This would not be up for discussion if not for the fact of the socialization (and long held myth that it's the woman's problem) you allude to. Same reason PT after a joint replacement and many many other procedures is standard and covered but during and after pregnancy is not.
Absolutely. I got hyperemesis to the point of hospitalization with my youngest, and my OB had to fight hard to keep me inpatient by justifying the number of times I puked each day, constant blood tests to prove my kidneys , etc. To use meds to battle the nausea that were originally intended for other things was a huge battle. Meanwhile, if I'd been a runner with severe dehydration and ketosis or my other symptoms, they don't fight you.
It's one of a billion hypocrisies that surround women's health!