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NEW YORK , Dec. 15, 2024 /PRNewswire/ -- The global metalworking fluids market size is estimated to grow by USD 2.08 billion from 2024 to 2028, according to Technavio. The market is estimated to grow at a CAGR of 3.2% during the forecast period. For comprehensive forecast and historic data on regions,market segments, customer landscape, and companies- Click for the snapshot of this report Region Outlook 1. APAC - APAC is estimated to contribute 39%. To the growth of the global market. The Metalworking Fluids Market report forecasts market growth by revenue at global, regional & country levels from 2017 to 2027. The APAC metalworking fluids market is experiencing consistent growth due to the expansion of the manufacturing and industrial sectors in countries like China , India , Japan , and South Korea . These regions, known for their automotive, aerospace, and machinery industries, are key contributors to the market. Manufacturers are focusing on enhancing machining efficiency and extending tool life, leading to increased demand for high-performance metalworking fluids. In response to environmental regulations, water-based fluids are becoming increasingly popular. However, synthetic fluids continue to gain traction for specialized applications. Major players in the APAC market include Exxon Mobil, Chevron, and FUCHS, offering a range of cutting fluids, lubricants, and corrosion inhibitors. For more insights on APAC's significant contribution along with the market share of rest of the regions and countries - Download a FREE Sample Segmentation Overview 1.1 Construction 1.2 Automobile 1.3 Aerospace 1.4 Electrical and power 1.5 Others 2.1 Mineral 2.2 Synthetic 2.3 Bio-based 3.1 APAC 3.2 North America 3.3 Europe 3.4 Middle East and Africa 3.5 South America Get a glance at the market contribution of rest of the segments - Download a FREE Sample Report in minutes! 1.1 Fastest growing segment: The global metalworking fluids market is primarily driven by the construction industry, which utilizes these fluids for various applications such as machining, cutting, and shaping metal components. In construction, cutting and grinding fluids are essential for metal fabrication in steel beam cutting, concrete surface grinding, and metal component shaping. Hydraulic fluids are crucial for heavy machinery like excavators and bulldozers, ensuring efficient operation and preventing metal component wear and tear. Notably, India's urbanization trend predicts that urban areas will house 40% of India's population and generate 75% of the country's GDP by 2030. This expansion of infrastructure projects, including bridges, buildings, and roadways, significantly increases the demand for metalworking fluids, making construction a significant end-user in the market's growth during the forecast period. Research Analysis The Metalworking Fluids market encompasses a wide range of fluids used in the manufacturing sector for machining and metalworking processes. These fluids, derived primarily from crude oil, include base oils, motor oils, and lubricants. They are essential for heavy industry machinery in various industries such as manufacturing, construction, transportation, and more. In the industrial lubricant market, metalworking fluids play a crucial role in primary ferrous and non-ferrous manufacturing processes. The aviation and marine industries also heavily rely on these fluids for their machinery. Factors driving the demand for metalworking fluids include population growth, increasing consumerism, product visibility, and the need for efficient manufacturing processes. Connectivity and infrastructure development further boost demand, while trade relations and the availability of roads are critical considerations for the market's growth. Market Overview Metalworking fluids, also known as MWFs, are essential liquids used in various industries for metalworking processes such as machining, forming, and forging. These fluids play a crucial role in reducing heat, preventing corrosion, and improving tool efficiency. The market for metalworking fluids is vast and diverse, spanning across sectors like agriculture, construction, automotive, aviation, and heavy industry machinery. In the agricultural sector, metalworking fluids are used in the manufacturing of agricultural equipment, ensuring high-yield production and efficient machinery operation. In the automotive industries, these fluids are employed in the production of automobile parts, ensuring smooth manufacturing processes and high-quality end products. The aviation industry relies on