Reproductive Ethics

In this paper, we discuss the ethical concerns that may arise from the synthesis of human DNA. To date, only small stretches of DNA have been constructed, but the prospect of generating human genomes is becoming feasible. At the same time, the significance of genes for identity, health and reproduction is coming under increased scrutiny. We examine the implications of DNA synthesis and its impact on debates over the relationship with our DNA and the ownership of our genes, its potential (...) to disrupt common understandings of reproduction and privacy, and the way in which synthetic DNA challenges traditional associations between genes and identity. We explore the degree to which synthetic DNA may further undermine overgeneticised accounts of identity, health, reproduction, parenthood and privacy that are prevalent in the public domain and in some areas of policy-making. While avoiding making normative claims of our own, we conclude that there is a need for reflection on the ethical implications of these developing technologies before they are on us. (shrink)

A practical guide for fellow lawyers to navigate international ART law.

The present war in Ukraine has seen millions of women flee as refugees, while martial law forbids adult men under 60 from leaving the country. According to various reports, many and perhaps most women Ukrainian refugees are breaking romantic ties with the men they leave behind, building new lives with men in their countries of refuge, and/or planning never to return. I avoid any comment about the morality of these events, and instead take up the general question of whether women (...) war refugees have any obligations of “connubial loyalty” to their menfolk in circumstances where those men are discharging a moral obligation to fight in the war that precipitated their womenfolk’s flight in the first place. I answer that they do. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Fetal Sentience and Women’s RightsBonnie Steinbock (bio)A growing number of states have banned abortion after twenty weeks on the grounds that the fetus at that stage experiences pain. Such laws run contrary to current abortion law, and so are almost certain to be challenged in court. In Roe v. Wade the Supreme Court said that the constitutional right to abortion extends until the fetus is viable, between twenty-four and (...) twenty-eight weeks. After viability, states may ban abortion entirely except where continuing the pregnancy would threaten the woman’s life or health. The viability threshold was upheld in Planned Parenthood v. Casey.Why viability? The Roe court said that this is “the ‘compelling’ point... because the fetus then presumably has the capability of meaningful life outside the mother’s womb.” Some commentators point out that this is no justification; the capacity for independent life does not explain the significance of viability. It merely gives the meaning.Another problem with viability is that it seems to depend on medical technology. What if fetuses under twenty-three weeks could be placed in an artificial uterus and brought to development there? Would we then say that even a first-trimester fetus was viable? This focuses on one aspect of viability only—namely, the capacity for independent existence. Another aspect is development. The justification for viability is that a fetus of twenty-four to twenty-eight weeks is so substantially developed, so similar to a newborn, that it has a claim to societal protection—so long as this does not threaten the pregnant woman’s life or health. Any attempt to ban abortions much earlier in pregnancy—as in a bill passed by the Ohio state legislature in June that would ban abortion after a fetal heartbeat is detectable, which can occur as early as six weeks—would be so restrictive as to vitiate the right to abortion altogether.It could be argued that sentience is a more rational threshold than viability because of the connection between sentience and moral considerability. If, as many experts believe, sentience and viability occur around the same time, then from a practical standpoint, it does not matter whether sentience or viability is chosen. But if sentience is the standard, and if it occurs earlier than viability, then abortion rights are restricted. Thus, much of the debate has turned on when fetal sentience occurs. Some are adamant that fetal sentience prior to twenty-four weeks is impossible, but other researchers do not rule it out. The development of neural networks necessary for the experience of pain might be present as early as seventeen weeks.Opposition to these laws should not be based on when sentience occurs, since this might change with more evidence. All we can say now is that the fetus almost certainly cannot feel pain during the first trimester and almost certainly can during the third. The exact onset of sentience in the second trimester is not just unknown; it may even be unknowable. It depends on the development of neural connections, which is a process, not an event. Drawing any exact line within a process is likely to be arbitrary.The choice between sentience and viability to justify the prohibition of late abortions is not the real issue. What really matters—and what pro-choice advocates should stress—is that late abortions are not denied to women who need them to preserve their own lives or health. Roe makes this clear, and subsequent cases have affirmed it.That is what is so upsetting about the story of Danielle Deaver. Deaver was at twenty-two weeks in a wanted pregnancy when her water broke, and the amniotic fluid did not rebuild. Her doctors said that fetal development had stopped and that the fetus stood only a remote chance of being born alive. Deaver also faced a risk of serious infection. She and her husband opted for inducing labor. But because inducing labor, if not done to save the life of the fetus, is legally defined as abortion, and Nebraska law prohibits abortion after twenty weeks, doctors and hospital lawyers concluded that the procedure would be illegal.After ten days, Deaver went into labor... (shrink)

