Arizona residents rally for abortion rights on April 16, 2024 in Phoenix, Arizona.
Gina Ferazzi | Los Angeles Times | Getty Images
Abortion is an important issue for many voters, especially young women, heading into the November election.
Abortion access is about more than politics, or health care: It’s also a personal finance issue, said Diana Greene Foster, a demographer who studies the effects of unwanted pregnancies on people’s lives.
Foster, a professor at the University of California San Francisco, led The Turnaway Study, a landmark research study on the socioeconomic outcomes for Americans who are “turned away” from abortion. The study tracked 1,000 women over a five-year period ending January 2016.The women in the study had all sought abortions at some point before the study commenced; not all received one.
In November, voters in 10 states — Arizona, Colorado, Florida, Maryland, Missouri, Montana, Nebraska, Nevada, New York and South Dakota — will choose whether to adopt state ballot measures about abortion access.
Such ballot measures follow a U.S. Supreme Court decision in 2022 that struck down Roe v. Wade, the ruling that had established a constitutional right to abortion five decades earlier.
Nationally, women under age 30 rank abortion as the most important issue to their vote on Election Day, according to the KFF Survey of Women Voters, which polled 649 women from Sept. 12 to Oct. 1. It ranked as the third-most-important issue among women voters of all ages, behind inflation and threats to democracy, according to the KFF poll.
Abortion is among the least-important issues for registered Republicans, according to a Pew Research Center poll of 9,720 U.S. adults conducted Aug. 26 to Sept. 2.
CNBC spoke to Foster about the economics of abortion access and the financial impacts of the end of Roe v. Wade.
The conversation has been edited and condensed for clarity.
Low earners most likely to seek an abortion
Greg Iacurci:Can you describe the population of women that typically seek abortions in the U.S.?
Diana Greene Foster: One good thing about The Turnaway Study is that our demographics closely resemble national demographics on who gets abortions.
More than half are already parenting a child. More than half are in their 20s. A small minority are teenagers, even though lots of people think teenagers are the main recipients.
It’s predominantly people who are low-income. That’s been increasingly the case over time. It’s become disproportionately concentrated among people with the least economic resources.
GI: Why is that?
DGF: I think wealthier people have better access to contraceptives, even after the Obamacare-mandated coverage. Not everyone benefits from that. Not all states participate in that.
[Medical providers] still give contraceptives out. There are 20 states that have laws that say you should be able to get a year’s supply at a time, but almost nowhere is that actually available. The law says you should be able to get it, but you don’t. I led the studies that showed that if you make people go back for resupply every month or three months, as is very commonly done, you’re much more likely to have an unintended pregnancy. The laws have changed, but practice hasn’t changed. Access is not perfect yet.
Also, some people have abortions who have intended pregnancies because something went wrong with their health, with the fetus’ health, with their life circumstances. So even contraceptives aren’t the ultimate solution.
Greater likelihood of poverty and evictions
GI: What are the economic findings of your research?
DGF: When we follow people over time, we see that people who are denied an abortion are more likely to say that their household income is below the federal poverty line. They’re more likely to say that they don’t have enough money to meet basic living needs like food, housing and transportation.
Diana Greene Foster
Courtesy: Diana Greene Foster
Wanting to provide for the kids you already have is a common reason for abortion. We see that the existing children are more likely to be in poverty and in households where there aren’t enough resources if their mom couldn’t get an abortion.
[They’re also] more likely to have evictions, have a larger amount of debt if they’re denied an abortion.
GI: Can we quantify those impacts?
DGF: For example, six months after seeking an abortion, 61% of those denied an abortion were below the poverty line compared to just under half — 45% — of those who received an abortion. The higher odds of being below the [federal poverty line] persisted through four years.
And based on credit reports, we find that women denied abortions experienced significant increases in the amount of debt 30 days or more past due of $1,749.70, a 78% increase relative to their pre-pregnancy [average]. The number of public records, such as bankruptcies, evictions and court judgements, significantly increased for those denied abortions, by 81%.
GI: Why does this happen?
DGF: Having a kid is a massive investment. Deciding to parent a child relies on an amount of social support and housing security and access to health care, and our country isn’t at all set up to provide those things for low-income people.
Why costs are both rising and falling for women
GI: Your study took place at a time when Roe v. Wade was still the law. That’s no longer the case. How do you expect these economic consequences might be impacted?
