Thanks for the reply, Katie! As we discussed briefly last week, I think it is really important to highlight the complex ways in which racism plays out in your first question and the application of the socioecological model to abortion itself. I really like how you expand how we think about the SEM in this case to not just be about one health outcome - recognizing that we can't separate abortion from other aspects of the reproductive life experience.
We will talk a lot more about health care disparities in two weeks - and how both system level and interpersonal level disparities play a role. I would be interested to talk to you about the proposed bill to require maternity care providers to do implicit bias training, and how and if that as a policy level solution could have an impact. Your structural factors of race and income are clearly very relevant here, and interact with each other in complex ways - and play out in the health care system as well.