The following comes from a February 24 Bloomberg News article by Esmé E Deprez:

Abortion access in the U.S. has been vanishing at the fastest annual pace on record, propelled by Republican state lawmakers’ push to legislate the industry out of existence. Since 2011, at least 162 abortion providers have shut or stopped offering the procedure, while just 21 opened.

No region was exempt, though some states lost more than others. Texas, which in 2013 passed sweeping clinic regulations that are under scrutiny by the Supreme Court, saw the most: at least 30. It was followed by Iowa, with 14, and Michigan, with 13. California’s loss of a dozen providers shows how availability declined, even in states led by Democrats, who tend to be friendly to abortion rights.

Bloomberg’s reporting shows that the downward trend has accelerated to the fastest annual pace on record since 2011, with 31 having closed or stopped performing the procedure each year on average.

State regulations that make it too expensive or logistically impossible for facilities to remain in business drove more than a quarter of the closings. Industry consolidation, changing demographics, and declining demand were also behind the drop, along with doctor retirements and crackdowns on unfit providers.

That just 21 new clinics opened in five years underscores the difficulty the industry has faced in replenishing the ranks of health-care providers willing and financially able to operate in such a fraught field. The impact of that challenge is likely to be long-lived: Even rarer than the building of a new clinic is the reopening of one that has shut.