The truth is, poor women will go without needed family planning services — contraception mostly, but, yes, abortion, too — which will drive up costs for Medicaid. In Texas, which defunded Planned Parenthood in 2011, birth rates climbed as Planned Parenthood clinics closed, as the Washington Post reported. That's great if you're a Republican man who only wants more babies in the world. It's not great if you're the poor woman having to raise that baby — or if you're the Medicaid administrator paying for the birth (an estimated $8,000 per child). (Indeed, studies show that every dollar spent on family planning saves $7 later, prevents millions of unplanned pregnancies, and, yes, reduces the number of abortions.)