An Analysis of Age Requirements for New Jersey
Mandated Insurance Coverage of Infertility Treatment
An Analysis of Age Requirements for New Jersey
Mandated Insurance Coverage of Assisted Reproductive Technology Over the past decade, advances in assisted reproductive technology (ART) including such procedures as in vitro fertilization (IVF) have reduced the obstacles to conception for women with infertility issues, particularly for women of advanced maternal age. Each state is now facing the dilemma of whether or not to mandate coverage of ART for their constituents. Furthermore, the state must decide what the qualifications for coverage should be if a mandate is to be enacted. RESOLVE, the National Infertility Association, a
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While this cannot be statistically verified for years to come, women may feel not only that the threat of their inner “time clock” may be eased by assisted reproductive technology, but also that the financial burden of these technologies will be relieved by state-mandated insurance coverage. Due to the availability of insured ART services it may be that in the foreseeable future a whole generation of women may forego natural conception, instead opting to attempt conception on their own schedule rather than under the time constraints of their biological time clock. Another serious impact would be the possibility that the state would be mandating coverage for a treatment that offers minimal success of a live birth while at the same time putting the health of these women at risk. For example, women receiving fertility treatments are at risk for ovarian hyperstimulation, adnexal torsion (ovarian twisting), and increased risk of ovarian cancer (IVF-Infertility.com, 2006). In addition, these women are faced with a greater chance of multiple pregnancy, which carries with it its own set of risks to the mother as well as to potential offspring. Also, the risks associated with IVF may outweigh the live birth rate of only 1.9 % to women over the age of 45 who undergo ART (SART, 2003). Furthermore, while women are faced with health risks from infertility treatments, they
The first disadvantage is that abortion may cause psychological breakdown. Thinking about an aborted baby affects the mind of the woman. Secondly, abortion can lead to other infections which may be detrimental to a woman. This occurs if the process is not conducted in a hospital and by a qualified physician. Thirdly, abortion may have long term effects. Such effects include; infertility, death of other children and also bleeding. Abortion could also lead to other disorders such as lack of sleep, fatigue and loss of appetite. Finally, abortion has also been proven to have psychiatric problems and thus affecting the women
The limits of this proposal will encompass women between the ages of 18-64 living in the El Paso area. Language in legislation restricting reproductive health care is specifically targeted at women, so they will be the focus of this study. The Texas “Healthy Texas Women” Program defines women of reproductive age as women 18-64 (Texas Health and Human Services, n.d.). This standard will be used because “Healthy Texas Women” is the state Medicaid Program for women’s health, and was greatly impacted by funding cuts (White et al., 2012). The services provided by “Healthy Texas Women” also create a standard of reproductive care.
Women in today’s society have never known a time when contraceptive options were not available to them. As a general statement, acquiring some sort of contraceptives whether it is the pill, patch, condom, emergency contraception, or another of the many types of birth control is not difficult with the many options available to women today. However, backtrack to the early 1900’s and the story was completely different. In 1916, Margaret Sanger made contraceptive history by opening the first birth control clinic in Brooklyn, New York. The fight for birth control began. It was not until years later in 1960 that the birth control pill was approved by the Food and Drug Administration and since then many other varieties of birth control have made their way into the market (Kim & Wasik, 2011). Today, thanks to those like Margaret Sanger who fought for contraceptives, women and couples who wish to avoid pregnancy have more choices than ever before. (Egarter et al, 2013; Perry, 2015).
Debates are ongoing in the United States as more laws and restrictions are implemented on reproductive care. In 2014 there was a heated debate on whether there should be a mandated coverage for birth control on health insurance plans. According to a survey by the University of Michigan Health System, 69% of adults in the United States support this requirement in health insurance plans and the people who oppose this requirement is less than 10%. There have been other laws made by states recently that are affecting birth control and abortions. For example, a regulation implemented by the Iowa Board of Medicine requires a physician to be physically present when providing a medication abortion; therefore, affecting patients that live in rural area and can not go to the clinics. Such laws on reproductive health care, specifically birth control and abortions, are affecting the access and choices women have. Laws are created to protect rights and choices; therefore, these laws should be created with the intention of protecting women’s rights and choices not hindering them.
