Even before Roe v. Wade was overturned in 2022, many U.S. women lived far from a clinic where they could get abortion pills. Now, a new study suggests that telemedicine can help fill that gap.
clinic in Washington state, where abortion was legal at the time of the study and remains so. But even in states where abortion is available, experts said, women can face obstacles—distance from a brick-and-mortar clinic being one.Researchers found that among more than 1,200 women who received abortion pills from the clinic, those who lived farther away were particularly likely to opt for aappointment.
Then came the pandemic. In response, the U.S. Food and Drug Administration relaxed the rules to allow patients to receive abortion pills by mail, following a telemedicine consult. That change was made permanent in December 2021.abortion, which is approved for use through the 10th week of pregnancy. In theory, underserved lower-income women would benefit the most.
Dr. Mai Fleming is a fellow with the nonprofit Physicians for Reproductive Health and a provider with Hey Jane, an online clinic that offers medication abortion in certain states. However, telemedicine has its own access issues. Some women in the study were less likely than others to use it—including those who were Black, younger than 30, or not native English speakers.can make telemedicine hard for patients who are not proficient in English. Meanwhile, she said, it's possible that some Black patients are less trustful of telemedicine than their white counterparts, due to negative experiences with the health care system in general.
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