Currently, the
Department of Veterans Affairs does not cover the
cost of in vitro fertilization and other fertility services for servicemen and
servicewomen. Advocates hope that will soon change, as a growing number of
veterans with war wounds that impede their ability to have children without artificial
reproductive services are coming home.
New
legislation would cover in vitro fertilization and other fertility services for
wounded veterans.
Technological advances in
medicine are allowing troops who were catastrophically wounded in Iraq and
Afghanistan to come home; homemade bombs which target foot patrols are noted
for the damage to lower limbs and the reproductive systems. Since 2003, almost
2,000 service members, both men and women, have come home with reproductive
system injuries.
U.S. Sen. Patty Murray (D-Wash.)
is pushing for coverage for in vitro and other reproductive services support to
be covered by the VA. Murray
stated that providing artificial reproductive technologies (ART) is just one of
the costs of war. Murray
is Chairwoman of the Veterans' Affairs Committee and introduced legislation
which was then passed by the Senate in
mid-December, instructing the VA to make available to disabled veterans more
advanced fertility techniques, such as like IVF. It is unknown if similar
legislation will pass through the House, currently focused on spending cuts.
While the VA does cover some
aspects of fertility support, including testing, counseling, and some
procedures, it does not usually cover the cost of care for veterans' spouses or
surrogates. For service people who have more severe wounds, where extensive
treatment may be needed, the VA falls short. IVF, in which the egg and sperm
are combined and then the resulting embryo is transferred in hopes of
implantation and pregnancy, is not covered.
The cost for IVF, which can take several cycles before success,
typically costs more than $10,000 and as
much as $20,000, and even then, it may not work.
While the DOD covers the cost of
IVF for injured active-duty service members, as of 2010, that does not help
many veterans. The policy funds three cycles of treatment for both service
members and their spouses, but only is they are active duty. Many service
members must wait until they have healed from trauma, and have left the service.
For many, it is long after they have left the military before they even know that
they face fertility issues.
The
Congressional
Budget Office currently estimates that the overall cost of fertility
services as requested would cost more than $550 million over the next five
years. Senator Murray has proposed funding the ART services from money saved
via the drawdown of
Iraq and
Afghanistan
troops. The VA has not yet taken a public position on the bill, but has stated
that the goal is the VA is to offer services and support to help restore
veterans' physical and mental capabilities as much as possible.