We are living in a new era where technology can help women have babies in unconventional ways. Having children is a personal choice. In some people’s view, government should not be regulating when people should and should not start having a family. The ethical issue is when the parents start applying for governmental benefits after the baby is conceived via In Vitro Fertilization (IVF) and born posthumously. When practicing IVF, are we violating God’s will? This paper is to discuss the views of the four candidates interviewed in relation to posthumous conception and delivery, their views on benefits/inheritance entitlement to these babies, and ethical principles and theories in
While the fear of unplanned pregnancies is nothing but a nightmare to elite wealthy women; it is the paralyzing reality to poor, uneducated women. This financial
Background: the Affordable Care Act (ACA), which is a federal health reform bill, requires most public and private health plans to provide a minimum coverage of women’s preventive healthcare services with no cost sharing.1 Therefore, the Institute of Medicine (IOM) was commissioned to review what preventive services are essential for women’s health and welfare and consequently should be considered in the development of guidelines for women’s preventive services.2 According to the IOM recommendations, all FDA-approved contraceptive methods, sterilization procedures, and patient counseling and education must be covered for all women with reproductive capability without having to pay a co-insurance, co-payment or a deductible. The covered
In the 20th century, 95% of young women know about contraception and at least 88% will be able to give birth in a hospital or clinic. This
The topic of women’s reproductive rights has become a major, controversial issue in today’s society. Grounded in a history of opposition for religious, political, and moral reasons, reproductive rights have only legally been around for a short period of history. Specifically, the landmark case Roe v. Wade was the major stride that this country took towards enforcing women’s reproductive rights. The ruling for this case determined that reproductive rights are legal rights women hold, inclusive of the right to have abortions. However, many laws today are made in an effort to prevent abortions, acting as “undue burdens” that aim to create obstacles for women who seek this type of medical procedure.
All people in America should have a right to health-care benefits and services considering health care is at the center of the national agenda. Mandatory health care insurance is a system that pays the cost of health care for those who are enrolled and in which enrollment is required for all members of a population. Insurance works by people pooling together their risks of incurring expenses, not knowing whether they will file claims but choosing to insure for the emotional and financial security coverage provides. In health insurance, the norm in America has been that guaranteed issue leads people to wait to purchase a policy until they
Technological and scientific advancement has introduced various changes in the reproduction process. For instance, women can undertake safe abortions, use birth control pills and freeze their eggs. The idea of freezing eggs has often been used to help women undergo cancer treatment techniques that are more likely to interfere with their fertility. Women with crippling genetic disorders have also used the freezing option so that they can offer their eggs to someone that is not a carrier of the same disorder. However, recently, healthy and fertile women tend to freeze their eggs with the claims of being busy and focusing with their careers. Hence, they decide to postpone conception and pregnancy for a later period. The behavior seems unethical because some of these women are simply persuaded by their organizations and they agree with the idea because they are afraid of being sacked. The lack of informed
Although the majority of the cost of the program would come from the participants’ income, the major concern of the politicians who disapproved the bill still related to the costs of a project. Local businesses also present the same concern about paid maternity leave. However, both groups – always so worried about monetary outcomes – should see the big picture. In the past years, Colorado saw a decline of its birth rate, which is also below the country’s average. According to the latest National Vital Statistics Report, births in Colorado stopped increasing in the past ten years; to explain that trend, the “Ages and Stages” study, from the Cassandra Report – specialized in researching trends among the millennials generation – showed that 34% of American adults born after 1985 do not want to have kids. The unwillingness to give up flexibility is the most cited reason between the participants; in a state with no paid maternity leave, you need to be very flexible to have a kid.
A group known as FP2020 has been working to make family planning services available throughout the world. Through their efforts, they have avoided 77 million unplanned pregnancies in just three years. In the United States, a similar problem needs to be addressed. Although the costs and expenses associated with contraception is more accessible for the population, the locations are not. Having access to family planning services ensures that women can get the prenatal care they need for healthy pregnancies.
Typically, the issue of abortion in the United States has been one that has courted controversy and created a public, political, and moral divide. While some feel that abortion should be illegal, others feel it should be restricted. Still others feel it should be legal and freely accessed. Although there are many ethical phases which originate from the application of reproduction control in women’s health, the main issues that raise ethical problems following the development of assisted reproduction techniques are: the right to procreate or reproduce. Induce abortion raises ethical issues related to the rights of women versus the rights
associated with the use of advanced assisted reproductive technology (Teays&Purdy, 2001, Bioethics,Justice,&Health Care,p.648).Currently, the number of in vitro fertilization procedures that can be performed by 100 heath-care workers is about 1,000 per year. Any implication of medical and laboratory procedures that could improve results would decrease the number of healthcare workers needed and ultimately lower the cost per procedure (Teays&Purdy, 2001, Bioethics,Justice,&Health Care,p648).