metalworking fluids for the production of aircraft and aircraft parts, ensuring the production of lightweight, durable, and safe components. In the construction sector, metalworking fluids are used in the manufacturing of heavy machinery and equipment, enabling the construction of infrastructure projects and large construction vehicles. The demand for metalworking fluids is driven by consumerism, population growth, and the need for increased process productivity. However, environmental issues and health concerns have led to the development of eco-friendly and non-toxic metalworking fluids. The market for metalworking fluids is expected to grow significantly in the coming years due to the increasing demand for transportation equipment, infrastructure development, and the need for improved workpiece quality and surface finish. Metalworking fluids are used in various industries, including drilling, forging, grinding, forming, and metal fabrication. They are also used in the production of base oils, gear oils, and motor oils. The chemical composition of metalworking fluids varies, depending on the specific application and the type of metal being worked. Metalworking fluids are used in various industries, including the manufacturing of iron structures, non-ferrous metals, and primary ferrous and non-ferrous metals. They are also used in the production of marine and railroad equipment, as well as in the automotive, aviation, and heavy machinery manufacturing industries. The use of metalworking fluids is essential for the production of high-performance metalworking fluids, which are used in the manufacturing of complex components and integrated circuits. These fluids help to improve tool efficiency, reduce tool wear, and ensure high-quality workpiece surfaces. However, the production and disposal of metalworking fluids can pose environmental and health concerns. Proper disposal of hazardous waste is crucial to minimize the impact on the environment and worker health. In conclusion, the metalworking fluids market is a dynamic and diverse industry that plays a crucial role in various sectors, including agriculture, construction, automotive, aviation, and heavy industry machinery manufacturing. The demand for metalworking fluids is driven by consumerism, population growth, and the need for increased process productivity. However, environmental and health concerns have led to the development of eco-friendly and non-toxic metalworking fluids, ensuring sustainable and safe production processes. Start exploring market insights by Download a FREE Sample Report in minutes! Key Topics Covered: 1 Executive Summary 2 Market Landscape 3 Market Sizing 4 Historic Market Size 5 Five Forces Analysis 6 Market Segmentation 7 Customer Landscape 8 Geographic Landscape 9 Drivers, Challenges, and Trends 10 Venodr Landscape 11 Vendor Analysis 12 Appendix About Technavio Technavio is a leading global technology research and advisory company. Their research and analysis focuses on emerging market trends and provides actionable insights to help businesses identify market opportunities and develop effective strategies to optimize their market positions. With over 500 specialized analysts, Technavio's report library consists of more than 17,000 reports and counting, covering 800 technologies, spanning across 50 countries. Their client base consists of enterprises of all sizes, including more than 100 Fortune 500 companies. This growing client base relies on Technavio's comprehensive coverage, extensive research, and actionable market insights to identify opportunities in existing and potential markets and assess their competitive positions within changing market scenarios. Contacts Technavio Research Jesse Maida Media & Marketing Executive US: +1 844 364 1100 UK: +44 203 893 3200 Email: [email protected] Website: www.technavio.com/ SOURCE TechnavioK?q.&=[gӊgBzA׵Ib(XAYA5%zGdAf!CGrpM̈y

ASHEVILLE, N.C. (AP) — Fletcher Abee's 25 points helped UNC Asheville defeat Saint Andrews 120-64 on Saturday. Abee shot 8 for 12 (6 for 10 from 3-point range) and 3 of 3 from the free-throw line for the Bulldogs (4-4). Connor Dubsky scored 20 points while going 6 of 12 from the floor, including 5 for 11 from 3-point range, and 3 for 4 from the line. Jordan Marsh had 14 points and finished 6 of 10 from the field. The Knights were led by Escamilla Mateu, who posted 17 points, seven rebounds and two steals. Ma'Nas Drummond added 14 points for Saint Andrews (NC). Caleb Brown finished with 13 points and two steals. The Associated Press created this story using technology provided by Data Skrive and data from Sportradar .

