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Decrease in American birth rates makes it imperative for the United States to implement state mandated fertility

Samer Tannus1, Michael H Dahan1

  • 1a McGill University Reproductive Center , 888 Boulevard de Maisonneuve East , Montréal , Quebec , Canada.

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Summary
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Rising infertility rates and costs necessitate policy changes. Funding fertility treatments and promoting single embryo transfer can improve birth rates and reduce healthcare expenses.

Keywords:
D63D70IVFUnited States of Americabirth ratesmandated coverage

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Area of Science:

  • Reproductive medicine
  • Public health policy
  • Healthcare economics

Background:

  • Increasing infertility rates globally, linked to delayed childbearing and male factors.
  • High costs of fertility treatments limit access for low-income families.
  • Multiple embryo transfer practices increase multiple birth rates and associated perinatal costs.

Purpose of the Study:

  • To address the growing challenge of infertility and declining birth rates in the US.
  • To propose policy recommendations for funding fertility treatments.
  • To advocate for single embryo transfer policies to improve outcomes and reduce costs.

Main Methods:

  • Analysis of current trends in infertility prevalence and birth rates.
  • Economic evaluation of fertility treatment costs and multiple birth complications.
  • Review of existing public health policies related to reproductive health.

Main Results:

  • Projected increase in infertility and decrease in national live birth rates.
  • Significant healthcare expenditures associated with multiple births resulting from fertility treatments.
  • Potential cost savings and improved birth outcomes through policy interventions.

Conclusions:

  • The US should implement a national plan to fund infertility treatments.
  • Adoption of a single embryo transfer policy is recommended to boost birth rates.
  • Policy changes can mitigate the economic burden of infertility and multiple births.