ABSTRACT

Governments worldwide have demonstrated a reluctance to acknowledge that infertility is a disability or medical condition. In most countries it is viewed as an elective procedure and therefore not worthy of reimbursement. The need to have access to health care is balanced against the need for governments to responsibly manage scarce resources and to distribute them justly and equitably for the good of the whole community. The challenge for consumers of infertility services is to persuade governments that inf ertility is a medical disability which causes suffering and as such is worthy of inclusion in their national health plan.