Real Housewives of Beverly Hills Season 15 Episode 16 Recap: Dorit and Erika’s Friendship Implodes

Welcome toThe Real Housewives of Beverly HillsSeason 15, Episode 16 recap. Last time, Doritstranded Kyle and Erikain San Miniato during an argument. The fireworks continued at dinner when Kyle and Dorit faced off. Here's what happened in Real Housewives of Beverly Hills Season 15, Episode 16: "The Last Supper."

What happened in Real Housewives of Beverly Hills Season 15 Episode 16?

The group's final dinner in Italy ended with a blowout between Erika, Kyle, and Dorit. Thefuture of their friendshipwith Dorit is in doubt. And back in Beverly Hills, Rachel prepped for her disco-themed birthday bash.

Dinner drama in Italy in The Real Housewives of Beverly Hills

The episode picked up during the explosive dinner in Italy. Kyle shared that Boz claimed that Dorit was "in financial crisis." Cue the flashback of Boz and Kyle's FaceTime chat, where Boz commented that Dorit had "a looming financial crisis." Boz also said that Dorit's name was on the cars and the house. Boz told Kyle, "I think her name is on debt."

Dorit then called out Boz for sharing these details. "I have been concerned about your finances. And that's not a new conversation between you and I," Boz said. "And I actually do believe that Kyle's very concerned for you." When Boz apologized, an irritated Kyle chimed in. "Of course, you appreciate that from Boz," Kyle said.

Meanwhile, Dorit insisted that Kyle discussed her "erratic" behavior,tardiness, and spendingwith several people. "Can you people speak up and say what you've been saying?" Kyle said to her RHOBH co-stars. "I've only had conversations with people that were saying the same thing."

When Dorit complained that Kyle hadn't given her "grace," Kyle fired back. "You just walked onto a plane after leaving us on the tarmac for an hour and a half. Didn't even apologize. We didn't call you out," Kyle said, "because we were giving you grace."

While Dorit questioned whether she had apologized, the other ladies let her know that she hadn't. "I apologize for every time I'm late," Dorit said. Then Dorit went around the table, naming everyone. However, she skipped over Amanda. Was it a mistake, or a shady dig?

According to Dorit, she didn't see her, and she apologized. "How did you just skip over Amanda when she's sitting right in front of your face?" Kyle exclaimed as Erika shook her head.

Is Kyle trying to take down Dorit in RHOBH?

"I feel like Kyle's on a mission to make me look bad," Dorit said in her confessional. "First, it's constantly defendingPK [Kemsley]." She added that Kyle "talks to all the women about me" instead of "coming straight to me."

Next, Dorit accused Kyle of deflecting, while Kyle claimed that Dorit was "always looking for something with me." Kyle added that she was "tired of being a punching bag." In addition, Erika brought up how Sutton mentioned a comment that Dorit made about Kyle. "At our lunch, she said, 'I could … I could have ended Kyle,'" Sutton said earlier that day.

Cue another flashback of that lunch with Sutton, Dorit, and Rachel, where Dorit claimed that she "protected Kyle for years. If I took that lead, I would have blown up her whole life," Dorit said. WOW.

Of course, Dorit denied knowing what Sutton was talking about. In her confessional, Kyle said that Dorit is using the "excuse" that Kyle "didn't jump on the 'I hate PK' bandwagon. I don't talk to PK." She continued, "So, what is your real reason for having this resentment towards me?"

Finally, Kyle told Dorit, "If you want to continue to look for the negative with me all the time, you don't have to be my friend." She added, "I'm done fighting with you. I love you, and I wish you the best." The RHOBH ladies were shocked that Kyle was ready to say goodbye to Dorit.

Erika is on the attack in The Real Housewives of Beverly Hills

Then, Erika chimed in. "You're really guarded, and you're really like, protective right now. I don't know that you think that Kyle really cares about you, because it just feels very defensive," she told Dorit.

