Most patients in the United States with reproductive health disorders are not covered by their health insurance for these problems. Health insurance plans consider reproductive care as a lifestyle choice not as a disease. If coverage is provided it is, most often, directed to female factor infertility and advanced reproductive techniques, ignoring male factor reproductive disorders. This article reviews the history of reproductive health care delivery and its present state, and considers its possible future direction.
Key points
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Most patients in the United States with reproductive health disorders are not covered by their health insurance for these problems.
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Health insurance plans consider reproductive care as a lifestyle choice, not as a disease.
- •
If coverage is provided it is, most often, directed to female factor infertility and advanced reproductive techniques, ignoring male factor reproductive disorders.
- •
This article reviews the history of reproductive health care delivery and its present state, and considers its possible future direction.

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