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In the early days of in vitro fertilization, low success rates, high financial costs, and possibly questionable success-rate reporting led to increased public scrutiny of assisted reproductive technology programs ("Talk Back Online: Should the government collect individual infertility clinic data on the costs of infertility treatment?" Feb. 15, 2004, p. 24).
The Fertility Clinic Success Rate and Certification Act of 1992, authored by then-Rep. (now Sen.) Ron Wyden (D-Ore.), legislated a national database and clinic-specific reporting, the merits of which are still debated. If the law was designed for consumer protection, at least in part, it has failed.
Some couples with a good prognosis for pregnancy must stop short of their goal for financial reasons. Because of the high cost of therapy and the drive toward success, patients and their physicians are more aggressive. This translates into several different costs, not ...