The morning that Coast Guard Cmdr. Elizabeth Nakagawa was scheduled to have a D&C, or dilation and curettage, to remove fetal tissue after having a miscarriage, she learned the surgery had been canceled because Tricare, the military’s health insurance plan, refused to pay for it. While her doctor appealed, Nakagawa waited. Then the cramps and bleeding began. After being rushed to the ER that night, she hemorrhaged for four more hours before doctors performed the D&C that Tricare had refused to a