Traveling longer distances for care poses challenges beyond extra time in transit, particularly for low income women. Increased travel distance means increased costs for gas or public transit fare, hotel, loss of wages from time off work, and childcare, even though the actual procedure may be covered by public health insurance (as in California) or by abortion funds . These costs can be compounded for low-income women, who may be less likely than wealthier women to own cars or have the flexibility to take time off work. Beyond costs, having to seek care outside of one’s community can add stress by isolating women from familiar surroundings and removing them from potential social support . Women who would need to travel long distances to reach a Medi-Cal provider may instead opt to pay out-of-pocket for a closer provider, eschewing the benefit of Medicaid coverage. If the travel distance, costs, and other barriers are insurmountable, some women carry their unwanted pregnancies to term .