Dorit agreed. "But do you not see that this group of friends supports you?" Erika asked. However, Dorit's next comment stunned both Erika and Kyle. "Boz, you came to me, and you have shown me, in this group, more support than everyone put together. Period," Dorit stated.

"Wow," Erika and Kyle both stated. "You have a really bad memory," Kyle added. "Mother*cker. Really?I am beyond mad, and, like, are you forgetting history?" Erika said in her confessional. Cue the flashbacks of Erika supporting Dorit over the years. "I have respected the fact that Dorit has not been in a great place. She's at her absolute limit, but there are limits to my patience," Erika explained. And Dorit has vaulted over that line.

Back at the table, an activated Erika said, "I'm mad, actually, that we sat down at this table, Dorit, and we had to sit here and wait for you. Where were you?" Dorit explained that she was "checking on my kids."

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Erika responded, "Great. How long does that take? We all have kids. Why would you keep us all waiting?" She added, "Because your kids are more important than everybody else's kids?" One point for Erika.

"I didn't f*cking say that," Dorit said. Then Erika instructed her to text them next time she was running late. You know, like a responsible adult.

Dorit and Erika throw grenades in RHOBH

Meanwhile, Dorit wasn't backing down. "Guess what? I left you guys today. I didn't owe you anything," Dorit said.

"I don't owe you anything other than the truth, which is we don't like it. I'll say it 'cause these  motherf*ckers won't," Erika said. "We don't like it. How about that?"

Rachel chimed in that she spoke to Dorit about being late and added that Dorit's "going through a f*cking ton." That excuse didn't work for Erika. "We're all going through a f*cking ton, Rachel," Erika replied.

However, Dorit made a telling comment. "Really? You're going through a f*cking time?" Dorit asked. Erika looked stunned. "Are you kidding?" she asked. "What the f*ck do you think it is? My husband went to prison.I'm going to trial." Dorit exclaimed, "You haven't shared that you're going through a f*cking time!" Of course, Erika and Dorit continued to squabble.

"When I said you need to work, and you need to contribute, I didn't mean you need to be a c*nt," Dorit said. The remark rolled off Erika's back as Amanda's jaw dropped. "Dorit, you're an *sshole," Erika said calmly, "and you're a c*nt." At the other end of the table, Rachel remarked, "I really save that word for very special occasions."

Dorit walks off again in RHOBH

While Dorit denied knowing about Erika's upcoming trial, Kyle and Erika insisted that she knew. "It's all over the news," Kyle said. "Of course, Erika's going through a lot. But I only know that because of the tabloids," Dorit admitted in her confessional. "Not from Erika." And she claimed that she would be in Erika's corner if Erika shared with her.

"Do you have to leave now?" Erika asked sarcastically. "Oh, hell, yes," Dorit exclaimed. When Erika asked why, Dorit said that since her separation, she "doesn't put up with sh*t like this." So, Erika clapped back, "Dorit, you lay everybody out. All of a sudden, it's you and I, and you walk away?"

Anyway, Dorit left the table. "I lay everyone out, Erika? Think again, sweetheart." As she rounded the corner, Dorit said, "Oh, please. Weirdos."

For some reason, Kathy went to try to bring Dorit back, but Dorit was done. "I would much rather be alone than around a bunch of f*cking c*nts," Dorit said. As she walked away, shelit up a ciggy.

"I really thought I could count on Erika," Dorit said in her talking head. "But I guess it's just more important to her to be in Kyle's good graces than to be a real friend to me."

At the table, a weepy Erika said, "These two have protected me, and helped me, and the three of us are very tight. I don't like to see them fighting." In her confessional, Erika admitted, "I don't give out my heart or my friendship easily. But, I don't know where Dorit and my friendship stand." She added, "I've never really felt this angry, or this hurt, by her before."

Welcome to Studio 54!

