डॉ. जूलिया वी. जॉनसन, संयुक्त राज्य अमेरिका

Until recently, my experience at UVM’s reproductive clinic was good. Last year, I disclosed that work might require relocation. They said this would not be a problem and that I could call to coordinate embryo transfer when ready. Now, after ignored portal messages, I was told to transfer care to where I work and UVM would ship my embryos after I found another clinic. This feels unfair because my insurance, ID, husband, and primary residence remain in Vermont. After I pushed, they scheduled an appointment without explaining its purpose. Although they knew I worked out of state, they offered “virtual” or “in-person.” I chose virtual, then learned I had to be physically in Vermont. Why spend $309 on airfare, travel with an 18-month-old, and miss work just to sit at a computer? For that cost and sacrifice, I would want an actual in-person visit. As a healthcare worker, it is discouraging to see productivity and billing seemingly prioritized over care. It feels as if I was dismissed as a burden because embryo transfer may not be a high-priced procedure. This is devastating when trying to start a family. I expected compassion, clarity, and support, but the first step toward transfer was needlessly difficult. With my husband living in Vermont while I work elsewhere to support us, this felt heartless and transactional. I am deeply disappointed with UVM and hope it considers how its policies and communication affect patients already facing profoundly personal challenges.

Cookie-cutter care.