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The "I Can't Believe There's No Abortion Thread" Part Deux: Electric Boogaloo

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St. Clown said:
I can’t speak to most women. My wife has had an ultrasound within 8 weeks for both pregnancies. There is this huge caveat: she’s hyper-vigilant on the matter of watching for pregnancy because she’s prone to miscarriage due to ovarian issues that vlcause hormone levels to not meet normally expected tolerances.

I could see women in a more casual state of mind easily being caught off guard by 15 weeks.
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This has nothing to do with women being casual. Ultrasounds are ordered for a medical reason. Ultrasounds are not a la carte. Patients don't get to decide they want one and poof they can get it.

Unless things have changed, the recommendation in a lo risk pregnancy is to wait until 2nd trimester to get a fetal survey for development etc. OBGYNs who own their own U/S equipment tend to do way more. There is controversy re the advisability of this as there is no need to do it more often unless there is an issue.

When I was in practice (admittedly a few yrs now) the insurance co did not cover U/S except once in the 2nd trimester unless there was a need for other testing- unknown dates (this is not always covered), previous history, bleeding, concerns re development, placement of the placenta, or if the pt was overdue.

I can't tell you the number of women who were incensed they couldn't have an U/S anytime they wanted, like medicine was Burger King- have it your way.

(this was always a sore topic when doing OB)
 
leswp1 said:
This has nothing to do with women being casual. Ultrasounds are ordered for a medical reason. Ultrasounds are not a la carte. Patients don't get to decide they want one and poof they can get it.

Unless things have changed, the recommendation in a lo risk pregnancy is to wait until 2nd trimester to get a fetal survey for development etc. OBGYNs who own their own U/S equipment tend to do way more. There is controversy re the advisability of this as there is no need to do it more often unless there is an issue.

When I was in practice (admittedly a few yrs now) the insurance co did not cover U/S except once in the 2nd trimester unless there was a need for other testing- unknown dates (this is not always covered), previous history, bleeding, concerns re development, placement of the placenta, or if the pt was overdue.

I can't tell you the number of women who were incensed they couldn't have an U/S anytime they wanted, like medicine was Burger King- have it your way.

(this was always a sore topic when doing OB)
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I'll be honest, if I'm a doctor and wanting to make sure my patient doesn't get caught up in the GOP's religious wars and end up with a needle in her arm, I'd be happy to offer a non-invasive low-radiation option to make sure the egg implanted properly and that there are no major issues early on that could endanger the mother. When it comes to places like TX and FL where you have insane zealots trying to outdo each other, they'll have no second thoughts about executing a woman for removing an ectopic pregnancy if it helps their chances in 2024. But that's my layman devoid-of-actual-medicine asspost opinion.

Otherwise, I know the ultrasound seems to be more frequent now, at least it was with my in-laws who had trouble conceiving which very likely played a part.
 
dxmnkd316 said:
I'll be honest, if I'm a doctor and wanting to make sure my patient doesn't get caught up in the GOP's religious wars and end up with a needle in her arm, I'd be happy to offer a non-invasive low-radiation option to make sure the egg implanted properly and that there are no major issues early on that could endanger the mother. When it comes to places like TX and FL where you have insane zealots trying to outdo each other, they'll have no second thoughts about executing a woman for removing an ectopic pregnancy if it helps their chances in 2024. But that's my layman devoid-of-actual-medicine asspost opinion.

Otherwise, I know the ultrasound seems to be more frequent now, at least it was with my in-laws who had trouble conceiving which very likely played a part.
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IN a perfect world.... but we live in a world where you don't get to practice medicine. You practice finances and insurance. U/S are expensive. Where I am they make you pony up before you get to have the test.

U/S can be helpful for some of that stuff but as a Provider you are screwed to begin with as there will always be some a55hat who is willing to sell their soul to give an opinion that is favorable to the zealots' needs. Listen to the testimony of some of these a5swipes. They claim they are docs but their testimony is so divorced from reality it is astonishing they don't lose their license (except the State BOM have no reproductive organs in their shorts)
 
leswp1 said:
IN a perfect world.... but we live in a world where you don't get to practice medicine. You practice finances and insurance. U/S are expensive. Where I am they make you pony up before you get to have the test.

