US Vice President Mike Pence has ignited controversy by tweeting a picture of himself surrounded by male lawmakers holding discussions in an effort to reach agreement on a Republican health care bill.
The photo shows Mr Pence sitting with members of the all-male House Freedom Caucus, meeting to negotiate with the president over changes to the bill.
This includes adjustments such as no longer requiring insurance companies to offer maternity care in all health plans.
Many conservatives also want to repeal benefits that all insurance policies must cover under the Affordable Care Act, including emergency room visits, substance abuse treatment, and preventive care such as screenings and vaccines.
Another picture posted by President Donald Trump’s social media director, Don Scavino, shows two women standing in the room as well.
Many commentators seized on the image, including several politicians.
Former President Barack Obama’s Affordable Care Act, known as Obamacare, included 10 health essential health benefits that all insurance plans had to cover, including pregnancy, newborn and maternity care.
President Trump has called for a so-called “make-or-break” vote on repealing the legislation, saying he will leave Obamacare in place if the vote fails in order to move onto other issues.
Mr Trump was previously criticised for signing an executive order on funding for abortion and women’s reproductive rights soon after becoming president, flanked by men.
- with wires