I am an obstetrician/gynecologist, and every day I see patients who rely on their insurance to pay for contraception. There’s Alice, who wouldn’t be able to afford the $1,000 out-of-pocket cost of an intrauterine device (IUD) on her grad student salary—thanks to her insurance coverage, she has an IUD so she can wait to start a family until she finishes her degree.

I think of Tanesha, whose debilitating migraines every month often forced her to miss work. The only treatment that reduced her pain? The birth control pill, covered in full by her insurance. 

And then there’s Amber, who suffered from severe heart disease during her last pregnancy. An unplanned pregnancy could kill her, leaving her three kids without a mom. Thankfully, her insurance plan covered her contraceptive implant, giving Amber three years of highly effective contraception.

All of my patients and the millions of women across the country deserve access to these safe, reliable, and vital drugs and devices. I worry what will happen to my patients with the Trump administration’s rollback of the ACA’s contraceptive coverage requirements.