Unfortunately, there has been a lot of work demonstrating that procedures performed on female patients are not remunerated at the same level as procedures performed on male patients, even for relatively similar procedures.
There are a lot of factors that go into this. One of them is that most gynecologists are women, so as our specialty has become more female-dominated, we have not, unfortunately, been remunerated at the same rate as have male surgeons in other specialties. There is a gender pay gap, and it is affecting the way that care is delivered to women patients.
Thank you for bringing that up. I do think this is a big part of the conversation on women and cancer.