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A pregnant woman getting an ultrasound. Photo: Brianna Soukup/Portland Press Herald via Getty Images

We know childbirth is wildly expensive in the U.S. The Philadelphia Inquirer has a very depressing related story: The cost of a failed pregnancy can also be unexpectedly large, leaving women or couples to sort through and challenge medical bills on top of an enormous emotional loss.

Details: One woman profiled by the Inquirer, Jodi Laughlin, had to have an emergency C-section. Her baby then lived only 32 minutes, due to a buildup of fluid in her body.

  • Laughlin’s insurer, Cigna, initially denied coverage for her C-section and for 2 procedures to drain the baby’s excess fluids. Those procedures were instead billed at $16,500 and $26,450. Cigna said none of those 3 procedures were medically necessary.
  • The family was eventually able to negotiate that down to $4,000. Laughlin’s husband said he initially hid the bills from his wife, given how much she was already going through.
  • Genetic testing revealed that the same outcome was likely if the Laughlins conceived again, so they turned to fertility treatments — at an out-of-pocket cost of $19,000.

Go deeper: People around the world are waiting longer to have kids

Go deeper

Dave Lawler, author of World
46 mins ago - World

How Biden might tackle the Iran deal

Photo illustration: Aïda Amer/Axios. Photo: Drew Angerer/Getty Images

Four more years of President Trump would almost certainly kill the Iran nuclear deal — but the election of Joe Biden wouldn’t necessarily save it.

The big picture: Rescuing the 2015 Joint Comprehensive Plan of Action (JCPOA) is near the top of Biden's foreign policy priority list. He says he'd re-enter the deal once Iran returns to compliance, and use it as the basis on which to negotiate a broader and longer-lasting deal with Iran.

Kamala Harris, the new left's insider

Photo illustration: Eniola Odetunde/Axios. Photo: Joe Buglewicz/Getty Images     

Progressive leaders see Sen. Kamala Harris, if she's elected vice president, as their conduit to a post-Biden Democratic Party where the power will be in younger, more diverse and more liberal hands.

  • Why it matters: The party's rising left sees Harris as the best hope for penetrating Joe Biden's older, largely white inner circle.

If Biden wins, Harris will become the first woman, first Black American and first Indian American to serve as a U.S. vice president — and would instantly be seen as the first in line for the presidency should Biden decide against seeking a second term.

Updated 9 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Health: Large coronavirus outbreaks leading to high death rates — Coronavirus cases are at an all-time high ahead of Election Day — U.S. tops 88,000 COVID-19 cases, setting new single-day record.
  2. Politics: States beg for Warp Speed billions.
  3. World: Taiwan reaches a record 200 days with no local coronavirus cases.
  4. 🎧Podcast: The vaccine race turns toward nationalism.

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