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Florida’s Abortion Ban Will Reach Well Beyond Florida

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Florida’s Abortion Ban Will Reach Well Beyond Florida

August 2021

Miles to nearest clinic offering abortions after 6 weeks

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Source: Caitlin Myers, Middlebury College

As of Wednesday, Florida has banned abortion after six weeks of pregnancy. It will have far-reaching effects.

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In 2021, abortion was legal in every state, and the average American woman lived less than 25 miles from a clinic.

But after the Supreme Court overturned Roe v. Wade, some states banned all or most abortions, including many in the South.

Florida, North Carolina and Virginia were the only states in the South offering abortion after six weeks of pregnancy. For 6.4 million women, the nearest clinic was in Florida.

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Now, that option is gone. Women in several states will need to travel hundreds of miles farther to reach a clinic.

It is the biggest change to abortion access since the period immediately after the reversal of Roe v. Wade in 2022.

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“This is a seismic event for everyone in the ecosystem,” said Jenny Black, the chief executive of Planned Parenthood South Atlantic, which operates in North Carolina, South Carolina, Virginia and West Virginia. “It is impossible to overstate the impact of this ban on abortion access in the whole Southeast, probably all up the Eastern Seaboard.”

Florida, unlike much of the South, has long had many abortion clinics — more than 50, spread throughout the state. The average Florida woman lives less than 20 miles from one. Last year, clinics in Florida provided around 86,000 abortions, behind only California, New York and Illinois, according to estimates from the Guttmacher Institute.

Of those, more than 9,000 were for patients who came from other states, part of an influx after many Southern states banned or severely restricted abortion following the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization.

With few exceptions, women across the South who are beyond six weeks of pregnancy — before many women know they’re pregnant — will now have to travel much farther to a clinic for an abortion. Also, for around a decade, Florida has required two appointments 24 hours apart to get an abortion, making it harder to receive one before the six-week mark. In other states, six-week bans have decreased abortions by about half.

“We’re hopeful that not only will the numbers in Florida for abortions take a deep nosedive, but also it does have national implications,” said Andrew Shirvell, the founder and executive director of Florida Voice for the Unborn, a group that lobbied the Legislature for the ban. Gov. Ron DeSantis, a Republican, has said he does not want the state to remain an “abortion tourism destination.”

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Despite bans in 14 states, and restrictions in several others, the number of legal abortions nationwide is about the same as before Roe was overturned. Florida’s new ban could change that, researchers said — an illustration of how regional abortion access has become. Shutting down abortion access in one linchpin state, Florida, could reduce the number of abortions across the entire region, while in swaths of the rest of the country, abortion has remained accessible, and in some places has even become more so.

The maps above show how the distances to the nearest clinic have increased for women in the South who are more than six weeks pregnant, based on data from Caitlin Myers, a professor of economics at Middlebury College, who has been measuring the effects of abortion bans for years.

Women in Miami who are beyond six weeks will now need to travel more than 700 miles to reach the nearest clinics — in Charlotte, N.C., where state law requires two visits spread over three days. The current wait time there is a week or more to get an appointment, according to a recent survey of clinics led by Professor Myers. Otherwise, women would need to travel farther, to clinics in Virginia or Washington, D.C.

Driving distances would also increase by more than 100 miles for women in parts of Alabama, Georgia, Louisiana and Mississippi.

Percent of women in the South living less than 100 miles from a clinic offering abortions after 6 weeks

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Percent of women in the South living more than 300 miles from a clinic offering abortions after 6 weeks

Includes Alabama, Arkansas, Florida, Georgia, Louisiana, Mississippi, Oklahoma, Tennessee, Texas and Virginia. Measurements are for women of reproductive age.

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Source: Caitlin Myers, Middlebury College

“This is going to be the biggest change to abortion access since Dobbs, and the impact is clear: More people are going to have to travel further distances if they have the financial resources to do so, and many people will be forced to remain pregnant,” said Stephanie Loraine Piñeiro, executive director of Florida Access Network, which helps women in Florida pay for abortions and travel to clinics.

Clinic operators in North Carolina and Virginia say they are trying to expand capacity, but are already struggling to meet demand. Several clinics in those states are already reporting waits of two weeks for appointments, according to Professor Myers’s survey and interviews with clinic staffers.

Decades of research show that, as driving distances to abortion clinics increase, fewer women obtain abortions. The typical seeker of an abortion is poor, and often struggles to arrange transportation, time off from work, housing and child care to travel long distances.

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Driving Distances Now

Miles to nearest clinic offering abortions after 6 weeks

Source: Caitlin Myers, Middlebury College

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Yet there is uncertainty about the precise long-term effects of the ban. The same day the Florida Supreme Court allowed the six-week limit to go into effect, it also allowed a constitutional amendment on abortion to appear on the November ballot. If the amendment earns the support of 60 percent of voters, it will reverse the ban and protect abortion rights until about 24 weeks.

And in recent months, more women have been ordering abortion pills through telemedicine. This includes women in states with bans, who order from clinicians in states with laws that shield them from out-of-state prosecution.

Such abortions could become more common in the South. But some women are unaware of the option or uncomfortable managing an abortion without a nearby medical provider. Others are too far along in their pregnancies for the option — abortion pills are recommended by the Food and Drug Administration only during the first 10 weeks of pregnancy.

As a result, telemedicine is unlikely to replace all the abortions currently occurring in Florida. “I don’t think it means that everybody just perfectly substitutes it for traveling to a brick and mortar facility and seeing a provider in person,” Professor Myers said.

