I think those impacts will be seen quickly, in the next year or two. In the long term, I think it will be even worse. I can imagine a serious shortage of OB/GYNs in the most restrictive abortion laws. The consequences will work their way up the socio-economic ladder.
https://apnews.com/article/abortion-science-health-medicatio…
A sexual assault survivor chooses sterilization so that if she is ever attacked again, she won’t be forced to give birth to a rapist’s baby. An obstetrician delays inducing a miscarriage until a woman with severe pregnancy complications seems “sick enough.” A lupus patient must stop taking medication that controls her illness because it can also cause miscarriages.
Abortion restrictions in a number of states and the Supreme Court’s decision to overturn Roe v. Wade are having profound repercussions in reproductive medicine as well as in other areas of medical care.
“For physicians and patients alike, this is a frightening and fraught time, with new, unprecedented concerns about data privacy, access to contraception, and even when to begin lifesaving care,” said Dr. Jack Resneck, president of the American Medical Association.
/snip
Dr. Jessian Munoz, an OB-GYN in San Antonio, Texas, who treats high-risk pregnancies, said medical decisions used to be clear cut.
“It was like, the mom’s life is in danger, we must evacuate the uterus by whatever means that may be,” he said. “Whether it’s surgical or medical — that’s the treatment.”
Now, he said, doctors whose patients develop pregnancy complications are struggling to determine whether a woman is “sick enough” to justify an abortion.
I can imagine OB/GYN doctors and nurse practitioners opting to not establish practices in states with highly restrictive reproductive freedoms. It will simply be too dangerous for them both legally and due to the threats of physical violence.