"That announcement actually did nothing to address the situation of medical abortions in P.E.I., at all," said MacQuarrie.
One of the factors that has made change so hard is the island's culture itself. With fewer than 150,000 people in the province, it's the sort of place where everyone seems to know each other. It also has a long history of anti-abortion politics and religious influence that has helped make it the last holdout in Canada to providing full abortion access.
MacQuarrie remembers a time when public school students were bused to anti-abortion seminars and feminist mothers toned down their rhetoric out of fear their children would be bullied. Though attitudes are changing, accessing medical abortions remains a challenge.
"When you combine all of those factors and then add into that that this is an island and that everyone knows you, the factors of shame and stigma and fear become to much more magnified here," said MacQuarrie.