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Doctor reveals what 30 days without alcohol does to the brain and body amid Dry January

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Doctor reveals what 30 days without alcohol does to the brain and body amid Dry January

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After a season of bingeing and drinking, your body may feel like it needs a break from the party.

Dry January — a modern trend that challenges people to abstain from drinking for the first month of the year — has become a popular way to “detox” from the holidays and start the new year on a healthy note.

Research has linked alcohol to a variety of health conditions, ranging from hangovers to higher cancer risk.

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In a recent podcast episode of “The Dr. Mark Hyman Show,” Dr. Mark Hyman, chief medical officer of Function Health, shared how 30 days of not drinking alcohol can transform health.

Hyman, who is based in Massachusetts, called Dry January a “powerful way to see in real time how alcohol affects nearly every system of your body and how quickly those systems can recover.”

Dry January has become a popular way to “detox” from the holidays and start the new year on a healthy note. (iStock)

Alcohol’s toll on the brain and body

Hyman acknowledged that most people drink to feel happier and more comfortable in social situations. This effect is caused by the main ingredient in alcohol, called ethanol, which can also have toxic effects.

Instead of stimulating the brain, alcohol slows it down and loosens inhibitions. “You feel more relaxed, more social, more confident, maybe you feel a little euphoric,” Hyman said.

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Alcohol’s effect on the brain can also lead to poorer decisions and slower reflexes, the doctor cautioned.

Drinking alcohol can cause cognitive decline and brain fog, experts warn. (iStock)

Drinking also impacts the prefrontal cortex of the brain, which Hyman described as “the adult in the room,” responsible for judgment, planning and restraint. “It goes offline early in drinking, which explains why people feel freer or act impulsively when they drink,” he said.

Even moderate drinking can cause metabolic stress, inflammation, impaired detoxification and hormonal shifts, Hyman said, which can impact nearly every organ system in the body.

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Alcohol consumption has also been linked to an increased risk of cancer, metabolic dysfunction, gut microbiome disturbances and mitochondrial toxins.

It can also prevent the body from falling into REM sleep, which is the deep rest recovery period when the immune system cleans out the day’s toxins, according to Hyman.

Alcohol can impact deep rest and mental health, according to experts. (iStock)

Memory loss, cognitive decline, anxiety, sleep disruption, dementia and cardiovascular disease are all known risks of long-term alcohol use, as well as liver complications like fatty liver disease.

“Bottom line, alcohol taxes every major system in your body, especially your liver, your brain, your gut, your hormones,” Hyman said.

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The effects of 30 days with no alcohol

The first week after your last drink, the body begins to detoxify and reset, according to Hyman. Blood sugar and cortisol stress hormones level out, and the liver begins to process a “backlog of toxins.” The body also re-hydrates and re-energizes.

The first 30 days with no alcohol allows the body to balance itself out. (iStock)

The second week, the gut and brain will begin to re-balance, as hormones like serotonin and dopamine stabilize, gut inflammation drops and the microbiome begins to heal. Cravings for sugar and alcohol will wane and mental clarity returns, the doctor said.

Week three is marked by further decreases in inflammation, fatty liver and blood pressure. This can be noticeable in the skin, as puffiness and redness are reduced. Mood also begins to stabilize, with lower anxiety levels.

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In week four, the body experiences additional metabolic and immune benefits, Hyman shared, including more insulin sensitivity, which makes it easier to lose weight.

“You have a stronger immune response. You’re not getting sick as much. You have better deep sleep, balanced hormones, especially cortisol and testosterone,” he said. “And you see a big change in energy, confidence and focus.”

Abstaining from alcohol can help restore energy, according to experts. (iStock)

Dr. Pinchieh Chiang, a clinician at Circle Medical in San Francisco, said that Dry January isn’t a “detox,” but rather provides “feedback” from the body.

“It gives the body time to show people how it feels without alcohol. For many, that insight alone changes their relationship with drinking,” she said. “The biggest surprise isn’t what people give up, it’s how much better they feel.”

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HIGHER STROKE RISK LINKED TO CONSUMING CERTAIN AMOUNT OF ALCOHOL, STUDY FINDS

The doctor confirmed that the first few days of not drinking may feel harder than expected, sometimes causing restlessness, cravings or disrupted sleep, but Dry January can ultimately change drinking habits for the remainder of the year.

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After a full year without alcohol, Chiang noted that health improvements are more profound. “We see sustained improvements in blood pressure, liver function and inflammation,” she said. “Those changes directly affect long-term heart disease and stroke risk.”

The risks of ‘all or nothing’

Some experts warn that adopting the Dry January trend could strengthen the urge to drink more in the other months, noting that some drinkers may find more success by slowly consuming fewer drinks per week.

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Thomas Stopka, Ph.D., an epidemiologist and professor in the public health and community medicine department at Tufts University School of Medicine in Massachusetts, shared in a Futurity report that for some people, “damp January” may be more suitable.

One expert warned that not all drinkers should quit “cold turkey,” as it could lead to severe withdrawals. (iStock)

“Dry January is well-intentioned, and it may work really well for the people who can stick to it, maybe even beyond January,” he said. “Other people may be more inclined to cut down on alcohol consumption rather than quit drinking completely for the month.”

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Stopka noted that successful harm-reduction approaches “aim to be judgment free.”

“Substance use disorder is a disease,” he said. “It takes time to treat the disease and to stay connected to the continuum of care — from prevention to treatment initiation to sustained therapy, whether through medication, self-help, or individual therapy or group support.”

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Those struggling with signs of alcohol use disorder should consult a medical professional for personalized guidance.

Fox News Digital reached out to several alcohol industry associations requesting comment.

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