Medicine

Abortion Care in Puerto Rico — A Fragile Legal Landscape

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AbortionHealthcare policyReproductive rights

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This article examines the current state of abortion access in Puerto Rico, describing how the legal framework governing reproductive healthcare remains vulnerable despite federal protections. The authors discuss the intersection of local regulations, healthcare infrastructure challenges, and the territory's unique political status, which collectively create barriers to abortion care. The piece highlights how Puerto Rico's fragile healthcare system and ambiguous relationship with federal law complicate the delivery of reproductive services.


Understanding abortion access in U.S. territories is critical for comprehensive reproductive health policy, as approximately 3.2 million U.S. citizens live in these regions with different legal protections than the mainland. The analysis reveals systemic healthcare vulnerabilities that extend beyond abortion to affect overall medical service delivery in Puerto Rico.


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New England Journal of Medicine, Ahead of Print.

Source: Abortion Care in Puerto Rico — A Fragile Legal Landscape