The Trump administration’s recent efforts to undermine the nation’s Title X family planning program are already having their intended effect, making it harder for women’s health clinics to stay afloat and for patients to afford birth control and other services.

Three weeks after Planned Parenthood was effectively forced out of the Title X program, the group has announced that two of its clinics in the Cincinnati area will close this month — a fate that Planned Parenthood officials say was accelerated by the administration’s changes to Title X. Those changes include barring clinics that perform or even refer patients for abortions from receiving federal family planning dollars unless they jump through a near-impossible series of hoops.

The two Planned Parenthood clinics that are closing, which had received sporadic Title X funding over the years, were already in a precarious financial position. That’s because this is hardly the first time that politicians have waged war on Planned Parenthood or on reproductive health care in general. When he was Ohio’s governor, John Kasich was especially fervent in that mission, signing more than a dozen bills targeting women’s health care. Among them was a major rollback of public financing for Planned Parenthood clinics in the state. By 2018, Ohio ranked 48th in the nation for publicly funded women’s health services. Mike DeWine, the state’s new Republican governor, has picked up where his predecessor left off, signing a bill this year that would ban abortions at as early as six weeks of pregnancy.