The 1960s and 1970s in Britain was a time of revolution in attitudes towards sex, especially in the public education system. The campaign to see sex education established as a subject in primary and secondary schools was gaining traction despite fierce opponents like Mary Whitehouse. This article focuses on the story of a traditionalist Catholic couple named Mr Derrick Taylor and Mrs Irene Taylor who set up a campaign to defend their children against what they saw as the encroachment of (...) immorality, promiscuity and pornography. Mrs Taylor worked to spread the message that sex education was wrong by building a network of mothers who shared her views while Mr Taylor defended in court his decision to remove his children from school altogether. This article gives an account of the lengths Mr and Mrs Taylor went to in order to try to stop sex education and describes the impacts this campaign had on their children. (shrink)

Considering public moral attitudes is a hallmark of the anticipatory governance of emerging biotechnologies, such as heritable human genome editing. However, such anticipatory governance often overlooks that future morality is open to change and that future generations may perform different moral assessments on the very biotechnologies we are trying to govern in the present. In this article, we identify an ’anticipatory gap’ that has not been sufficiently addressed in the discussion on the public governance of heritable genome editing, namely, uncertainty (...) about the moral visions of future generations about the emerging applications that we are currently attempting to govern now. This paper motivates the relevance of this anticipatory gap, identifying the challenges it generates and offering various recommendations so that moral uncertainty does not lead to governance paralysis with regard to human germline genome editing. (shrink)

Andrea Bidoli argues that ectogestation could be seen as an emancipatory intervention for women. Specifically, she claims that ectogestation would create unique conditions to reevaluate one’s reproductive preference, address certain specific negative social implications of gestation and childbirth, and that it is unfair to hold ectogestation to a higher standard than other innovations such as modern contraceptives and non-medical egg freezing. In this commentary, I claim that Bidoli—like so many others—unjustly bypasses men and their reproductive desires. For a long time, (...) the discussion of the ethics of ectogenesis has focused on women and their reproductive liberation. However, since in many countries, an increasing number of men in reproductive age face difficulties in finding a partner and lack access to other forms of assisted reproduction, it is men who need ectogestation the most. (shrink)

The idea of artificial wombs began to be seriously discussed in the West in Britain after WWI, inspired by modern feminism and the invention of neonatal incubators. J. B. S. Haldane’s imagined future use of artificial wombs in his essay Daedalus, or, Science and the Future inspired debate among his contemporaries for a decade, including Aldous Huxley who indelibly cast the technology as dystopian. After WWII bioutopian ideas like artificial wombs were associated with fascism, although socialist feminists briefly renewed the (...) debate over the liberatory potential of artificial wombs in the 1970s. Recent innovations in neonatal intensive care have again generated discussion of the ethical and political impacts of artificial wombs. Again, artificial wombs are seen by some as a way to expand reproductive freedom and gender equality, while critics worry they might have negative impacts on women and abortion access. (shrink)

Kyle van Oosterum and Emma Curran have recently argued that the impairment argument against abortion is weak and accomplishes little. They also claim that impairment fails to explain what makes giving a child fetal alcohol syndrome (FAS) immoral, which is an important premise of the argument. Here, I explain that the impairment argument is not as weak as they believe. Further, I argue that impairment offers a superior explanation for what makes giving a child FAS immoral than their proposal based (...) on creative beneficence. (shrink)

Recent decades have seen the facilitation of unconventional or even extraordinary reproductive endeavours. Sperm has been harvested from dying or deceased men at the request of their wives; reproductive tissue has been surgically removed from children at the request of their parents; deceased adults’ frozen embryos have been claimed by their parents, in order to create grandchildren; wombs have been transplanted from mothers to their daughters. What is needed for requests to be honoured by healthcare staff is that they align (...) with widely shared expectations about what people’s reproductive potential ought to be, what marital relationships ought to result in, and which kinds of ties are desirable between parents and children. Costly and invasive technologies are not considered excessive when they are used to support the building of appropriate families. However, deviations from dominant reproductive norms, even if technologically simple and convenient to the participants, are unlikely to receive support. In this paper, we offer examples of such deviations and explore their implications. If reproduction is important as a way of creating genetic relationships, should reproductive material in storage be offered to genetic relatives other than the people from whom it originated? And if parents are allowed to have reproductive material collected from their offspring, or even to use it to create babies, should offspring likewise be allowed to use their parents’ reproductive material? We tackle these questions and suggest ways in which interests in genetic ties could be operationalised in a more coherent and less-invasive manner than they currently are. (shrink)

本书以人类辅助生殖法律制度为研究对象,对这一制度在不同国家,我国不同法域的产生,发展及未来方向作了全面分析,以比较分析的视角,从中总结出可为我国借鉴吸收的优秀成果,对于未来法制发展方向与具体制度的建构 提出了可行化的学者建议.

