Financing Fertility-Related Health Services in the United States, 1972- 1978: A Preliminary Projection

Abstract

2 debates over national policy are currently underway: 1) a major review of the national policies has been demanded by virtually all segments of the American people; and 2) an evaluation has been undertaken of policies which influence the growth of U.S. population, of the kinds of changes in population growth, and distribution which would be socially and economically desirable, and of the means available and acceptable to bring about the desired changes. Crucial to these policy discussions are the nature and scope of health services. This article d escribes preliminary research to estimate the costs to U.S. society of f ertility-related health services. Fertility control through voluntary sterilization, contraception, pregnancy termination, and medical treatment of infertility make up 1 group of services; maternity care forms a 2nd group; and pediatric care is a 3rd essential service. It is clear from this study that many fertility-related health services are not covered by private health plans and that additional expenditure is needed to upgrade hospital services and improve health care. The study also raises questions about deficits in service to people who are not re ached by the medical care system at all and those who receive care of low quality. Women, especially those in the low-income bracket, need more aid. The range of costs shown here suggests that comprehensive financing of fertility-related health services is well within the nation's fiscal capabilities.