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Should government fund assisted reproductive techniques? A study using willingness to pay

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  • Mandy Ryan

Abstract

During recent years there has been a growth in the use of assisted reproductive techniques (ARTs) across Europe, America and Australia. This has resulted in debates about whether health insurance should cover this procedure. This study used the closed-ended (CE) willingness to pay (WTP) technique to establish the value the infertile place on in vitro fertilization (IVF) treatment in Scotland. The intention is to consider the use of the economic instrument of WTP for informing the debate on the public provision of IVF. Assuming that the value of the service outweighs the cost, public provision should be encouraged. The responses suggested that users of the service have a mean WTP of over £5000 for an attempt at IVF. This compares with an average government expenditure of 7pound;2700. The internal validity of the CE WTP was also shown, with income being positively related to WTP. It is concluded that the CE WTP technique is potentially a useful tool for policy makers in considering the public provision of IVF services, and that further work is needed to establish the reliability and external validity of the technique.

Suggested Citation

  • Mandy Ryan, 1997. "Should government fund assisted reproductive techniques? A study using willingness to pay," Applied Economics, Taylor & Francis Journals, vol. 29(7), pages 841-849.
    • Handle: RePEc:taf:applec:v:29:y:1997:i:7:p:841-849
    DOI: 10.1080/000368497326499
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    Citations

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    Cited by:

    1. Joan Costa-Font & Joan Rovira, 2005. "Eliciting preferences for collectively financed health programmes: the 'willingness to assign' approach," Applied Economics, Taylor & Francis Journals, vol. 37(14), pages 1571-1583.
    2. Havet Nathalie & Morelle Magali & Remonnay Raphaël & Carrere Marie-Odile, 2011. "Valuing the Benefit for Cancer Patients of Receiving Blood Transfusions at Home," Journal of Benefit-Cost Analysis, De Gruyter, vol. 2(3), pages 1-19, August.
    3. Nathalie Havet & Magali Morelle & Raphaël Remonnay & Marie-Odile Carrere, 2012. "Cancer patients’ willingness to pay for blood transfusions at home: results from a contingent valuation study in a French cancer network," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 13(3), pages 289-300, June.
    4. Wagner, Todd H. & Hu, Teh-wei & Duenas, Grace V. & Kaplan, Celia P. & Nguyen, Bang H. & Pasick, Rena J., 2001. "Does willingness to pay vary by race/ethnicity? An analysis using mammography among low-income women," Health Policy, Elsevier, vol. 58(3), pages 275-288, December.
    5. Wagner, Todd H. & Hu, Teh-wei & Duenas, Grace V. & Pasick, Rena J., 2000. "Willingness to pay for mammography: item development and testing among five ethnic groups," Health Policy, Elsevier, vol. 53(2), pages 105-121, September.
    6. Mandy Ryan, 2004. "A comparison of stated preference methods for estimating monetary values," Health Economics, John Wiley & Sons, Ltd., vol. 13(3), pages 291-296, March.
    7. Ryan, Mandy & Scott, David A. & Donaldson, Cam, 2004. "Valuing health care using willingness to pay: a comparison of the payment card and dichotomous choice methods," Journal of Health Economics, Elsevier, vol. 23(2), pages 237-258, March.
    8. Marc J. Leclere, 1999. "The Interpretation of Coefficients in N†Chotomous Qualitative Response Models," Contemporary Accounting Research, John Wiley & Sons, vol. 16(4), pages 711-747, December.
    9. Stella Nalukwago Settumba & Marian Shanahan & Willings Botha & Muhammad Zulilhaam Ramli & Georgina Mary Chambers, 2019. "Reliability and Validity of the Contingent Valuation Method for Estimating Willingness to Pay: A Case of In Vitro Fertilisation," Applied Health Economics and Health Policy, Springer, vol. 17(1), pages 103-110, February.
    10. Xiao-Hua Ying & Teh-Wei Hu & Jane Ren & Wen Chen & Ke Xu & Jin-Hui Huang, 2007. "Demand for private health insurance in Chinese urban areas," Health Economics, John Wiley & Sons, Ltd., vol. 16(10), pages 1041-1050.
    11. Fu, Tsu-Tan & Lin, Yih-Ming & Huang, Chung L., 2011. "Willingness to pay for obesity prevention," Economics & Human Biology, Elsevier, vol. 9(3), pages 316-324, July.

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