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  "documentTitle": "Progyny, Inc. (PGNY)",
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      "text": "Perhaps our least surprising finding in the scientific literature is that PGT has been used to generate increased cycle and clinic revenue in countries with private health systems. PGT use has skyrocketed in the US versus other countries and has seen increased use among younger women despite its lower efficacy in this group.",
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      "text": "Despite the aforementioned concerns regarding PGT-A, its use has grown rapidly in the US. The use of PGT-A increased from 13% to 27% in the US from 2014–2016. These national disparities in UK and US uptake of PGT-A suggest the influence of differing health systems and funding structures of IVF. PGT-A was primarily used for women aged 40–42 years in the UK, which makes sense since egg quality deteriorates with age. However, in the US, most women using PGT-A were aged <35 years, despite the finding by Murphy et al. (2019) of its lower efficacy in this group. Several authors have raised concerns about potential conflicts of interest that arise when PGT-A becomes an important source of revenue for clinics. As van de Weil (2022) notes, the inclusion of an IVF-first approach and PGT-A in the benefit paves the way for greater revenue per cycle for the treating clinics and a more technologically intensified cycle for the patient.",
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      "text": "The Prevalence of PGT In Private Health Systems Highlights The Financial Conflicts of Interest",
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      "kind": "source-note",
      "text": "Source: Disrupting the biological clock: Fertility benefits, egg freezing and proactive fertility management, Lucy van de Wiel, Reproductive Biomedicine & Society Online, Volume 14, March 2022, Pages 239-250",
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      "text": "The Financial Conflicts of Interest Surrounding PGT Are Obvious",
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