

The Law of Unintended Consequences: How Dobbs Changed Contraceptive Choices
Sep 30, 2025
Yana Gallen, an assistant professor at the University of Chicago, dives into the impact of the Supreme Court's Dobbs decision on contraceptive choices. She reveals the surprising spikes in long-acting contraceptive methods like IUDs and sterilization following the ruling. Analyzing health insurance data, Yana discusses how young adults saw lasting increases in sterilization. The conversation also tackles broader implications, revealing how policy changes can lead to unexpected shifts in reproductive behavior, while noting that overall fertility impacts may be minor.
AI Snips
Chapters
Books
Transcript
Episode notes
Immediate Shift Toward More Effective Contraception
- After Dobbs, uptake of long-acting reversible contraception (IUDs/implants) rose sharply among women in hostile states.
- Sterilization rates also increased for both sexes, but most effects faded over time.
Perception Of Future Bans Created A Natural Experiment
- Researchers exploited pre-existing variation in state laws and a leak to treat perceived future bans as a natural experiment.
- The study analyzes responses to the perceived environment rather than only to actual bans.
Following Individuals With Claims Data
- The study used the Meritive MarketScan commercial claims database to follow privately insured individuals from 2021–2023.
- This allowed tracking of prescriptions and procedures for the same people over time to observe contraceptive switching.