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  11. Equity In Use And Financing Of Assisted Reproductive Technologies: Does Income Matter?

Equity in use and financing of assisted reproductive technologies: Does income matter?

Aarushi Dhingra1, Brenda Gannon2, Luke Connelly3

  • 1Department of Economics, University of Bologna, Italy; School of Economics, The University of Queensland, Australia.

Economics and Human Biology
|May 7, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

This study analyzed Assisted Reproductive Technology (ART) use and costs in Australia. Findings show ART use was inequitable, favoring the wealthy, but a 2010 policy change reduced this disparity.

Area of Science:

  • Health Economics
  • Reproductive Health Policy
  • Social Equity in Healthcare

Background:

  • Assisted Reproductive Technology (ART) is an expensive, low-frequency service with significant health and well-being impacts.
  • Australian universal healthcare offers rebates for ART, but a 2010 policy introduced monetary caps, increasing patient co-payments.
  • Government financing decisions for ART involve balancing subsidies for higher-income individuals against support for lower-income households, raising equity concerns.

Purpose of the Study:

  • To estimate inequities in the utilization and financing of Assisted Reproductive Technology (ART) in Australia.
  • To evaluate the impact of a 2010 policy change on ART access and cost equity.
  • To provide empirical evidence on the socio-economic implications of ART financing.

Main Methods:

Keywords:
Assisted reproductive technologyInequityMedicareOut-of-pocket cost

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  • Utilized linked administrative data from Australia.
  • Analyzed data from years preceding (2006, 2009) and following (2012) the 2010 policy change.
  • Assessed inequity in ART use and financing across different socio-economic groups.

Main Results:

  • Empirical evidence indicates pro-rich inequity in ART utilization, meaning wealthier individuals used the service more.
  • The study observed a decrease in pro-rich inequity in ART use after the 2010 policy change.
  • ART financing was found to be regressive in 2009 (pre-policy) and became less regressive post-policy.

Conclusions:

  • The 2010 policy change demonstrated a positive impact on reducing socio-economic inequities in ART utilization.
  • While financing became less regressive, careful consideration of government co-financing decisions is crucial for equitable healthcare access.
  • Further research is needed to fully understand the long-term equity implications of ART policies.