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Human Reproduction

Bioethics Forum Essay

Fetal Personhood, IVF, and the Negligent Loss of Embryos

How can the legitimate concerns of fertility patients whose embryos are negligently lost be addressed without threatening the very existence of IVF?
Read Fetal Personhood, IVF, and the Negligent Loss of Embryos
Bioethics Forum Essay

Polygenic Embryo Screening: Ethical and Legal Considerations

Last month, Bloomberg reported on what seems to be the first child born following a new kind of genome-wide screening. Four embryos were screened, and the embryo selected for implantation was the one given the best genetic odds of avoiding heart disease, diabetes, cancer, and schizophrenia in adulthood. The news has been met with some concerns about the degree of control we may now have over future generations.
Read Polygenic Embryo Screening: Ethical and Legal Considerations
Bioethics Forum Essay

The Great Leap Backward

The government and many residents of the state of Texas like to brag about their love of personal freedom and individual choice. That is why it is so strange and morally repugnant that the state has turned for guidance on how to manage reproductive decisions to the Chinese Communist Party of the Mao Zedong era.
Read The Great Leap Backward
Bioethics Forum Essay

Human Embryo Research Beyond 14 Days? International Perspectives

In late May, an international organization eliminated a 40-year prohibition against human embryo research beyond 14 days. The legal and scientific consequences will vary around the world.
Read Human Embryo Research Beyond 14 Days? International Perspectives
Bioethics Forum Essay
ultrasound photos

With Legal Challenges to Abortion, Whither Prenatal Diagnosis?

Changes in abortion law threaten to undermine a major benefit of prenatal diagnosis, namely the ability of pregnant women to choose whether or not to continue their pregnancies upon learning of a serious fetal condition.
Read With Legal Challenges to Abortion, Whither Prenatal Diagnosis?
Bioethics Forum Essay
frozen embryos

Surprising Surge of Egg Freezing during the Pandemic Raises Ethical Questions

Contrary to the expectations of many fertility clinics, demand for egg freezing has increased sharply during the Covid-19 pandemic, highlighting longstanding ethical concerns about egg freezing clinics.
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Bioethics Forum Essay

What’s Wrong with Virginity Testing?

When the rapper T. I. disclosed on a podcast that he takes his 18-year-old daughter to a yearly gynecological examination to ensure that her hymen is still intact, the reaction of most people was condemnation. His obsession with her virginity is creepy, his subjecting her to an invasive procedure that has no medical value is controlling, and his willingness to talk about it publicly displays contempt for her rights to privacy and dignity. Some think that the law should prohibit physicians from performing or supervising virginity examinations. But the law is not the best means for dealing with the problem, and the problem is not simply virginity testing.
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Bioethics Forum Essay

What’s Wrong with a Fertility Doctor Using His Own Sperm?

It was unethical for a fertility doctor to use his own sperm to inseminate patients without their consent. But what are the legal harms to the women? To their children?
Read What’s Wrong with a Fertility Doctor Using His Own Sperm?
Bioethics Forum Essay

Moratorium on Human Genome Editing: Time to Get It Right

Last month, the journal Nature published a call for a global moratorium on heritable human genome editing. Despite criticism, notably from CRISPR pioneer Jennifer Doudna, the moratorium is just what's needed now.
Read Moratorium on Human Genome Editing: Time to Get It Right
Bioethics Forum Essay
Chinese scientist speaking at international meeting

Chinese Bioethicists Respond to the Case of He Jiankui

A preliminary investigation by Guangdong Province in China of He Jiankui, the scientist who created the world’s first gene-edited babies, found that “He had intentionally dodged supervision, raised funds and...
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Bioethics Forum Essay
petridish against a glowing background

He Jiankui: A Sorry Tale of High-Stakes Science

In response to news of the world’s first babies born in China from gene-edited embryos, Sam Sternberg, a CRISPR/Cas9 researcher at Columbia University, spoke for many when he said “I’ve...
Read He Jiankui: A Sorry Tale of High-Stakes Science
Bioethics Forum Essay
Chinese scientist He Jiankui

He Jiankui’s Genetic Misadventure: Why Him? Why China?

The birth of gene-edited twin girls was announced by a young Chinese scientist He Jiankui through one of four self-made promotional videos in English on YouTube (a website officially banned...
Read He Jiankui’s Genetic Misadventure: Why Him? Why China?
Bioethics Forum Essay

Should We Edit the Human Germline? Is Consensus Possible or Even Desirable?

I started writing this on my way back to New York from the Second International Summit on Human Genome Editing, held in Hong Kong November 27 to 29, where the...
Read Should We Edit the Human Germline? Is Consensus Possible or Even Desirable?
Bioethics Forum Essay
frozen embryos

Wrongful Death Suits for Frozen Embryos: A Bad Idea

Last March, 4,000 frozen eggs and embryos were lost at University Hospitals Fertility Center in Cleveland when the temperature in cryogenic tanks spiked due to human error. Officials at University...
Read Wrongful Death Suits for Frozen Embryos: A Bad Idea
Bioethics Forum Essay

Lena Dunham’s Lesson for Doctors

In a recent essay in Vogue the actress, writer, and director Lena Dunham described her decision to have a hysterectomy at age 31 after a decade of unsuccessful attempts to...
Read Lena Dunham’s Lesson for Doctors
Bioethics Forum Essay

Reproductive Freedom: The More Things Change . . .

An opinion piece in the New York Times, “Doctors Fail Women Who Don’t Want Children,” serves as a striking reminder that the more things seem to change, the more they...
Read Reproductive Freedom: The More Things Change . . .
Bioethics Forum Essay

Breastfeeding and Transgender Women

A transgender woman has successfully breastfed a baby. This case has been hailed as a “breakthrough” for transgender families. I will argue that being transgender is only peripherally relevant, and...
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Bioethics Forum Essay

Vive la Bioéthique? France’s Bioethics Initiative

Little noticed in the United States but a big deal in France, President Emmanuel Macron announced in January that he is creating a bioethics commission to review the country’s policies...
Read Vive la Bioéthique? France’s Bioethics Initiative
Bioethics Forum Essay
genetic data scan glowing blue

Is Noninvasive Prenatal Genetic Testing Eugenic?

Before noninvasive prenatal screening becomes a routine part of gestational care, society needs to have difficult conversations about the ethical implications and establish a paradigm for truly informed consent in...
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Bioethics Forum Essay
woman alone with horizon line

Cancer and Fertility: Learning from Survivors

As modern medicine improves survival odds, many young cancer patients are living long lives that bear the markings of the disease and its treatment. The side effects of chemotherapy, radiation,...
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Bioethics Forum Essay

“The Handmaid’s Tale” and Modern-Day Surrogacy

With the wild popularity of the new TV series The Handmaid’s Tale, surrogacy is back in the limelight. The Hulu show, based on the cautionary novel of the same name by...
Read “The Handmaid’s Tale” and Modern-Day Surrogacy
Bioethics Forum Essay

Should We Stop Having Children?

Not long ago, I received a questionnaire from an organization on a crusade to lower birthrates to protect the health and well-being of people and the environment. Called the Population...
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Bioethics Forum Essay
hands holding ultrasound photo

Preventing Sex-Selective Abortions in America: A Solution in Search of a Problem

Arkansas has recently joined seven other states (Arizona, Kansas, North Carolina, North Dakota, Oklahoma, Pennsylvania, and South Dakota) in banning abortions for sex selection. Arizona’s law requires doctors to ask...
Read Preventing Sex-Selective Abortions in America: A Solution in Search of a Problem
Bioethics Forum Essay

After the Election Bioethics Faces a Rocky Road

Academic bioethics has never been popular with Republicans. Libertarians dislike academic bioethics because it seems too elitist and anti-free market.  Religious thinkers worry it is technocratic, soulless and crassly utilitarian....
Read After the Election Bioethics Faces a Rocky Road
Bioethics Forum Essay
frozen embryos

Questions About Using “Mosaic” Embryos in IVF

Couples undergoing IVF routinely undergo preimplantation genetic screening, or PGS, to make sure that their embryos are viable and free of genetic disease. However, some embryos have both normal and...
Read Questions About Using “Mosaic” Embryos in IVF
Bioethics Forum Essay

Children at all Costs?

In the past few weeks, the North American media has been rife with stories about unusual births following fertility treatment. The first was that of Nadya Suleman (christened by the...
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Bioethics Forum Essay

Selective Parenting

For years, the abortion of fetuses likely to have disabilities has been called “selective abortion,” but, for reasons made clear in Hilde Lindemann’s thoughtful Bioethics Forumreflection on the matter, the...
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Bioethics Forum Essay

Liberty Should Win: We May Choose Our Children’s Sexual Orientation

Gay marriage is morally unacceptable – here’s why: Supporters of gay marriage undermine the rights of homosexuals because they provoke increased homophobic reactions and political mobilization in an already homophobic...
Read Liberty Should Win: We May Choose Our Children’s Sexual Orientation
Bioethics Forum Essay

Liberty and Solidarity: May We Choose Children for Sexual Orientation?

In a just-published New York Magazine piece, “The Science of Gaydar,” writer David France looks at the growing scientific evidence for innate differences between gay and straight people. France ends...
Read Liberty and Solidarity: May We Choose Children for Sexual Orientation?
Bioethics Forum Essay

The Perils of Embryo Banking?

Embryo banking is not an idea whose time has come. But at some point it might be, so a little ethical hyperventilating about the prospect is useful. A previously unknown...
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