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As a family physician practicing in rural North Carolina under a 12-week abortion ban, I’ve seen firsthand the challenges described in the Oct. 23 Metro article “<a href="https://www.washingtonpost.com/education/2023/10/13/obgyn-training-abortion-restrictions/" target="_blank">Abortion bans complicate medical training, may worsen OB/GYN shortage</a>.”

Medical students and residents are quite literally less prepared to become doctors because of <a href="https://www.washingtonpost.com/abortion/" target="_blank" class="contextual_link">abortion</a> restrictions. They are struggling to access the materials and training they need to complete a critical aspect of their education and ensure they can provide the best possible care to their patients.

Though many young doctors and students have been inspired to speak up and advocate for their right to learn about and practice abortion care, others are choosing to pursue other specialties or move to states where they won’t have to worry about being punished for providing the full spectrum of reproductive care.

Patients are scared, too. Many of my patients have mentioned being nervous about voicing their health concerns or asking questions about receiving the care they need because of abortion restrictions.

Just two years ago, the United States had one of the worst <a href="https://www.npr.org/sections/health-shots/2023/03/16/1163786037/maternal-deaths-in-the-u-s-spiked-in-2021-cdc-reports" target=_blank>rates of maternal mortality in our country’s history</a>. Rather than criminalizing health care, our elected leaders should be doing everything they can to improve health outcomes for pregnant people, including making it easier to access and provide abortions.

It’s past time to get politics out of patients’ private health decisions and end the culture of fear that stigmatizes abortion, obstructs providers and risks the lives of pregnant people.

Avanthi Jayaweera, Chapel Hill, N.C.

The writer is a member of the board of the American Medical Student Association.

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