But in America, that's fair. And the insurance companies are more than happy to gouge the millions of American women who have no health insurance the same way.Checking the "female" box when buying health insurance is likely to cost extra — perhaps up to 50 percent more than a man would pay for the same coverage.
Gender-rating — or what some term as flat-out sexual discrimination — is linked to the simple fact that women, particularly those under age 50 or so, go to the doctor more often than men.
But outrage over how women are treated in the individual health insurance market is mounting as stories emerge of companies refusing to cover maternity benefits and denying coverage because of past domestic violence or cesarean sections, including a Colorado woman who was told she would have to get sterilized to qualify for insurance.
Federal proposals, as well as pending state legislation, would ban gender-rating and require maternity coverage, even as the insurance industry warns that lowering premiums for younger women could mean higher premiums for most everyone else.
Colorado women age 40 and under shopping for health insurance in the individual market, not through an employer, pay from 10 percent to 59 percent more than men, according to analysis by the National Women's Law Center.
They pay more even when maternity coverage is not included. And in many cases, a female nonsmoker pays more for health coverage than a man who smokes.
A uterus is nothing more than a pre-existing condition to insurance companies, and that means dollar signs.Suzanne Pariser, a Denver lawyer and mother of 2-year-old Willa, is putting off expanding her family because she cannot find an affordable insurance plan that includes maternity coverage.
"That's the main reason we're not having a baby right now," she said. "We definitely want to have another child."
Pariser is annoyed that insurance company executives, in essence, are determining her family planning.
"My anger is mostly that insurance companies view having a baby as a medical complication that costs them money," she said. "They view it as a disease."
The only plan she could find that offered maternity coverage was more expensive in the long run than paying out of pocket to have a baby, Pariser figured.
Costs vary by hospital or birthing center, but the average bill for a vaginal birth with no complications is about $7,500 and for a cesarean section, $13,200.
But Republicans keep telling us that the key is removing insurance regulations to foster more competition.
Sure it is. Insurance companies really do want to compete over which company will be able to overcharge people, you know.
Are there no women who work in the insurance industry? Honestly?
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