DGF: In The Turnaway Study, people were denied abortions because they were too far along in pregnancy, but now you can be denied an abortion at any point in pregnancy in something like 13 states. So, it potentially affects a much larger group of people.
But there have been other changes which have to do with resources to help people travel and information about how to order medication abortion pills online. So, it isn’t the case that everyone who wants an abortion is now carrying a pregnancy to term.
There has been a lot of effort to circumvent state laws, and I think The Turnaway Study really reveals why. People understand their circumstances, and they are very motivated to get care, even when their state tries to ban it.
GI: What are the financial impacts some women in those states might encounter?
DGF: I’m actually studying the economic costs of the end of Roe and travel [expense]. Costs went up by $200 for people traveling out of state. People were delayed more than a week.
Under Roe, people could drive to an abortion clinic or get a ride; [after,] they were much more likely to be flying, having to take more modes of transportation. Over half stayed overnight. They traveled an average of 10 hours. That means taking time off work too. So, it dramatically increased the cost for those who traveled to get an abortion.
There are people who ordered pills online who are not [included] in the study. For those people, the cost may have gone down because it’s possible to order pills online for less than $30.
But you have to know about it, and you have to have an address, and you have to have internet, and it takes a level of knowledge to be able to pull that off. There can be a need for follow up medical care, so you have to be able to get that.
Field of wheat in central Kansas is nearly ready for harvest.
Ricardo Reitmeyer | Getty Images
With a population of about 2,100, Neodesha, Kansas, is roughly 100 miles from Wichita and Topeka in Kansas and Tulsa, Oklahoma. Its claim to fame is the 65-foot-tall tower that supported the drilling framework for the first commercial oil well west of the Mississippi River, locals say.
But as an old oil town, Neodesha has struggled with a decreasing population and an aging housing supply for years.
When the refinery formerly owned by Standard Oil Co. closed in 1971, “the population was cut in half over night,” according to Neodesha’s mayor, Devin Johnson.
“We have seen that decline as every small community has over the last 50 years,” Johnson said. “The thing with small communities is, if you are not growing, you are dying.”
Last year, Neodesha partnered with MakeMyMove, an online relocation marketplace that connects workers with communities trying to attract new residents.
MakeMyMove, which has worked with 88 communities across the U.S., screens applicants and connects them with local resources.
Since the program launched in 2024, more than 30 people are in the process of moving to Neodesha, according to Evan Hock, MakeMyMove’s co-founder and chief operating officer.
“We’ve awarded over $1 million in scholarships, and I feel like we are helping the community and making some real progress,” said Ben Cutler, who grew up in Neodesha and now funds the scholarship program, which started in 2020 and is available to any graduate of Neodesha High School in good standing.(Neodesha’s promise program will cover tuition at participating colleges or associate degree programs and vocational schools nationwide.)
“One of my key focuses was helping build the community, to help in any way I could to make Neodesha a more attractive community for young families, and I think we’re making some real progress in that regard — I certainly hope so anyway,” Cutler said.
Meanwhile, efforts are also underway to construct hundreds of new homes, apartments and duplexes in the region, along with the development of retail and commercial spaces and the renovation of several historic buildings on Main Street.
“We’ve got to cherish what we’ve got but make sure we make Neodesha an attractive place for people to come,” Johnson said.
For example, workers relocating to Topeka can receive up to $10,000 for rent for the first year or up to $15,000 to put toward buying a home.
Another program affiliated with the West Virginia Department of Tourism is offering a cash incentive of $12,000 along with access to free coworking spaces and outdoor recreation packages for those who move to the state for at least two years.
The Shoals Economic Development Authority offers $10,000 in cash to full-time remote employees who are willing to relocate to the Shoals community in northwest Alabama.
“This is a cost-effective way of doing economic development,” said MakeMyMove’s Hock. The communities “usually get a return within the first year.”
However, “incentives are not the reason people actually move,” he said. Affordability is key, he said, but community also plays an important role.
“They are looking for quality of place, they want a community connection, that’s what is motivating the move,” Hock said.
‘A family-friendly place to live’
Incentive programs in Neodesha and other regions are gaining steam as residents from major cities across the country increasingly migrate to Southern and Midwestern spots where housing costs are less severe, and where construction is keeping up with the demand, reports show.
