Abstract
Many people throughout the United States (U.S.) face financial, transportation, legal and other barriers to reaching an abortion facility. Access to abortion care is geographically inequitable. We have 27 abortion deserts, defined as major cities with no provider within 100 miles, mostly in the Midwest and South [ [1] Cartwright A.F. Karunaratne M. Barr-Walker J. Johns N.E. Upadhyay U.D. Identifying national availability of abortion care and distance from major us cities: systematic online search. J Med Internet Res. 2018; 20: e186 Crossref PubMed Scopus (56) Google Scholar ]. Traveling long distances for care poses challenges beyond extra time in transit, particularly for patients with low incomes. Longer travel distance means increased costs for gas or public transit fare, hotel, loss of wages from time off work, as well as childcare. These numerous barriers to accessing timely care could be mitigated with direct-to-patient telemedicine, with distribution of medications through the mail.
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