If the Supreme Court allows states to set aside the emergency medicine act to enforce their abortion bans, I ― and I suspect many doctors ― will never practice medicine in any of the 21 states where abortion is not legal. Abortion bans are causing physicians to leave the reddest of states. Rural communities already face a significant physician shortage. Because many of the reddest states with the most extreme abortion bans also have large rural populations, the threat of prosecution without the full safeguards of the EMTALA will drive more physicians, particularly my fellow emergency physicians, away from these states. As a result, an already fragile health care infrastructure will likely go into a death spiral in many communities.
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