And it's also a way to avoid a national discussion about the benefits of universal coverage of infertility, which would encompass broader issues like whether to bring more children into an overpopulated world and global warming is morally wrong. defensible. Or, if some of the country's gluttonous fertility clinics are pushing people who will eventually conceive on their own. Or if the childless population must help other people to have a child, even if the children are a source of health and happiness, and therefore may be justifiable medical expenses, such as psychotherapy or knee surgeries .

For the moment, the debate will focus on simpler practical issues, such as: How many turns of I.V.F. should be covered? When is infertility no longer considered treatable? Should employers cover the cost of creating and transferring an embryo into the womb? Should a woman using her own eggs become ineligible, for example, at the age of 43?

And what do the doctors think? Some, like Dr. James Grifo, director of the Langone Fertility Center at New York University, talk about increasing coverage, "In general, it's a good thing: people are covered and can get the care they deserve. He added, "But insurance companies dictate what kind of care you can provide and what you can do. They dictate the protocols of clinical practice and patients are not protocols. "

If infertility rates continue to rise in America, employers may be spending more on health care plans for their employees, but will be partly offset by their loyalty and loyalty. beaver work ethic. For Ms. Burns, the experience of looking for another job in her field and learning that Sharp HealthCare premium insurance included three sets of I.V.F. coverage, and the other companies did not maintain it in his current job. In fact, understand that some companies did not cover I.V.F. made him "stupefied mind", as she says.

"It has changed my appreciation for a company that has chosen to offer it, because it has no benefit, and maybe younger women, who will come under me, will benefit," he said. she declared. "It made me step back and realize the type of people I work for."

Valeriya Safronova contributed to the report.