I defend a novel account of the wrong of subjecting people to non-consensual sterilization (NCS), particularly in the context of the state-sponsored eugenics programmes once prevalent in the United States. What makes the eugenic practice of NCS distinctively wrong, I claim, is its dehumanizing core: the fact that it is tantamount to treating people as nonhuman animals, thereby expressing the degrading social meaning that they have the value of animals. The practice of NCS is prima facie seriously wrong partly, but (...) crucially, on these grounds. I consider and reject accounts of the wrong of NCS that make no reference to its animalizing character, such as that it violates victims’ (procreative) autonomy, amounts to treating them merely as a means, inflicts psychological harm on them, or constitutes an affront to their human dignity. My discussion suggests that the critical vocabulary of bioethics should be expanded beyond talk of rights-violations, benefits and harms, and equal treatment—and that the language of dehumanization is indispensable to bioethicists. (shrink)

In this paper, we identify some key features of what makes something a disease, and consider whether these apply to pregnancy. We argue that there are some compelling grounds for regarding pregnancy as a disease. Like a disease, pregnancy affects the health of the pregnant person, causing a range of symptoms from discomfort to death. Like a disease, pregnancy can be treated medically. Like a disease, pregnancy is caused by a pathogen, an external organism invading the host’s body. Like a (...) disease, the risk of getting pregnant can be reduced by using prophylactic measures. We address the question of whether the ‘normality’ of pregnancy, its current necessity for human survival, or the value often attached to it are reasons to reject the view that pregnancy is a disease. We point out that applying theories of disease to the case of pregnancy, can in many cases illuminate inconsistencies and problems within these theories. Finally, we show that it is difficult to find one theory of disease that captures all paradigm cases of diseases, while convincingly excluding pregnancy. We conclude that there are both normative and pragmatic reasons to consider pregnancy a disease. (shrink)

Parents have an interest in sharing their values, beliefs and projects with their children. At the same time, children have an interest in being both capable of and free to develop their own values, beliefs, and projects. The interests of parents and children can conflict, and a great deal of attention has been given to how we ought to adjudicate this conflict with respect to child-rearing and education. This tension has been pushed further back in the parenting timeline by the (...) advancement of reproductive technology. In this paper, I argue that parents, both prospective and actual, are obligated to facilitate their children's coming to be independent agents. The decisions they make for their children must be conditioned on that end. Parents may transmit their own beliefs and values to their children if and when doing so is a condition of the child's coming to be an independent agent. For example, parents are permitted to choose their child's education--even a religious education--because doing so is necessary to give the child a practical starting point, but they are not permitted to indoctrinate their child. On this view, selecting for a trait can be inappropriate not because the trait is itself bad for the child, but because the parents' selection is an attempt to control what their future child will come to believe and care about. (shrink)

Is it wrong to create a blind child, for example by in vitro fertilization, if you could create a sighted child instead? Intuitively many people believe it is wrong, but this belief is difficult to justify. When there is a possibility to create and select either ‘blind’ or ‘sighted’ embryos choosing a set of ‘blind’ embryos seems to harm no-one since choosing ‘sighted’ embryos would create a different child altogether. So when the parents choose ‘blind’ embryos, they give some specific (...) individual a life that is the only option for her. Because her life is worth living (as blind peoples’ lives are), the parents have not wronged the child by creating her. This is the reasoning behind the famous non-identity problem. I suggest that the non-identity problem is based on a misunderstanding. I claim that when choosing a ‘blind’ embryo, prospective parents harm ‘their child’, whoever she or he will be. Put another way: parents harm their child in the de dicto sense and that is morally wrong. (shrink)

