Mendelson J E, Domolky S
Soc Serv Rev. 1980 Mar;54(1):124-34. doi: 10.1086/643808.
Although therapeutic or elective abortions are among the most frequently performed medical procedures for women throughout the world, indigent American women are now denied coverage under the Medicaid program because of the Hyde Amendment, which prohibits the use of federal funds for the termination of pregnancies except in narrowly defined cases. The vast majority of states, left free to choose as to the expenditure of their own funds for abortion coverage, have also denied this type of welfare assistance to economically eligible women. The discriminatory effect of the refusal to subsume abortions as part of the Medicaid mandate has been the subject of various legal actions. The constitutionality of that denial is at issue and now awaits Supreme Court determination.
尽管治疗性堕胎或选择性堕胎是全球范围内女性最常接受的医疗程序之一,但贫困的美国女性如今因《海德修正案》而被排除在医疗补助计划之外。该修正案禁止使用联邦资金终止妊娠,除非在狭义定义的情况下。绝大多数州在是否使用自有资金提供堕胎保险方面拥有自主选择权,它们也拒绝向符合经济条件的女性提供这类福利援助。拒绝将堕胎纳入医疗补助计划范围所产生的歧视性影响已成为多起法律诉讼的主题。这种拒绝的合宪性存在争议,目前正等待最高法院的裁决。