Four days later, in Beverly Hills, Dorit shot thecover of her book. Of course, Rachel and Boz showed up to support Dorit. Meanwhile, Dorit reflected on her blow-out with Erika. "Erika and I, we had an issue once, the first year we ever met," Dorit told the ladies. She added that it "felt like there was an unprovoked attack."

As for Rachel, she planned a Studio 54 disco-themed party for her birthday. Once everyone arrived in their glittery best, the tension was palpable. This party will be memorable, for better or for worse.

The Real Housewives of Beverly Hillsairs on Thursdays at 8/7c on Bravo. It streams on Peacock.

TELL US – WHAT DID YOU THINK OF REAL HOUSEWIVES OF BEVERLY HILLS SEASON 15 EPISODE 16? WAS DORIT OUT OF POCKET WITH ERIKA AT DINNER?

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April 03, 2026

Real Housewives of Beverly Hills Season 15 Episode 16 Recap: Dorit and Erika’s Friendship Implodes

Welcome toThe Real Housewives of Beverly HillsSeason 15, Episode 16 recap. Last time, Doritstranded Kyle and Erikain San Miniato during an ...

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Colin Jost to star as infamous dentist-turned-drug lord Larry Lavin in new series from Peacock

Colin Jost is set to star in a forthcoming Peacock series about the dentist-turned-drug-lord Larry Lavin.

• Jost will also executive produce the series alongside The Goldbergs writer-producer Alex Barnow, who will serve as showrunner, and Lavin himself.

• The SNL star's new commitment will not impact his ongoing role on the sketch comedy series.

Colin Jostis going from anchorman to kingpin.

TheSaturday Night Livestar is currently developing a series for Peacock in which he'll star as Larry Lavin, the infamous dentist-turned-drug lord.

According to a Universal Television release shared withEntertainment Weeklyon Thurssday, Jost will not just star but executive produce the series alongsideThe Goldbergswriter-director Alex Barnow, who will serve as showrunner.Colin Jost & Michael Che Present: New York After DarkEP Jeff Grovesnor andLa Breaproducer Rachel Kaplan will also executive produce, alongside Lavin himself.

The series is based on season one of the Audacy podcastWolves Among Us. The official logline reads: "By day, Larry Lavin was a respected Ivy League dentist and family man — by night, the East Coast's most elusive cocaine kingpin. This series is inspired by the shocking and absurd true story of the suburban dentist who built a drug empire behind the facade of the American dream."

The as-yet untitled series is part of an overall deal Jost has withUniversalTelevision, and will not impact his ongoing role onSaturday Night Live.

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Lavin's so-called"Yuppie Conspiracy"operated from 1978 to 1984, at which time he was raided by the FBI. Educated at the University of Pennsylvania and serving an elite clientele from within one of Philadelphia's ritziest suburbs, Lavin grew a modest marijuana distribution operation into acocaine empire.

Even after he was arrested, he eluded capture, fleeing on partial bail with his wife and son to Virginia Beach, VA., where he was tracked down again in 1986. Lavin was eventually sentenced to 42 years in prison on drug trafficking and tax evasion charges, but ultimately got his sentence reduced to 21 years on appeal.

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Jost has starred onSNLfor 12 years, working his way up from writer to co-head writer to "Weekend Update" anchor alongsideMichael Che. Outside of the sketch comedy institution, he has served as the host ofPop Culture Jeopardysince 2024, and appeared in films likeThe BreadwinnerandFly Me to the Moon, which starred his wife,Scarlett Johansson.

The funny man follows in a long line ofSNLcast members to break out of the series with major roles in films and series, fromBowen Yang'sglitzy supporting part inWickedtoSarah Shermanstarring in not one, not two, but three films this year. There's Brian McElhaney and Nick Kocher's stoner comedyPizza Boy, Roommates, featuring a stacked ensemble including Adam Sandler, Natasha Lyonne, and Nick Kroll, and finally,I Saw the TV Glowdirector Jane Schoenbrun's third feature film,Teenage Sex and Death at Camp Miasma.

