International Travel to Access Abortion Is a Global Health Problem—Not a Solution

Healthcare seekers desperate for help may seek out unregulated, cheaper and potentially more dangerous international medical travel options. These patients may be less protected by local policy and laws than what they are accustomed to in the U.S. and, in some cases, may find themselvesof inadequate blood screening, outdated medications, and poor infection control.

Additionally, having to travel internationally for an abortion leaves people without clear access to post-operative care. Thus, where an abortion procedure performed elsewhere may have been safe, a critical lack of recovery services at home, or lack of insurance coverage for recovery care, will leave individuals who have terminated a pregnancy abroad vulnerable to infection, sepsis and even death.

Broader research on international medical travel also clarifies the potential for international abortion care markets to exacerbate the inequalities that pregnant and birthing people experience in their own communities. , for example, policy failures deny local women access to the pro-natal technologies and services that have been built for international clientele. For many Indian surrogates, their first experience with medicalized birth is for their surrogate pregnancies, not their own.

More broadly, international medical travel undermines global health equity efforts to extend life-saving expertise where it is most needed, as opposed to where it is most afforded. The creation of medical travel markets facilitatesin developing countries, as skilled care providers leave in search of higher incomes in countries where demand and ability to pay are high. This thwarts healthcare provision in under-resourced communities already overburdened by conditions of ill-health and disease.

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