Cross-border reproductive travel involves the movement of patients to undertake assisted reproductive treatment through technologies, such as in vitro fertilization and associated procedures otherwise denied to them due to cost, access, or regulatory restrictions. Based on fieldwork in Thailand, the United States, and the Czech Republic, we explore the commodification of reproductive bodies within this trade and the reduction of the nurturing affective labor of reproduction to exchange value. Second, we examine the intensification and globalization of the stratification of reproduction. These inequalities are illustrated though discussion of the trade in poor women's bodies for surrogacy and ova donation. Even reproductive body parts, ova, sperm, and embryos are stratified-marketed according to place of origin, the characteristics of their donors, and gender.
North Americans who suffer infertility often reach an end to treatment options at home, whether it is due to a lack of egg donors in Canada or the high cost of treatment in the USA. Patients navigate their way onto the internet, seeking support and other options. As women and couples 'do the research' online, they conduct endless Google searches, come across IVF brokers, join support groups, read blogs and meet others on the road of infertility. This paper considers the journeys that North American patients make to clinics in Moravia, Czech Republic. Along these travels, patients engage with support groups, other patients, IVF brokers and clinic co-ordinators. Since the distance travelled between North America and Europe is extensive, reproductive travels may be arranged by clinical staff, travel brokers and patients. Acting as consumers, North Americans make different 'choices' along their journeys – the use of a broker, if and when they should join online communities, which clinic to visit and where to stay. This study focuses on the question of how patient choices often determine the success of brokers and clinics, thus influencing the structure of cross-border reproductive care in the Czech Republic.
This special issue brings reproduction into a critical mobilities framework. We extend scholarship in cross-border reproductive care and medical mobilities into new theoretical and empirical directions. Reproductive mobilities articulates the mutual constitution of reproduction and mobilities. Human (and nonhuman) movement not only shapes reproduction but produces reproductive imaginaries, desires, futures, trajectories, as well as the subjectivities and 'becoming-ness' of diverse reproductive subjects. Through the lens of reproduction, we examine how contemporary mobilities-and immobilities-intersect with gendered, racialized, sexually expressive, nation-inscribed, fertile, infertile, young, aging, pregnant, surrogate, and/or otherwise non/reproductive bodies and persons. Can human reproduction be analyzed without noticing all things mobile and immobile that converge to construct reproductive (and non-reproductive) desires and practices? Can mobility and immobility be considered without thought to how worlds and worlding comes about? Mobility facilitates reproduction, and new possibilities for reproduction; reproduction is mobile at scales from the molecular to the transnational. This effort to bring the fields of reproduction and mobilities into dialogue does not introduce a new subfield but rather creates the opening for a trajectory of empirical work and theoretical ideas that invigorates mobilities with newfound attention on the matter and becoming-ness of reproduction.
This paper is about the changing shape of health tourism in a Czech spa town. The research focuses on balneotherapy as a traditional Czech healing technique, which involves complex drinking and bathing therapies, as it is increasingly being incorporated into the development of a Czech health tourism industry. Today, the health tourism industry in Mariánske Lázne is attempting to 'harmoniously' combine three elements--balneology, travel and business activities. One detects subtle shifts and consequent incongruities as doctors struggle for control over the medical portion of spa hotels. At the same time, marketing groups are creating new packages for a general clientele, and the implementation of these new packages de-medicalizes balneotherapy. Related to the issue of the doctor's authority in the spa, the changes occurring with the privatization of tourism entails the entrance of 'tourists' to Mariánske Lázne who are not necessarily seeking spa treatment but who are still staying at spa hotels. There is a general consensus among spa doctors and employees that balneotherapy has become commodified. Thus, while balneotherapy remains a traditional form of therapy, the commercial context in which it exists has created a new form of health tourism.
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