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==Society and culture== ===Availability and legality=== Vasectomy costs are (or may be) covered in different countries, as a method of both contraception or population control, with some offering it as a part of a national health insurance. The procedure was generally considered illegal in [[France]] until 2001, due to provisions in the [[Napoleonic Code]] forbidding "self-mutilation". No French law specifically mentioned vasectomy until a 2001 law on contraception and infanticide permitted the procedure.<ref>{{cite book|last=Latham|first=Melanie|title=Regulating Reproduction: A Century of Conflict in Britain and France|url=https://books.google.com/books?id=RXnTDJP05vQC&q=vasectomy+france+law&pg=PA44|year=2002|publisher= Manchester University Press|isbn=978-0-7190-5699-4}}</ref> The U.S. [[Affordable Care Act]] (signed into law in 2010) does not cover vasectomies,<ref>{{Cite web |title=Where Can I Buy a Vasectomy & How Much Will It Cost? |url=https://www.plannedparenthood.org/learn/birth-control/vasectomy/how-do-i-get-vasectomy |access-date=2022-06-30 |website=[[Planned Parenthood]] |language=en}}</ref> although eight states require state-[[Health insurance in the United States|health insurance]] plans to cover the cost. These include: [[Illinois]], [[Maryland]], [[New Jersey]], [[New Mexico]], [[New York (state)|New York]], [[Oregon]], [[Vermont]] and [[Washington (state)|Washington]].<ref>{{Cite web |date=2020-07-15 |title=My husband would like to get a vasectomy but when I checked with our insurer, they told me that the plan would cover my sterilization without cost sharing but we would have to pay part of the costs for his procedure. What is the reason for that? |url=https://www.kff.org/faqs/faqs-health-insurance-marketplace-and-the-aca/my-husband-would-like-to-get-a-vasectomy-but-when-i-checked-with-our-insurer-they-told-me-that-the-plan-would-cover-my-sterilization-without-cost-sharing-but-we-would-have-to-pay-part-of-the-costs-fo/ |access-date=2022-06-30 |website=[[Kaiser Family Foundation]] |language=en-US}}</ref> In 2014, the Iranian parliament voted for a bill that would ban the procedure.<ref>{{cite news |last1=Moghtader |first1=Michelle |date=11 August 2014 |title=Iranian parliament bans vasectomies in bid to boost birth rate |work=Reuters |url=https://www.reuters.com/article/us-iran-population/iranian-parliament-bans-vasectomies-in-bid-to-boost-birth-rate-idUSKBN0GB15Z20140811 |access-date=15 July 2018}}</ref> === Impact of legal changes (US) === An analysis of medical records of 217 million people in the U.S. compared [[Tubal ligation|tubal sterilization]] and vasectomy rates in the last six months of 2021 with rates in the last six months of 2022βjust after the [[Dobbs v. Jackson Women's Health Organization|Dobbs]] ruling (i.e. the overturning of [[Roe v. Wade|Roe vs Wade]]) in June 2022. Although the effect of Dobbs was different in various social groups, it had a strong impact on those under age 30 with their vasectomy rates increasing by 59%, and tubal sterilization rates increasing by 29%.<ref>{{Cite web |last=Haelle |first=Tara |title=Vasectomies Are Becoming Popular in a Post-Roe World |url=https://www.scientificamerican.com/article/more-men-are-getting-vasectomies-since-roe-was-overturned/ |access-date=2024-10-30 |website=Scientific American |language=en}}</ref> ===Tourism=== {{main|Medical tourism}} Medical tourism, where a patient travels to a less-developed location where a procedure is cheaper to save money and combine convalescence with a vacation, is infrequently used for vasectomy due to its low cost, but is more likely to be used for vasectomy reversal. Many hospitals list vasectomy as being available. Medical tourism has been scrutinized by some governments for quality of care and postoperative care issues.<ref>{{cite journal |doi=10.1016/j.maturitas.2010.01.017 |title=Medical tourism: Assessing the evidence on treatment abroad |year=2010 |last1=Lunt |first1=Neil |last2=Carrera |first2=Percivil |journal=Maturitas |volume=66 |pages=27β32 |pmid=20185254 |issue=1}}</ref> ===Shooting of Andrew Rynne=== In 1990, [[Andrew Rynne]], chairperson of the [[Irish Family Planning Association]], and the [[Republic of Ireland]]'s first vasectomy specialist,<ref>{{Cite web | url=https://radio.rte.ie/radio1highlights/today-with-sean-orourke-the-vasectomy-doctor/ |title = 'I could look down the barrel of the gun. I could see the worm of the gun.' - RTΓ Radio 1 Highlights}}</ref> was shot by a former client, but he survived. The incident is the subject of a short film, ''The Vasectomy Doctor'', by Paul Webster.<ref name="IrishmanAbroad">{{cite podcast |author-link=Jarlath Regan |author=Jarlath Regan |edition=297 |archive-url=https://web.archive.org/web/20190527134910/https://soundcloud.com/an-irishman-abroad/dr-andrew-rynne-episode-297 |url-status=live |url=https://soundcloud.com/an-irishman-abroad/dr-andrew-rynne-episode-297 |date=26 May 2019 |access-date=27 May 2019 |work=[[An Irishman Abroad]] |title=Dr. Andrew Rynne |publisher=[[SoundCloud]] |archive-date=27 May 2019}}</ref>
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