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Background and Objectives: Since the Supreme Court of Canada' s decision in R. v. Morgentaler (1988), abortion has been decriminalized but remains largely unregulated at the federal level.This review examines how abortion care has evolved in Canada since decriminalization and evaluates whether current provincial and territorial approaches align with the principles of accessibility, universality, and portability outlined in the Canada Health Act.Methods: A narrative review was conducted using legal, policy, and health systems literature published between 1988 and 2024.Sources included Supreme Court decisions, federal and provincial legislation, government reports, and peer-reviewed publications identified through PubMed, Scopus, and Google Scholar.Grey literature and policy documents were included to capture recent developments in abortion regulation and service delivery.Findings were synthesized to assess national trends and regional variations in abortion access.
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Corbin et al. (2026) studied this question.
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