Gay couple files complaint against New York City over denying IVF coverage
The city’s policy makes accommodations for lesbian couples to receive infertility treatments, but not for gay men, the couple’s filing stated.
A gay couple filed a class-action charge of discrimination against New York City on Tuesday alleging that the city’s insurance policy is discriminatory because it does not cover in vitro fertilization, or IVF, for gay male couples.
The couple planned to pursue a two-part process to have children: First, they would pursue IVF, a process where an egg is combined with sperm in a lab. Then they planned to work with an agency to hire a surrogate who would carry the baby to term.
But those plans were interrupted in 2017, after Briskin took a job as an assistant district attorney at the New York County District Attorney’s Office in Manhattan, and the couple said they learned that the city’s insurance policy doesn’t provide IVF benefits for gay men.
The couple said without insurance coverage, IVF would cost them $70,000 to $100,000, which would make it unaffordable. They already plan to pay for surrogacy out of pocket, which, with egg donation, can cost an additional $165,000, according to documents filed with the EEOC charge.
By not providing coverage for gay men, “the City’s policy breathes life into the outdated stereotype that gay men are not fit to be parents,” the charge stated. The charge also argued that the city’s policy violates federal, state and city laws against discrimination.
I’m a dad and I love being a dad, so I completely understand the desire other men have to be fathers. I’m not attacking that.
This case reminds me a lot of a topic Miguel and I covered a few years ago about Publix insurance paying for HIV PrEP.
The vast majority of parents, heterosexual people conceiving in the natural way, will never need this coverage.
Some percentage of heterosexual couples will need some assistance conceiving, and the insurance coverage starts low, with other less costly and lest risky forms of assistance, then works there way up.
Under the city’s policy, an individual has to be diagnosed with infertility to be eligible for coverage of IVF or other assisted reproductive technologies. The policy — like most insurance policies nationwide — defines infertility as “the inability to conceive after 12 months of unprotected intercourse” or after 12 cycles of intrauterine insemination, or IUI, over 12 months.
That makes sense.
Insurance is a risk pool, to be profitable you have to assume the risk is low, most couples don’t need fertility treatments.
Them you gradually increase coverage, drugs, then IUI, then finally if that doesn’t work, IVF as the most expensive and invasive treatment is the last option.
Very few heterosexual couples need that.
There is no amount of fertility drugs or IUI that will help a gay couple conceive.
In the process that this couple is using, getting an anonymous egg, IVF, hiring a surrogate to carry the baby, that is the maximum cost and maximum difficulty way of having a baby.
It also reminds me of the quote by Nikola Tesla, “you may live to see man-made horrors beyond your comprehension.”
So the risk pool effectively becomes a 100% guarantee that gay couples who want children are going to need the maximum coverage of the policy. There are no lower cost, less risky, “try this and see if it works before we try IVF” options.
And that is right now. In researching this story I’ve already seen gay rights groups say that surrogacy should be covered too because only rich people can afford that. Watch that become the next stage of this case. So a gay couple that wants kids will cost $250,000 per child to the insurance provider.
I find that to be ridiculous.
There is a difference between a heterosexual couple with a medical problem that is having difficulty conceiving a child in the natural way and a gay couple that wants a bespoke child in a Frankensteinien four-way (sperm donor, egg donor, surrogate, IVF technician).
If a gay couple wants IVF, here is my stipulation: find a surrogate, pop a Viagra, put some gay porn on the TV, and man up and try to conceive the natural way for a year, if that doesn’t work then you get IVF, no different than straight couples.
That’s equality, not a guaranteed designer baby through science.
If I can’t have it, no one can.
Once upon a time, that scene in Life of Brian was a joke….
Maybe someone will force the government to invent the uterine replicator and get the whole “womb” thing out of the picture, because this is the future, you know!
Or maybe the whole system will collapse under the cumulative absurdity.
Basically, they want to force the city and the rest of the city’s employees to pay for the medical care of two people (surrogate and infant) who have no connection to the organization. It’s not an issue of “rights”, it’s basic contract law — the surrogate is not a party to the contract, so the insurance has NO obligation to cover her.
Beyond that, well, if their sexuality is genetic, they have to accept that their genes set them up to not procreate.
Only one other stipulation, who ever is doing the “sticking” of the surrogate, must have a clear HIV and STD test so the surrogate doesn’t get more than they bargained for…
(Or what the heck, get a damn turkey baster, and load it “by hand” and stuff that..)
In the name of equality — real equality, not “equity” — I’m fine with gay male couples having insurance options for infertility. Because of the biological facts involved, many of the normal “steps” won’t apply.
–
That said, hiring a surrogate should not be covered. That would be fair, since it’s usually not included for heterosexual couples, either; even if insurance covers In Vitro Fertilization (IVF), it’s assumed the mother will try to carry her own child and thus the surrogate is not covered.
–
So for gay couples, the coverage tiers should look like:
1. Testing for sperm counts (standard for most fertility coverage, since it’s cheap and easy).
2. Testing for STIs (for surrogate safety, and because some infections affect sperm count and quality).
3. Hormonal injections (to time the menstrual cycle and help an embryo “take”) for a surrogate provided by the couple.
3. Equipment for “home IUI” (i.e. a medical-grade turkey baster) with a surrogate provided by the couple.
4. Clinical IUI with a surrogate provided by the couple.
5. IVF with a surrogate provided by the couple (and either the surrogate’s eggs or anonymously donated eggs).
–
And yes, because it escalates very quickly and because a higher percentage of couples will need higher-tier help, coverage won’t be cheap. But not having to cover the cost of a surrogate (which can be anywhere from $10k to $50k) would greatly reduce the costs.
–
Maybe the couple can further reduce costs by asking a female family member to carry their child, just like many hetero couples have to do.
–
See? Equality.
C’mon, man. The gay men are clearly unable to conceive. 😏
They could try adopting…..
They’ll get what they demand, because otherwise it would be “homophobic”. Then the insurance premiums for everyone covered by the company will increase to cover the added costs. Followed by outrage over the “out of control costs of health care”.
Sailorcurt: Hmmm. Just as if they create a problem (revolving door “bail” policies leading to violent felons remaining on the street to prey, again and again) (mandate coverages, particularly when not actuarily sustainable, leading to increased insurance premiums, and outrage ref increased “health care” costs), and then deploy a “solution” (gun control. “Look ! Squirrel!”) (health care price controls, because that worked *SO* well to abate NYFC’s/LA’s/San Franshitsco’s “homeless problem”!!)
Ya know, if I was a suspicious sort, I would wonder if these “crises” were being manufactured in order to trifle with us normies.
Naw!