Sunday January 19, 2020

Increasing popularity of egg freezing among Indians, social stigma continues

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New Delhi: Women were filled with new hope when former Miss World Diana Hayden, 42, brought her first child into the world as a result of freezing her human egg eight years ago. However, societal unacceptance attached to it continues to prove a hindrance to this new age process.

While young Indians feel that freezing of human egg is a smart move for career-oriented women, social stigma continues to be attached to the new-age fertilization process, say medical experts.

Egg freezing is still not very popular in India, said Shobha Gupta, medical director and IVF Specialist at Mother’s Lap IVF Centre.

“People in India still open their eyes wide if they hear such things, especially in joint and conservative families. On the other hand, IVF has been accepted widely in India, but egg freezing is yet to gain approval or social acceptability in India,” Gupta told reporters.

Another expert, Anubha Singh, gynecologist and IVF Expert at Shantah IVF Center, said that “egg freezing is not a normal procedure like IVF or surrogacy, but if you are an individual and you don’t need any family member’s approval, you can definitely go for this”.

The procedure, however, has caught the people’s attention here in the past two to three years.

Singh said it was in 2014 when technology conglomerates Apple and Facebook announced that they will pay for the egg freezing process of their women employees.

“They took the decision to attract more female employees and maintain their retention rates so that they may have prolonged careers,” said Singh.

Internationally, egg freezing is a route that Hollywood celebrities like Sofia Vergara and Kim Kardashian have taken. And in India, Diana has set an example.

Is the method more popular among celebrities than commoners?

“Egg freezing is a costly affair and is mostly taken up by high-profile people,” Gupta said.

The costs of preserving eggs is very high.

In India, freezing embryos costs Rs.10,000 to Rs.15,000 per month, and the frozen embryo transfer cycle costs Rs.100,000 to Rs.200,000 per cycle. Embryo transfer is the main part of the IVF process – and it usually takes 10 to 15 days to be injected in a woman’s womb.

Thus, egg freezing is mostly popular among Page 3 celebrities or among people with higher spending powers, Gupta added.

“Many couples who work for IT firms, BPOs and in management backgrounds are busy with their careers and delay the baby-making process, thereby, giving them a reason to opt for freezing their sperms or eggs. Besides a prosperous career, the uncertainty of marriage and fear of infertility are two other major factors contributing to this trend (of increasing queries on egg-freezing),” she said.

But before taking a decision, be aware that egg freezing isn’t a sure shot guarantee of pregnancy.

“First of all, the success rate of egg freezing is not 100 percent as chances of viable pregnancies are only 30 to 35 percent. You just can’t freeze your eggs once, sit back and relax. Even if you freeze your eggs at an early age, you have to get your IVF cycle done before you turn 45-years-old.

“So, limitations are always there,” Aanchal Aggarwal, IVF specialist at the BL Kapur Memorial Hospital, told reporters.

In Britain, 18,000 eggs were frozen till 2012. Of these, only 580 embryos were formed, eventually generating only 20 live births, according to an earlier report.

“So, you can clearly notice that the difference between the ratio of eggs which is 18,000 and live births which is only 20,” said Singh, adding: “It is best if you freeze embryos (combination of eggs and sperm) rather than eggs.”

“The cost of freezing embryos is the same as the cost of freezing eggs, but freezing embryos is more result-oriented in comparison,” Singh concluded.(Nivedita, IANS) (Image source: vogue.com)

Next Story

Over One Third of Healthcare Costs in the U.S. Goes to Bureaucracy: Study

U.S. insurers and providers spent more than $800 billion in 2017 on administration, or nearly $2,500 per person

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The reason why administrative costs in U.S.A are so high are because the insurance companies and healthcare providers are engaged in a tug of war. Pixabay

U.S. insurers and providers spent more than $800 billion in 2017 on administration, or nearly $2,500 per person — more than four times the per-capita administrative costs in Canada’s single-payer system, a new study finds.

Over one third of all healthcare costs in the U.S. were due to insurance company overhead and provider time spent on billing, versus about 17% spent on administration in Canada, researchers reported in Annals of Internal Medicine.

Cutting U.S. administrative costs to the $550 per capita (in 2017 U.S. dollars) level in Canada could save more than $600 billion, the researchers say.

“The average American is paying more than $2,000 a year for useless bureaucracy,” said lead author Dr. David Himmelstein, a distinguished professor of public health at the City University of New York at Hunter College in New York City and a lecturer at Harvard Medical School in Boston.

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Over one third of all healthcare costs in the U.S. were due to insurance company overhead and provider time spent on billing. Pixabay

“That money could be spent for care if we had a ‘Medicare for all program’,” Himmelstein said.

To calculate the difference in administrative costs between the U.S. and Canadian systems, Himmelstein and colleagues examined Medicare filings made by hospitals and nursing homes.

For physicians, the researchers used information from surveys and census data on employment and wages to estimate costs. The Canadian data came from the Canadian Institute for Health Information and an insurance trade association.

United States vs. Canada

When the researchers broke down the 2017 per-capita health administration costs in both countries, they found that insurer overhead accounted for $844 in the U.S. versus $146 in Canada; hospital administration was $933 versus $196; nursing home, home care and hospice administration was $255 versus $123; and physicians’ insurance-related costs were $465 versus $87 They also found there had been a 3.2% increase in U.S. administrative costs since 1999, most of which was ascribed to the expansion of Medicare and Medicaid managed-care plans.

Overhead of private Medicare Advantage plans, which now cover about a third of Medicare enrollees, is six-fold higher than traditional Medicare (12.3% versus 2%), they report. That 2% is comparable to the overhead in the Canadian system.

Why are administrative costs so high in the U.S.?

It’s because the insurance companies and health care providers are engaged in a tug of war, each trying in its own way to game the system, Himmelstein said. How a patient’s treatment is coded can make a huge difference in the amount insurance companies pay. For example, Hammerstein said, if a patient comes in because of heart failure and the visit is coded as an acute exacerbation of the condition, the payment is significantly higher than if the visit is simply coded as heart failure.

More and more paperwork required

“It’s clear that healthcare costs in the U.S. have soared,” said Dr. Albert Wu, an internist and professor of health policy and management. VOA

This upcoding of patient visits has led insurance companies to require more and more paperwork backing up each diagnosis, Himmelstein said. The result is more hours that healthcare providers need to put in to deal with billing.

“(One study) looked at how many characters were included in an average physician’s note in the U.S. and in other countries,” Himmelstein pointed out. “Notes from U.S. physicians were four times longer to meet the bureaucratic requirements of the payment system.”

The new study is “the first analysis of administrative costs in the U.S. and Canada in almost 20 years,” said Dr. Albert Wu, an internist and professor of health policy and management at the Johns Hopkins School of Public Health in Baltimore. “It’s an important paper.”

‘Inefficient and wasteful’  system

“It’s clear that health costs in the U.S. have soared,” Wu said. “We’re paying for an inefficient and wasteful fee-for-services system.”

Also Read- We Got Trump Elected, Shouldn’t Stop Him in 2020; Says Facebook Executive

“Some folks estimate that the U.S. would save $628 billion if administrative costs were as low as they are in Canada,” said Jamie Daw, an assistant professor of health policy and management at Columbia University’s Mailman School of Public Health in New York City.

“That’s a staggering amount,” Daw said in an email. “It’s more than enough to pay for all of Medicaid spending or nearly enough to cover all out-of-pocket and prescription drug spending by Americans.” (VOA)