The potential benefit that IVF children bring to society far outweighs the cost of 'producing' them, a scientist said at the 21st annual conference of the European Society for Human Reproduction and Embryology.
Dr. Maria Granberg, from the Fertilitetscentrum, Göteborg, Sweden, told the conference that, although the total cost of IVF financed by health care systems in Nordic countries had increased over the last few years, it was still highly profitable to society.
"At a time when politicians discuss how to encourage couples to have more children, due to a falling population in the western world, it is extraordinary that the chronic disease, infertility, should not be paid for by public health systems", she said.
Dr. Granberg and her team looked at all IVF and ICSI cycles in Nordic countries in 2002 and calculated the cost per pregnancy resulting in at least one live-born child. The costs were compared between countries in the Nordic area and over time. They found that the number of treatments had increased substantially over the past eight years, as had the total cost of IVF in the five countries. Depending on policies in the different countries, the total cost to the healthcare system had increased or decreased, but in all countries the proportion of the cost paid by the patients themselves had gone up.
"Including all hospital costs, the 'production' cost of a pregnancy had gone up from Euro14 000 in 1994 to Euro20 000 in 2002", said Dr. Granberg, "and when you add the costs of neonatal care, the estimated cost per child was close to Euro22 000 in 2002. However, the largest part of the healthcare costs of IVF children are those that occur independent of whether the IVF treatment is publicly or privately funded. So decreasing the number of publicly-funded IVF treatments available would not make major savings for healthcare systems." Dr. Granberg's team found that the largest increase in the cost of IVF children was the cost of a normal delivery, which had gone up by 79% between 1994 and 2002. Next came the cost of the drugs needed, which had increased by 76%. The increase in the costs of the IVF itself was relatively small, at 10%. The cost to public healthcare in Nordic countries of IVF had gone up by 137% between 1994 and 2002, but the cost of all public healthcare had also increased substantially, by 79%.