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Equity in use and financing of assisted reproductive technologies

Does income matter

Bibliographic Data

ID15448957
AuthorsAarushi Dhingra (0000-0002-3719-4414, University of Bologna, corresponding author), Brenda Gannon (0000-0002-3672-4030, The University of Queensland), Luke Brian Connelly (0000-0002-1734-4809, Queensland University of Technology), Luke Connelly, Gita D Mishra (0000-0001-9610-5904, The University of Queensland), Gita Mishra (0000-0001-8114-306X)
Year2025
Volume57
Pages101491-101491
Publication date2025-05-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueEconomics & Human Biology (JOURNAL)
Journal identifiersISSN: 1570-677X • E-ISSN: 1873-6130
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.ehb.2025.101491
PMID40334337
OpenAlexW4409986423
LanguageEN
References cited55

This study estimates inequity for a relatively low frequency-of-use and expensive health service, Assisted Reproductive Technology (ART) in Australia, that nevertheless has health and well-being related consequences. Although the universal healthcare system provides rebates, a policy to put a monetary cap was introduced in 2010, thereby increasing the co-payments for consumers. These government co-financing decisions include a trade-off between subsidising ART for the wealthy and prioritising insurance for low-income households. Such decisions require careful consideration since they may have profound equity implications. This study produces empirical evidence on inequity in the use and financing of ARTs, using linked administrative data from the years before the policy change, 2006, 2009 and after the policy change, 2012. The results indicate that there is pro-rich inequity in the use of ARTs, which decreases post-policy change and the financing of ART is regressive for the year 2009 pre-policy change and is less regressive after the policy change

Business · Economics · Equity (law · Political science · Global Health Care Issues · Global Maternal and Child Health · Healthcare Systems and Reforms · Finance

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