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Colin Jost to star as infamous dentist-turned-drug lord Larry Lavin in new series from Peacock

Colin Jost is set to star in a forthcoming Peacock series about the dentist-turned-drug-lord Larry Lavin. Jost ...

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'ER' reunion on 'The Pitt' has Mary McCormack brain surgery masterclass

"West Wing" star Mary McCormackhas discovered a major benefit to getting older in Hollywood: The license to oversee brain surgery on"The Pitt."

McCormack, 57, who appeared on "ER" more than 20 years ago, reunites with Noah Wyle to portray chief of neurosurgery Dr. Linda Conley in"The Pitt" Episode 13(now streaming on HBO Max).

"I'm getting to the age where you get to do the brain surgery," McCormack tells USA TODAY. "No one wants a 25-year-old doing brain surgery. Some good things come with age, and this is one of them."

Sara Wyle on Episode 13Talks entering 'The Pitt' as patient, husband Noah's advice

McCormack played physician Debbie on 'ER'

McCormack first drew notice at the (pre-brain surgery) age of 26, with her lead role in Steven Bochco's ABC series "Murder One" (1995–1997). It was during this era that the actress first worked with a young Noah Wyle during a memorable New York City Roundabout Theater reading.

"So we've known each other for a long time," says McCormack.

That friendship grew as McCormack appeared on "ER" as Debbie in a recurring role during 2003's Season 10 and 2005's Season 12, portraying a physician working in clinics in Darfur and the Congo with Wyle's Dr. John Carter visiting. All told, there were six episodes.

The actress followed "ER" executive producer John Wells over to "West Wing" for six seasons starting in 2004, mastering the snappy dialogue as Deputy National Security Advisor Kate Harper — with lines famously delivered to the walking President Josiah Bartlet (Martin Sheen).

"I'm a fast talker, so I live in the John Wells' lane," says McCormack. "That's the only job I've ever had where they didn't tell me to slow down."

Mary McCormack oversees brain surgery on 'The Pitt'

Dr. Conley, competent and confident, does the fast work on "The Pitt." The senior doctor is also a great teacher, willing to train Dr. Victoria Javadi (Shabana Azeez) during the student doctor's first brain surgery. The Conley character was created by executive producer Dr. Joe Sachs, based on a real-life mentor.

"It's such a fresh take because we usually see the cowboy surgeon. But they're not all cowboys," says McCormack. "Conley is a bad-ass surgeon and a really good teacher."

The scenes portraying the operation on the ER patient who had fallen on his head were challenging. During rehearsals, McCormack welcomed all professional feedback to reach the exacting standards of the realistic medical show, especially when using instruments such as a cranial drill.

"The tech adviser would go, 'No, no, no, you'd never hold it like this,'" McCormack says. "And I'd be like, 'Thank goodness.' I didn't want to leave the (rehearsal) set."

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McCormack even filmed the brain surgeon technicians on her iPhone during rehearsals and spent days "shoving the video into my head" with repeated viewing.

How was the Wyle and McCormack reunion?

Wyle and McCormack had a brief, satisfying onset reunion. They caught up on everything from kids to spouses (McCormack is married to director Michael Morris, a friend of Wyle's). Of course, they addressed their mutual love of "This Is Spinal Tap."

"Noah is the only person alive that loves 'Spinal Tap' as much as I do. We speak almost entirely in 'Spinal Tap' references," says McCormack.

Then it was right to work. Wyle's Dr. Robby introduces Conley, and lets the specialist do her thing. For the brain surgery scenes, the human actor was replaced with an extensive model that allowed shots of McCormack performing the surgery. Even the veteran actress was impressed by how realistic the stand-in was.

"I mean, this guy almost breathed. There was hair on his head. It was incredible," says McCormack. "Even up close, it looked like a human being, 100 percent."

McCormack was too focused on her performance to get grossed out by using tools like the specialized retractors to reveal the brain.

