"People don't realize the risk we're taking by taking care of these patients," the newspaper quoted Dr. Albert Triana of South Miami as saying. "There's more risk of something going wrong and more risk of getting sued. Everything is more complicated with an obese patient in GYN surgeries and in [pregnancies]," he told the newspaper.
It is not illegal for doctors to refuse overweight patients, but it has medical ethicists worried. So far, the weight cutoffs have been enacted only by South Florida ob-gyns, who have long complained about high numbers of lawsuits after difficult births and high rates for medical-malpractice insurance.
Obviously, they decided not to charge a higher price. It may be that the government (CMS) has effectively set a uniform price.