A Vision of Wellness Excellence: Ammar Samad on Leading Zulal Wellness Resort to Global ProminenceNorth Carolina interviewed former New England Patriots coach and six-time Super Bowl champion Bill Belichick for its head coaching position, two people with knowledge of the situation said Thursday. Both people spoke to the Associated Press on condition of anonymity because the school isn’t commenting publicly on its search. Belichick’s interview, first reported by Inside Carolina, comes a week after the school fired its winningest coach in College Football Hall of Famer Mack Brown. The school announced Nov. 26 that Brown wouldn’t return for a seventh season in his second stint at the school, with Brown staying on to coach last weekend’s rivalry loss to N.C. State. Former Cleveland Browns coach Freddie Kitchens is working as the interim coach for an upcoming bowl game as UNC conducts it search. Moving on from the 73-year-old Brown to hire the 72-year-old Belichick would mean UNC is turning to a coach who never has worked at the college level yet had incredible NFL success alongside quarterback Tom Brady throughout most of his 24-year tenure with the Patriots that ended last season. In the time since, he had been linked to NFL jobs, notably the Atlanta Falcons in January. UNC’s opening comes at a time of rapid changes in college athletics with free player movement through the transfer portal and players able to cash in on their athletic fame with endorsement opportunities. There’s also the impending arrival of revenue sharing, part of a $2.8 billion antitrust settlement proposal that gained preliminary approval by a judge in October. “I think it’s a great time for me to get out,” Brown said after Saturday’s loss to the Wolfpack. “This isn’t the game that I signed up for. It’s changed so much.” In a UNC-produced podcast earlier this week, athletic director Bubba Cunningham said all the coaches the school is talking with about its job “are playing,” with college football having reached its conference title games before unveiling the 12-team College Football Playoff and bowl assignments. Cunningham said then that “fit” was the most important thing in finding Brown’s successor. “There’s a certain person that’s best suited at the right time, at the right place,” he said. “And right now, that’s we’re looking for: Where are we today, who can lead us in the next three, five, 10 years?”LAGOS LIGA AND THAT FAAN AIRPORT POSITION DOCUMENTStock market today: Wall Street hangs around its records as bitcoin briefly pops above $100,000

WASHINGTON — Donald Trump said he can't guarantee that his promised tariffs on key U.S. foreign trade partners won't raise prices for American consumers and he suggested once more that some political rivals and federal officials who pursued legal cases against him should be imprisoned. The president-elect, in a wide-ranging interview with NBC's "Meet the Press" that aired Sunday, also touched on monetary policy, immigration, abortion and health care, and U.S. involvement in Ukraine, Israel and elsewhere. Trump often mixed declarative statements with caveats, at one point cautioning "things do change." A look at some of the issues covered: Trump hems on whether trade penalties could raise prices Trump has threatened broad trade penalties, but said he didn't believe economists' predictions that added costs on those imported goods for American companies would lead to higher prices for U.S. consumers. He stopped short of a pledge that U.S. households won't be paying more as they shop. "I can't guarantee anything. I can't guarantee tomorrow," Trump said, seeming to open the door to accepting the reality of how import levies typically work as goods reach the retail market. That's a different approach from Trump's typical speeches throughout the 2024 campaign, when he framed his election as a sure way to curb inflation. In the interview, Trump defended tariffs generally, saying they are "going to make us rich." He has pledged that, on his first day in office in January, he would impose 25% tariffs on all goods imported from Mexico and Canada unless those countries satisfactorily stop illegal immigration and the flow of illegal drugs such as fentanyl into the United States. He also has threatened additional tariffs on China to help force that country to crack down on fentanyl production. "All I want to do is I want to have a level, fast, but fair playing field," Trump said. Trump suggests retribution for his opponents while claiming no interest in vengeance He offered conflicting statements on how he would approach the justice system after winning election despite being convicted of 34 felonies in a New York state court and being indicted in other cases for his handling of national security secrets and efforts to overturn his 2020 loss to Democrat Joe Biden. "Honestly, they should go to jail," Trump said of members of Congress who investigated the Capitol riot by his supporters who wanted him to remain in power. The president-elect underscored his contention that he can use the justice system against others, including special prosecutor Jack Smith, who led the case on Trump's role in the siege on Jan. 6, 2021. Trump confirmed his plan to pardon