The simplicity of Trump’s phrasing belies the logistical and financial nightmare that traveling for an abortion has been for many women in states with restrictive laws. There’s no need to engage in hypotheticals to see how this would play out. In 2013, Texas passed tough restrictions on abortion clinics, which were struck down by the Supreme Court this summer. In the intervening years, the law caused the number of abortion clinics in the state to dwindle from 41 in 2012 to just 17 in 2015, and the distance to an abortion clinic for the average county to shoot up from 72 to 111 miles.
A University of Texas group called the Texas Policy Evaluation Project began tracking women’s experiences in trying to get an abortion under these conditions. Late last year, the researchers found between 100,000 and 240,000 Texas women had, over the course of their lifetimes, induced their own abortions—mostly by taking an abortifacient pill, but also by other means, including “getting hit or punched in the abdomen.”
In March, the team found women whose nearest clinic had closed had to travel nearly four times as far for an abortion, 85 miles on average. Women living in an area with a closed clinic spent more and were more likely to say it was “somewhat or very hard” to get to their appointment. Women became less likely to get medical abortions, which are often safer and can be performed earlier in the pregnancy than surgical abortions.
Most recently, the TxPep researchers performed 20 interviews with women they met at 10 abortion clinics across Texas in 2014, before the abortion restrictions were struck down. The women faced steep hurdles at every turn, they found, from making the appointment, to getting to the clinic, to covering the logistics for the multiple visits the state’s laws required. The majority had to make several calls before they could find an open clinic, and one woman had to drive 300 miles to the nearest doctor. Many had to ask friends or relatives for gas money. One had her van break down, forcing her to take a “combination of cab, city bus, and Greyhound bus,” to the clinic. Half the women were already mothers, so they had to ask someone else to watch their kids while they traveled, violating their rights to medical privacy.
And this wasn’t even a state that had outlawed abortions. It was just a really big state that made it so abortion clinics were much fewer and further between.
This isn’t a Texas-specific phenomenon. When researchers asked women who sought abortions at 30 different clinics around the country, “Did anything slow you down and prevent you from getting to the [clinic] earlier in your pregnancy?” for a 2014 study, cost and distance were the top reasons the women cited. The procedure and related expenses cost, on average, a third of their monthly personal income. And compared to women who were able to terminate their pregnancies, women deterred from procuring an abortion because of its cost were more likely to be out of work, on government assistance, and living in poverty a year later.