How Far is Too Far? New Evidence on Abortion Clinic Closures, Access, and Abortions

Working Paper: NBER ID: w23366

Authors: Jason M. Lindo; Caitlin Myers; Andrea Schlosser; Scott Cunningham

Abstract: We document the effects of abortion-clinic closures on clinic access, abortions, and births using variation generated by a law that shuttered nearly half of Texas' clinics. Increases in distance have significant effects for women initially living within 200 miles of a clinic. The largest effect is for those nearest to clinics for whom a 25-mile increase reduces abortion 10%. We also demonstrate the importance of congestion with a proxy capturing effects of closures which have little impact on distance but which reduce clinics per-capita. These effects account for 59% of the effects of clinic closures on abortion.

Keywords: Abortion; Clinic Closures; Access; Congestion

JEL Codes: I11; I12; J13; K23


Causal Claims Network Graph

Edges that are evidenced by causal inference methods are in orange, and the rest are in light blue.


Causal Claims

CauseEffect
abortion clinic access (J13)abortion rates (J13)
25-mile increase in distance to the nearest clinic (I14)abortion rate (J13)
congestion (L91)abortion rates (J13)
increased travel distances (R41)abortion rates (J13)
clinic closures (J65)congestion (L91)
congestion (L91)delayed abortions (J13)
clinic closures (J65)self-induced abortions (J13)
missing abortions (J13)birth rates (J11)

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