For more than a year, abortion clinics in New Mexico, Kansas and Colorado have been flooded with Texans seeking care. Now, those clinics are bracing as an Amarillo court ruling threatens access to medication abortion nationwide.
Paper bags containing the medication used for a medical abortion for patients who will be having abortions at Trust Women clinic in Oklahoma City on Dec. 6, 2021. Of the 20 abortions performed that day, 17 of the patients came from Texas., The Texas Tribune’s daily newsletter that keeps readers up to speed on the most essential Texas news.
Medication abortion is less labor- and time- intensive than surgical procedures, allowing clinics to treat more patients and better absorb the deluge of need from Texas and the 12 other states that have almost totally banned abortion. The Food and Drug Administration recently began allowing the medication to be prescribed by telehealth providers and mailed to patients, which has streamlined operations further.
Mifepristone, when used alongside misoprostol, is the most common way Americans terminate pregnancies. Many studies, as well as 23 years of use on the market, have proven it to be safe and effective at terminating pregnancies. The majority of their patients come from out of state, mostly from Texas, and the majority opt for medication rather than a surgical procedure. Zachary Gingrich-Gaylord, a spokesperson for the clinic, said the 5th Circuit’s proposal would likely be unworkable for their patients.
“It will make waits longer,” Hagstrom Miller said. “Doing medication abortion by mail allowed us to free up the clinic space for people that either preferred or needed to have an in-clinic abortion, so those are the things we’re paying attention to.” If mifepristone becomes further restricted, or moved off the market entirely, clinics that serve Texans say they are preparing to continue to offer misoprostol-only medication abortions. While misoprostol can be taken alone to terminate a pregnancy, it’s overall less effective and can cause greater side effects than when it’s taken alongside mifepristone.
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