Dr. Nisha Verma: But often patients that say, “My pregnancy is high risk” because they have high blood pressure or diabetes or mental health conditions or they’re on certain medications, or they’re a teenager or they’re advanced maternal age or whatever it is. And you have to say, “I get that. I get that this is high risk. I agree with you, but the state has decided that that is not high risk enough to qualify.” It’s essentially the state placing judgement and deciding what is high risk enough versus patients having to do that. And when you think about evidence based-medicine, as a doctor, I am providing people with recommendations with the signs, with the evidence and then working with them and their values and creating an approach that works best for them and their families in that shared decision making approach. Our ability to do that in a lot of situations is limited because of the laws. One of the things I’ll often talk about is I have patients that have decided to continue very high risk pregnancies that I would never continue. Our patients make decisions that are different from the decisions we would make all of the time. When I’m talking to a patient, I can counsel them and say, “This pregnancy is risky for these reasons. These are the options”. In an ideal world, practicing evidence based medicine, you can say, “Your options are to continue the pregnancy and see. We can also do an abortion if that risk is too high for you.” And some patients say, “Yes the risk is too high. I have children. I have other family to think about.” So we can provide their abortion. Some people choose to continue really high risk pregnancies, and we also work to optimize the health of those pregnancies. I think our ability to provide that full spectrum and let people decide what risk is tolerable for them and their life and make those shared decisions is really limited.