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Having worked in the pricing unit of an insurance company, I think the problem would be figuring out what premium to charge for adoption expense insurance. Labor & delivery are well-defined, if you know what I mean. Insurance companies know about how much the hospital, doctors, etc should cost and they have lots of data about how and how often the services are used. They can also control claim expenses by choosing which doctors and hospitals are in their networks.
If insurance companies were to cover adoption expenses, the premiums would likely be set very high, due to the disparity in adoption situations...for example, my two sons were both adopted domestically at birth, both are minorities, both are healthy, but one cost almost double the other. There's no way to predict that sort of thing based on previous experience data, so the company would have to be conservative and charge a premium that would cover a more expensive situation. By the time you pay that premium, you might as well just pay the adoption expense directly.
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