abbreviation IVF is laid out in wooden letters on a blue background

Secretary Says Expanding VA Fertility Coverage to Veterans is Too Costly

The Department of Veterans Affairs is facing scrutiny for its policy limiting fertility treatment coverage to veterans with service-connected infertility issues, as VA Secretary Denis McDonough recently explained the rationale behind the restrictive measures. In a session with the House Appropriations Committee subpanel overseeing the VA budget, McDonough addressed concerns raised by Representative Rosa DeLauro, D-Conn., regarding the exclusion of in vitro fertilization (IVF) coverage for veterans without service-related injuries.

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“It’s a cost issue,” McDonough stated, emphasizing the financial implications of extending fertility benefits more broadly. He further elaborated that removing the service connection requirement could “increase costs as much as two orders of magnitude,” potentially leading to a significant expansion and a costly one for the department.

Policy Updates 

This conversation occurs in the context of the VA’s recent policy update, which now allows single veterans and those in same-sex relationships access to IVF, albeit still limited to cases of service-connected injuries. This adjustment aligns with changes within the Department of Defense, influenced by recent legal actions and evolving policies.

While the updated policy has been praised by some for its inclusivity, the limitation on service connection continues to be a point of contention. DeLauro voiced her concern for those veterans who do not meet the service connection criteria: “With the average cost of IVF being upwards of $20,000 for veteran families that need IVF to build a family but do not have a service-connected injury, that opportunity may be out of reach.”

Ethical Concerns and Political Reactions

The debate over this policy also intersects with broader political and ethical discussions, as evidenced by a letter from four House Republicans, including Rep. Matt Rosendale, R-Mont., who called the procedure “morally dubious” and challenged the use of taxpayer money to fund it. “It is well known that IVF treatments result in a surplus of embryos after the best ones are tested and selected,” the letter states, highlighting ethical concerns about the disposal of surplus embryos.

Looking Ahead

As this debate continues to unfold, the core issue remains the VA’s ability to adapt its policies to better reflect the diverse needs of all veterans. The discussion is not just about budgetary constraints or ethical dilemmas; it’s fundamentally about how a nation fulfills its obligation to those who have served. The ongoing controversy reflects broader societal debates about reproductive rights, medical ethics, and how best to allocate limited healthcare resources in a way that is both fair and equitable.

The VA’s stance on fertility treatments is a litmus test for its broader commitment to veteran healthcare and raises important questions about prioritization and resource allocation. As policymakers, veterans, and the public engage in this ongoing conversation, the challenge will be to find a balance that respects ethical considerations while also expanding access to essential medical treatments for all veterans.


What is In Vitro Fertilization (IVF)?

In Vitro Fertilization, commonly known as IVF, is a medical procedure whereby an egg is fertilized by sperm outside the body, in a laboratory dish. After the egg is fertilized, the resulting embryo is transferred to the woman’s uterus with the intention of establishing a successful pregnancy.

Who is currently eligible for VA-funded IVF treatment?

Veterans who are eligible for VA-funded IVF treatment include those whose infertility is directly related to service-connected injuries. Recently, eligibility has been expanded to include single veterans and those in same-sex relationships. This expansion aligns with updates to Pentagon policies addressing past discriminatory exclusions.

Why does the VA not cover IVF for all veterans?

The VA limits IVF coverage to veterans with service-connected infertility primarily due to cost considerations. Expanding coverage to include all veterans, regardless of the cause of infertility, would significantly increase the financial burden on the VA, impacting its budget and the breadth of services it can provide.

How much does IVF typically cost, and what financial support does the VA offer?

IVF can be quite expensive, typically costing upwards of $20,000 per treatment cycle. For eligible veterans, the VA covers these costs if the infertility is linked to service-related injuries. Veterans not meeting these criteria would need to seek alternative funding or cover the costs out-of-pocket.

What are the ethical concerns associated with expanding IVF coverage?

Ethical concerns regarding IVF often revolve around the fate of surplus embryos created during the process. Issues such as the potential for embryos to be discarded or remain unused raise moral questions, which some lawmakers and groups cite as reasons to limit government funding for IVF treatments.

How can veterans voice their opinions or concerns about the current IVF policy?

Veterans are encouraged to participate in public forums and VA consultations that discuss fertility treatment policies. Additionally, contacting representatives in Congress or engaging with veteran advocacy groups can be effective ways to influence and enact policy changes within the VA system.

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  1. They won’t even do disk replacements for people with spinal issues that seriously impead their movement and sanity for that matter. Now they’re talking about all this other shit that they may or may not do. You’re a fool if you get out of service and start messaging with that place especially in the south. You’re gonna feel sadly mistaken eventually.. bank on it. I put money on it.

  2. How much of this absurd crap are we to put up with the VA, IVF for mentally ill (same-sex relationships) etc is absurd, please explain the “:service connected disability for not getting pregnant or in same-sex relationships.
    I have always stated that women have no place in the military other than that of the duties of WACS, same-sex relationships etc in this line are mentally ill individuals that should never have been in the military in the first place, if by chance they are or for that matter any thing related to the alphabet individuals should be directed to the behavioral health dept of the VA for being mentally ill and in need of psychiatric help.

    1. You’re a bigot and you need mental health care yourself.. mental health care that you obviously aren’t gonna get at VA because you would be too offensive. Try outside care for your character problems..

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