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

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.