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When the identity of Nadya Suleman's fertility doctor was made public this week, the Internet lit up with angry commentary.

Many called for Dr. Michael Kamrava to be stripped of his medical license -- or worse -- for providing the fertility treatments that led to Suleman's 14 children, including last month's octuplets.

Rosalind Saxton had a different reaction.

"If anything, this incident has increased my confidence in the doctor," said the 41-year-old, who has been preparing to do in vitro fertilization with Kamrava since three other doctors turned her down, telling her to lose weight first.

Suleman "was successful," she said. "That would give anybody confidence."

Saxton's view contrasts sharply with that of fertility experts, who consider any pregnancy resulting in more than twins to be a poor outcome because of the danger it poses to the mother and babies.

Her view points to a key problem in fertility medicine: Treatment is a private bargain between doctor and patient, insulated from the outside world.

It escapes the scrutiny of insurance companies because most patients pay out of pocket. And it...