Half of all pregnancies in the United States are unintended, and 40% of these pregnancies end in elective termination. At current abortion rates, one in four people capable of pregnancy will have an abortion by the age of 45. Despite the demand for abortion services, 90% of all counties in the United States have no abortion provider. Furthermore, the majority of patients seek abortion services at non-primary care sites, disrupting continuity of care for those who might prefer to access assistance with early pregnancy loss or medication abortion services from their primary care provider. Over 90% of all abortions and early pregnancy losses occur in the first trimester, when safe, simple, and highly effective abortion services can be provided in the primary care setting. Further, 75% of abortion patients are eligible to receive medication abortion with mifepristone and misoprostol, which can be provided in the primary care setting, specifically pregnancy diagnosis and patient-centered counselling skills. If primary care clinicians were to offer abortion care, they could greatly improve timely access to safe abortion or medication for early pregnancy loss, particularly in rural and underserved settings.