supporters who were convicted for their roles in the riot, saying he would take that action on his first day in office. As for the idea of revenge driving potential prosecutions, Trump said: "I have the absolute right. I'm the chief law enforcement officer, you do know that. I'm the president. But I'm not interested in that." At the same time, Trump singled out lawmakers on a special House committee who had investigated the insurrection, citing Rep. Bennie Thompson, D-Miss., and former Rep. Liz Cheney, R-Wyo. "Cheney was behind it ... so was Bennie Thompson and everybody on that committee," Trump said. Asked specifically whether he would direct his administration to pursue cases, he said, "No," and suggested he did not expect the FBI to quickly undertake investigations into his political enemies. But at another point, Trump said he would leave the matter up to Pam Bondi, his pick as attorney general. "I want her to do what she wants to do," he said. Such threats, regardless of Trump's inconsistencies, have been taken seriously enough by many top Democrats that Biden is considering issuing blanket, preemptive pardons to protect key members of his outgoing administration. Trump did seemingly back off his campaign rhetoric calling for Biden to be investigated, saying, "I'm not looking to go back into the past." Swift action on immigration is coming Trump repeatedly mentioned his promises to seal the U.S.-Mexico border and deport millions of people who are in the U.S. illegally through a mass deportation program. "I think you have to do it," he said. He suggested he would try to use executive action to end "birthright" citizenship under which people born in the U.S. are considered citizens — although such protections are spelled out in the Constitution. Asked specifically about the future for people who were brought into the country illegally as children and have been shielded from deportation in recent years, Trump said, "I want to work something out," indicating he might seek a solution with Congress. But Trump also said he does not "want to be breaking up families" of mixed legal status, "so the only way you don't break up the family is you keep them together and you have to send them all back." Trump commits to NATO, with conditions, and waffles on Putin and Ukraine Long a critic of NATO members for not spending more on their own defense, Trump said he "absolutely" would remain in the alliance "if they pay their bills." Pressed on whether he would withdraw if he were dissatisfied with allies' commitments, Trump said he wants the U.S. treated "fairly" on trade and defense. He waffled on a NATO priority of containing Russia and President Vladimir Putin. Trump suggested Ukraine should prepare for less U.S. aid in its defense against Putin's invasion. "Possibly. Yeah, probably. Sure," Trump said of reducing Ukraine assistance from Washington. Separately, Trump has called for an immediate ceasefire. Asked about Putin, Trump said initially that he has not talked to the Russian leader since Election Day last month, but then hedged: "I haven't spoken to him recently." Trump said when pressed, adding that he did not want to "impede the negotiation." Trump says Powell is safe at the Fed, but not Wray at the FBI The president-elect said he has no intention, at least for now, of asking Federal Reserve Chairman Jerome Powell to step down before Powell's term ends in 2028. Trump said during the campaign that presidents should have more say in Fed policy, including interest rates. Trump did not offer any job assurances for FBI Director Christopher Wray, whose term is to end in 2027. Asked about Wray, Trump said: "Well, I mean, it would sort of seem pretty obvious" that if the Senate confirms Kash Patel as his pick for FBI chief, then "he's going to be taking somebody's place, right? Somebody is the man that you're talking about." Trump is absolute about Social Security, not so much on abortion and health insurance Trump promised that the government efficiency effort led by Elon Musk and Vivek Ramaswamy will not threaten Social Security. "We're not touching Social Security, other than we make it more efficient," he said. He added that "we're not raising ages or any of that stuff." He was not so specific about abortion or his long-promised overhaul of the Affordable Care Act. On abortion, Trump continued his inconsistencies and said he would "probably" not move to restrict access to the abortion pills that now account for a majority of pregnancy terminations, according to the Guttmacher Institute, which supports abortion rights. But pressed on whether he would commit to that position, Trump replied, "Well, I commit. I mean, are -- things do -- things change. I think they change." Reprising a line from his Sept. 10 debate against Vice President Kamala Harris, Trump again said he had "concepts" of a plan to substitute for the 2010 Affordable Care Act, which he called "lousy health care." He added a promise that any Trump version would maintain insurance protections for Americans with preexisting health conditions. He did not explain how such a design would be different from the status quo or how he could deliver on his desire for "better health care for less money."

