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February 26, 1982

Effect of the Hyde Amendment-Reply

Author Affiliations

Centers for Disease Control Atlanta

JAMA. 1982;247(8):1128. doi:10.1001/jama.1982.03320330024019

In Reply.—  I agree strongly with Drs Smith and Carl on their main point about the national impact of the Hyde Amendment. The major reason why Medicaid-eligible women were so minimally affected by the restriction of federal funds was because the vast majority (85%) lived in states that continued to use state funds to finance abortions. The low-income woman wishing to obtain a legal abortion is probably not concerned whether the procedure is financed either by a combination of state-federal funds or by 100% state funds; her main concern is that the costs are covered by some source of public monies.I also agree with Drs Smith and Carl that those 15% of Medicaid-eligible women living in states that restricted all public funds for abortion were affected to a different degree than the majority described above. As they correctly calculated from my article, these women were less likely to obtain