Introduction: Sexual harassment involves an assortment of coercive behaviors, including physical force, intimidation, and various forms of compulsion, including verbal harassment and forced penetration [1]. Sexual abuse can happen to both men and women. In the United Kingdom(UK), the problem of child sexual abuse (CSA) has epidemic proportions and is a global public health issue [2]. 53,874 incidents were reported under the 2012 Protection of Children from Sexual Offences Act as of 2021 [3]. to their ignorance about puberty, sexuality, and (...) fundamental human biological changes, adolescents have a very difficult time addressing their SRH demands. These underlying causes contribute to high rates of teen pregnancy, STIs, sexual assault, poor negotiating skills, forced marriage, and high fertility rates [4]. -/- Methods: The study used a quantitative technique and a descriptive cross-sectional design. Students at Jahangir Nagar University and the American International University of Bangladesh were the intended target group. Jahangir Nagar University and American International University of Bangladesh served as the study locations. The six-month trial period ran from January 2022 through June 2022. For this investigation, primary sources of data were used. The study unit was the individual student. Non-probability (purposive) sampling techniques were used for the investigation. -/- Results: The majority of survey participants (N=81) 62.2% were aged between 19 and 21 years old, and there was a statistically significant difference in age between students at public and private universities. None of our study participants suffered from any kind of sexual abuse, though they mentioned hearing about it. Regarding the view of sexual abuse, public universities 23% of those polled claimed sexual abuse as a justification for sharing inappropriate photos. At private universities, the response rate for crude jokes is 32.5%. Only the least number of public (2%) and private university (10%) students took part in sexual abuse-related awareness or training programs. Regarding the rights to receive training for prevention and safeguarding from sexual abuse, only 28% of the public and 40% of the private university students replied in affirmative. -/- Conclusion: Sexual harassment is a sensitive issue, though due to various reasons, the rate of reporting and providing justice to the victims is delayed all over the world including Bangladesh. There social, religious, and policy lacking in this context. -/- . (shrink)

In my paper recently published in a collection of controversial arguments in this journal, I argued that the same principles that are behind ethical veganism also warrant antinatalist conclusions. I thus suggested that to be consistent in their ethical reasoning, moral vegans should not have children. William Bülow has kindly responded to my claims and offered a plausible reply, which, according to him, concludes that at least some moral vegans may resist antinatalism. In this short paper, I reply to Bülow.

Biohacking is a grass-roots movement that brings the knowledge and experimen-tal practice of biological sciences to a non-specialized public. This article seeks to identify biohacking as a type of transhumanism and not just as a movement influenced by the latter. To do so, it examines the constitution, history, practi-ces, and moral codes of the biohacker movement. Subsequently, it compares the results with the definition of transhumanism, finding points of similarity in the hypotheses of both, as well as an adaptation of (...) transhumanist values to biohac-king. It concludes by identifying biohacking as a type of transhumanism. (shrink)

Purpose/Background. The present research focuses on the debate on transhumanism/bioconservatism from the perspective of empirical bioethics, that is, making use of em-pirical evidence in the process of moral reasoning. Its objective is to propose a metho-dological guide for the approach and resolution of moral problems concerning human enhancement. Methodology/Approach. The method Step-wise Ethical Human Enhancemet (SWEH) is proposed. It is a guide consisting of 11 questions that are the result of the adaptation of the guidelines for identifying a human enhancement (...) procedure as ethical developed by Julian Savulescu to the method of Step-wise Empirical Contributions elaborated by Pascal Borry. An applicative example on the morality of biohacking RFID implants is provided. Results/Findings. SWEH proposes that human enhancement procedures might be approached as specific problems and that the identified moral norm might be rewritten as a descriptive proposition that serves as a hypothesis that will be evaluated in the light of empirical evidence. The evaluation of the proposition, and thus of moral reasoning, will be done with the help of the information gathered by the 11 questions. Discussion/Conclusions/Contributions. SWEH can serve to provide a first answer on the morality of a specific human enhancement procedure, but not an absolute one, as the result may vary depending on the information obtained in the future. It also highli-ghts gaps in empirical research related to the procedure it addresses. The method is a first methodological guide that could be revised and improved. (shrink)

