For the Sake of Consistency and Fairness: Why Insurance Companies Should Cover Fertility Preservation Treatment for Iatrogenic Infertility
TLDR
There is much debate not only about the morality of assisted reproductive technologies (ART) but also about how they should be classified, should ART be understood as medical treatment for a disease (infertility) or should they be relegated to boutique medicine where they are seen as elective?Abstract:
There is much debate not only about the morality of assisted reproductive technologies (ART) but also about how they should be classified. Should ART be understood as medical treatment for a disease (infertility) or should they be relegated to boutique medicine where they are seen as elective? How we answer this question affects our thoughts about whether ART should be covered by insurance companies. Those who claim infertility is a medical disease usually advocate that ART be covered by insurance. Conversely, those who believe ART are elective procedures generally oppose insurance coverage, insisting that insurance coverage should be limited to medically necessary treatments. While the debate cannot simply be reduced to whether “real” diseases should be covered by insurance and all other conditions should not, in the minds of many, a strong connection exists between what is considered a disease and what insurance should cover.read more
Citations
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Journal ArticleDOI
Oncofertility: a grand collaboration between reproductive medicine and oncology
TL;DR: The work of the Oncofertility Consortium to provide fertility preservation options in the cancer setting and accelerate the acceptance of this critical topic on a global scale is described.
Journal ArticleDOI
Fertility Preservation: A Key Survivorship Issue for Young Women with Cancer
TL;DR: Despite the importance of fertility preservation for cancer survivors’ quality of life, there are still communication and financial barriers faced by women who wish to pursue fertility preservation.
Journal ArticleDOI
Ovarian tissue cryopreservation for fertility preservation in cancer patients: Successful establishment and feasibility of a multidisciplinary collaboration
Clarisa R. Gracia,Jeffrey P. Chang,Laxmi A. Kondapalli,Maureen Prewitt,Claire A. Carlson,Peter Mattei,Shanaye Jeffers,Jill P. Ginsberg +7 more
TL;DR: Ovarian tissue cryopreservation protocols can be implemented at pediatric and adult institutions through multi-disciplinary collaboration and provides hope for preserving the ability to have biological offspring to patients facing gonadotoxic therapies for a variety of medical conditions.
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Preserving the Right to Future Children: An Ethical Case Analysis
TL;DR: The case of a 2-year-old female, the youngest person ever to undergo ovarian tissue cryopreservation (OTC), which was diagnosed with a rare form of sickle cell disease, and late effects included high risk of future infertility or complete sterility is reported on.
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Fertility—a human right worthy of mandated insurance coverage: the evolution, limitations, and future of access to care
TL;DR: Provider, patient, and legislative advocacy is warranted in the name of reproductive justice to expand insurance coverage and, in turn, maximize reproductive outcomes, which have been shown to improve as financial barriers are lifted.
References
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American Society of Clinical Oncology Recommendations on Fertility Preservation in Cancer Patients
Stephanie J. Lee,Leslie R. Schover,Ann H. Partridge,Pasquale Patrizio,W. Hamish B. Wallace,Karen L. Hagerty,Lindsay Nohr Beck,Lawrence V. Brennan,Kutluk Oktay +8 more
TL;DR: Fertility preservation is often possible in people undergoing treatment for cancer and should be considered as early as possible during treatment planning, to preserve the full range of options.
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“Ambiguous Sex”—or Ambivalent Medicine?: Ethical Issues in the Treatment of Intersexuality
TL;DR: The evidence seems overwhelming that normal humans are not psychosocially neutral at birth but are, in keeping with their mammalian heritage, predisposed and biased to interact with environmental, familial, and social forces in either a male or female mode.
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In favour of freezing eggs for non-medical reasons.
Imogen Goold,Julian Savulescu +1 more
TL;DR: There are strong arguments based on equal concern and respect for women which require that women have access to this new technology and freezing eggs also avoids some of the moral objections associated with freezing embryos.
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TL;DR: In the modern era, where breast-conserving surgery is a viable alternative to mastectomy, breast cancer patients and their healthcare providers have to consider the issue of quality of life in regards to the type of surgery.
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Melting opposition to frozen eggs.
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