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Coverage of infertility treatment and fertility outcomes

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  • Matilde Machado
  • Anna Sanz-de-Galdeano

Abstract

Policy interventions that increase insurance coverage for infertility treatments may affect fertility trends, and ultimately, population age structures. However, such policies have ignored the overall impact of coverage on fertility. We examine short-term and long-term effects of increased insurance coverage for infertility on the timing of first births and on women’s total fertility rates. Our main contribution is to show that infertility mandates enacted in the United States during the 80s and 90s did not increase the total fertility rates of women by the end of their reproductive lives. We also show evidence that these mandates induced women to put off motherhood. Copyright The Author(s) 2015

Suggested Citation

  • Matilde Machado & Anna Sanz-de-Galdeano, 2015. "Coverage of infertility treatment and fertility outcomes," SERIEs: Journal of the Spanish Economic Association, Springer;Spanish Economic Association, vol. 6(4), pages 407-439, November.
    • Handle: RePEc:spr:series:v:6:y:2015:i:4:p:407-439
    DOI: 10.1007/s13209-015-0135-0
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    References listed on IDEAS

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    1. Machado, Matilde P. & Sanz-de-Galdeano, Anna, 2011. "Coverage of Infertility Treatment and Fertility Outcomes: Do Women Catch Up?," IZA Discussion Papers 5783, Institute of Labor Economics (IZA).
    2. Lucie Schmidt, 2005. "Infertility Insurance Mandates and Fertility," American Economic Review, American Economic Association, vol. 95(2), pages 204-208, May.
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    10. Marianne Bitler & Lucie Schmidt, 2012. "Utilization of Infertility Treatments: The Effects of Insurance Mandates," Demography, Springer;Population Association of America (PAA), vol. 49(1), pages 125-149, February.
    11. James Heckman & Hidehiko Ichimura & Jeffrey Smith & Petra Todd, 1998. "Characterizing Selection Bias Using Experimental Data," Econometrica, Econometric Society, vol. 66(5), pages 1017-1098, September.
    12. Abadie, Alberto & Diamond, Alexis & Hainmueller, Jens, 2010. "Synthetic Control Methods for Comparative Case Studies: Estimating the Effect of California’s Tobacco Control Program," Journal of the American Statistical Association, American Statistical Association, vol. 105(490), pages 493-505.
    13. Barton H. Hamilton & Brian McManus, 2012. "The Effects Of Insurance Mandates On Choices And Outcomes In Infertility Treatment Markets," Health Economics, John Wiley & Sons, Ltd., vol. 21(8), pages 994-1016, August.
    14. M. Kate Bundorf & Melinda Henne & Laurence Baker, 2007. "Mandated Health Insurance Benefits and the Utilization and Outcomes of Infertility Treatments," NBER Working Papers 12820, National Bureau of Economic Research, Inc.
    15. James J. Heckman & Hidehiko Ichimura & Petra E. Todd, 1997. "Matching As An Econometric Evaluation Estimator: Evidence from Evaluating a Job Training Programme," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 64(4), pages 605-654.
    16. Ohinata, A., 2011. "Did the US Infertility Health Insurance Mandates Affect the Timing of First Birth?," Discussion Paper 2011-102, Tilburg University, Center for Economic Research.
    17. Gulcin Gumus & Jungmin Lee, 2012. "Alternative Paths To Parenthood: Ivf Or Child Adoption?," Economic Inquiry, Western Economic Association International, vol. 50(3), pages 802-820, July.
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    Cited by:

    1. Naomi Gershoni & Corinne Low, 2021. "Older Yet Fairer: How Extended Reproductive Time Horizons Reshaped Marriage Patterns in Israel," American Economic Journal: Applied Economics, American Economic Association, vol. 13(1), pages 198-234, January.
    2. Cristina Borra & Libertad González Luna & David Patiño, 2021. "Maternal age and infant health," Economics Working Papers 1791, Department of Economics and Business, Universitat Pompeu Fabra.
    3. Gershoni, Naomi & Low, Corinne, 2021. "The power of time: The impact of free IVF on Women’s human capital investments," European Economic Review, Elsevier, vol. 133(C).
    4. Sarah Kroeger & Giulia La Mattina, 2017. "Assisted reproductive technology and women’s choice to pursue professional careers," Journal of Population Economics, Springer;European Society for Population Economics, vol. 30(3), pages 723-769, July.
    5. Janna Bergsvik & Agnes Fauske & Rannveig Kaldager Hart, 2021. "Can Policies Stall the Fertility Fall? A Systematic Review of the (Quasi‐) Experimental Literature," Population and Development Review, The Population Council, Inc., vol. 47(4), pages 913-964, December.
    6. Carlo Ciccarelli & Alberto Dalmazzo & Daniela Vuri, 2021. "Home Sweet Home: the Effect of Sugar Protectionism on Emigration in Italy, 1876‐1913," Papers in Regional Science, Wiley Blackwell, vol. 100(4), pages 925-957, August.
    7. Joelle Abramowitz, 2017. "Assisted Reproductive Technology and Women’s Timing of Marriage and Childbearing," Journal of Family and Economic Issues, Springer, vol. 38(1), pages 100-117, March.
    8. Janna Bergsvik & Agnes Fauske & Rannveig K. Hart, 2020. "Effects of policy on fertility. A systematic review of (quasi)experiments," Discussion Papers 922, Statistics Norway, Research Department.

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    More about this item

    Keywords

    Assisted reproductive technologies; Infertility insurance mandates; Completed fertility; Delay of motherhood ; Synthetic control method; I18; J13;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

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