I know this firsthand, having had an elective hysterectomy myself. I'll spare you the saga from first consult with a GYN until I was finally, more than five years later, fully spayed, but it's not that I don't know that it can be hard to find a doctor who will do it, and that the recovery times are longer for tubals/hystos than for vasectomies, it's that I'm surprised that more women don't think it's worth it at least to try to get a doctor on board in this political environment, because I thought it was worth the effort clear back under GWB even though Roe was still in force and the right's penchant for stochastic terror was nowhere what it is today.

A note on cost: on the insurance that I had at the time, my hysterectomy cost exactly as much as my previous Mirena, except that instead of paying that every five years (and hoping that I'd still be somewhere that a doctor would give me one, or that the religious reich hadn't outlawed the things altogether or otherwise made them unavailable) I only had to pay it once. I'm well aware that the patchwork roulette wheel of the US healthcare funding system means that's not going to be true for everyone (and for that matter that some people with uteruses might even be able to get sterilized for less than I did, although the reverse is more likely to be the case).