How the new Republican-backed Obamacare bill will kill off your gynecology practice

New York Times health policy reporter Kristin Welker, a physician herself, recently published a scathing article about the new health care bill, the American Health Care Act, or AHCA.

The bill would slash funding for gynecologists, end most of Medicaid, and make insurance companies pay for care in some places for women with preexisting conditions, as well as prevent states from imposing caps on medical costs. 

Welker’s piece describes a number of ways the AHCA would affect gynecological practices.

The AHCA will defund Planned Parenthood and all other abortion providers, which is a pretty big deal because Planned Parenthood does provide women with birth control, mammograms, STD testing, cancer screenings, and contraception. 

Additionally, the AHC would cut off Medicaid funding to any gynecologic practice that provides services like Pap smears, Pap smearing kits, and other tests for STDs. 

If a state doesn’t have a cap on health care costs, it will be able to raise the Medicaid cap to cover those costs, but the states will have to apply for funding from the federal government to do so. 

Under the AHCM, doctors will have more restrictions on the types of care they can provide.

For example, if a doctor has a physical exam, they will be required to perform the exam in a clinic rather than a doctor’s office. 

Doctors will be forced to refer patients to other providers for testing, treatment, or other services, even if they have the necessary licenses. 

“If I’m a doctor and I need to treat my patients in the office, I will have an obligation to refer them to another physician, whether it’s a gynecographer, a family physician, a general surgeon, or a nurse practitioner, and it will affect my ability to provide primary care,” Dr. Susan D. Miller, president of the Association of American Gynecologists (AAG), told Welker. 

For patients with preexcising conditions, including pre-existing conditions like diabetes, high blood pressure, and cancer, the new law would make insurance coverage unaffordable. 

It’s hard to imagine that any woman in her 50s would be able pay $300 for a routine Pap test that costs around $15 to $20, if her insurance plan covers the test at all.

And while insurers can cover the cost of Pap smear kits, that will be up to states to decide. 

So, women would be forced into what Welker calls “the most unequal medical landscape in history,” a scenario that could lead to higher costs for everyone. 

A few other points in the article highlight how the AHCC would harm gynecrists. 

One of the key parts of the AHRC is to help women with pre-eclampsia, a condition in which a person is born with a blockage in the uterus, and has high blood levels of estrogen.

Women who are pregnant or breastfeeding have a 50% greater chance of having a pre-pregnancy high blood count than women who are not.

Women with premenopausal high blood counts are at higher risk for a number problems, including heart disease, stroke, and diabetes. 

Currently, gynecostomies are not required to participate in the Medicaid expansion, and the AHBC would make it much more difficult for them to do that. 

This would affect many gynecoscopes, including ones in the United Kingdom, Germany, and Australia. 

The AHCA is not the only part of the bill that would harm women’s health. 

Another key part of that bill, known as the Women’s Health, Safety, and Accountability Act, is also a major problem for women.

It would eliminate the requirement that insurers cover contraception and sterilization, and would allow insurers to charge women more if they use more preventive health services like mammograms or other Pap smarts. 

But it is the part of AHCA that would really hurt women. 

According to the AHCA, insurance companies would have to provide women coverage for their preventive care and drugs and devices that can be used to prevent cancer. 

Women would be required by law to be covered for certain services like pap smears and other testing, but that will not happen without a waiver from their insurance companies. 

That waiver would likely require women to pay a fee to the insurance company, but if the women were to use the preventive services without the insurance carrier covering them, the fee would be paid by the insurer. 

However, the waiver would also give women the right to get an exemption from the requirement to use contraceptives, even for those women who have not had a pregnancy. 

And if they do have a pregnancy, they would be covered by Medicaid under the AHAC. 

Unfortunately, the bill also contains a provision that would allow states to allow insurers not to cover contraception.

The provision says that