Prevalence of IVF Could Create Genetic Haves and Have Nots: AMA

Prevalence of IVF Could Create Genetic Haves and Have Nots: AMA
An embryologist shows an Ovocyte after it was inseminated in Virginia, the United States, on June 12, 2019. (Ivan CouronneI/AFP/Getty Images)
6/14/2023
Updated:
6/21/2023

Australian Medical Association President Stephen Robson has warned that with the development of IVF technologies, society could be in “big trouble” if wealthier people can select better genes for their babies.

Speaking at the National Press Club in Canberra on Wednesday, Robson said the rising use of IVF technologies could lead to a genetic divide where wealthier people could pick embryos that have a lower risk of disease. 

Those less well-off would be locked out of accessing the technology, which can run into the hundreds of thousands.

In-vitro fertilisation (IVF) is a type of assisted reproductive technology used for infertility treatment in which eggs are fertilised outside the body. 

Robson said the next big thing in the health sector is to comprehend more and more about human genetics. 

“We understand a lot of our health is programmed in our genetics, and I think the big divide is going to come when people use technologies like IVF to select embryos that have genetics, which reduce the risk of disease. And that is the basis of the next generation,” he said. 

“We’re seeing this in America at the moment in some places overseas, and the cost of IVF. And the cost of that technology will leave a generation of people alone.” 

“So we'll have genetic haves and genetic have-nots, and I think that’s the next frontier, and I share your concern. I think we get to that stage as a society, we’re in big trouble.”

The comment comes after the Victorian government announced that Australia’s first public IVF clinic is set to open in Melbourne to provide free fertility treatment for women having difficulty falling pregnant.

“IVF can be a game-changer for people who might be struggling to have a child, but too often and for too many, it’s financially out of reach,” said Victorian Premier Dan Andrews.

However, IVF is not without its own health risks. According to long term studies, test tube babies are at greater risk of heart defects, musculoskeletal and central nervous system malformations, preterm birth, and low birth weight. Scientists still recommend that IVF treatment only be performed if a pregnancy cannot be achieved in another way.

At the National Press Club, Robson also called for an overhaul in how investment in health care is framed, saying that a lack of graduate doctors choosing to become GPs was “a key issue for the country.”

“Australians are now experiencing the consequences of decades of neglect to general practice by successive governments,” he said.

“We have to say we value it, and one of the messages that successive governments have delivered to GPs is ‘we don’t value you.’

“Making sure that our jobs are not in a situation where to actually turn a living you have to see patient after patient ... but funded in such a way that you can actually sit down and spend time with a patient.”

AAP contributed to this report.