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INFERTILITY AND ASSISTED REPRODUCTION. ETHICAL ISSUES WITH FEW ANSWERS. INFERTILITY I. DISEASE PHYSICAL OR MENTAL CONDITIONS OF AN ORGANISM THAT RESULT IN DEVIATIONS FROM NORMAL SPECIES FUNCTION
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INFERTILITY ANDASSISTED REPRODUCTION ETHICAL ISSUES WITH FEW ANSWERS
INFERTILITY I • DISEASE • PHYSICAL OR MENTAL CONDITIONS OF AN ORGANISM THAT RESULT IN DEVIATIONS FROM NORMAL SPECIES FUNCTION • PHYSICAL OR MENTAL IMPAIRMENTS TO ACHIEVING THE GOALS PROPER TO THE HUMAN STATE • VALUE-LADEN COMPONENT • RATIONAL, FREE AGENCY • A RELATIVELY HIGH PRIORITY COMPARED TO OTHER DISEASE STATES • TREATED, MODIFIED OR AMMELIORATED BY MEDICAL INTERVENTIONS
INFERTILITY II • DISABILITY • LIKE DISEASE --- LIMITS FUNCTION • BROADENS THE TYPES OF RESPONSES EMPLOYED • INSURANCE COVERAGE? • FEDERAL PROTECTION • AID TO PERSONS WITH DISABILITIES
TOTAL OPPOSITION TO ASSISTED REPRODUCTION • DEGRADES PARENTHOOD • WEDGE ARGUMENT • CHILD AS MEANS TO PARENTS’ END • CHILDREN BECOME COMMODITIES • ANOTHER WAY TO DOMINATE WOMEN’S BODIES • REINFORCES SEX ROLES • RACIAL DISPARITY • AFRICAN AMERICAN WOMEN STEERED AWAY FROM ASSISTED REPREDUCTION
ASSISTED REPRODUCTION ASAUTONOMOUS RIGHT • LEFT TO INDIVIDUAL DECISIONS • LIMITED REGULATION BY THE STATE • CHILDREN NOT NECESSARILY TREATED AS COMMODITIES • “RIGHT” TO PROCREATE [NON-COITALLY] • INFORMED CONSENT • INCREASES REPRODUCTIVE FREEDOM
ASSISTED REPRODUCTIONTHE MIDDLE GROUND • PROCREATIVE LIBERTY HAS SOME LIMITS • EFFECT ON SOCIETAL RESOURCES • VALUE ATTACHED TO HUMAN LIFE • BENEFICENT REGARD FOR INDIVIDUAL CHOICE • PROTECTION OF THE VULNERABLE • THIRD PARTY PARTICIPANTS • CHILDREN VIEWED AS COMMODITIES • CONCERN FOR SOCIETAL FAIRNESS AND DISTRIBUTIVE JUSTICE • BENEFITS ONLY TO THE ELITE
HARM TO CHILDREN • BEST INTERESTS OF CHILDREN • WHAT KIND OF LIFE WILL THE CHILD HAVE? • RISKING DAMAGE TO OFFSPRING • TORT OF “WRONGFUL LIFE” • INADEQUATE OPPORTUNITY FOR HEALTH • NO MINIMALLY DECENT OPPORTUNITY FOR DEVELOPMENT • MYTH OF ASSUMING THAT “CHILDREN ARE WAITING IN A WORLD OF NONEXISTENCE WHERE THEIR SITUATION IS LESS DESIRABLE THAN IT WOULD BE IF THEY WERE RELEASED INTO THIS WORLD.”