Navigation Links
The long-term fiscal impact of funding cuts for IVF in Denmark

In 2009, 1,547 ART children were born in public clinics in Denmark, projecting a net tax revenue of 224 million and 247 million in 25 and 50 years respectively. The authors of the study calculated that reductions of 30-50% in ART cycles following the new policy would lead to cost savings of 67 - 111 million for the Danish government in 2034. By 2059 however, when the IVF cohort are 50 years of age, the government would have lost 74 - 123 million due to less tax contributions from fewer children born.

"The most common argument governments use not to fund ART is that fertility treatments are too expensive," said Mark Connolly, lead author of the study, University of Groningen. "Infertility is perceived to be a low priority illness that focuses on unmet needs of present day society. However, when the broader consequences of fertility funding are considered, many of today's fiscal problems such as the ageing population, low birth rates and the declining number of working adults are all partly mitigated by ART conceived children, which in some countries represent 4-5% of the future work force."

An investment of 11,097 for an ART conceived singleton born to a woman younger than 40 is valued at 155,700 and 154,360 in cumulative discounted net tax revenue, when the child is 25 and 50 respectively. For a woman aged over 40, where the cost per birth is 26,147, the investment is valued at 170,470 and 139,600.

"Although investments in reproductive medicine take many years for governments to benefit, the net tax receipts are comparable with naturally conceived children," said Sren Ziebe, co-author of this study, Rigshospital at Copenhagen University. "Both ART conceived and naturally conceived children show a negative balance for the Danish government at age 25. However, at 50 years of age, after 30 years of tax contributions, the net tax benefit of both types of children is considerably high for the state."

The scientists used a modified generational accounting framework to estimate the return on investment for the Danish government based on public funding of IVF and ICSI (intracytoplasmic sperm injection). In the model, publicly funded IVF-treatment costs were added to the sum of discounted age-specific transfers between the government and the individual (tax contributions, healthcare, social benefits, education and retirement contributions) to calculate the net present value of investment in ART. This was compared to naturally conceived children, using the same calculation without ART cost depreciation. This analysis is based on annualised net tax receipts attributed to a single year of ART children and would be equally applicable in subsequent years, therefore compounding the fiscal effects of the policy change over time.

The average cost per live birth was estimated as 2,675 per cycle [1]. The model assumed a 30-50% reduction in ART births following the implementation of the new policy. The authors believe this to be an underestimate since only IVF/ICSI births in public clinics were considered. This estimated reduction is comparable to Germany, when the government introduced co-payments for ART of 50% in 2004. This resulted in an estimated 10,000 fewer births in one year, a small but meaningful demographic impact.


Contact: Hanna Hanssen
European Society of Human Reproduction and Embryology

Related biology news :

1. Long-term study shows effect of climate change on animal diversity
2. Birth control has long-term effect on hormone exposure
3. Exposing chicks to maternal stress leads to long-term reproductive success
4. European biodiversity and ecosystem scientists merge and gear up for long-term research
5. Long-term use of diabetes drugs by women significantly increases risk of fractures
6. Vitamin D deficiency in infants and nursing mothers carries long-term disease risks
7. Long-term recovery of reefs from bleaching requires local action to increase resilience
8. Long-term study of orchard ground cover management systems
9. Alzheimers disease therapeutic prevents long-term damage from TBI in pre-clinical studies
10. Study finds multidrug-resistant gram-negative bacteria high in long-term care
11. Neuroscientists discover long-term potentiation in the olfactory bulb
Post Your Comments:
(Date:5/9/2016)... , UAE, May 9, 2016 ... when it comes to expanding freedom for high net ... Even in today,s globally connected world, there is ... conferencing system could ever duplicate sealing your deal with ... obtaining second passports by taking advantage of citizenship via ...
(Date:4/26/2016)... and LONDON , April 26, ... of EdgeVerve Systems, a product subsidiary of Infosys ... announced a partnership to integrate the Onegini mobile ...      (Logo: ) ... customers enhanced security to access and transact across ...
(Date:4/15/2016)... Research and Markets has announced ... 2016-2020,"  report to their offering.  , ... global gait biometrics market is expected to grow ... 2016-2020. Gait analysis generates multiple variables ... to compute factors that are not or cannot ...
Breaking Biology News(10 mins):
(Date:6/27/2016)... ... June 27, 2016 , ... ... Amgen, will join the faculty of the University of North Carolina Kenan-Flagler ... of strategy and entrepreneurship at UNC Kenan-Flagler, with a focus on the school’s ...
(Date:6/24/2016)... ... , ... While the majority of commercial spectrophotometers and fluorometers use the z-dimension ... are higher end machines that use the more unconventional z-dimension of 20mm. Z-dimension ... bottom of the cuvette holder. , FireflySci has developed several Agilent flow cell ...
(Date:6/23/2016)... - FACIT has announced the creation of a ... Propellon Therapeutics Inc. ("Propellon" or "the Company"), to ... of first-in-class WDR5 inhibitors for the treatment of ... an exciting class of therapies, possessing the potential ... patients. Substantial advances have been achieved with the ...
(Date:6/23/2016)... 23, 2016  The Biodesign Challenge (BDC), a university ... to harness living systems and biotechnology, announced its winning ... New York City . ... showcased projects at MoMA,s Celeste Bartos Theater during the ... MoMA,s senior curator of architecture and design, and ...
Breaking Biology Technology: