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According to new statistics from the Association of American Medical Colleges, for the second year in a row, students graduating from U.S. medical schools were less likely to apply this year for residency positions in states with abortion bans and other significant abortion restrictions.
Since the Supreme Court in 2022 overturned the constitutional right to an abortion, state fights over abortion access have created plenty of uncertainty for pregnant patients and their doctors. But that uncertainty has also bled into the world of medical education, forcing some new doctors to factor state abortion laws into their decisions about where to begin their careers.
Fourteen states, primarily in the Midwest and South, have banned nearly all abortions. The new analysis by the AAMC — a preliminary copy of which was exclusively reviewed by KFF Health News before its public release — found that the number of applicants to residency programs in states with near-total abortion bans declined by 4.2%, compared with a 0.6% drop in states where abortion remains legal.
Notably, the AAMC’s findings illuminate the broader problems abortion bans can create for a state’s medical community, particularly in an era of provider shortages: The organization tracked a larger decrease in interest in residencies in states with abortion restrictions not only among those in specialties most likely to treat pregnant patients, like OB-GYNs and emergency room doctors, but also among aspiring doctors in other specialties.
That’s because abortions and the procedures used for them are a necessary part of obstetrics care that every obstetrician needs to know to be competent in their field. Doctors don’t want to be in states where they can’t give the care that patients need, being forced to watch as they suffer knowing they could have been able to do something about it if not for the laws. And they especially don’t want to train in states where they won’t get exposure and training in all of their field. Many obgyn programs are now having to scramble and try to do things like add out of state rotations so that their trainees can still get some experience. Doctors especially don’t want to worry about being thrown in jail because ill informed prosecutors and members of the general public decided that a mother wasn’t critically ill enough to get her life saving abortion yet or some other nonsense.
There are more women going into medicine now then men. They understand how critically important access to abortion is, and that they may need one, potentially to protect their health or their ability to have more pregnancies in the future, even if it was a planned pregnancy they had every intention of carrying to term. And men of course have female loved ones they care about and want to have access to proper medical care as well. And every specialty has female patients that they want to have the best care in any eventuality.
Unfortunately abortion opponents have pushed many different fantasies about pregnancy and obstetrics, I think usually out of ignorance. But doctors are well educated on these matters. You’ll continue to see an exodus of trained medical professionals from these states, not just in obgyn but across all of medicine. And I think across all of medicine they see the writing on the wall, that republican states are determined to get more and more invasive in getting between patients and their doctors. I doubt it would stop at just banning abortions and transgender care if Republicans have their way, and people are already suffering across the country because of it.
https://www.npr.org/sections/health-shots/2023/05/23/1177542605/abortion-bans-drive-off-doctors-and-put-other-health-care-at-risk
https://www.theguardian.com/world/2022/oct/26/us-abortion-ban-providers-doctors-leaving-states
https://www.washingtonpost.com/business/2022/08/06/abortion-maternity-health-obgyn/
https://www.theguardian.com/us-news/2023/aug/22/abortion-idaho-women-rights-healthcare
https://www.usatoday.com/story/news/health/2023/09/29/abortion-new-doctors-avoid-conservative-states-survey-shows/70980770007/