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Medi-Cal Announces New Benefit for California's Neediest
Bay Area GYN Praises Coverage for Non-Surgical Contraception Procedure
| Quelle: EASy Gyn
SAN JOSE, CA--(Marketwire - May 12, 2008) - Medi-Cal, the provider of insurance coverage
for California's low income population, announced last Friday that
effective immediately, it will provide full coverage for in-office
hysteroscopic sterilization. The revolutionary medical procedure provides
the State's neediest women with an alternative to traditional surgical
treatments for sterilization. Seth A. Stabinsky, M.D., FACOG, Medical
Director of EASy Gyn Clinical & Research Centers of North America, Inc.
based in San Jose, CA, commended Medi-Cal's announcement. Stabinsky's
practice treats women from all socioeconomic backgrounds and will now be
able to offer this breakthrough treatment to the many Medi-Cal recipients
who reside closest to his practice in East San Jose.
"Besides teenagers, ethnic women in their late thirties and early forties
are most likely to experience unplanned pregnancy," said Dr. Stabinsky.
"For every public dollar spent on pregnancy prevention, three dollars are
saved in prenatal and neonatal care. We cannot afford to put obstacles in
front of women who desire to permanently control their family size, be they
rich or poor."
Hysteroscopic sterilization utilizes tiny cameras, inserted through the
vagina, to deliver an implant into each fallopian tube. The Essure®
implants seal the fallopian tubes over a three-month period, followed by an
X-Ray dye study to confirm closure. Thanks to Medi-Cal's decision, the less
painful, scar-free alternative is now available to California's neediest
women, allowing them to resume normal activities within a day. The FDA
approved the first incisionless sterilization procedure in 2001. Another
device, Adiana®, is currently undergoing final FDA review. Until now, the
procedure has been available only to women whose insurance companies
covered the procedure, or those who had the means to pay out-of-pocket.
In 2005, California public funds paid for almost 24,000 births and over
7,500 abortions in women aged 35-44. The Guttmacher Institute estimates
that of six million annual U.S. pregnancies, half are unintended, 1.3
million end in abortion, and 17% of these occur in California. Many women
who ultimately choose to abort may have preferred prior sterilization if
the procedure was covered by insurance, office-based, and did not require
general anesthesia, multiple incisions and a 3-4 day recovery.
According to Dr. Stabinsky, who completed a fellowship in endoscopic
gynecology at Stanford University, and was recently the medical supervisor
for a clinical trial of over 600 women who underwent hysteroscopic
sterilization, "The most exciting aspect of the new endometrial ablation
technology is that in skilled hands, it is quickly and easily performed in
the office using minimal sedation and local anesthesia." Stabinsky
currently treats women at the Endometrial Ablation & Sterilization Center
of San Jose, Inc. (A CA Professional Corporation) where he offers the
non-surgical procedure.
The Family PACT program of the State Office of Family Planning, which
provides reproductive healthcare to the majority of California's low-income
families, will not yet cover the Essure device due to budget constraints.
"This is extremely disappointing considering the large number of women for
whom FPACT provides contraceptive services," said Dr. Stabinsky.
"Hysteroscopic sterilization would save the State a tremendous amount of
money. I hope they can overcome their budget constraints quickly, finding a
way to follow Medi-Cal's courageous lead."