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Prepare for uncertain, shock-prone future, Bank of Canada head tells B.C. crowdPlus Wallet Steals the Spotlight with Huge Rewards While Ripple CEO Highlights Trump’s Crypto Stance & Binance Prepares Comeback

Intel’s ARC B580 GPU: The $249 Gaming Beast You Need to Know About"Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum." Section 1.10.32 of "de Finibus Bonorum et Malorum", written by Cicero in 45 BC "Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque ipsa quae ab illo inventore veritatis et quasi architecto beatae vitae dicta sunt explicabo. Nemo enim ipsam voluptatem quia voluptas sit aspernatur aut odit aut fugit, sed quia consequuntur magni dolores eos qui ratione voluptatem sequi nesciunt. Neque porro quisquam est, qui dolorem ipsum quia dolor sit amet, consectetur, adipisci velit, sed quia non numquam eius modi tempora incidunt ut labore et dolore magnam aliquam quaerat voluptatem. Ut enim ad minima veniam, quis nostrum exercitationem ullam corporis suscipit laboriosam, nisi ut aliquid ex ea commodi consequatur? Quis autem vel eum iure reprehenderit qui in ea voluptate velit esse quam nihil molestiae consequatur, vel illum qui dolorem eum fugiat quo voluptas nulla pariatur?" 1914 translation by H. Rackham "But I must explain to you how all this mistaken idea of denouncing pleasure and praising pain was born and I will give you a complete account of the system, and expound the actual teachings of the great explorer of the truth, the master-builder of human happiness. No one rejects, dislikes, or avoids pleasure itself, because it is pleasure, but because those who do not know how to pursue pleasure rationally encounter consequences that are extremely painful. Nor again is there anyone who loves or pursues or desires to obtain pain of itself, because it is pain, but because occasionally circumstances occur in which toil and pain can procure him some great pleasure. To take a trivial example, which of us ever undertakes laborious physical exercise, except to obtain some advantage from it? But who has any right to find fault with a man who chooses to enjoy a pleasure that has no annoying consequences, or one who avoids a pain that produces no resultant pleasure?" 1914 translation by H. Rackham "But I must explain to you how all this mistaken idea of denouncing pleasure and praising pain was born and I will give you a complete account of the system, and expound the actual teachings of the great explorer of the truth, the master-builder of human happiness. No one rejects, dislikes, or avoids pleasure itself, because it is pleasure, but because those who do not know how to pursue pleasure rationally encounter consequences that are extremely painful. Nor again is there anyone who loves or pursues or desires to obtain pain of itself, because it is pain, but because occasionally circumstances occur in which toil and pain can procure him some great pleasure. To take a trivial example, which of us ever undertakes laborious physical exercise, except to obtain some advantage from it? But who has any right to find fault with a man who chooses to enjoy a pleasure that has no annoying consequences, or one who avoids a pain that produces no resultant pleasure?" To keep reading, please log in to your account, create a free account, or simply fill out the form below.Medical teachers donate laparoscopy machines to LGHSOC As A Service Market Size Reach USD 9.9 Billion By 2031, Growing CAGR Of 8.2%.

"Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum." Section 1.10.32 of "de Finibus Bonorum et Malorum", written by Cicero in 45 BC "Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque ipsa quae ab illo inventore veritatis et quasi architecto beatae vitae dicta sunt explicabo. Nemo enim ipsam voluptatem quia voluptas sit aspernatur aut odit aut fugit, sed quia consequuntur magni dolores eos qui ratione voluptatem sequi nesciunt. Neque porro quisquam est, qui dolorem ipsum quia dolor sit amet, consectetur, adipisci velit, sed quia non numquam eius modi tempora incidunt ut labore et dolore magnam aliquam quaerat voluptatem. Ut enim ad minima veniam, quis nostrum exercitationem ullam corporis suscipit laboriosam, nisi ut aliquid ex ea commodi consequatur? Quis autem vel eum iure reprehenderit qui in ea voluptate velit esse quam nihil molestiae consequatur, vel illum qui dolorem eum fugiat quo voluptas nulla pariatur?" 1914 translation by H. Rackham "But I must explain to you how all this mistaken idea of denouncing pleasure and praising pain was born and I will give you a complete account of the system, and expound the actual teachings of the great explorer of the truth, the master-builder of human happiness. No one rejects, dislikes, or avoids pleasure itself, because it is pleasure, but because those who do not know how to pursue pleasure rationally encounter consequences that are extremely painful. Nor again is there anyone who loves or pursues or desires to obtain pain of itself, because it is pain, but because occasionally circumstances occur in which toil and pain can procure him some great pleasure. To take a trivial example, which of us ever undertakes laborious physical exercise, except to obtain some advantage from it? But who has any right to find fault with a man who chooses to enjoy a pleasure that has no annoying consequences, or one who avoids a pain that produces no resultant pleasure?" 