Research Papers

We use a randomized controlled trial in Title X clinics to evaluate how eliminating out-of-pocket contraceptive costs affects reproductive outcomes among uninsured U.S. women. By randomly assigning vouchers for free contraception, we estimate the effects on contraceptive use, pregnancies, births, and abortions.

Research links unintended pregnancies to diminished outcomes for women and children. While RCTs have been done on this topic for low- and middle-income countries, evidence for high income countries relies on uncontrolled or quasi-experimental research designs. Data constraints limit the ability to estimate the magnitude of treatment effects following policy changes regarding contraceptive or pregnancy choices.

By providing causal evidence on how financial access to contraception affects reproductive outcomes among uninsured women, this study deepens our understanding of the role cost plays in contraceptive use, pregnancies, and pregnancy outcomes. The findings contribute to broader discussions about reproductive health access and the effects of reducing financial barriers to care.