IDEAS home Printed from https://ideas.repec.org/p/pra/mprapa/119872.html
   My bibliography  Save this paper

Negative supply shocks and delayed health care: evidence from Pennsylvania abortion clinics

Author

Listed:
  • Hall, Andrea

Abstract

In 2011, Pennsylvania passed regulations requiring abortion-providing facilities to meet ambulatory surgical facility standards, which ultimately caused the closure of almost half of the state's abortion facilities. All closing facilities were geographically near facilities that remained open, meaning distance to the nearest clinic was unchanged while local clinic capacity fell. I use a difference-in-differences design supplemented with a synthetic control method and find that reduced clinic capacity caused 20-30 percent fewer abortions in the first 8 weeks of gestation and more abortions at later gestational ages. While evidence suggests births may have increased slightly, the main impact closures had on local women was a delay in abortions.

Suggested Citation

  • Hall, Andrea, 2023. "Negative supply shocks and delayed health care: evidence from Pennsylvania abortion clinics," MPRA Paper 119872, University Library of Munich, Germany.
  • Handle: RePEc:pra:mprapa:119872
    as

    Download full text from publisher

    File URL: https://mpra.ub.uni-muenchen.de/119872/1/MPRA_paper_119872.pdf
    File Function: original version
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Sylvain Weber & Martin Péclat, 2017. "A simple command to calculate travel distance and travel time," Stata Journal, StataCorp LP, vol. 17(4), pages 962-971, December.
    2. Martha J. Bailey & Brad Hershbein & Amalia R. Miller, 2012. "The Opt-In Revolution? Contraception and the Gender Gap in Wages," American Economic Journal: Applied Economics, American Economic Association, vol. 4(3), pages 225-254, July.
    3. Abadie, Alberto & Diamond, Alexis & Hainmueller, Jens, 2010. "Synthetic Control Methods for Comparative Case Studies: Estimating the Effect of California’s Tobacco Control Program," Journal of the American Statistical Association, American Statistical Association, vol. 105(490), pages 493-505.
    4. Jason M. Lindo & Caitlin Knowles Myers & Andrea Schlosser & Scott Cunningham, 2020. "How Far Is Too Far? New Evidence on Abortion Clinic Closures, Access, and Abortions," Journal of Human Resources, University of Wisconsin Press, vol. 55(4), pages 1137-1160.
    5. Fischer, Stefanie & Royer, Heather & White, Corey, 2018. "The impacts of reduced access to abortion and family planning services on abortions, births, and contraceptive purchases," Journal of Public Economics, Elsevier, vol. 167(C), pages 43-68.
    6. Jones, R.K. & Jerman, J., 2017. "Population group abortion rates and lifetime incidence of abortion: United States, 2008–2014," American Journal of Public Health, American Public Health Association, vol. 107(12), pages 1904-1909.
    7. Stefanie Fischer & Heather Royer & Corey White, 2017. "The Impacts of Reduced Access to Abortion and Family Planning Services: Evidence from Texas," Working Papers 1705, California Polytechnic State University, Department of Economics.
    8. repec:mpr:mprres:7281 is not listed on IDEAS
    9. Joanna Venator & Jason Fletcher, 2021. "Undue Burden Beyond Texas: An Analysis of Abortion Clinic Closures, Births, and Abortions in Wisconsin," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 40(3), pages 774-813, June.
    10. Silvie Colman & Ted Joyce, 2011. "Regulating abortion: Impact on patients and providers in Texas," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 30(4), pages 775-797, September.
    11. Martha J. Bailey, 2006. "More Power to the Pill: The Impact of Contraceptive Freedom on Women's Life Cycle Labor Supply," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 121(1), pages 289-320.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Sarah Miller & Laura R. Wherry & Diana Greene Foster, 2023. "The Economic Consequences of Being Denied an Abortion," American Economic Journal: Economic Policy, American Economic Association, vol. 15(1), pages 394-437, February.