1914 translation by H. Rackham "But I must explain to you how all this mistaken idea of denouncing pleasure and praising pain was born and I will give you a complete account of the system, and expound the actual teachings of the great explorer of the truth, the master-builder of human happiness. No one rejects, dislikes, or avoids pleasure itself, because it is pleasure, but because those who do not know how to pursue pleasure rationally encounter consequences that are extremely painful. Nor again is there anyone who loves or pursues or desires to obtain pain of itself, because it is pain, but because occasionally circumstances occur in which toil and pain can procure him some great pleasure. To take a trivial example, which of us ever undertakes laborious physical exercise, except to obtain some advantage from it? But who has any right to find fault with a man who chooses to enjoy a pleasure that has no annoying consequences, or one who avoids a pain that produces no resultant pleasure?" To keep reading, please log in to your account, create a free account, or simply fill out the form below.Renuka Rayasam | (TNS) KFF Health News In April, just 12 weeks into her pregnancy, Kathleen Clark was standing at the receptionist window of her OB-GYN’s office when she was asked to pay $960, the total the office estimated she would owe after she delivered. Clark, 39, was shocked that she was asked to pay that amount during this second prenatal visit. Normally, patients receive the bill after insurance has paid its part, and for pregnant women that’s usually only when the pregnancy ends. It would be months before the office filed the claim with her health insurer. Clark said she felt stuck. The Cleveland, Tennessee, obstetrics practice was affiliated with a birthing center where she wanted to deliver. Plus, she and her husband had been wanting to have a baby for a long time. And Clark was emotional, because just weeks earlier her mother had died. “You’re standing there at the window, and there’s people all around, and you’re trying to be really nice,” recalled Clark, through tears. “So, I paid it.” On online baby message boards and other social media forums , pregnant women say they are being asked by their providers to pay out-of-pocket fees earlier than expected. The practice is legal, but patient advocacy groups call it unethical. Medical providers argue that asking for payment up front ensures they get compensated for their services. How frequently this happens is hard to track because it is considered a private transaction between the provider and the patient. Therefore, the payments are not recorded in insurance claims data and are not studied by researchers. Patients, medical billing experts, and patient advocates say the billing practice causes unexpected anxiety at a time of already heightened stress and financial pressure. Estimates can sometimes be higher than what a patient might ultimately owe and force people to fight for refunds if they miscarry or the amount paid was higher than the final bill. Up-front payments also create hurdles for women who may want to switch providers if they are unhappy with their care. In some cases, they may cause women to forgo prenatal care altogether, especially in places where few other maternity care options exist. It’s “holding their treatment hostage,” said Caitlin Donovan, a senior director at the Patient Advocate Foundation . Medical billing and women’s health experts believe OB-GYN offices adopted the practice to manage the high cost of maternity care and the way it is billed for in the U.S. When a pregnancy ends, OB-GYNs typically file a single insurance claim for routine prenatal care, labor, delivery, and, often, postpartum care. That practice of bundling all maternity care into one billing code began three decades ago, said Lisa Satterfield, senior director of health and payment policy at the American College of Obstetricians and Gynecologists . But such bundled billing has become outdated, she said. Previously, pregnant patients had been subject to copayments for each prenatal visit, which might lead them to skip crucial appointments to save money. But the Affordable Care Act now requires all commercial insurers to fully cover certain prenatal services. Plus, it’s become more common for pregnant women to switch providers, or have different providers handle prenatal care, labor, and delivery — especially in rural areas where patient transfers are common. Some providers say prepayments allow them to spread out one-time payments over the course of the pregnancy to ensure that they are compensated for the care they do provide, even if they don’t ultimately deliver the baby. “You have people who, unfortunately, are