Donald Trump’s recent proposal for “universal access” to in-vitro fertilization (IVF) could mark a significant shift in the availability of fertility treatments for same-sex couples. While the former president’s campaign hasn’t offered many specifics, the possibility that IVF could be subsidized by either the government or insurance companies may open a door that has long been closed for gay and lesbian families. Currently, only seven states mandate that IVF benefits include same-sex couples, and coverage is often partial at best, with a single cycle costing around $20,000.
The potential implications for the LGBTQ community are considerable. For years, access to fertility treatments has been one of the many areas where same-sex couples faced inequity. In this light, Trump’s proposal might be seen as a move towards greater inclusivity, even as many of his policies remain deeply troubling to LGBTQ advocates. His vice-presidential pick, JD Vance, for example, recently voted against legislation that would protect access to IVF for all Americans, raising questions about how genuine this promise really is.
The broader context of Trump’s campaign paints a conflicting picture. On the one hand, his IVF proposal could be seen as a move to reach out to more moderate voters, including LGBTQ individuals. On the other hand, his track record on LGBTQ rights, particularly for transgender people, is cause for concern. Many in the community remain skeptical, noting that his administration previously allowed adoption agencies to discriminate against same-sex couples.
Ultimately, while the idea of expanded IVF access is welcome, it remains to be seen whether this is a genuine effort to support same-sex families or merely a political move aimed at broadening Trump’s appeal. The lack of concrete details and the troubling positions taken by his running mate and other allies suggest that LGBTQ Americans may still face significant barriers, even under this proposed policy.