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Redefining procreation: facing the issues
Authors:Isaacs S L  Holt R J
Abstract:It is now possible for a child to have up to 5 individuals claiming to be parents: a sperm donor, an egg or ovum donor, the woman providing a womb for gestation, and the couple raising the child. Technology has provided 3 techniques of conception: artificial insemination, in vitro fertilization and embryo transfer, and surrogate motherhood. There is increased concern with infertility in the US and decreased availability of children for adoption. New reproductive technologies share, with the recent profound changes in the American family and more relaxed attitudes towards sexuality, a common potential to alter family structure and family dynamics. Certain issues are germane to all birth technologies such as whether such technologies should exist at all, whether there is a right to procreate, what criteria should govern access to these technologies, and how they should be regulated. Complex ethical, legal, social and moral questions are involved. Advances in reproductive technologies have created a gap between science and public policy. The articulation of guiding principles is essential to narrow that gap.
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