"I was too stressed about being correct with my actions and lines and not f----- it up for these technicians who made this beautiful piece of work," says McCormack. "I was not thinking about it as a real brain. That wide shot where I'm cutting is so expensive and cool, it makes it all look like a real ER."

Away from "The Pitt," Supriya Ganesh is an awards show star, attending the 32nd Annual Actor Awards at the Shrine Auditorium in Los Angeles on March 1.

" style="max-width:100%; height:auto; border-radius:6px; margin:10px 0;" loading="lazy" /> "The Pitt" won best ensemble at the SAG Actor awards.

" style="max-width:100%; height:auto; border-radius:6px; margin:10px 0;" loading="lazy" /> Isa Briones and Supriya Ganesh dance at The Actor Awards Netflix afterparty.

" style="max-width:100%; height:auto; border-radius:6px; margin:10px 0;" loading="lazy" />

'The Pitt' star Supriya Ganesh, fan-favorite Dr. Samira Mohan, exits

Will McCormack return to 'The Pitt'?

The operation seemingly goes perfectly, allowing Conley to walk off with another success. There will be a brief appearance in the April 9 episode. But McCormack's work was pretty much wrapped after the episode's sensational surgery.

She exits an even more rabid fan of both "The Pitt" and Wyle, comparing his show leadership to Sheen on "West Wing."

"Noah is obviously getting all the attention he's always deserved," says McCormack. "But he also is just the best Number 1 on a call sheet. Like Martin Sheen level. There's an expression in television, as Number 1 goes, so goes the show. It's true, because they set the tone."

The veteran actress is willing to come back for an encore should Conley's particular set of skills be required.

"I'm all for it. But I'm thrilled to be on 'The Pitt' even for a minute," says McCormack. "Then again, I'm hoping for another serious television brain injury."

This article originally appeared on USA TODAY:'The Pitt's 'ER' reunion has Mary McCormack as Noah Wyle's brain surgeon

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'ER' reunion on 'The Pitt' has Mary McCormack brain surgery masterclass

"West Wing" star Mary McCormackhas discovered a major benefit to getting older in Hollywood: The license to ove...

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Ryan Gosling drops out of the Daniels' follow-up to Oscar-winner “Everything Everywhere All at Once”

They tried for a Hail Mary, but it looks likeRyan Goslingwill not star in the Daniels' next film.

The leading man in the No. 1 film in the country,Project Hail Mary, was set to appear in the big follow-up to directing duo Daniel Kwan and Daniel Scheinert's Oscar-winning breakthrough,Everything Everywhere All at Once, perDeadline Hollywood. But he has had to drop out for scheduling reasons,Entertainment Weeklycan confirm.

The untitled event film was ready to shoot in Los Angeles this summer, amid aworrying declinein productions rooted in the heart of Hollywood. But after getting a multimillion-dollar tax credit from the state of California undernewly expanded guidelines, the production was unable to change its shoot dates, and Gosling's schedule was unable to accommodate.

Little is known about the Daniels' follow-up to the bonkers family dramedy that became the golden child of the 2023 Oscars. The film picked up awards for Best Picture, Best Directing, Best Actress for Michelle Yeoh, both Best Supporting for Ke Huy Quan and Jamie Lee Curtis, and more.

But Gosling certainly would have lent it star power that translates into serious commercial appeal. In just two weeks,Project Hail Mary, the space odyssey helmed bySpider-Verseproducers Phil Lord and Christopher Miller, became thehighest grossing film of 2026so far.

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What is known about the Daniels' next film is that Kwan and Scheinert are on board to produce as well as direct through their Playgrounds production banner. Playgrounds exec Jonathan Wang, who producedEEAAO, the duo's 2016 farceSwiss Army Man, as well as Schienert's solo effortThe Death of Dick Longwill produce alongside the Daniels for Universal.

