Where Contraception’s A Lifestyle Drug Not A Medical Need — So Women Pay The Tab

KHN correspondent Shefali Luthra is reporting from Germany as a 2019 Arthur F. Burns Fellow. HAMBURG, Germany — In the five years she’s lived in Germany, Erin Duffy doesn’t think she has paid more than 16 euros for medical care. Until now, that is. Duffy, a 27-year-old American expat in Hamburg, has had an intrauterine device since she was 22. She got it before moving here from Virginia, where her employer-sponsored health insurance covered its entire cost. Now, she’s due for a replacement. And since she receives her health care through the German public insurance program, it’s going to cost her 350 euros. That’s about $385, and almost a quarter of her monthly take-home pay. She hopes to pay it off in installments. Coverage of birth control highlights

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