The landmark Supreme Court decision Roe v. Wade legalized abortion in the United States in 1973.

Since then, the right to access safe and legal abortion has been a critical aspect of women's healthcare in the country. However, with the recent appointment of conservative justices to the Supreme Court, there is growing concern that Roe v. Wade may be overturned or severely limited in the near future. In this article, we will discuss three implications for pharmacy in a post-Roe world.

Increased demand for emergency contraceptives

If Roe v. Wade is overturned, access to safe and legal abortion will likely be severely limited, leading to an increased demand for emergency contraceptives such as Plan B or Ella. These medications are currently available over-the-counter and can prevent pregnancy up to five days after unprotected sex or contraceptive failure. Pharmacies will likely see a surge in demand for these products, and it will be important for pharmacists to be knowledgeable about their use and availability.

In a post-Roe world, it is also possible that some states may try to restrict access to emergency contraceptives or impose additional requirements, such as prescription requirements or age restrictions. Pharmacists may need to advocate for patients' access to emergency contraceptives and ensure that they are available without unnecessary barriers.

Ethical and moral dilemmas for pharmacists

Pharmacists are healthcare professionals who are responsible for dispensing medications and ensuring that patients receive appropriate care. However, in a post-Roe world, pharmacists may face ethical and moral dilemmas related to their personal beliefs and values. Some pharmacists may refuse to dispense emergency contraceptives or other medications related to reproductive health, citing religious or moral objections.

This can lead to situations where patients are unable to access necessary medications, creating a barrier to care. In response, some states have passed laws requiring pharmacists to dispense emergency contraceptives, even if it conflicts with their personal beliefs. In a post-Roe world, pharmacists may need to navigate these ethical and moral dilemmas and balance their personal beliefs with their professional responsibilities to ensure that patients receive the care they need.

Increased demand for medication abortions

If Roe v. Wade is overturned, medication abortions may become a more common method of terminating a pregnancy. Medication abortions involve taking two medications – mifepristone and misoprostol – within the first ten weeks of pregnancy to induce a miscarriage. Unlike surgical abortions, medication abortions can be administered in a primary care setting, making them more accessible to patients in areas where abortion providers may be scarce.

Pharmacies may see an increased demand for these medications and may need to provide education and support to patients who choose this option. Pharmacists will need to be knowledgeable about the medication and its administration, as well as potential side effects and complications.