Health Care Across Borders: Funding Telemedicine Abortion with mifepristone pills for People in Abortion-Ban States
“Many ask me ‘How can I support someone in Texas or Alabama needing an abortion?’” said Francine Coeytaux, public health expert. “My answer: Donate to the Abortion Pill Sustainability Fund.”
“Here someone gets care when they find out they’re pregnant, and they get it immediately. Rather than spending gobs of money for travel and later-term abortions because it takes so long to get everything together, telemedicine abortion is more cost effective and it doesn’t delay people’s abortions. And it reduces the number of later abortions.”
“The beauty of it is that telemedicine abortion pills are far cheaper and easier than traveling to a clinic to get abortion pills,” said Jacobson. “You can get on the phone with a doctor, and get abortion pills by mail within a few days.”in the first six months of 2023, from 40,600 in half of 2020 to 92,100 in the first half of 2023. Many of these people traveled to obtain abortion pills from a clinic.
“This is a sort of reverse abortion fund of the kind that we’re used to where individuals have to go out and find the money in order to get care,” explained Jacobson. “This is the doctor saying I’m giving you care, no matter what, and I will deal with reimbursement later. It doesn’t put the onus on people to get funds for the care they need when they need it.”
This is the doctor saying: I’m giving you care, no matter what, and I will deal with reimbursement later.“This is an innovation we should have pushed long ago because more people would have had access to abortion a long time ago,” said Jacobson. “We didn’t, but now we’re in a place where these bans are forcing a sea change in the field. More people are now getting care when they otherwise couldn’t.
One telemedicine abortion provider from Aid Access expressed frustration that traditional abortion funds won’t support their work or even list this more affordable option on their websites. “We’re like the unwanted stepchild of the repro field, being shield providers and doing telehealth. It’s just crazy to me how people don’t get what this can do.”, but these funds do not support clinicians providing telemedicine abortion care to people living in states with abortion bans.
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