Between March 2018 and March 2020, 57,506 people from all 50 states requested self-managed medication abortion through Aid Access.
Among the requests, 73.5% said they were specifically seeking self-managed abortion because they were unable to afford in-clinic care. An abortion can cost as much as $1,500, according to Planned Parenthood, and that number varies widely based on what form of abortion and if a patient has insurance that covers the procedure. Under the Hyde Amendment, federal Medicaid does not cover abortion, although some states have different rules.
In-person abortion care can also incur other costs due to the heavy restrictions around the health care procedure, such as transportation, child care and lodging, especially if a state requires a patient do two office visits over multiple days.
The next most common reasons individuals sought self-managed medication abortion were privacy, for 49.3% of respondents, and distance from a clinic, for 40.4% of respondents.