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    <title>The Fertility Record — Research</title>
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    <description>Original analysis of the federal fertility record, published with the underlying data.</description>
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    <lastBuildDate>Sat, 05 Sep 2026 12:00:00 GMT</lastBuildDate>
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      <title>Who owns your fertility clinic — and does it change your odds?</title>
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      <pubDate>Sat, 05 Sep 2026 12:00:00 GMT</pubDate>
      <description>Private equity backs about a third of U.S. fertility clinics and more than half of all IVF cycles, mostly without changing the name on the door. The peer-reviewed evidence on what that does to outcomes points the opposite way to what the question usually expects — and we explain why this site still cannot tell you who owns any particular clinic.</description>
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      <title>Do the big fertility brands deliver better outcomes?</title>
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      <pubDate>Sat, 22 Aug 2026 12:00:00 GMT</pubDate>
      <description>Five brands run four or more U.S. clinics each. Four of the five beat the rest of the field on reported outcomes — but the spread between locations of the same brand is as wide as the gap between brands. The name on the door tells a patient less than the address does.</description>
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      <title>Four states mandate IVF coverage and have one clinic or none</title>
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      <pubDate>Sat, 15 Aug 2026 12:00:00 GMT</pubDate>
      <description>Half of the 422 reporting U.S. fertility clinics sit in six states. At the other end, eleven states have one clinic or none — and four of those legally require insurers to cover IVF. Insurance law turns out to be a poor predictor of whether there is a clinic near you.</description>
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