I honestly have NO idea about the Government Medical Assistance paying a nurse to come in for 30 hours a week. I didn't even know that could be done. Kate is a Nurse and knew the possibility of multiples when tampering with fertility meds. Obviously she had twins with her first dabble with fertility meds. I THINK maybe Kate was more upset with Insurance companies in PA when it comes to Infertility. I could be wrong, but I just thought I would throw this out there. PA insurance companies are not required to help financially with IF like other states require such as NJ and most other states. So, I think in Kate's case she did not do IVF and put back 6 blasts. I think she took injectible meds (like follistim or gonal f) and then her body produced the eggs and her husband fertilized them naturally @ home. It is much cheaper to use this method if it works. With this method you don't know how many eggs were released or fertilized until approx. 6 weeks of pregnancy. It is a real gamble. She opted not to do selective reduction and made her choice. My problem with PA and the insurance companies is this: PA will not make the insurance companies help financially with IF so you have to take chances. Insurance companies don't want to pay the cost of IVF which limits the chance of HOM (high order multiples) but then they eat the cost of multiples in the NICU for sometimes months. When I did IVF in 2002 the cost for 1 cycle was approx. $15,000 which was not covered and was out of pocket, my NICU bills which my Capital Blue Cross covered was well over $100,000 and I still have many medical bills yearly due to preemie issues. I never recieved ANY medical assistance or government financial help with them when they were babies and I never had any help. Of course, I had quadruplets and not sextuplets plus twins. I think if the state made the insurance companies step up and help with the cost of IF the state wouldn't have to step in and pay a nurse for 1-2 years to go in and help if that was the case. You could be more conserative with fertility treatments if you have financial help paying for them. I knew when we did IVF that we would only be able to pay for 1 cycle at that time and if it didn't work, we would not be able try again for atleast 2-3 years due to the cost. I believe the cost had doubled or more since I delt with IF too. So, that is why we were aggressive and put back 4 fertilized eggs instead of the average 2 or sometimes 3. It had to work. Although, If I had twins like Kate, I would have been done at that time. I have 4 - 4 year olds and couldn't imagine just 1 more. I love them so much, but have done most of it by myself too. My husband works more due to the cost of multiples which leaves me alone with them even more and he is very passive just like Kate's husband. I'm not trying to stir things up here, but unless you have delt with the heartache and heartbreak of not being able to concieve and desperately want a child and you live in a state like PA, IT IS TOUGH. Again, Just my thoughts.