The Medical Nonnecessity of In Vitro Fertilization

McLeod, Carolyn

doi:10.3138/ijfab.10.1.78

Cited by 6 publications

(3 citation statements)

References 34 publications

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“…Geneticism undoubtedly shapes people’s reproductive choices and options (Bell 2019 ; McLeod 2017 ; Segers et al 2019 ). In the case of infertility, many aspiring (older) mothers will first try to use their own genetic material (homologous IVF), only then opt for oocyte donation (heterologous IVF) and consider adoption as a viable option only when all medical treatments have failed (Brakman & Scholz 2006 ).…”

Section: Deep-seated Socio-cultural Discourses On Motherhoodmentioning

confidence: 99%

Rethinking advanced motherhood: a new ethical narrative

De Clercq,

Martani,

Vulliemoz

et al. 2023

Med Health Care and Philos

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The aim of the study is to rethink the ethics of advanced motherhood. In the literature, delayed childbearing is usually discussed in the context of reproductive justice, and in relationship to ethical issues associated with the use and risk of assisted reproductive technologies. We aim to go beyond these more “traditional” ways in which reproductive ethics is framed by revisiting ethics itself through the lens of the figure of the so-called “older” mother. For this purpose, we start by exploring some of the deep seated socio-cultural discourses in the context of procreation: ageism, ableism and the widespread bias towards geneticism and pronatalism. Afterwards, we provide a critical overview of the key arguments against or in support of advanced motherhood. We then briefly discuss how entrenchment by both sides has produced an impasse in the debate on the ethics of advanced motherhood and proceed by arguing that it is fundamental to bring about a change in this narrative. For this purpose, we will revisit the feminist usage of the concept of vulnerability which will allow us both to criticize culturally prescribed norms about motherhood and to address the painful reality of age-related fertility decline. In the last section, we argue that instead of defining “older” motherhood as an ethical problem, we should problematize the fact that female reproductive ageing is an understudied and ill-sourced topic. We believe that allocating resources to research to better understand female reproductive ageing is not only ethically permissible, but might even be ethically desirable.

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Section: Deep-seated Socio-cultural Discourses On Motherhoodmentioning

confidence: 99%

Rethinking advanced motherhood: a new ethical narrative

De Clercq,

Martani,

Vulliemoz

et al. 2023

Med Health Care and Philos

View full text Add to dashboard Cite

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“…3On IVF in Ontario and a philosophical approach to medical necessity, see McLeod (2017a, 2017b). See also Hughes and Giacomini (2001).…”

Section: Notesmentioning

confidence: 99%

“…This research included 18 semistructured interviews with key policy actors who engaged in the development of federal legislation on assisted human reproduction. 3 On IVF in Ontario and a philosophical approach to medical necessity, seeMcLeod (2017aMcLeod ( , 2017b. See alsoHughes and Giacomini (2001).…”

mentioning

confidence: 99%

Medical Necessity and the Public Funding of In Vitro Fertilization in Ontario

Cattapan

2019

Can J Pol Sci

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The recognition of a health care service as medically necessary under the Canada Health Act is contingent on a variety of practical and political factors. This article examines how in vitro fertilization (IVF) came to be understood as a medically necessary service in Ontario, focusing on the establishment of public funding for one cycle of treatment. The article argues that the legitimacy of medical necessity in the contemporary period is tied to three interrelated factors: the recognition of a service as sufficiently “medical,” as efficient and as urgent—that is, something to be funded now and not later. By applying this framework to the case of IVF in Ontario, the article demonstrates not only the ongoing malleability of medical necessity but also how the government of Ontario has mobilized the three aspects of medical necessity to make a case for the public funding of a highly contested health care service.

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Ist unerfüllter Kinderwunsch ein Leiden? – Der Leidensbegriff im Kontext der Kinderwunschtherapie

Westermann

Alkatout

2019

Ethik Med

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Zusammenfassung Der Begriff Leiden ist in der Medizin und in der Bioethik bisher kaum reflektiert und dahingehend in normativer Hinsicht wenig bestimmt. Dennoch bildet das Leiden an einer Unfruchtbarkeit den Ausgangspunkt für die medizintechnischen Interventionen der assistierten reproduktionsmedizinischen Behandlung. Dabei wird implizit angenommen, dass der unerfüllte Kinderwunsch ein Leiden ist. Ob der unerfüllte Kinderwunsch allerdings ein Leiden darstellt, ist bisher nicht eindeutig geklärt worden. Ziel dieses Beitrages ist es, die Annahme, dass es sich beim unerfüllten Kinderwunsch um ein Leiden handelt, zu überprüfen. Anhand der Darstellung einiger gängiger Leidenskonzeptionen werden Merkmale von Leiden herausgearbeitet, die als treffende Grundannahmen für eine Leidensbestimmung gelten können. Es wird sich zeigen, dass der unerfüllte Kinderwunsch, entsprechend der Leidenskonzeptionen, als ein Leiden angesehen werden sollte, und ihm somit ein normativer Stellenwert zukommt. In einem weiteren Schritt ist zu klären, ob das Leiden an einem unerfüllten Kinderwunsch als ein Rechtfertigungsgrund für reproduktionsmedizinische Interventionen gelten kann. Dafür wird zum einen der Stellenwert von Leiden, als eine anthropologische Grundbedingung, im Zusammenhang mit dem Leidenslinderungsauftrag der Medizin diskutiert. Zum anderen werden die Risiken der reproduktionsmedizinischen Therapien sowie deren Bedeutung als Gesundheitsressourcen erörtert. Dabei wird deutlich, dass Leiden an einem unerfüllten Kinderwunsch immer ein psychosomatischer Komplex ist. Nur unter Berücksichtigung der

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The Medical Nonnecessity of In Vitro Fertilization

Cited by 6 publications

References 34 publications

Rethinking advanced motherhood: a new ethical narrative

Rethinking advanced motherhood: a new ethical narrative

Medical Necessity and the Public Funding of In Vitro Fertilization in Ontario

Ist unerfüllter Kinderwunsch ein Leiden? – Der Leidensbegriff im Kontext der Kinderwunschtherapie

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