Go to Content Go to Navigation Go to Navigation Go to Site Search Homepage


Carly Manes is a Planned Parenthood Young Leadership Advisory Council member and a senior at the University of Michigan majoring in public policy. An earlier version of this blog was posted on The Michigan Daily. 

We at Planned Parenthood recognize that making the decision about whether to choose adoption, end a pregnancy, or raise a child is deeply personal and often complex — and the last thing a woman should be worried about when making that decision is whether she can afford it.

Abortions are expensive. A first trimester abortion costs an average of $489.  A second trimester abortion at 20 weeks costs an average of $1,500.

So what do you do if you can’t afford an abortion and you definitely can’t afford to raise a child?

If you happen to be one of the 12 million women who depend on Medicaid, or one of the four million who rely on other federal insurance programs, you are in serious trouble, thanks to the Hyde Amendment. 

The Hyde Amendment was passed on Sept. 30, 1976.  The Amendment currently bans federal funding for abortion with limited exceptions in cases of life endangerment, rape or incest. This funding restriction is most salient for low-income women on Medicaid.  As we approach the 38th anniversary of one of the first federal restrictions on abortion access post-Roe vs. Wade, it’s important that we take a moment to look at and reflect upon the social impacts of the Hyde Amendment.   

The Hyde Amendment was crafted with the intention of creating systematic barriers for low-income women seeking abortion care, as the bill’s author, Rep. Henry Hyde, noted during a Congressional debate.   

The Hyde amendment is simply one of the many laws that systematically target low-income women, denying them the right to self-determination and autonomy. In the context of Hyde, the ability to control one’s own body is withheld as a privilege only for wealthy women who have the money to pay out-of-pocket for abortion care. Low-income women are not only barred from abortion care due to restricted federal funding, but with the hundreds of other state and federal laws that police abortion access, women sometimes have to travel states away and wait days to access care.  Between the cost of the procedure and the money spent on physically getting to a provider, abortion is less and less attainable with each passing week of pregnancy.

If federal health insurance won’t cover abortion care, we leave low-income women vulnerable to a cycle of poverty because they are unable to plan their families and lives.  In the framework of reproductive justice, forcing a woman to carry an unwanted pregnancy to term is wholly a violation of human rights. Reproductive rights are innately human rights, and for the millions of women who depend on Medicaid and other federal programs, such as women in the military, Peace Corps, disabled women, Native women using Indian Health Services, and federal prisoners, their human rights are being violated.

In the name of abortion rights, human rights, and reproductive justice, it is time to repeal Hyde.  Reproductive rights activists often focus on abortion’s legality and physical accessibility (where women can receive abortion care and how far along into a pregnancy the procedure is legal).  But the fight for safe and legal abortion means nothing if it isn’t accessible to everyone.

I shouldn’t have to mention that providing coverage for abortion care leads to better economic outcomes for both the women who have abortions and for the institutions that would otherwise have to provide pregnancy and infant care. But for some readers and most politicians, these nuances are what matter most for their public support of repealing Hyde.  Sadly, the value of a woman’s life, autonomy, and dignity aren’t always enough to influence policy.  Often in a political context, we see financial outcomes superseding socially just policy. Hyde is neither a socially just policy nor an economically sound one.

I currently have $342 in my savings account.  If I didn’t admit that having less than $480 makes me nervous, I would be lying. 

Like I said, abortions are expensive.  But so is the cost of injustice.  

Abortions are also very common.  In fact, three out of ten women in the U.S. have an abortion by the time they are 45 years old.  If a woman decides she needs an abortion, or if she wants to discuss her options, she should contact Planned Parenthood.  A staff member at her local Planned Parenthood health center can help her find the services she needs.

So, happy anniversary Hyde. Here’s to another year of classism, sexism, and broad-based discrimination lovingly provided by the United States government.

*This article refers to abortion care patients solely as women, but not all people who have abortions identify as women.

Tags: Hyde Amendment, Planned Parenthood Generation

What's the "Gag Rule?"

Here's everything you need to know about Trump's latest attack on our health and rights.

Learn more

Uncover the latest attacks on our health and rights.

Learn more

Sign Up for Email

Sign Up

"Trump’s Gag Rule Could Have Killed Me"

Rhea's story shows what could happen if millions of people lose access to lifesaving care.