not getting paid for the work that they do,” said Pamela Boatner, who works as a midwife in a Georgia hospital. While she believes women should receive pregnancy care regardless of their ability to pay, she also understands that some providers want to make sure their bill isn’t ignored after the baby is delivered. New parents might be overloaded with hospital bills and the costs of caring for a new child, and they may lack income if a parent isn’t working, Boatner said. In the U.S., having a baby can be expensive. People who obtain health insurance through large employers pay an average of nearly $3,000 out-of-pocket for pregnancy, childbirth, and postpartum care, according to the Peterson-KFF Health System Tracker . In addition, many people are opting for high-deductible health insurance plans, leaving them to shoulder a larger share of the costs. Of the 100 million U.S. people with health care debt, 12% attribute at least some of it to maternity care, according to a 2022 KFF poll . Families need time to save money for the high costs of pregnancy, childbirth, and child care, especially if they lack paid maternity leave, said Joy Burkhard , CEO of the Policy Center for Maternal Mental Health, a Los Angeles-based policy think tank. Asking them to prepay “is another gut punch,” she said. “What if you don’t have the money? Do you put it on credit cards and hope your credit card goes through?” Calculating the final costs of childbirth depends on multiple factors, such as the timing of the pregnancy , plan benefits, and health complications, said Erin Duffy , a health policy researcher at the University of Southern California’s Schaeffer Center for Health Policy and Economics. The final bill for the patient is unclear until a health plan decides how much of the claim it will cover, she said. But sometimes the option to wait for the insurer is taken away. During Jamie Daw’s first pregnancy in 2020, her OB-GYN accepted her refusal to pay in advance because Daw wanted to see the final bill. But in 2023, during her second pregnancy, a private midwifery practice in New York told her that since she had a high-deductible plan, it was mandatory to pay $2,000 spread out with monthly payments. Daw, a health policy researcher at Columbia University, delivered in September 2023 and got a refund check that November for $640 to cover the difference between the estimate and the final bill. “I study health insurance,” she said. “But, as most of us know, it’s so complicated when you’re really living it.” While the Affordable Care Act requires insurers to cover some prenatal services, it doesn’t prohibit providers from sending their final bill to patients early. It would be a challenge politically and practically for state and federal governments to attempt to regulate the timing of the payment request, said Sabrina Corlette , a co-director of the Center on Health Insurance Reforms at Georgetown University. Medical lobbying groups are powerful and contracts between insurers and medical providers are proprietary. Because of the legal gray area, Lacy Marshall , an insurance broker at Rapha Health and Life in Texas, advises clients to ask their insurer if they can refuse to prepay their deductible. Some insurance plans prohibit providers in their network from requiring payment up front. If the insurer says they can refuse to pay up front, Marshall said, she tells clients to get established with a practice before declining to pay, so that the provider can’t refuse treatment. Related Articles Health | Which health insurance plan may be right for you? Health | California case is the first confirmed bird flu infection in a US child Health | UC campus and hospital worker strike continues across university system Health | Phillips 66 indicted on charges it dumped tainted water from Carson refinery into sewer system Health | US towns plunge into debates about fluoride in water Clark said she met her insurance deductible after paying for genetic testing, extra ultrasounds, and other services out of her health care flexible spending account. Then she called her OB-GYN’s office and asked for a refund. “I got my spine back,” said Clark, who had previously worked at a health insurer and a medical office. She got an initial check for about half the $960 she originally paid. In August, Clark was sent to the hospital after her blood pressure spiked. A high-risk pregnancy specialist — not her original OB-GYN practice — delivered her son, Peter, prematurely via emergency cesarean section at 30 weeks. It was only after she resolved most of the bills from the delivery that she received the rest of her refund from the other OB-GYN practice. This final check came in October, just days after Clark brought Peter home from the hospital, and after multiple calls to the office. She said it all added stress to an already stressful period. “Why am I having to pay the price as a patient?” she said. “I’m just trying to have a baby.” ©2024 KFF Health News. Distributed by Tribune Content Agency, LLC.


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