Playgrounds' most recent project isThe AI Doc: Or How I Became an Apocaloptimist. Directed by Daniel Roher and Charlie Tyrell and produced by Kwan and Wang, the film released on March 27.

It's no wonder Gosling ran into scheduling issues when attempting to board the Daniels' next big picture.

The Canadian A-lister is set tostar in the crime comedyTough Guysalongside Will Ferrell, marking aBarbiereunion. He's also attached to star inStar Wars: Starfighter, a career-first foray intofranchise tentpole filmmaking.

"It was [director Shawn Levy's] enthusiasm and his vision and the script," Gosling explained about hisStar Warsdecision in February. Also cloaked in secrecy,Starfighterhas been described as a "standalone" project set in a "period of time that we haven't seen explored yet" within theStar Warsuniverse.

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Ryan Gosling drops out of the Daniels' follow-up to Oscar-winner “Everything Everywhere All at Once”

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Meghan Markle Shares Video of Prince Archie Learning to Ski Alongside Prince Harry: 'So Proud!'

Meghan Markle shared a video of her son, Prince Archie, learning to ski alongside his father, Prince Harry

NEED TO KNOW

• Meghan shared the video in an Instagram post on Thursday, April 2

• The ski lesson comes a day after Meghan was seen toy shopping for her two children's Easter baskets

Meghan Markleshared a video ofPrince Archiefollowing in his fatherPrince Harry's footsteps—on skis.

In the video, Archie, 6, is seen skiing down a snow-covered slope alongside the Duke of Sussex, 41.

"My boys," the Duchess of Sussex, 44, wrote in the caption onInstagram. "Quick learner, Archie! So proud ❤️."

The ski lesson footage comes just a day after Meghan was spotted shopping for toys for Archie and his sister Princess Lilibet on Wednesday, April 1, at a local shop in Montecito, Calif.

Meghan boughtMagic Rabbitplaying cards andMagic Castle Sea Monkeysat the shop in the Santa Barbara-area town where she lives with her family.

"She was picking up Easter gifts for her kids and her godchildren," a source told PEOPLE. "She was there for a while, talking to the staff and making selections."

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Exclusively speaking to PEOPLEin 2025, Meghan opened up about how the Montecito community has become protective of her family.

"Once you know us, I think you want us to have the same normalcy as parents and for our children as they do, despite however unique our situation is," she said.

Can't get enough of PEOPLE's Royals coverage?Sign up for our free Royals newsletterto get the latest updates on Kate Middleton, Meghan Markle and more!

At theAlliance for Children's Rights 34th Annual Champions for Children eventin Beverly Hills on March 19, Meghan's close friendKelly McKee Zajfenopened up about seeing Meghan in action as a mother of two.

"Meghan is one of my best friends, and I'm honored that she said yes [to presenting] and that she's been along this journey with me as well," Zajfen toldHello!magazine. "She supports the Alliance, and she's been doing this for a few years now."

"She not only shows up for my family, but it's a real privilege to be able to watch her mother too, and so it means a lot for her to be a part of this," Zafjen added, per the outlet.

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Meghan Markle Shares Video of Prince Archie Learning to Ski Alongside Prince Harry: 'So Proud!'

Meghan Markle shared a video of her son, Prince Archie, learning to ski alongside his father, Prince Harry NEED...

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“Game of Thrones: The Mad King ”play sets premiere date

TheGame of Thronesuniverse expands again afterHouse of the DragonandA Knight of the Seven Kingdomswith the playGame of Thrones: The Mad Kingcoming very soon.

The theatrical production is set to debut July 20, with performances continuing through Aug. 5, the Royal Shakespeare CompanyannouncedThursday.

"A long winter thaws in Harrenhal, and spring is promised," the institution teased on social media. "George R. R. Martin'sGame of Thrones: The Mad Kingwill play in the Royal Shakespeare Theatre in Stratford-upon-Avon from 20 July to 5 September."

