Abstract

http://ssrn.com/abstract=570782
 


 



Inconceivable? Deducting the Costs of Fertility Treatment


Katherine Pratt


Loyola Law School Los Angeles


Cornell Law Review, Vol. 89, p. 1121, 2003-2004
Loyola-LA Legal Studies Paper No. 2004-16

Abstract:     
This Article considers whether infertile taxpayers can deduct their fertility treatment costs as medical expenses under Internal Revenue Code Section 213 and whether they should be able to deduct them. Internal Revenue Code Section 213 defines medical expenses as amounts paid - for the diagnosis, cure, mitigation, treatment, or prevention of disease, or for the purpose of affecting any structure or function of the body. This definition is interpreted by reference to a baseline of normal biological functioning, which includes reproductive functioning. Most people conceive and bear children without having to incur expenses for fertility treatment. Expenses incurred to approximate the baseline of normal reproductive health are deductible, even if the taxpayer winds up better off, with a child, after the fertility treatment. Infertility is a loss, just as a broken leg is a loss. The medical profession recognizes that infertility is a disease or condition. Fertility treatment is thus a medical expense under Section 213. In addition, given the existence of the medical expense deduction, taxpayers should be able to deduct the cost of fertility treatments, including IVF, egg donor, and surrogate procedures, under either an ability-to-pay or consequentialist normative approach. Reproduction is extremely important to most people. In addition, allowing taxpayers to deduct the costs of fertility treatment will encourage infertile taxpayers to elect the most effective treatment option and reduce the rate of risky multi-fetal pregnancies. This Article concludes that fertility treatment costs are deductible as medical expenses under current law and should be deductible as medical expenses.

Number of Pages in PDF File: 81

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Date posted: July 29, 2004  

Suggested Citation

Pratt, Katherine, Inconceivable? Deducting the Costs of Fertility Treatment. Cornell Law Review, Vol. 89, p. 1121, 2003-2004; Loyola-LA Legal Studies Paper No. 2004-16. Available at SSRN: http://ssrn.com/abstract=570782

Contact Information

Katherine Pratt (Contact Author)
Loyola Law School Los Angeles ( email )
919 Albany Street
Los Angeles, CA 90015-1211
United States
213-736-8163 (Phone)
213-380-3769 (Fax)
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