Not long after Governor Brian Kemp signed a bill banning abortions in Georgia at as early as six weeks, the owner of Eastside Gynecology in Manhattan—who asked not to be named “because I don’t want to get shot”—says his office received a call from a woman in the state looking to fly to New York to terminate a pregnancy. It’s impossible to know her political views (the office didn’t ask), but it’s also impossible not to wonder if she’s among the 70% of white women who cast their ballots for Kemp over pro-choice candidate Stacey Abrams. In fact, there’s been an influx of calls from women in the South recently, the doctor said, including a woman in Alabama—which in May, passed a law banning just about all abortions within its borders. (The laws in both states will play out in court, meaning women there can still get abortions locally—although they might not realize it.)

“When this all started happening, that week we had someone from Georgia, someone from Alabama,” said the doctor. “We said, ‘Wow, this was just in the news, and here we are.’”

Technically, the smaller, more exclusive waiting room at Eastside Gynecology—festooned with a glass chandelier, a smattering of fake orchids, and generic paintings in gold frames—is for MedSpa clients: women with vaginal dryness who pay thousands of dollars to get zapped by a laser called the MonaLisa Touch. But it’s also for a small number of the roughly 4,200 women who seek abortions here every year, the ones able to pay as much as $10,000 for what the practice calls its “Ultimate VIP” service. For these patients, Eastside Gynecology will shut down the entire office, assuring complete privacy and exclusive attention from the staff.

In addition to extra privacy, VIPs—sometimes celebrities or public figures, sometimes the girlfriends or mistresses of celebrities or public figures, sometimes rich women who can afford extra perks—can watch TV with their support person in a private room with a bed covered in a burgundy-and-gold comforter before their procedure, and rest there afterward. If they’d like, round-trip black car service can be arranged to take them to and from the office (women who receive anesthesia or sedation aren’t permitted to drive directly afterward, a safety precaution that’s true of all abortion facilities). And if they’re coming from out of town, a staffer is available to arrange flights and hotels. As Eastside Gynecology’s website states, “All you need to do is tell us what you need and we will arrange it for you.”

In many ways, what the practice offers women seeking an abortion isn’t all that different from the concierge services widely available across other areas of medicine, where patients pay a hefty fee for more individualized attention and doctors offer extended hours to accommodate busy schedules. Looking at VIP abortion through that lens, it puts what is too often seen as a taboo area of medicine rightfully in the mainstream. But in a time where more and more states are restricting abortion access—and as Planned Parenthood is forced to withdraw from Title X, the federal program through which it receives some $60 million of its annual funding—the stark contrast between what’s available to wealthy women versus low-income women can be unnerving. It also highlights the way conservative women with means are able to circumvent a system they very well may have put in place with their vote.

The doctor at Eastside Gynecology has been performing abortions there since he bought the practice 20 years ago. Just like the Planned Parenthood six subway stops away, he performs terminations up to 24 weeks. He says that about 40% of patients come specifically for abortions. Eastside Gynecology accepts insurance, but for those paying out of pocket, prices start at $420 and can go “north of $3,000,” depending on how far along a patient is in their pregnancy. The vast majority of patients don’t opt for the VIP service.