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Words | Jacob Apezan

Decoding the Often Unexpected Cost of Fertility Treatment in the US

When Shelynda Brown and her husband Matthew Brown IV began their fertility journey, they assumed insurance would help. But instead, they found themselves struggling with repeated IVF cycles at a cost of roughly $63 000. They pulled money from savings, loans against retirement funds, and a family inheritance, only to face a devastating miscarriage. They eventually adopted two children, though the immense stress and financial strain involved in building their family remains difficult to forget.

Stories like the Brown’s are commonplace, as many people struggle to conceive children, and the costs of treatments in the US make fertility medicine a barrier rather than a bridge for many.

Tiny baby fetus inside glass test tube

About 19 percent of married women with no prior births are unable to conceive after one year of trying, and roughly 13 percent of reproductive-age women report a lifetime need for fertility services. Still, only about 10 percent actually receive fertility assistance, largely because many discover too late that help comes at a cost they can’t absorb.

This imbalance raises a crucial question: what does it actually cost,…

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Ut tellus eleme ntum sagittis vitae et leo. In ornare quam vivrra orci sagittis eu volutpat. Proin nibh nisl coim entum id venenati numis.

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    The Border Issue ’26  |  Edition 28

    The Lines We Cross.

    In land. In life. In spirit.
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    The Border Issue ’26 explores borders far beyond geography – the lines we cross through migration, identity, culture, belonging, memory, ambition, change, and the search for new horizons.

    In direct response to the current global political climate, we center these timely stories in conversations within this issue – looking beyond the lines, and at what it means to cross them.

    Featuring Brandon Ruffin and a global collective of artists, founders, writers, and cultural voices.

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