ArticlePerspectives on sexual and reproductive health2024
"Trust Women": Characteristics of and learnings from patients of a Shield Law medication abortion practice in the United States.
Article in Perspectives on sexual and reproductive health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Price Is a Feature of Person-Centered Abortion Care.Journal of medical Internet research · 2026Article
- Access to Abortion for US Military Service Members in 2024 After theAmerican journal of public health · 2026Article
- Knowledge of Remote Medication Abortion Among Patients Traveling From States That Restrict Abortion.JAMA network open · 2026Article
- "Trust Women": Characteristics of and learnings from patients of a Shield Law medication abortion practice in the United States.Perspectives on sexual and reproductive health · 2024Article
- Making sense of the economics of abortion in the United States.Perspectives on sexual and reproductive health · 2024Article
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Authors and funding
8 authors.
Funding
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Abstract
introductionThe 2022 Massachusetts Shield Law protects telemedicine providers who care for abortion seekers in other states from criminal, civil, and licensure penalties. In this article we explore the characteristics of patients of The Massachusetts Medication Abortion Access Project (The MAP).
methodsThe MAP is an asynchronous telemedicine service that offers mifepristone/misoprostol to abortion seekers in all 50 states who are at or under 11 weeks pregnancy gestation on initial intake. The MAP charges USD250 using a pay-what-you-can model. We analyzed medical questionnaires and payments submitted by patients who received care from The MAP during its first 6 months of operations using descriptive statistics and for content and themes.
resultsFrom October 1, 2023-March 31, 2024, 1994 patients accessed care through The MAP. Almost all (n = 1973, 99%) identified as women/girls and about half (n = 984, 49%) were aged 20-29. The MAP cared for patients in 45 states; 84% (n = 1672) of these patients received pills in abortion ban or restricted southern states. Patients paid USD134.50 on average; 29% (n = 577) paid USD25 or less. Nearly two-thirds (n = 1293, 65%) received subsidized care; financial hardship featured prominently in patient comments. DISCUSSION: Considerable demand exists for medication abortion care from Shield Law providers. The MAP demonstrates that providers can trust women and other pregnancy capable people to decide for themselves whether to obtain medication abortion pills by mail and to pay what they can afford without being required to justify their need. Identifying ways to support Shield Law provision and further subsidize abortion care are needed.
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