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What The Possible End Of Abortions In Missouri Means For Neighboring States

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ST. LOUIS — As the final abortion clinic in Missouri warned that it must cease offering the process as quickly as Friday, abortion suppliers in surrounding states mentioned they’re anticipating an uptick of much more Missouri sufferers.

At Hope Clinic in Granite City, Ill., simply 10 minutes from downtown St. Louis, Deputy Director Alison Dreith mentioned Tuesday her clinic was making ready for extra sufferers as information about Missouri unfold.

“We’re really scrambling today about the need for increased staff and how fast can we hire and train,” Dreith mentioned.

And at a Trust Women clinic in Wichita, Kan., that already has to fly in medical doctors, the workers didn’t know what it might imply for his or her overloaded affected person schedule.

“God forbid we see that people can’t get services in Missouri,” mentioned Julie Burkhart, Trust Women founder and CEO. “What is that going to mean on our limited physician days?”

If St. Louis’ Planned Parenthood clinic is unable to supply abortions, the group mentioned, Missouri can be the one state within the nation to not have an working abortion clinic. Five different states — Kentucky, Mississippi, North Dakota, South Dakota and West Virginia — reportedly have only one abortion clinic. And 90% of U.S. counties didn’t have an abortion clinic as of 2014, in keeping with the Guttmacher Institute, a reproductive rights analysis and advocacy group.

For some, this echoes again to the times earlier than abortion was legalized nationwide in 1973 with the Supreme Court’s Roe v. Wade determination, when sufferers who might afford to journey would go to extra liberal states like California or New York the place abortion was authorized.

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But suppliers in Kansas and Illinois say this inflow from Missouri isn’t new. About half of their clients already come from the Show Me State. To the south, in neighboring Arkansas, the place a 72-hour ready interval will go into impact in July, the vast majority of its patients nonetheless stay inside the state.

Over the previous 10 years, 4 Missouri abortion clinics have closed due to elevated laws, together with a compulsory 72-hour ready interval after receiving counseling on abortion, thus requiring two journeys to a facility; necessities that physicians have hospital admitting privileges within 15 minutes of their clinics; and a rule requiring two-parent notification for minors and one-parent notarized consent. All these limits left one clinic in downtown St. Louis to serve the entire state.

Now Planned Parenthood, which operates that ultimate abortion clinic, mentioned Tuesday will probably be compelled to finish its abortion companies altogether by Friday if the state suspends its license. The closure shouldn’t be associated to new anti-abortion legal guidelines that Missouri Gov. Mike Parson, a Republican, signed final week to ban most abortions after eight weeks of being pregnant. The new legal guidelines don’t take impact till August.

Already the variety of sufferers in Missouri searching for an abortion on the clinic from April 2018 till this April had dropped by 50% in contrast with the identical interval the earlier yr. Planned Parenthood spokesman Jesse Lawder attributes two-thirds of the lower to the clinic’s refusal to do pelvic exams for abortions carried out via treatment — not too long ago required by the state — thus forcing all such abortions to be performed out of state.

For Dreith, whereas she expects the Missouri numbers to proceed to develop at her Illinois clinic throughout the Mississippi River, it’s not the one state sending sufferers her method.

“Patients were literally coming to us from the last remaining clinics in Kentucky … so that they wouldn’t get past 24 weeks,” Dreith mentioned. “We don’t want these patients in surrounding states traveling [to] New York [or] California like they once had to.”

That’s the way it was previous to the Roe v. Wade ruling, in keeping with Mary Ziegler, a professor on the Florida State University College of Law who’s writing her third e book on the historical past of the authorized battle round abortion entry. She anticipates the sample of privilege will repeat itself.

“You would still expect women with resources to be able to travel as far as they needed,” she mentioned. “And you would expect women without resources to not be able to travel. … The more the court retreats from protecting abortion rights, the more stark those differences will become.”

For Dreith, the historic comparability to the pre-Roe period rings true, albeit with improved medical practices.

There are safer, simpler and more practical methods to carry out abortions now than the “horror tales that we noticed pre-Roe,” mentioned Dreith. “But I think the travel will be one of the huge throwbacks and the scariest part will be the criminalization.”

States similar to Missouri might really feel stress to start out arresting girls who carry out their very own abortions with tablets at house or journey out of state, Ziegler mentioned. But, she mentioned, “punishing women isn’t something that’s thought to be very popular.”

Use Our Content This story might be republished totally free (details).

[Update: The headline on this story was updated on May 29 to clarify the status of the clinic in St. Louis. Planned Parenthood says it may have to stop providing abortions at that location if its license is pulled.]

Lauren Weber: LaurenW@kff.org”>LaurenW@kff.org, @LaurenWeberHP

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