So many abortion clinics have closed

Most of them are in Texas.

More than half of the 23 abortion clinics in Texas have closed since the U.S. Supreme Court overturned Roe v. Wade in June, according to a new report.

Twelve clinics have shuttered their operations entirely in the state, and the rest have focused on other services, which could include cancer screenings, STI treatments and contraception, according to the review by the Guttmacher Institute, which studies reproductive health access. The count did not include a list of clinics that have closed.

Nearly half of the 26 abortion clinics that have closed nationally since the court’s decision were in Texas, according to the report.

[…]

In the wake of the Supreme Court decision, which lifted federal abortion protections, several independent abortion providers announced they were relocating their Texas operations to states where the procedure is still allowed. Whole Woman’s Health, which is moving its Texas operations to New Mexico, had worked in Texas for nearly 20 years, with clinics in Austin, McAllen, Fort Worth, and McKinney before this summer.

Whole Woman’s Health now offers a program in which Texas patients who are up to 11 weeks pregnant can go to New Mexico or four other states for a telemedicine appointment and pick up prescribed abortion medication in that state. It also plans to open a physical clinic in New Mexico and is in the process of searching for a building.

“We know the same amount of people in the community we serve still need abortion care,” said Amy Hagstrom Miller, the group’s founder and CEO. “The ban doesn’t do anything to prevent unplanned pregnancies; it just keeps people from getting professional medical care.”

Two things to keep in mind here. One is that the number of clinics in Texas at the time of the Dobbs decision was already way down from the early 2010s. This is because of the the anti-abortion law that was passed in 2013, the one that Wendy Davis famously filibustered against, which was aimed at regulating clinics out of business; this was a prime example of a so-called TRAP law, which stood for “targeted restrictions (or regulations) on abortion providers”. You know, the law that forced abortion clinics to transform themselves into ambulatory surgical units and did things like require minimum corridor widths, under the bullshit guise of “safety”. The Supreme Court in 2015, which still had Anthony Kennedy on it, threw out this law on the grounds that it was a lying pile of baloney that did nothing to actually promote safety and put an “undue burden” on the providers. (The case was Whole Women’s Health v Hellerstedt, you may have heard of it.) For a brief shining moment, clinics and abortion advocates in Texas began making plans to sue the state over other restrictive laws that this decision would have rendered unconstitutional.

And then 2016 happened, and we know the rest. But the point is that in between the passage of the 2013 TRAP law and the 2015 Hellerstedt decision, more than half of the clinics that had provided abortions in Texas had closed. None, as far as I know, had reopened following Hellerstedt, though going by the numbers in both stories it’s likely some new places began offering abortion services. However you slice it, the number of clinics that were around to close this year was down sharply from less than ten years ago. We were already a state where getting an abortion was exceedingly difficult to do for many women.

What this all means is that even if Democrats manage to fill the inside straight and put themselves in a position to re-establish abortion rights nationwide in 2023, we’re a long way off from abortion being readily available in Texas again. That process could take a decade or more, and that’s assuming that Republicans don’t gain a trifecta and do a national abortion ban or some other horrible thing. We have some hope of making the laws right again. Getting back to where we were, let alone where we need to be, that is a much longer-term project. Daily Kos has more.

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