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How do rape exceptions for abortion work? They don’t.

By Amanda Michelle Gomez

Over the past year, Dr. Shanthi Ramesh performed abortions for seven sexual assault survivors and she recalls Medicaid insurance only paying for two.

It didn’t matter that they were all technically eligible for Medicaid — meaning, they were all poor enough to receive public health insurance — or that a doctor, in her professional opinion, believed they were raped. She says four of the seven women did not report their assaults to local law enforcement and, so, insurance didn’t cover it. One did try to report, but police didn’t believe her.

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