The company's official account promised, "In a bold new configuration of the Royal Shakespeare Theatre, this show will play on a cross shaped stage — you'll be in the heart of the action."

Tickets aren't available until later this month, but there's already a warning on the company's website that tickets are expected to go fast: "Due to expected high demand, tickets are limited to 4 per person."

Audiences will see characters from the houses of Targaryen, Stark, Lannister, Baratheon, and Martell.

Written by Duncan Macmillan and directed by Dominic Cooke, the work is a prequel chronicling the last years of King Aerys II Targaryen — the Mad King of the title — who prompted Robert's Rebellion and paved the way for the main events of author George R.R. Martin'sA Song of Ice and Fireseries of books, upon which the show was based.

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AsEntertainment Weeklyreported in February, Martingave a statementwhen the play was announced.

"When I first wroteGame of Thrones, I never imagined that it would be anything other than a book. It was a place for my imagination to exist without limits," he said. "To my great surprise, it was adapted for a series and viewers have been able to enter the world of my imagination through the medium of television. For my work to now be adapted for the stage is something I did not expect but welcome with great enthusiasm and excitement. Theater offers something unique. A place for mine and the audience's imagination to meet and hopefully create something magical."

TheGOTseries aired on HBO for eight seasons, from 2011 to 2019, and starred Emilia Clarke, Peter Dinklage, Kit Harrington, Lena Heady, and Sophie Turner as part of an expansive ensemble cast.

The original show, which won a whopping 59 Emmys and a legion of fans, has produced more than one spin-off project, with prequelsHouse of the DragonandA Knight of the Seven Kingdoms, the stage play, andmore in development.

Tickets forGame of Thrones: The Mad Kingareavailable April 22. Some supporters of the organization can book tickets beginning April 14.

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“Game of Thrones: The Mad King ”play sets premiere date

TheGame of Thronesuniverse expands again afterHouse of the DragonandA Knight of the Seven Kingdomswith the playGame of Th...

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How to Increase U.S. Fertility Rates

On the same day that Japanrecordedthe lowest number of births in a century, I met up with an old friend and her new baby. We talked about her winding road to becoming a mom. Nothing happened as simply as she hoped. She met her partner later in life, battled years of infertility, and then finally welcomed her daughter after three rounds of IVF that ate up her family's savings.

Now, as an older mom in postpartum with a slowing metabolism, she felt totally estranged from her own body. After talking to her doctor about startingGLP-1s, she was devastated to find them denied by her insurance.

"I just feel like at every turn I'm being punished," she told me.

In my conversations with patients, doctors, and loved ones, I see first-hand the wide range of factors conspiring to depress birth rates every day. The percentage of Americans who want kids, and even the ideal family size, has notchangedfor decades. Women are not rejecting having children writ large. Rather, many are responding rationally to a healthcare system that feels expensive, fragmented, and, frankly, punitive.

TheUnited Statesand several other leading economies, fromChinatoItalytoPoland, have set higher birth rates as a core policy goal. Fortunately, unlike many of the problems plaguing our healthcare system, better care that enables family-building is actually within reach.

We are living in a time of unprecedented consumer health innovation.Nearly60% of GLP-1 users are women.Morethan 40 million people are turning to generative AI tools like ChatGPT for healthcare questions. Women are highly engaged in considering and planning their reproductive futures. They are researching, preparing, hedging, and calculating.

For policymakers, this presents an opportunity. By capitalizing on reinvigorated consumer health excitement, we can give women more confidence to navigate their own fertility. This is the most direct pathway to improving the birth rate—a boon for America and a blueprint for many other countries moving forward.

These are rare, bi-partisan priorities, and they represent an opportunity for material economic and healthcare wins.

We've seen positive policy steps in the past 10 months:advancementsin fertility drug accessibility so that more people can access IVF, as well as improved menopause support byremovingthe black box labels on menopausal hormone replacement therapy.

We need to go further. Here are additional advancements that would move the needle.

First, fertility care must become affordable, predictable, and less invasive.

