Rep. Alexandria Ocasio-Cortez (D-N.Y.) has drawn attention to the issue of egg freezing, a procedure that allows women to preserve their eggs for future use, often due to career, financial, or emotional reasons that delay starting a family. Ocasio-Cortez shared her own experience of freezing her eggs on Instagram, shedding light on a growing trend among women who want to maintain their fertility options as they age. Fertility tends to decline with age, particularly after the mid-30s, making egg freezing an appealing choice for those who wish to have biological children later in life. However, despite her prominent position, Ocasio-Cortez does not have insurance coverage for the procedure through her congressional health plan. She reportedly paid around $10,000 out of pocket for the treatment. Egg freezing is not typically covered by most private health insurance plans in the U.S. While some insurance providers may offer limited coverage, it usually requires state legislation to mandate such benefits, which is rare. Coverage is generally reserved for medical conditions that affect fertility, such as cancer treatments like chemotherapy. Elective egg freezing, which is done for non-medical reasons, is not commonly included in insurance policies. Public insurance programs, such as Medicaid, also typically exclude egg freezing, leaving low-income women without access to this option. Without financial support, many low-income women are forced to either have children before they are ready or forgo parenthood altogether. This situation highlights a significant gap in family planning support in the U.S. While contraceptive supplies and services are widely covered by both private and public insurance, there is little support for planning the timing of childbearing. The lack of access to egg freezing and similar options creates an imbalance, particularly for women who may not be able to afford the procedure or who face barriers to starting a family at a later age. This disparity is especially notable in a country that does not typically prioritize both birth promotion and birth control in its family planning policies. Demographers have warned that the U.S. population may stop growing by the mid-2050s, which could have implications for economic growth and national security, including military strength. As more women delay childbirth for personal or professional reasons, and as access to reproductive technologies remains uneven, the U.S. continues to lag behind other nations in providing comprehensive family planning policies that support both birth control and birth promotion.