    2. Clarke, Damian & Mühlrad, Hanna, 2021. "Abortion laws and women’s health," Journal of Health Economics, Elsevier, vol. 76(C).
    3. Joanna Venator & Jason Fletcher, 2021. "Undue Burden Beyond Texas: An Analysis of Abortion Clinic Closures, Births, and Abortions in Wisconsin," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 40(3), pages 774-813, June.
    4. Lindo, Jason M. & Pineda-Torres, Mayra, 2021. "New Evidence on the Effects of Mandatory Waiting Periods for Abortion," Journal of Health Economics, Elsevier, vol. 80(C).
    5. Hill, Elaine L. & Slusky, David J.G. & Ginther, Donna K., 2019. "Reproductive health care in Catholic-owned hospitals," Journal of Health Economics, Elsevier, vol. 65(C), pages 48-62.
    6. Kelly, Andrea & Lindo, Jason M. & Packham, Analisa, 2020. "The power of the IUD: Effects of expanding access to contraception through Title X clinics," Journal of Public Economics, Elsevier, vol. 192(C).
    7. Fischer, Stefanie & Royer, Heather & White, Corey, 2018. "The impacts of reduced access to abortion and family planning services on abortions, births, and contraceptive purchases," Journal of Public Economics, Elsevier, vol. 167(C), pages 43-68.
    8. Zandberg, Jonathan, 2021. "Family comes first: Reproductive health and the gender gap in entrepreneurship," Journal of Financial Economics, Elsevier, vol. 140(3), pages 838-864.
    9. Steinhauer, Andreas & Bíró, Anikó & Dieterle, Steven, 2019. "Motherhood Timing and the Child Penalty: Bounding the Returns to Delay," CEPR Discussion Papers 13732, C.E.P.R. Discussion Papers.
    10. Dench, Daniel & Pineda-Torres, Mayra & Myers, Caitlin, 2024. "The effects of post-Dobbs abortion bans on fertility," Journal of Public Economics, Elsevier, vol. 234(C).
    11. Theodore J. Joyce & Robert Kaestner & Jason Ward, 2020. "The Impact of Parental Involvement Laws on the Abortion Rate of Minors," Demography, Springer;Population Association of America (PAA), vol. 57(1), pages 323-346, February.
    12. Martin Andersen & Sylvia Bryan & David Slusky, 2020. "COVID-19 Restrictions Reduced Abortion Clinic Visits, Even in Blue States," NBER Working Papers 28058, National Bureau of Economic Research, Inc.
    13. Myers, Caitlin Knowles, 2021. "Measuring the Burden: The Effect of Travel Distance on Abortions and Births," IZA Discussion Papers 14556, Institute of Labor Economics (IZA).
    14. Yao Lu & David J. G. Slusky, 2019. "The Impact of Women's Health Clinic Closures on Fertility," American Journal of Health Economics, University of Chicago Press, vol. 5(3), pages 334-359, Summer.
    15. Martha J. Bailey & Jason M. Lindo, 2017. "Access and Use of Contraception and Its Effects on Women’s Outcomes in the U.S," NBER Working Papers 23465, National Bureau of Economic Research, Inc.
    16. Theodore J. Joyce & Robert Kaestner & Jason Ward, 2019. "The Impact of Parental Involvement Laws on Minor Abortion," NBER Working Papers 25758, National Bureau of Economic Research, Inc.
    17. Jones, Kelly M. & Pineda-Torres, Mayra, 2024. "TRAP’d Teens: Impacts of abortion provider regulations on fertility & education," Journal of Public Economics, Elsevier, vol. 234(C).
    18. Andersen, Martin & Bryan, Sylvia & Slusky, David, 2020. "COVID-19 Surgical Abortion Restriction Did Not Reduce Visits to Abortion Clinics," IZA Discussion Papers 13832, Institute of Labor Economics (IZA).
    19. Sarah Kroeger & Giulia La Mattina, 2017. "Assisted reproductive technology and women’s choice to pursue professional careers," Journal of Population Economics, Springer;European Society for Population Economics, vol. 30(3), pages 723-769, July.
    20. Caterina Muratori, 2021. "The Impact of Abortion Access on Violence Against Women," Economics Discussion Papers em-dp2021-03, Department of Economics, University of Reading.

    More about this item

    Keywords

    abortion; clinic closures; reproductive health;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:pra:mprapa:119872. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Joachim Winter (email available below). General contact details of provider: https://edirc.repec.org/data/vfmunde.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.