United Van Lines’ annual 2024 study found a growing shift away from the cities and suburbs of New York, Los Angeles and Chicago toward more “livable” locations with lower day-to-day living expenses.
Kaitlyn and Jack Sundberg with their dogs Max and Bella in front of the home they purchased in Neodesha, Kansas.
Courtesy: Kaitlyn Sundberg
Kaitlyn Sundberg never expected that she would move to Kansas. Sundberg and her husband, Jack, lived in Southern California but struggled to save enough for the down payment on a home of their own.
“We were living with my in-laws, and we were not able to afford anything,” said Sundberg, 27.
Sundberg’s husband, who worked as an estimator for a telecom company, expanded his job search — significantly — and found an opportunity as the program manager for Southeast Kansas Inc.
When they visited Neodesha, “it just seemed like a family-friendly place to live,” Sundberg said.
“We spent a Saturday looking for a house — there were kids riding bikes,” she said, “I just cried.”
The couple moved to Neodesha with their two dogs 18 months ago, even before the incentive program launched. Sundberg now works as the executive director of the new early learning center in town after a neighbor brought over the job posting and suggested she apply for the position.
“Being away from family is the hardest part,” she said, “but I would never want to move back.”
Then Social Security Commissioner Martin O’Malley testifies before the Senate Committee on the Budget on Sept. 11, 2024.
Anna Rose Layden | Getty Images News | Getty Images
Social Security has never missed a benefit payment since the program first began sending individuals monthly benefits more than eight decades ago.
But the recent actions at the U.S. Social Security Administration by Elon Musk‘s so-calledDepartment of Government Efficiency are putting monthly benefit checks for more than 72.5 million Americans at risk, former commissioner and former Maryland governor Martin O’Malley told CNBC.com.
“Ultimately, you’re going to see the system collapse and an interruption of benefits,” O’Malley said. “I believe you will see that within the next 30 to 90 days.”
Ahead of any interruption in benefits, “people should start saving now,” O’Malley said.
The Social Security Administration uses multiple systems and technologies that Elon Musk has criticized for leading to errors. As commissioner, O’Malley told Congress the agency needed more funding for IT modernization.
O’Malley said DOGE leaders are now making changes at the agency, and significant staff cuts have already led to system outages. Those intermittent IT outages may happen more frequently and for more extended periods of time until there is a “system collapse and an interruption of benefits,” he said.
Neither the Social Security Administration nor the White House responded to requests for comment by press time.
Social Security Administration leadership upheaval
The Department of Government Efficiency, also known as DOGE, is not a federal department. And Musk, whom President Donald Trump brought on board to implement DOGE, is not an elected official.
Since its establishment, DOGE has looked to slash spending at federal government agencies.
The cuts have led to leadership upheaval, with the recent resignation of acting commissioner Michelle King following a reported disagreement over DOGE’s access to sensitive data. O’Malley resigned from the Social Security Administration in November to run for chairman of the Democratic National Committee, a race which he lost to Minnesota Democrat Ken Martin.
Trump has nominated Frank Bisignano, CEO of financial-technology company Fiserv, to serve as the new commissioner of the Social Security Administration. Bisignano has yet to sit for Senate confirmation hearings.
In the interim, Lee Dudek, who first joined the agency in 2009, has been appointed acting commissioner.
Earlier this month, Dudek posted on LinkedIn that he had been placed on administrative leave from the agency for helping DOGE representatives, The Wall Street Journal reported on Feb. 20.
“Our continuing priority is paying beneficiaries the right amount at the right time, and providing other critical services people rely on from us,” Dudek said in a Feb. 19 statement about his appointment.
Whose benefits may be most at risk
Yet experts say the benefits Americans rely on could be at risk based on the Trump administration’s overhaul of the agency.
“The American public needs to understand that one of their major social safety nets is in dire jeopardy,” said Jill Hornick, a union official at the American Federation of Government Employees Local 1395, which primarily represents Social Security offices in Illinois.
“It’ll take a while for the effects to be felt, but they’re coming,” Hornick said, predicting what will happen to Social Security is going to be “far worse” than the planned cuts to Medicaid.
