What’s the definition of a cartel, and has the way we pay for care created one in fertility?

This week on Inside Reproductive Health, two practice-owning REIs with very different models join Griffin to push that question hard. Dr. Robert Kiltz (CNY Fertility) and Dr. Francisco Arredondo (Pozitvf IVF & The IVF Academy) dig into the economics, the ethics, and the possible alternatives to the status quo.

They discuss:

• Dr. Arredondo’s argument that today’s IVF system resembles a cartel (and what can be done about it)

• The right question to ask about access and cost in IVF

• How insurance helped create today’s medical-industrial complex

• Dr. Kiltz’s meeting with HHS leadership and what it revealed

• Lessons from Aravind Eye Care in India (Could that model work for IVF?)

• What the IVF Academy is teaching clinicians about entrepreneurship and sustainable practice

  
  

This episode doesn’t offer easy answers. It’s a clear-eyed conversation about structural incentives, mission, and what it will take to make IVF more affordable and accessible.