Should we choose to use it, the ability to procreate seems a given – until it’s not. I certainly spent most of my adult life trying to not get pregnant, and in the Pro-Choice and feminist circles within which I proudly live and work, infertility is rarely on the menu of problems to solve. While many other developed countries consider infertility a legitimate medical condition and offer some level of coverage for it, treatment in the U.S. is very costly and rarely covered by insurance. As the technology advances at a breakneck pace, debates about reproductive medicine – the ethical boundaries, who should have access to it, who should pay for it – are exploding across the developed world.
Over the last five years, my husband and I have struggled with our own infertility issues, during which he was diagnosed with testicular cancer. I was shocked by my ignorance about my own fertility, and bowled over by the financial and emotional costs of treatment. California, like the majority of the United States, does not mandate infertility health care coverage, even for cancer patients, so our costs were 100 percent out of pocket. It felt like the doctor took over our bedroom and our savings account all at once, and it put an incredible strain on our marriage. Thankfully, my husband’s cancer was treatable, and is in remission. I wish I could say the same about our infertility.
The family-building options for people like us are either reproductive medicine or adoption, both of which can be financially daunting and emotionally harrowing. And because reproductive medicine is dominated by for-profit clinics reliant on marketing rather than insurance contracts, patients are often left feeling particularly vulnerable. To make matters worse, the lack of awareness about infertility often leaves patients feeling misunderstood and alone.
It was in researching possible solutions to my own situation that I came across Dr. Sher’s contest. This competition struck me as a perfectly absurd distillation of the overwhelming world of reproductive medicine in which I found myself. The contest is a provocative narrative device that allowed me to follow a diverse group of people from across the country on an intense emotional journey. By humanizing their struggles, my goal is to break the silence around this issue and ignite a conversation about the flipside of reproductive choice: the choice to have a child.
-Amanda Micheli, Director