Equity in use and financing of assisted reproductive technologies: Does income matter?
利用澳大利亚2006、2009和2012年的行政数据，研究收入对辅助生殖技术使用和融资公平性的影响，发现政策变化后富人偏斜的不平等有所缓解。
This study estimates inequity for a relatively low frequency-of-use and expensive health service, Assisted Reproductive Technology (ART) in Australia, that nevertheless has health and well-being related consequences. Although the universal healthcare system provides rebates, a policy to put a monetary cap was introduced in 2010, thereby increasing the co-payments for consumers. These government co-financing decisions include a trade-off between subsidising ART for the wealthy and prioritising insurance for low-income households. Such decisions require careful consideration since they may have profound equity implications. This study produces empirical evidence on inequity in the use and financing of ARTs, using linked administrative data from the years before the policy change, 2006, 2009 and after the policy change, 2012. The results indicate that there is pro-rich inequity in the use of ARTs, which decreases post-policy change and the financing of ART is regressive for the year 2009 pre-policy change and is less regressive after the policy change.