Coverage of infertility treatment and fertility outcomes : do women catch up?

Machado, Matilde P.; Sanz-de-Galdeano, Anna

Publication:
Coverage of infertility treatment and fertility outcomes : do women catch up?

dc.affiliation.dpto	UC3M. Departamento de Economía	es
dc.contributor.author	Machado, Matilde P.
dc.contributor.author	Sanz-de-Galdeano, Anna
dc.contributor.other	Centre for Economic Policy Research
dc.date.accessioned	2012-08-30T15:48:57Z
dc.date.available	2012-08-30T15:48:57Z
dc.date.issued	2011-06
dc.description.abstract	The ageing of first-time mothers and the changes in women's labor market conditions have been accompanied by the introduction and subsequent increase in the use of assisted reproductive therapies (ART) that help extend women's reproductive life. Considering the financial cost of infertility treatments, policy interventions that increase insurance coverage may significantly affect fertility trends, and ultimately, population age structures. However, policies have ignored the overall impact of ART coverage on fertility. In this paper, long-term effects of insurance coverage for infertility on the timing of first births and on total fertility rates are examined. Variation in the enactment of infertility insurance mandates over time and across U.S. states allows the estimation of both the short-term and long-term effects. We concentrate on the effects of the more demanding mandates enacted in six states in the later 80s and 90s. Our results show that the effect of these mandates to cover infertility treatment is positive on the average age at first birth and increases over time. The long-term estimates of the increase in age of first-time mothers range from 3 to 5 months. Importantly, we also show that these mandates do not increase the total fertility rates of women by the end of their reproductive lives.
dc.format.mimetype	application/pdf
dc.identifier.uri	https://hdl.handle.net/10016/15161
dc.language.iso	eng
dc.relation.ispartofseries	CEPR discussion papers
dc.relation.ispartofseries	8445
dc.relation.publisherversion	http://www.cepr.org/pubs/new-dps/dplist.asp?dpno=8445.asp
dc.rights	Atribución-NoComercial-SinDerivadas 3.0 España
dc.rights.accessRights	open access
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/es/
dc.subject.eciencia	Economía
dc.subject.jel	I18
dc.subject.jel	J13
dc.subject.other	Assisted reproductive technologies (ART)
dc.subject.other	Effects of insurance coverage for infertility
dc.subject.other	Insurance coverage for infertility
dc.subject.other	Insurance mandates and total fertility
dc.title	Coverage of infertility treatment and fertility outcomes : do women catch up?
dc.type	working paper	*
dc.type.hasVersion	SMUR	*
dspace.entity.type	Publication