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The Costs of Restricting Abortion? More Than $130 Billion Per Year.

Three years after the Supreme Court overruled Roe v. Wade, a new analysis estimates the economic cost of abortion bans.Aashish Kiphayet/Sipa/AP

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When the US Supreme Court decided to overrule Roe v. Wade three years ago, the ruling had sweeping consequences for public health, making pregnancy much riskier, leading to the preventable deaths of pregnant women, and causing a spike in infant mortality. Now, research suggests the country has also suffered hundreds of billions of dollars in economic losses, with the ripple effects being felt in abortion-friendly and -hostile states alike.

A new analysis by the Institute for Women’s Policy Research (IWPR), a DC-based think tank, estimates that the 16 states with total or near-total abortion bans have sustained more than $64 billion in economic losses annually since the Dobbs v. Jackson Women’s Health Organization decision in June 2022. That’s enough to cover the average estimated health care costs related to pregnancy, childbirth, and the postpartum period for nearly all of the 3.6 million births that occurred in the US last year, the IWPR fact sheet says.

Nationwide, the Dobbs decision that overruled Roe has led to a staggering $133 billion in economic losses each year, IWPR estimates. Beyond the 16 state bans, the loss of federal protections that Roe offered, plus restrictions in other states that reduce abortion access—such as mandatory pre-abortion counseling and waiting periods, restrictions on providers, and gestational limits—have had an enormous economic toll, the think tank says. The restrictions keep more than a half million women out of the labor force each year, with Black women and Latinas suffering the greatest impacts, according to IWPR’s analysis.

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