12. Who's Paying the Bill?

The Mirena IUD embeds a hormone inside a plastic T. Inside the uterus the hormone both suppresses the uterine lining and thickens mucous in the cervical canal, while the "T" triggers an inflammatory response. A three-act contraceptive, good for five years. At about $500, that's $8 a month for very effective birth control. So L. has a Mirena inserted, paying just a $15 copay for the office visit. Three months later she and her husband decide to try for another child and has the IUD removed. The IUD of course is discarded. How will health care reform fix this?