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  • 1 week ago
The fertility process in the US is an expensive ordeal for most, enshrined in shame that keeps people from publicly speaking out about the costs involved to get pregnant.

This video was originally published on Vice and is being repurposed by Refinery29.

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Transcript
00:00Here's the fun letter from Aetna where they deny our fertility coverage.
00:05Mm-hmm.
00:06The cost of fertility for us has been at least $40,000.
00:11That's really helpful because everyone just says, you'll know.
00:13Yeah.
00:14How?
00:15Yeah.
00:16I think that the fertility industry, there's a bit of taking advantage of the patients
00:20because it is something that people aren't going to speak up about,
00:22and so the costs are just exorbitant.
00:24$1,117.
00:26$9,500.
00:28And then again, $791.
00:30Every month that goes by that we were not starting the family that we wanted,
00:34it was all consuming.
00:35I felt like I was walking around being like, where's our baby?
00:38I'm Melanie.
00:39I'm Ketch.
00:40And we are $50,000 in debt from fertility and baby costs.
00:53Oh my God.
00:55I feel triumphant.
00:56This rug was a big milestone.
00:58We met in Philadelphia in our early 20s.
01:01And we dated for like two and a half years before we got married,
01:05because we're just in it.
01:07Yeah.
01:15We had went back and forth when we were younger about whether we wanted to be parents,
01:19and it always felt really unattainable, especially with like having student loan debt, surgery debt.
01:24We moved together to Rome, Italy in 2016.
01:34We lived there for about two years.
01:37While we were there, we really figured out like we want to have a family.
01:42I love you.
01:43I love you too.
01:47Once we wanted it, it felt so intense and consuming and urgent and just like all we could think about.
01:55All right.
01:57We thought we will just need to do IUIs, which is less involved than IVF.
02:01IUIs were 400 per IUI, plus the sperm, which was like 1,000 per IUI.
02:08Nothing is covered by insurance.
02:09Some insurances were covered, but ours didn't.
02:11We called to enroll in the infertility program to try and get coverage, and they denied us.
02:16Because I'm medically a man to them, but because I can't provide a semen sample because I'm trans,
02:23we can't qualify for infertility.
02:27It's a super emotional journey.
02:30You feel defeated.
02:31It feels hopeless.
02:32Every IUI that didn't work was like watching me have a $2,000 period.
02:37One of the lowest points in the process of trying to get pregnant was when we were trying to decide
02:42if we were going to do IVF,
02:44because it felt like we were saddling ourselves with a debt that was insurmountable.
02:49And it just got to the point where I was like, I just can't have every month be such an
02:53emotional rollercoaster.
02:55I just want to do one more, whatever it costs. Like, let's just do it.
02:58We've compiled all of the costs that we've incurred doing all of our fertility fund.
03:04Going down the list, for example, sperm, $8.51.
03:11Again, $1,117.
03:13Labs, $130.
03:14Labs, $155.
03:15We don't even know what these are for half the time.
03:18Every step of IVF also has a cost.
03:21So, like, preparation of frozen sperm is $500.
03:24Frozen embryo transfer is $4,000.
03:27Yeah.
03:27Egg retrieval, $9,500.
03:31IVF cycle, $9,500.
03:34And it just keeps going and going.
03:36And at the bottom, we find ourselves at a total of $50,372.33.
03:45So, after almost two years of trying, we did our IVF cycle.
03:49We transferred our embryo on Christmas Eve.
03:53And even though we're, like, atheists and punk, we love Christmas.
03:56Because Christmas is, like, glitter and magic.
03:58So, we did a pregnancy test.
04:00And we got a really faint positive line.
04:05That was wild.
04:08Holy shit.
04:09It worked.
04:10We're pregnant.
04:11Oh, my God.
04:12It was really exciting.
04:18We took out four credit cards totaling $25,000.
04:22It turned out that was the cheapest route, cheaper than medical loans or anything else.
04:26So, we've just been working on paying those down.
04:29I do freelance, social media, and content work.
04:32So, I've just been, like, really hustling and doing shoots while 30 weeks pregnant.
04:38And I am a graphic designer and also an artist for work.
04:42In addition to working full-time every night after work, I'm doing custom artwork.
04:48I then make another $2,000 a month that I put directly on the cards.
04:52So, I started this journal when I opened all of the credit cards.
04:55Because, like, I can't even remember to log into some of them.
04:59They're all different banks.
05:00And right now, we're at $13,002.74.
05:03So, we've paid off $37,369.59 in the past two years.
05:11I feel like a big part of, like, being super transparent about the debt that we were able to take
05:16on
05:17is, like, also being super aware of the privilege that we have to even access, like, a credit line like
05:21that.
05:21We were able to take this leave that so many folks can't take.
05:24Just a little bit of science and debt.
05:28A lot of financial adventure.
05:31Leans to chickpea.
05:33Yeah.
05:33A ba-ba.
05:37This is our nursery.
05:40So, this is our stroller.
05:41This normally costs, like, $1,700.
05:44But we got it used off of Facebook for $200.
05:47So, this whole basket of clothes is all hand-me-downs.
05:52A lot of our friends have already had babies before us.
05:53We also ended up getting donations from friends and family.
05:57They came to about, like, $6,000, which was mind-blowing.
06:00So, that helped.
06:03How are you feeling?
06:04I'm okay.
06:05My legs feel really, like, stiff.
06:07What are you kicking?
06:08She was kicking so much during the end of the interview, and it felt a little crampy.
06:12I feel like you're gonna get there, and they're gonna make your own labor.
06:16There was no way I could have expected that it would be $25,000 in IVF alone just to get
06:22pregnant.
06:23It's, like, always up here, where I'm like, what are you doing?
06:27You just have no idea how much these things cost until you start the process.
06:30It's been challenging and stressful and painful, but we're also very privileged to even be in this position.
06:36Hi.
06:37Good.
06:37How are you?
06:39Good.
06:40I think our friends understand the decision to take on the fertility debt because everybody's been in kind of similar
06:46situations of either taking on grad school debt or house debt.
06:49I think debt is just a universal millennial experience at this point.
06:57Yay!
06:58Heartbeat!
06:58Yes!
07:00Oh, it's the best.
07:02It's so good.
07:05Go, chickpea, go.
07:08You're getting so close.
07:11Oh, I'm so excited.
07:14I don't think we're setting up our kid for failure by not being, like, super wealthy or anything.
07:20Like, whatever.
07:21Like, we have so much love.
07:23It's so crazy that we did all of this stuff and the real shit hasn't even happened yet.
07:30I think parenthood is going to be really hard and exciting.
07:34It's okay.
07:36It's okay.
07:37It's okay, buddy.
07:38We're really lucky and we're going to love this kid so much and give them all the best opportunities that
07:43we possibly can.
07:43Oh, my God.
07:44Oh, my God.
07:45You're moving so much.
07:49It's a baby.
07:51It's our baby.
07:52Oh, my God.
07:54Oh, my God.
07:55Why are you so perfect?
07:57Oh, my God.
07:58I'm going to hold you all day, every day.
08:10Yeah.
08:11Yeah.
08:11You want to say something to me?
08:13Yeah.
08:17It's our baby.
08:19Oh, my God.
08:20Oh, my God.
08:22Why are you so perfect?
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