Take a number. Get in line

I have, in my own quiet way, started taking a few tentative steps toward getting political about the issue of fertility treatment in this country. I would describe my recent efforts as baby-steps in that direction, but oh! The sweet sweet irony!

Even though I'm not still yet fully subsumed into the ART vortex, I feel as though I could write the first chapters of an entire book about the perils and pitfalls of negotiating fertility treatment on the National Health Service in Scotland. But I fear that would bore most of you rigid, and how can I blame you? Let's face it, I wouldn't be particularly intrigued about the finer points of socialised medicine either, were it not a matter I must confront on a seemingly daily basis.

Put briefly, the deal is this. In Scotland, the amount of funding for fertility treatment in each area is up to each local health board. And, for most areas, the policy is that for qualifying couples, up to three IVF cycles will be paid for by the NHS. The catch? One of the criteria to qualify is that the woman must be 38 or under. That doesn't sound so bad on the face of it, but factor in the waiting lists are currently now hovering at 3 to 4 years minimum, it basically means that if you haven't gotten started by the time you are 34, you're already screwed.

It doesn't mean that IVF is not available for women over 38. It is- but most clinics require it to be paid for out of pocket. Bottom line- there is no money and no resource to fund widely available NHS treatment. In other words, if you can afford it, you pay for it. If you can't, you remain untreated and childless.

And when people shake their heads and demand to know why it should be any other way, why IVF should be "free" to couples in need of treatment, I want to beat them about the head with the arm I rip off their body. I've discussed this briefly before, but the difference is now the subject irritates me intensely. It's not fucking "free", OK? Not for me anyway, the taxpayer.

Anyway, in light of all the high pitched wailing that now emits from Minsterial offices on high whenever there is a mention of the dreaded "population" crisis, somebody somewhere has suddenly woken up to the fact that there are plenty of people who would very much like to do their bit for the census statistics, if given half a chance. What's stopping them in many cases? IVF waiting lists. Cut off age of 38.

So now there's some talk about possibly raising the age limit for treatment to 40. What a revelation, a bolt from the blue! As I read of this in one of the local newspaper- a parochial pile of crap that frequently distorts and slants just about everything it touches- I spotted the name of a certain politician who apparently is working for campaigning for better fertility services in Scotland.

I e-mailed her with my views and some of our history. Among other things, I explained that for an infertile couple, the waiting times and expense don't begin at the stage of IVF- that there is plenty of aggravation and cost the minute you step onto the diagnostic path. Example- need an HSG before you can be eligible for IVF? Choice: Wait seven months, or pay £500. Seven months, which bearing in mind the IVF waiting lists and the age limits, may just be the nail in your ART coffin before you have even begun.

The response was immediate- yes, she was working on change. Yes, it was helpful to know of our experiences. Yes, she would take it forward-and could she speak to my doctor to get more insight into the processes? So I gave her Dr Ticktock's name. A week or so later she e-mailed me back to say she had left the doctor a message, and was still waiting to hear back from him.

To which I thought, "Oh, sister. Welcome to my world. Take a number. Get in line."