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ESHRE 42nd Annual Meeting: Halving Fertility Treatment Costs Could More than Double Births, Major Global Study Shows
Researchers found halving out-of-pocket costs was linked to a 2.67-fold increase in births through assisted reproductive technology.
On Monday, a landmark study presented at the 42nd Annual Meeting of the European Society of Human Reproduction and Embryology found that halving patient out-of-pocket costs was associated with a 2.67-fold increase in ART births.
Lead author Dr. Stephanie Kuku of Conceivable Life Sciences reported that the study's 'cost-to-baby' metric explained up to 84% of international variations in ART access; gross costs varied more than 12-fold, from 66% of median household income in Israel to 833% in Africa.
Countries keeping gross costs below 100% and out-of-pocket costs below 50% of median income, including South Korea , Spain , and Japan , consistently achieved the highest ART utilisation.
Tax policy, such as South Korea's 30% income tax credit, plays a vital role in affordability. "The 50% threshold isn't a theoretical construct; it's a grounded observation of what top-performing nations have achieved," Kuku said.
Professor Dr. Anis Feki, Chair of ESHRE, concluded that policies reducing real costs meaningfully improve access to fertility care. "Affordability is not a secondary issue, but a major determinant of access to fertility care," Feki said.