U/S can be helpful for some of that stuff but as a Provider you are screwed to begin with as there will always be some a55hat who is willing to sell their soul to give an opinion that is favorable to the zealots' needs. Listen to the testimony of some of these a5swipes. They claim they are docs but their testimony is so divorced from reality it is astonishing they don't lose their license (except the State BOM have no reproductive organs in their shorts)
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Wait, how much is expensive? I think the ultrasound was the cheapest of the scans I had done when I had my medical scare. I could have sworn it was under $200. The CTs and MRIs were all north of that. The MRIs were like $700 a pop.
 
dxmnkd316 said:
Wait, how much is expensive? I think the ultrasound was the cheapest of the scans I had done when I had my medical scare. I could have sworn it was under $200. The CTs and MRIs were all north of that. The MRIs were like $700 a pop.
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Are you talking copay or actual billed cost? Because MRIs can cost several thousand, depending on like a zillion things. They are so expensive that CMS requires the use of a decision support tool that's been approved by ... some AMA-like governing body. This went into effect in 2019 so under the Protecting Access to Medicare Act. Several private payers adopted it as well as a cost-saving measure.
 
You would think Moss being on a show like Handmaids Tale would make her think twice about being a Scientologist...but alas she defends the cult still.
 
Handyman said:
You would think Moss being on a show like Handmaids Tale would make her think twice about being a Scientologist...but alas she defends the cult still.
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Programming is deep.

Is Moss one of the ones who is second gen nutbar? Like with other religions they almost never get free.
 
Kepler said:
Programming is deep.

Is Moss one of the ones who is second gen nutbar? Like with other religions they almost never get free.
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Not that I can tell but who knows. Probably one of the ones who joined to help her career...
 
Handyman said:
Not that I can tell but who knows. Probably one of the ones who joined to help her career...
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Yeah, she is, I looked it up.

As with Christianity or anything else, if it's jammed into your skull when you're a child it is almost impossible to ever get rid of it. It will haunt you, if not as superstition, then as a villain to attack. Carlin never got over it, and he was more sensible than most.
 
Swansong said:
Are you talking copay or actual billed cost? Because MRIs can cost several thousand, depending on like a zillion things. They are so expensive that CMS requires the use of a decision support tool that's been approved by ... some AMA-like governing body. This went into effect in 2019 so under the Protecting Access to Medicare Act. Several private payers adopted it as well as a cost-saving measure.
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At the time, billed cost since I hadn't hit my deductible.

I had two MRIs twice. With and without contrast. Each was about $1,500 for the pair.
 
dxmnkd316 said:
Wait, how much is expensive? I think the ultrasound was the cheapest of the scans I had done when I had my medical scare. I could have sworn it was under $200. The CTs and MRIs were all north of that. The MRIs were like $700 a pop.
Click to expand...

For some women coming up with even something under 200$ is not easy- beyond the actual cost of the scan there can be a bill for radiology read, missing work- unpaid, transportation and a host of other hidden costs. This is hard enough when they they only have one but financially impossible if you are talking about doing multiple scans.

Many women who are uninsured are working multiple PT jobs (no benefits) so it can be a logistical nightmare to juggle getting the appointment, dealing with them getting time off from both or more jobs, transportation, dealing with the kids who often are shuttled from one relative to another between jobs...

Many of the reasons women can't see their way to continuing a pregnancy- everything is one complication away from everything crashing down financially.
 
dxmnkd316 said:
At the time, billed cost since I hadn't hit my deductible.

I had two MRIs twice. With and without contrast. Each was about $1,500 for the pair.
Click to expand...

This can depend on what is scanned and also where the scan is happening. Best example= we had an independent radiology center that did x-rays, mammos, etc. They had a contract with the local PHO (Physician Hospital Organization) so by proxy with all the insurances, to do Mammos at a set rate (somewhere around 250)

Mass General took over the site and didn't let people know this happened. They kept calling women to come for their annual screen. They were out of network. Mass General's agreement with insurances was to bill 800$ for the same services. The explanation for such a disparity was they were a teaching and research based hospital and this was part of the way they funded themselves.

Women were getting wacked with bills for going out of network. Some of the insurances paid but then docked the hospital the extra money from their reimbursement. I used to tell the uninsured pts to call around to get the best rate. This of course was a pipe dream. ALthough it is a law they reveal prices they never give a straight answer.
 
leswp1 said:
For some women coming up with even something under 200$ is not easy- beyond the actual cost of the scan there can be a bill for radiology read, missing work- unpaid, transportation and a host of other hidden costs. This is hard enough when they they only have one but financially impossible if you are talking about doing multiple scans.

Many women who are uninsured are working multiple PT jobs (no benefits) so it can be a logistical nightmare to juggle getting the appointment, dealing with them getting time off from both or more jobs, transportation, dealing with the kids who often are shuttled from one relative to another between jobs...

Many of the reasons women can't see their way to continuing a pregnancy- everything is one complication away from everything crashing down financially.
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Agree and fair point. But that wasn't my original point. My point was that if im a doctor and someone requests one knowing it's $200, then I'd be hard pressed to say no.
 
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