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Even before the Dobbs ruling, more Americans were traveling for abortions

Volunteer clinic escorts shield a patient from anti-abortion activists outside the Hope Clinic For Women in Granite City, Illinois, last month. Clinics in states like Illinois, which has less restrictive laws, have been reporting an influx of patients from neighboring states.
Angela Weiss
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AFP via Getty Images
Volunteer clinic escorts shield a patient from anti-abortion activists outside the Hope Clinic For Women in Granite City, Illinois, last month. Clinics in states like Illinois, which has less restrictive laws, have been reporting an influx of patients from neighboring states.

Even before last month's Supreme Court decision overturning Roe v. Wade, a growing number of people were traveling across state lines for abortions.

Nearly 1 in 10 abortions in 2020 were provided to patients who'd crossed state lines, according to a report released Thursday by the Guttmacher Institute. That's up from 6% in 2011. As the report notes, the increase occurred as a growing number of states were passing abortion restrictions.

Interstate travel for abortion is expected to continue to increase as more states enact abortion bans in response to the Dobbs v. Jackson Women's Health Organization decision, issued on June 24.

"These are a baseline for the changes that we expect to see and already are seeing as much more restrictions are occurring in the wake of Dobbs," said Isaac Maddow-Zimet, who co-authored the report for Guttmacher, a research group that supports abortion rights.

Maddow-Zimet notes that the report looks at data from both before Dobbs and before the implementation of SB 8, an abortion ban that took effect in Texas in September 2021.

Already, clinics in states like Colorado and Illinois, which have less restrictive laws, have been reporting an influx of patients from neighboring states.

The report looked at not only where abortions were provided but also where patients were from.

It found that abortion restrictions did not necessarily translate to fewer abortions. In Missouri, for example, the number of abortions provided there dropped significantly between 2017 and 2020. During the same period, the abortion rate for residents increased by 18% when out-of-state abortions were taken into account.

"We're going to see more and more of those kinds of situations, as more and more states put bans in place, where most residents are going to have to travel out of state for care," Maddow-Zimet said.

Guttmacher examined data from sources including the Centers for Disease Control and Prevention, state health departments and its own survey of abortion providers. The report did not capture self-induced abortions, which many experts predict will become increasingly common, particularly for people in states with abortion bans.

Copyright 2022 NPR. To see more, visit https://www.npr.org.

Sarah McCammon
Sarah McCammon is a National Correspondent covering the Mid-Atlantic and Southeast for NPR. Her work focuses on political, social and cultural divides in America, including abortion and reproductive rights, and the intersections of politics and religion. She's also a frequent guest host for NPR news magazines, podcasts and special coverage.