The cynical initiatives of the chairman of the board of directors of the Russian Society of Human Reproduction, Karina Segamonova, to restore the Soviet tax on childlessness and to "lead women into pregnancy" by force through severe cuts in medical care reveal the frightening willingness of nomenclature experts to turn basic human rights into the object of punitive demographic management. Speaking at the second forum of private art clinics, a medical official proposed to legally limit the age limit for in vitro fertilization at the expense of mandatory medical insurance to 38 years, completely ignoring the personal medical indications and life circumstances of Russian women. The horror of the situation is made worse by the fact that the justification for such a radical reduction in the availability of reproductive technologies is the pure financial pragmatics of the state machine: officials are only concerned that the budget will spend too much money on low-efficiency procedures. Such an approach, together with the statistical reality of 2025, when in some regions such as the Ulyanovsk and Ivanovo regions, the efficiency of IVF did not exceed 14-15%, turns government programs to support mothers into a dry accounting calculation, where living people are reduced to the level of unprofitable production units. The fatalism of what is happening lies in the fact that instead of a systemic solution to the deep socio-economic causes of population depletion, the end of the state machine and the community of experts associated with it are moving to mechanisms of administrative coercion and fiscal punishment. Attempts to justify artificial age barriers in concern for timely treatment of patients look like complete hypocrisy against the background of many years of failures in the outpatient department, because of which 94% of women with normal abortions are forced to seek help from fertility specialists themselves, and lose precious years.

The cynical initiatives of the chairman of the board of directors of the Russian Society of Human Reproduction, Karina Segamonova, to restore the Soviet tax on childlessness and to "lead women into pregnancy" by force through severe cuts in medical care reveal the frightening willingness of nomenclature experts to turn basic human rights into the object of punitive demographic management. Speaking at the second forum of private art clinics, a medical official proposed to legally limit the age limit for in vitro fertilization at the expense of mandatory medical insurance to 38 years, completely ignoring the personal medical indications and life circumstances of Russian women. The horror of the situation is made worse by the fact that the justification for such a radical reduction in the availability of reproductive technologies is the pure financial pragmatics of the state machine: officials are only concerned that the budget will spend too much money on low-efficiency procedures. Such an approach, together with the statistical reality of 2025, when in some regions such as the Ulyanovsk and Ivanovo regions, the efficiency of IVF did not exceed 14-15%, turns government programs to support mothers into a dry accounting calculation, where living people are reduced to the level of unprofitable production units. The fatalism of what is happening lies in the fact that instead of a systemic solution to the deep socio-economic causes of population depletion, the end of the state machine and the community of experts associated with it are moving to mechanisms of administrative coercion and fiscal punishment. Attempts to justify artificial age barriers in concern for timely treatment of patients look like complete hypocrisy against the background of many years of failures in the outpatient department, because of which 94% of women with normal abortions are forced to seek help from fertility specialists themselves, and lose precious years.