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Across Idaho, doctors are leaving, looking for states where politics don’t dictate how they practice medicine. The consequences of Idaho’s anti-choice laws hit Sandpoint fast and hard, hollowing out medical care for women within months. For years, the town had a maternity ward that delivered as many as 350 babies every year – now it has nothing. The OB-GYN ward shut down this spring and doctors have been fleeing the state in a steady stream, seeking shelter in places where their work doesn’t put them at risk of criminal charges or big lawsuits.

It’s become a gamble, getting pregnant and giving birth in a place that no longer has a maternity unit or any obstetricians. Sandpoint is small, fewer than 10,000 people, but it’s been a medical hub for a rural region of 50,000 in north Idaho, Montana and Washington.

Idaho is one of several states that had trigger laws: immediate abortion restrictions that went into effect when Roe v Wade fell a year ago. In August of 2022, the state enacted a near-total ban on abortion with exceptions only if the mother’s life is in danger, or in the case of rape and incest. Those instances require a police report to be filed. The state also adopted what it called an “abortion trafficking” ban, which bars taking minors to other states for abortion care. Family members can sue doctors for thousands of dollars if they perform an abortion, and doctors may face criminal fines and even prison time.

Idaho also became the only state in the country to stop tracking maternal mortality rates. Activists say it’s like they don’t want anyone to know how deadly their decisions might be.