Abstract

The rate and number of induced abortions in the US has declined steadily for nearly three decades. In contrast to this overall reduction, Planned Parenthood Federation of America abortion providers exhibit a persistent increase in both abortions and their market share percentage of total abortion procedures. For the period 1995-2014, estimated annual and cumulative excess abortions are calculated (Planned Parenthood Abortion Inflation Effect—PPAIE) to indicate the number of abortions which would have been averted if the PP utilization experience had been identical to that of Non-PP abortion providers. PP excess abortions grew steadily each year from 21,000 in 1996 to 258,200 in 2014, 28% of total abortions that year. The cumulative number of abortions added by the PPAIE from 1995-2014 was 3,025,560 or 12.5% of the 24,112,600 performed. Planned Parenthood has had a long-term and accelerating inflationary effect on the incidence and prevalence of abortion in the US.

Highlights

  • Providers can use their discretionary power to engage in demand inducement activities which can alter the volume of services delivered [1] [2] [3]

  • For the period 1995-2014, estimated annual and cumulative excess abortions are calculated (Planned Parenthood Abortion Inflation Effect—PPAIE) to indicate the number of abortions which would have been averted if the PP utilization experience had been identical to that of Non-PP abortion providers

  • Estimated annual and cumulative excess abortions are calculated to indicate the number of abortions which would have been averted if the PP utilization experience had been identical to that of the Non-PP providers

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Summary

Introduction

Providers can use their discretionary power to engage in demand inducement activities which can alter the volume of services delivered [1] [2] [3]. Sensitive services are likely to be discretionary in nature; i.e. those for which there is a wide range of choice as to whether or not the service is provided [4]. One important indication of extant supply induced demand (SID) is high small area variation rates for the service [5]. While the number and rate of abortions in the US has consistently declined for nearly three decades, Planned Parenthood (PP) abortion providers have maintained an consistent, but starkly contrarian, pattern of rising abortion utilization

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