If the U.S. Supreme Court fails to uphold abortion rights this spring, more restrictions are likely. | Analysis by ClaudiaWallis1
Ever since it was approved in 2000 as an abortion pill, mifepristone has been regulated as if it were a dangerous substance. The U.S. Food and Drug Administration required doctors to be specially certified to prescribe it. Patients had to sign an agreement confirming that they had been counseled on its risks. Most onerously, the pill had to be given in person in an approved clinical setting—even though a second drug used to complete the abortion, misoprostol, could be taken at home.
The agency did not, however, remove the other regulations. And although patients will be able to get their prescription at a drugstore or by mail, the FDA is requiring a new certification for pharmacies that dispense the drug. Such measures “continue to be necessary to ensure the benefits of mifepristone outweigh the risks,” according to the FDA.
During the COVID era, at least three studies showed that the efficacy and safety hold up without in-person clinical visits. In fact, a large study done in the U.K.—where the government also provisionally allowed telehealth care—identified distinct advantages. It compared outcomes in more than 52,000 medication abortions during the two months before and after the government decision. Researchers found no increase in complications.
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