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Long-term fiscal implications of funding assisted reproduction

A generational accounting model for Spain

Bibliographic Data

ID13112031
AuthorsRoberto Matorras (0000-0002-4279-6823, Hospital de Cruces), Renata Villoro (0000-0003-2880-2542, Weber), Almudena González‐Domínguez (0000-0002-3509-0961, Weber), S Pérez-Camarero (Weber), Álvaro Hidalgo‐Vega (0000-0003-1031-2051, University of Castilla-La Mancha), Carlos Polanco (0000-0003-1175-306X, Merck (Spain), corresponding author)
Year2015
Volume1
Issue2
Pages113-122
Publication date2015-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueReproductive Biomedicine & Society Online (JOURNAL)
Journal identifiersISSN: 2405-6618 • E-ISSN: 2405-6618
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.rbms.2016.04.001
PMID29911192
OpenAlexW2352289624
LanguageEN
Citations received1
References cited12

The aim of this study was to assess the lifetime economic benefits of assisted reproduction in Spain by calculating the return on this investment. We developed a generational accounting model that simulates the flow of taxes paid by the individual, minus direct government transfers received over the individual's lifetime. The difference between discounted transfers and taxes minus the cost of either IVF or artificial insemination (AI) equals the net fiscal contribution (NFC) of a child conceived through assisted reproduction. We conducted sensitivity analysis to test the robustness of our results under various macroeconomic scenarios. A child conceived through assisted reproduction would contribute €370,482 in net taxes to the Spanish Treasury and would receive €275,972 in transfers over their lifetime. Taking into account that only 75% of assisted reproduction pregnancies are successful, the NFC was estimated at €66,709 for IVF-conceived children and €67,253 for AI-conceived children. The return on investment for each euro invested was €15.98 for IVF and €18.53 for AI. The long-term NFC of a child conceived through assisted reproduction could range from €466,379 to €-9,529 (IVF) and from €466,923 to €-8,985 (AI). The return on investment would vary between €-2.28 and €111.75 (IVF), and €-2.48 and €128.66 (AI) for each euro invested. The break-even point at which the financial position would begin to favour the Spanish Treasury ranges between 29 and 41 years of age. Investment in assisted reproductive techniques may lead to positive discounted future fiscal revenue, notwithstanding its beneficial psychological effect for infertile couples in Spain

Artificial insemination · Biology · Economics · Investment (military · Pregnancy · Rate of return · Reproduction · Robustness (evolution · Treasury · Assisted Reproductive Technology and Twin Pregnancy · demographic modeling and climate adaptation · Family Dynamics and Relationships · Finance

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    Open Access•Roberto Cardarelli, James Sefton et al.•The Economic Journal•2000

  • Generational Accounting

    Open Access•Alan J Auerbach, Jagadeesh Gokhale et al.•The Journal of Economic…•1994

Unique citing works1
Citations per year0,13
Citation span2018 - 2018 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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