Christine came to see me for an IUD. She is 40 and had been pregnant recently. She and her husband have two children, and they wanted to have another baby. But Christine’s insurance doesn’t pay for labor and delivery. Her doctor estimated that even an uncomplicated birth would cost thousands more than she and her husband could afford. And their income was too high for Medicaid. So instead of having the third child she and her husband wanted, Christine had an abortion, for which she paid in full because her insurance didn’t cover that, either. The final insult? Christine wanted to make sure she wouldn’t become pregnant, but her insurance wouldn’t cover her IUD.