This book summarizes the contributions at an April 2016 conference held at Albany Medical College, Reproductive Ethics: New Challenges and Conversations. Reproductive ethics does not suffer from a lack of challenging issues, yet a few "hot button" issues such as abortion and surrogacy seem to attract most of the attention, while other issues and dilemmas remain relatively underdeveloped in bioethics literature. The goal of this book is to explore and expand the range of topics addressed in reproductive ethics. This is (...) a multi-disciplinary book bringing together philosophers, clinicians, sociologists, anthropologists, and other scholars whose research or clinical interests touch reproductive issues. The results of this compilation are a comprehensive and unique discussion of the evolving issues in the rapidly changing field. The majority of the popular reproductive ethics anthologies were published at least 10 years ago. The field of reproductive ethics would benefit from a new anthology that addresses some of the perennial dilemmas in reproductive ethics (e.g. abortion, sex selection) from updated perspectives and that also covers new technologies that have emerged only in the last few years, such as social egg freezing. (shrink)

Many people find the manipulation of the human germline—editing the DNA of sperm or egg cells such that these genetic changes are passed to the resulting offspring—to be morally impermissible. In this paper, I argue for the claim that editing the human germline is morally permissible. My argument starts with the claim that outcome uncertainty regarding the effects of germline editing shows that the duty to not harm cannot ground the prohibition of germline editing. Instead, if germline editing is wrong, (...) it is wrong because it violates a duty to protect. However, we also have an epistemic duty to gather evidence regarding the effects of editing the human germline which overrides any moral duty to protect future generations. Thus, we have a duty to gather evidence regarding the effects of editing the human germline, which is to say that we have a duty to edit the human germline. (shrink)

Utilizing Trudy Govier’s (1997) conception of social trust, this dissertation will provide a framework for understanding trust in healthcare relationships and highlight some of the ways that unequal power distribution and dependency, poorly defined roles, and institutions complicate trust between women and their providers. This framework will also explain how distrust, especially prejudicial distrust, leads to paternalistic attitudes on the part of providers. Paternalism limits patient autonomy because medical autonomy is constitutively relational. This means that insofar as distrust causes paternalism, (...) it also damages autonomy. Through negative outcomes, this lack of autonomy can cause patients to distrust healthcare, which can contribute to a spiral of distrust between patients and providers. This dissertation will provide two contexts of how this distrust could play out in the clinical setting. The first conception involves lying as a response to testimonial injustice. When providers give patients a credibility deficit and distrust them to testify about their symptoms, providers may engage in the paternalistic practice of dismissing or minimizing the patient’s testimony in favor of their own assessment of the patient’s lived experience. If this practice is institutionalized, it can lead to a phenomenon known as testimonial silencing, where patients feel hopeless about their ability to convey information and distrust providers to take them seriously. This dissertation suggests that in order to overcome this silencing and reclaim autonomy in the patient-provider relationship, patients may lie to providers, not to deceive them, but in order to convey accurate information in a way that achieves perlocutionary success. The second conception deals with choice limitation in reproductive healthcare. In expanding the scope of reproductive coercion, it becomes evident that certain practices at the systematic or political level and at the clinical level should be defined as reproductive coercion. In order to explicate how reproductive choices, especially women’s choices, are restricted in multiple spheres, I argue that reproductive coercion occurs at three distinct levels of engagement with society: intimate, clinical, and systematic. By focusing on the clinical setting, the dissertation can demonstrate how paternalistic practices in healthcare, brought on by distrust in patients as decision-makers, can coerce women into certain reproductive choices that run counter to their autonomous preferences. (shrink)

In this essay, I argue that those who embrace animal rights should also embrace primitivism—the view that humans should abandon modern technology and take up something like hunter-gatherer technology instead. I call my view “animal-rights primitivism” to distinguish it from human-centered arguments for primitivism. In particular, I employ a vital-needs framework to make my argument. I argue that hunter-gatherer technology is the least harmful kind of technology, it is sufficient to meet human vital needs, and it is possible for humans (...) to make the transition to hunter-gatherer technology while still meeting their vital needs. Alternatively, I argue that even if humans cannot make the transition while still meeting their vital needs, they are responsible for putting themselves in that situation and therefore forfeit the right to aggress against other sentient species to do so. (shrink)

La obra incluye legislación de quince países, así como diversos documentos de la ONU, la UNESCO, el Consejo de Europa, la Unión Europea, Comités Nacionales de Ética, dictámenes y resoluciones de Instituciones Internacionales, jurisprudencia española y una selección bibliográfica con unas 1.300 referencias, clasificada por materias. Algunas leyes nacionales y los documentos del Consejo de Europa se publican traducidos al español y en su idioma original, cuando éste se ha considerado fácilmente asequible, con el fin de facilitar el acceso a (...) la fuente directa. (shrink)

v. 1. Introduction -- v. 2. Comparaison -- v. 3. Conclusion.