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Today, most medical guidance is structured aroundwaiting—up to a year for younger women, six months for those over 35—before a doctor will evaluate why conception hasn't happened.  Once they do meet the threshold for care, the average family can be expected to undergo more than tworoundsof IVF before conceiving,spendingclose to $50,000 on treatment. This rivals the down payments for many houses, and by itself blocks millions of families from pursuing a dream of conceiving children.

Investing in better care here means treating it as mandatory infrastructure, not as a luxury. Consider models like HSAs or 401ks, through which policymakers incentivize forms of savings we wish to prioritize. The Trump administration's recentmoveto expand fertility benefits and lower costs for key IVF drugs is a great first step. As a follow-on, we can follow the lead of countries likeIreland,France, and theUnited Kingdom, all of which mandate fertility coverage for people under a certain age. In Denmark, an estimated 10% of babies arebornvia IVF. In the U.S., it is2.6%.

Such mandates should rightly include a range of pathways to parenthood—egg freezing for young women, IUI for couples with no preexisting conditions, sperm and egg donation for LGBTQ families, and male fertility testing that finally brings men into the conversation. Among theone in six couplessuffering from infertility globally, approximately halfstemfrom male fertility challenges.

Second, we need to treat metabolic care as women's health care.

New use cases for GLP-1s are emerging seemingly every month. Among the most consequential and often overlooked is the deep connection between metabolic and reproductive health. For women with polycystic ovary syndrome (PCOS), a condition thataffectsabout one in 10 women and has been underfunded and underresearched for decades, the earlyevidenceis encouraging: treatment plans incorporating GLP-1s show great promise in improving fertility for millions of women who might otherwise have been high-risk. And the benefits cascade: better metabolic health improves natural conception rates, strengthens IVF outcomes, cuts pregnancy complications, and speeds postpartum recovery into menopause.

Today, GLP-1 coverage within the fertility space is often trapped in a false binary, given strong associations with weight loss and diabetes management. That framing doesn't just limit access. It actively undermines women seeking to make informed decisions about their own bodies and futures. If we're serious about supporting family building, we need to fund research and ensure broad coverage for fertility-related usage.

Third, we need technology to bridge fertility and maternity care so women know quality pregnancy support awaits them on the other side.

Today, these two disciplines operate in silos. Women often repeat the same medical histories and tests to different specialists because no single platform connects their care. Meanwhile, over 2.3 million women of reproductive age in the U.S.livein counties without an OB/GYN - — and that number is growing. Providers areleavingstates where conflicting regulations have made practicing reproductive medicine legally precarious, taking with them not just abortion care but prenatal care, fertility treatment, and postpartum support for every woman in the region. These confusing state regulations push nearly a quarter of women todelayprenatal care into their second trimester. After birth, the system unplugs: many new momsskiptheir six-week postpartum visit not because they don't need it, but because of limited access. For instance, a hours-long drive with a newborn for a 15-minute appointment simply isn't realistic for every family. It's little wonder one in threereportpostpartum loneliness.

True, high-quality care incorporates a wide variety of specialists. Doulas, lactation consultants, midwives, and therapists ultimately make childbirth more bearable, even though they're in short-supply for in-person appointments. What technology can now offer is something more powerful than virtual access alone: the ability to anticipate. AI-powered virtual care models can monitor risk continuously by tracking blood pressure trends, flagging early signs of postpartum depression, identifying the woman who is quietly heading toward a complication her doctor hasn't seen yet, and route her to the right specialist at the right moment.

This moment, happily, is a rare moment of alignment. A bipartisan quorum of policymakers, business leaders, and consumers now agree that healthcare for family building is a priority worth supporting and investing in. As the consumer health revolution crests from scientific and technological advances, we have an opportunity to start by fixing the systems women rely on at the most consequential moments in their lives.

If we want people to have children, we need to support them like we mean it.

byAdministrator

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April 02, 2026

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