The image isn't the meme here. What is memetic is the idea of withholding previously innocuous-seeming information from healthcare professionals in the interest of self-preservation.

And if you ask what's memetic about that, I will in turn ask you what coordinated and intentional effort exists to push this concept of information withholding for safety onto American women? And when you then come back after having not found any coordinated and intentional effort, I will simply ask you then how you think this idea has spread to the point of being so easily recognizable and identifiable? Memetic discourse.

I mean, you could interpret remix in a few ways. Editing this specific image? Perhaps it hasn't been done but that doesn't mean it can't be. If we're considering the core message of the post to be the meme, then I would say it has been remixed. This isn't the first post I've seen conveying this sentiment in similar (but distinct) wording. Theres a reasonable basis for this interpretation in my opinion.

Just because you and I lack the imagination and possess enough empathy to not edit this meme doesn't mean there aren't other people out there who can/have