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Undue Burden Beyond Texas: An Analysis of Abortion Clinic Closures, Births, and Abortions in Wisconsin

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  • Joanna Venator
  • Jason Fletcher

Abstract

In this paper, we estimate the impacts of abortion clinic closures on access to clinics in terms of distance and congestion, abortion rates, and birth rates. Between 2010 and 2017, Wisconsin passed three laws regulating abortion providers and two of five abortion clinics closed in Wisconsin, increasing the distance to the nearest clinic to 55 miles on average and to over 100 miles in the most affected counties. We use a difference‐in‐differences design to estimate the effect of changes in travel distance on births and abortions, using within‐county variation across time in distance to identify the effect. We find that a 100‐mile increase in distance to the nearest clinic is associated with 30.7 percent fewer abortions and 3.2 percent more births. We see no significant effect of increased congestion at remaining clinics on abortion rates. Interacting the legislative changes with distance, we find that the effects of distance on abortion are approximately 1.33 time stronger in the presence of laws requiring multiple physician visits to obtain an abortion. Our results suggest that even small numbers of clinic closures can result in significant restrictions to abortion access of similar magnitude to those seen in Texas where a greater number of clinics ceased operations.

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  • Joanna Venator & Jason Fletcher, 2021. "Undue Burden Beyond Texas: An Analysis of Abortion Clinic Closures, Births, and Abortions in Wisconsin," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 40(3), pages 774-813, June.
    • Handle: RePEc:wly:jpamgt:v:40:y:2021:i:3:p:774-813
    DOI: 10.1002/pam.22263
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    Cited by:

    1. Sarah Miller & Laura R. Wherry & Diana Greene Foster, 2023. "The Economic Consequences of Being Denied an Abortion," American Economic Journal: Economic Policy, American Economic Association, vol. 15(1), pages 394-437, February.
    2. Martha J. Bailey & Lea Bart & Vanessa Wanner Lang, 2022. "The Missing Baby Bust: The Consequences of the COVID-19 Pandemic for Contraceptive Use, Pregnancy, and Childbirth Among Low-Income Women," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 41(4), pages 1549-1569, August.
    3. Myers, Caitlin Knowles, 2021. "Measuring the Burden: The Effect of Travel Distance on Abortions and Births," IZA Discussion Papers 14556, Institute of Labor Economics (IZA).
    4. Dench, Daniel & Pineda-Torres, Mayra & Myers, Caitlin Knowles, 2023. "The Effects of the Dobbs Decision on Fertility," IZA Discussion Papers 16608, Institute of Labor Economics (IZA).
    5. Clarke, Damian & Mühlrad, Hanna, 2021. "Abortion laws and women’s health," Journal of Health Economics, Elsevier, vol. 76(C).
    6. Altındağ, Onur & Joyce, Theodore, 2022. "Another day, another visit: Impact of Arkansas’ mandatory waiting period for women seeking an abortion by demographic groups," Journal of Public Economics, Elsevier, vol. 213(C).
    7. Caterina Muratori, 2021. "The Impact of Abortion Access on Violence Against Women," Economics Discussion Papers em-dp2021-03, Department of Economics, University of Reading.
    8. Andersen, Martin & Bryan, Sylvia & Slusky, David, 2020. "COVID-19 Surgical Abortion Restriction Did Not Reduce Visits to Abortion Clinics," IZA Discussion Papers 13832, Institute of Labor Economics (IZA).
    9. Jenny A. Higgins & Madison Lands & Taryn M. Valley & Emma Carpenter & Laura Jacques, 2021. "Real-Time Effects of Payer Restrictions on Reproductive Healthcare: A Qualitative Analysis of Cost-Related Barriers and Their Consequences among U.S. Abortion Seekers on Reddit," IJERPH, MDPI, vol. 18(17), pages 1-11, August.
    10. Bethany G. Everett & Jessica N. Sanders & Jenny A. Higgins, 2023. "Abortion Policy Context in Adolescence and Men’s Future Educational Achievement," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 42(3), pages 1-20, June.
    11. Gábor Hajdu & Tamás Hajdu, 2021. "The long-term impact of restricted access to abortion on children’s socioeconomic outcomes," PLOS ONE, Public Library of Science, vol. 16(3), pages 1-14, March.
    12. Martin Andersen & Sylvia Bryan & David Slusky, 2020. "COVID-19 Restrictions Reduced Abortion Clinic Visits, Even in Blue States," NBER Working Papers 28058, National Bureau of Economic Research, Inc.
    13. Myers, Caitlin Knowles, 2021. "Cooling off or Burdened? The Effects of Mandatory Waiting Periods on Abortions and Births," IZA Discussion Papers 14434, Institute of Labor Economics (IZA).

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    More about this item

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • I28 - Health, Education, and Welfare - - Education - - - Government Policy
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • J18 - Labor and Demographic Economics - - Demographic Economics - - - Public Policy

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