Fertility help - should people have access if they already have children?

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In light of all the hubbub about the mother with octuplets who already HAS six children, my understanding of 'fertility help' has been demolished. I had previously THOUGHT that fertility help was something that a couple looked into if they were unable to conceive naturally or keep a pregnancy viable without success - ie maybe able to get pregnant but kept miscarrying. I did not think that fertility help was readily available to just anybody for any reason, I thought that you had to demonstrate somewhat of an inability to get pregnant or stay pregnant before it was warranted. Kind of like many doctors will not put tubes in a baby's ears because they've had ONE ear infection, they want to wait till they have several or it looks like a chronic problem, or they will not remove tonsils unless a child has had multiple cases of strep and tonsillitis and it is obviously affecting their life because they are sick or recovering or getting sick constantly. Anyway, I see a lot of comments written or said that 'just because you can, should you' and I agree. What is the POINT of having fertility help and having a high chance of multiple births if you already have several children, especially very young children or stairstep children, so close in age that having a batch of multiples will make it extremely hard to care for everybody? Granted, in an IDEAL situation for instance, if I had billions of dollars and a live in housekeeper and I never had to worry about money or clean my house or anything like that, had a stable loving marriage, then I think the amount of kids would depend solely on our limits emotionally and physically. I do not think I would want to have THAT MANY though, 14 would truly be a test of anybody's life. It is impossible to give individualized attention to that many children just by yourself. Financially it would be EXTREMELY rough given the economic climate, not to mention how the hell would you have a home or property large enough?? What about a vehicle? Buy a BUS? Would it be feasible to ask questions like - are you financially and physically independent? Do you have other children? What is your reason for wanting/needing fertility help if you ALREADY have other children? I am totally for and support fertility help for couples who are unable to conceive or unable to keep a pregnancy going. It is not fair to withhold help from someone who cannot get pregnant or stay pregnant when that is ALL they want to be able to do. I don't think it matters either how old the mother is, whether she is 20 and having fertility troubles or whether she is 50 and having fertility troubles. Honestly, what should be looked at is fulfilling someone's desire to be a mother AND that a couple (or mother) is stable before it is okayed. I feel primarily that someone wanting fertility treatment needs to be independent and financially stable - able to care for themselves AND for a baby or multiple babies, and that they are emotionally ready to be a parent. Do you agree? Why or why not? Do you have a different view entirely? I think if someone is independent and financially secure and healthy that it shouldn't matter at all, but in many cases, people are NOT independent and NOT financially secure, so that's what raises the questions for me.