Two new studies show, for the first time, that unintended pregnancy also imposes a high financial burden on the nation. The first study, by researchers from the Brookings Institution, used 2001 national estimates of the publicly funded outcomes of unintended pregnancies—births, abortions, miscarriages and infant medical care.8 It concluded that the estimated annual cost to taxpayers of providing medical services to women who experience unintended pregnancies—and to the infants who are born as a result—ranges from $9.6 billion to $12.6 billion, and averages $11.3 billion. Public savings from preventing these unintended pregnancies would range from $4.7 billion to $6.2 billion, and average $5.6 billion.
The second study, from researchers at the Guttmacher Institute, relied on first-ever calculations of unintended pregnancy at the state level.9 It estimated the proportion of unintended pregnancies ending in publicly funded births in each state in 2006, as well as the resulting costs (
see table, page 9).10 The study found that in 2006, 1.6 million births resulted from unintended pregnancy nationally. Of these, 64% were paid for by Medicaid—and, to a much smaller extent, the Children’s Health Insurance Program (CHIP)—at an average cost of $11,700 per birth. As a result, the total public cost of unintended pregnancy in 2006 was $11.1 billion, representing half of the total amount spent by Medicaid and CHIP for births and infant care that year (see chart).