For people who are already receiving Social Security benefits, most of that is automated and may not be affected, she said. However, processing new claims — whether it be for retirement or disability benefits — may take longer since those cannot be processed without Social Security employees, she said.
On Thursday, the Social Security Administration sent a notice to employees that gives them until March 14 to decide whether to take an early buyout. Unlike a previous January offer, this now includes service employees, and staffing reductions in that area may impact how quickly the agency processes benefit claims and provides other services, Hornick said.
For example, if a woman files for a survivor benefit after her husband passes away, she needs to provide a copy of her marriage license. A Social Security employee then needs to code the system to verify they have seen that document and the applicant is eligible for benefits, Hornick said.
“Not everybody can do things electronically,” particularly the older adults and disabled individuals who the Social Security Administration serves, said Maria Freese, senior legislative representative at the National Committee to Preserve Social Security and Medicare.
“If you don’t have people to run an agency that requires hands-on customer service, then of course there’s a risk that you could end up with benefits being either denied or interrupted,” Freese said.
Office closures may reduce access to services
The DOGE savings web page has a list of about 45 Social Security locations where leases will be terminated, according to Rich Couture, spokesperson for AFGE SSA General Committee, a union that represents 42,000 Social Security employees nationally.
The list provides little information on the uses for the locations that are being closed. Based on the square footage listed, they may be sites used to conduct in-person hearings for disability benefits, Couture said. In one case, the location seems to be a busy New York state field office that provides general services, he said.
“If they’re going to close these offices that are busy in highly populated areas, it would suggest to me that there’s no office in this country that would be safe from having a lease terminated, especially in rural areas,” Couture said.
In a recent statement, Rep. John Larson, D-Conn., said the moves are a “backdoor benefit cut.”
“Let me be clear — laying off half of the workforce at the Social Security Administration and shuttering field offices will mean the delay, disruption and denial of benefits,” Larson said.
In a statement to CNBC.com earlier this week, the Social Security Administration said it has not set any reduction targets, in response to reports it plans to cut 50% of its employees.
As a union, AFGE has been issuing bargaining demands in response to the agency’s recent decisions and plans to enforce employee rights through other methods as necessary, spokesperson Couture said.
While many lawsuits have been filed, it will take time to work through them, especially as the courts are now being flooded with cases tied to the Trump administration’s actions, said Nancy Altman, president of advocacy organization Social Security Works.
The biggest results may come from the pressure American voters could put on elected officials, former SSA commissioner O’Malley said.
“I think many people throughout the country are going to start bringing a lot of heat to members of Congress who have been facilitating, supporting, aiding and abetting the breaking of their Social Security and the interruption of benefits that they work their whole lives to earn,” he said. “These are earned benefits.”
The latest selloff presents a tax planning opportunity, including a “loophole” that could go away amid Congressional tax negotiations, according to Andrew Gordon, a tax attorney, certified public accountant and president of Gordon Law Group.
The strategy, known as “tax-loss harvesting,” allows you to offset profitable investments by selling declining assets in a brokerage or other taxable account. Once your losses exceed gains, you can subtract up to $3,000 per year from regular income and carry excess losses into future years.
Some investors wait until December for tax-loss harvesting, which can be a mistake because asset volatility, particularly for digital currency, happens throughout the year, experts say.
“You should look for these opportunities continually and take advantage of them as they occur,” Gordon said.
You should look for these opportunities continually and take advantage of them as they occur.
Andrew Gordon
President of Gordon Law Group
The crypto wash sale ‘loophole’
When selling investments, there’s a wash sale rule, which blocks you from claiming a loss if you repurchase a “substantially identical” asset within a 30-day window before or after the sale.
But currently, the wash sale rule doesn’t apply to cryptocurrency, which can be beneficial for long-term digital currency investors, experts say.
“If you sell, for instance, bitcoin at a loss today and then buy it back tomorrow, you still have your loss on the books,” Gordon said. “This is an extremely effective strategy for crypto investors because they don’t have to exit their position.”
However, the strategy could disappear in the future as Congressional Republicans seek ways to fund President Donald Trump‘s tax agenda.
In the meantime, “the IRS gives us this loophole. We may as well take it,” Adam Markowitz, an enrolled agent at Luminary Tax Advisors in Windermere, Florida, previously told CNBC.
Of course, you should always consider your investing goals and timeline before implementing the tax strategy.