Supreme Court justices did not think through how the Dobbs v. Jackson Women’s Health Organization decision would intersect with our health care system beyond abortion access. I have psoriatic arthritis. Methotrexate is the go-to medication for people like me with PsA and other autoimmune diseases such as lupus, rheumatoid arthritis, Crohn’s disease and more. Methotrexate is also prescribed to treat ectopic pregnancies.

Because of restrictive abortion laws in many states, access to and prescriptions for methotrexate have come into question. When I was prescribed methotrexate, my doctor specifically stressed that I should use two forms of birth control because while taking methotrexate, an unintended pregnancy would not be viable. Methotrexate strips the body of folic acid.

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