ArticleHealth care analysis : HCA : journal of health philosophy and policy2019
Irresponsibly Infertile? Obesity, Efficiency, and Exclusion from Treatment.
Article in Health care analysis : HCA : journal of health philosophy and policy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effect of weight loss before in vitro fertilization in women with obesity or overweight and infertility: a systematic review and meta-analysis.Scientific reports · 2024Pooled it
- Discrimination, Age, and Women's Access to Assisted Reproduction.Journal of bioethical inquiry · 2026Article
- Why a responsibility sensitive healthcare system is not disrespectful.Medicine, health care, and philosophy · 2025Article
- A retrospective cohort study examining the outcomes of patients who present for fertility care and exceed a set body mass index threshold for treatment.F&S reports · 2024Article
- How do BMI-restrictive policies impact women seeking NHS-funded IVF in the United Kingdom? A qualitative analysis of online forum discussions.Reproductive health · 2024Article
- Rationing, Responsibility, and Vaccination during COVID-19: A Conceptual Map.The American journal of bioethics : AJOB · 2024Article
- Involuntary Childlessness, Suffering, and Equality of Resources: An Argument for Expanding State-funded Fertility Treatment Provision.The Journal of medicine and philosophy · 2023Article
- The association between body mass index and live birth and maternal and perinatal outcomes afterFrontiers in endocrinology · 2023Article
- Article
- Widespread misconceptions about pregnancy for women living with obesity.Canadian family physician Medecin de famille canadien · 2021Article
- Article
- Passport to freedom? Immunity passports for COVID-19.Journal of medical ethics · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
Abstract
Many countries tightly ration access to publicly funded fertility treatments such as in vitro fertilisation (IVF). One basis for excluding people from access to IVF is their body mass index. In this paper, I consider a number of potential justifications for such a policy, based on claims about effectiveness and cost-efficiency, and reject these as unsupported by available evidence. I consider an alternative justification: that those whose subfertility results from avoidable behaviours for which they are responsible are less deserving of treatment. I ultimately stop short of endorsing or rejecting such a justification, though highlight some reasons for thinking it is unlikely to be practicable.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.