 miles or more to get an abortion—include places like Chattanooga, Tenn.; Green Bay, Wisc.; and Springfield, Mo.

The worst major city for abortion access is Rapid City, South Dakota, where women must travel 318 miles to get an abortion.

Distance to nearest abortion facility in the US

UCSF, UC Berkeley

The study, published in the Journal of Medical Internet Research, is certainly bleak, but the results are far from unexpected. Between 2011 and 2014, the number of abortion clinics in the US dropped by 22 percent in the Midwest, 13 percent in the South, and six percent nationwide. Currently, about 90 percent of US counties lack an abortion provider.

“We were able to see what the average person sees when they set out to seek abortion care,” Ushma Upadhyay, an associate professor of Obstetrics, Gynecology, and Reproductive Sciences at UC San Francisco, and an author on the study, tells Mother Jones in an email. “There are huge parts of the country where the distance to the closest provider poses a massive barrier to getting an abortion.”

In California, the team counted 152 abortion facilities, the largest number of any state in the US. Maine had the greatest access per person, at one clinic for every 13,905 women. By contrast, Missouri, which is already known for its restrictive abortion laws, has the worst abortion access of any continental state, at about 1.4 million women per facility.

“Access to transportation is a barrier for people seeking all types of health care, in both urban and rural settings,” the authors write. “Lower-income women who are unable to access a car or money for gas may have to travel by bus, train, or other forms of transportation, which also becomes more difficult the farther they have to travel.”

There’s no clear solution on the horizon.

“As states continue to pass, implement, and defend restrictions on abortion,” the authors write, “it is possible that the number of abortion facilities will continue to decrease in those states with the most restrictions.”

Image credit: Cartwright AF, Karunaratne M, Barr-Walker J, Johns NE, Upadhyay UD
Identifying National Availability of Abortion Care and Distance From Major US Cities: Systematic Online Search
J Med Internet Res 2018;20(5):e186

FACT:

Mother Jones was founded as a nonprofit in 1976 because we knew corporations and the wealthy wouldn't fund the type of hard-hitting journalism we set out to do.

Today, reader support makes up about two-thirds of our budget, allows us to dig deep on stories that matter, and lets us keep our reporting free for everyone. If you value what you get from Mother Jones, please join us with a tax-deductible donation today so we can keep on doing the type of journalism 2019 demands.

We Recommend

Latest

Give a Year of the Truth

at our special holiday rate

just $12

Order Now

Sign up for our newsletters

Subscribe and we'll send Mother Jones straight to your inbox.

Support our journalism

Help Mother Jones' reporters dig deep with a tax-deductible donation.

Donate

We have a new comment system! We are now using Coral, from Vox Media, for comments on all new articles. We'd love your feedback.