Brazil, Columbia, Ecuador, and Puerto Rico, among others, have advised women to temporarily postpone pregnancy; El Salvador urged delays until 2018. These recommendations stand in tension with existing policies impeding access to contraceptives, safe abortions, or maternal-child health services. Latin America is among the world’s most restrictive regions in terms of reproductive services. Similar problems arise in the United States, especially for poor women who lack affordable access to reproductive services. Some states have restrictive abortion laws, have withdrawn funding for Planned Parenthood, or have refused to expand Medicaid under the Affordable Care Act. Moral and health concerns arise if a poor woman chooses to avoid pregnancy, but government impedes her access to affordable reproductive services.