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

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 willingness to pay (WTP) technique to establish the value the infertile place on in vitro fertilization treatment in Scotland. One approach to help inform this debate is to employ economic tools to assess the costs and benefits of the treatment. Costs can then be compared with benefits, and the public provision of the service encouraged or discouraged on the basis of these results. To date, economic evaluations which have attempted to inform the debate about the provision of ARTs have assumed that the only factor that is important is whether users leave the service with a child. One approach that should allow for all such attributes in the economic evaluation is the economic instrument of WTP. This technique is based on the premise that the maximum amount of money an individual is willing to pay for a commodity is an indicator of the value to him/her of that commodity. This paper uses the WTP technique to assess the benefits from ARTs. These benefits are then compared with the costs of providing the treatment. The aim is to show how the application of this specific tool can be of use to policy makers considering the public provision of ARTs.