Puerto Rico

Puerto Rico permits abortion under U.S. constitutional protections, but access is shaped primarily by healthcare system capacity rather than formal legal barriers. Maternal mortality data are limited and inconsistently reported, complicating full assessment of outcomes, though chronic disease prevalence and economic stressors elevate risk. Medicaid funding is capped rather than entitlement-based, contributing to lower reimbursement rates, provider shortages, and constrained prenatal and postpartum services. Hospital closures, workforce migration, and geographic isolation further strain care delivery, particularly outside urban centers. Legal permissibility exists alongside structural underfunding and infrastructure limitations that affect maternal health outcomes.

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